Note regarding coverage and payment indicators for codes in CMS’ 2020 HCPCS Update and DMEPOS Fee Schedule Files

If specific Medicare coverage or payment indicators or values have not been established for any new HCPCS codes, this may be because a n






  HCPC/MOD         ACTION CD       SHORT DESCRIPTION              LONG DESCRIPTION
      A1           No Change       Dressing for one wound         Dressing for one wound
      A2           No Change       Dressing for two wounds        Dressing for two wounds
      A3           No Change       Dressing for three wounds      Dressing for three wounds
      A4           No Change       Dressing for four wounds       Dressing for four wounds
      A5           No Change       Dressing for five wounds       Dressing for five wounds
      A6           No Change       Dressing for six wounds        Dressing for six wounds
      A7           No Change       Dressing for seven wounds      Dressing for seven wounds
      A8           No Change       Dressing for eight wounds      Dressing for eight wounds
      A9           No Change       Dressing for 9 or more wound   Dressing for nine or more wounds
      AA           No Change       Anesthesia perf by anesgst     Anesthesia services performed personally by anesthesiologist
      AD           No Change       Md supervision, >4 anes proc   Medical supervision by a physician: more than four concurrent anesthes
      AE           No Change       Registered dietician           Registered dietician
      AF           No Change       Specialty physician            Specialty physician
      AG           No Change       Primary physician              Primary physician
      AH           No Change       Clinical psychologist          Clinical psychologist
      AI           No Change       Principal physician of rec     Principal physician of record
      AJ           No Change       Clinical social worker         Clinical social worker
      AK           No Change       Non participating physician    Non participating physician
      AM           No Change       Physician, team member svc     Physician, team member service
      AO           No Change       Prov declined alt pmt method   Alternate payment method declined by provider of service
      AP           No Change       No dtmn of refractive state    Determination of refractive state was not performed in the course of d
      AQ           No Change       Physician service hpsa area    Physician providing a service in an unlisted health professional short
      AR           No Change       Physician scarcity area        Physician provider services in a physician scarcity area
      AS           No Change       Assistant at surgery service   Physician assistant, nurse practitioner, or clinical nurse specialist
      AT           No Change       Acute treatment                Acute treatment (this modifier should be used when reporting service 9
      AU           No Change       Uro, ostomy or trach item      Item furnished in conjunction with a urological, ostomy, or tracheosto
      AV           No Change       Item w prosthetic/orthotic     Item furnished in conjunction with a prosthetic device, prosthetic or
      AW           No Change       Item w a surgical dressing     Item furnished in conjunction with a surgical dressing
      AX           No Change       Item w dialysis services       Item furnished in conjunction with dialysis services
      AY           No Change       Item/service not for esrd tx   Item or service furnished to an esrd patient that is not for the treat
      AZ           No Change       Physician serv in dent hpsa    Physician providing a service in a dental health professional shortage
      BA           No Change       Item w pen services            Item furnished in conjunction with parenteral enteral nutrition (pen)
      BL           No Change       Spec acquisition blood prods   Special acquisition of blood and blood products
      BO           No Change       Nutrition oral admin no tube   Orally administered nutrition, not by feeding tube
      BP           No Change       Bene electd to purchase item   The beneficiary has been informed of the purchase and rental options a
      BR           No Change       Bene elected to rent item      The beneficiary has been informed of the purchase and rental options a
      BU           No Change       Bene undecided on purch/rent   The beneficiary has been informed of the purchase and rental options a
      CA           No Change       Procedure payable inpatient    Procedure payable only in the inpatient setting when performed emergen
      CB           No Change       Esrd bene part a snf-sep pay   Service ordered by a renal dialysis facility (rdf) physician as part o
      CC           No Change       Procedure code change          Procedure code change (use 'cc' when the procedure code submitted was
      CD           No Change       Amcc test for esrd or mcp md   Amcc test has been ordered by an esrd facility or mcp physician that i
      CE           No Change       Med neces amcc tst sep reimb   Amcc test has been ordered by an esrd facility or mcp physician that i
      CF           No Change       Amcc tst not composite rate    Amcc test has been ordered by an esrd facility or mcp physician that i
      CG           No Change       Policy criteria applied        Policy criteria applied
      CH           No Change       0 percent impaired, ltd, res   0 percent impaired, limited or restricted
      CI           No Change       1 to <20 percent impaired      At least 1 percent but less than 20 percent impaired, limited or restr
      CJ           No Change       20 to <40 percent impaired     At least 20 percent but less than 40 percent impaired, limited or rest
      CK           No Change       40 to <60 percent impaired     At least 40 percent but less than 60 percent impaired, limited or rest
      CL           No Change       60 to <80 percent impaired     At least 60 percent but less than 80 percent impaired, limited or rest
      CM           No Change       80 to <100 percent impaired    At least 80 percent but less than 100 percent impaired, limited or res
      CN           No Change       100 percent impaired, ltd      100 percent impaired, limited or restricted
      CO           No Change       Outpatient ot service by ota   Outpatient occupational therapy services furnished in whole or in part
      CP           No Change       C-apc adjunctive service       Adjunctive service related to a procedure assigned to a comprehensive
      CQ           No Change       Outpatient pt service by pta   Outpatient physical therapy services furnished in whole or in part by
      CR           No Change       Catastrophe/disaster related   Catastrophe/disaster related
      CS           No Change       Gulf oil 2010 spill related    Item or service related, in whole or in part, to an illness, injury, o
      CT           No Change       Ct does not meet nema standa   Computed tomography services furnished using equipment that does not m
      DA           No Change       Oral health assess, not dent   Oral health assessment by a licensed health professional other than a
      E1           No Change       Upper left eyelid              Upper left, eyelid
      E2           No Change       Lower left eyelid              Lower left, eyelid
      E3           No Change       Upper right eyelid             Upper right, eyelid
      E4           No Change       Lower right eyelid             Lower right, eyelid
      EA           No Change       Esa, anemia, chemo-induced     Erythropoetic stimulating agent (esa) administered to treat anemia due
      EB           No Change       Esa, anemia, radio-induced     Erythropoetic stimulating agent (esa) administered to treat anemia due
      EC           No Change       Esa, anemia, non-chemo/radio   Erythropoetic stimulating agent (esa) administered to treat anemia not
      ED           No Change       Hct>39% or hgb>13g>=3 cycle    Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13
      EE           No Change       Hct>39% or hgb>13g<3 cycle     Hematocrit level has not exceeded 39% (or hemoglobin level has not exc
      EJ           No Change       Subsequent claim               Subsequent claims for a defined course of therapy, e.g., epo, sodium h
      EM           No Change       Emer reserve supply (esrd)     Emergency reserve supply (for esrd benefit only)
      EP           No Change       Medicaid epsdt program svc     Service provided as part of medicaid early periodic screening diagnosi
      ER           No Change       Off-campus ed service          Items and services furnished by a provider-based, off-campus emergency
      ET           No Change       Emergency services             Emergency services
      EX           No Change       Expatriate beneficiary         Expatriate beneficiary
      EY           No Change       No md order for item/service   No physician or other licensed health care provider order for this ite
      F1           No Change       Left hand, second digit        Left hand, second digit
      F2           No Change       Left hand, third digit         Left hand, third digit
      F3           No Change       Left hand, fourth digit        Left hand, fourth digit
      F4           No Change       Left hand, fifth digit         Left hand, fifth digit
      F5           No Change       Right hand, thumb              Right hand, thumb
      F6           No Change       Right hand, second digit       Right hand, second digit
      F7           No Change       Right hand, third digit        Right hand, third digit
      F8           No Change       Right hand, fourth digit       Right hand, fourth digit
      F9           No Change       Right hand, fifth digit        Right hand, fifth digit
      FA           No Change       Left hand, thumb               Left hand, thumb
      FB           No Change       Item provided without cost     Item provided without cost to provider, supplier or practitioner, or f
      FC           No Change       Part credit, replaced device   Partial credit received for replaced device
      FP           No Change       Svc part of family plan pgm    Service provided as part of family planning program
      FX           No Change       X-ray taken using film         X-ray taken using film
      FY           No Change       Computed radiography x-ray     X-ray taken using computed radiography technology/cassette-based imagi
      G0           No Change       Telestroke                     Telehealth services for diagnosis, evaluation, or treatment, of sympto
      G1           No Change       Urr reading of less than 60    Most recent urr reading of less than 60
      G2           No Change       Urr reading of 60 to 64.9      Most recent urr reading of 60 to 64.9
      G3           No Change       Urr  reading of 65 to 69.9     Most recent urr reading of 65 to 69.9
      G4           No Change       Urr reading of 70 to 74.9      Most recent urr reading of 70 to 74.9
      G5           No Change       Urr reading of 75 or greater   Most recent urr reading of 75 or greater
      G6           No Change       Esrd patient <6 dialysis/mth   Esrd patient for whom less than six dialysis sessions have been provid
      G7           No Change       Payment limits do not apply    Pregnancy resulted from rape or incest or pregnancy certified by physi
      G8           No Change       Monitored anesthesia care      Monitored anesthesia care (mac) for deep complex, complicated, or mark
      G9           No Change       Mac for at risk patient        Monitored anesthesia care for patient who has history of severe cardio
      GA           No Change       Liability waiver ind case      Waiver of liability statement issued as required by payer policy, indi
      GB           No Change       Claim resubmitted              Claim being re-submitted for payment because it is no longer covered u
      GC           No Change       Resident/teaching phys serv    This service has been performed in part by a resident under the direct
      GD         Discontinued      Unit of service > mue value    Units of service exceeds medically unlikely edit value and represents
      GE           No Change       Resident prim care exception   This service has been performed by a resident without the presence of
      GF           No Change       Nonphysician serv c a hosp     Non-physician (e.g. nurse practitioner (np), certified registered nurs
      GG           No Change       Payment screen mam + diagmam   Performance and payment of a screening mammogram and diagnostic mammog
      GH           No Change       Diag mammo to screening mamo   Diagnostic mammogram converted from screening mammogram on same day
      GJ           No Change       Opt out provider of er srvc    "opt out" physician or practitioner emergency or urgent service
      GK           No Change       Actual item/service ordered    Reasonable and necessary item/service associated with a ga or gz modif
      GL           No Change       Upgraded item, no charge       Medically unnecessary upgrade provided instead of non-upgraded item, n
      GM           No Change       Multiple transports            Multiple patients on one ambulance trip
      GN           No Change       Op speech language service     Services delivered under an outpatient speech language pathology plan
      GO           No Change       Op occupational therapy serv   Services delivered under an outpatient occupational therapy plan of ca
      GP           No Change       Op pt services                 Services delivered under an outpatient physical therapy plan of care
      GQ           No Change       Telehealth store and forward   Via asynchronous telecommunications system
      GR           No Change       Service by va resident         This service was performed in whole or in part by a resident in a depa
      GS           No Change       Epo/darbepoietin reduced 25%   Dosage of erythropoietin stimulating agent has been reduced and mainta
      GT           No Change       Interactivetelecommunication   Via interactive audio and video telecommunication systems
      GU           No Change       Liability waiver rout notice   Waiver of liability statement issued as required by payer policy, rout
      GV           No Change       Attending phys not hospice     Attending physician not employed or paid under arrangement by the pati
      GW           No Change       Service unrelated to term co   Service not related to the hospice patient's terminal condition
      GX           No Change       Voluntary liability notice     Notice of liability issued, voluntary under payer policy
      GY           No Change       Statutorily excluded           Item or service statutorily excluded, does not meet the definition of
      GZ           No Change       Not reasonable and necessary   Item or service expected to be denied as not reasonable and necessary
      H9           No Change       Court-ordered                  Court-ordered
      HA           No Change       Child/adolescent program       Child/adolescent program
      HB           No Change       Adult program non-geriatric    Adult program, non geriatric
      HC           No Change       Adult program geriatric        Adult program, geriatric
      HD           No Change       Pregnant/parenting program     Pregnant/parenting women's program
      HE           No Change       Mental health program          Mental health program
      HF           No Change       Substance abuse program        Substance abuse program
      HG           No Change       Opioid addiction tx program    Opioid addiction treatment program
      HH           No Change       Mental hlth/substance abs pr   Integrated mental health/substance abuse program
      HI           No Change       Men hlth intel/dev disab pgm   Integrated mental health and intellectual disability/developmental dis
      HJ           No Change       Employee assistance program    Employee assistance program
      HK           No Change       Spec hgh rsk mntl hlth pop p   Specialized mental health programs for high-risk populations
      HL           No Change       Intern                         Intern
      HM           No Change       Less than bachelor degree lv   Less than bachelor degree level
      HN           No Change       Bachelors degree level         Bachelors degree level
      HO           No Change       Masters degree level           Masters degree level
      HP           No Change       Doctoral level                 Doctoral level
      HQ           No Change       Group setting                  Group setting
      HR           No Change       Family/couple w client prsnt   Family/couple with client present
      HS           No Change       Family/couple w/o client prs   Family/couple without client present
      HT           No Change       Multi-disciplinary team        Multi-disciplinary team
      HU           No Change       Child welfare agency funded    Funded by child welfare agency
      HV           No Change       Funded state addiction agncy   Funded state addictions agency
      HW           No Change       State mntl hlth agncy funded   Funded by state mental health agency
      HX           No Change       County/local agency funded     Funded by county/local agency
      HY           No Change       Funded by juvenile justice     Funded by juvenile justice agency
      HZ           No Change       Criminal justice agncy fund    Funded by criminal justice agency
      J1           No Change       Cap no-pay for prescript num   Competitive acquisition program no-pay submission for a prescription n
      J2           No Change       Cap restock of emerg drugs     Competitive acquisition program, restocking of emergency drugs after e
      J3           No Change       Cap drug unavail thru cap      Competitive acquisition program (cap), drug not available through cap
      J4           No Change       Dmepos comp bid furn by hosp   Dmepos item subject to dmepos competitive bidding program that is furn
      JA           No Change       Administered intravenously     Administered intravenously
      JB           No Change       Administered subcutaneously    Administered subcutaneously
      JC           No Change       Skin substitute graft          Skin substitute used as a graft
      JD           No Change       Skin sub not used as a graft   Skin substitute not used as a graft
      JE           No Change       Administered via dialysate     Administered via dialysate
      JF           No Change       Compounded drug                Compounded drug
      JG           No Change       340b acquired drug             Drug or biological acquired with 340b drug pricing program discount
      JW           No Change       Discarded drug not administe   Drug amount discarded/not administered to any patient
      K0           No Change       Lwr ext prost functnl lvl 0    Lower extremity prosthesis functional level 0 - does not have the abil
      K1           No Change       Lwr ext prost functnl lvl 1    Lower extremity prosthesis functional level 1 - has the ability or pot
      K2           No Change       Lwr ext prost functnl lvl 2    Lower extremity prosthesis functional level 2 - has the ability or pot
      K3           No Change       Lwr ext prost functnl lvl 3    Lower extremity prosthesis functional level 3 - has the ability or pot
      K4           No Change       Lwr ext prost functnl lvl 4    Lower extremity prosthesis functional level 4 - has the ability or pot
      KA           No Change       Wheelchair add-on option/acc   Add on option/accessory for wheelchair
      KB           No Change       >4 modifiers on claim          Beneficiary requested upgrade for abn, more than 4 modifiers identifie
      KC           No Change       Repl special pwr wc intrface   Replacement of special power wheelchair interface
      KD           No Change       Drug/biological dme infused    Drug or biological infused through dme
      KE           No Change       Bid under round 1 dmepos cb    Bid under round one of the dmepos competitive bidding program for use
      KF           No Change       Fda class iii device           Item designated by fda as class iii device
      KG           No Change       Dmepos comp bid prgm no 1      Dmepos item subject to dmepos competitive bidding program number 1
      KH           No Change       Dmepos ini clm, pur/1 mo rnt   Dmepos item, initial claim, purchase or first month rental
      KI           No Change       Dmepos 2nd or 3rd mo rental    Dmepos item, second or third month rental
      KJ           No Change       Dmepos pen pmp or 4-15mo rnt   Dmepos item, parenteral enteral nutrition (pen) pump or capped rental,
      KK           No Change       Dmepos comp bid prgm no 2      Dmepos item subject to dmepos competitive bidding program number 2
      KL           No Change       Dmepos mailorder comp bid      Dmepos item delivered via mail
      KM           No Change       Rplc facial prosth new imp     Replacement of facial prosthesis including new impression/moulage
      KN           No Change       Rplc facial prosth old mod     Replacement of facial prosthesis using previous master model
      KO           No Change       Single drug unit dose form     Single drug unit dose formulation
      KP           No Change       First drug of multi drug u d   First drug of a multiple drug unit dose formulation
      KQ           No Change       2nd/subsqnt drg multi drg ud   Second or subsequent drug of a multiple drug unit dose formulation
      KR           No Change       Rental item partial month      Rental item, billing for partial month
      KS           No Change       Glucose monitor supply         Glucose monitor supply for diabetic beneficiary not treated with insul
      KT           No Change       Item from noncontract supply   Beneficiary resides in a competitive bidding area and travels outside
      KU           No Change       Dmepos comp bid prgm no 3      Dmepos item subject to dmepos competitive bidding program number 3
      KV           No Change       Dmepos item, profession serv   Dmepos item subject to dmepos competitive bidding program that is furn
      KW           No Change       Dmepos comp bid prgm no 4      Dmepos item subject to dmepos competitive bidding program number 4
      KX           No Change       Documentation on file          Requirements specified in the medical policy have been met
      KY           No Change       Dmepos comp bid prgm no 5      Dmepos item subject to dmepos competitive bidding program number 5
      KZ           No Change       New cov not implement by m+c   New coverage not implemented by managed care
      L1           No Change       Separately payable lab test    Provider attestation that the hospital laboratory test(s) is not packa
      LC           No Change       Lft circum coronary artery     Left circumflex coronary artery
      LD           No Change       Left ant des coronary artery   Left anterior descending coronary artery
      LL           No Change       Lease/rental (appld to pur)    Lease/rental (use the 'll' modifier when dme equipment rental is to be
      LM           No Change       Left main coronary artery      Left main coronary artery
      LR           No Change       Laboratory round trip          Laboratory round trip
      LS           No Change       Fda-monitored iol implant      Fda-monitored intraocular lens implant
      LT           No Change       Left side                      Left side (used to identify procedures performed on the left side of t
      M2           No Change       Medicare secondary payer       Medicare secondary payer (msp)
      MA              ADD          Emer med cond susp/confirm     Ordering professional is not required to consult a clinical decision s
      MB              ADD          Auc hardship, insuf internet   Ordering professional is not required to consult a clinical decision s
      MC              ADD          Auc hardship, vendor issues    Ordering professional is not required to consult a clinical decision s
      MD              ADD          Auc hardship, extreme circ     Ordering professional is not required to consult a clinical decision s
      ME              ADD          Order adheres to auc           The order for this service adheres to appropriate use criteria in the
      MF              ADD          Order does not adhere to auc   The order for this service does not adhere to the appropriate use crit
      MG              ADD          Auc not applicable to order    The order for this service does not have applicable appropriate use cr
      MH              ADD          Auc consult not provided       Unknown if ordering professional consulted a clinical decision support
      MS           No Change       6-mo maint/svc fee parts/lbr   Six month maintenance and servicing fee for reasonable and necessary p
      NB           No Change       Drug specific nebulizer        Nebulizer system, any type, fda-cleared for use with specific drug
      NR           No Change       New when rented                New when rented (use the 'nr' modifier when dme which was new at the t
      NU           No Change       New equipment                  New equipment
      P1           No Change       Normal healthy patient         A normal healthy patient
      P2           No Change       Patient w/mild syst disease    A patient with mild systemic disease
      P3           No Change       Patient w/severe sys disease   A patient with severe systemic disease
      P4           No Change       Pt w/sev sys dis threat life   A patient with severe systemic disease that is a constant threat to li
      P5           No Change       Pt not expect surv w/o oper    A moribund patient who is not expected to survive without the operatio
      P6           No Change       Brain-dead pt organs removed   A declared brain-dead patient whose organs are being removed for donor
      PA           No Change       Surgery, wrong body part       Surgical or other invasive procedure on wrong body part
      PB           No Change       Surgery, wrong patient         Surgical or other invasive procedure on wrong patient
      PC           No Change       Wrong surgery on patient       Wrong surgery or other invasive procedure on patient
      PD           No Change       Inp admit w/in 3 days          Diagnostic or related non diagnostic item or service provided in a who
      PI           No Change       Pet tumor init tx strat        Positron emission tomography (pet) or pet/computed tomography (ct) to
      PL           No Change       Progressive addition lenses    Progressive addition lenses
      PM           No Change       Post mortem                    Post mortem
      PN           No Change       Non-excepted off-campus svc    Non-excepted service provided at an off-campus, outpatient, provider-b
      PO           No Change       Excepted off-campus service    Excepted service provided at an off-campus, outpatient, provider-based
      PS           No Change       Pet tumor subsq tx strategy    Positron emission tomography (pet) or pet/computed tomography (ct) to
      PT           No Change       Clrctal screen to diagn        Colorectal cancer screening test; converted to diagnostic test or othe
      Q0           No Change       Invest clinical research       Investigational clinical service provided in a clinical research study
      Q1           No Change       Routine clinical research      Routine clinical service provided in a clinical research study that is
      Q2           No Change       Demo procedure, service        Demonstration procedure/service
      Q3           No Change       Live donor surgery/services    Live kidney donor surgery and related services
      Q4           No Change       Svc exempt - ordrg/rfrng md    Service for ordering/referring physician qualifies as a service exempt
      Q5           No Change       Recip bill arr subs md or pt   Service furnished under a reciprocal billing arrangement by a substitu
      Q6           No Change       Fee/time comp subst md or pt   Service furnished under a fee-for-time compensation arrangement by a s
      Q7           No Change       One class a finding            One class a finding
      Q8           No Change       Two class b findings           Two class b findings
      Q9           No Change       1 class b & 2 class c fndngs   One class b and two class c findings
      QA           No Change       Avg sta day/night o2 < 1 lpm   Prescribed amounts of stationary oxygen for daytime use while at rest
      QB           No Change       Avg day/nite o2 > 4 lpm/port   Prescribed amounts of stationary oxygen for daytime use while at rest
      QC           No Change       Single channel monitoring      Single channel monitoring
      QD           No Change       Rcrdg/strg in sld st memory    Recording and storage in solid state memory by a digital recorder
      QE           No Change       Stationary o2 @ rest <1 lpm    Prescribed amount of stationary oxygen while at rest is less than 1 li
      QF           No Change       Station o2 @ rest >4lpm/port   Prescribed amount of stationary oxygen while at rest exceeds 4 liters
      QG           No Change       Station o2 @ rest > 4 lpm      Prescribed amount of stationary oxygen while at rest is greater than 4
      QH           No Change       Oxygen cnsrvg dvc w del sys    Oxygen conserving device is being used with an oxygen delivery system
      QJ           No Change       Patient in state/locl custod   Services/items provided to a prisoner or patient in state or local cus
      QK           No Change       Med dir 2-4 cncrnt anes proc   Medical direction of two, three, or four concurrent anesthesia procedu
      QL           No Change       Patient died after amb call    Patient pronounced dead after ambulance called
      QM           No Change       Ambulance arr by provider      Ambulance service provided under arrangement by a provider of services
      QN           No Change       Ambulance furn by provider     Ambulance service furnished directly by a provider of services
      QP           No Change       Individually ordered lab tst   Documentation is on file showing that the laboratory test(s) was order
      QQ           No Change       Qualified cdsm consulted       Ordering professional consulted a qualified clinical decision support
      QR           No Change       Avg sta day/night o2 > 4 lpm   Prescribed amounts of stationary oxygen for daytime use while at rest
      QS           No Change       Monitored anesthesia care      Monitored anesthesia care service
      QT           No Change       Rcrdg/strg tape analog recdr   Recording and storage on tape by an analog tape recorder
      QW           No Change       Clia waived test               Clia waived test
      QX           No Change       Crna svc w/ md med direction   Crna service: with medical direction by a physician
      QY           No Change       Medically directed crna        Medical direction of one certified registered nurse anesthetist (crna)
      QZ           No Change       Crna svc w/o med dir by md     Crna service: without medical direction by a physician
      RA           No Change       Replacement of dme item        Replacement of a dme, orthotic or prosthetic item
      RB           No Change       Replacement part, dme item     Replacement of a part of a dme, orthotic or prosthetic item furnished
      RC           No Change       Right coronary artery          Right coronary artery
      RD           No Change       Drug admin not incident-to     Drug provided to beneficiary, but not administered "incident-to"
      RE           No Change       Furnish full compliance rems   Furnished in full compliance with fda-mandated risk evaluation and mit
      RI           No Change       Ramus intermedius cor artery   Ramus intermedius coronary artery
      RR           No Change       Rental (dme)                   Rental (use the 'rr' modifier when dme is to be rented)
      RT           No Change       Right side                     Right side (used to identify procedures performed on the right side of
      SA           No Change       Nurse practitioner w physici   Nurse practitioner rendering service in collaboration with a physician
      SB           No Change       Nurse midwife                  Nurse midwife
      SC           No Change       Medically necessary serv/sup   Medically necessary service or supply
      SD           No Change       Serv by home infusion rn       Services provided by registered nurse with specialized, highly technic
      SE           No Change       State/fed funded program/ser   State and/or federally-funded programs/services
      SF           No Change       2nd opinion ordered by pro     Second opinion ordered by a professional review organization (pro) per
      SG           No Change       Asc facility service           Ambulatory surgical center (asc) facility service
      SH           No Change       2nd concurrent infusion ther   Second concurrently administered infusion therapy
      SJ           No Change       3rd concurrent infusion ther   Third or more concurrently administered infusion therapy
      SK           No Change       High risk population           Member of high risk population (use only with codes for immunization)
      SL           No Change       State supplied vaccine         State supplied vaccine
      SM           No Change       Second opinion                 Second surgical opinion
      SN           No Change       Third opinion                  Third surgical opinion
      SQ           No Change       Item ordered by home health    Item ordered by home health
      SS           No Change       Hit in infusion suite          Home infusion services provided in the infusion suite of the iv therap
      ST           No Change       Related to trauma or injury    Related to trauma or injury
      SU           No Change       Performed in phys office       Procedure performed in physician's office (to denote use of facility a
      SV           No Change       Drugs delivered not used       Pharmaceuticals delivered to patient's home but not utilized
      SW           No Change       Serv by cert diab educator     Services provided by a certified diabetic educator
      SY           No Change       Contact w/high-risk pop        Persons who are in close contact with member of high-risk population (
      SZ           No Change       Habilitative services          Habilitative services
      T1           No Change       Left foot, second digit        Left foot, second digit
      T2           No Change       Left foot, third digit         Left foot, third digit
      T3           No Change       Left foot, fourth digit        Left foot, fourth digit
      T4           No Change       Left foot, fifth digit         Left foot, fifth digit
      T5           No Change       Right foot, great toe          Right foot, great toe
      T6           No Change       Right foot, second digit       Right foot, second digit
      T7           No Change       Right foot, third digit        Right foot, third digit
      T8           No Change       Right foot, fourth digit       Right foot, fourth digit
      T9           No Change       Right foot, fifth digit        Right foot, fifth digit
      TA           No Change       Left foot, great toe           Left foot, great toe
      TB           No Change       Tracking 340b acquired drug    Drug or biological acquired with 340b drug pricing program discount, r
      TC           No Change       Technical component            Technical component; under certain circumstances, a charge may be made
      TD           No Change       Rn                             Rn
      TE           No Change       Lpn/lvn                        Lpn/lvn
      TF           No Change       Intermediate level of care     Intermediate level of care
      TG           No Change       Complex/high tech level care   Complex/high tech level of care
      TH           No Change       Ob tx/srvcs prenatl/postpart   Obstetrical treatment/services, prenatal or postpartum
      TJ           No Change       Child/adolescent program gp    Program group, child and/or adolescent
      TK           No Change       Extra patient or passenger     Extra patient or passenger, non-ambulance
      TL           No Change       Early intervention ifsp        Early intervention/individualized family service plan (ifsp)
      TM           No Change       Individualized ed prgrm(iep)   Individualized education program (iep)
      TN           No Change       Rural/out of service area      Rural/outside providers' customary service area
      TP           No Change       Med transprt unloaded vehicl   Medical transport, unloaded vehicle
      TQ           No Change       Bls by volunteer amb providr   Basic life support transport by a volunteer ambulance provider
      TR           No Change       School-based iep out of dist   School-based individualized education program (iep) services provided
      TS           No Change       Follow-up service              Follow-up service
      TT           No Change       Additional patient             Individualized service provided to more than one patient in same setti
      TU           No Change       Overtime payment rate          Special payment rate, overtime
      TV           No Change       Holiday/weekend payment rate   Special payment rates, holidays/weekends
      TW           No Change       Back-up equipment              Back-up equipment
      U1           No Change       M/caid care lev 1 state def    Medicaid level of care 1, as defined by each state
      U2           No Change       M/caid care lev 2 state def    Medicaid level of care 2, as defined by each state
      U3           No Change       M/caid care lev 3 state def    Medicaid level of care 3, as defined by each state
      U4           No Change       M/caid care lev 4 state def    Medicaid level of care 4, as defined by each state
      U5           No Change       M/caid care lev 5 state def    Medicaid level of care 5, as defined by each state
      U6           No Change       M/caid care lev 6 state def    Medicaid level of care 6, as defined by each state
      U7           No Change       M/caid care lev 7 state def    Medicaid level of care 7, as defined by each state
      U8           No Change       M/caid care lev 8 state def    Medicaid level of care 8, as defined by each state
      U9           No Change       M/caid care lev 9 state def    Medicaid level of care 9, as defined by each state
      UA           No Change       M/caid care lev 10 state def   Medicaid level of care 10, as defined by each state
      UB           No Change       M/caid care lev 11 state def   Medicaid level of care 11, as defined by each state
      UC           No Change       M/caid care lev 12 state def   Medicaid level of care 12, as defined by each state
      UD           No Change       M/caid care lev 13 state def   Medicaid level of care 13, as defined by each state
      UE           No Change       Used durable med equipment     Used durable medical equipment
      UF           No Change       Services provided, morning     Services provided in the morning
      UG           No Change       Services provided, afternoon   Services provided in the afternoon
      UH           No Change       Services provided, evening     Services provided in the evening
      UJ           No Change       Services provided, night       Services provided at night
      UK           No Change       Svc on behalf client-collat    Services provided on behalf of the client to someone other than the cl
      UN           No Change       Two patients served            Two patients served
      UP           No Change       Three patients served          Three patients served
      UQ           No Change       Four patients served           Four patients served
      UR           No Change       Five patients served           Five patients served
      US           No Change       Six or more patients served    Six or more patients served
      V1           No Change       Demonstration modifier 1       Demonstration modifier 1
      V2           No Change       Demonstration modifier 2       Demonstration modifier 2
      V3           No Change       Demonstration modifier 3       Demonstration modifier 3
      V5           No Change       Vascular catheter              Vascular catheter (alone or with any other vascular access)
      V6           No Change       Arteriovenous graft            Arteriovenous graft (or other vascular access not including a vascular
      V7           No Change       Arteriovenous fistula          Arteriovenous fistula only (in use with two needles)
      V8           No Change       Infection present              Infection present
      V9           No Change       No infection present           No infection present
      VM           No Change       Mdpp virtual make-up session   Medicare diabetes prevention program (mdpp) virtual make-up session
      VP           No Change       Aphakic patient                Aphakic patient
      X1           No Change       Continuous/broad services      Continuous/broad services: for reporting services by clinicians, who p
      X2           No Change       Continuous/focused services    Continuous/focused services: for reporting services by clinicians whos
      X3           No Change       Episodic/broad services        Episodic/broad servies: for reporting services by clinicians who have
      X4           No Change       Episodic/focused services      Episodic/focused services: for reporting services by clinicians who pr
      X5           No Change       Svc req by another clinician   Diagnostic services requested by another clinician: for reporting serv
      XE           No Change       Separate encounter             Separate encounter, a service that is distinct because it occurred dur
      XP           No Change       Separate practitioner          Separate practitioner, a service that is distinct because it was perfo
      XS           No Change       Separate organ/structure       Separate structure, a service that is distinct because it was performe
      XU           No Change       Unusual separate service       Unusual non-overlapping service, the use of a service that is distinct
      ZA           No Change       Novartis/sandoz                Novartis/sandoz
      ZB           No Change       Pfizer/hospira                 Pfizer/hospira
      ZC           No Change       Merck/samsung bioepis          Merck/samsung bioepis
   A0021           No Change       Outside state ambulance serv   Ambulance service, outside state per mile, transport (medicaid only)
   A0080           No Change       Noninterest escort in non er   Non-emergency transportation, per mile - vehicle provided by volunteer
   A0090           No Change       Interest escort in non er      Non-emergency transportation, per mile - vehicle provided by individua
   A0100           No Change       Nonemergency transport taxi    Non-emergency transportation; taxi
   A0110           No Change       Nonemergency transport bus     Non-emergency transportation and bus, intra or inter state carrier
   A0120           No Change       Noner transport mini-bus       Non-emergency transportation: mini-bus, mountain area transports, or o
   A0130           No Change       Noner transport wheelch van    Non-emergency transportation: wheelchair van
   A0140           No Change       Nonemergency transport air     Non-emergency transportation and air travel (private or commercial) in
   A0160           No Change       Noner transport case worker    Non-emergency transportation: per mile - case worker or social worker
   A0170           No Change       Transport parking fees/tolls   Transportation ancillary: parking fees, tolls, other
   A0180           No Change       Noner transport lodgng recip   Non-emergency transportation: ancillary: lodging-recipient
   A0190           No Change       Noner transport meals recip    Non-emergency transportation: ancillary: meals-recipient
   A0200           No Change       Noner transport lodgng escrt   Non-emergency transportation: ancillary: lodging escort
   A0210           No Change       Noner transport meals escort   Non-emergency transportation: ancillary: meals-escort
   A0225           No Change       Neonatal emergency transport   Ambulance service, neonatal transport, base rate, emergency transport,
   A0380           No Change       Basic life support mileage     Bls mileage (per mile)
   A0382           No Change       Basic support routine suppls   Bls routine disposable supplies
   A0384           No Change       Bls defibrillation supplies    Bls specialized service disposable supplies; defibrillation (used by a
   A0390           No Change       Advanced life support mileag   Als mileage (per mile)
   A0392           No Change       Als defibrillation supplies    Als specialized service disposable supplies; defibrillation (to be use
   A0394           No Change       Als iv drug therapy supplies   Als specialized service disposable supplies; iv drug therapy
   A0396           No Change       Als esophageal intub suppls    Als specialized service disposable supplies; esophageal intubation
   A0398           No Change       Als routine disposble suppls   Als routine disposable supplies
   A0420           No Change       Ambulance waiting 1/2 hr       Ambulance waiting time (als or bls), one half (1/2) hour increments
   A0422           No Change       Ambulance 02 life sustaining   Ambulance (als or bls) oxygen and oxygen supplies, life sustaining sit
   A0424           No Change       Extra ambulance attendant      Extra ambulance attendant, ground (als or bls) or air (fixed or rotary
   A0425           No Change       Ground mileage                 Ground mileage, per statute mile
   A0426           No Change       Als 1                          Ambulance service, advanced life support, non-emergency transport, lev
   A0427           No Change       Als1-emergency                 Ambulance service, advanced life support, emergency transport, level 1
   A0428           No Change       Bls                            Ambulance service, basic life support, non-emergency transport, (bls)
   A0429           No Change       Bls-emergency                  Ambulance service, basic life support, emergency transport (bls-emerge
   A0430           No Change       Fixed wing air transport       Ambulance service, conventional air services, transport, one way (fixe
   A0431           No Change       Rotary wing air transport      Ambulance service, conventional air services, transport, one way (rota
   A0432           No Change       Pi volunteer ambulance co      Paramedic intercept (pi), rural area, transport furnished by a volunte
   A0433           No Change       Als 2                          Advanced life support, level 2 (als 2)
   A0434           No Change       Specialty care transport       Specialty care transport (sct)
   A0435           No Change       Fixed wing air mileage         Fixed wing air mileage, per statute mile
   A0436           No Change       Rotary wing air mileage        Rotary wing air mileage, per statute mile
   A0888           No Change       Noncovered ambulance mileage   Noncovered ambulance mileage, per mile (e.g., for miles traveled beyon
   A0998           No Change       Ambulance response/treatment   Ambulance response and treatment, no transport
   A0999           No Change       Unlisted ambulance service     Unlisted ambulance service
   A4206           No Change       1 cc sterile syringe&needle    Syringe with needle, sterile, 1 cc or less, each
   A4207           No Change       2 cc sterile syringe&needle    Syringe with needle, sterile 2 cc, each
   A4208           No Change       3 cc sterile syringe&needle    Syringe with needle, sterile 3 cc, each
   A4209           No Change       5+ cc sterile syringe&needle   Syringe with needle, sterile 5 cc or greater, each
   A4210           No Change       Nonneedle injection device     Needle-free injection device, each
   A4211           No Change       Supp for self-adm injections   Supplies for self-administered injections
   A4212           No Change       Non coring needle or stylet    Non-coring needle or stylet with or without catheter
   A4213           No Change       20+ cc syringe only            Syringe, sterile, 20 cc or greater, each
   A4215           No Change       Sterile needle                 Needle, sterile, any size, each
   A4216           No Change       Sterile water/saline, 10 ml    Sterile water, saline and/or dextrose, diluent/flush, 10 ml
   A4217           No Change       Sterile water/saline, 500 ml   Sterile water/saline, 500 ml
   A4218           No Change       Sterile saline or water        Sterile saline or water, metered dose dispenser, 10 ml
   A4220           No Change       Infusion pump refill kit       Refill kit for implantable infusion pump
   A4221           No Change       Supp non-insulin inf cath/wk   Supplies for maintenance of non-insulin drug infusion catheter, per we
   A4222           No Change       Infusion supplies with pump    Infusion supplies for external drug infusion pump, per cassette or bag
   A4223           No Change       Infusion supplies w/o pump     Infusion supplies not used with external infusion pump, per cassette o
   A4224           No Change       Supply insulin inf cath/wk     Supplies for maintenance of insulin infusion catheter, per week
   A4225           No Change       Sup/ext insulin inf pump syr   Supplies for external insulin infusion pump, syringe type cartridge, s
   A4226              ADD          Weekly supply maint cgs pump   Supplies for maintenance of insulin infusion pump with dosage rate adj
   A4230           No Change       Infus insulin pump non needl   Infusion set for external insulin pump, non needle cannula type
   A4231           No Change       Infusion insulin pump needle   Infusion set for external insulin pump, needle type
   A4232           No Change       Syringe w/needle insulin 3cc   Syringe with needle for external insulin pump, sterile, 3 cc
   A4233           No Change       Alkalin batt for glucose mon   Replacement battery, alkaline (other than j cell), for use with medica
   A4234           No Change       J-cell batt for glucose mon    Replacement battery, alkaline, j cell, for use with medically necessar
   A4235           No Change       Lithium batt for glucose mon   Replacement battery, lithium, for use with medically necessary home bl
   A4236           No Change       Silvr oxide batt glucose mon   Replacement battery, silver oxide, for use with medically necessary ho
   A4244           No Change       Alcohol or peroxide per pint   Alcohol or peroxide, per pint
   A4245           No Change       Alcohol wipes per box          Alcohol wipes, per box
   A4246           No Change       Betadine/phisohex solution     Betadine or phisohex solution, per pint
   A4247           No Change       Betadine/iodine swabs/wipes    Betadine or iodine swabs/wipes, per box
   A4248           No Change       Chlorhexidine antisept         Chlorhexidine containing antiseptic, 1 ml
   A4250           No Change       Urine reagent strips/tablets   Urine test or reagent strips or tablets (100 tablets or strips)
   A4252           No Change       Blood ketone test or strip     Blood ketone test or reagent strip, each
   A4253           No Change       Blood glucose/reagent strips   Blood glucose test or reagent strips for home blood glucose monitor, p
   A4255           No Change       Glucose monitor platforms      Platforms for home blood glucose monitor, 50 per box
   A4256           No Change       Calibrator solution/chips      Normal, low and high calibrator solution / chips
   A4257           No Change       Replace lensshield cartridge   Replacement lens shield cartridge for use with laser skin piercing dev
   A4258           No Change       Lancet device each             Spring-powered device for lancet, each
   A4259           No Change       Lancets per box                Lancets, per box of 100
   A4261           No Change       Cervical cap contraceptive     Cervical cap for contraceptive use
   A4262           No Change       Temporary tear duct plug       Temporary, absorbable lacrimal duct implant, each
   A4263           No Change       Permanent tear duct plug       Permanent, long term, non-dissolvable lacrimal duct implant, each
   A4264           No Change       Intratubal occlusion device    Permanent implantable contraceptive intratubal occlusion device(s) and
   A4265           No Change       Paraffin                       Paraffin, per pound
   A4266           No Change       Diaphragm                      Diaphragm for contraceptive use
   A4267           No Change       Male condom                    Contraceptive supply, condom, male, each
   A4268           No Change       Female condom                  Contraceptive supply, condom, female, each
   A4269           No Change       Spermicide                     Contraceptive supply, spermicide (e.g., foam, gel), each
   A4270           No Change       Disposable endoscope sheath    Disposable endoscope sheath, each
   A4280           No Change       Brst prsths adhsv attchmnt     Adhesive skin support attachment for use with external breast prosthes
   A4281           No Change       Replacement breastpump tube    Tubing for breast pump, replacement
   A4282           No Change       Replacement breastpump adpt    Adapter for breast pump, replacement
   A4283           No Change       Replacement breastpump cap     Cap for breast pump bottle, replacement
   A4284           No Change       Replcmnt breast pump shield    Breast shield and splash protector for use with breast pump, replaceme
   A4285           No Change       Replcmnt breast pump bottle    Polycarbonate bottle for use with breast pump, replacement
   A4286           No Change       Replcmnt breastpump lok ring   Locking ring for breast pump, replacement
   A4290           No Change       Sacral nerve stim test lead    Sacral nerve stimulation test lead, each
   A4300           No Change       Cath impl vasc access portal   Implantable access catheter, (e.g., venous, arterial, epidural subarac
   A4301           No Change       Implantable access syst perc   Implantable access total catheter, port/reservoir (e.g., venous, arter
   A4305           No Change       Drug delivery system >=50 ml   Disposable drug delivery system, flow rate of 50 ml or greater per hou
   A4306           No Change       Drug delivery system <=50 ml   Disposable drug delivery system, flow rate of less than 50 ml per hour
   A4310           No Change       Insert tray w/o bag/cath       Insertion tray without drainage bag and without catheter (accessories
   A4311           No Change       Catheter w/o bag 2-way latex   Insertion tray without drainage bag with indwelling catheter, foley ty
   A4312           No Change       Cath w/o bag 2-way silicone    Insertion tray without drainage bag with indwelling catheter, foley ty
   A4313           No Change       Catheter w/bag 3-way           Insertion tray without drainage bag with indwelling catheter, foley ty
   A4314           No Change       Cath w/drainage 2-way latex    Insertion tray with drainage bag with indwelling catheter, foley type,
   A4315           No Change       Cath w/drainage 2-way silcne   Insertion tray with drainage bag with indwelling catheter, foley type,
   A4316           No Change       Cath w/drainage 3-way          Insertion tray with drainage bag with indwelling catheter, foley type,
   A4320           No Change       Irrigation tray                Irrigation tray with bulb or piston syringe, any purpose
   A4321           No Change       Cath therapeutic irrig agent   Therapeutic agent for urinary catheter irrigation
   A4322           No Change       Irrigation syringe             Irrigation syringe, bulb or piston, each
   A4326           No Change       Male external catheter         Male external catheter with integral collection chamber, any type, eac
   A4327           No Change       Fem urinary collect dev cup    Female external urinary collection device; meatal cup, each
   A4328           No Change       Fem urinary collect pouch      Female external urinary collection device; pouch, each
   A4330           No Change       Stool collection pouch         Perianal fecal collection pouch with adhesive, each
   A4331           No Change       Extension drainage tubing      Extension drainage tubing, any type, any length, with connector/adapto
   A4332           No Change       Lube sterile packet            Lubricant, individual sterile packet, each
   A4333           No Change       Urinary cath anchor device     Urinary catheter anchoring device, adhesive skin attachment, each
   A4334           No Change       Urinary cath leg strap         Urinary catheter anchoring device, leg strap, each
   A4335           No Change       Incontinence supply            Incontinence supply; miscellaneous
   A4336           No Change       Urethral insert                Incontinence supply, urethral insert, any type, each
   A4337           No Change       Incontinent rectal insert      Incontinence supply, rectal insert, any type, each
   A4338           No Change       Indwelling catheter latex      Indwelling catheter; foley type, two-way latex with coating (teflon, s
   A4340           No Change       Indwelling catheter special    Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc
   A4344           No Change       Cath indw foley 2 way silicn   Indwelling catheter, foley type, two-way, all silicone, each
   A4346           No Change       Cath indw foley 3 way          Indwelling catheter; foley type, three way for continuous irrigation,
   A4349           No Change       Disposable male external cat   Male external catheter, with or without adhesive, disposable, each
   A4351           No Change       Straight tip urine catheter    Intermittent urinary catheter; straight tip, with or without coating (
   A4352           No Change       Coude tip urinary catheter     Intermittent urinary catheter; coude (curved) tip, with or without coa
   A4353           No Change       Intermittent urinary cath      Intermittent urinary catheter, with insertion supplies
   A4354           No Change       Cath insertion tray w/bag      Insertion tray with drainage bag but without catheter
   A4355           No Change       Bladder irrigation tubing      Irrigation tubing set for continuous bladder irrigation through a thre
   A4356           No Change       Ext ureth clmp or compr dvc    External urethral clamp or compression device (not to be used for cath
   A4357           No Change       Bedside drainage bag           Bedside drainage bag, day or night, with or without anti-reflux device
   A4358           No Change       Urinary leg or abdomen bag     Urinary drainage bag, leg or abdomen, vinyl, with or without tube, wit
   A4360           No Change       Disposable ext urethral dev    Disposable external urethral clamp or compression device, with pad and
   A4361           No Change       Ostomy face plate              Ostomy faceplate, each
   A4362           No Change       Solid skin barrier             Skin barrier; solid, 4 x 4 or equivalent; each
   A4363           No Change       Ostomy clamp, replacement      Ostomy clamp, any type, replacement only, each
   A4364           No Change       Adhesive, liquid or equal      Adhesive, liquid or equal, any type, per oz
   A4366           No Change       Ostomy vent                    Ostomy vent, any type, each
   A4367           No Change       Ostomy belt                    Ostomy belt, each
   A4368           No Change       Ostomy filter                  Ostomy filter, any type, each
   A4369           No Change       Skin barrier liquid per oz     Ostomy skin barrier, liquid (spray, brush, etc.), per oz
   A4371           No Change       Skin barrier powder per oz     Ostomy skin barrier, powder, per oz
   A4372           No Change       Skin barrier solid 4x4 equiv   Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with bu
   A4373           No Change       Skin barrier with flange       Ostomy skin barrier, with flange (solid, flexible or accordion), with
   A4375           No Change       Drainable plastic pch w fcpl   Ostomy pouch, drainable, with faceplate attached, plastic, each
   A4376           No Change       Drainable rubber pch w fcplt   Ostomy pouch, drainable, with faceplate attached, rubber, each
   A4377           No Change       Drainable plstic pch w/o fp    Ostomy pouch, drainable, for use on faceplate, plastic, each
   A4378           No Change       Drainable rubber pch w/o fp    Ostomy pouch, drainable, for use on faceplate, rubber, each
   A4379           No Change       Urinary plastic pouch w fcpl   Ostomy pouch, urinary, with faceplate attached, plastic, each
   A4380           No Change       Urinary rubber pouch w fcplt   Ostomy pouch, urinary, with faceplate attached, rubber, each
   A4381           No Change       Urinary plastic pouch w/o fp   Ostomy pouch, urinary, for use on faceplate, plastic, each
   A4382           No Change       Urinary hvy plstc pch w/o fp   Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
   A4383           No Change       Urinary rubber pouch w/o fp    Ostomy pouch, urinary, for use on faceplate, rubber, each
   A4384           No Change       Ostomy faceplt/silicone ring   Ostomy faceplate equivalent, silicone ring, each
   A4385           No Change       Ost skn barrier sld ext wear   Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without
   A4387           No Change       Ost clsd pouch w att st barr   Ostomy pouch, closed, with barrier attached, with built-in convexity (
   A4388           No Change       Drainable pch w ex wear barr   Ostomy pouch, drainable, with extended wear barrier attached, (1 piece
   A4389           No Change       Drainable pch w st wear barr   Ostomy pouch, drainable, with barrier attached, with built-in convexit
   A4390           No Change       Drainable pch ex wear convex   Ostomy pouch, drainable, with extended wear barrier attached, with bui
   A4391           No Change       Urinary pouch w ex wear barr   Ostomy pouch, urinary, with extended wear barrier attached (1 piece),
   A4392           No Change       Urinary pouch w st wear barr   Ostomy pouch, urinary, with standard wear barrier attached, with built
   A4393           No Change       Urine pch w ex wear bar conv   Ostomy pouch, urinary, with extended wear barrier attached, with built
   A4394           No Change       Ostomy pouch liq deodorant     Ostomy deodorant, with or without lubricant, for use in ostomy pouch,
   A4395           No Change       Ostomy pouch solid deodorant   Ostomy deodorant for use in ostomy pouch, solid, per tablet
   A4396           No Change       Peristomal hernia supprt blt   Ostomy belt with peristomal hernia support
   A4397           No Change       Irrigation supply sleeve       Irrigation supply; sleeve, each
   A4398           No Change       Ostomy irrigation bag          Ostomy irrigation supply; bag, each
   A4399           No Change       Ostomy irrig cone/cath w brs   Ostomy irrigation supply; cone/catheter, with or without brush
   A4400           No Change       Ostomy irrigation set          Ostomy irrigation set
   A4402           No Change       Lubricant per ounce            Lubricant, per ounce
   A4404           No Change       Ostomy ring each               Ostomy ring, each
   A4405           No Change       Nonpectin based ostomy paste   Ostomy skin barrier, non-pectin based, paste, per ounce
   A4406           No Change       Pectin based ostomy paste      Ostomy skin barrier, pectin-based, paste, per ounce
   A4407           No Change       Ext wear ost skn barr <=4sq"   Ostomy skin barrier, with flange (solid, flexible, or accordion), exte
   A4408           No Change       Ext wear ost skn barr >4sq"    Ostomy skin barrier, with flange (solid, flexible or accordion), exten
   A4409           No Change       Ost skn barr convex <=4 sq i   Ostomy skin barrier, with flange (solid, flexible or accordion), exten
   A4410           No Change       Ost skn barr extnd >4 sq       Ostomy skin barrier, with flange (solid, flexible or accordion), exten
   A4411           No Change       Ost skn barr extnd =4sq        Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with bu
   A4412           No Change       Ost pouch drain high output    Ostomy pouch, drainable, high output, for use on a barrier with flange
   A4413           No Change       2 pc drainable ost pouch       Ostomy pouch, drainable, high output, for use on a barrier with flange
   A4414           No Change       Ost sknbar w/o conv<=4 sq in   Ostomy skin barrier, with flange (solid, flexible or accordion), witho
   A4415           No Change       Ost skn barr w/o conv >4 sqi   Ostomy skin barrier, with flange (solid, flexible or accordion), witho
   A4416           No Change       Ost pch clsd w barrier/filtr   Ostomy pouch, closed, with barrier attached, with filter (1 piece), ea
   A4417           No Change       Ost pch w bar/bltinconv/fltr   Ostomy pouch, closed, with barrier attached, with built-in convexity,
   A4418           No Change       Ost pch clsd w/o bar w filtr   Ostomy pouch, closed; without barrier attached, with filter (1 piece),
   A4419           No Change       Ost pch for bar w flange/flt   Ostomy pouch, closed; for use on barrier with non-locking flange, with
   A4420           No Change       Ost pch clsd for bar w lk fl   Ostomy pouch, closed; for use on barrier with locking flange (2 piece)
   A4421           No Change       Ostomy supply misc             Ostomy supply; miscellaneous
   A4422           No Change       Ost pouch absorbent material   Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy
   A4423           No Change       Ost pch for bar w lk fl/fltr   Ostomy pouch, closed; for use on barrier with locking flange, with fil
   A4424           No Change       Ost pch drain w bar & filter   Ostomy pouch, drainable, with barrier attached, with filter (1 piece),
   A4425           No Change       Ost pch drain for barrier fl   Ostomy pouch, drainable; for use on barrier with non-locking flange, w
   A4426           No Change       Ost pch drain 2 piece system   Ostomy pouch, drainable; for use on barrier with locking flange (2 pie
   A4427           No Change       Ost pch drain/barr lk flng/f   Ostomy pouch, drainable; for use on barrier with locking flange, with
   A4428           No Change       Urine ost pouch w faucet/tap   Ostomy pouch, urinary, with extended wear barrier attached, with fauce
   A4429           No Change       Urine ost pouch w bltinconv    Ostomy pouch, urinary, with barrier attached, with built-in convexity,
   A4430           No Change       Ost urine pch w b/bltin conv   Ostomy pouch, urinary, with extended wear barrier attached, with built
   A4431           No Change       Ost pch urine w barrier/tapv   Ostomy pouch, urinary; with barrier attached, with faucet-type tap wit
   A4432           No Change       Os pch urine w bar/fange/tap   Ostomy pouch, urinary; for use on barrier with non-locking flange, wit
   A4433           No Change       Urine ost pch bar w lock fln   Ostomy pouch, urinary; for use on barrier with locking flange (2 piece
   A4434           No Change       Ost pch urine w lock flng/ft   Ostomy pouch, urinary; for use on barrier with locking flange, with fa
   A4435           No Change       1pc ost pch drain hgh output   Ostomy pouch, drainable, high output, with extended wear barrier (one-
   A4450           No Change       Non-waterproof tape            Tape, non-waterproof, per 18 square inches
   A4452           No Change       Waterproof tape                Tape, waterproof, per 18 square inches
   A4455           No Change       Adhesive remover per ounce     Adhesive remover or solvent (for tape, cement or other adhesive), per
   A4456           No Change       Adhesive remover, wipes        Adhesive remover, wipes, any type, each
   A4458           No Change       Reusable enema bag             Enema bag with tubing, reusable
   A4459           No Change       Manual pump enema, reusable    Manual pump-operated enema system, includes balloon, catheter and all
   A4461           No Change       Surgicl dress hold non-reuse   Surgical dressing holder, non-reusable, each
   A4463           No Change       Surgical dress holder reuse    Surgical dressing holder, reusable, each
   A4465           No Change       Non-elastic extremity binder   Non-elastic binder for extremity
   A4466           No Change       Elastic garment/covering       Garment, belt, sleeve or other covering, elastic or similar stretchabl
   A4467           No Change       Belt strap sleev grmnt cover   Belt, strap, sleeve, garment, or covering, any type
   A4470           No Change       Gravlee jet washer             Gravlee jet washer
   A4480           No Change       Vabra aspirator                Vabra aspirator
   A4481           No Change       Tracheostoma filter            Tracheostoma filter, any type, any size, each
   A4483           No Change       Moisture exchanger             Moisture exchanger, disposable, for use with invasive mechanical venti
   A4490           No Change       Above knee surgical stocking   Surgical stockings above knee length, each
   A4495           No Change       Thigh length surg stocking     Surgical stockings thigh length, each
   A4500           No Change       Below knee surgical stocking   Surgical stockings below knee length, each
   A4510           No Change       Full length surg stocking      Surgical stockings full length, each
   A4520           No Change       Incontinence garment anytype   Incontinence garment, any type, (e.g., brief, diaper), each
   A4550           No Change       Surgical trays                 Surgical trays
   A4553           No Change       Nondisp underpads, all sizes   Non-disposable underpads, all sizes
   A4554           No Change       Disposable underpads           Disposable underpads, all sizes
   A4555           No Change       Ca tx e-stim electr/transduc   Electrode/transducer for use with electrical stimulation device used f
   A4556           No Change       Electrodes, pair               Electrodes, (e.g., apnea monitor), per pair
   A4557           No Change       Lead wires, pair               Lead wires, (e.g., apnea monitor), per pair
   A4558           No Change       Conductive gel or paste        Conductive gel or paste, for use with electrical device (e.g., tens, n
   A4559           No Change       Coupling gel or paste          Coupling gel or paste, for use with ultrasound device, per oz
   A4561           No Change       Pessary rubber, any type       Pessary, rubber, any type
   A4562           No Change       Pessary, non rubber,any type   Pessary, non rubber, any type
   A4563           No Change       Vag inser rectal control sys   Rectal control system for vaginal insertion, for long term use, includ
   A4565           No Change       Slings                         Slings
   A4566           No Change       Should sling/vest/abrestrain   Shoulder sling or vest design, abduction restrainer, with or without s
   A4570           No Change       Splint                         Splint
   A4575           No Change       Hyperbaric o2 chamber disps    Topical hyperbaric oxygen chamber, disposable
   A4580           No Change       Cast supplies (plaster)        Cast supplies (e.g., plaster)
   A4590           No Change       Special casting material       Special casting material (e.g., fiberglass)
   A4595           No Change       Tens suppl 2 lead per month    Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)
   A4600           No Change       Sleeve, inter limb comp dev    Sleeve for intermittent limb compression device, replacement only, eac
   A4601           No Change       Lith ion non prosth recharge   Lithium ion battery, rechargeable, for non-prosthetic use, replacement
   A4602           No Change       Replace lithium battery 1.5v   Replacement battery for external infusion pump owned by patient, lithi
   A4604           No Change       Tubing with heating element    Tubing with integrated heating element for use with positive airway pr
   A4605           No Change       Trach suction cath close sys   Tracheal suction catheter, closed system, each
   A4606           No Change       Oxygen probe used w oximeter   Oxygen probe for use with oximeter device, replacement
   A4608           No Change       Transtracheal oxygen cath      Transtracheal oxygen catheter, each
   A4611           No Change       Heavy duty battery             Battery, heavy duty; replacement for patient owned ventilator
   A4612           No Change       Battery cables                 Battery cables; replacement for patient-owned ventilator
   A4613           No Change       Battery charger                Battery charger; replacement for patient-owned ventilator
   A4614           No Change       Hand-held pefr meter           Peak expiratory flow rate meter, hand held
   A4615           No Change       Cannula nasal                  Cannula, nasal
   A4616           No Change       Tubing (oxygen) per foot       Tubing (oxygen), per foot
   A4617           No Change       Mouth piece                    Mouth piece
   A4618           No Change       Breathing circuits             Breathing circuits
   A4619           No Change       Face tent                      Face tent
   A4620           No Change       Variable concentration mask    Variable concentration mask
   A4623           No Change       Tracheostomy inner cannula     Tracheostomy, inner cannula
   A4624           No Change       Tracheal suction tube          Tracheal suction catheter, any type other than closed system, each
   A4625           No Change       Trach care kit for new trach   Tracheostomy care kit for new tracheostomy
   A4626           No Change       Tracheostomy cleaning brush    Tracheostomy cleaning brush, each
   A4627           No Change       Spacer bag/reservoir           Spacer, bag or reservoir, with or without mask, for use with metered d
   A4628           No Change       Oropharyngeal suction cath     Oropharyngeal suction catheter, each
   A4629           No Change       Tracheostomy care kit          Tracheostomy care kit for established tracheostomy
   A4630           No Change       Repl bat t.e.n.s. own by pt    Replacement batteries, medically necessary, transcutaneous electrical
   A4633           No Change       Uvl replacement bulb           Replacement bulb/lamp for ultraviolet light therapy system, each
   A4634           No Change       Replacement bulb th lightbox   Replacement bulb for therapeutic light box, tabletop model
   A4635           No Change       Underarm crutch pad            Underarm pad, crutch, replacement, each
   A4636           No Change       Handgrip for cane etc          Replacement, handgrip, cane, crutch, or walker, each
   A4637           No Change       Repl tip cane/crutch/walker    Replacement, tip, cane, crutch, walker, each.
   A4638           No Change       Repl batt pulse gen sys        Replacement battery for patient-owned ear pulse generator, each
   A4639           No Change       Infrared ht sys replcmnt pad   Replacement pad for infrared heating pad system, each
   A4640           No Change       Alternating pressure pad       Replacement pad for use with medically necessary alternating pressure
   A4641           No Change       Radiopharm dx agent noc        Radiopharmaceutical, diagnostic, not otherwise classified
   A4642           No Change       In111 satumomab                Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6
   A4648           No Change       Implantable tissue marker      Tissue marker, implantable, any type, each
   A4649           No Change       Surgical supplies              Surgical supply; miscellaneous
   A4650           No Change       Implant radiation dosimeter    Implantable radiation dosimeter, each
   A4651           No Change       Calibrated microcap tube       Calibrated microcapillary tube, each
   A4652           No Change       Microcapillary tube sealant    Microcapillary tube sealant
   A4653           No Change       Pd catheter anchor belt        Peritoneal dialysis catheter anchoring device, belt, each
   A4657           No Change       Syringe w/wo needle            Syringe, with or without needle, each
   A4660           No Change       Sphyg/bp app w cuff and stet   Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
   A4663           No Change       Dialysis blood pressure cuff   Blood pressure cuff only
   A4670           No Change       Automatic bp monitor, dial     Automatic blood pressure monitor
   A4671           No Change       Disposable cycler set          Disposable cycler set used with cycler dialysis machine, each
   A4672           No Change       Drainage ext line, dialysis    Drainage extension line, sterile, for dialysis, each
   A4673           No Change       Ext line w easy lock connect   Extension line with easy lock connectors, used with dialysis
   A4674           No Change       Chem/antisept solution, 8oz    Chemicals/antiseptics solution used to clean/sterilize dialysis equipm
   A4680           No Change       Activated carbon filter, ea    Activated carbon filter for hemodialysis, each
   A4690           No Change       Dialyzer, each                 Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis,
   A4706           No Change       Bicarbonate conc sol per gal   Bicarbonate concentrate, solution, for hemodialysis, per gallon
   A4707           No Change       Bicarbonate conc pow per pac   Bicarbonate concentrate, powder, for hemodialysis, per packet
   A4708           No Change       Acetate conc sol per gallon    Acetate concentrate solution, for hemodialysis, per gallon
   A4709           No Change       Acid conc sol per gallon       Acid concentrate, solution, for hemodialysis, per gallon
   A4714           No Change       Treated water per gallon       Treated water (deionized, distilled, or reverse osmosis) for peritonea
   A4719           No Change       "y set" tubing                 "y set" tubing for peritoneal dialysis
   A4720           No Change       Dialysat sol fld vol > 249cc   Dialysate solution, any concentration of dextrose, fluid volume greate
   A4721           No Change       Dialysat sol fld vol > 999cc   Dialysate solution, any concentration of dextrose, fluid volume greate
   A4722           No Change       Dialys sol fld vol > 1999cc    Dialysate solution, any concentration of dextrose, fluid volume greate
   A4723           No Change       Dialys sol fld vol > 2999cc    Dialysate solution, any concentration of dextrose, fluid volume greate
   A4724           No Change       Dialys sol fld vol > 3999cc    Dialysate solution, any concentration of dextrose, fluid volume greate
   A4725           No Change       Dialys sol fld vol > 4999cc    Dialysate solution, any concentration of dextrose, fluid volume greate
   A4726           No Change       Dialys sol fld vol > 5999cc    Dialysate solution, any concentration of dextrose, fluid volume greate
   A4728           No Change       Dialysate solution, non-dex    Dialysate solution, non-dextrose containing, 500 ml
   A4730           No Change       Fistula cannulation set, ea    Fistula cannulation set for hemodialysis, each
   A4736           No Change       Topical anesthetic, per gram   Topical anesthetic, for dialysis, per gram
   A4737           No Change       Inj anesthetic per 10 ml       Injectable anesthetic, for dialysis, per 10 ml
   A4740           No Change       Shunt accessory                Shunt accessory, for hemodialysis, any type, each
   A4750           No Change       Art or venous blood tubing     Blood tubing, arterial or venous, for hemodialysis, each
   A4755           No Change       Comb art/venous blood tubing   Blood tubing, arterial and venous combined, for hemodialysis, each
   A4760           No Change       Dialysate sol test kit, each   Dialysate solution test kit, for peritoneal dialysis, any type, each
   A4765           No Change       Dialysate conc pow per pack    Dialysate concentrate, powder, additive for peritoneal dialysis, per p
   A4766           No Change       Dialysate conc sol add 10 ml   Dialysate concentrate, solution, additive for peritoneal dialysis, per
   A4770           No Change       Blood collection tube/vacuum   Blood collection tube, vacuum, for dialysis, per 50
   A4771           No Change       Serum clotting time tube       Serum clotting time tube, for dialysis, per 50
   A4772           No Change       Blood glucose test strips      Blood glucose test strips, for dialysis, per 50
   A4773           No Change       Occult blood test strips       Occult blood test strips, for dialysis, per 50
   A4774           No Change       Ammonia test strips            Ammonia test strips, for dialysis, per 50
   A4802           No Change       Protamine sulfate per 50 mg    Protamine sulfate, for hemodialysis, per 50 mg
   A4860           No Change       Disposable catheter tips       Disposable catheter tips for peritoneal dialysis, per 10
   A4870           No Change       Plumb/elec wk hm hemo equip    Plumbing and/or electrical work for home hemodialysis equipment
   A4890           No Change       Repair/maint cont hemo equip   Contracts, repair and maintenance, for hemodialysis equipment
   A4911           No Change       Drain bag/bottle               Drain bag/bottle, for dialysis, each
   A4913           No Change       Misc dialysis supplies noc     Miscellaneous dialysis supplies, not otherwise specified
   A4918           No Change       Venous pressure clamp          Venous pressure clamp, for hemodialysis, each
   A4927           No Change       Non-sterile gloves             Gloves, non-sterile, per 100
   A4928           No Change       Surgical mask                  Surgical mask, per 20
   A4929           No Change       Tourniquet for dialysis, ea    Tourniquet for dialysis, each
   A4930           No Change       Sterile, gloves per pair       Gloves, sterile, per pair
   A4931           No Change       Reusable oral thermometer      Oral thermometer, reusable, any type, each
   A4932           No Change       Reusable rectal thermometer    Rectal thermometer, reusable, any type, each
   A5051           No Change       Pouch clsd w barr attached     Ostomy pouch, closed; with barrier attached (1 piece), each
   A5052           No Change       Clsd ostomy pouch w/o barr     Ostomy pouch, closed; without barrier attached (1 piece), each
   A5053           No Change       Clsd ostomy pouch faceplate    Ostomy pouch, closed; for use on faceplate, each
   A5054           No Change       Clsd ostomy pouch w/flange     Ostomy pouch, closed; for use on barrier with flange (2 piece), each
   A5055           No Change       Stoma cap                      Stoma cap
   A5056           No Change       1 pc ost pouch w filter        Ostomy pouch, drainable, with extended wear barrier attached, with fil
   A5057           No Change       1 pc ost pou w built-in conv   Ostomy pouch, drainable, with extended wear barrier attached, with bui
   A5061           No Change       Pouch drainable w barrier at   Ostomy pouch, drainable; with barrier attached, (1 piece), each
   A5062           No Change       Drnble ostomy pouch w/o barr   Ostomy pouch, drainable; without barrier attached (1 piece), each
   A5063           No Change       Drain ostomy pouch w/flange    Ostomy pouch, drainable; for use on barrier with flange (2 piece syste
   A5071           No Change       Urinary pouch w/barrier        Ostomy pouch, urinary; with barrier attached (1 piece), each
   A5072           No Change       Urinary pouch w/o barrier      Ostomy pouch, urinary; without barrier attached (1 piece), each
   A5073           No Change       Urinary pouch on barr w/flng   Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
   A5081           No Change       Stoma plug or seal, any type   Stoma plug or seal, any type
   A5082           No Change       Continent stoma catheter       Continent device; catheter for continent stoma
   A5083           No Change       Stoma absorptive cover         Continent device, stoma absorptive cover for continent stoma
   A5093           No Change       Ostomy accessory convex inse   Ostomy accessory; convex insert
   A5102           No Change       Bedside drain btl w/wo tube    Bedside drainage bottle with or without tubing, rigid or expandable, e
   A5105           No Change       Urinary suspensory             Urinary suspensory with leg bag, with or without tube, each
   A5112           No Change       Urinary leg bag                Urinary drainage bag, leg or abdomen, latex, with or without tube, wit
   A5113           No Change       Latex leg strap                Leg strap; latex, replacement only, per set
   A5114           No Change       Foam/fabric leg strap          Leg strap; foam or fabric, replacement only, per set
   A5120           No Change       Skin barrier, wipe or swab     Skin barrier, wipes or swabs, each
   A5121           No Change       Solid skin barrier 6x6         Skin barrier; solid, 6 x 6 or equivalent, each
   A5122           No Change       Solid skin barrier 8x8         Skin barrier; solid, 8 x 8 or equivalent, each
   A5126           No Change       Disk/foam pad +or- adhesive    Adhesive or non-adhesive; disk or foam pad
   A5131           No Change       Appliance cleaner              Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
   A5200           No Change       Percutaneous catheter anchor   Percutaneous catheter/tube anchoring device, adhesive skin attachment
   A5500           No Change       Diab shoe for density insert   For diabetics only, fitting (including follow-up), custom preparation
   A5501           No Change       Diabetic custom molded shoe    For diabetics only, fitting (including follow-up), custom preparation
   A5503           No Change       Diabetic shoe w/roller/rockr   For diabetics only, modification (including fitting) of off-the-shelf
   A5504           No Change       Diabetic shoe with wedge       For diabetics only, modification (including fitting) of off-the-shelf
   A5505           No Change       Diab shoe w/metatarsal bar     For diabetics only, modification (including fitting) of off-the-shelf
   A5506           No Change       Diabetic shoe w/off set heel   For diabetics only, modification (including fitting) of off-the-shelf
   A5507           No Change       Modification diabetic shoe     For diabetics only, not otherwise specified modification (including fi
   A5508           No Change       Diabetic deluxe shoe           For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe o
   A5510           No Change       Compression form shoe insert   For diabetics only, direct formed, compression molded to patient's foo
   A5512           No Change       Multi den insert direct form   For diabetics only, multiple density insert, direct formed, molded to
   A5513           No Change       Multi den insert custom mold   For diabetics only, multiple density insert, custom molded from model
   A5514           No Change       Mult den insert dir carv/cam   For diabetics only, multiple density insert, made by direct carving wi
   A6000           No Change       Wound warming wound cover      Non-contact wound warming wound cover for use with the non-contact wou
   A6010           No Change       Collagen based wound filler    Collagen based wound filler, dry form, sterile, per gram of collagen
   A6011           No Change       Collagen gel/paste wound fil   Collagen based wound filler, gel/paste, per gram of collagen
   A6021           No Change       Collagen dressing <=16 sq in   Collagen dressing, sterile, size 16 sq. in. or less, each
   A6022           No Change       Collagen drsg>16<=48 sq in     Collagen dressing, sterile, size more than 16 sq. in. but less than or
   A6023           No Change       Collagen dressing >48 sq in    Collagen dressing, sterile, size more than 48 sq. in., each
   A6024           No Change       Collagen dsg wound filler      Collagen dressing wound filler, sterile, per 6 inches
   A6025           No Change       Silicone gel sheet, each       Gel sheet for dermal or epidermal application, (e.g., silicone, hydrog
   A6154           No Change       Wound pouch each               Wound pouch, each
   A6196           No Change       Alginate dressing <=16 sq in   Alginate or other fiber gelling dressing, wound cover, sterile, pad si
   A6197           No Change       Alginate drsg >16 <=48 sq in   Alginate or other fiber gelling dressing, wound cover, sterile, pad si
   A6198           No Change       Alginate dressing > 48 sq in   Alginate or other fiber gelling dressing, wound cover, sterile, pad si
   A6199           No Change       Alginate drsg wound filler     Alginate or other fiber gelling dressing, wound filler, sterile, per 6
   A6203           No Change       Composite drsg <= 16 sq in     Composite dressing, sterile, pad size 16 sq. in. or less, with any siz
   A6204           No Change       Composite drsg >16<=48 sq in   Composite dressing, sterile, pad size more than 16 sq. in. but less th
   A6205           No Change       Composite drsg > 48 sq in      Composite dressing, sterile, pad size more than 48 sq. in., with any s
   A6206           No Change       Contact layer <= 16 sq in      Contact layer, sterile, 16 sq. in. or less, each dressing
   A6207           No Change       Contact layer >16<= 48 sq in   Contact layer, sterile, more than 16 sq. in. but less than or equal to
   A6208           No Change       Contact layer > 48 sq in       Contact layer, sterile, more than 48 sq. in., each dressing
   A6209           No Change       Foam drsg <=16 sq in w/o bdr   Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with
   A6210           No Change       Foam drg >16<=48 sq in w/o b   Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but
   A6211           No Change       Foam drg > 48 sq in w/o brdr   Foam dressing, wound cover, sterile, pad size more than 48 sq. in., wi
   A6212           No Change       Foam drg <=16 sq in w/border   Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with
   A6213           No Change       Foam drg >16<=48 sq in w/bdr   Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but
   A6214           No Change       Foam drg > 48 sq in w/border   Foam dressing, wound cover, sterile, pad size more than 48 sq. in., wi
   A6215           No Change       Foam dressing wound filler     Foam dressing, wound filler, sterile, per gram
   A6216           No Change       Non-sterile gauze<=16 sq in    Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, with
   A6217           No Change       Non-sterile gauze>16<=48 sq    Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but
   A6218           No Change       Non-sterile gauze > 48 sq in   Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., wi
   A6219           No Change       Gauze <= 16 sq in w/border     Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any
   A6220           No Change       Gauze >16 <=48 sq in w/bordr   Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but les
   A6221           No Change       Gauze > 48 sq in w/border      Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with a
   A6222           No Change       Gauze <=16 in no w/sal w/o b   Gauze, impregnated with other than water, normal saline, or hydrogel,
   A6223           No Change       Gauze >16<=48 no w/sal w/o b   Gauze, impregnated with other than water, normal saline, or hydrogel,
   A6224           No Change       Gauze > 48 in no w/sal w/o b   Gauze, impregnated with other than water, normal saline, or hydrogel,
   A6228           No Change       Gauze <= 16 sq in water/sal    Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. i
   A6229           No Change       Gauze >16<=48 sq in watr/sal   Gauze, impregnated, water or normal saline, sterile, pad size more tha
   A6230           No Change       Gauze > 48 sq in water/salne   Gauze, impregnated, water or normal saline, sterile, pad size more tha
   A6231           No Change       Hydrogel dsg<=16 sq in         Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad s
   A6232           No Change       Hydrogel dsg>16<=48 sq in      Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad s
   A6233           No Change       Hydrogel dressing >48 sq in    Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad s
   A6234           No Change       Hydrocolld drg <=16 w/o bdr    Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or le
   A6235           No Change       Hydrocolld drg >16<=48 w/o b   Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq.
   A6236           No Change       Hydrocolld drg > 48 in w/o b   Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq.
   A6237           No Change       Hydrocolld drg <=16 in w/bdr   Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or le
   A6238           No Change       Hydrocolld drg >16<=48 w/bdr   Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq.
   A6239           No Change       Hydrocolld drg > 48 in w/bdr   Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq.
   A6240           No Change       Hydrocolld drg filler paste    Hydrocolloid dressing, wound filler, paste, sterile, per ounce
   A6241           No Change       Hydrocolloid drg filler dry    Hydrocolloid dressing, wound filler, dry form, sterile, per gram
   A6242           No Change       Hydrogel drg <=16 in w/o bdr   Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less,
   A6243           No Change       Hydrogel drg >16<=48 w/o bdr   Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in.
   A6244           No Change       Hydrogel drg >48 in w/o bdr    Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in.
   A6245           No Change       Hydrogel drg <= 16 in w/bdr    Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less,
   A6246           No Change       Hydrogel drg >16<=48 in w/b    Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in.
   A6247           No Change       Hydrogel drg > 48 sq in w/b    Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in.
   A6248           No Change       Hydrogel drsg gel filler       Hydrogel dressing, wound filler, gel, per fluid ounce
   A6250           No Change       Skin seal protect moisturizr   Skin sealants, protectants, moisturizers, ointments, any type, any siz
   A6251           No Change       Absorpt drg <=16 sq in w/o b   Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. i
   A6252           No Change       Absorpt drg >16 <=48 w/o bdr   Specialty absorptive dressing, wound cover, sterile, pad size more tha
   A6253           No Change       Absorpt drg > 48 sq in w/o b   Specialty absorptive dressing, wound cover, sterile, pad size more tha
   A6254           No Change       Absorpt drg <=16 sq in w/bdr   Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. i
   A6255           No Change       Absorpt drg >16<=48 in w/bdr   Specialty absorptive dressing, wound cover, sterile, pad size more tha
   A6256           No Change       Absorpt drg > 48 sq in w/bdr   Specialty absorptive dressing, wound cover, sterile, pad size more tha
   A6257           No Change       Transparent film <= 16 sq in   Transparent film, sterile, 16 sq. in. or less, each dressing
   A6258           No Change       Transparent film >16<=48 in    Transparent film, sterile, more than 16 sq. in. but less than or equal
   A6259           No Change       Transparent film > 48 sq in    Transparent film, sterile, more than 48 sq. in., each dressing
   A6260           No Change       Wound cleanser any type/size   Wound cleansers, any type, any size
   A6261           No Change       Wound filler gel/paste /oz     Wound filler, gel/paste, per fluid ounce, not otherwise specified
   A6262           No Change       Wound filler dry form / gram   Wound filler, dry form, per gram, not otherwise specified
   A6266           No Change       Impreg gauze no h20/sal/yard   Gauze, impregnated, other than water, normal saline, or zinc paste, st
   A6402           No Change       Sterile gauze <= 16 sq in      Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without
   A6403           No Change       Sterile gauze>16 <= 48 sq in   Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less th
   A6404           No Change       Sterile gauze > 48 sq in       Gauze, non-impregnated, sterile, pad size more than 48 sq. in., withou
   A6407           No Change       Packing strips, non-impreg     Packing strips, non-impregnated, sterile, up to 2 inches in width, per
   A6410           No Change       Sterile eye pad                Eye pad, sterile, each
   A6411           No Change       Non-sterile eye pad            Eye pad, non-sterile, each
   A6412           No Change       Occlusive eye patch            Eye patch, occlusive, each
   A6413           No Change       Adhesive bandage, first-aid    Adhesive bandage, first-aid type, any size, each
   A6441           No Change       Pad band w>=3" <5"/yd          Padding bandage, non-elastic, non-woven/non-knitted, width greater tha
   A6442           No Change       Conform band n/s w<3"/yd       Conforming bandage, non-elastic, knitted/woven, non-sterile, width les
   A6443           No Change       Conform band n/s w>=3"<5"/yd   Conforming bandage, non-elastic, knitted/woven, non-sterile, width gre
   A6444           No Change       Conform band n/s w>=5"/yd      Conforming bandage, non-elastic, knitted/woven, non-sterile, width gre
   A6445           No Change       Conform band s w <3"/yd        Conforming bandage, non-elastic, knitted/woven, sterile, width less th
   A6446           No Change       Conform band s w>=3" <5"/yd    Conforming bandage, non-elastic, knitted/woven, sterile, width greater
   A6447           No Change       Conform band s w >=5"/yd       Conforming bandage, non-elastic, knitted/woven, sterile, width greater
   A6448           No Change       Lt compres band <3"/yd         Light compression bandage, elastic, knitted/woven, width less than thr
   A6449           No Change       Lt compres band >=3" <5"/yd    Light compression bandage, elastic, knitted/woven, width greater than
   A6450           No Change       Lt compres band >=5"/yd        Light compression bandage, elastic, knitted/woven, width greater than
   A6451           No Change       Mod compres band w>=3"<5"/yd   Moderate compression bandage, elastic, knitted/woven, load resistance
   A6452           No Change       High compres band w>=3"<5"yd   High compression bandage, elastic, knitted/woven, load resistance grea
   A6453           No Change       Self-adher band w <3"/yd       Self-adherent bandage, elastic, non-knitted/non-woven, width less than
   A6454           No Change       Self-adher band w>=3" <5"/yd   Self-adherent bandage, elastic, non-knitted/non-woven, width greater t
   A6455           No Change       Self-adher band >=5"/yd        Self-adherent bandage, elastic, non-knitted/non-woven, width greater t
   A6456           No Change       Zinc paste band w >=3"<5"/yd   Zinc paste impregnated bandage, non-elastic, knitted/woven, width grea
   A6457           No Change       Tubular dressing               Tubular dressing with or without elastic, any width, per linear yard
   A6460           No Change       Synthetic drsg <= 16 sq in     Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or l
   A6461           No Change       Synthetic drsg >16<=48 sq in   Synthetic resorbable wound dressing, sterile, pad size more than 16 sq
   A6501           No Change       Compres burngarment bodysuit   Compression burn garment, bodysuit (head to foot), custom fabricated
   A6502           No Change       Compres burngarment chinstrp   Compression burn garment, chin strap, custom fabricated
   A6503           No Change       Compres burngarment facehood   Compression burn garment, facial hood, custom fabricated
   A6504           No Change       Cmprsburngarment glove-wrist   Compression burn garment, glove to wrist, custom fabricated
   A6505           No Change       Cmprsburngarment glove-elbow   Compression burn garment, glove to elbow, custom fabricated
   A6506           No Change       Cmprsburngrmnt glove-axilla    Compression burn garment, glove to axilla, custom fabricated
   A6507           No Change       Cmprs burngarment foot-knee    Compression burn garment, foot to knee length, custom fabricated
   A6508           No Change       Cmprs burngarment foot-thigh   Compression burn garment, foot to thigh length, custom fabricated
   A6509           No Change       Compres burn garment jacket    Compression burn garment, upper trunk to waist including arm openings
   A6510           No Change       Compres burn garment leotard   Compression burn garment, trunk, including arms down to leg openings (
   A6511           No Change       Compres burn garment panty     Compression burn garment, lower trunk including leg openings (panty),
   A6512           No Change       Compres burn garment, noc      Compression burn garment, not otherwise classified
   A6513           No Change       Compress burn mask face/neck   Compression burn mask, face and/or neck, plastic or equal, custom fabr
   A6530           No Change       Compression stocking bk18-30   Gradient compression stocking, below knee, 18-30 mmhg, each
   A6531           No Change       Compression stocking bk30-40   Gradient compression stocking, below knee, 30-40 mmhg, each
   A6532           No Change       Compression stocking bk40-50   Gradient compression stocking, below knee, 40-50 mmhg, each
   A6533           No Change       Gc stocking thighlngth 18-30   Gradient compression stocking, thigh length, 18-30 mmhg, each
   A6534           No Change       Gc stocking thighlngth 30-40   Gradient compression stocking, thigh length, 30-40 mmhg, each
   A6535           No Change       Gc stocking thighlngth 40-50   Gradient compression stocking, thigh length, 40-50 mmhg, each
   A6536           No Change       Gc stocking full lngth 18-30   Gradient compression stocking, full length/chap style, 18-30 mmhg, eac
   A6537           No Change       Gc stocking full lngth 30-40   Gradient compression stocking, full length/chap style, 30-40 mmhg, eac
   A6538           No Change       Gc stocking full lngth 40-50   Gradient compression stocking, full length/chap style, 40-50 mmhg, eac
   A6539           No Change       Gc stocking waistlngth 18-30   Gradient compression stocking, waist length, 18-30 mmhg, each
   A6540           No Change       Gc stocking waistlngth 30-40   Gradient compression stocking, waist length, 30-40 mmhg, each
   A6541           No Change       Gc stocking waistlngth 40-50   Gradient compression stocking, waist length, 40-50 mmhg, each
   A6544           No Change       Gc stocking garter belt        Gradient compression stocking, garter belt
   A6545           No Change       Grad comp non-elastic bk       Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each
   A6549           No Change       G compression stocking         Gradient compression stocking/sleeve, not otherwise specified
   A6550           No Change       Neg pres wound ther drsg set   Wound care set, for negative pressure wound therapy electrical pump, i
   A7000           No Change       Disposable canister for pump   Canister, disposable, used with suction pump, each
   A7001           No Change       Nondisposable pump canister    Canister, non-disposable, used with suction pump, each
   A7002           No Change       Tubing used w suction pump     Tubing, used with suction pump, each
   A7003           No Change       Nebulizer administration set   Administration set, with small volume nonfiltered pneumatic nebulizer,
   A7004           No Change       Disposable nebulizer sml vol   Small volume nonfiltered pneumatic nebulizer, disposable
   A7005           No Change       Nondisposable nebulizer set    Administration set, with small volume nonfiltered pneumatic nebulizer,
   A7006           No Change       Filtered nebulizer admin set   Administration set, with small volume filtered pneumatic nebulizer
   A7007           No Change       Lg vol nebulizer disposable    Large volume nebulizer, disposable, unfilled, used with aerosol compre
   A7008           No Change       Disposable nebulizer prefill   Large volume nebulizer, disposable, prefilled, used with aerosol compr
   A7009           No Change       Nebulizer reservoir bottle     Reservoir bottle, non-disposable, used with large volume ultrasonic ne
   A7010           No Change       Disposable corrugated tubing   Corrugated tubing, disposable, used with large volume nebulizer, 100 f
   A7011           No Change       Nondispos corrugated tubing    Corrugated tubing, non-disposable, used with large volume nebulizer, 1
   A7012           No Change       Nebulizer water collec devic   Water collection device, used with large volume nebulizer
   A7013           No Change       Disposable compressor filter   Filter, disposable, used with aerosol compressor or ultrasonic generat
   A7014           No Change       Compressor nondispos filter    Filter, nondisposable, used with aerosol compressor or ultrasonic gene
   A7015           No Change       Aerosol mask used w nebulize   Aerosol mask, used with dme nebulizer
   A7016           No Change       Nebulizer dome & mouthpiece    Dome and mouthpiece, used with small volume ultrasonic nebulizer
   A7017           No Change       Nebulizer not used w oxygen    Nebulizer, durable, glass or autoclavable plastic, bottle type, not us
   A7018           No Change       Water distilled w/nebulizer    Water, distilled, used with large volume nebulizer, 1000 ml
   A7020           No Change       Interface, cough stim device   Interface for cough stimulating device, includes all components, repla
   A7025           No Change       Replace chest compress vest    High frequency chest wall oscillation system vest, replacement for use
   A7026           No Change       Replace chst cmprss sys hose   High frequency chest wall oscillation system hose, replacement for use
   A7027           No Change       Combination oral/nasal mask    Combination oral/nasal mask, used with continuous positive airway pres
   A7028           No Change       Repl oral cushion combo mask   Oral cushion for combination oral/nasal mask, replacement only, each
   A7029           No Change       Repl nasal pillow comb mask    Nasal pillows for combination oral/nasal mask, replacement only, pair
   A7030           No Change       Cpap full face mask            Full face mask used with positive airway pressure device, each
   A7031           No Change       Replacement facemask interfa   Face mask interface, replacement for full face mask, each
   A7032           No Change       Replacement nasal cushion      Cushion for use on nasal mask interface, replacement only, each
   A7033           No Change       Replacement nasal pillows      Pillow for use on nasal cannula type interface, replacement only, pair
   A7034           No Change       Nasal application device       Nasal interface (mask or cannula type) used with positive airway press
   A7035           No Change       Pos airway press headgear      Headgear used with positive airway pressure device
   A7036           No Change       Pos airway press chinstrap     Chinstrap used with positive airway pressure device
   A7037           No Change       Pos airway pressure tubing     Tubing used with positive airway pressure device
   A7038           No Change       Pos airway pressure filter     Filter, disposable, used with positive airway pressure device
   A7039           No Change       Filter, non disposable w pap   Filter, non disposable, used with positive airway pressure device
   A7040           No Change       One way chest drain valve      One way chest drain valve
   A7041           No Change       Water seal drain container     Water seal drainage container and tubing for use with implanted chest
   A7042           No Change       Implanted pleural catheter     Implanted pleural catheter, each
   A7043           No Change       Vacuum drainagebottle/tubing   Vacuum drainage bottle and tubing for use with implanted catheter
   A7044           No Change       Pap oral interface             Oral interface used with positive airway pressure device, each
   A7045           No Change       Repl exhalation port for pap   Exhalation port with or without swivel used with accessories for posit
   A7046           No Change       Repl water chamber, pap dev    Water chamber for humidifier, used with positive airway pressure devic
   A7047           No Change       Resp suction oral interface    Oral interface used with respiratory suction pump, each
   A7048           No Change       Vacuum drain bottle/tube kit   Vacuum drainage collection unit and tubing kit, including all supplies
   A7501           No Change       Tracheostoma valve w diaphra   Tracheostoma valve, including diaphragm, each
   A7502           No Change       Replacement diaphragm/fplate   Replacement diaphragm/faceplate for tracheostoma valve, each
   A7503           No Change       Hmes filter holder or cap      Filter holder or filter cap, reusable, for use in a tracheostoma heat
   A7504           No Change       Tracheostoma hmes filter       Filter for use in a tracheostoma heat and moisture exchange system, ea
   A7505           No Change       Hmes or trach valve housing    Housing, reusable without adhesive, for use in a heat and moisture exc
   A7506           No Change       Hmes/trachvalve adhesivedisk   Adhesive disc for use in a heat and moisture exchange system and/or wi
   A7507           No Change       Integrated filter & holder     Filter holder and integrated filter without adhesive, for use in a tra
   A7508           No Change       Housing & integrated adhesiv   Housing and integrated adhesive, for use in a tracheostoma heat and mo
   A7509           No Change       Heat & moisture exchange sys   Filter holder and integrated filter housing, and adhesive, for use as
   A7520           No Change       Trach/laryn tube non-cuffed    Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), s
   A7521           No Change       Trach/laryn tube cuffed        Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silic
   A7522           No Change       Trach/laryn tube stainless     Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable
   A7523           No Change       Tracheostomy shower protect    Tracheostomy shower protector, each
   A7524           No Change       Tracheostoma stent/stud/bttn   Tracheostoma stent/stud/button, each
   A7525           No Change       Tracheostomy mask              Tracheostomy mask, each
   A7526           No Change       Tracheostomy tube collar       Tracheostomy tube collar/holder, each
   A7527           No Change       Trach/laryn tube plug/stop     Tracheostomy/laryngectomy tube plug/stop, each
   A8000           No Change       Soft protect helmet prefab     Helmet, protective, soft, prefabricated, includes all components and a
   A8001           No Change       Hard protect helmet prefab     Helmet, protective, hard, prefabricated, includes all components and a
   A8002           No Change       Soft protect helmet custom     Helmet, protective, soft, custom fabricated, includes all components a
   A8003           No Change       Hard protect helmet custom     Helmet, protective, hard, custom fabricated, includes all components a
   A8004           No Change       Repl soft interface, helmet    Soft interface for helmet, replacement only
   A9150           No Change       Misc/exper non-prescript dru   Non-prescription drugs
   A9152           No Change       Single vitamin nos             Single vitamin/mineral/trace element, oral, per dose, not otherwise sp
   A9153           No Change       Multi-vitamin nos              Multiple vitamins, with or without minerals and trace elements, oral,
   A9155           No Change       Artificial saliva              Artificial saliva, 30 ml
   A9180           No Change       Lice treatment, topical        Pediculosis (lice infestation) treatment, topical, for administration
   A9270           No Change       Non-covered item or service    Non-covered item or service
   A9272           No Change       Disp wound suct, drsg/access   Wound suction, disposable, includes dressing, all accessories and comp
   A9273           No Change       Hot/cold botle/cap/col/wrap    Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, an
   A9274           No Change       Ext amb insulin delivery sys   External ambulatory insulin delivery system, disposable, each, include
   A9275           No Change       Disp home glucose monitor      Home glucose disposable monitor, includes test strips
   A9276           No Change       Disposable sensor, cgm sys     Sensor; invasive (e.g., subcutaneous), disposable, for use with inters
   A9277           No Change       External transmitter, cgm      Transmitter; external, for use with interstitial continuous glucose mo
   A9278           No Change       External receiver, cgm sys     Receiver (monitor); external, for use with interstitial continuous glu
   A9279           No Change       Monitoring feature/devicenoc   Monitoring feature/device, stand-alone or integrated, any type, includ
   A9280           No Change       Alert device, noc              Alert or alarm device, not otherwise classified
   A9281           No Change       Reaching/grabbing device       Reaching/grabbing device, any type, any length, each
   A9282           No Change       Wig any type                   Wig, any type, each
   A9283           No Change       Foot press off load supp dev   Foot pressure off loading/supportive device, any type, each
   A9284           No Change       Non-electronic spirometer      Spirometer, non-electronic, includes all accessories
   A9285           No Change       Inversion eversion cor devic   Inversion/eversion correction device
   A9286           No Change       Any hygienic item, device      Hygienic item or device, disposable or non-disposable, any type, each
   A9300           No Change       Exercise equipment             Exercise equipment
   A9500           No Change       Tc99m sestamibi                Technetium tc-99m sestamibi, diagnostic, per study dose
   A9501           No Change       Technetium tc-99m teboroxime   Technetium tc-99m teboroxime, diagnostic, per study dose
   A9502           No Change       Tc99m tetrofosmin              Technetium tc-99m tetrofosmin, diagnostic, per study dose
   A9503           No Change       Tc99m medronate                Technetium tc-99m medronate, diagnostic, per study dose, up to 30 mill
   A9504           No Change       Tc99m apcitide                 Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 milli
   A9505           No Change       Tl201 thallium                 Thallium tl-201 thallous chloride, diagnostic, per millicurie
   A9507           No Change       In111 capromab                 Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10
   A9508           No Change       I131 iodobenguate, dx          Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
   A9509           No Change       Iodine i-123 sod iodide mil    Iodine i-123 sodium iodide, diagnostic, per millicurie
   A9510           No Change       Tc99m disofenin                Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 mill
   A9512           No Change       Tc99m pertechnetate            Technetium tc-99m pertechnetate, diagnostic, per millicurie
   A9513           No Change       Lutetium lu 177 dotatat ther   Lutetium lu 177, dotatate, therapeutic, 1 millicurie
   A9515           No Change       Choline c-11                   Choline c-11, diagnostic, per study dose up to 20 millicuries
   A9516           No Change       Iodine i-123 sod iodide mic    Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999
   A9517           No Change       I131 iodide cap, rx            Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
   A9520           No Change       Tc99 tilmanocept diag 0.5mci   Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
   A9521           No Change       Tc99m exametazime              Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 mi
   A9524           No Change       I131 serum albumin, dx         Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
   A9526           No Change       Nitrogen n-13 ammonia          Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicurie
   A9527           No Change       Iodine i-125 sodium iodide     Iodine i-125, sodium iodide solution, therapeutic, per millicurie
   A9528           No Change       Iodine i-131 iodide cap, dx    Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
   A9529           No Change       I131 iodide sol, dx            Iodine i-131 sodium iodide solution, diagnostic, per millicurie
   A9530           No Change       I131 iodide sol, rx            Iodine i-131 sodium iodide solution, therapeutic, per millicurie
   A9531           No Change       I131 max 100uci                Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 micr
   A9532           No Change       I125 serum albumin, dx         Iodine i-125 serum albumin, diagnostic, per 5 microcuries
   A9536           No Change       Tc99m depreotide               Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 mil
   A9537           No Change       Tc99m mebrofenin               Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 mil
   A9538           No Change       Tc99m pyrophosphate            Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25
   A9539           No Change       Tc99m pentetate                Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 mill
   A9540           No Change       Tc99m maa                      Technetium tc-99m macroaggregated albumin, diagnostic, per study dose,
   A9541           No Change       Tc99m sulfur colloid           Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20
   A9542           No Change       In111 ibritumomab, dx          Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to
   A9543           No Change       Y90 ibritumomab, rx            Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up
   A9544           No Change       I131 tositumomab, dx           Iodine i-131 tositumomab, diagnostic, per study dose
   A9545           No Change       I131 tositumomab, rx           Iodine i-131 tositumomab, therapeutic, per treatment dose
   A9546           No Change       Co57/58                        Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 m
   A9547           No Change       In111 oxyquinoline             Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
   A9548           No Change       In111 pentetate                Indium in-111 pentetate, diagnostic, per 0.5 millicurie
   A9550           No Change       Tc99m gluceptate               Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to
   A9551           No Change       Tc99m succimer                 Technetium tc-99m succimer, diagnostic, per study dose, up to 10 milli
   A9552           No Change       F18 fdg                        Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 mill
   A9553           No Change       Cr51 chromate                  Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250
   A9554           No Change       I125 iothalamate, dx           Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10
   A9555           No Change       Rb82 rubidium                  Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
   A9556           No Change       Ga67 gallium                   Gallium ga-67 citrate, diagnostic, per millicurie
   A9557           No Change       Tc99m bicisate                 Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 milli
   A9558           No Change       Xe133 xenon 10mci              Xenon xe-133 gas, diagnostic, per 10 millicuries
   A9559           No Change       Co57 cyano                     Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1
   A9560           No Change       Tc99m labeled rbc              Technetium tc-99m labeled red blood cells, diagnostic, per study dose,
   A9561           No Change       Tc99m oxidronate               Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 mil
   A9562           No Change       Tc99m mertiatide               Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 mil
   A9563           No Change       P32 na phosphate               Sodium phosphate p-32, therapeutic, per millicurie
   A9564           No Change       P32 chromic phosphate          Chromic phosphate p-32 suspension, therapeutic, per millicurie
   A9566           No Change       Tc99m fanolesomab              Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 mi
   A9567           No Change       Technetium tc-99m aerosol      Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up t
   A9568           No Change       Technetium tc99m arcitumomab   Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 mi
   A9569           No Change       Technetium tc-99m auto wbc     Technetium tc-99m exametazime labeled autologous white blood cells, di
   A9570           No Change       Indium in-111 auto wbc         Indium in-111 labeled autologous white blood cells, diagnostic, per st
   A9571           No Change       Indium in-111 auto platelet    Indium in-111 labeled autologous platelets, diagnostic, per study dose
   A9572           No Change       Indium in-111 pentetreotide    Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 milli
   A9575           No Change       Inj gadoterate meglumi 0.1ml   Injection, gadoterate meglumine, 0.1 ml
   A9576           No Change       Inj prohance multipack         Injection, gadoteridol, (prohance multipack), per ml
   A9577           No Change       Inj multihance                 Injection, gadobenate dimeglumine (multihance), per ml
   A9578           No Change       Inj multihance multipack       Injection, gadobenate dimeglumine (multihance multipack), per ml
   A9579           No Change       Gad-base mr contrast nos,1ml   Injection, gadolinium-based magnetic resonance contrast agent, not oth
   A9580           No Change       Sodium fluoride f-18           Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
   A9581           No Change       Gadoxetate disodium inj        Injection, gadoxetate disodium, 1 ml
   A9582           No Change       Iodine i-123 iobenguane        Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicur
   A9583           No Change       Gadofosveset trisodium inj     Injection, gadofosveset trisodium, 1 ml
   A9584           No Change       Iodine i-123 ioflupane         Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicurie
   A9585           No Change       Gadobutrol injection           Injection, gadobutrol, 0.1 ml
   A9586           No Change       Florbetapir f18                Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
   A9587           No Change       Gallium ga-68                  Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
   A9588           No Change       Fluciclovine f-18              Fluciclovine f-18, diagnostic, 1 millicurie
   A9589           No Change       Insti hexaminolevulinate hcl   Instillation, hexaminolevulinate hydrochloride, 100 mg
   A9590              ADD          Iodine i-131 iobenguane 1mci   Iodine i-131, iobenguane, 1 millicurie
   A9597           No Change       Pet, dx, for tumor id, noc     Positron emission tomography radiopharmaceutical, diagnostic, for tumo
   A9598           No Change       Pet dx for non-tumor id, noc   Positron emission tomography radiopharmaceutical, diagnostic, for non-
   A9599           No Change       Radioph dx b amyloid pet nos   Radiopharmaceutical, diagnostic, for beta-amyloid positron emission to
   A9600           No Change       Sr89 strontium                 Strontium sr-89 chloride, therapeutic, per millicurie
   A9604           No Change       Sm 153 lexidronam              Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150
   A9606           No Change       Radium ra223 dichloride ther   Radium ra-223 dichloride, therapeutic, per microcurie
   A9698           No Change       Non-rad contrast materialnoc   Non-radioactive contrast imaging material, not otherwise classified, p
   A9699           No Change       Radiopharm rx agent noc        Radiopharmaceutical, therapeutic, not otherwise classified
   A9700           No Change       Echocardiography contrast      Supply of injectable contrast material for use in echocardiography, pe
   A9900           No Change       Supply/accessory/service       Miscellaneous dme supply, accessory, and/or service component of anoth
   A9901           No Change       Delivery/set up/dispensing     Dme delivery, set up, and/or dispensing service component of another h
   A9999           No Change       Dme supply or accessory, nos   Miscellaneous dme supply or accessory, not otherwise specified
   B4034           No Change       Enter feed supkit syr by day   Enteral feeding supply kit; syringe fed, per day, includes but not lim
   B4035           No Change       Enteral feed supp pump per d   Enteral feeding supply kit; pump fed, per day, includes but not limite
   B4036           No Change       Enteral feed sup kit grav by   Enteral feeding supply kit; gravity fed, per day, includes but not lim
   B4081           No Change       Enteral ng tubing w/ stylet    Nasogastric tubing with stylet
   B4082           No Change       Enteral ng tubing w/o stylet   Nasogastric tubing without stylet
   B4083           No Change       Enteral stomach tube levine    Stomach tube - levine type
   B4087           No Change       Gastro/jejuno tube, std        Gastrostomy/jejunostomy tube, standard, any material, any type, each
   B4088           No Change       Gastro/jejuno tube, low-pro    Gastrostomy/jejunostomy tube, low-profile, any material, any type, eac
   B4100           No Change       Food thickener oral            Food thickener, administered orally, per ounce
   B4102           No Change       Ef adult fluids and electro    Enteral formula, for adults, used to replace fluids and electrolytes (
   B4103           No Change       Ef ped fluid and electrolyte   Enteral formula, for pediatrics, used to replace fluids and electrolyt
   B4104           No Change       Additive for enteral formula   Additive for enteral formula (e.g., fiber)
   B4105           No Change       Enzyme cartridge enteral nut   In-line cartridge containing digestive enzyme(s) for enteral feeding,
   B4149           No Change       Ef blenderized foods           Enteral formula, manufactured blenderized natural foods with intact nu
   B4150           No Change       Ef complet w/intact nutrient   Enteral formula, nutritionally complete with intact nutrients, include
   B4152           No Change       Ef calorie dense>/=1.5kcal     Enteral formula, nutritionally complete, calorically dense (equal to o
   B4153           No Change       Ef hydrolyzed/amino acids      Enteral formula, nutritionally complete, hydrolyzed proteins (amino ac
   B4154           No Change       Ef spec metabolic noninherit   Enteral formula, nutritionally complete, for special metabolic needs,
   B4155           No Change       Ef incomplete/modular          Enteral formula, nutritionally incomplete/modular nutrients, includes
   B4157           No Change       Ef special metabolic inherit   Enteral formula, nutritionally complete, for special metabolic needs f
   B4158           No Change       Ef ped complete intact nut     Enteral formula, for pediatrics, nutritionally complete with intact nu
   B4159           No Change       Ef ped complete soy based      Enteral formula, for pediatrics, nutritionally complete soy based with
   B4160           No Change       Ef ped caloric dense>/=0.7kc   Enteral formula, for pediatrics, nutritionally complete calorically de
   B4161           No Change       Ef ped hydrolyzed/amino acid   Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide ch
   B4162           No Change       Ef ped specmetabolic inherit   Enteral formula, for pediatrics, special metabolic needs for inherited
   B4164           No Change       Parenteral 50% dextrose solu   Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (
   B4168           No Change       Parenteral sol amino acid 3.   Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - h
   B4172           No Change       Parenteral sol amino acid 5.   Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml =
   B4176           No Change       Parenteral sol amino acid 7-   Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml =
   B4178           No Change       Parenteral sol amino acid >    Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml =
   B4180           No Change       Parenteral sol carb > 50%      Parenteral nutrition solution; carbohydrates (dextrose), greater than
   B4185    Long Description ChangePn soln nos 10 grams lipids    Parenteral nutrition solution, not otherwise specified, 10 grams lipid
   B4187              ADD          Omegaven, 10 grams lipids      Omegaven, 10 grams lipids
   B4189           No Change       Parenteral sol amino acid &    Parenteral nutrition solution; compounded amino acid and carbohydrates
   B4193           No Change       Parenteral sol 52-73 gm prot   Parenteral nutrition solution; compounded amino acid and carbohydrates
   B4197           No Change       Parenteral sol 74-100 gm pro   Parenteral nutrition solution; compounded amino acid and carbohydrates
   B4199           No Change       Parenteral sol > 100gm prote   Parenteral nutrition solution; compounded amino acid and carbohydrates
   B4216           No Change       Parenteral nutrition additiv   Parenteral nutrition; additives (vitamins, trace elements, heparin, el
   B4220           No Change       Parenteral supply kit premix   Parenteral nutrition supply kit; premix, per day
   B4222           No Change       Parenteral supply kit homemi   Parenteral nutrition supply kit; home mix, per day
   B4224           No Change       Parenteral administration ki   Parenteral nutrition administration kit, per day
   B5000           No Change       Parenteral sol renal-amirosy   Parenteral nutrition solution compounded amino acid and carbohydrates
   B5100           No Change       Parenteral solution hepatic    Parenteral nutrition solution compounded amino acid and carbohydrates
   B5200           No Change       Parenteral sol hepatic fream   Parenteral nutrition solution compounded amino acid and carbohydrates
   B9000           No Change       Enter infusion pump w/o alrm   Enteral nutrition infusion pump - without alarm
   B9002           No Change       Enter nutr inf pump any type   Enteral nutrition infusion pump, any type
   B9004           No Change       Parenteral infus pump portab   Parenteral nutrition infusion pump, portable
   B9006           No Change       Parenteral infus pump statio   Parenteral nutrition infusion pump, stationary
   B9998           No Change       Enteral supp not otherwise c   Noc for enteral supplies
   B9999           No Change       Parenteral supp not othrws c   Noc for parenteral supplies
   C1300           No Change       Hyperbaric oxygen              Hyperbaric oxygen under pressure, full body chamber, per 30 minute int
   C1713           No Change       Anchor/screw bn/bn,tis/bn      Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implant
   C1714           No Change       Cath, trans atherectomy, dir   Catheter, transluminal atherectomy, directional
   C1715           No Change       Brachytherapy needle           Brachytherapy needle
   C1716           No Change       Brachytx, non-str, gold-198    Brachytherapy source, non-stranded, gold-198, per source
   C1717           No Change       Brachytx, non-str,hdr ir-192   Brachytherapy source, non-stranded, high dose rate iridium-192, per so
   C1719           No Change       Brachytx, ns, non-hdrir-192    Brachytherapy source, non-stranded, non-high dose rate iridium-192, pe
   C1721           No Change       Aicd, dual chamber             Cardioverter-defibrillator, dual chamber (implantable)
   C1722           No Change       Aicd, single chamber           Cardioverter-defibrillator, single chamber (implantable)
   C1724           No Change       Cath, trans atherec,rotation   Catheter, transluminal atherectomy, rotational
   C1725           No Change       Cath, translumin non-laser     Catheter, transluminal angioplasty, non-laser (may include guidance, i
   C1726           No Change       Cath, bal dil, non-vascular    Catheter, balloon dilatation, non-vascular
   C1727           No Change       Cath, bal tis dis, non-vas     Catheter, balloon tissue dissector, non-vascular (insertable)
   C1728           No Change       Cath, brachytx seed adm        Catheter, brachytherapy seed administration
   C1729           No Change       Cath, drainage                 Catheter, drainage
   C1730           No Change       Cath, ep, 19 or few elect      Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or
   C1731           No Change       Cath, ep, 20 or more elec      Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or
   C1732           No Change       Cath, ep, diag/abl, 3d/vect    Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping
   C1733           No Change       Cath, ep, othr than cool-tip   Catheter, electrophysiology, diagnostic/ablation, other than 3d or vec
   C1734              ADD          Orth/devic/drug bn/bn,tis/bn   Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue
   C1749           No Change       Endo, colon, retro imaging     Endoscope, retrograde imaging/illumination colonoscope device (implant
   C1750           No Change       Cath, hemodialysis,long-term   Catheter, hemodialysis/peritoneal, long-term
   C1751           No Change       Cath, inf, per/cent/midline    Catheter, infusion, inserted peripherally, centrally or midline (other
   C1752           No Change       Cath,hemodialysis,short-term   Catheter, hemodialysis/peritoneal, short-term
   C1753           No Change       Cath, intravas ultrasound      Catheter, intravascular ultrasound
   C1754           No Change       Catheter, intradiscal          Catheter, intradiscal
   C1755           No Change       Catheter, intraspinal          Catheter, intraspinal
   C1756           No Change       Cath, pacing, transesoph       Catheter, pacing, transesophageal
   C1757           No Change       Cath, thrombectomy/embolect    Catheter, thrombectomy/embolectomy
   C1758           No Change       Catheter, ureteral             Catheter, ureteral
   C1759           No Change       Cath, intra echocardiography   Catheter, intracardiac echocardiography
   C1760           No Change       Closure dev, vasc              Closure device, vascular (implantable/insertable)
   C1762           No Change       Conn tiss, human(inc fascia)   Connective tissue, human (includes fascia lata)
   C1763           No Change       Conn tiss, non-human           Connective tissue, non-human (includes synthetic)
   C1764           No Change       Event recorder, cardiac        Event recorder, cardiac (implantable)
   C1765           No Change       Adhesion barrier               Adhesion barrier
   C1766           No Change       Intro/sheath,strble,non-peel   Introducer/sheath, guiding, intracardiac electrophysiological, steerab
   C1767           No Change       Generator, neuro non-recharg   Generator, neurostimulator (implantable), non-rechargeable
   C1768           No Change       Graft, vascular                Graft, vascular
   C1769           No Change       Guide wire                     Guide wire
   C1770           No Change       Imaging coil, mr, insertable   Imaging coil, magnetic resonance (insertable)
   C1771           No Change       Rep dev, urinary, w/sling      Repair device, urinary, incontinence, with sling graft
   C1772           No Change       Infusion pump, programmable    Infusion pump, programmable (implantable)
   C1773           No Change       Ret dev, insertable            Retrieval device, insertable (used to retrieve fractured medical devic
   C1776           No Change       Joint device (implantable)     Joint device (implantable)
   C1777           No Change       Lead, aicd, endo single coil   Lead, cardioverter-defibrillator, endocardial single coil (implantable
   C1778           No Change       Lead, neurostimulator          Lead, neurostimulator (implantable)
   C1779           No Change       Lead, pmkr, transvenous vdd    Lead, pacemaker, transvenous vdd single pass
   C1780           No Change       Lens, intraocular (new tech)   Lens, intraocular (new technology)
   C1781           No Change       Mesh (implantable)             Mesh (implantable)
   C1782           No Change       Morcellator                    Morcellator
   C1783           No Change       Ocular imp, aqueous drain de   Ocular implant, aqueous drainage assist device
   C1784           No Change       Ocular dev, intraop, det ret   Ocular device, intraoperative, detached retina
   C1785           No Change       Pmkr, dual, rate-resp          Pacemaker, dual chamber, rate-responsive (implantable)
   C1786           No Change       Pmkr, single, rate-resp        Pacemaker, single chamber, rate-responsive (implantable)
   C1787           No Change       Patient progr, neurostim       Patient programmer, neurostimulator
   C1788           No Change       Port, indwelling, imp          Port, indwelling (implantable)
   C1789           No Change       Prosthesis, breast, imp        Prosthesis, breast (implantable)
   C1813           No Change       Prosthesis, penile, inflatab   Prosthesis, penile, inflatable
   C1814           No Change       Retinal tamp, silicone oil     Retinal tamponade device, silicone oil
   C1815           No Change       Pros, urinary sph, imp         Prosthesis, urinary sphincter (implantable)
   C1816           No Change       Receiver/transmitter, neuro    Receiver and/or transmitter, neurostimulator (implantable)
   C1817           No Change       Septal defect imp sys          Septal defect implant system, intracardiac
   C1818           No Change       Integrated keratoprosthesis    Integrated keratoprosthesis
   C1819           No Change       Tissue localization-excision   Surgical tissue localization and excision device (implantable)
   C1820           No Change       Generator neuro rechg bat sy   Generator, neurostimulator (implantable), with rechargeable battery an
   C1821           No Change       Interspinous implant           Interspinous process distraction device (implantable)
   C1822           No Change       Gen, neuro, hf, rechg bat      Generator, neurostimulator (implantable), high frequency, with recharg
   C1823           No Change       Gen, neuro, trans sen/stim     Generator, neurostimulator (implantable), non-rechargeable, with trans
   C1824              ADD          Generator, ccm, implant        Generator, cardiac contractility modulation (implantable)
   C1830           No Change       Power bone marrow bx needle    Powered bone marrow biopsy needle
   C1839              ADD          Iris prosthesis                Iris prosthesis
   C1840           No Change       Telescopic intraocular lens    Lens, intraocular (telescopic)
   C1841           No Change       Retinal prosth int/ext comp    Retinal prosthesis, includes all internal and external components
   C1842           No Change       Retinal prosth, add-on         Retinal prosthesis, includes all internal and external components; add
   C1874           No Change       Stent, coated/cov w/del sys    Stent, coated/covered, with delivery system
   C1875           No Change       Stent, coated/cov w/o del sy   Stent, coated/covered, without delivery system
   C1876           No Change       Stent, non-coa/non-cov w/del   Stent, non-coated/non-covered, with delivery system
   C1877           No Change       Stent, non-coat/cov w/o del    Stent, non-coated/non-covered, without delivery system
   C1878           No Change       Matrl for vocal cord           Material for vocal cord medialization, synthetic (implantable)
   C1880           No Change       Vena cava filter               Vena cava filter
   C1881           No Change       Dialysis access system         Dialysis access system (implantable)
   C1882           No Change       Aicd, other than sing/dual     Cardioverter-defibrillator, other than single or dual chamber (implant
   C1883           No Change       Adapt/ext, pacing/neuro lead   Adapter/extension, pacing lead or neurostimulator lead (implantable)
   C1884           No Change       Embolization protect syst      Embolization protective system
   C1885           No Change       Cath, translumin angio laser   Catheter, transluminal angioplasty, laser
   C1886           No Change       Catheter, ablation             Catheter, extravascular tissue ablation, any modality (insertable)
   C1887           No Change       Catheter, guiding              Catheter, guiding (may include infusion/perfusion capability)
   C1888           No Change       Endovas non-cardiac abl cath   Catheter, ablation, non-cardiac, endovascular (implantable)
   C1889           No Change       Implant/insert device, noc     Implantable/insertable device, not otherwise classified
   C1890           No Change       No device w/dev-intensive px   No implantable/insertable device used with device-intensive procedures
   C1891           No Change       Infusion pump,non-prog, perm   Infusion pump, non-programmable, permanent (implantable)
   C1892           No Change       Intro/sheath,fixed,peel-away   Introducer/sheath, guiding, intracardiac electrophysiological, fixed-c
   C1893           No Change       Intro/sheath, fixed,non-peel   Introducer/sheath, guiding, intracardiac electrophysiological, fixed-c
   C1894           No Change       Intro/sheath, non-laser        Introducer/sheath, other than guiding, other than intracardiac electro
   C1895           No Change       Lead, aicd, endo dual coil     Lead, cardioverter-defibrillator, endocardial dual coil (implantable)
   C1896           No Change       Lead, aicd, non sing/dual      Lead, cardioverter-defibrillator, other than endocardial single or dua
   C1897           No Change       Lead, neurostim test kit       Lead, neurostimulator test kit (implantable)
   C1898           No Change       Lead, pmkr, other than trans   Lead, pacemaker, other than transvenous vdd single pass
   C1899           No Change       Lead, pmkr/aicd combination    Lead, pacemaker/cardioverter-defibrillator combination (implantable)
   C1900           No Change       Lead, coronary venous          Lead, left ventricular coronary venous system
   C1982              ADD          Cath, pressure,valve-occlu     Catheter, pressure-generating, one-way valve, intermittently occlusive
   C2596              ADD          Probe, robotic, water-jet      Probe, image-guided, robotic, waterjet ablation
   C2613           No Change       Lung bx plug w/del sys         Lung biopsy plug with delivery system
   C2614           No Change       Probe, perc lumb disc          Probe, percutaneous lumbar discectomy
   C2615           No Change       Sealant, pulmonary, liquid     Sealant, pulmonary, liquid
   C2616           No Change       Brachytx, non-str,yttrium-90   Brachytherapy source, non-stranded, yttrium-90, per source
   C2617           No Change       Stent, non-cor, tem w/o del    Stent, non-coronary, temporary, without delivery system
   C2618           No Change       Probe/needle, cryo             Probe/needle, cryoablation
   C2619           No Change       Pmkr, dual, non rate-resp      Pacemaker, dual chamber, non rate-responsive (implantable)
   C2620           No Change       Pmkr, single, non rate-resp    Pacemaker, single chamber, non rate-responsive (implantable)
   C2621           No Change       Pmkr, other than sing/dual     Pacemaker, other than single or dual chamber (implantable)
   C2622           No Change       Prosthesis, penile, non-inf    Prosthesis, penile, non-inflatable
   C2623           No Change       Cath, translumin, drug-coat    Catheter, transluminal angioplasty, drug-coated, non-laser
   C2624           No Change       Wireless pressure sensor       Implantable wireless pulmonary artery pressure sensor with delivery ca
   C2625           No Change       Stent, non-cor, tem w/del sy   Stent, non-coronary, temporary, with delivery system
   C2626           No Change       Infusion pump, non-prog,temp   Infusion pump, non-programmable, temporary (implantable)
   C2627           No Change       Cath, suprapubic/cystoscopic   Catheter, suprapubic/cystoscopic
   C2628           No Change       Catheter, occlusion            Catheter, occlusion
   C2629           No Change       Intro/sheath, laser            Introducer/sheath, other than guiding, other than intracardiac electro
   C2630           No Change       Cath, ep, cool-tip             Catheter, electrophysiology, diagnostic/ablation, other than 3d or vec
   C2631           No Change       Rep dev, urinary, w/o sling    Repair device, urinary, incontinence, without sling graft
   C2634           No Change       Brachytx, non-str, ha, i-125   Brachytherapy source, non-stranded, high activity, iodine-125, greater
   C2635           No Change       Brachytx, non-str, ha, p-103   Brachytherapy source, non-stranded, high activity, palladium-103, grea
   C2636           No Change       Brachy linear, non-str,p-103   Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
   C2637           No Change       Brachy,non-str,ytterbium-169   Brachytherapy source, non-stranded, ytterbium-169, per source
   C2638           No Change       Brachytx, stranded, i-125      Brachytherapy source, stranded, iodine-125, per source
   C2639           No Change       Brachytx, non-stranded,i-125   Brachytherapy source, non-stranded, iodine-125, per source
   C2640           No Change       Brachytx, stranded, p-103      Brachytherapy source, stranded, palladium-103, per source
   C2641           No Change       Brachytx, non-stranded,p-103   Brachytherapy source, non-stranded, palladium-103, per source
   C2642           No Change       Brachytx, stranded, c-131      Brachytherapy source, stranded, cesium-131, per source
   C2643           No Change       Brachytx, non-stranded,c-131   Brachytherapy source, non-stranded, cesium-131, per source
   C2644           No Change       Brachytx cesium-131 chloride   Brachytherapy source, cesium-131 chloride solution, per millicurie
   C2645           No Change       Brachytx planar, p-103         Brachytherapy planar source, palladium-103, per square millimeter
   C2698           No Change       Brachytx, stranded, nos        Brachytherapy source, stranded, not otherwise specified, per source
   C2699           No Change       Brachytx, non-stranded, nos    Brachytherapy source, non-stranded, not otherwise specified, per sourc
   C5271           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to trunk, arms, legs, to
   C5272           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to trunk, arms, legs, to
   C5273           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to trunk, arms, legs, to
   C5274           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to trunk, arms, legs, to
   C5275           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to face, scalp, eyelids,
   C5276           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to face, scalp, eyelids,
   C5277           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to face, scalp, eyelids,
   C5278           No Change       Low cost skin substitute app   Application of low cost skin substitute graft to face, scalp, eyelids,
   C8900           No Change       Mra w/cont, abd                Magnetic resonance angiography with contrast, abdomen
   C8901           No Change       Mra w/o cont, abd              Magnetic resonance angiography without contrast, abdomen
   C8902           No Change       Mra w/o fol w/cont, abd        Magnetic resonance angiography without contrast followed by with contr
   C8903           No Change       Mri w/cont, breast,  uni       Magnetic resonance imaging with contrast, breast; unilateral
   C8904           No Change       Mri w/o cont, breast, uni      Magnetic resonance imaging without contrast, breast; unilateral
   C8905           No Change       Mri w/o fol w/cont, brst, un   Magnetic resonance imaging without contrast followed by with contrast,
   C8906           No Change       Mri w/cont, breast,  bi        Magnetic resonance imaging with contrast, breast; bilateral
   C8907           No Change       Mri w/o cont, breast, bi       Magnetic resonance imaging without contrast, breast; bilateral
   C8908           No Change       Mri w/o fol w/cont, breast,    Magnetic resonance imaging without contrast followed by with contrast,
   C8909           No Change       Mra w/cont, chest              Magnetic resonance angiography with contrast, chest (excluding myocard
   C8910           No Change       Mra w/o cont, chest            Magnetic resonance angiography without contrast, chest (excluding myoc
   C8911           No Change       Mra w/o fol w/cont, chest      Magnetic resonance angiography without contrast followed by with contr
   C8912           No Change       Mra w/cont, lwr ext            Magnetic resonance angiography with contrast, lower extremity
   C8913           No Change       Mra w/o cont, lwr ext          Magnetic resonance angiography without contrast, lower extremity
   C8914           No Change       Mra w/o fol w/cont, lwr ext    Magnetic resonance angiography without contrast followed by with contr
   C8918           No Change       Mra w/cont, pelvis             Magnetic resonance angiography with contrast, pelvis
   C8919           No Change       Mra w/o cont, pelvis           Magnetic resonance angiography without contrast, pelvis
   C8920           No Change       Mra w/o fol w/cont, pelvis     Magnetic resonance angiography without contrast followed by with contr
   C8921           No Change       Tte w or w/o fol w/cont, com   Transthoracic echocardiography with contrast, or without contrast foll
   C8922           No Change       Tte w or w/o fol w/cont, f/u   Transthoracic echocardiography with contrast, or without contrast foll
   C8923           No Change       2d tte w or w/o fol w/con,co   Transthoracic echocardiography with contrast, or without contrast foll
   C8924           No Change       2d tte w or w/o fol w/con,fu   Transthoracic echocardiography with contrast, or without contrast foll
   C8925           No Change       2d tee w or w/o fol w/con,in   Transesophageal echocardiography (tee) with contrast, or without contr
   C8926           No Change       Tee w or w/o fol w/cont,cong   Transesophageal echocardiography (tee) with contrast, or without contr
   C8927           No Change       Tee w or w/o fol w/cont, mon   Transesophageal echocardiography (tee) with contrast, or without contr
   C8928           No Change       Tte w or w/o fol w/con,stres   Transthoracic echocardiography with contrast, or without contrast foll
   C8929           No Change       Tte w or wo fol wcon,doppler   Transthoracic echocardiography with contrast, or without contrast foll
   C8930           No Change       Tte w or w/o contr, cont ecg   Transthoracic echocardiography, with contrast, or without contrast fol
   C8931           No Change       Mra, w/dye, spinal canal       Magnetic resonance angiography with contrast, spinal canal and content
   C8932           No Change       Mra, w/o dye, spinal canal     Magnetic resonance angiography without contrast, spinal canal and cont
   C8933           No Change       Mra, w/o&w/dye, spinal canal   Magnetic resonance angiography without contrast followed by with contr
   C8934           No Change       Mra, w/dye, upper extremity    Magnetic resonance angiography with contrast, upper extremity
   C8935           No Change       Mra, w/o dye, upper extr       Magnetic resonance angiography without contrast, upper extremity
   C8936           No Change       Mra, w/o&w/dye, upper extr     Magnetic resonance angiography without contrast followed by with contr
   C8937           No Change       Cad breast mri                 Computer-aided detection, including computer algorithm analysis of bre
   C8957           No Change       Prolonged iv inf, req pump     Intravenous infusion for therapy/diagnosis; initiation of prolonged in
   C9014           No Change       Injection, cerliponase alfa    Injection, cerliponase alfa, 1 mg
   C9015           No Change       C-1 esterase, haegarda         Injection, c-1 esterase inhibitor (human), haegarda, 10 units
   C9016           No Change       Inj, triptorelin ext rel       Injection, triptorelin extended release, 3.75 mg
   C9021           No Change       Injection, obinutuzumab        Injection, obinutuzumab, 10 mg
   C9022           No Change       Injection, elosulfase alfa     Injection, elosulfase alfa, 1mg
   C9023           No Change       Inj testosterone undecanoate   Injection, testosterone undecanoate, 1 mg
   C9024           No Change       Inj, daunorubicin-cytarabine   Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
   C9025           No Change       Injection, ramucirumab         Injection, ramucirumab, 5 mg
   C9026           No Change       Injection, vedolizumab         Injection, vedolizumab, 1 mg
   C9027           No Change       Injection, pembrolizumab       Injection, pembrolizumab, 1 mg
   C9028           No Change       Inj. inotuzumab ozogamicin     Injection, inotuzumab ozogamicin, 0.1 mg
   C9029           No Change       Injection, guselkumab          Injection, guselkumab, 1 mg
   C9030           No Change       Inj copanlisib                 Injection, copanlisib, 1 mg
   C9031           No Change       Lutetium lu 177 dotatate, tx   Lutetium lu 177, dotatate, therapeutic, 1 mci
   C9032           No Change       Voretigene neparvovec-rzyl     Injection, voretigene neparvovec-rzyl, 1 billion vector genome
   C9033           No Change       Inj, akynzeo                   Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
   C9034           No Change       Injection, dexamethasone 9%    Injection, dexamethasone 9%, intraocular, 1 mcg
   C9035         Discontinued      Injection, aristada initio     Injection, aripiprazole lauroxil (aristada initio), 1 mg
   C9036         Discontinued      Injection, patisiran           Injection, patisiran, 0.1 mg
   C9037         Discontinued      Injection, risperidone         Injection, risperidone (perseris), 0.5 mg
   C9038         Discontinued      Inj mogamulizumab-kpkc         Injection, mogamulizumab-kpkc, 1 mg
   C9039         Discontinued      Injection, plazomicin          Injection, plazomicin, 5 mg
   C9040         Discontinued      Injection, fremanezumab-vfrm   Injection, fremanezumab-vfrm, 1mg
   C9041              ADD          Inj, coagulation factor xa     Injection, coagulation factor xa (recombinant), inactivated (andexxa),
   C9042         Discontinued      Inj., belrapzo 1 mg            Injection, bendamustine hcl (belrapzo), 1 mg
   C9043         Discontinued      Injection, levoleucovorin      Injection, levoleucovorin, 1 mg
   C9044         Discontinued      Injection, cemiplimab-rwlc     Injection, cemiplimab-rwlc, 1 mg
   C9045         Discontinued      Moxetumomab pasudotox-tdfk     Injection, moxetumomab pasudotox-tdfk, 0.01 mg
   C9046              ADD          Cocaine hcl nasal solution     Cocaine hydrochloride nasal solution for topical administration, 1 mg
   C9047              ADD          Injection, caplacizumab-yhdp   Injection, caplacizumab-yhdp, 1 mg
   C9048         Discontinued      Dexamethasone ophth insert     Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
   C9049         Discontinued      Injection, tagraxofusp-erzs    Injection, tagraxofusp-erzs, 10 mcg
   C9050         Discontinued      Injection, emapalumab-lzsg     Injection, emapalumab-lzsg, 1 mg
   C9051         Discontinued      Injection, omadacycline        Injection, omadacycline, 1 mg
   C9052         Discontinued      Injection, ravulizumab-cwv     Injection, ravulizumab-cwvz, 10 mg
   C9054              ADD          Injection, lefamulin           Injection, lefamulin (xenleta), 1 mg
   C9055              ADD          Inj, brexanolone               Injection, brexanolone, 1mg
   C9113           No Change       Inj pantoprazole sodium, via   Injection, pantoprazole sodium, per vial
   C9121           No Change       Injection, argatroban          Injection, argatroban, per 5 mg
   C9132           No Change       Kcentra, per i.u.              Prothrombin complex concentrate (human), kcentra, per i.u. of factor i
   C9133           No Change       Factor ix recombinant          Factor ix (antihemophilic factor, recombinant), rixubis, per i.u.
   C9134           No Change       Factor xiii a-subunit recomb   Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u.
   C9135           No Change       Factor ix (alprolix)           Factor ix (antihemophilic factor, recombinant), alprolix, per i.u.
   C9136           No Change       Factor viii (eloctate)         Injection, factor viii, fc fusion protein, (recombinant), per i.u.
   C9137           No Change       Adynovate factor viii recom    Injection, factor viii (antihemophilic factor, recombinant) pegylated,
   C9138           No Change       Nuwiq factor viii recomb       Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1
   C9139           No Change       Idelvion, 1 i.u.               Injection, factor ix, albumin fusion protein (recombinant), idelvion,
   C9140           No Change       Afstyla factor viii recomb     Injection, factor viii (antihemophilic factor, recombinant) (afstyla),
   C9141         Discontinued      Factor viii pegylated-aucl     Injection, factor viii, (antihemophilic factor, recombinant), pegylate
   C9248           No Change       Inj, clevidipine butyrate      Injection, clevidipine butyrate, 1 mg
   C9250           No Change       Artiss fibrin sealant          Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss),
   C9254           No Change       Injection, lacosamide          Injection, lacosamide, 1 mg
   C9257           No Change       Bevacizumab injection          Injection, bevacizumab, 0.25 mg
   C9275           No Change       Hexaminolevulinate hcl         Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose
   C9285           No Change       Patch, lidocaine/tetracaine    Lidocaine 70 mg/tetracaine 70 mg, per patch
   C9290           No Change       Inj, bupivacaine liposome      Injection, bupivacaine liposome, 1 mg
   C9293           No Change       Injection, glucarpidase        Injection, glucarpidase, 10 units
   C9349           No Change       Puraply, puraply antimic       Puraply, and puraply antimicrobial, any type, per square centimeter
   C9352           No Change       Neuragen nerve guide, per cm   Microporous collagen implantable tube (neuragen nerve guide), per cent
   C9353           No Change       Neurawrap nerve protector,cm   Microporous collagen implantable slit tube (neurawrap nerve protector)
   C9354           No Change       Veritas collagen matrix, cm2   Acellular pericardial tissue matrix of non-human origin (veritas), per
   C9355           No Change       Neuromatrix nerve cuff, cm     Collagen nerve cuff (neuromatrix), per 0.5 centimeter length
   C9356           No Change       Tenoglide tendon prot, cm2     Tendon, porous matrix of cross-linked collagen and glycosaminoglycan m
   C9358           No Change       Surgimend, fetal               Dermal substitute, native, non-denatured collagen, fetal bovine origin
   C9359           No Change       Implnt,bon void filler-putty   Porous purified collagen matrix bone void filler (integra mozaik osteo
   C9360           No Change       Surgimend, neonatal            Dermal substitute, native, non-denatured collagen, neonatal bovine ori
   C9361           No Change       Neuromend nerve wrap           Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 ce
   C9362           No Change       Implnt,bon void filler-strip   Porous purified collagen matrix bone void filler (integra mozaik osteo
   C9363           No Change       Integra meshed bil wound mat   Skin substitute, integra meshed bilayer wound matrix, per square centi
   C9364           No Change       Porcine implant, permacol      Porcine implant, permacol, per square centimeter
   C9399           No Change       Unclassified drugs or biolog   Unclassified drugs or biologicals
   C9407         Discontinued      Iodine i-131 iobenguane, dx    Iodine i-131 iobenguane, diagnostic, 1 millicurie
   C9408         Discontinued      Iodine i-131 iobenguane, tx    Iodine i-131 iobenguane, therapeutic, 1 millicurie
   C9441           No Change       Inj, ferric carboxymaltose     Injection, ferric carboxymaltose, 1 mg
   C9442           No Change       Injection, belinostat          Injection, belinostat, 10 mg
   C9443           No Change       Injection, dalbavancin         Injection, dalbavancin, 10 mg
   C9444           No Change       Injection, oritavancin         Injection, oritavancin, 10 mg
   C9445           No Change       C-1 esterase, ruconest         Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units
   C9446           No Change       Inj, tedizolid phosphate       Injection, tedizolid phosphate, 1 mg
   C9447         Discontinued      Inj, phenylephrine ketorolac   Injection, phenylephrine and ketorolac, 4 ml vial
   C9448           No Change       Oral netupitant palonosetron   Netupitant 300 mg and palonosetron 0.5 mg, oral
   C9449           No Change       Inj, blinatumomab              Injection, blinatumomab, 1 mcg
   C9450           No Change       Fluocinolone acetonide implt   Injection, fluocinolone acetonide intravitreal implant, 0.01 mg
   C9451           No Change       Injection, peramivir           Injection, peramivir, 1 mg
   C9452           No Change       Inj, ceftolozane/tazobactam    Injection, ceftolozane 50 mg and tazobactam 25 mg
   C9453           No Change       Injection, nivolumab           Injection, nivolumab, 1 mg
   C9454           No Change       Inj, pasireotide long acting   Injection, pasireotide long acting, 1 mg
   C9455           No Change       Injection, siltuximab          Injection, siltuximab, 10 mg
   C9456           No Change       Inj, isavuconazonium sulfate   Injection, isavuconazonium sulfate, 1 mg
   C9457           No Change       Lumason contrast agent         Injection, sulfur hexafluoride lipid microsphere, per ml
   C9458           No Change       Florbetaben f18                Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
   C9459           No Change       Flutemetamol f18               Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
   C9460           No Change       Injection, cangrelor           Injection, cangrelor, 1 mg
   C9461           No Change       Choline c 11, diagnostic       Choline c 11, diagnostic, per study dose
   C9462           No Change       Injection, delafloxacin        Injection, delafloxacin, 1 mg
   C9463           No Change       Injection, aprepitant          Injection, aprepitant, 1 mg
   C9464           No Change       Injection, rolapitant          Injection, rolapitant, 0.5 mg
   C9465           No Change       Injection, durolane            Hyaluronan or derivative, durolane, for intra-articular injection, per
   C9466           No Change       Injection, benralizumab        Injection, benralizumab, 1 mg
   C9467           No Change       Inj rituximab hyaluronidase    Injection, rituximab and hyaluronidase, 10 mg
   C9468           No Change       Inj, factor ix, rebinyn        Injection, factor ix (antihemophilic factor, recombinant), glycopegyla
   C9469           No Change       Inj triamcinolone acetonide    Injection, triamcinolone acetonide, preservative-free, extended-releas
   C9470           No Change       Aripiprazole lauroxil im       Injection, aripiprazole lauroxil, 1 mg
   C9471           No Change       Hymovis, 1 mg                  Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
   C9472           No Change       Inj talimogene laherparepvec   Injection, talimogene laherparepvec, 1 million plaque forming units (p
   C9473           No Change       Injection, mepolizumab         Injection, mepolizumab, 1 mg
   C9474           No Change       Inj, irinotecan liposome       Injection, irinotecan liposome, 1 mg
   C9475           No Change       Injection, necitumumab         Injection, necitumumab, 1 mg
   C9476           No Change       Injection, daratumumab         Injection, daratumumab, 10 mg
   C9477           No Change       Injection, elotuzumab          Injection, elotuzumab, 1 mg
   C9478           No Change       Injection, sebelipase alfa     Injection, sebelipase alfa, 1 mg
   C9479           No Change       Instill, ciprofloxacin otic    Instillation, ciprofloxacin otic suspension, 6 mg
   C9480           No Change       Injection, trabectedin         Injection, trabectedin, 0.1 mg
   C9481           No Change       Injection, reslizumab          Injection, reslizumab, 1 mg
   C9482           No Change       Sotalol hydrochloride iv       Injection, sotalol hydrochloride, 1 mg
   C9483           No Change       Injection, atezolizumab        Injection, atezolizumab, 10 mg
   C9484           No Change       Injection, eteplirsen          Injection, eteplirsen, 10 mg
   C9485           No Change       Injection, olaratumab          Injection, olaratumab, 10 mg
   C9486           No Change       Inj, granisetron ext           Injection, granisetron extended release, 0.1 mg
   C9487           No Change       Ustekinumab iv inj, 1 mg       Ustekinumab, for intravenous injection, 1 mg
   C9488           No Change       Conivaptan hcl                 Injection, conivaptan hydrochloride, 1 mg
   C9489           No Change       Injection, nusinersen          Injection, nusinersen, 0.1 mg
   C9490           No Change       Injection, bezlotoxumab        Injection, bezlotoxumab, 10 mg
   C9491           No Change       Injection, avelumab            Injection, avelumab, 10 mg
   C9492           No Change       Injection, durvalumab          Injection, durvalumab, 10 mg
   C9493           No Change       Injection, edaravone           Injection, edaravone, 1 mg
   C9494           No Change       Injection, ocrelizumab         Injection, ocrelizumab, 1 mg
   C9497           No Change       Loxapine, inhalation powder    Loxapine, inhalation powder, 10 mg
   C9600        Payment Change     Perc drug-el cor stent sing    Percutaneous transcatheter placement of drug eluting intracoronary ste
   C9601           No Change       Perc drug-el cor stent bran    Percutaneous transcatheter placement of drug-eluting intracoronary ste
   C9602           No Change       Perc d-e cor stent ather s     Percutaneous transluminal coronary atherectomy, with drug eluting intr
   C9603           No Change       Perc d-e cor stent ather br    Percutaneous transluminal coronary atherectomy, with drug-eluting intr
   C9604           No Change       Perc d-e cor revasc t cabg s   Percutaneous transluminal revascularization of or through coronary art
   C9605           No Change       Perc d-e cor revasc t cabg b   Percutaneous transluminal revascularization of or through coronary art
   C9606           No Change       Perc d-e cor revasc w ami s    Percutaneous transluminal revascularization of acute total/subtotal oc
   C9607           No Change       Perc d-e cor revasc chro sin   Percutaneous transluminal revascularization of chronic total occlusion
   C9608           No Change       Perc d-e cor revasc chro add   Percutaneous transluminal revascularization of chronic total occlusion
   C9724           No Change       Eps stomach plic               Endoscopic full-thickness plication of the stomach using endoscopic pl
   C9725           No Change       Place endorectal app           Placement of endorectal intracavitary applicator for high intensity br
   C9726           No Change       Rxt breast appl place/remov    Placement and removal (if performed) of applicator into breast for int
   C9727           No Change       Insert palate implants         Insertion of implants into the soft palate; minimum of three implants
   C9728           No Change       Place device/marker, non pro   Placement of interstitial device(s) for radiation therapy/surgery guid
   C9733           No Change       Non-ophthalmic fva             Non-ophthalmic fluorescent vascular angiography
   C9734           No Change       U/s trtmt, not leiomyomata     Focused ultrasound ablation/therapeutic intervention, other than uteri
   C9735           No Change       Anoscopy, submucosal inj       Anoscopy; with directed submucosal injection(s), any substance
   C9737           No Change       Lap esoph augmentation         Laparoscopy, surgical, esophageal sphincter augmentation with device (
   C9738           No Change       Blue light cysto imag agent    Adjunctive blue light cystoscopy with fluorescent imaging agent  (list
   C9739           No Change       Cystoscopy prostatic imp 1-3   Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 im
   C9740           No Change       Cysto impl 4 or more           Cystourethroscopy, with insertion of transprostatic implant; 4 or more
   C9741           No Change       Impl pressure sensor w/angio   Right heart catheterization with implantation of wireless pressure sen
   C9742           No Change       Laryngoscopy with injection    Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s),
   C9743           No Change       Bulking/spacer material impl   Injection/implantation of bulking or spacer material (any type) with o
   C9744           No Change       Abd us w/contrast              Ultrasound, abdominal, with contrast
   C9745           No Change       Nasal endo eustachian tube     Nasal endoscopy, surgical; balloon dilation of eustachian tube
   C9746         Discontinued      Trans imp balloon cont         Transperineal implantation of permanent adjustable balloon continence
   C9747           No Change       Ablation, hifu, prostate       Ablation of prostate, transrectal, high intensity focused ultrasound (
   C9748           No Change       Prostatic rf water vapor tx    Transurethral destruction of prostate tissue; by radiofrequency water
   C9749           No Change       Repair nasal stenosis w/imp    Repair of nasal vestibular lateral wall stenosis with implant(s)
   C9750           No Change       Ins/rem-replace compl iims     Insertion or removal and replacement of intracardiac ischemia monitori
   C9751           No Change       Microwave bronch, 3d, ebus     Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s)
   C9752           No Change       Intraosseous des lumb/sacrum   Destruction of intraosseous basivertebral nerve, first two vertebral b
   C9753           No Change       Intraosseous destruct add'l    Destruction of intraosseous basivertebral nerve, each additional verte
   C9754           No Change       Perc av fistula, direct        Creation of arteriovenous fistula,  percutaneous; direct, any site, in
   C9755           No Change       Rf magnetic-guide av fistula   Creation of arteriovenous fistula, percutaneous using magnetic-guided
   C9756              ADD          Fluorescence lymph map w/icg   Intraoperative near-infrared fluorescence lymphatic mapping of lymph n
   C9757              ADD          Spine/lumbar disk surgery      Laminotomy (hemilaminectomy), with decompression of nerve root(s), inc
   C9758              ADD          Interatrial shunt ide          Blinded procedure for nyha class iii/iv heart failure; transcatheter i
   C9800           No Change       Dermal filler inj px/suppl     Dermal injection procedure(s) for facial lipodystrophy syndrome (lds)
   C9898           No Change       Inpnt stay radiolabeled item   Radiolabeled product provided during a hospital inpatient stay
   C9899           No Change       Inpt implant pros dev,no cov   Implanted prosthetic device, payable only for inpatients who do not ha
   E0100           No Change       Cane adjust/fixed with tip     Cane, includes canes of all materials, adjustable or fixed, with tip
   E0105           No Change       Cane adjust/fixed quad/3 pro   Cane, quad or three prong, includes canes of all materials, adjustable
   E0110           No Change       Crutch forearm pair            Crutches, forearm, includes crutches of various materials, adjustable
   E0111           No Change       Crutch forearm each            Crutch forearm, includes crutches of various materials, adjustable or
   E0112           No Change       Crutch underarm pair wood      Crutches underarm, wood, adjustable or fixed, pair, with pads, tips an
   E0113           No Change       Crutch underarm each wood      Crutch underarm, wood, adjustable or fixed, each, with pad, tip and ha
   E0114           No Change       Crutch underarm pair no wood   Crutches underarm, other than wood, adjustable or fixed, pair, with pa
   E0116           No Change       Crutch underarm each no wood   Crutch, underarm, other than wood, adjustable or fixed, with pad, tip,
   E0117           No Change       Underarm springassist crutch   Crutch, underarm, articulating, spring assisted, each
   E0118           No Change       Crutch substitute              Crutch substitute, lower leg platform, with or without wheels, each
   E0130           No Change       Walker rigid adjust/fixed ht   Walker, rigid (pickup), adjustable or fixed height
   E0135           No Change       Walker folding adjust/fixed    Walker, folding (pickup), adjustable or fixed height
   E0140           No Change       Walker w trunk support         Walker, with trunk support, adjustable or fixed height, any type
   E0141           No Change       Rigid wheeled walker adj/fix   Walker, rigid, wheeled, adjustable or fixed height
   E0143           No Change       Walker folding wheeled w/o s   Walker, folding, wheeled, adjustable or fixed height
   E0144           No Change       Enclosed walker w rear seat    Walker, enclosed, four sided framed, rigid or folding, wheeled with po
   E0147           No Change       Walker variable wheel resist   Walker, heavy duty, multiple braking system, variable wheel resistance
   E0148           No Change       Heavyduty walker no wheels     Walker, heavy duty, without wheels, rigid or folding, any type, each
   E0149           No Change       Heavy duty wheeled walker      Walker, heavy duty, wheeled, rigid or folding, any type
   E0153           No Change       Forearm crutch platform atta   Platform attachment, forearm crutch, each
   E0154           No Change       Walker platform attachment     Platform attachment, walker, each
   E0155           No Change       Walker wheel attachment,pair   Wheel attachment, rigid pick-up walker, per pair
   E0156           No Change       Walker seat attachment         Seat attachment, walker
   E0157           No Change       Walker crutch attachment       Crutch attachment, walker, each
   E0158           No Change       Walker leg extenders set of4   Leg extensions for walker, per set of four (4)
   E0159           No Change       Brake for wheeled walker       Brake attachment for wheeled walker, replacement, each
   E0160           No Change       Sitz type bath or equipment    Sitz type bath or equipment, portable, used with or without commode
   E0161           No Change       Sitz bath/equipment w/faucet   Sitz type bath or equipment, portable, used with or without commode, w
   E0162           No Change       Sitz bath chair                Sitz bath chair
   E0163           No Change       Commode chair with fixed arm   Commode chair, mobile or stationary, with fixed arms
   E0165           No Change       Commode chair with detacharm   Commode chair, mobile or stationary, with detachable arms
   E0167           No Change       Commode chair pail or pan      Pail or pan for use with commode chair, replacement only
   E0168           No Change       Heavyduty/wide commode chair   Commode chair, extra wide and/or heavy duty, stationary or mobile, wit
   E0170           No Change       Commode chair electric         Commode chair with integrated seat lift mechanism, electric, any type
   E0171           No Change       Commode chair non-electric     Commode chair with integrated seat lift mechanism, non-electric, any t
   E0172           No Change       Seat lift mechanism toilet     Seat lift mechanism placed over or on top of toilet, any type
   E0175           No Change       Commode chair foot rest        Foot rest, for use with commode chair, each
   E0181           No Change       Press pad alternating w/ pum   Powered pressure reducing mattress overlay/pad, alternating, with pump
   E0182           No Change       Replace pump, alt press pad    Pump for alternating pressure pad, for replacement only
   E0184           No Change       Dry pressure mattress          Dry pressure mattress
   E0185           No Change       Gel pressure mattress pad      Gel or gel-like pressure pad for mattress, standard mattress length an
   E0186           No Change       Air pressure mattress          Air pressure mattress
   E0187           No Change       Water pressure mattress        Water pressure mattress
   E0188           No Change       Synthetic sheepskin pad        Synthetic sheepskin pad
   E0189           No Change       Lambswool sheepskin pad        Lambswool sheepskin pad, any size
   E0190           No Change       Positioning cushion            Positioning cushion/pillow/wedge, any shape or size, includes all comp
   E0191           No Change       Protector heel or elbow        Heel or elbow protector, each
   E0193           No Change       Powered air flotation bed      Powered air flotation bed (low air loss therapy)
   E0194           No Change       Air fluidized bed              Air fluidized bed
   E0196           No Change       Gel pressure mattress          Gel pressure mattress
   E0197           No Change       Air pressure pad for mattres   Air pressure pad for mattress, standard mattress length and width
   E0198           No Change       Water pressure pad for mattr   Water pressure pad for mattress, standard mattress length and width
   E0199           No Change       Dry pressure pad for mattres   Dry pressure pad for mattress, standard mattress length and width
   E0200           No Change       Heat lamp without stand        Heat lamp, without stand (table model), includes bulb, or infrared ele
   E0202           No Change       Phototherapy light w/ photom   Phototherapy (bilirubin) light with photometer
   E0203           No Change       Therapeutic lightbox tabletp   Therapeutic lightbox, minimum 10,000 lux, table top model
   E0205           No Change       Heat lamp with stand           Heat lamp, with stand, includes bulb, or infrared element
   E0210           No Change       Electric heat pad standard     Electric heat pad, standard
   E0215           No Change       Electric heat pad moist        Electric heat pad, moist
   E0217           No Change       Water circ heat pad w pump     Water circulating heat pad with pump
   E0218           No Change       Fluid circ cold pad w pump     Fluid circulating cold pad with pump, any type
   E0221           No Change       Infrared heating pad system    Infrared heating pad system
   E0225           No Change       Hydrocollator unit             Hydrocollator unit, includes pads
   E0231           No Change       Wound warming device           Non-contact wound warming device (temperature control unit, ac adapter
   E0232           No Change       Warming card for nwt           Warming card for use with the non contact wound warming device and non
   E0235           No Change       Paraffin bath unit portable    Paraffin bath unit, portable (see medical supply code a4265 for paraff
   E0236           No Change       Pump for water circulating p   Pump for water circulating pad
   E0239           No Change       Hydrocollator unit portable    Hydrocollator unit, portable
   E0240           No Change       Bath/shower chair              Bath/shower chair, with or without wheels, any size
   E0241           No Change       Bath tub wall rail             Bath tub wall rail, each
   E0242           No Change       Bath tub rail floor            Bath tub rail, floor base
   E0243           No Change       Toilet rail                    Toilet rail, each
   E0244           No Change       Toilet seat raised             Raised toilet seat
   E0245           No Change       Tub stool or bench             Tub stool or bench
   E0246           No Change       Transfer tub rail attachment   Transfer tub rail attachment
   E0247           No Change       Trans bench w/wo comm open     Transfer bench for tub or toilet with or without commode opening
   E0248           No Change       Hdtrans bench w/wo comm open   Transfer bench, heavy duty, for tub or toilet with or without commode
   E0249           No Change       Pad water circulating heat u   Pad for water circulating heat unit, for replacement only
   E0250           No Change       Hosp bed fixed ht w/ mattres   Hospital bed, fixed height, with any type side rails, with mattress
   E0251           No Change       Hosp bed fixd ht w/o mattres   Hospital bed, fixed height, with any type side rails, without mattress
   E0255           No Change       Hospital bed var ht w/ mattr   Hospital bed, variable height, hi-lo, with any type side rails, with m
   E0256           No Change       Hospital bed var ht w/o matt   Hospital bed, variable height, hi-lo, with any type side rails, withou
   E0260           No Change       Hosp bed semi-electr w/ matt   Hospital bed, semi-electric (head and foot adjustment), with any type
   E0261           No Change       Hosp bed semi-electr w/o mat   Hospital bed, semi-electric (head and foot adjustment), with any type
   E0265           No Change       Hosp bed total electr w/ mat   Hospital bed, total electric (head, foot and height adjustments), with
   E0266           No Change       Hosp bed total elec w/o matt   Hospital bed, total electric (head, foot and height adjustments), with
   E0270           No Change       Hospital bed institutional t   Hospital bed, institutional type includes: oscillating, circulating an
   E0271           No Change       Mattress innerspring           Mattress, innerspring
   E0272           No Change       Mattress foam rubber           Mattress, foam rubber
   E0273           No Change       Bed board                      Bed board
   E0274           No Change       Over-bed table                 Over-bed table
   E0275           No Change       Bed pan standard               Bed pan, standard, metal or plastic
   E0276           No Change       Bed pan fracture               Bed pan, fracture, metal or plastic
   E0277           No Change       Powered pres-redu air mattrs   Powered pressure-reducing air mattress
   E0280           No Change       Bed cradle                     Bed cradle, any type
   E0290           No Change       Hosp bed fx ht w/o rails w/m   Hospital bed, fixed height, without side rails, with mattress
   E0291           No Change       Hosp bed fx ht w/o rail w/o    Hospital bed, fixed height, without side rails, without mattress
   E0292           No Change       Hosp bed var ht no sr w/matt   Hospital bed, variable height, hi-lo, without side rails, with mattres
   E0293           No Change       Hosp bed var ht no sr no mat   Hospital bed, variable height, hi-lo, without side rails, without matt
   E0294           No Change       Hosp bed semi-elect w/ mattr   Hospital bed, semi-electric (head and foot adjustment), without side r
   E0295           No Change       Hosp bed semi-elect w/o matt   Hospital bed, semi-electric (head and foot adjustment), without side r
   E0296           No Change       Hosp bed total elect w/ matt   Hospital bed, total electric (head, foot and height adjustments), with
   E0297           No Change       Hosp bed total elect w/o mat   Hospital bed, total electric (head, foot and height adjustments), with
   E0300           No Change       Enclosed ped crib hosp grade   Pediatric crib, hospital grade, fully enclosed, with or without top en
   E0301           No Change       Hd hosp bed, 350-600 lbs       Hospital bed, heavy duty, extra wide, with weight capacity greater tha
   E0302           No Change       Ex hd hosp bed > 600 lbs       Hospital bed, extra heavy duty, extra wide, with weight capacity great
   E0303           No Change       Hosp bed hvy dty xtra wide     Hospital bed, heavy duty, extra wide, with weight capacity greater tha
   E0304           No Change       Hosp bed xtra hvy dty x wide   Hospital bed, extra heavy duty, extra wide, with weight capacity great
   E0305           No Change       Rails bed side half length     Bed side rails, half length
   E0310           No Change       Rails bed side full length     Bed side rails, full length
   E0315           No Change       Bed accessory brd/tbl/supprt   Bed accessory: board, table, or support device, any type
   E0316           No Change       Bed safety enclosure           Safety enclosure frame/canopy for use with hospital bed, any type
   E0325           No Change       Urinal male jug-type           Urinal; male, jug-type, any material
   E0326           No Change       Urinal female jug-type         Urinal; female, jug-type, any material
   E0328           No Change       Ped hospital bed, manual       Hospital bed, pediatric, manual, 360 degree side enclosures, top of he
   E0329           No Change       Ped hospital bed semi/elect    Hospital bed, pediatric, electric or semi-electric, 360 degree side en
   E0350           No Change       Control unit bowel system      Control unit for electronic bowel irrigation/evacuation system
   E0352           No Change       Disposable pack w/bowel syst   Disposable pack (water reservoir bag, speculum, valving mechanism and
   E0370           No Change       Air elevator for heel          Air pressure elevator for heel
   E0371           No Change       Nonpower mattress overlay      Nonpowered advanced pressure reducing overlay for mattress, standard m
   E0372           No Change       Powered air mattress overlay   Powered air overlay for mattress, standard mattress length and width
   E0373           No Change       Nonpowered pressure mattress   Nonpowered advanced pressure reducing mattress
   E0424           No Change       Stationary compressed gas 02   Stationary compressed gaseous oxygen system, rental; includes containe
   E0425           No Change       Gas system stationary compre   Stationary compressed gas system, purchase; includes regulator, flowme
   E0430           No Change       Oxygen system gas portable     Portable gaseous oxygen system, purchase; includes regulator, flowmete
   E0431           No Change       Portable gaseous 02            Portable gaseous oxygen system, rental; includes portable container, r
   E0433           No Change       Portable liquid oxygen sys     Portable liquid oxygen system, rental; home liquefier used to fill por
   E0434           No Change       Portable liquid 02             Portable liquid oxygen system, rental; includes portable container, su
   E0435           No Change       Oxygen system liquid portabl   Portable liquid oxygen system, purchase; includes portable container,
   E0439           No Change       Stationary liquid 02           Stationary liquid oxygen system, rental; includes container, contents,
   E0440           No Change       Oxygen system liquid station   Stationary liquid oxygen system, purchase; includes use of reservoir,
   E0441           No Change       Stationary o2 contents, gas    Stationary oxygen contents, gaseous, 1 month's supply = 1 unit
   E0442           No Change       Stationary o2 contents, liq    Stationary oxygen contents, liquid, 1 month's supply = 1 unit
   E0443           No Change       Portable 02 contents, gas      Portable oxygen contents, gaseous, 1 month's supply = 1 unit
   E0444           No Change       Portable 02 contents, liquid   Portable oxygen contents, liquid, 1 month's supply = 1 unit
   E0445           No Change       Oximeter non-invasive          Oximeter device for measuring blood oxygen levels non-invasively
   E0446           No Change       Topical ox deliver sys, nos    Topical oxygen delivery system, not otherwise specified, includes all
   E0447           No Change       Port o2 cont, liq over 4 lpm   Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribe
   E0450           No Change       Vol control vent invasiv int   Volume control ventilator, without pressure support mode, may include
   E0455           No Change       Oxygen tent excl croup/ped t   Oxygen tent, excluding croup or pediatric tents
   E0457           No Change       Chest shell                    Chest shell (cuirass)
   E0459           No Change       Chest wrap                     Chest wrap
   E0460           No Change       Neg press vent portabl/statn   Negative pressure ventilator; portable or stationary
   E0461           No Change       Vol control vent noninv int    Volume control ventilator, without pressure support mode, may include
   E0462           No Change       Rocking bed w/ or w/o side r   Rocking bed with or without side rails
   E0463           No Change       Press supp vent invasive int   Pressure support ventilator with volume control mode, may include pres
   E0464           No Change       Press supp vent noninv int     Pressure support ventilator with volume control mode, may include pres
   E0465           No Change       Home vent invasive interface   Home ventilator, any type, used with invasive interface, (e.g., trache
   E0466           No Change       Home vent non-invasive inter   Home ventilator, any type, used with non-invasive interface, (e.g., ma
   E0467           No Change       Home vent multi-function       Home ventilator, multi-function respiratory device, also performs any
   E0470           No Change       Rad w/o backup non-inv intfc   Respiratory assist device, bi-level pressure capability, without backu
   E0471           No Change       Rad w/backup non inv intrfc    Respiratory assist device, bi-level pressure capability, with back-up
   E0472           No Change       Rad w backup invasive intrfc   Respiratory assist device, bi-level pressure capability, with backup r
   E0480           No Change       Percussor elect/pneum home m   Percussor, electric or pneumatic, home model
   E0481           No Change       Intrpulmnry percuss vent sys   Intrapulmonary percussive ventilation system and related accessories
   E0482           No Change       Cough stimulating device       Cough stimulating device, alternating positive and negative airway pre
   E0483           No Change       Hi freq chest wall oscil sys   High frequency chest wall oscillation system, includes all accessories
   E0484           No Change       Non-elec oscillatory pep dvc   Oscillatory positive expiratory pressure device, non-electric, any typ
   E0485           No Change       Oral device/appliance prefab   Oral device/appliance used to reduce upper airway collapsibility, adju
   E0486           No Change       Oral device/appliance cusfab   Oral device/appliance used to reduce upper airway collapsibility, adju
   E0487           No Change       Electronic spirometer          Spirometer, electronic, includes all accessories
   E0500           No Change       Ippb all types                 Ippb machine, all types, with built-in nebulization; manual or automat
   E0550           No Change       Humidif extens supple w ippb   Humidifier, durable for extensive supplemental humidification during i
   E0555           No Change       Humidifier for use w/ regula   Humidifier, durable, glass or autoclavable plastic bottle type, for us
   E0560           No Change       Humidifier supplemental w/ i   Humidifier, durable for supplemental humidification during ippb treatm
   E0561           No Change       Humidifier nonheated w pap     Humidifier, non-heated, used with positive airway pressure device
   E0562           No Change       Humidifier heated used w pap   Humidifier, heated, used with positive airway pressure device
   E0565           No Change       Compressor air power source    Compressor, air power source for equipment which is not self-contained
   E0570           No Change       Nebulizer with compression     Nebulizer, with compressor
   E0572           No Change       Aerosol compressor adjust pr   Aerosol compressor, adjustable pressure, light duty for intermittent u
   E0574           No Change       Ultrasonic generator w svneb   Ultrasonic/electronic aerosol generator with small volume nebulizer
   E0575           No Change       Nebulizer ultrasonic           Nebulizer, ultrasonic, large volume
   E0580           No Change       Nebulizer for use w/ regulat   Nebulizer, durable, glass or autoclavable plastic, bottle type, for us
   E0585           No Change       Nebulizer w/ compressor & he   Nebulizer, with compressor and heater
   E0600           No Change       Suction pump portab hom modl   Respiratory suction pump, home model, portable or stationary, electric
   E0601           No Change       Cont airway pressure device    Continuous positive airway pressure (cpap) device
   E0602           No Change       Manual breast pump             Breast pump, manual, any type
   E0603           No Change       Electric breast pump           Breast pump, electric (ac and/or dc), any type
   E0604           No Change       Hosp grade elec breast pump    Breast pump, hospital grade, electric (ac and / or dc), any type
   E0605           No Change       Vaporizer room type            Vaporizer, room type
   E0606           No Change       Drainage board postural        Postural drainage board
   E0607           No Change       Blood glucose monitor home     Home blood glucose monitor
   E0610           No Change       Pacemaker monitr audible/vis   Pacemaker monitor, self-contained, (checks battery depletion, includes
   E0615           No Change       Pacemaker monitr digital/vis   Pacemaker monitor, self contained, checks battery depletion and other
   E0616           No Change       Cardiac event recorder         Implantable cardiac event recorder with memory, activator and programm
   E0617           No Change       Automatic ext defibrillator    External defibrillator with integrated electrocardiogram analysis
   E0618           No Change       Apnea monitor                  Apnea monitor, without recording feature
   E0619           No Change       Apnea monitor w recorder       Apnea monitor, with recording feature
   E0620           No Change       Cap bld skin piercing laser    Skin piercing device for collection of capillary blood, laser, each
   E0621           No Change       Patient lift sling or seat     Sling or seat, patient lift, canvas or nylon
   E0625           No Change       Patient lift bathroom or toi   Patient lift, bathroom or toilet, not otherwise classified
   E0627           No Change       Seat lift mech, electric any   Seat lift mechanism, electric, any type
   E0628           No Change       Seat lift for pt furn-electr   Separate seat lift mechanism for use with patient owned furniture-elec
   E0629           No Change       Seat lift mech, non-electric   Seat lift mechanism, non-electric, any type
   E0630           No Change       Patient lift hydraulic         Patient lift, hydraulic or mechanical, includes any seat, sling, strap
   E0635           No Change       Patient lift electric          Patient lift, electric with seat or sling
   E0636           No Change       Pt support & positioning sys   Multipositional patient support system, with integrated lift, patient
   E0637           No Change       Combination sit to stand sys   Combination sit to stand frame/table system, any size including pediat
   E0638           No Change       Standing frame sys             Standing frame/table system, one position (e.g., upright, supine or pr
   E0639           No Change       Moveable patient lift system   Patient lift, moveable from room to room with disassembly and reassemb
   E0640           No Change       Fixed patient lift system      Patient lift, fixed system, includes all components/accessories
   E0641           No Change       Multi-position stnd fram sys   Standing frame/table system, multi-position (e.g., three-way stander),
   E0642           No Change       Dynamic standing frame         Standing frame/table system, mobile (dynamic stander), any size includ
   E0650           No Change       Pneuma compresor non-segment   Pneumatic compressor, non-segmental home model
   E0651           No Change       Pneum compressor segmental     Pneumatic compressor, segmental home model without calibrated gradient
   E0652           No Change       Pneum compres w/cal pressure   Pneumatic compressor, segmental home model with calibrated gradient pr
   E0655           No Change       Pneumatic appliance half arm   Non-segmental pneumatic appliance for use with pneumatic compressor, h
   E0656           No Change       Segmental pneumatic trunk      Segmental pneumatic appliance for use with pneumatic compressor, trunk
   E0657           No Change       Segmental pneumatic chest      Segmental pneumatic appliance for use with pneumatic compressor, chest
   E0660           No Change       Pneumatic appliance full leg   Non-segmental pneumatic appliance for use with pneumatic compressor, f
   E0665           No Change       Pneumatic appliance full arm   Non-segmental pneumatic appliance for use with pneumatic compressor, f
   E0666           No Change       Pneumatic appliance half leg   Non-segmental pneumatic appliance for use with pneumatic compressor, h
   E0667           No Change       Seg pneumatic appl full leg    Segmental pneumatic appliance for use with pneumatic compressor, full
   E0668           No Change       Seg pneumatic appl full arm    Segmental pneumatic appliance for use with pneumatic compressor, full
   E0669           No Change       Seg pneumatic appli half leg   Segmental pneumatic appliance for use with pneumatic compressor, half
   E0670           No Change       Seg pneum int legs/trunk       Segmental pneumatic appliance for use with pneumatic compressor, integ
   E0671           No Change       Pressure pneum appl full leg   Segmental gradient pressure pneumatic appliance, full leg
   E0672           No Change       Pressure pneum appl full arm   Segmental gradient pressure pneumatic appliance, full arm
   E0673           No Change       Pressure pneum appl half leg   Segmental gradient pressure pneumatic appliance, half leg
   E0675           No Change       Pneumatic compression device   Pneumatic compression device, high pressure, rapid inflation/deflation
   E0676           No Change       Inter limb compress dev nos    Intermittent limb compression device (includes all accessories), not o
   E0691           No Change       Uvl pnl 2 sq ft or less        Ultraviolet light therapy system, includes bulbs/lamps, timer and eye
   E0692           No Change       Uvl sys panel 4 ft             Ultraviolet light therapy system panel, includes bulbs/lamps, timer an
   E0693           No Change       Uvl sys panel 6 ft             Ultraviolet light therapy system panel, includes bulbs/lamps, timer an
   E0694           No Change       Uvl md cabinet sys 6 ft        Ultraviolet multidirectional light therapy system in 6 foot cabinet, i
   E0700           No Change       Safety equipment               Safety equipment, device or accessory, any type
   E0705           No Change       Transfer device                Transfer device, any type, each
   E0710           No Change       Restraints any type            Restraints, any type (body, chest, wrist or ankle)
   E0720           No Change       Tens two lead                  Transcutaneous electrical nerve stimulation (tens) device, two lead, l
   E0730           No Change       Tens four lead                 Transcutaneous electrical nerve stimulation (tens) device, four or mor
   E0731           No Change       Conductive garment for tens/   Form fitting conductive garment for delivery of tens or nmes (with con
   E0740           No Change       Non-implant pelv flr e-stim    Non-implanted pelvic floor electrical stimulator, complete system
   E0744           No Change       Neuromuscular stim for scoli   Neuromuscular stimulator for scoliosis
   E0745           No Change       Neuromuscular stim for shock   Neuromuscular stimulator, electronic shock unit
   E0746           No Change       Electromyograph biofeedback    Electromyography (emg), biofeedback device
   E0747           No Change       Elec osteogen stim not spine   Osteogenesis stimulator, electrical, non-invasive, other than spinal a
   E0748           No Change       Elec osteogen stim spinal      Osteogenesis stimulator, electrical, non-invasive, spinal applications
   E0749           No Change       Elec osteogen stim implanted   Osteogenesis stimulator, electrical, surgically implanted
   E0755           No Change       Electronic salivary reflex s   Electronic salivary reflex stimulator (intra-oral/non-invasive)
   E0760           No Change       Osteogen ultrasound stimltor   Osteogenesis stimulator, low intensity ultrasound, non-invasive
   E0761           No Change       Nontherm electromgntc device   Non-thermal pulsed high frequency radiowaves, high peak power electrom
   E0762           No Change       Trans elec jt stim dev sys     Transcutaneous electrical joint stimulation device system, includes al
   E0764           No Change       Functional neuromuscularstim   Functional neuromuscular stimulation, transcutaneous stimulation of se
   E0765           No Change       Nerve stimulator for tx n&v    Fda approved nerve stimulator, with replaceable batteries, for treatme
   E0766           No Change       Elec stim cancer treatment     Electrical stimulation device used for cancer treatment, includes all
   E0769           No Change       Electric wound treatment dev   Electrical stimulation or electromagnetic wound treatment device, not
   E0770           No Change       Functional electric stim nos   Functional electrical stimulator, transcutaneous stimulation of nerve
   E0776           No Change       Iv pole                        Iv pole
   E0779           No Change       Amb infusion pump mechanical   Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours o
   E0780           No Change       Mech amb infusion pump <8hrs   Ambulatory infusion pump, mechanical, reusable, for infusion less than
   E0781           No Change       External ambulatory infus pu   Ambulatory infusion pump, single or multiple channels, electric or bat
   E0782           No Change       Non-programble infusion pump   Infusion pump, implantable, non-programmable (includes all components,
   E0783           No Change       Programmable infusion pump     Infusion pump system, implantable, programmable (includes all componen
   E0784           No Change       Ext amb infusn pump insulin    External ambulatory infusion pump, insulin
   E0785           No Change       Replacement impl pump cathet   Implantable intraspinal (epidural/intrathecal) catheter used with impl
   E0786           No Change       Implantable pump replacement   Implantable programmable infusion pump, replacement (excludes implanta
   E0787              ADD          Cgs dose adj insulin inf pmp   External ambulatory infusion pump, insulin, dosage rate adjustment usi
   E0791           No Change       Parenteral infusion pump sta   Parenteral infusion pump, stationary, single or multi-channel
   E0830           No Change       Ambulatory traction device     Ambulatory traction device, all types, each
   E0840           No Change       Tract frame attach headboard   Traction frame, attached to headboard, cervical traction
   E0849           No Change       Cervical pneum trac equip      Traction equipment, cervical, free-standing stand/frame, pneumatic, ap
   E0850           No Change       Traction stand free standing   Traction stand, free standing, cervical traction
   E0855           No Change       Cervical traction equipment    Cervical traction equipment not requiring additional stand or frame
   E0856           No Change       Cervic collar w air bladders   Cervical traction device, with inflatable air bladder(s)
   E0860           No Change       Tract equip cervical tract     Traction equipment, overdoor, cervical
   E0870           No Change       Tract frame attach footboard   Traction frame, attached to footboard, extremity traction, (e.g., buck
   E0880           No Change       Trac stand free stand extrem   Traction stand, free standing, extremity traction, (e.g., buck's)
   E0890           No Change       Traction frame attach pelvic   Traction frame, attached to footboard, pelvic traction
   E0900           No Change       Trac stand free stand pelvic   Traction stand, free standing, pelvic traction, (e.g., buck's)
   E0910           No Change       Trapeze bar attached to bed    Trapeze bars, a/k/a patient helper, attached to bed, with grab bar
   E0911           No Change       Hd trapeze bar attach to bed   Trapeze bar, heavy duty, for patient weight capacity greater than 250
   E0912           No Change       Hd trapeze bar free standing   Trapeze bar, heavy duty, for patient weight capacity greater than 250
   E0920           No Change       Fracture frame attached to b   Fracture frame, attached to bed, includes weights
   E0930           No Change       Fracture frame free standing   Fracture frame, free standing, includes weights
   E0935           No Change       Cont pas motion exercise dev   Continuous passive motion exercise device for use on knee only
   E0936           No Change       Cpm device, other than knee    Continuous passive motion exercise device for use other than knee
   E0940           No Change       Trapeze bar free standing      Trapeze bar, free standing, complete with grab bar
   E0941           No Change       Gravity assisted traction de   Gravity assisted traction device, any type
   E0942           No Change       Cervical head harness/halter   Cervical head harness/halter
   E0944           No Change       Pelvic belt/harness/boot       Pelvic belt/harness/boot
   E0945           No Change       Belt/harness extremity         Extremity belt/harness
   E0946           No Change       Fracture frame dual w cross    Fracture, frame, dual with cross bars, attached to bed, (e.g., balken,
   E0947           No Change       Fracture frame attachmnts pe   Fracture frame, attachments for complex pelvic traction
   E0948           No Change       Fracture frame attachmnts ce   Fracture frame, attachments for complex cervical traction
   E0950           No Change       Tray                           Wheelchair accessory, tray, each
   E0951           No Change       Loop heel                      Heel loop/holder, any type, with or without ankle strap, each
   E0952           No Change       Toe loop/holder, each          Toe loop/holder, any type, each
   E0953           No Change       W/c lateral thigh/knee sup     Wheelchair accessory, lateral thigh or knee support, any type includin
   E0954           No Change       Foot box, any type each foot   Wheelchair accessory, foot box, any type, includes attachment and moun
   E0955           No Change       Cushioned headrest             Wheelchair accessory, headrest, cushioned, any type, including fixed m
   E0956           No Change       W/c lateral trunk/hip suppor   Wheelchair accessory, lateral trunk or hip support, any type, includin
   E0957           No Change       W/c medial thigh support       Wheelchair accessory, medial thigh support, any type, including fixed
   E0958           No Change       Whlchr att- conv 1 arm drive   Manual wheelchair accessory, one-arm drive attachment, each
   E0959           No Change       Amputee adapter                Manual wheelchair accessory, adapter for amputee, each
   E0960           No Change       W/c shoulder harness/straps    Wheelchair accessory, shoulder harness/straps or chest strap, includin
   E0961           No Change       Wheelchair brake extension     Manual wheelchair accessory, wheel lock brake extension (handle), each
   E0966           No Change       Wheelchair head rest extensi   Manual wheelchair accessory, headrest extension, each
   E0967           No Change       Man wc rim/projection rep ea   Manual wheelchair accessory, hand rim with projections, any type, repl
   E0968           No Change       Wheelchair commode seat        Commode seat, wheelchair
   E0969           No Change       Wheelchair narrowing device    Narrowing device, wheelchair
   E0970           No Change       Wheelchair no. 2 footplates    No. 2 footplates, except for elevating leg rest
   E0971           No Change       Wheelchair anti-tipping devi   Manual wheelchair accessory, anti-tipping device, each
   E0973           No Change       W/ch access det adj armrest    Wheelchair accessory, adjustable height, detachable armrest, complete
   E0974           No Change       W/ch access anti-rollback      Manual wheelchair accessory, anti-rollback device, each
   E0978           No Change       W/c acc,saf belt pelv strap    Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
   E0980           No Change       Wheelchair safety vest         Safety vest, wheelchair
   E0981           No Change       Seat upholstery, replacement   Wheelchair accessory, seat upholstery, replacement only, each
   E0982           No Change       Back upholstery, replacement   Wheelchair accessory, back upholstery, replacement only, each
   E0983           No Change       Add pwr joystick               Manual wheelchair accessory, power add-on to convert manual wheelchair
   E0984           No Change       Add pwr tiller                 Manual wheelchair accessory, power add-on to convert manual wheelchair
   E0985           No Change       W/c seat lift mechanism        Wheelchair accessory, seat lift mechanism
   E0986           No Change       Man w/c push-rim powr system   Manual wheelchair accessory, push-rim activated power assist system
   E0988           No Change       Lever-activated wheel drive    Manual wheelchair accessory, lever-activated, wheel drive, pair
   E0990           No Change       Wheelchair elevating leg res   Wheelchair accessory, elevating leg rest, complete assembly, each
   E0992           No Change       Wheelchair solid seat insert   Manual wheelchair accessory, solid seat insert
   E0994           No Change       Wheelchair arm rest            Arm rest, each
   E0995           No Change       Wc calf rest, pad replacemnt   Wheelchair accessory, calf rest/pad, replacement only, each
   E1002           No Change       Pwr seat tilt                  Wheelchair accessory, power seating system, tilt only
   E1003           No Change       Pwr seat recline               Wheelchair accessory, power seating system, recline only, without shea
   E1004           No Change       Pwr seat recline mech          Wheelchair accessory, power seating system, recline only, with mechani
   E1005           No Change       Pwr seat recline pwr           Wheelchair accessory, power seatng system, recline only, with power sh
   E1006           No Change       Pwr seat combo w/o shear       Wheelchair accessory, power seating system, combination tilt and recli
   E1007           No Change       Pwr seat combo w/shear         Wheelchair accessory, power seating system, combination tilt and recli
   E1008           No Change       Pwr seat combo pwr shear       Wheelchair accessory, power seating system, combination tilt and recli
   E1009           No Change       Add mech leg elevation         Wheelchair accessory, addition to power seating system, mechanically l
   E1010           No Change       Add pwr leg elevation          Wheelchair accessory, addition to power seating system, power leg elev
   E1011           No Change       Ped wc modify width adjustm    Modification to pediatric size wheelchair, width adjustment package (n
   E1012           No Change       Ctr mount pwr elev leg rest    Wheelchair accessory, addition to power seating system, center mount p
   E1014           No Change       Reclining back add ped w/c     Reclining back, addition to pediatric size wheelchair
   E1015           No Change       Shock absorber for man w/c     Shock absorber for manual wheelchair, each
   E1016           No Change       Shock absorber for power w/c   Shock absorber for power wheelchair, each
   E1017           No Change       Hd shck absrbr for hd man wc   Heavy duty shock absorber for heavy duty or extra heavy duty manual wh
   E1018           No Change       Hd shck absrber for hd powwc   Heavy duty shock absorber for heavy duty or extra heavy duty power whe
   E1020           No Change       Residual limb support system   Residual limb support system for wheelchair, any type
   E1028           No Change       W/c manual swingaway           Wheelchair accessory, manual swingaway, retractable or removable mount
   E1029           No Change       W/c vent tray fixed            Wheelchair accessory, ventilator tray, fixed
   E1030           No Change       W/c vent tray gimbaled         Wheelchair accessory, ventilator tray, gimbaled
   E1031           No Change       Rollabout chair with casters   Rollabout chair, any and all types with casters 5" or greater
   E1035           No Change       Patient transfer system <300   Multi-positional patient transfer system, with integrated seat, operat
   E1036           No Change       Patient transfer system >300   Multi-positional patient transfer system, extra-wide, with integrated
   E1037           No Change       Transport chair, ped size      Transport chair, pediatric size
   E1038           No Change       Transport chair pt wt<=300lb   Transport chair, adult size, patient weight capacity up to and includi
   E1039           No Change       Transport chair pt wt >300lb   Transport chair, adult size, heavy duty, patient weight capacity great
   E1050           No Change       Whelchr fxd full length arms   Fully-reclining wheelchair, fixed full length arms, swing away detacha
   E1060           No Change       Wheelchair detachable arms     Fully-reclining wheelchair, detachable arms, desk or full length, swin
   E1070           No Change       Wheelchair detachable foot r   Fully-reclining wheelchair, detachable arms (desk or full length) swin
   E1083           No Change       Hemi-wheelchair fixed arms     Hemi-wheelchair, fixed full length arms, swing away detachable elevati
   E1084           No Change       Hemi-wheelchair detachable a   Hemi-wheelchair, detachable arms desk or full length arms, swing away
   E1085           No Change       Hemi-wheelchair fixed arms     Hemi-wheelchair, fixed full length arms, swing away detachable foot re
   E1086           No Change       Hemi-wheelchair detachable a   Hemi-wheelchair detachable arms desk or full length, swing away detach
   E1087           No Change       Wheelchair lightwt fixed arm   High strength lightweight wheelchair, fixed full length arms, swing aw
   E1088           No Change       Wheelchair lightweight det a   High strength lightweight wheelchair, detachable arms desk or full len
   E1089           No Change       Wheelchair lightwt fixed arm   High strength lightweight wheelchair, fixed length arms, swing away de
   E1090           No Change       Wheelchair lightweight det a   High strength lightweight wheelchair, detachable arms desk or full len
   E1092           No Change       Wheelchair wide w/ leg rests   Wide heavy duty wheel chair, detachable arms (desk or full length), sw
   E1093           No Change       Wheelchair wide w/ foot rest   Wide heavy duty wheelchair, detachable arms desk or full length arms,
   E1100           No Change       Whchr s-recl fxd arm leg res   Semi-reclining wheelchair, fixed full length arms, swing away detachab
   E1110           No Change       Wheelchair semi-recl detach    Semi-reclining wheelchair, detachable arms (desk or full length) eleva
   E1130           No Change       Whlchr stand fxd arm ft rest   Standard wheelchair, fixed full length arms, fixed or swing away detac
   E1140           No Change       Wheelchair standard detach a   Wheelchair, detachable arms, desk or full length, swing away detachabl
   E1150           No Change       Wheelchair standard w/ leg r   Wheelchair, detachable arms, desk or full length swing away detachable
   E1160           No Change       Wheelchair fixed arms          Wheelchair, fixed full length arms, swing away detachable elevating le
   E1161           No Change       Manual adult wc w tiltinspac   Manual adult size wheelchair, includes tilt in space
   E1170           No Change       Whlchr ampu fxd arm leg rest   Amputee wheelchair, fixed full length arms, swing away detachable elev
   E1171           No Change       Wheelchair amputee w/o leg r   Amputee wheelchair, fixed full length arms, without footrests or legre
   E1172           No Change       Wheelchair amputee detach ar   Amputee wheelchair, detachable arms (desk or full length) without foot
   E1180           No Change       Wheelchair amputee w/ foot r   Amputee wheelchair, detachable arms (desk or full length) swing away d
   E1190           No Change       Wheelchair amputee w/ leg re   Amputee wheelchair, detachable arms (desk or full length) swing away d
   E1195           No Change       Wheelchair amputee heavy dut   Heavy duty wheelchair, fixed full length arms, swing away detachable e
   E1200           No Change       Wheelchair amputee fixed arm   Amputee wheelchair, fixed full length arms, swing away detachable foot
   E1220           No Change       Whlchr special size/constrc    Wheelchair; specially sized or constructed, (indicate brand name, mode
   E1221           No Change       Wheelchair spec size w foot    Wheelchair with fixed arm, footrests
   E1222           No Change       Wheelchair spec size w/ leg    Wheelchair with fixed arm, elevating legrests
   E1223           No Change       Wheelchair spec size w foot    Wheelchair with detachable arms, footrests
   E1224           No Change       Wheelchair spec size w/ leg    Wheelchair with detachable arms, elevating legrests
   E1225           No Change       Manual semi-reclining back     Wheelchair accessory, manual semi-reclining back, (recline greater tha
   E1226           No Change       Manual fully reclining back    Wheelchair accessory, manual fully reclining back, (recline greater th
   E1227           No Change       Wheelchair spec sz spec ht a   Special height arms for wheelchair
   E1228           No Change       Wheelchair spec sz spec ht b   Special back height for wheelchair
   E1229           No Change       Pediatric wheelchair nos       Wheelchair, pediatric size, not otherwise specified
   E1230           No Change       Power operated vehicle         Power operated vehicle (three or four wheel nonhighway) specify brand
   E1231           No Change       Rigid ped w/c tilt-in-space    Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with sea
   E1232           No Change       Folding ped wc tilt-in-space   Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with s
   E1233           No Change       Rig ped wc tltnspc w/o seat    Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without
   E1234           No Change       Fld ped wc tltnspc w/o seat    Wheelchair, pediatric size, tilt-in-space, folding, adjustable, withou
   E1235           No Change       Rigid ped wc adjustable        Wheelchair, pediatric size, rigid, adjustable, with seating system
   E1236           No Change       Folding ped wc adjustable      Wheelchair, pediatric size, folding, adjustable, with seating system
   E1237           No Change       Rgd ped wc adjstabl w/o seat   Wheelchair, pediatric size, rigid, adjustable, without seating system
   E1238           No Change       Fld ped wc adjstabl w/o seat   Wheelchair, pediatric size, folding, adjustable, without seating syste
   E1239           No Change       Ped power wheelchair nos       Power wheelchair, pediatric size, not otherwise specified
   E1240           No Change       Whchr litwt det arm leg rest   Lightweight wheelchair, detachable arms, (desk or full length) swing a
   E1250           No Change       Wheelchair lightwt fixed arm   Lightweight wheelchair, fixed full length arms, swing away detachable
   E1260           No Change       Wheelchair lightwt foot rest   Lightweight wheelchair, detachable arms (desk or full length) swing aw
   E1270           No Change       Wheelchair lightweight leg r   Lightweight wheelchair, fixed full length arms, swing away detachable
   E1280           No Change       Whchr h-duty det arm leg res   Heavy duty wheelchair, detachable arms (desk or full length) elevating
   E1285           No Change       Wheelchair heavy duty fixed    Heavy duty wheelchair, fixed full length arms, swing away detachable f
   E1290           No Change       Wheelchair hvy duty detach a   Heavy duty wheelchair, detachable arms (desk or full length) swing awa
   E1295           No Change       Wheelchair heavy duty fixed    Heavy duty wheelchair, fixed full length arms, elevating legrest
   E1296           No Change       Wheelchair special seat heig   Special wheelchair seat height from floor
   E1297           No Change       Wheelchair special seat dept   Special wheelchair seat depth, by upholstery
   E1298           No Change       Wheelchair spec seat depth/w   Special wheelchair seat depth and/or width, by construction
   E1300           No Change       Whirlpool portable             Whirlpool, portable (overtub type)
   E1310           No Change       Whirlpool non-portable         Whirlpool, non-portable (built-in type)
   E1352           No Change       O2 flow reg pos inspir press   Oxygen accessory, flow regulator capable of positive inspiratory press
   E1353           No Change       Oxygen supplies regulator      Regulator
   E1354           No Change       Wheeled cart, port cyl/conc    Oxygen accessory, wheeled cart for portable cylinder or portable conce
   E1355           No Change       Oxygen supplies stand/rack     Stand/rack
   E1356           No Change       Batt pack/cart, port conc      Oxygen accessory, battery pack/cartridge for portable concentrator, an
   E1357           No Change       Battery charger, port conc     Oxygen accessory, battery charger for portable concentrator, any type,
   E1358           No Change       Dc power adapter, port conc    Oxygen accessory, dc power adapter for portable concentrator, any type
   E1372           No Change       Oxy suppl heater for nebuliz   Immersion external heater for nebulizer
   E1390           No Change       Oxygen concentrator            Oxygen concentrator, single delivery port, capable of delivering 85 pe
   E1391           No Change       Oxygen concentrator, dual      Oxygen concentrator, dual delivery port, capable of delivering 85 perc
   E1392           No Change       Portable oxygen concentrator   Portable oxygen concentrator, rental
   E1399           No Change       Durable medical equipment mi   Durable medical equipment, miscellaneous
   E1405           No Change       O2/water vapor enrich w/heat   Oxygen and water vapor enriching system with heated delivery
   E1406           No Change       O2/water vapor enrich w/o he   Oxygen and water vapor enriching system without heated delivery
   E1500           No Change       Centrifuge                     Centrifuge, for dialysis
   E1510           No Change       Kidney dialysate delivry sys   Kidney, dialysate delivery syst kidney machine, pump recirculating, ai
   E1520           No Change       Heparin infusion pump          Heparin infusion pump for hemodialysis
   E1530           No Change       Replacement air bubble detec   Air bubble detector for hemodialysis, each, replacement
   E1540           No Change       Replacement pressure alarm     Pressure alarm for hemodialysis, each, replacement
   E1550           No Change       Bath conductivity meter        Bath conductivity meter for hemodialysis, each
   E1560           No Change       Replace blood leak detector    Blood leak detector for hemodialysis, each, replacement
   E1570           No Change       Adjustable chair for esrd pt   Adjustable chair, for esrd patients
   E1575           No Change       Transducer protect/fld bar     Transducer protectors/fluid barriers, for hemodialysis, any size, per
   E1580           No Change       Unipuncture control system     Unipuncture control system for hemodialysis
   E1590           No Change       Hemodialysis machine           Hemodialysis machine
   E1592           No Change       Auto interm peritoneal dialy   Automatic intermittent peritoneal dialysis system
   E1594           No Change       Cycler dialysis machine        Cycler dialysis machine for peritoneal dialysis
   E1600           No Change       Deli/install chrg hemo equip   Delivery and/or installation charges for hemodialysis equipment
   E1610           No Change       Reverse osmosis h2o puri sys   Reverse osmosis water purification system, for hemodialysis
   E1615           No Change       Deionizer h2o puri system      Deionizer water purification system, for hemodialysis
   E1620           No Change       Replacement blood pump         Blood pump for hemodialysis, replacement
   E1625           No Change       Water softening system         Water softening system, for hemodialysis
   E1630           No Change       Reciprocating peritoneal dia   Reciprocating peritoneal dialysis system
   E1632           No Change       Wearable artificial kidney     Wearable artificial kidney, each
   E1634           No Change       Peritoneal dialysis clamp      Peritoneal dialysis clamps, each
   E1635           No Change       Compact travel hemodialyzer    Compact (portable) travel hemodialyzer system
   E1636           No Change       Sorbent cartridges per 10      Sorbent cartridges, for hemodialysis, per 10
   E1637           No Change       Hemostats for dialysis, each   Hemostats, each
   E1639           No Change       Scale, each                    Scale, each
   E1699           No Change       Dialysis equipment noc         Dialysis equipment, not otherwise specified
   E1700           No Change       Jaw motion rehab system        Jaw motion rehabilitation system
   E1701           No Change       Repl cushions for jaw motion   Replacement cushions for jaw motion rehabilitation system, pkg. of 6
   E1702           No Change       Repl measr scales jaw motion   Replacement measuring scales for jaw motion rehabilitation system, pkg
   E1800           No Change       Adjust elbow ext/flex device   Dynamic adjustable elbow extension/flexion device, includes soft inter
   E1801           No Change       Sps elbow device               Static progressive stretch elbow device, extension and/or flexion, wit
   E1802           No Change       Adjst forearm pro/sup device   Dynamic adjustable forearm pronation/supination device, includes soft
   E1805           No Change       Adjust wrist ext/flex device   Dynamic adjustable wrist extension / flexion device, includes soft int
   E1806           No Change       Sps wrist device               Static progressive stretch wrist device, flexion and/or extension, wit
   E1810           No Change       Adjust knee ext/flex device    Dynamic adjustable knee extension / flexion device, includes soft inte
   E1811           No Change       Sps knee device                Static progressive stretch knee device, extension and/or flexion, with
   E1812           No Change       Knee ext/flex w act res ctrl   Dynamic knee, extension/flexion device with active resistance control
   E1815           No Change       Adjust ankle ext/flex device   Dynamic adjustable ankle extension/flexion device, includes soft inter
   E1816           No Change       Sps ankle device               Static progressive stretch ankle device, flexion and/or extension, wit
   E1818           No Change       Sps forearm device             Static progressive stretch forearm pronation / supination device, with
   E1820           No Change       Soft interface material        Replacement soft interface material, dynamic adjustable extension/flex
   E1821           No Change       Replacement interface spsd     Replacement soft interface material/cuffs for bi-directional static pr
   E1825           No Change       Adjust finger ext/flex devc    Dynamic adjustable finger extension/flexion device, includes soft inte
   E1830           No Change       Adjust toe ext/flex device     Dynamic adjustable toe extension/flexion device, includes soft interfa
   E1831           No Change       Static str toe dev ext/flex    Static progressive stretch toe device, extension and/or flexion, with
   E1840           No Change       Adj shoulder ext/flex device   Dynamic adjustable shoulder flexion / abduction / rotation device, inc
   E1841           No Change       Static str shldr dev rom adj   Static progressive stretch shoulder device, with or without range of m
   E1902           No Change       Aac non-electronic board       Communication board, non-electronic augmentative or alternative commun
   E2000           No Change       Gastric suction pump hme mdl   Gastric suction pump, home model, portable or stationary, electric
   E2100           No Change       Bld glucose monitor w voice    Blood glucose monitor with integrated voice synthesizer
   E2101           No Change       Bld glucose monitor w lance    Blood glucose monitor with integrated lancing/blood sample
   E2120           No Change       Pulse gen sys tx endolymp fl   Pulse generator system for tympanic treatment of inner ear endolymphat
   E2201           No Change       Man w/ch acc seat w>=20"<24"   Manual wheelchair accessory, nonstandard seat frame, width greater tha
   E2202           No Change       Seat width 24-27 in            Manual wheelchair accessory, nonstandard seat frame width, 24-27 inche
   E2203           No Change       Frame depth less than 22 in    Manual wheelchair accessory, nonstandard seat frame depth, 20 to less
   E2204           No Change       Frame depth 22 to 25 in        Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in
   E2205           No Change       Manual wc accessory, handrim   Manual wheelchair accessory, handrim without projections (includes erg
   E2206           No Change       Man wc whl lock comp repl ea   Manual wheelchair accessory, wheel lock assembly, complete, replacemen
   E2207           No Change       Crutch and cane holder         Wheelchair accessory, crutch and cane holder, each
   E2208           No Change       Cylinder tank carrier          Wheelchair accessory, cylinder tank carrier, each
   E2209           No Change       Arm trough each                Accessory, arm trough, with or without hand support, each
   E2210           No Change       Wheelchair bearings            Wheelchair accessory, bearings, any type, replacement only, each
   E2211           No Change       Pneumatic propulsion tire      Manual wheelchair accessory, pneumatic propulsion tire, any size, each
   E2212           No Change       Pneumatic prop tire tube       Manual wheelchair accessory, tube for pneumatic propulsion tire, any s
   E2213           No Change       Pneumatic prop tire insert     Manual wheelchair accessory, insert for pneumatic propulsion tire (rem
   E2214           No Change       Pneumatic caster tire each     Manual wheelchair accessory, pneumatic caster tire, any size, each
   E2215           No Change       Pneumatic caster tire tube     Manual wheelchair accessory, tube for pneumatic caster tire, any size,
   E2216           No Change       Foam filled propulsion tire    Manual wheelchair accessory, foam filled propulsion tire, any size, ea
   E2217           No Change       Foam filled caster tire each   Manual wheelchair accessory, foam filled caster tire, any size, each
   E2218           No Change       Foam propulsion tire each      Manual wheelchair accessory, foam propulsion tire, any size, each
   E2219           No Change       Foam caster tire any size ea   Manual wheelchair accessory, foam caster tire, any size, each
   E2220           No Change       Solid propuls tire, repl, ea   Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, a
   E2221           No Change       Solid caster tire repl, each   Manual wheelchair accessory, solid (rubber/plastic) caster tire (remov
   E2222           No Change       Solid caster integ whl, repl   Manual wheelchair accessory, solid (rubber/plastic) caster tire with i
   E2224           No Change       Propulsion whl excl tire rep   Manual wheelchair accessory, propulsion wheel excludes tire, any size,
   E2225           No Change       Caster wheel excludes tire     Manual wheelchair accessory, caster wheel excludes tire, any size, rep
   E2226           No Change       Caster fork replacement only   Manual wheelchair accessory, caster fork, any size, replacement only,
   E2227           No Change       Gear reduction drive wheel     Manual wheelchair accessory, gear reduction drive wheel, each
   E2228           No Change       Mwc acc, wheelchair brake      Manual wheelchair accessory, wheel braking system and lock, complete,
   E2230           No Change       Manual standing system         Manual wheelchair accessory, manual standing system
   E2231           No Change       Solid seat support base        Manual wheelchair accessory, solid seat support base (replaces sling s
   E2291           No Change       Planar back for ped size wc    Back, planar, for pediatric size wheelchair including fixed attaching
   E2292           No Change       Planar seat for ped size wc    Seat, planar, for pediatric size wheelchair including fixed attaching
   E2293           No Change       Contour back for ped size wc   Back, contoured, for pediatric size wheelchair including fixed attachi
   E2294           No Change       Contour seat for ped size wc   Seat, contoured, for pediatric size wheelchair including fixed attachi
   E2295           No Change       Ped dynamic seating frame      Manual wheelchair accessory, for pediatric size wheelchair, dynamic se
   E2300           No Change       Pwr seat elevation sys         Wheelchair accessory, power seat elevation system, any type
   E2301           No Change       Pwr standing                   Wheelchair accessory, power standing system, any type
   E2310           No Change       Electro connect btw control    Power wheelchair accessory, electronic connection between wheelchair c
   E2311           No Change       Electro connect btw 2 sys      Power wheelchair accessory, electronic connection between wheelchair c
   E2312           No Change       Mini-prop remote joystick      Power wheelchair accessory, hand or chin control interface, mini-propo
   E2313           No Change       Pwc harness, expand control    Power wheelchair accessory, harness for upgrade to expandable controll
   E2321           No Change       Hand interface joystick        Power wheelchair accessory, hand control interface, remote joystick, n
   E2322           No Change       Mult mech switches             Power wheelchair accessory, hand control interface, multiple mechanica
   E2323           No Change       Special joystick handle        Power wheelchair accessory, specialty joystick handle for hand control
   E2324           No Change       Chin cup interface             Power wheelchair accessory, chin cup for chin control interface
   E2325           No Change       Sip and puff interface         Power wheelchair accessory, sip and puff interface, nonproportional, i
   E2326           No Change       Breath tube kit                Power wheelchair accessory, breath tube kit for sip and puff interface
   E2327           No Change       Head control interface mech    Power wheelchair accessory, head control interface, mechanical, propor
   E2328           No Change       Head/extremity control inter   Power wheelchair accessory, head control or extremity control interfac
   E2329           No Change       Head control nonproportional   Power wheelchair accessory, head control interface, contact switch mec
   E2330           No Change       Head control proximity switc   Power wheelchair accessory, head control interface, proximity switch m
   E2331           No Change       Attendant control              Power wheelchair accessory, attendant control, proportional, including
   E2340           No Change       W/c wdth 20-23 in seat frame   Power wheelchair accessory, nonstandard seat frame width, 20-23 inches
   E2341           No Change       W/c wdth 24-27 in seat frame   Power wheelchair accessory, nonstandard seat frame width, 24-27 inches
   E2342           No Change       W/c dpth 20-21 in seat frame   Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inc
   E2343           No Change       W/c dpth 22-25 in seat frame   Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches
   E2351           No Change       Electronic sgd interface       Power wheelchair accessory, electronic interface to operate speech gen
   E2358           No Change       Gr 34 nonsealed leadacid       Power wheelchair accessory, group 34 non-sealed lead acid battery, eac
   E2359           No Change       Gr34 sealed leadacid battery   Power wheelchair accessory, group 34 sealed lead acid battery, each (e
   E2360           No Change       22nf nonsealed leadacid        Power wheelchair accessory, 22nf non-sealed lead acid battery, each
   E2361           No Change       22nf sealed leadacid battery   Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g.
   E2362           No Change       Gr24 nonsealed leadacid        Power wheelchair accessory, group 24 non-sealed lead acid battery, eac
   E2363           No Change       Gr24 sealed leadacid battery   Power wheelchair accessory, group 24 sealed lead acid battery, each (e
   E2364           No Change       U1nonsealed leadacid battery   Power wheelchair accessory, u-1 non-sealed lead acid battery, each
   E2365           No Change       U1 sealed leadacid battery     Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g.,
   E2366           No Change       Battery charger, single mode   Power wheelchair accessory, battery charger, single mode, for use with
   E2367           No Change       Battery charger, dual mode     Power wheelchair accessory, battery charger, dual mode, for use with e
   E2368           No Change       Pwr wc drivewheel motor repl   Power wheelchair component, drive wheel motor, replacement only
   E2369           No Change       Pwr wc drivewheel gear repl    Power wheelchair component, drive wheel gear box, replacement only
   E2370           No Change       Pwr wc dr wh motor/gear comb   Power wheelchair component, integrated drive wheel motor and gear box
   E2371           No Change       Gr27 sealed leadacid battery   Power wheelchair accessory, group 27 sealed lead acid battery, (e.g.,
   E2372           No Change       Gr27 non-sealed leadacid       Power wheelchair accessory, group 27 non-sealed lead acid battery, eac
   E2373           No Change       Hand/chin ctrl spec joystick   Power wheelchair accessory, hand or chin control interface, compact re
   E2374           No Change       Hand/chin ctrl std joystick    Power wheelchair accessory, hand or chin control interface, standard r
   E2375           No Change       Non-expandable controller      Power wheelchair accessory, non-expandable controller, including all r
   E2376           No Change       Expandable controller, repl    Power wheelchair accessory, expandable controller, including all relat
   E2377           No Change       Expandable controller, initl   Power wheelchair accessory, expandable controller, including all relat
   E2378           No Change       Pw actuator replacement        Power wheelchair component, actuator, replacement only
   E2381           No Change       Pneum drive wheel tire         Power wheelchair accessory, pneumatic drive wheel tire, any size, repl
   E2382           No Change       Tube, pneum wheel drive tire   Power wheelchair accessory, tube for pneumatic drive wheel tire, any s
   E2383           No Change       Insert, pneum wheel drive      Power wheelchair accessory, insert for pneumatic drive wheel tire (rem
   E2384           No Change       Pneumatic caster tire          Power wheelchair accessory, pneumatic caster tire, any size, replaceme
   E2385           No Change       Tube, pneumatic caster tire    Power wheelchair accessory, tube for pneumatic caster tire, any size,
   E2386           No Change       Foam filled drive wheel tire   Power wheelchair accessory, foam filled drive wheel tire, any size, re
   E2387           No Change       Foam filled caster tire        Power wheelchair accessory, foam filled caster tire, any size, replace
   E2388           No Change       Foam drive wheel tire          Power wheelchair accessory, foam drive wheel tire, any size, replaceme
   E2389           No Change       Foam caster tire               Power wheelchair accessory, foam caster tire, any size, replacement on
   E2390           No Change       Solid drive wheel tire         Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, a
   E2391           No Change       Solid caster tire              Power wheelchair accessory, solid (rubber/plastic) caster tire (remova
   E2392           No Change       Solid caster tire, integrate   Power wheelchair accessory, solid (rubber/plastic) caster tire with in
   E2394           No Change       Drive wheel excludes tire      Power wheelchair accessory, drive wheel excludes tire, any size, repla
   E2395           No Change       Caster wheel excludes tire     Power wheelchair accessory, caster wheel excludes tire, any size, repl
   E2396           No Change       Caster fork                    Power wheelchair accessory, caster fork, any size, replacement only, e
   E2397           No Change       Pwc acc, lith-based battery    Power wheelchair accessory, lithium-based battery, each
   E2398              ADD          Wc dynamic pos back hardware   Wheelchair accessory, dynamic positioning hardware for back
   E2402           No Change       Neg press wound therapy pump   Negative pressure wound therapy electrical pump, stationary or portabl
   E2500           No Change       Sgd digitized pre-rec <=8min   Speech generating device, digitized speech, using pre-recorded message
   E2502           No Change       Sgd prerec msg >8min <=20min   Speech generating device, digitized speech, using pre-recorded message
   E2504           No Change       Sgd prerec msg>20min <=40min   Speech generating device, digitized speech, using pre-recorded message
   E2506           No Change       Sgd prerec msg > 40 min        Speech generating device, digitized speech, using pre-recorded message
   E2508           No Change       Sgd spelling phys contact      Speech generating device, synthesized speech, requiring message formul
   E2510           No Change       Sgd w multi methods msg/accs   Speech generating device, synthesized speech, permitting multiple meth
   E2511           No Change       Sgd sftwre prgrm for pc/pda    Speech generating software program, for personal computer or personal
   E2512           No Change       Sgd accessory, mounting sys    Accessory for speech generating device, mounting system
   E2599           No Change       Sgd accessory noc              Accessory for speech generating device, not otherwise classified
   E2601           No Change       Gen w/c cushion wdth < 22 in   General use wheelchair seat cushion, width less than 22 inches, any de
   E2602           No Change       Gen w/c cushion wdth >=22 in   General use wheelchair seat cushion, width 22 inches or greater, any d
   E2603           No Change       Skin protect wc cus wd <22in   Skin protection wheelchair seat cushion, width less than 22 inches, an
   E2604           No Change       Skin protect wc cus wd>=22in   Skin protection wheelchair seat cushion, width 22 inches or greater, a
   E2605           No Change       Position wc cush wdth <22 in   Positioning wheelchair seat cushion, width less than 22 inches, any de
   E2606           No Change       Position wc cush wdth>=22 in   Positioning wheelchair seat cushion, width 22 inches or greater, any d
   E2607           No Change       Skin pro/pos wc cus wd <22in   Skin protection and positioning wheelchair seat cushion, width less th
   E2608           No Change       Skin pro/pos wc cus wd>=22in   Skin protection and positioning wheelchair seat cushion, width 22 inch
   E2609           No Change       Custom fabricate w/c cushion   Custom fabricated wheelchair seat cushion, any size
   E2610           No Change       Powered w/c cushion            Wheelchair seat cushion, powered
   E2611           No Change       Gen use back cush wdth <22in   General use wheelchair back cushion, width less than 22 inches, any he
   E2612           No Change       Gen use back cush wdth>=22in   General use wheelchair back cushion, width 22 inches or greater, any h
   E2613           No Change       Position back cush wd <22in    Positioning wheelchair back cushion, posterior, width less than 22 inc
   E2614           No Change       Position back cush wd>=22in    Positioning wheelchair back cushion, posterior, width 22 inches or gre
   E2615           No Change       Pos back post/lat wdth <22in   Positioning wheelchair back cushion, posterior-lateral, width less tha
   E2616           No Change       Pos back post/lat wdth>=22in   Positioning wheelchair back cushion, posterior-lateral, width 22 inche
   E2617           No Change       Custom fab w/c back cushion    Custom fabricated wheelchair back cushion, any size, including any typ
   E2619           No Change       Replace cover w/c seat cush    Replacement cover for wheelchair seat cushion or back cushion, each
   E2620           No Change       Wc planar back cush wd <22in   Positioning wheelchair back cushion, planar back with lateral supports
   E2621           No Change       Wc planar back cush wd>=22in   Positioning wheelchair back cushion, planar back with lateral supports
   E2622           No Change       Adj skin pro w/c cus wd<22in   Skin protection wheelchair seat cushion, adjustable, width less than 2
   E2623           No Change       Adj skin pro wc cus wd>=22in   Skin protection wheelchair seat cushion, adjustable, width 22 inches o
   E2624           No Change       Adj skin pro/pos cus<22in      Skin protection and positioning wheelchair seat cushion, adjustable, w
   E2625           No Change       Adj skin pro/pos wc cus>=22    Skin protection and positioning wheelchair seat cushion, adjustable, w
   E2626           No Change       Seo mobile arm sup att to wc   Wheelchair accessory, shoulder elbow, mobile arm support attached to w
   E2627           No Change       Arm supp att to wc rancho ty   Wheelchair accessory, shoulder elbow, mobile arm support attached to w
   E2628           No Change       Mobile arm supports reclinin   Wheelchair accessory, shoulder elbow, mobile arm support attached to w
   E2629           No Change       Friction dampening arm supp    Wheelchair accessory, shoulder elbow, mobile arm support attached to w
   E2630           No Change       Monosuspension arm/hand supp   Wheelchair accessory, shoulder elbow, mobile arm support, monosuspensi
   E2631           No Change       Elevat proximal arm support    Wheelchair accessory, addition to mobile arm support, elevating proxim
   E2632           No Change       Offset/lat rocker arm w/ela    Wheelchair accessory, addition to mobile arm support, offset or latera
   E2633           No Change       Mobile arm support supinator   Wheelchair accessory, addition to mobile arm support, supinator
   E8000           No Change       Posterior gait trainer         Gait trainer, pediatric size, posterior support, includes all accessor
   E8001           No Change       Upright gait trainer           Gait trainer, pediatric size, upright support, includes all accessorie
   E8002           No Change       Anterior gait trainer          Gait trainer, pediatric size, anterior support, includes all accessori
   G0008           No Change       Admin influenza virus vac      Administration of influenza virus vaccine
   G0009           No Change       Admin pneumococcal vaccine     Administration of pneumococcal vaccine
   G0010           No Change       Admin hepatitis b vaccine      Administration of hepatitis b vaccine
   G0027           No Change       Semen analysis                 Semen analysis; presence and/or motility of sperm excluding huhner
   G0068           No Change       Adm of infusion drug in home   Professional services for the administration of anti-infective, pain m
   G0069           No Change       Adm of immune drug in home     Professional services for the administration of subcutaneous immunothe
   G0070           No Change       Adm of chemo drug in home      Professional services for the administration of chemotherapy for each
   G0071           No Change       Comm svcs by rhc/fqhc 5 min    Payment for communication technology-based services for 5 minutes or m
   G0076           No Change       Care manag h vst new pt 20 m   Brief (20 minutes) care management home visit for a new patient. for u
   G0077           No Change       Care manag h vst new pt 30 m   Limited (30 minutes) care management home visit for a new patient. for
   G0078           No Change       Care manag h vst new pt 45 m   Moderate (45 minutes) care management home visit for a new patient. fo
   G0079           No Change       Care manag h vst new pt 60 m   Comprehensive (60 minutes) care management home visit for a new patien
   G0080           No Change       Care manag h vst new pt 75 m   Extensive (75 minutes) care management home visit for a new patient. f
   G0081           No Change       Care man h v ext pt 20 mi      Brief (20 minutes) care management home visit for an existing patient.
   G0082           No Change       Care man h v ext pt 30 m       Limited (30 minutes) care management home visit for an existing patien
   G0083           No Change       Care man h v ext pt 45 m       Moderate (45 minutes) care management home visit for an existing patie
   G0084           No Change       Care man h v ext pt 60 m       Comprehensive (60 minutes) care management home visit for an existing
   G0085           No Change       Care man h v ext pt 75 m       Extensive (75 minutes) care management home visit for an existing pati
   G0086           No Change       Care man home care plan 30 m   Limited (30 minutes) care management home care plan oversight. for use
   G0087           No Change       Care man home care plan 60 m   Comprehensive (60 minutes) care management home care plan oversight. f
   G0101           No Change       Ca screen;pelvic/breast exam   Cervical or vaginal cancer screening; pelvic and clinical breast exami
   G0102           No Change       Prostate ca screening; dre     Prostate cancer screening; digital rectal examination
   G0103           No Change       Psa screening                  Prostate cancer screening; prostate specific antigen test (psa)
   G0104           No Change       Ca screen;flexi sigmoidscope   Colorectal cancer screening; flexible sigmoidoscopy
   G0105           No Change       Colorectal scrn; hi risk ind   Colorectal cancer screening; colonoscopy on individual at high risk
   G0106           No Change       Colon ca screen;barium enema   Colorectal cancer screening; alternative to g0104, screening sigmoidos
   G0108           No Change       Diab manage trn  per indiv     Diabetes outpatient self-management training services, individual, per
   G0109           No Change       Diab manage trn ind/group      Diabetes outpatient self-management training services, group session (
   G0117           No Change       Glaucoma scrn hgh risk direc   Glaucoma screening for high risk patients furnished by an optometrist
   G0118           No Change       Glaucoma scrn hgh risk direc   Glaucoma screening for high risk patient furnished under the direct su
   G0120           No Change       Colon ca scrn; barium enema    Colorectal cancer screening; alternative to g0105, screening colonosco
   G0121           No Change       Colon ca scrn not hi rsk ind   Colorectal cancer screening; colonoscopy on individual not meeting cri
   G0122           No Change       Colon ca scrn; barium enema    Colorectal cancer screening; barium enema
   G0123           No Change       Screen cerv/vag thin layer     Screening cytopathology, cervical or vaginal (any reporting system), c
   G0124           No Change       Screen c/v thin layer by md    Screening cytopathology, cervical or vaginal (any reporting system), c
   G0127           No Change       Trim nail(s)                   Trimming of dystrophic nails, any number
   G0128           No Change       Corf skilled nursing service   Direct (face-to-face with patient) skilled nursing services of a regis
   G0129           No Change       Partial hosp prog service      Occupational therapy services requiring the skills of a qualified occu
   G0130           No Change       Single energy x-ray study      Single energy x-ray absorptiometry (sexa) bone density study, one or m
   G0141           No Change       Scr c/v cyto,autosys and md    Screening cytopathology smears, cervical or vaginal, performed by auto
   G0143           No Change       Scr c/v cyto,thinlayer,rescr   Screening cytopathology, cervical or vaginal (any reporting system), c
   G0144           No Change       Scr c/v cyto,thinlayer,rescr   Screening cytopathology, cervical or vaginal (any reporting system), c
   G0145           No Change       Scr c/v cyto,thinlayer,rescr   Screening cytopathology, cervical or vaginal (any reporting system), c
   G0147           No Change       Scr c/v cyto, automated sys    Screening cytopathology smears, cervical or vaginal, performed by auto
   G0148           No Change       Scr c/v cyto, autosys, rescr   Screening cytopathology smears, cervical or vaginal, performed by auto
   G0151           No Change       Hhcp-serv of pt,ea 15 min      Services performed by a qualified physical therapist in the home healt
   G0152           No Change       Hhcp-serv of ot,ea 15 min      Services performed by a qualified occupational therapist in the home h
   G0153           No Change       Hhcp-svs of s/l path,ea 15mn   Services performed by a qualified speech-language pathologist in the h
   G0154           No Change       Hhcp-svs of rn,ea 15 min       Direct skilled nursing services of a licensed nurse (lpn or rn) in the
   G0155           No Change       Hhcp-svs of csw,ea 15 min      Services of clinical social worker in home health or hospice settings,
   G0156           No Change       Hhcp-svs of aide,ea 15 min     Services of home health/hospice aide in home health or hospice setting
   G0157           No Change       Hhc pt assistant ea 15         Services performed by a qualified physical therapist assistant in the
   G0158           No Change       Hhc ot assistant ea 15         Services performed by a qualified occupational therapist assistant in
   G0159           No Change       Hhc pt maint ea 15 min         Services performed by a qualified physical therapist, in the home heal
   G0160           No Change       Hhc occup therapy ea 15        Services performed by a qualified occupational therapist, in the home
   G0161           No Change       Hhc slp ea 15 min              Services performed by a qualified speech-language pathologist, in the
   G0162           No Change       Hhc rn e&m plan svs, 15 min    Skilled services by a registered nurse (rn) for management and evaluat
   G0163           No Change       Hhc lpn/rn obs/asses ea 15     Skilled services of a licensed nurse (lpn or rn) for the observation a
   G0164           No Change       Hhc lis nurse train ea 15      Skilled services of a licensed nurse (lpn or rn), in the training and/
   G0166           No Change       Extrnl counterpulse, per tx    External counterpulsation, per treatment session
   G0168           No Change       Wound closure by adhesive      Wound closure utilizing tissue adhesive(s) only
   G0173           No Change       Linear acc stereo radsur com   Linear accelerator based stereotactic radiosurgery, complete course of
   G0175           No Change       Opps service,sched team conf   Scheduled interdisciplinary team conference (minimum of three exclusiv
   G0176           No Change       Opps/php;activity therapy      Activity therapy, such as music, dance, art or play therapies not for
   G0177           No Change       Opps/php; train & educ serv    Training and educational services related to the care and treatment of
   G0179           No Change       Md recertification hha pt      Physician re-certification for medicare-covered home health services u
   G0180           No Change       Md certification hha patient   Physician certification for medicare-covered home health services unde
   G0181           No Change       Home health care supervision   Physician supervision of a patient receiving medicare-covered services
   G0182           No Change       Hospice care supervision       Physician supervision of a patient under a medicare-approved hospice (
   G0186           No Change       Dstry eye lesn,fdr vssl tech   Destruction of localized lesion of choroid (for example, choroidal neo
   G0202           No Change       Scr mammo bi incl cad          Screening mammography, bilateral (2-view study of each breast), includ
   G0204           No Change       Dx mammo incl cad bi           Diagnostic mammography, including computer-aided detection (cad) when
   G0206           No Change       Dx mammo incl cad uni          Diagnostic mammography, including computer-aided detection (cad) when
   G0219           No Change       Pet img wholbod melano nonco   Pet imaging whole body; melanoma for non-covered indications
   G0235           No Change       Pet not otherwise specified    Pet imaging, any site, not otherwise specified
   G0237           No Change       Therapeutic procd strg endur   Therapeutic procedures to increase strength or endurance of respirator
   G0238           No Change       Oth resp proc, indiv           Therapeutic procedures to improve respiratory function, other than des
   G0239           No Change       Oth resp proc, group           Therapeutic procedures to improve respiratory function or increase str
   G0245           No Change       Initial foot exam pt lops      Initial physician evaluation and management of a diabetic patient with
   G0246           No Change       Followup eval of foot pt lop   Follow-up physician evaluation and management of a diabetic patient wi
   G0247           No Change       Routine footcare pt w lops     Routine foot care by a physician of a diabetic patient with diabetic s
   G0248           No Change       Demonstrate use home inr mon   Demonstration, prior to initiation of home inr monitoring, for patient
   G0249           No Change       Provide inr test mater/equip   Provision of test materials and equipment for home inr monitoring of p
   G0250           No Change       Md inr test revie inter mgmt   Physician review, interpretation, and patient management of home inr t
   G0251           No Change       Linear acc based stero radio   Linear accelerator based stereotactic radiosurgery, delivery including
   G0252           No Change       Pet imaging initial dx         Pet imaging, full and partial-ring pet scanners only, for initial diag
   G0255           No Change       Current percep threshold tst   Current perception threshold/sensory nerve conduction test, (snct) per
   G0257           No Change       Unsched dialysis esrd pt hos   Unscheduled or emergency dialysis treatment for an esrd patient in a h
   G0259           No Change       Inject for sacroiliac joint    Injection procedure for sacroiliac joint; arthrography
   G0260           No Change       Inj for sacroiliac jt anesth   Injection procedure for sacroiliac joint; provision of anesthetic, ste
   G0268           No Change       Removal of impacted wax md     Removal of impacted cerumen (one or both ears) by physician on same da
   G0269           No Change       Occlusive device in vein art   Placement of occlusive device into either a venous or arterial access
   G0270           No Change       Mnt subs tx for change dx      Medical nutrition therapy; reassessment and subsequent intervention(s)
   G0271           No Change       Group mnt 2 or more 30 mins    Medical nutrition therapy, reassessment and subsequent intervention(s)
   G0276           No Change       Pild/placebo control clin tr   Blinded procedure for lumbar stenosis, percutaneous image-guided lumba
   G0277           No Change       Hbot, full body chamber, 30m   Hyperbaric oxygen under pressure, full body chamber, per 30 minute int
   G0278           No Change       Iliac art angio,cardiac cath   Iliac and/or femoral artery angiography, non-selective, bilateral or i
   G0279           No Change       Tomosynthesis, mammo           Diagnostic digital breast tomosynthesis, unilateral or bilateral (list
   G0281           No Change       Elec stim unattend for press   Electrical stimulation, (unattended), to one or more areas, for chroni
   G0282           No Change       Elect stim wound care not pd   Electrical stimulation, (unattended), to one or more areas, for wound
   G0283           No Change       Elec stim other than wound     Electrical stimulation (unattended), to one or more areas for indicati
   G0288           No Change       Recon, cta for surg plan       Reconstruction, computed tomographic angiography of aorta for surgical
   G0289           No Change       Arthro, loose body + chondro   Arthroscopy, knee, surgical, for removal of loose body, foreign body,
   G0293           No Change       Non-cov surg proc,clin trial   Noncovered surgical procedure(s) using conscious sedation, regional, g
   G0294           No Change       Non-cov proc, clinical trial   Noncovered procedure(s) using either no anesthesia or local anesthesia
   G0295           No Change       Electromagnetic therapy onc    Electromagnetic therapy, to one or more areas, for wound care other th
   G0296           No Change       Visit to determ ldct elig      Counseling visit to discuss need for lung cancer screening using low d
   G0297           No Change       Ldct for lung ca screen        Low dose ct scan (ldct) for lung cancer screening
   G0299           No Change       Hhs/hospice of rn ea 15 min    Direct skilled nursing services of a registered nurse (rn) in the home
   G0300           No Change       Hhs/hospice of lpn ea 15 min   Direct skilled nursing services of a licensed practical nurse (lpn) in
   G0302           No Change       Pre-op service lvrs complete   Pre-operative pulmonary surgery services for preparation for lvrs, com
   G0303           No Change       Pre-op service lvrs 10-15dos   Pre-operative pulmonary surgery services for preparation for lvrs, 10
   G0304           No Change       Pre-op service lvrs 1-9 dos    Pre-operative pulmonary surgery services for preparation for lvrs, 1 t
   G0305           No Change       Post op service lvrs min 6     Post-discharge pulmonary surgery services after lvrs, minimum of 6 day
   G0306           No Change       Cbc/diffwbc w/o platelet       Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) a
   G0307           No Change       Cbc without platelet           Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)
   G0328           No Change       Fecal blood scrn immunoassay   Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3
   G0329           No Change       Electromagntic tx for ulcers   Electromagnetic therapy, to one or more areas for chronic stage iii an
   G0333           No Change       Dispense fee initial 30 day    Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply
   G0337           No Change       Hospice evaluation preelecti   Hospice evaluation and counseling services, pre-election
   G0339           No Change       Robot lin-radsurg com, first   Image-guided robotic linear accelerator-based stereotactic radiosurger
   G0340           No Change       Robt lin-radsurg fractx 2-5    Image-guided robotic linear accelerator-based stereotactic radiosurger
   G0341           No Change       Percutaneous islet celltrans   Percutaneous islet cell transplant, includes portal vein catheterizati
   G0342           No Change       Laparoscopy islet cell trans   Laparoscopy for islet cell transplant, includes portal vein catheteriz
   G0343           No Change       Laparotomy islet cell transp   Laparotomy for islet cell transplant, includes portal vein catheteriza
   G0364           No Change       Bone marrow aspirate &biopsy   Bone marrow aspiration performed with bone marrow biopsy through the s
   G0365         Discontinued      Vessel mapping hemo access     Vessel mapping of vessels for hemodialysis access (services for preope
   G0372           No Change       Md service required for pmd    Physician service required to establish and document the need for a po
   G0378           No Change       Hospital observation per hr    Hospital observation service, per hour
   G0379           No Change       Direct refer hospital observ   Direct admission of patient for hospital observation care
   G0380           No Change       Lev 1 hosp type b ed visit     Level 1 hospital emergency department visit provided in a type b emerg
   G0381           No Change       Lev 2 hosp type b ed visit     Level 2 hospital emergency department visit provided in a type b emerg
   G0382           No Change       Lev 3 hosp type b ed visit     Level 3 hospital emergency department visit provided in a type b emerg
   G0383           No Change       Lev 4 hosp type b ed visit     Level 4 hospital emergency department visit provided in a type b emerg
   G0384           No Change       Lev 5 hosp type b ed visit     Level 5 hospital emergency department visit provided in a type b emerg
   G0389           No Change       Ultrasound exam aaa screen     Ultrasound b-scan and/or real time with image documentation; for abdom
   G0390           No Change       Trauma respons w/hosp criti    Trauma response team associated with hospital critical care service
   G0396           No Change       Alcohol/subs interv 15-30mn    Alcohol and/or substance (other than tobacco) abuse structured assessm
   G0397           No Change       Alcohol/subs interv >30 min    Alcohol and/or substance (other than tobacco) abuse structured assessm
   G0398           No Change       Home sleep test/type 2 porta   Home sleep study test (hst) with type ii portable monitor, unattended;
   G0399           No Change       Home sleep test/type 3 porta   Home sleep test (hst) with type iii portable monitor, unattended; mini
   G0400           No Change       Home sleep test/type 4 porta   Home sleep test (hst) with type iv portable monitor, unattended; minim
   G0402           No Change       Initial preventive exam        Initial preventive physical examination; face-to-face visit, services
   G0403           No Change       Ekg for initial prevent exam   Electrocardiogram, routine ecg with 12 leads; performed as a screening
   G0404           No Change       Ekg tracing for initial prev   Electrocardiogram, routine ecg with 12 leads; tracing only, without in
   G0405           No Change       Ekg interpret & report preve   Electrocardiogram, routine ecg with 12 leads; interpretation and repor
   G0406           No Change       Inpt/tele follow up 15         Follow-up inpatient consultation, limited, physicians typically spend
   G0407           No Change       Inpt/tele follow up 25         Follow-up inpatient consultation, intermediate, physicians typically s
   G0408           No Change       Inpt/tele follow up 35         Follow-up inpatient consultation, complex, physicians typically spend
   G0409           No Change       Corf related serv 15 mins ea   Social work and psychological services, directly relating to and/or fu
   G0410           No Change       Grp psych partial hosp 45-50   Group psychotherapy other than of a multiple-family group, in a partia
   G0411           No Change       Inter active grp psych parti   Interactive group psychotherapy, in a partial hospitalization setting,
   G0412           No Change       Open tx iliac spine uni/bil    Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing f
   G0413           No Change       Pelvic ring fracture uni/bil   Percutaneous skeletal fixation of posterior pelvic bone fracture and/o
   G0414           No Change       Pelvic ring fx treat int fix   Open treatment of anterior pelvic bone fracture and/or dislocation for
   G0415           No Change       Open tx post pelvic fxcture    Open treatment of posterior pelvic bone fracture and/or dislocation, f
   G0416           No Change       Prostate biopsy, any mthd      Surgical pathology, gross and microscopic examinations, for prostate n
   G0417           No Change       Sat biopsy prostate 21-40      Surgical pathology, gross and microscopic examination, for prostate ne
   G0418           No Change       Sat biopsy prostate 41-60      Surgical pathology, gross and microscopic examination, for prostate ne
   G0419           No Change       Sat biopsy prostate: >60       Surgical pathology, gross and microscopic examination, for prostate ne
   G0420           No Change       Ed svc ckd ind per session     Face-to-face educational services related to the care of chronic kidne
   G0421           No Change       Ed svc ckd grp per session     Face-to-face educational services related to the care of chronic kidne
   G0422           No Change       Intens cardiac rehab w/exerc   Intensive cardiac rehabilitation; with or without continuous ecg monit
   G0423           No Change       Intens cardiac rehab no exer   Intensive cardiac rehabilitation; with or without continuous ecg monit
   G0424           No Change       Pulmonary rehab w exer         Pulmonary rehabilitation, including exercise (includes monitoring), on
   G0425           No Change       Inpt/ed teleconsult30          Telehealth consultation, emergency department or initial inpatient, ty
   G0426           No Change       Inpt/ed teleconsult50          Telehealth consultation, emergency department or initial inpatient, ty
   G0427           No Change       Inpt/ed teleconsult70          Telehealth consultation, emergency department or initial inpatient, ty
   G0428           No Change       Collagen meniscus implant      Collagen meniscus implant procedure for filling meniscal defects (e.g.
   G0429           No Change       Dermal filler injection(s)     Dermal filler injection(s) for the treatment of facial lipodystrophy s
   G0431           No Change       Drug screen multiple class     Drug screen, qualitative; multiple drug classes by high complexity tes
   G0432           No Change       Eia hiv-1/hiv-2 screen         Infectious agent antibody detection by enzyme immunoassay (eia) techni
   G0433           No Change       Elisa hiv-1/hiv-2 screen       Infectious agent antibody detection by enzyme-linked immunosorbent ass
   G0434           No Change       Drug screen multi drug class   Drug screen, other than chromatographic; any number of drug classes, b
   G0435           No Change       Oral hiv-1/hiv-2 screen        Infectious agent antibody detection by rapid antibody test, hiv-1 and/
   G0436           No Change       Tobacco-use counsel 3-10 min   Smoking and tobacco cessation counseling visit for the asymptomatic pa
   G0437           No Change       Tobacco-use counsel>10min      Smoking and tobacco cessation counseling visit for the asymptomatic pa
   G0438           No Change       Ppps, initial visit            Annual wellness visit; includes a personalized prevention plan of serv
   G0439           No Change       Ppps, subseq visit             Annual wellness visit, includes a personalized prevention plan of serv
   G0442           No Change       Annual alcohol screen 15 min   Annual alcohol misuse screening, 15 minutes
   G0443           No Change       Brief alcohol misuse counsel   Brief face-to-face behavioral counseling for alcohol misuse, 15 minute
   G0444           No Change       Depression screen annual       Annual depression screening, 15 minutes
   G0445           No Change       High inten beh couns std 30m   High intensity behavioral counseling to prevent sexually transmitted i
   G0446           No Change       Intens behave ther cardio dx   Annual, face-to-face intensive behavioral therapy for cardiovascular d
   G0447           No Change       Behavior counsel obesity 15m   Face-to-face behavioral counseling for obesity, 15 minutes
   G0448           No Change       Place perm pacing cardiovert   Insertion or replacement of a permanent pacing cardioverter-defibrilla
   G0451           No Change       Devlopment test interpt&rep    Development testing, with interpretation and report, per standardized
   G0452           No Change       Molecular pathology interpr    Molecular pathology procedure; physician interpretation and report
   G0453           No Change       Cont intraop neuro monitor     Continuous intraoperative neurophysiology monitoring, from outside the
   G0454           No Change       Md document visit by npp       Physician documentation of face-to-face visit for durable medical equi
   G0455           No Change       Fecal microbiota prep instil   Preparation with instillation of fecal microbiota by any method, inclu
   G0456           No Change       Neg pre wound <=50 sq cm       Negative pressure wound therapy, (e.g. vacuum assisted drainage collec
   G0457           No Change       Neg pres wound >50 sq cm       Negative pressure wound therapy, (e.g. vacuum assisted drainage collec
   G0458           No Change       Ldr prostate brachy comp rat   Low dose rate (ldr) prostate brachytherapy services, composite rate
   G0459           No Change       Telehealth inpt pharm mgmt     Inpatient telehealth pharmacologic management, including prescription,
   G0460           No Change       Autologous prp for ulcers      Autologous platelet rich plasma for chronic wounds/ulcers, including p
   G0461           No Change       Immunohisto/cyto chem 1st st   Immunohistochemistry or immunocytochemistry, per specimen; first singl
   G0462           No Change       Immunohisto/cyto chem add      Immunohistochemistry or immunocytochemistry, per specimen; each additi
   G0463           No Change       Hospital outpt clinic visit    Hospital outpatient clinic visit for assessment and management of a pa
   G0464           No Change       Colorec ca scr, sto bas dna    Colorectal cancer screening; stool-based dna and fecal occult hemoglob
   G0466           No Change       Fqhc visit new patient         Federally qualified health center (fqhc) visit, new patient; a medical
   G0467           No Change       Fqhc visit, estab pt           Federally qualified health center (fqhc) visit, established patient; a
   G0468           No Change       Fqhc visit, ippe or awv        Federally qualified health center (fqhc) visit, ippe or awv; a fqhc vi
   G0469           No Change       Fqhc visit, mh new pt          Federally qualified health center (fqhc) visit, mental health, new pat
   G0470           No Change       Fqhc visit, mh estab pt        Federally qualified health center (fqhc) visit, mental health, establi
   G0471           No Change       Ven blood coll snf/hha         Collection of venous blood by venipuncture or urine sample by catheter
   G0472           No Change       Hep c screen high risk/other   Hepatitis c antibody screening, for individual at high risk and other
   G0473           No Change       Group behave couns 2-10        Face-to-face behavioral counseling for obesity, group (2-10), 30 minut
   G0475           No Change       Hiv combination assay          Hiv antigen/antibody, combination assay, screening
   G0476           No Change       Hpv combo assay ca screen      Infectious agent detection by nucleic acid (dna or rna); human papillo
   G0477           No Change       Drug test presump optical      Drug test(s), presumptive, any number of drug classes; any number of d
   G0478           No Change       Drug test presump opt inst     Drug test(s), presumptive, any number of drug classes; any number of d
   G0479           No Change       Drug test presump not opt      Drug test(s), presumptive, any number of drug classes; any number of d
   G0480           No Change       Drug test def 1-7 classes      Drug test(s), definitive, utilizing (1) drug identification methods ab
   G0481           No Change       Drug test def 8-14 classes     Drug test(s), definitive, utilizing (1) drug identification methods ab
   G0482           No Change       Drug test def 15-21 classes    Drug test(s), definitive, utilizing (1) drug identification methods ab
   G0483           No Change       Drug test def 22+ classes      Drug test(s), definitive, utilizing (1) drug identification methods ab
   G0490           No Change       Home visit rn, lpn by rhc/fq   Face-to-face home health nursing visit by a rural health clinic (rhc)
   G0491           No Change       Dialysis acu kidney no esrd    Dialysis procedure at a medicare certified esrd facility for acute kid
   G0492           No Change       Md/oth eval acut kid no esrd   Dialysis procedure with single evaluation by a physician or other qual
   G0493           No Change       Rn care ea 15 min hh/hospice   Skilled services of a registered nurse (rn) for the observation and as
   G0494           No Change       Lpn care ea 15min hh/hospice   Skilled services of a licensed practical nurse (lpn) for the observati
   G0495           No Change       Rn care train/edu in hh        Skilled services of a registered nurse (rn), in the training and/or ed
   G0496           No Change       Lpn care train/edu in hh       Skilled services of a licensed practical nurse (lpn), in the training
   G0498           No Change       Chemo extend iv infus w/pump   Chemotherapy administration, intravenous infusion technique; initiatio
   G0499           No Change       Hepb screen high risk indiv    Hepatitis b screening in non-pregnant, high risk individual includes h
   G0500           No Change       Mod sedat endo service >5yrs   Moderate sedation services provided by the same physician or other qua
   G0501           No Change       Resource-inten svc during ov   Resource-intensive services for patients for whom the use of specializ
   G0502           No Change       Init psych care manag, 70min   Initial psychiatric collaborative care management, first 70 minutes in
   G0503           No Change       Subseq  psych care man,60mi    Subsequent psychiatric collaborative care management, first 60 minutes
   G0504           No Change       Init/sub psych care add 30 m   Initial or subsequent psychiatric collaborative care management, each
   G0505           No Change       Cog/func assessment  outpt     Cognition and functional assessment using standardized instruments wit
   G0506           No Change       Comp asses care plan ccm svc   Comprehensive assessment of and care planning for patients requiring c
   G0507           No Change       Care manage serv minimum 20    Care management services for behavioral health conditions, at least 20
   G0508           No Change       Crit care telehea consult 60   Telehealth consultation, critical care, initial , physicians typically
   G0509           No Change       Crit care telehea consult 50   Telehealth consultation, critical care, subsequent, physicians typical
   G0511           No Change       Ccm/bhi by rhc/fqhc 20min mo   Rural health clinic or federally qualified health center (rhc or fqhc)
   G0512           No Change       Cocm by rhc/fqhc 60 min mo     Rural health clinic or federally qualified health center (rhc/fqhc) on
   G0513           No Change       Prolong prev svcs, first 30m   Prolonged preventive service(s) (beyond the typical service time of th
   G0514           No Change       Prolong prev svcs, addl 30m    Prolonged preventive service(s) (beyond the typical service time of th
   G0515         Discontinued      Cognitive skills development   Development of cognitive skills to improve attention, memory, problem
   G0516           No Change       Insert drug del implant, >=4   Insertion of non-biodegradable drug delivery implants, 4 or more (serv
   G0517           No Change       Remove drug implant            Removal of non-biodegradable drug delivery implants, 4 or more (servic
   G0518           No Change       Remove w insert drug implant   Removal with reinsertion, non-biodegradable drug delivery implants, 4
   G0659           No Change       Drug test def simple all cl    Drug test(s), definitive, utilizing drug identification methods able t
   G0908           No Change       Hgb > 12 g/dl                  Most recent hemoglobin (hgb) level > 12.0 g/dl
   G0909           No Change       Hbg not doc                    Hemoglobin level measurement not documented, reason not given
   G0910           No Change       Hgb <= 12 g/dl                 Most recent hemoglobin level <= 12.0 g/dl
   G0913           No Change       Improve visual funct           Improvement in visual function achieved within 90 days following catar
   G0914           No Change       Survey not complete            Patient care survey was not completed by patient
   G0915           No Change       No improve visual funct        Improvement in visual function not achieved within 90 days following c
   G0916           No Change       Satisfy with care              Satisfaction with care achieved within 90 days following cataract surg
   G0917           No Change       Satisfy survey not complete    Patient satisfaction survey was not completed by patient
   G0918           No Change       No satisfy with care           Satisfaction with care not achieved within 90 days following cataract
   G0919           No Change       Flu immunize not avail         Influenza immunization ordered or recommended (to be given at alternat
   G0920           No Change       Type loc act doc               Type, anatomic location, and activity all documented
   G0921           No Change       Doc pt reas no assess          Documentation of patient reason(s) for not being able to assess (e.g.,
   G0922           No Change       Type loc act not doc           No documentation of disease type, anatomic location, and activity, rea
   G1000              ADD          Cdsm applied pathways          Clinical decision support mechanism applied pathways, as defined by th
   G1001              ADD          Cdsm evicore                   Clinical decision support mechanism evicore, as defined by the medicar
   G1002              ADD          Cdsm medcurrent                Clinical decision support mechanism medcurrent, as defined by the medi
   G1003              ADD          Cdsm medicalis                 Clinical decision support mechanism medicalis, as defined by the medic
   G1004              ADD          Cdsm ndsc                      Clinical decision support mechanism national decision support company,
   G1005              ADD          Cdsm nia                       Clinical decision support mechanism national imaging associates, as de
   G1006              ADD          Cdsm test approp               Clinical decision support mechanism test appropriate, as defined by th
   G1007              ADD          Cdsm aim                       Clinical decision support mechanism aim specialty health, as defined b
   G1008              ADD          Cdsm cranberry pk              Clinical decision support mechanism cranberry peak, as defined by the
   G1009              ADD          Cdsm sage health               Clinical decision support mechanism sage health management solutions,
   G1010              ADD          Cdsm stanson                   Clinical decision support mechanism stanson, as defined by the medicar
   G1011              ADD          Cdsm qualified nos             Clinical decision support mechanism, qualified tool not otherwise spec
   G2000           No Change       Blinded conv. tx mdd clin tr   Blinded administration of convulsive therapy procedure, either electro
   G2001           No Change       Post d/c h vst new pt 20 m     Brief (20 minutes) in-home visit for a new patient post-discharge. for
   G2002           No Change       Post-d/c h vst new pt 30 m     Limited (30 minutes) in-home visit for a new patient post-discharge. f
   G2003           No Change       Post-d/c h vst new pt 45 m     Moderate (45 minutes) in-home visit for a new patient post-discharge.
   G2004           No Change       Post-d/c h vst new pt 60 m     Comprehensive (60 minutes) in-home visit for a new patient post-discha
   G2005           No Change       Post-d/c h vst new pt 75 m     Extensive (75 minutes) in-home visit for a new patient post-discharge.
   G2006           No Change       Post-d/c h vst ext pt 20 m     Brief (20 minutes) in-home visit for an existing patient post-discharg
   G2007           No Change       Post-d/c h vst ext pt 30 m     Limited (30 minutes) in-home visit for an existing patient post-discha
   G2008           No Change       Post-d/c h vst ext pt 45 m     Moderate (45 minutes) in-home visit for an existing patient post-disch
   G2009           No Change       Post-d/c h vst ext pt 60 m     Comprehensive (60 minutes) in-home visit for an existing patient post-
   G2010           No Change       Remot image submit by pt       Remote evaluation of recorded video and/or images submitted by an esta
   G2011           No Change       Alcohol/sub abuse assess       Alcohol and/or substance (other than tobacco) abuse structured assessm
   G2012           No Change       Brief check in by md/qhp       Brief communication technology-based service, e.g. virtual check-in, b
   G2013           No Change       Post-d/c h vst ext pt 75 m     Extensive (75 minutes) in-home visit for an existing patient post-disc
   G2014           No Change       Post-d/c care plan overs 30m   Limited (30 minutes) care plan oversight. for use only in a medicare-a
   G2015           No Change       Post-d/c care plan overs 60m   Comprehensive (60 mins) home care plan oversight. for use only in a me
   G2021              ADD          Hea care pract tx in place     Health care practitioners rendering treatment in place (tip)
   G2022              ADD          Benef refuses service, mod     A model participant (ambulance supplier/provider), the beneficiary ref
   G2058              ADD          Ccm add 20min                  Chronic care management services, each additional 20 minutes of clinic
   G2061              ADD          Qual nonmd est pt 5-10m        Qualified nonphysician healthcare professional online assessment, for
   G2062              ADD          Qual nonmd est pt 11-20m       Qualified nonphysician healthcare professional online assessment servi
   G2063              ADD          Qual nonmd est pt 21>min       Qualified nonphysician qualified healthcare professional assessment se
   G2064              ADD          Md mang high risk dx 30        Comprehensive care management services for a single high-risk disease,
   G2065              ADD          Clin mang h risk dx 30         Comprehensive care management for a single high-risk disease services,
   G2066              ADD          Inter devc remote 30d          Interrogation device evaluation(s), (remote) up to 30 days; implantabl
   G2067              ADD          Med assist tx meth wk          Medication assisted treatment, methadone; weekly bundle including disp
   G2068              ADD          Med assist tx bupre oral       Medication assisted treatment, buprenorphine (oral); weekly bundle inc
   G2069              ADD          Med assist tx inject           Medication assisted treatment, buprenorphine (injectable); weekly bund
   G2070              ADD          Med assist tx implant          Medication assisted treatment, buprenorphine (implant insertion); week
   G2071              ADD          Med tx remove implant          Medication assisted treatment, buprenorphine (implant removal); weekly
   G2072              ADD          Med tx insert/remove imp       Medication assisted treatment, buprenorphine (implant insertion and re
   G2073              ADD          Med tx naltrexone              Medication assisted treatment, naltrexone; weekly bundle including dis
   G2074              ADD          Med assist tx no drug          Medication assisted treatment, weekly bundle not including the drug, i
   G2075              ADD          Med tx meds nos                Medication assisted treatment, medication not otherwise specified; wee
   G2076              ADD          Intake act w/med exam          Intake activities, including initial medical examination that is a com
   G2077              ADD          Periodic assessment            Periodic assessment; assessing periodically by qualified personnel to
   G2078              ADD          Take-home meth                 Take-home supply of methadone; up to 7 additional day supply (provisio
   G2079              ADD          Take-hom buprenorphine         Take-home supply of buprenorphine (oral); up to 7 additional day suppl
   G2080              ADD          Add 30 mins counsel            Each additional 30 minutes of counseling in a week of medication assis
   G2081              ADD          Pt 66+ snp or ltc pos > 90d    Patients age 66 and older in institutional special needs plans (snp) o
   G2082              ADD          Visit esketamine 56m or less   Office or other outpatient visit for the evaluation and management of
   G2083              ADD          Visit esketamine, > 56m        Office or other outpatient visit for the evaluation and management of
   G2086              ADD          Off base opioid tx 70min       Office-based treatment for opioid use disorder, including development
   G2087              ADD          Off base opioid tx, 60 m       Office-based treatment for opioid use disorder, including care coordin
   G2088              ADD          Off base opioid tx, add30      Office-based treatment for opioid use disorder, including care coordin
   G2089              ADD          A1c level 7 to 9%              Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0%
   G2090              ADD          Pt 66+ frailty and med dem     Patients 66 years of age and older with at least one claim/encounter f
   G2091              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age and older with at least one claim/encounter f
   G2092              ADD          Ace arb arni                   Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor
   G2093              ADD          Med doc rsn no ace arn arni    Documentation of medical reason(s) for not prescribing ace inhibitor o
   G2094              ADD          Pt rsn no ace arn arni         Documentation of patient reason(s) for not prescribing ace inhibitor o
   G2095              ADD          Sys rsn no ace arn arni        Documentation of system reason(s) for not prescribing ace inhibitor or
   G2096              ADD          No rsn ace arb arni            Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor
   G2097              ADD          Child dx uri 3d of other dx    Children with a competing diagnosis for upper respiratory infection wi
   G2098              ADD          Pt 66+ frailty and med dem     Patients 66 years of age and older with at least one claim/encounter f
   G2099              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age and older with at least one claim/encounter f
   G2100              ADD          Pt 66+ frailty and med dem     Patients 66 years of age and older with at least one claim/encounter f
   G2101              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age and older with at least one claim/encounter f
   G2102              ADD          Dil retinal eye exam           Dilated retinal eye exam with interpretation by an ophthalmologist or
   G2103              ADD          7 stereo photos interpret      Seven standard field stereoscopic photos with interpretation by an oph
   G2104              ADD          Eye img valid w/7 stereo       Eye imaging validated to match diagnosis from seven standard field ste
   G2105              ADD          Pt 66+ lt ints > 90            Patients age 66 or older in institutional special needs plans (snp) or
   G2106              ADD          Pt 66+ lt ints > 90            Patients 66 years of age and older with at least one claim/encounter f
   G2107              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age and older with at least one claim/encounter f
   G2108              ADD          Pt 66+ lt ints > 90            Patients age 66 or older in institutional special needs plans (snp) or
   G2109              ADD          Pt 66+ frailty and med dem     Patients 66 years of age and older with at least one claim/encounter f
   G2110              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age and older with at least one claim/encounter f
   G2112              ADD          Pred<=5 mg ra glu <6m          Patient receiving <=5 mg daily prednisone (or equivalent), or ra activ
   G2113              ADD          Pred>5 mg >6m, no chg da       Patient receiving >5 mg daily prednisone (or equivalent) for longer th
   G2114              ADD          Pt 66-80 frailty and med dem   Patients 66-80 years of age with at least one claim/encounter for frai
   G2115              ADD          Pt 66+ frailty and med dem     Patients 66 years of age and older with at least one claim/encounter f
   G2116              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age and older with at least one claim/encounter f
   G2117              ADD          Pt 66-80 frailty and adv ill   Patients 66-80 years of age with at least one claim/encounter for frai
   G2118              ADD          Pt 81+ frailty                 Patients 81 years of age and older with a evidence of frailty during t
   G2119              ADD          Calc vitd opt                  Within the past 2 years, calcium and/or vitamin d optimization has bee
   G2120              ADD          No calc vitd opt               Within the past 2 years, calcium and/or vitamin d optimization has not
   G2121              ADD          Psy dep anx ap and icd asse    Psychosis, depression, anxiety, apathy, and impulse control disorder a
   G2122              ADD          Psy/dep/anx/apandicd noasse    Psychosis, depression, anxiety, apathy, and impulse control disorder n
   G2123              ADD          Pt 66-80 frailty med dem       Patients 66-80 years of age and had at least one claim/encounter for f
   G2124              ADD          Pt 66-80 frailty adv ill       Patients 66-80 years of age and had at least one claim/encounter for f
   G2125              ADD          Pt 81+ frailty                 Patients 81 years of age and older with evidence of frailty during the
   G2126              ADD          Pt 66+ frailty adv ill         Patients 66 years of age or older and had at least one claim/encounter
   G2127              ADD          Pt 66+ frailty med dem         Patients 66 years of age or older and had at least one claim/encounter
   G2128              ADD          No aspirin med rsn             Documentation of medical reason(s) for not on a daily aspirin or other
   G2129              ADD          No bp outpt                    Procedure-related bp's not taken during an outpatient visit. examples
   G2130              ADD          Pt 66+ lt inst > 90            Patients age 66 or older in institutional special needs plans (snp) or
   G2131              ADD          Pt 81+ frailty                 Patients 81 years and older with a diagnosis of frailty
   G2132              ADD          Pt 66-80 frailty and med dem   Patients 66-80 years of age with at least one claim/encounter for frai
   G2133              ADD          Pt 66-80 frailty and adv ill   Patients 66-80 years of age with at least one claim/encounter for frai
   G2134              ADD          Pt 66+ frailty and med dem     Patients 66 years of age or older with at least one claim/encounter fo
   G2135              ADD          Pt 66+ frailty and adv ill     Patients 66 years of age or older with at least one claim/encounter fo
   G2136              ADD          Bk pain vas 6-20wk = 3         Back pain measured by the visual analog scale (vas) at three months (6
   G2137              ADD          Bk pain vas 6-20wk > 3         Back pain measured by the visual analog scale (vas) at three months (6
   G2138              ADD          Bk pain vas 9-15mo = 3         Back pain as measured by the visual analog scale (vas) at one year (9
   G2139              ADD          Bk pain vas 9-20mo > 3         Back pain measured by the visual analog scale (vas) pain at one year (
   G2140              ADD          Leg pain vas 6-20wk = 3        Leg pain measured by the visual analog scale (vas) at three months (6
   G2141              ADD          Leg pain vas 6-20wk > 3        Leg pain measured by the visual analog scale (vas) at three months (6
   G2142              ADD          Fs odi 9-15mo postop<= 22      Functional status measured by the oswestry disability index (odi versi
   G2143              ADD          Fs odi 9-15mo > 22             Functional status measured by the oswestry disability index (odi versi
   G2144              ADD          Fs odi 6-20wk postop > 22      Functional status measured by the oswestry disability index (odi versi
   G2145              ADD          Fsodi 6-20wk >22 or chg 30pt   Functional status measured by the oswestry disability index (odi versi
   G2146              ADD          Leg pain vas 9-15mo <= 3       Leg pain as measured by the visual analog scale (vas) at one year (9 t
   G2147              ADD          Leg pain vas 9-15mo > 3        Leg pain measured by the visual analog scale (vas) at one year (9 to 1
   G2148              ADD          Mpm used                       Performance met: multimodal pain management was used
   G2149              ADD          No mpm med rsn                 Documentation of medical reason(s) for not using multimodal pain manag
   G2150              ADD          No mpm                         Performance not met: multimodal pain management was not used
   G2151              ADD          Dx degen neuro                 Patients with diagnosis of a degenerative neurological condition such
   G2152              ADD          Res change sc =0               Performance met: the residual change score  is equal to or greater tha
   G2153              ADD          Hosp dur meas pd               In hospice or using hospice services during the measurement period
   G2154              ADD          Td 9 yrs start end meas        Patient received at least one td vaccine or one tdap vaccine between n
   G2155              ADD          Hist contraindications         Patient had history of at least one of the following contraindications
   G2156              ADD          No prior td or hx contra       Patient did not receive at least one td vaccine or one tdap vaccine be
   G2157              ADD          Pneum vacc 12 mo 60+           Patients received both the 13-valent pneumococcal conjugate vaccine an
   G2158              ADD          Pneum vacc adv rx              Patient had prior pneumococcal vaccine adverse reaction any time durin
   G2159              ADD          No pneum vacc 12 mo 60+        Patient did not receive both the 13-valent pneumococcal conjugate vacc
   G2160              ADD          Herpzos 50+                    Patient received at least one dose of the herpes zoster live vaccine o
   G2161              ADD          Adv rx zos                     Patient had prior adverse reaction caused by zoster vaccine or its com
   G2162              ADD          No herpzos 50+                 Patient did not receive at least one dose of the herpes zoster live va
   G2163              ADD          Infl vacc 07/01 to 06/30       Patient received an influenza vaccine on or between july 1 of the year
   G2164              ADD          Adv rx infl vacc               Patient had a prior influenza virus vaccine adverse reaction any time
   G2165              ADD          No infl vacc 07/01 to 06/30    Patient did not receive an influenza vaccine on or between july 1 of t
   G2166              ADD          No pt adm dx no neck fs prom   Patient refused to participate at admission and/or discharge; patient
   G2167              ADD          Res change sc < 0              Performance not met: the residual change score is less than 0
   G3001           No Change       Admin + supply, tositumomab    Administration and supply of tositumomab, 450 mg
   G6001           No Change       Echo guidance radiotherapy     Ultrasonic guidance for placement of radiation therapy fields
   G6002           No Change       Stereoscopic x-ray guidance    Stereoscopic x-ray guidance for localization of target volume for the
   G6003           No Change       Radiation treatment delivery   Radiation treatment delivery, single treatment area,single port or par
   G6004           No Change       Radiation treatment delivery   Radiation treatment delivery, single treatment area,single port or par
   G6005           No Change       Radiation treatment delivery   Radiation treatment delivery, single treatment area,single port or par
   G6006           No Change       Radiation treatment delivery   Radiation treatment delivery, single treatment area,single port or par
   G6007           No Change       Radiation treatment delivery   Radiation treatment delivery, 2 separate treatment areas, 3 or more po
   G6008           No Change       Radiation treatment delivery   Radiation treatment delivery, 2 separate treatment areas, 3 or more po
   G6009           No Change       Radiation treatment delivery   Radiation treatment delivery, 2 separate treatment areas, 3 or more po
   G6010           No Change       Radiation treatment delivery   Radiation treatment delivery, 2 separate treatment areas, 3 or more po
   G6011           No Change       Radiation treatment delivery   Radiation treatment delivery,3 or more separate treatment areas, custo
   G6012           No Change       Radiation treatment delivery   Radiation treatment delivery,3 or more separate treatment areas, custo
   G6013           No Change       Radiation treatment delivery   Radiation treatment delivery,3 or more separate treatment areas, custo
   G6014           No Change       Radiation treatment delivery   Radiation treatment delivery,3 or more separate treatment areas, custo
   G6015           No Change       Radiation tx delivery imrt     Intensity modulated treatment delivery, single or multiple fields/arcs
   G6016           No Change       Delivery comp imrt             Compensator-based beam modulation treatment delivery of inverse planne
   G6017           No Change       Intrafraction track motion     Intra-fraction localization and tracking of target or patient motion d
   G6018           No Change       Ileoscopy w/stent              Ileoscopy, through stoma; with transendoscopic stent placement (includ
   G6019           No Change       Colonoscopy lesion removal     Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or oth
   G6020           No Change       Colonoscopy w/stent            Colonoscopy through stoma; with transendoscopic stent placement (inclu
   G6021           No Change       Unlisted px small intestine    Unlisted procedure, intestine
   G6022           No Change       Sigmoidoscopy w/ablate tumr    Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other
   G6023           No Change       Sigmoidoscopy w/stent          Sigmoidoscopy, flexible; with transendoscopic stent placement (include
   G6024           No Change       Lesion removal colonoscopy     Colonoscopy, flexible; proximal to splenic flexure; with ablation of t
   G6025           No Change       Colonoscopy w/stent            Colonoscopy, flexible, proximal to splenic flexure; with transendoscop
   G6027           No Change       Anoscopy hra w/spec collect    Anoscopy, high resolution (hra) (with magnification and chemical agent
   G6028           No Change       Anoscopy hra w/biopsy          Anoscopy, high resolution (hra) (with magnification and chemical agent
   G6030           No Change       Assay of amitriptyline         Amitriptyline
   G6031           No Change       Assay of benzodiazepines       Benzodiazepines
   G6032           No Change       Assay of desipramine           Desipramine
   G6034           No Change       Assay of doxepin               Doxepin
   G6035           No Change       Assay of gold                  Gold
   G6036           No Change       Assay of imipramine            Assay of imipramine
   G6037           No Change       Assay of nortiptyline          Nortriptyline
   G6038           No Change       Assay of salicylate            Salicylate
   G6039           No Change       Assay of acetaminophen         Acetaminophen
   G6040           No Change       Assay of ethanol               Alcohol (ethanol); any specimen except breath
   G6041           No Change       Assay of urine alkaloids       Alkaloids, urine, quantitative
   G6042           No Change       Assay of amphetamines          Amphetamine or methamphetamine
   G6043           No Change       Assay of barbiturates          Barbiturates, not elsewhere specified
   G6044           No Change       Assay of cocaine               Cocaine or metabolite
   G6045           No Change       Assay of dihydrocodeinone      Dihydrocodeinone
   G6046           No Change       Assay of dihydromorphinone     Dihydromorphinone
   G6047           No Change       Assay of dihydrotestosterone   Dihydrotestosterone
   G6048           No Change       Assay of dimethadione          Dimethadione
   G6049           No Change       Asssay of epiandrosterone      Epiandrosterone
   G6050           No Change       Assay of ethchlorvynol         Ethchlorvynol
   G6051           No Change       Assay of flurazepam            Flurazepam
   G6052           No Change       Assay of meprobamate           Meprobamate
   G6053           No Change       Assay of methadone             Methadone
   G6054           No Change       Assay of methsuximide          Methsuximide
   G6055           No Change       Assay of nicotine              Nicotine
   G6056           No Change       Assay of opiates               Opiate(s), drug and metabolites, each procedure
   G6057           No Change       Assay of phenothiazine         Phenothiazine
   G6058           No Change       Drug confirmation              Drug confirmation, each procedure
   G8126           No Change       Pt treat w/antidepress12wks    Patient with a diagnosis of major depression documented as being treat
   G8127           No Change       Pt not treat w/antidepres12w   Patient with a diagnosis of major depression not documented as being t
   G8128           No Change       Pt inelig for antidepres med   Clinician documented that patient was not an eligible candidate for an
   G8395           No Change       Lvef>=40% doc normal or mild   Left ventricular ejection fraction (lvef) >= 40% or documentation as n
   G8396           No Change       Lvef not performed             Left ventricular ejection fraction (lvef) not performed or documented
   G8397           No Change       Dil macula/fundus exam/w doc   Dilated macular or fundus exam performed, including documentation of t
   G8398           No Change       Dil macular/fundus not perfo   Dilated macular or fundus exam not performed
   G8399           No Change       Pt w/dxa results document      Patient with documented results of a central dual-energy x-ray absorpt
   G8400           No Change       Pt w/dxa no results doc        Patient with central dual-energy x-ray absorptiometry (dxa) results no
   G8401           No Change       Pt inelig osteo screen measu   Clinician documented that patient was not an eligible candidate for sc
   G8404           No Change       Low extemity neur exam docum   Lower extremity neurological exam performed and documented
   G8405           No Change       Low extemity neur not perfor   Lower extremity neurological exam not performed
   G8406           No Change       Pt inelig lower extrem neuro   Clinician documented that patient was not an eligible candidate for lo
   G8410           No Change       Eval on foot documented        Footwear evaluation performed and documented
   G8415           No Change       Eval on foot not performed     Footwear evaluation was not performed
   G8416           No Change       Pt inelig footwear evaluatio   Clinician documented that patient was not an eligible candidate for fo
   G8417           No Change       Calc bmi abv up param f/u      Bmi is documented above normal parameters and a follow-up plan is docu
   G8418           No Change       Calc bmi blw low param f/u     Bmi is documented below normal parameters and a follow-up plan is docu
   G8419           No Change       Calc bmi out nrm param nof/u   Bmi documented outside normal parameters, no follow-up plan documented
   G8420           No Change       Calc bmi norm parameters       Bmi is documented within normal parameters and no follow-up plan is re
   G8421           No Change       Bmi not calculated             Bmi not documented and no reason is given
   G8422           No Change       Pt inelig bmi calculation      Bmi not documented, documentation the patient is not eligible for bmi
   G8427           No Change       Docrev cur meds by elig clin   Eligible clinician attests to documenting in the medical record they o
   G8428           No Change       Cur meds not document          Current list of medications not documented as obtained, updated, or re
   G8430           No Change       Ec at doc medrec pt not elig   Eligible clinician attests to documenting in the medical record the pa
   G8431           No Change       Pos clin depres scrn f/u doc   Screening for depression is documented as being positive and a follow-
   G8432           No Change       Dep scr not doc, rng           Depression screening not documented, reason not given
   G8433           No Change       Scr for dep not cpt doc rsn    Screening for depression not completed, documented reason
   G8442           No Change       Doc pain as nt perf, not elg   Pain assessment not documented as being performed, documentation the p
   G8450           No Change       Beta-bloc rx pt w/abn lvef     Beta-blocker therapy prescribed
   G8451           No Change       Pt w/abn lvef inelig b-bloc    Beta-blocker therapy for lvef < 40% not prescribed for reasons documen
   G8452           No Change       Pt w/abn lvef b-bloc no rx     Beta-blocker therapy not prescribed
   G8458           No Change       Pt inelig geno no antvir tx    Clinician documented that patient is not an eligible candidate for gen
   G8460           No Change       Pt inelig rna no antvir tx     Clinician documented that patient is not an eligible candidate for qua
   G8461           No Change       Pt rec antivir treat hep c     Patient receiving antiviral treatment for hepatitis c during the measu
   G8464           No Change       Pt inelig; lo to no dter rsk   Clinician documented that prostate cancer patient is not an eligible c
   G8465           No Change       High risk recurrence pro ca    High or very high risk of recurrence of prostate cancer
   G8473           No Change       Ace/arb thxpy rx'd             Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor
   G8474           No Change       Ace/arb not rx'd; doc reas     Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor
   G8475           No Change       Ace/arb thxpy not rx'd         Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor
   G8476           No Change       Bp sys <140 and dias <90       Most recent blood pressure has a systolic measurement of < 140 mmhg an
   G8477           No Change       Bp sys>=140 and/or dias >=90   Most recent blood pressure has a systolic measurement of >= 140 mmhg a
   G8478           No Change       Bp not performed/doc           Blood pressure measurement not performed or documented, reason not giv
   G8482           No Change       Flu immunize order/admin       Influenza immunization administered or previously received
   G8483           No Change       Flu imm no admin doc rea       Influenza immunization was not administered for reasons documented by
   G8484           No Change       Flu immunize no admin          Influenza immunization was not administered, reason not given
   G8485           No Change       Report, diabetes measures      I intend to report the diabetes mellitus (dm) measures group
   G8486           No Change       Report, prev care measures     I intend to report the preventive care measures group
   G8487           No Change       Report ckd measures            I intend to report the chronic kidney disease (ckd) measures group
   G8489           No Change       Cad measures grp               I intend to report the coronary artery disease (cad) measures group
   G8490           No Change       Ra measures grp                I intend to report the rheumatoid arthritis (ra) measures group
   G8491           No Change       Hiv/aids measures grp          I intend to report the hiv/aids measures group
   G8492           No Change       Periop care measures grp       I intend to report the perioperative care measures group
   G8493           No Change       Back pain measures grp         I intend to report the back pain measures group
   G8494           No Change       Dm meas qual act perform       All quality actions for the applicable measures in the diabetes mellit
   G8495           No Change       Ckd meas qual act perform      All quality actions for the applicable measures in the chronic kidney
   G8496           No Change       Prev care mg qual act perfrm   All quality actions for the applicable measures in the preventive care
   G8497           No Change       Cabg meas qual act perform     All quality actions for the applicable measures in the coronary artery
   G8498           No Change       Cad meas qual act perform      All quality actions for the applicable measures in the coronary artery
   G8499           No Change       Ra meas qual act perform       All quality actions for the applicable measures in the rheumatoid arth
   G8500           No Change       Hiv meas qual act perform      All quality actions for the applicable measures in the hiv/aids measur
   G8501           No Change       Perio meas qual act perform    All quality actions for the applicable measures in the perioperative c
   G8502           No Change       Back pain mg qual act perfrm   All quality actions for the applicable measures in the back pain measu
   G8506           No Change       Pt rec ace/arb                 Patient receiving angiotensin converting enzyme (ace) inhibitor or ang
   G8509           No Change       Pos pain assess no f/u doc     Pain assessment documented as positive using a standardized tool, foll
   G8510           No Change       Scr dep neg, no plan reqd      Screening for depression is documented as negative, a follow-up plan i
   G8511           No Change       Scr dep pos, no plan doc rng   Screening for depression documented as positive, follow-up plan not do
   G8530           No Change       Auto av fistula recd           Autogenous av fistula received
   G8531           No Change       Pt inelig; auto av fistula     Clinician documented that patient was not an eligible candidate for au
   G8532           No Change       No auto av fistula; no reas    Clinician documented that patient received vascular access other than
   G8535           No Change       Eld maltreatment not doc       Elder maltreatment screen not documented; documentation that patient i
   G8536           No Change       No doc elder mal scrn          No documentation of an elder maltreatment screen, reason not given
   G8539           No Change       Doc funct and care plan        Functional outcome assessment documented as positive using a standardi
   G8540           No Change       Foa not doc as being perf      Functional outcome assessment not documented as being performed, docum
   G8541           No Change       No doc cur funct assess        Functional outcome assessment using a standardized tool not documented
   G8542           No Change       Doc funct no deficiencies      Functional outcome assessment using a standardized tool is documented;
   G8543           No Change       Cur funct asses; no care pln   Documentation of a positive functional outcome assessment using a stan
   G8544           No Change       Cabg measures grp              I intend to report the coronary artery bypass graft (cabg) measures gr
   G8545           No Change       Hepc measures grp              I intend to report the hepatitis c measures group
   G8547           No Change       Ivd measures grp               I intend to report the ischemic vascular disease (ivd) measures group
   G8548           No Change       Hf measures grp                I intend to report the heart failure (hf) measures group
   G8549           No Change       Hepc mg qual act perform       All quality actions for the applicable measures in the hepatitis c mea
   G8551           No Change       Hf mg qual act perform         All quality actions for the applicable measures in the heart failure (
   G8552           No Change       Ivd mg qual act perform        All quality actions for the applicable measures in the ischemic vascul
   G8559           No Change       Pt ref doc oto eval            Patient referred to a physician (preferably a physician with training
   G8560           No Change       Pt hx act drain prev 90 days   Patient has a history of active drainage from the ear within the previ
   G8561           No Change       Pt inelig for ref oto eval     Patient is not eligible for the referral for otologic evaluation for p
   G8562           No Change       Pt no hx act drain 90 d        Patient does not have a history of active drainage from the ear within
   G8563           No Change       Pt no ref oto reas no spec     Patient not referred to a physician (preferably a physician with train
   G8564           No Change       Pt ref oto eval                Patient was referred to a physician (preferably a physician with train
   G8565           No Change       Ver doc hear loss              Verification and documentation of sudden or rapidly progressive hearin
   G8566           No Change       Pt inelig ref oto eval         Patient is not eligible for the "referral for otologic evaluation for
   G8567           No Change       Pt no doc hear loss            Patient does not have verification and documentation of sudden or rapi
   G8568           No Change       Pt no ref otolo no spec        Patient was not referred to a physician (preferably a physician with t
   G8569           No Change       Prol intubation req            Prolonged postoperative intubation (> 24 hrs) required
   G8570           No Change       No prol intub req              Prolonged postoperative intubation (> 24 hrs) not required
   G8571           No Change       Ster wd ifx 30 d postop        Development of deep sternal wound infection/mediastinitis within 30 da
   G8572           No Change       No ster wd ifx                 No deep sternal wound infection/mediastinitis
   G8573           No Change       Stk cabg                       Stroke following isolated cabg surgery
   G8574           No Change       No strk cabg                   No stroke following isolated cabg surgery
   G8575           No Change       Postop ren fail                Developed postoperative renal failure or required dialysis
   G8576           No Change       No postop ren fail             No postoperative renal failure/dialysis not required
   G8577           No Change       Reop req bld grft oth          Re-exploration required due to mediastinal bleeding with or without ta
   G8578           No Change       No reop req bld grft oth       Re-exploration not required due to mediastinal bleeding with or withou
   G8579           No Change       Antplt med disch               Antiplatelet medication at discharge
   G8580           No Change       Antplt med contraind           Antiplatelet medication contraindicated
   G8581           No Change       No antplt med disch            No antiplatelet medication at discharge
   G8582           No Change       Bblock disch                   Beta-blocker at discharge
   G8583           No Change       Bblock contraind               Beta-blocker contraindicated
   G8584           No Change       No bblock disch                No beta-blocker at discharge
   G8585           No Change       Antilipid treat disch          Anti-lipid treatment at discharge
   G8586           No Change       Antlip disch contra            Anti-lipid treatment contraindicated
   G8587           No Change       No antlipid treat disch        No anti-lipid treatment at discharge
   G8593           No Change       Lipid pn results               Lipid profile results documented and reviewed (must include total chol
   G8594           No Change       No lipid prof perf             Lipid profile not performed, reason not given
   G8595           No Change       Ldl < 100                      Most recent ldl-c < 100 mg/dl
   G8597           No Change       Ldl >= 100                     Most recent ldl-c >= 100 mg/dl
   G8598           No Change       Asa/antiplat ther used         Aspirin or another antiplatelet therapy used
   G8599           No Change       No asa/antiplat ther use rng   Aspirin or another antiplatelet therapy not used, reason not given
   G8600           No Change       Tpa initi w/in 3 hrs           Iv t-pa initiated within three hours (<= 180 minutes) of time last kno
   G8601           No Change       No elig tpa init w/in 3 hrs    Iv t-pa not initiated within three hours (<= 180 minutes) of time last
   G8602           No Change       No tpa init w/in 3 hrs         Iv t-pa not initiated within three hours (<= 180 minutes) of time last
   G8627           No Change       Surg proc w/in 30 days         Surgical procedure performed within 30 days following cataract surgery
   G8628           No Change       No surg proc w/in 30 days      Surgical procedure not performed within 30 days following cataract sur
   G8629           No Change       Doc antibio order b/4 surg     Documentation of order for prophylactic parenteral antibiotic to be gi
   G8630           No Change       Doc antibio given b/4 surg     Documentation that administration of prophylactic parenteral antibioti
   G8631           No Change       Pt no elg 4 order antbi give   Clinician documented that patient was not an eligible candidate for or
   G8632           No Change       Doc no antibi order b/4 surg   Prophylactic parenteral antibiotics were not ordered to be given or gi
   G8633           No Change       Pharm ther osteo rx            Pharmacologic therapy (other than minierals/vitamins) for osteoporosis
   G8634           No Change       Pt no elg phar ther osteo      Clinician documented patient not an eligible candidate to receive phar
   G8635           No Change       No pharm ther osteo rx         Pharmacologic therapy for osteoporosis was not prescribed, reason not
   G8645           No Change       Asthma measures grp            I intend to report the asthma measures group
   G8646           No Change       Asthma mg qual act perform     All quality actions for the applicable measures in the asthma measures
   G8647           No Change       Rafscrs ki scor >= 0           Risk-adjusted functional status change residual score for the knee imp
   G8648           No Change       Rafscrs ki scor < 0            Risk-adjusted functional status change residual score for the knee imp
   G8649         Discontinued      Rafscrs ki no scor             Risk-adjusted functional status change residual score for the knee imp
   G8650    Long Description ChangeRafs crs ki no scor no surv    Risk-adjusted functional status change residual score for the knee imp
   G8651           No Change       Rafscrs hi scor >=0            Risk-adjusted functional status change residual score for the hip impa
   G8652           No Change       Rafscrs hi scor < 0            Risk-adjusted functional status change residual score for the hip impa
   G8653         Discontinued      Rafscrs hi no scor             Risk-adjusted functional status change residual scores for the hip imp
   G8654    Short Description ChangRafs crs hi no scor no surv    Risk-adjusted functional status change residual score for the hip impa
   G8655           No Change       Rafscrs llfai scor >= 0        Risk-adjusted functional status change residual score for the lower le
   G8656           No Change       Rafscrs llfai scor < 0         Risk-adjusted functional status change residual score for the lower le
   G8657         Discontinued      Rafscrs llfai no scor          Risk-adjusted functional status change residual score for the lower le
   G8658           No Change       Rafscrs llfai no scor + surv   Risk-adjusted functional status change residual score for the lower le
   G8659           No Change       Rafscrs lbi scor >= 0          Risk-adjusted functional status change residual score for the low back
   G8660           No Change       Rafscrs lbi scor < 0           Risk-adjusted functional status change residual score for the low back
   G8661           No Change       Rafscrs lbi no scor            Risk-adjusted functional status change residual score for the low back
   G8662    Long Description ChangeRafs crs lbi no scor no surv   Risk-adjusted functional status change residual score for the low back
   G8663           No Change       Rafscrs si scor >= 0           Risk-adjusted functional status change residual score for the shoulder
   G8664           No Change       Rafscrs si scor < 0            Risk-adjusted functional status change residual score for the shoulder
   G8665         Discontinued      Rafscrs si no scor             Risk-adjusted functional status change residual score for the shoulder
   G8666    Long Description ChangeRafs crs si no scor no surv    Risk-adjusted functional status change residual score for the shoulder
   G8667           No Change       Rafscrs ewh scor >= 0          Risk-adjusted functional status change residual score for the elbow, w
   G8668           No Change       Rafscrs ewh scor < 0           Risk-adjusted functional status change residual score for the elbow, w
   G8669         Discontinued      Rafscrs                        Risk-adjusted functional status change residual score for the elbow, w
   G8670    Long Description ChangeRafs crs ewh no scor no surv   Risk-adjusted functional status change residual score for the elbow, w
   G8671           No Change       Rafscrs goi scor >= 0          Risk-adjusted functional status change residual score for the neck, cr
   G8672           No Change       Rafscrs goi scor < 0           Risk-adjusted functional status change residual score for the neck, cr
   G8673         Discontinued      Rafscrs goi no scor            Risk-adjusted functional status change residual score for the neck, cr
   G8674    Long Description ChangeRafscrs neck, no msr/no foto   Risk-adjusted functional status change residual score for the neck, cr
   G8682           No Change       Lvg test perf                  Lvf testing documented as being performed prior to discharge or in the
   G8683           No Change       Pt not elig for lvf test       Lvf testing not performed prior to discharge or in the previous 12 mon
   G8685           No Change       Lvf test not perf              Lvf testing not documented as being performed prior to discharge or in
   G8694           No Change       Lvef <40%                      Left ventricular ejection fraction (lvef) < 40%
   G8696           No Change       Antithromb thx presc           Antithrombotic therapy prescribed at discharge
   G8697           No Change       Antithromb no presc doc reas   Antithrombotic therapy not prescribed for documented reasons (e.g., pa
   G8698           No Change       Antithromb no presc no reas    Antithrombotic therapy was not prescribed at discharge, reason not giv
   G8699           No Change       Rehab ordered disch            Rehabilitation services (occupational, physical or speech) ordered at
   G8700           No Change       Rehab not indicated disch      Rehabilitation services (occupational, physical or speech) not indicat
   G8701           No Change       Rehab not ordered              Rehabilitation services were not ordered, reason not otherwise specifi
   G8702           No Change       Antiobiotics 4 hr prior surg   Documentation that prophylactic antibiotics were given within 4 hours
   G8703           No Change       Antibiotics not prior surg     Documentation that prophylactic antibiotics were neither given within
   G8704           No Change       Ecg performed                  12-lead electrocardiogram (ecg) performed
   G8705           No Change       Med reas no ecg                Documentation of medical reason(s) for not performing a 12-lead electr
   G8706           No Change       Pt reas no ecg                 Documentation of patient reason(s) for not performing a 12-lead electr
   G8707           No Change       Ecg not performed              12-lead electrocardiogram (ecg) not performed, reason not given
   G8708           No Change       Antibiotic not pres            Patient not prescribed or dispensed antibiotic
   G8709           No Change       Pt presc doc med rsn id uri    Patient prescribed or dispensed antibiotic for documented medical reas
   G8710           No Change       Pt pres antibiotic             Patient prescribed or dispensed antibiotic
   G8711           No Change       Pres antibiotic                Prescribed or dispensed antibiotic
   G8712           No Change       Not pres antibiotic            Antibiotic not prescribed or dispensed
   G8713           No Change       Spkt/v great 1.2 kt/v          Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt
   G8714           No Change       Hemodialysis 3 times week      Hemodialysis treatment performed exactly three times per week for > 90
   G8717           No Change       Less 1.2 kt/v                  Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v])
   G8718           No Change       Great 1.7 kt/v per week        Total kt/v greater than or equal to 1.7 per week (total clearance of u
   G8720           No Change       Less 1.7 kt/v per week         Total kt/v less than 1.7 per week (total clearance of urea [kt] / volu
   G8721           No Change       Pt, pn, hist grade doc         Pt category (primary tumor), pn category (regional lymph nodes), and h
   G8722           No Change       Med reas pt, pn, not doc       Documentation of medical reason(s) for not including the pt category,
   G8723           No Change       Spec sit not prim tumor        Specimen site is other than anatomic location of primary tumor
   G8724           No Change       Pt, pn, hist grade not doc     Pt category, pn category and histologic grade were not documented in t
   G8725           No Change       Lipid profile perf doc         Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total
   G8726           No Change       Doc reas no lipid profile      Clinician has documented reason for not performing fasting lipid profi
   G8728           No Change       Lipid profile not perf         Fasting lipid profile not performed, reason not given
   G8730           No Change       Pain doc pos and plan          Pain assessment documented as positive using a standardized tool and a
   G8731           No Change       Pain neg no plan               Pain assessment using a standardized tool is documented as negative, n
   G8732           No Change       No doc of pain                 No documentation of pain assessment, reason not given
   G8733           No Change       Doc pos elder mal scrn plan    Elder maltreatment screen documented as positive and a follow-up plan
   G8734           No Change       Doc neg elder mal no plan      Elder maltreatment screen documented as negative, no follow-up require
   G8735           No Change       Eld mal scrn pos no plan       Elder maltreatment screen documented as positive, follow-up plan not d
   G8736           No Change       Ldl-c <100mg/dl                Most current ldl-c <100mg/dl
   G8737           No Change       Ldl-c >=100mg/dl               Most current ldl-c >=100mg/dl
   G8738           No Change       Lvef < 40%                     Left ventricular ejection fraction (lvef) < 40% or documentation of se
   G8739           No Change       Lvef >= 40%                    Left ventricular ejection fraction (lvef) >= 40% or documentation as n
   G8740           No Change       Lvef not perfrmd               Left ventricular ejection fraction (lvef) not performed or assessed, r
   G8749           No Change       No signs melanoma              Absence of signs of melanoma (tenderness, jaundice, localized neurolog
   G8751           No Change       Smkg status not assess         Smoking status and exposure to second hand smoke in the home not asses
   G8752           No Change       Sys bp less 140                Most recent systolic blood pressure < 140 mmhg
   G8753           No Change       Sys bp > or = 140              Most recent systolic blood pressure >= 140 mmhg
   G8754           No Change       Dias bp less 90                Most recent diastolic blood pressure < 90 mmhg
   G8755           No Change       Dias bp > or = 90              Most recent diastolic blood pressure >= 90 mmhg
   G8756           No Change       No bp measure doc              No documentation of blood pressure measurement, reason not given
   G8757           No Change       Copd mg qual act perform       All quality actions for the applicable measures in the chronic obstruc
   G8758           No Change       Ibd mg qual act perform        All quality actions for the applicable measures in the inflammatory bo
   G8759           No Change       Osa mg qual act perform        All quality actions for the applicable measures in the sleep apnea mea
   G8761           No Change       Dementia mg qual act perform   All quality actions for the applicable measures in the dementia measur
   G8762           No Change       Pd mg qual act perform         All quality actions for the applicable measures in the parkinson's dis
   G8763           No Change       Hyperten mg qual act perform   All quality actions for the applicable measures in the hypertension (h
   G8764           No Change       Car prev mg qual act perform   All quality actions for the applicable measures in the cardiovascular
   G8765           No Change       Cataract mg qual act perform   All quality actions for the applicable measures in the cataract measur
   G8767           No Change       Lipid panel res doc rev        Lipid panel results documented and reviewed (must include total choles
   G8768           No Change       Doc med reas no lipid profle   Documentation of medical reason(s) for not performing lipid profile (e
   G8769           No Change       Lipid profile not perform      Lipid profile not performed, reason not given
   G8770           No Change       Urine protein test doc rev     Urine protein test result documented and reviewed
   G8771           No Change       Doc dx ckd                     Documentation of diagnosis of chronic kidney disease
   G8772           No Change       Doc med reas no urine protn    Documentation of medical reason(s) for not performing urine protein te
   G8773           No Change       No urine protein test          Urine protein test was not performed, reason not given
   G8774           No Change       Serum creatinine doc rev       Serum creatinine test result documented and reviewed
   G8775           No Change       Doc med reas no serum crtn     Documentation of medical reason(s) for not performing serum creatinine
   G8776           No Change       No serum creatinine test       Serum creatinine test not performed, reason not given
   G8777           No Change       Diabetes screen                Diabetes screening test performed
   G8778           No Change       Doc med reas no diabete scrn   Documentation of medical reason(s) for not performing diabetes screeni
   G8779           No Change       No diabetes screen             Diabetes screening test not performed, reason not given
   G8780           No Change       Counsel diet phys activity     Counseling for diet and physical activity performed
   G8781           No Change       Doc med reas no counsel diet   Documentation of medical reason(s) for patient not receiving counselin
   G8782           No Change       No counsel diet phys act       Counseling for diet and physical activity not performed, reason not gi
   G8783           No Change       Bp scrn perf rec interval      Normal blood pressure reading documented, follow-up not required
   G8784           No Change       Pt no elig for bp assess       Patient not eligible (e.g., documentation the patient is not eligible
   G8785           No Change       Bp scrn no perf at interval    Blood pressure reading not documented, reason not given
   G8797           No Change       Specimen site not esophagus    Specimen site other than anatomic location of esophagus
   G8798           No Change       Specimen site not prostate     Specimen site other than anatomic location of prostate
   G8806           No Change       Perf ultrsnd to lct preg doc   Performance of trans-abdominal or trans-vaginal ultrasound and pregnan
   G8807           No Change       No ta tv ultrasnd              Trans-abdominal or trans-vaginal ultrasound not performed for reasons
   G8808           No Change       Ultrasound not perf, rng       Trans-abdominal or trans-vaginal ultrasound not performed, reason not
   G8809           No Change       Rh-immunoglobulin order        Rh-immunoglobulin (rhogam) ordered
   G8810           No Change       Doc reas no rh-immuno          Rh-immunoglobulin (rhogam) not ordered for reasons documented by clini
   G8811           No Change       No rh-immunoglobulin order     Documentation rh-immunoglobulin (rhogam) was not ordered, reason not g
   G8815           No Change       Doc reas no statin therapy     Documented reason in the medical records for why the statin therapy wa
   G8816           No Change       Statin med pres at disch       Statin medication prescribed at discharge
   G8817           No Change       Doc reas no statin med disch   Statin therapy not prescribed at discharge, reason not given
   G8818           No Change       Pt disch to home by day#7      Patient discharge to home no later than post-operative day #7
   G8825           No Change       Pt not disch to home day#7     Patient not discharged to home by post-operative day #7
   G8826           No Change       Pt disch home day #2 evar      Patient discharge to home no later than post-operative day #2 followin
   G8833           No Change       Pt not disch home day#2 evar   Patient not discharged to home by post-operative day #2 following evar
   G8834           No Change       Pt disch home day #2 cea       Patient discharged to home no later than post-operative day #2 followi
   G8838           No Change       Not disch home by day #2       Patient not discharged to home by post-operative day #2 following cea
   G8839           No Change       Sleep apnea assess             Sleep apnea symptoms assessed, including presence or absence of snorin
   G8840           No Change       Doc reas no sleep apnea        Documentation of reason(s) for not documenting an assessment of sleep
   G8841           No Change       No sleep apnea assess          Sleep apnea symptoms not assessed, reason not given
   G8842           No Change       Ahi or rdi initial dx          Apnea hypopnea index (ahi) or respiratory disturbance index (rdi) meas
   G8843           No Change       Doc reas no ahi or rdi         Documentation of reason(s) for not measuring an apnea hypopnea index (
   G8844           No Change       No ahi or rdi initial dx       Apnea hypopnea index (ahi) or respiratory disturbance index (rdi) not
   G8845           No Change       Pos airway press prescribed    Positive airway pressure therapy prescribed
   G8846           No Change       Mod or severe osa              Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi)
   G8848           No Change       Mild osa                       Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respirator
   G8849           No Change       Doc reas no pos air press      Documentation of reason(s) for not prescribing positive airway pressur
   G8850           No Change       No pap prescribed              Positive airway pressure therapy not prescribed, reason not given
   G8851           No Change       Adhere pos air press therapy   Objective measurement of adherence to positive airway pressure therapy
   G8852           No Change       Pos air press prescribe        Positive airway pressure therapy prescribed
   G8853           No Change       Pos air press not prescribe    Positive airway pressure therapy not prescribed
   G8854           No Change       Reas no adhere pos air pres    Documentation of reason(s) for not objectively measuring adherence to
   G8855           No Change       Pos air press adhere no perf   Objective measurement of adherence to positive airway pressure therapy
   G8856           No Change       Ref for oto eval               Referral to a physician for an otologic evaluation performed
   G8857           No Change       No elig ref for oto eval       Patient is not eligible for the referral for otologic evaluation measu
   G8858           No Change       Not ref for oto eval           Referral to a physician for an otologic evaluation not performed, reas
   G8859           No Change       Corticosteroids 10mg 60 days   Patient receiving corticosteroids greater than or equal to 10mg/day fo
   G8860           No Change       Corticosteroid 10 mg 60 days   Patients who have received dose of corticosteroids greater than or equ
   G8861         Discontinued      Dxa ordered for osteo          Within the past 2 years, central dual-energy x-ray absorptiometry (dxa
   G8862           No Change       No corticostrd 10mg 60 days    Patients not receiving corticosteroids greater than or equal to 10mg/d
   G8863           No Change       No assess bone loss            Patients not assessed for risk of bone loss, reason not given
   G8864           No Change       Pneumococcal vaccine admin     Pneumococcal vaccine administered or previously received
   G8865           No Change       Doc med reas no pneumococcal   Documentation of medical reason(s) for not administering or previously
   G8866           No Change       Doc pt reas no pneumococcal    Documentation of patient reason(s) for not administering or previously
   G8867           No Change       No pneumococcal admin          Pneumococcal vaccine not administered or previously received, reason n
   G8868           No Change       1st course antitnf             Patients receiving a first course of anti-tnf therapy
   G8869           No Change       Doc immune hep b antitnf       Patient has documented immunity to hepatitis b and initiating anti-tnf
   G8870           No Change       Hepb admin 1st antitnf         Hepatitis b vaccine injection administered or previously received and
   G8871           No Change       No 1st antitnf                 Patient not receiving a first course of anti-tnf therapy
   G8872           No Change       Intraop image confirm excise   Excised tissue evaluated by imaging intraoperatively to confirm succes
   G8873           No Change       Specimen not intraop image     Patients with needle localization specimens which are not amenable to
   G8874           No Change       Tissue not image intraop       Excised tissue not evaluated by imaging intraoperatively to confirm su
   G8875           No Change       Breast cancer dx min invsive   Clinician diagnosed breast cancer preoperatively by a minimally invasi
   G8876           No Change       Doc reas no min inv dx         Documentation of reason(s) for not performing minimally invasive biops
   G8877           No Change       No brst cncr dx min invasive   Clinician did not attempt to achieve the diagnosis of breast cancer pr
   G8878           No Change       Sent lymph node biopsy         Sentinel lymph node biopsy procedure performed
   G8879           No Change       Node neg inv brst cncr         Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer
   G8880           No Change       Sen lym p node biop not perf   Documentation of reason(s) sentinel lymph node biopsy not performed (e
   G8881           No Change       Brst cncr stage > t1n0m0       Stage of breast cancer is greater than t1n0m0 or t2n0m0
   G8882           No Change       No sent lymph node biopsy      Sentinel lymph node biopsy procedure not performed, reason not given
   G8883           No Change       Rev, comm, track, doc biopsy   Biopsy results reviewed, communicated, tracked and documented
   G8884           No Change       Doc reas biopsy not review     Clinician documented reason that patient's biopsy results were not rev
   G8885           No Change       No rev, comm, track biopsy     Biopsy results not reviewed, communicated, tracked or documented
   G8886           No Change       Bp under control               Most recent blood pressure under control
   G8887           No Change       Doc med reas bp not control    Documentation of medical reason(s) for most recent blood pressure not
   G8888           No Change       Bp not under control           Most recent blood pressure not under control, results documented and r
   G8889           No Change       No doc bp                      No documentation of blood pressure measurement, reason not given
   G8890           No Change       Ldl-c under control            Most recent ldl-c under control, results documented and reviewed
   G8891           No Change       Doc med reas no ldl-c contrl   Documentation of medical reason(s) for most recent ldl-c not under con
   G8892           No Change       Doc med reas no ldl-c test     Documentation of medical reason(s) for not performing ldl-c test (e.g.
   G8893           No Change       Ldl-c not under control        Most recent ldl-c not under control, results documented and reviewed
   G8894           No Change       Ldl-c not performed            Ldl-c not performed, reason not given
   G8895           No Change       Antrom prescribe               Oral aspirin or other antithrombotic therapy prescribed
   G8896           No Change       Doc med reas no antihtrom      Documentation of medical reason(s) for not prescribing oral aspirin or
   G8897           No Change       Antithrom not prescribe        Oral aspirin or other antithrombotic therapy was not prescribed, reaso
   G8898           No Change       Copd measures group            I intend to report the chronic obstructive pulmonary disease (copd) me
   G8899           No Change       Inflammatory bowel dis mg      I intend to report the inflammatory bowel disease (ibd) measures group
   G8900           No Change       Obstructive sleep apnea mg     I intend to report the sleep apnea measures group
   G8902           No Change       Dementia measures group        I intend to report the dementia measures group
   G8903           No Change       Parkinson's disease mg         I intend to report the parkinson's disease measures group
   G8904           No Change       Hypertension mg                I intend to report the hypertension (htn) measures group
   G8905           No Change       Cardiovascular prevention mg   I intend to report the cardiovascular prevention measures group
   G8906           No Change       Cataract measures group        I intend to report the cataract measures group
   G8907           No Change       Pt doc no events on discharg   Patient documented not to have experienced any of the following events
   G8908           No Change       Pt doc w burn prior to d/c     Patient documented to have received a burn prior to discharge
   G8909           No Change       Pt doc no burn prior to d/c    Patient documented not to have received a burn prior to discharge
   G8910           No Change       Pt doc to have fall in asc     Patient documented to have experienced a fall within asc
   G8911           No Change       Pt doc no fall in asc          Patient documented not to have experienced a fall within ambulatory su
   G8912           No Change       Pt doc with wrong event        Patient documented to have experienced a wrong site, wrong side, wrong
   G8913           No Change       Pt doc no wrong event          Patient documented not to have experienced a wrong site, wrong side, w
   G8914           No Change       Pt trans to hosp post d/c      Patient documented to have experienced a hospital transfer or hospital
   G8915           No Change       Pt not trans to hosp at d/c    Patient documented not to have experienced a hospital transfer or hosp
   G8916           No Change       Pt w iv ab given on time       Patient with preoperative order for iv antibiotic surgical site infect
   G8917           No Change       Pt w iv ab not given on time   Patient with preoperative order for iv antibiotic surgical site infect
   G8918           No Change       Pt w/o preop order iv ab pro   Patient without preoperative order for iv antibiotic surgical site inf
   G8923           No Change       Lvef < 40% or lvsd             Left ventricular ejection fraction (lvef) < 40% or documentation of mo
   G8924           No Change       Spir fev1/fvc<70%,fev<60%      Spirometry test results demonstrate fev1/fvc < 70%, fev < 60% predicte
   G8925           No Change       Spir fev1/fvc>=60% & no copd   Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predi
   G8926           No Change       Spiro no perf or doc           Spirometry test not performed or documented, reason not given
   G8927           No Change       Adj chem pres ajcc iii         Adjuvant chemotherapy referred, prescribed or previously received for
   G8928           No Change       Adj chem not pres rsn spec     Adjuvant chemotherapy not prescribed or previously received, for docum
   G8929           No Change       Adj cmo not pres rsn not gvn   Adjuvant chemotherapy not prescribed or previously received, reason no
   G8930           No Change       Assess of dep @ initial eval   Assessment of depression severity at the initial evaluation
   G8931           No Change       Asses of dep not documented    Assessment of depression severity not documented, reason not given
   G8932           No Change       Suicd rsk assessed init eval   Suicide risk assessed at the initial evaluation
   G8933           No Change       Suicide risk not assessed      Suicide risk not assessed at the initial evaluation, reason not given
   G8934           No Change       Lvef <40% or dep lv sys fcn    Left ventricular ejection fraction (lvef) <40% or documentation of mod
   G8935           No Change       Rx ace or arb therapy          Clinician prescribed angiotensin converting enzyme (ace) inhibitor or
   G8936           No Change       Pt not eligible ace/arb        Clinician documented that patient was not an eligible candidate for an
   G8937           No Change       No rx ace/arb therapy          Clinician did not prescribe angiotensin converting enzyme (ace) inhibi
   G8938           No Change       Bmi doc onl fup nt doc         Bmi is documented as being outside of normal limits, follow-up plan is
   G8939           No Change       Pain as doc positive, no f/u   Pain assessment documented as positive, follow-up plan not documented,
   G8940           No Change       Scr dep pos, no plan done      Screening for depression documented as positive, a follow-up plan not
   G8941           No Change       Eld maltreatment doc as pos    Elder maltreatment screen documented as positive, follow-up plan not d
   G8942           No Change       Doc fcn/care plan w/30 days    Functional outcomes assessment using a standardized tool is documented
   G8943           No Change       Ldlc not pres w/i 12 mo prir   Ldl-c result not present or not within 12 months prior
   G8944           No Change       Ajcc mel cnr stg 0 - iic       Ajcc melanoma cancer stage 0 through iic melanoma
   G8946           No Change       Mibm but no dx of breast ca    Minimally invasive biopsy method attempted but not diagnostic of breas
   G8947           No Change       1 or more neuropsych           One or more neuropsychiatric symptoms
   G8948           No Change       No neuropsych symptoms         No neuropsychiatric symptoms
   G8949           No Change       Doc pt reas on counsel diet    Documentation of patient reason(s) for patient not receiving counselin
   G8950           No Change       Pre-htn or htn doc, f/u indc   Pre-hypertensive or hypertensive blood pressure reading documented, an
   G8951           No Change       Pre-htn/htn doc, no pt f/u     Pre-hypertensive or hypertensive blood pressure reading documented, in
   G8952           No Change       Pre-htn/htn, no f/u, not gvn   Pre-hypertensive or hypertensive blood pressure reading documented, in
   G8953           No Change       Oncology mg qual act perform   All quality actions for the applicable measures in the oncology measur
   G8955           No Change       Most recent assess vol mgmt    Most recent assessment of adequacy of volume management documented
   G8956           No Change       Pt rcv hedia outpt dyls fac    Patient receiving maintenance hemodialysis in an outpatient dialysis f
   G8957           No Change       Pt no hedia in outpt fac       Patient not receiving maintenance hemodialysis in an outpatient dialys
   G8958           No Change       Assess vol mgmt not doc        Assessment of adequacy of volume management not documented, reason not
   G8959           No Change       Clin tx mdd comm to tx clin    Clinician treating major depressive disorder communicates to clinician
   G8960           No Change       Clin tx mdd not comm           Clinician treating major depressive disorder did not communicate to cl
   G8961           No Change       Csit lowrisk surg pts preop    Cardiac stress imaging test primarily performed on low-risk surgery pa
   G8962           No Change       Csit on pt any reas 30 days    Cardiac stress imaging test performed on patient for any reason includ
   G8963           No Change       Csi per asx pt w/pci 2 yrs     Cardiac stress imaging performed primarily for monitoring of asymptoma
   G8964           No Change       Csi any other than pci 2 yr    Cardiac stress imaging test performed primarily for any other reason t
   G8965           No Change       Csit perf on low chd rsk       Cardiac stress imaging test primarily performed on low chd risk patien
   G8966           No Change       Csit perf sx or high chd rsk   Cardiac stress imaging test performed on symptomatic or higher than lo
   G8967           No Change       Warf or other fda drug presc   Warfarin or another fda approved oral anticoagulant is prescribed
   G8968           No Change       Doc med not presb              Documentation of medical reason(s) for not prescribing warfarin or ano
   G8969           No Change       Doc pt rsn no presc warf/fda   Documentation of patient reason(s) for not prescribing warfarin or ano
   G8970           No Change       No rsk fac or 1 mod risk te    No risk factors or one moderate risk factor for thromboembolism
   G8971           No Change       Warfrn or othr antcog no rx    Warfarin or another oral anticoagulant that is fda approved not prescr
   G8972           No Change       1>=risk or>= mod risk for te   One or more high risk factors for thromboembolism or more than one mod
   G8973           No Change       Mst rcnt hbb < 10g/dl          Most recent hemoglobin (hgb) level < 10 g/dl
   G8974           No Change       Hgb not doc rns not gvn        Hemoglobin level measurement not documented, reason not given
   G8975           No Change       Hgb <10g/dl, med rsn           Documentation of medical reason(s) for patient having a hemoglobin lev
   G8976           No Change       Hgb >= 10 g/dl                 Most recent hemoglobin (hgb) level >= 10 g/dl
   G8977           No Change       Oncology measures grp          I intend to report the oncology measures group
   G8978         Discontinued      Mobility current status        Mobility: walking & moving around functional limitation, current statu
   G8979         Discontinued      Mobility goal status           Mobility: walking & moving around functional limitation, projected goa
   G8980         Discontinued      Mobility d/c status            Mobility: walking & moving around functional limitation, discharge sta
   G8981         Discontinued      Body pos current status        Changing & maintaining body position functional limitation, current st
   G8982         Discontinued      Body pos goal status           Changing & maintaining body position functional limitation, projected
   G8983         Discontinued      Body pos d/c status            Changing & maintaining body position functional limitation, discharge
   G8984         Discontinued      Carry current status           Carrying, moving & handling objects functional limitation, current sta
   G8985         Discontinued      Carry goal status              Carrying, moving and handling objects, projected goal status, at thera
   G8986         Discontinued      Carry d/c status               Carrying, moving & handling objects functional limitation, discharge s
   G8987         Discontinued      Self care current status       Self care functional limitation, current status, at therapy episode ou
   G8988         Discontinued      Self care goal status          Self care functional limitation, projected goal status, at therapy epi
   G8989         Discontinued      Self care d/c status           Self care functional limitation, discharge status, at discharge from t
   G8990         Discontinued      Other pt/ot current status     Other physical or occupational therapy primary functional limitation,
   G8991         Discontinued      Other pt/ot goal status        Other physical or occupational therapy primary functional limitation,
   G8992         Discontinued      Other pt/ot  d/c status        Other physical or occupational therapy primary functional limitation,
   G8993         Discontinued      Sub pt/ot current status       Other physical or occupational therapy subsequent functional limitatio
   G8994         Discontinued      Sub pt/ot goal status          Other physical or occupational therapy subsequent functional limitatio
   G8995         Discontinued      Sub pt/ot d/c status           Other physical or occupational therapy subsequent functional limitatio
   G8996         Discontinued      Swallow current status         Swallowing functional limitation, current status at therapy episode ou
   G8997         Discontinued      Swallow goal status            Swallowing functional limitation, projected goal status, at therapy ep
   G8998         Discontinued      Swallow d/c status             Swallowing functional limitation, discharge status, at discharge from
   G8999         Discontinued      Motor speech current status    Motor speech functional limitation, current status at therapy episode
   G9001           No Change       Mccd, initial rate             Coordinated care fee, initial rate
   G9002           No Change       Mccd,maintenance rate          Coordinated care fee, maintenance rate
   G9003           No Change       Mccd, risk adj hi, initial     Coordinated care fee, risk adjusted high, initial
   G9004           No Change       Mccd, risk adj lo, initial     Coordinated care fee, risk adjusted low, initial
   G9005           No Change       Mccd, risk adj, maintenance    Coordinated care fee, risk adjusted maintenance
   G9006           No Change       Mccd, home monitoring          Coordinated care fee, home monitoring
   G9007           No Change       Mccd, sch team conf            Coordinated care fee, scheduled team conference
   G9008           No Change       Mccd,phys coor-care ovrsght    Coordinated care fee, physician coordinated care oversight services
   G9009           No Change       Mccd, risk adj, level 3        Coordinated care fee, risk adjusted maintenance, level 3
   G9010           No Change       Mccd, risk adj, level 4        Coordinated care fee, risk adjusted maintenance, level 4
   G9011           No Change       Mccd, risk adj, level 5        Coordinated care fee, risk adjusted maintenance, level 5
   G9012           No Change       Other specified case mgmt      Other specified case management service not elsewhere classified
   G9013           No Change       Esrd demo bundle level i       Esrd demo basic bundle level i
   G9014           No Change       Esrd demo bundle-level ii      Esrd demo expanded bundle including venous access and related services
   G9016           No Change       Demo-smoking cessation coun    Smoking cessation counseling, individual, in the absence of or in addi
   G9017         Discontinued      Amantadine hcl 100mg oral      Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-appr
   G9018         Discontinued      Zanamivir,inhalation pwd 10m   Zanamivir, inhalation powder, administered through inhaler, per 10 mg
   G9019         Discontinued      Oseltamivir phosphate 75mg     Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved
   G9020         Discontinued      Rimantadine hcl 100mg oral     Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-app
   G9033         Discontinued      Amantadine hcl oral brand      Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicar
   G9034         Discontinued      Zanamivir, inh pwdr, brand     Zanamivir, inhalation powder, administered through inhaler, brand, per
   G9035         Discontinued      Oseltamivir phosp, brand       Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-a
   G9036         Discontinued      Rimantadine hcl, brand         Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medic
   G9050           No Change       Oncology work-up evaluation    Oncology; primary focus of visit; work-up, evaluation, or staging at t
   G9051           No Change       Oncology tx decision-mgmt      Oncology; primary focus of visit; treatment decision-making after dise
   G9052           No Change       Onc surveillance for disease   Oncology; primary focus of visit; surveillance for disease recurrence
   G9053           No Change       Onc expectant management pt    Oncology; primary focus of visit; expectant management of patient with
   G9054           No Change       Onc supervision palliative     Oncology; primary focus of visit; supervising, coordinating or managin
   G9055           No Change       Onc visit unspecified nos      Oncology; primary focus of visit; other, unspecified service not other
   G9056           No Change       Onc prac mgmt adheres guide    Oncology; practice guidelines; management adheres to guidelines (for u
   G9057           No Change       Onc pract mgmt differs trial   Oncology; practice guidelines; management differs from guidelines as a
   G9058           No Change       Onc prac mgmt disagree w/gui   Oncology; practice guidelines; management differs from guidelines beca
   G9059           No Change       Onc prac mgmt pt opt alterna   Oncology; practice guidelines; management differs from guidelines beca
   G9060           No Change       Onc prac mgmt dif pt comorb    Oncology; practice guidelines; management differs from guidelines for
   G9061           No Change       Onc prac cond noadd by guide   Oncology; practice guidelines; patient's condition not addressed by av
   G9062           No Change       Onc prac guide differs nos     Oncology; practice guidelines; management differs from guidelines for
   G9063           No Change       Onc dx nsclc stgi no progres   Oncology; disease status; limited to non-small cell lung cancer; exten
   G9064           No Change       Onc dx nsclc stg2 no progres   Oncology; disease status; limited to non-small cell lung cancer; exten
   G9065           No Change       Onc dx nsclc stg3a no progre   Oncology; disease status; limited to non-small cell lung cancer; exten
   G9066           No Change       Onc dx nsclc stg3b-4 metasta   Oncology; disease status; limited to non-small cell lung cancer; stage
   G9067           No Change       Onc dx nsclc dx unknown nos    Oncology; disease status; limited to non-small cell lung cancer; exten
   G9068           No Change       Onc dx sclc/nsclc limited      Oncology; disease status; limited to small cell and combined small cel
   G9069           No Change       Onc dx sclc/nsclc ext at dx    Oncology; disease status; small cell lung cancer, limited to small cel
   G9070           No Change       Onc dx sclc/nsclc ext unknwn   Oncology; disease status; small cell lung cancer, limited to small cel
   G9071           No Change       Onc dx brst stg1-2b hr,nopro   Oncology; disease status; invasive female breast cancer (does not incl
   G9072           No Change       Onc dx brst stg1-2 noprogres   Oncology; disease status; invasive female breast cancer (does not incl
   G9073           No Change       Onc dx brst stg3-hr, no pro    Oncology; disease status; invasive female breast cancer (does not incl
   G9074           No Change       Onc dx brst stg3-noprogress    Oncology; disease status; invasive female breast cancer (does not incl
   G9075           No Change       Onc dx brst metastic/ recur    Oncology; disease status; invasive female breast cancer (does not incl
   G9077           No Change       Onc dx prostate t1no progres   Oncology; disease status; prostate cancer, limited to adenocarcinoma a
   G9078           No Change       Onc dx prostate t2no progres   Oncology; disease status; prostate cancer, limited to adenocarcinoma a
   G9079           No Change       Onc dx prostate t3b-t4noprog   Oncology; disease status; prostate cancer, limited to adenocarcinoma a
   G9080           No Change       Onc dx prostate w/rise psa     Oncology; disease status; prostate cancer, limited to adenocarcinoma;
   G9083           No Change       Onc dx prostate unknwn nos     Oncology; disease status; prostate cancer, limited to adenocarcinoma;
   G9084           No Change       Onc dx colon t1-3,n1-2,no pr   Oncology; disease status; colon cancer, limited to invasive cancer, ad
   G9085           No Change       Onc dx colon t4, n0 w/o prog   Oncology; disease status; colon cancer, limited to invasive cancer, ad
   G9086           No Change       Onc dx colon t1-4 no dx prog   Oncology; disease status; colon cancer, limited to invasive cancer, ad
   G9087           No Change       Onc dx colon metas evid dx     Oncology; disease status; colon cancer, limited to invasive cancer, ad
   G9088           No Change       Onc dx colon metas noevid dx   Oncology; disease status; colon cancer, limited to invasive cancer, ad
   G9089           No Change       Onc dx colon extent unknown    Oncology; disease status; colon cancer, limited to invasive cancer, ad
   G9090           No Change       Onc dx rectal t1-2 no progr    Oncology; disease status; rectal cancer, limited to invasive cancer, a
   G9091           No Change       Onc dx rectal t3 n0 no prog    Oncology; disease status; rectal cancer, limited to invasive cancer, a
   G9092           No Change       Onc dx rectal t1-3,n1-2noprg   Oncology; disease status; rectal cancer, limited to invasive cancer, a
   G9093           No Change       Onc dx rectal t4,n,m0 no prg   Oncology; disease status; rectal cancer, limited to invasive cancer, a
   G9094           No Change       Onc dx rectal m1 w/mets prog   Oncology; disease status; rectal cancer, limited to invasive cancer, a
   G9095           No Change       Onc dx rectal extent unknwn    Oncology; disease status; rectal cancer, limited to invasive cancer, a
   G9096           No Change       Onc dx esophag t1-t3 noprog    Oncology; disease status; esophageal cancer, limited to adenocarcinoma
   G9097           No Change       Onc dx esophageal t4 no prog   Oncology; disease status; esophageal cancer, limited to adenocarcinoma
   G9098           No Change       Onc dx esophageal mets recur   Oncology; disease status; esophageal cancer, limited to adenocarcinoma
   G9099           No Change       Onc dx esophageal unknown      Oncology; disease status; esophageal cancer, limited to adenocarcinoma
   G9100           No Change       Onc dx gastric no recurrence   Oncology; disease status; gastric cancer, limited to adenocarcinoma as
   G9101           No Change       Onc dx gastric p r1-r2noprog   Oncology; disease status; gastric cancer, limited to adenocarcinoma as
   G9102           No Change       Onc dx gastric unresectable    Oncology; disease status; gastric cancer, limited to adenocarcinoma as
   G9103           No Change       Onc dx gastric recurrent       Oncology; disease status; gastric cancer, limited to adenocarcinoma as
   G9104           No Change       Onc dx gastric unknown nos     Oncology; disease status; gastric cancer, limited to adenocarcinoma as
   G9105           No Change       Onc dx pancreatc p r0 res no   Oncology; disease status; pancreatic cancer, limited to adenocarcinoma
   G9106           No Change       Onc dx pancreatc p r1/r2 no    Oncology; disease status; pancreatic cancer, limited to adenocarcinoma
   G9107           No Change       Onc dx pancreatic unresectab   Oncology; disease status; pancreatic cancer, limited to adenocarcinoma
   G9108           No Change       Onc dx pancreatic unknwn nos   Oncology; disease status; pancreatic cancer, limited to adenocarcinoma
   G9109           No Change       Onc dx head/neck t1-t2no prg   Oncology; disease status; head and neck cancer, limited to cancers of
   G9110           No Change       Onc dx head/neck t3-4 noprog   Oncology; disease status; head and neck cancer, limited to cancers of
   G9111           No Change       Onc dx head/neck m1 mets rec   Oncology; disease status; head and neck cancer, limited to cancers of
   G9112           No Change       Onc dx head/neck ext unknown   Oncology; disease status; head and neck cancer, limited to cancers of
   G9113           No Change       Onc dx ovarian stg1a-b no pr   Oncology; disease status; ovarian cancer, limited to epithelial cancer
   G9114           No Change       Onc dx ovarian stg1a-b or 2    Oncology; disease status; ovarian cancer, limited to epithelial cancer
   G9115           No Change       Onc dx ovarian stg3/4 noprog   Oncology; disease status; ovarian cancer, limited to epithelial cancer
   G9116           No Change       Onc dx ovarian recurrence      Oncology; disease status; ovarian cancer, limited to epithelial cancer
   G9117           No Change       Onc dx ovarian unknown nos     Oncology; disease status; ovarian cancer, limited to epithelial cancer
   G9123           No Change       Onc dx cml chronic phase       Oncology; disease status; chronic myelogenous leukemia, limited to phi
   G9124           No Change       Onc dx cml acceler phase       Oncology; disease status; chronic myelogenous leukemia, limited to phi
   G9125           No Change       Onc dx cml blast phase         Oncology; disease status; chronic myelogenous leukemia, limited to phi
   G9126           No Change       Onc dx cml remission           Oncology; disease status; chronic myelogenous leukemia, limited to phi
   G9128           No Change       Onc dx multi myeloma stage i   Oncology; disease status; limited to multiple myeloma, systemic diseas
   G9129           No Change       Onc dx mult myeloma stg2 hig   Oncology; disease status; limited to multiple myeloma, systemic diseas
   G9130           No Change       Onc dx multi myeloma unknown   Oncology; disease status; limited to multiple myeloma, systemic diseas
   G9131           No Change       Onc dx brst unknown nos        Oncology; disease status; invasive female breast cancer (does not incl
   G9132           No Change       Onc dx prostate mets no cast   Oncology; disease status; prostate cancer, limited to adenocarcinoma;
   G9133           No Change       Onc dx prostate clinical met   Oncology; disease status; prostate cancer, limited to adenocarcinoma;
   G9134           No Change       Onc nhlstg 1-2 no relap no     Oncology; disease status; non-hodgkin's lymphoma, any cellular classif
   G9135           No Change       Onc dx nhl stg 3-4 not relap   Oncology; disease status; non-hodgkin's lymphoma, any cellular classif
   G9136           No Change       Onc dx nhl trans to lg bcell   Oncology; disease status; non-hodgkin's lymphoma, transformed from ori
   G9137           No Change       Onc dx nhl relapse/refractor   Oncology; disease status; non-hodgkin's lymphoma, any cellular classif
   G9138           No Change       Onc dx nhl stg unknown         Oncology; disease status; non-hodgkin's lymphoma, any cellular classif
   G9139           No Change       Onc dx cml dx status unknown   Oncology; disease status; chronic myelogenous leukemia, limited to phi
   G9140           No Change       Frontier extended stay demo    Frontier extended stay clinic demonstration; for a patient stay in a c
   G9143           No Change       Warfarin respon genetic test   Warfarin responsiveness testing by genetic technique using any method,
   G9147           No Change       Outpt iv insulin tx any mea    Outpatient intravenous insulin treatment (oivit) either pulsatile or c
   G9148           No Change       Medical home level 1           National committee for quality assurance - level 1 medical home
   G9149           No Change       Medical home level ii          National committee for quality assurance - level 2 medical home
   G9150           No Change       Medical home level iii         National committee for quality assurance - level 3 medical home
   G9151           No Change       Mapcp demo state               Mapcp demonstration - state provided services
   G9152           No Change       Mapcp demo community           Mapcp demonstration - community health teams
   G9153           No Change       Mapcp demo physician           Mapcp demonstration - physician incentive pool
   G9156           No Change       Evaluation for wheelchair      Evaluation for wheelchair requiring face to face visit with physician
   G9157           No Change       Transesoph doppl cardiac mon   Transesophageal doppler measurement of cardiac output (including probe
   G9158         Discontinued      Motor speech d/c status        Motor speech functional limitation, discharge status, at discharge fro
   G9159         Discontinued      Lang comp current status       Spoken language comprehension functional limitation, current status at
   G9160         Discontinued      Lang comp goal status          Spoken language comprehension functional limitation, projected goal st
   G9161         Discontinued      Lang comp d/c status           Spoken language comprehension functional limitation, discharge status,
   G9162         Discontinued      Lang express current status    Spoken language expression functional limitation, current status at th
   G9163         Discontinued      Lang express goal status       Spoken language expression functional limitation, projected goal statu
   G9164         Discontinued      Lang express d/c status        Spoken language expression functional limitation, discharge status at
   G9165         Discontinued      Atten current status           Attention functional limitation, current status at therapy episode out
   G9166         Discontinued      Atten goal status              Attention functional limitation, projected goal status at therapy epis
   G9167         Discontinued      Atten d/c status               Attention functional limitation, discharge status at discharge from th
   G9168         Discontinued      Memory current status          Memory functional limitation, current status at therapy episode outset
   G9169         Discontinued      Memory goal status             Memory functional limitation, projected goal status at therapy episode
   G9170         Discontinued      Memory d/c status              Memory functional limitation, discharge status at discharge from thera
   G9171         Discontinued      Voice current status           Voice functional limitation, current status at therapy episode outset
   G9172         Discontinued      Voice goal status              Voice functional limitation, projected goal status at therapy episode
   G9173         Discontinued      Voice d/c status               Voice functional limitation, discharge status at discharge from therap
   G9174         Discontinued      Speech lang current status     Other speech language pathology functional limitation, current status
   G9175         Discontinued      Speech lang goal status        Other speech language pathology functional limitation, projected goal
   G9176         Discontinued      Speech lang d/c status         Other speech language pathology functional limitation, discharge statu
   G9186         Discontinued      Motor speech goal status       Motor speech functional limitation, projected goal status at therapy e
   G9187           No Change       Bpci home visit                Bundled payments for care improvement initiative home visit for patien
   G9188           No Change       Beta not given no reason       Beta-blocker therapy not prescribed, reason not given
   G9189           No Change       Beta pres or already taking    Beta-blocker therapy prescribed or currently being taken
   G9190           No Change       Medical reason for no beta     Documentation of medical reason(s) for not prescribing beta-blocker th
   G9191           No Change       Pt reason for no beta          Documentation of patient reason(s) for not prescribing beta-blocker th
   G9192           No Change       System reason for no beta      Documentation of system reason(s) for not prescribing beta-blocker the
   G9193           No Change       Doc not eligible for dep med   Clinician documented that patient with a diagnosis of major depression
   G9194           No Change       Mdd pt treated for 180d        Patient with a diagnosis of major depression documented as being treat
   G9195           No Change       Mdd pt not treated for 180d    Patient with a diagnosis of major depression not documented as being t
   G9196           No Change       Med reason for no ceph         Documentation of medical reason(s) for not ordering a first or second
   G9197           No Change       Order for ceph                 Documentation of order for first or second generation cephalosporin fo
   G9198           No Change       No order for ceph no reason    Order for first or second generation cephalosporin for antimicrobial p
   G9199           No Change       Doc reason for no vte          Venous thromboembolism (vte) prophylaxis not administered the day of o
   G9200           No Change       No reason for no vte           Venous thromboembolism (vte) prophylaxis was not administered the day
   G9201           No Change       Vte given upon admission       Venous thromboembolism (vte) prophylaxis administered the day of or th
   G9202           No Change       Hep c aby pos                  Patients with a positive hepatitis c antibody test
   G9203           No Change       Hep c rna done prior to med    Rna testing for hepatitis c documented as performed within 12 months p
   G9204           No Change       No reason for no hep c rna     Rna testing for hepatitis c was not documented as performed within 12
   G9205           No Change       Hep c antiviral started        Patient starting antiviral treatmentfor hepatitis c during the measure
   G9206           No Change       Hep c therapy started          Patient starting antiviral treatment for hepatitis c during the measur
   G9207           No Change       Hep c genotype prior to med    Hepatitis c genotype testing documented as performed within 12 months
   G9208           No Change       No reason for no hep c geno    Hepatitis c genotype testing was not documented as performed within 12
   G9209           No Change       Hep c rna 4to12 wk after med   Hepatitis c quantitative rna testing documented as performed between 4
   G9210           No Change       No hepc rna after med docrsn   Hepatitis c quantitative rna testing not performed between 4-12 weeks
   G9211           No Change       No hepc rna after med no rsn   Hepatitis c quantitative rna testing was not documented as performed b
   G9212           No Change       Doc of dsm-iv init eval        Dsm-ivtm criteria for major depressive disorder documented at the init
   G9213           No Change       No doc of dsm-iv               Dsm-iv-tr criteria for major depressive disorder not documented at the
   G9214           No Change       Cd4 count documented           Cd4+ cell count or cd4+ cell percentage results documented
   G9215           No Change       No cd4 count no reason         Cd4+ cell count or percentage not documented as performed, reason not
   G9216           No Change       No pcp proph at dx no reason   Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason
   G9217           No Change       No pcp proph low cd4 norsn     Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell co
   G9218           No Change       No pcp prop low at cd4 norsn   Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell cou
   G9219           No Change       No oder pjp for med reason     Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 mo
   G9220           No Change       No order for pjp for medrsn    Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 mo
   G9221           No Change       Pjp proph prescribed           Pneumocystis jiroveci pneumonia prophlaxis prescribed
   G9222           No Change       Pjp proph ordered low cd4      Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months
   G9223           No Change       Pjp proph ordered cd4 low      Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months
   G9224           No Change       Medrsn no foot exam            Documentation of medical reason for not performing foot exam (e.g., pa
   G9225           No Change       Norsn no foot exam             Foot exam was not performed, reason not given
   G9226           No Change       3 comp foot exam completed     Foot examination performed (includes examination through visual inspec
   G9227           No Change       Foa doc, care plan not doc     Functional outcome assessment documented, care plan not documented, do
   G9228           No Change       Gc chl syp documented          Chlamydia, gonorrhea and syphilis screening results documented (report
   G9229           No Change       Ptrsn no gc chl syp test       Chlamydia, gonorrhea, and syphilis screening results not documented (p
   G9230           No Change       Norsn for gc chl syp test      Chlamydia, gonorrhea, and syphilis not screened, reason not given
   G9231           No Change       Doc esrd dia trans preg        Documentation of end stage renal disease (esrd), dialysis, renal trans
   G9232           No Change       Ptrsn no comm comorbid         Clinician treating major depressive disorder did not communicate to cl
   G9233           No Change       Tkr composite                  All quality actions for the applicable measures in the total knee repl
   G9234           No Change       Tkr intent                     I intend to report the total knee replacement measures group
   G9235           No Change       Gs mg composite                All quality actions for the applicable measures in the general surgery
   G9236           No Change       Op rad mg composite            All quality actions for the applicable measures in the optimizing pati
   G9237           No Change       Gs mg intent                   I intend to report the general surgery measures group
   G9238           No Change       Op rad mg intent               I intend to report the optimizing patient exposure to ionizing radiati
   G9239    Long Description ChangeDoc rsn hemod & cath acc       Documentation of reasons for patient initiating maintenance hemodialys
   G9240           No Change       Doc pt w cath maint dia        Patient whose mode of vascular access is a catheter at the time mainte
   G9241           No Change       Doc pt w out cath maint dia    Patient whose mode of vascular access is not a catheter at the time ma
   G9242           No Change       Doc viral load >=200           Documentation of viral load equal to or greater than 200 copies/ml or
   G9243           No Change       Doc viral load <200            Documentation of viral load less than 200 copies/ml
   G9244           No Change       Antiviral not ordered          Antiretroviral thereapy not prescribed
   G9245           No Change       Antiviral ordered              Antiretroviral therapy prescribed
   G9246           No Change       No med visit in 24mo           Patient did not have at least one medical visit in each 6 month period
   G9247           No Change       1 med visit in 24mo            Patient had at least one medical visit in each 6 month period of the 2
   G9248           No Change       No med visit 6mo               Patient did not have a medical visit in the last 6 months
   G9249           No Change       Med visit w in 6mo             Patient had a medical visit in the last 6 months
   G9250           No Change       Doc of pain comfort 48hr       Documentation of patient pain brought to a comfortable level within 48
   G9251           No Change       Doc no pain comfort 48hr       Documentation of patient with pain not brought to a comfortable level
   G9252           No Change       Neo detect scrn colo           Adenoma(s) or other neoplasm detected during screening colonoscopy
   G9253           No Change       No neo detect scrn colo        Adenoma(s) or other neoplasm not detected during screening colonoscopy
   G9254           No Change       Doc pt dischg >2d              Documentation of patient discharged to home later than post-operative
   G9255           No Change       Doc pt dischg <=2d             Documentation of patient discharged to home no later than post operati
   G9256           No Change       Doc of pat death after cas     Documentation of patient death following cas
   G9257           No Change       Doc of pat stroke after cas    Documentation of patient stroke following cas
   G9258           No Change       Doc of pat stroke after cea    Documentation of patient stroke following cea
   G9259           No Change       Survive/no stroke post cas     Documentation of patient survival and absence of stroke following cas
   G9260           No Change       Doc of pat death after cea     Documentation of patient death following cea
   G9261           No Change       Survive/no stroke post cea     Documentation of patient survival and absence of stroke following cea
   G9262           No Change       Doc of death post-aaa repair   Documentation of patient death in the hospital following endovascular
   G9263           No Change       Doc of disch post-aaa repair   Documentation of patient discharged alive following endovascular aaa r
   G9264    Long Description ChangeDoc rsn hemod w/cath >=90d     Documentation of patient receiving maintenance hemodialysis for greate
   G9265           No Change       Doc cath >90d for maint dia    Patient receiving maintenance hemodialysis for greater than or equal t
   G9266           No Change       Norsn pt cath >=90d            Patient receiving maintenance hemodialysis for greater than or equal t
   G9267           No Change       Doc comp or mort w in 30d      Documentation of patient with one or more complications or mortality w
   G9268           No Change       Doc comp or mort w in 90d      Documentation of patient with one or more complications within 90 days
   G9269           No Change       Doc no comp or mort w in 30d   Documentation of patient without one or more complications and without
   G9270           No Change       Doc no comp or mort w in 90d   Documentation of patient without one or more complications within 90 d
   G9271           No Change       Ldl under 100                  Ldl value < 100
   G9272           No Change       Ldl 100 and over               Ldl value >= 100
   G9273           No Change       Sys<140 and dia<90             Blood pressure has a systolic value of < 140 and a diastolic value of
   G9274           No Change       Bp out of nrml limits          Blood pressure has a systolic value of =140 and a diastolic value of =
   G9275           No Change       Doc of non tobacco user        Documentation that patient is a current non-tobacco user
   G9276           No Change       Doc of tobacco user            Documentation that patient is a current tobacco user
   G9277           No Change       Doc daily aspirin or contra    Documentation that the patient is on daily aspirin or anti-platelet or
   G9278           No Change       Doc no daily aspirin           Documentation that the patient is not on daily aspirin or anti-platele
   G9279           No Change       Pne scrn done doc vac done     Pneumococcal screening performed and documentation of vaccination rece
   G9280           No Change       Pne not given norsn            Pneumococcal vaccination not administered prior to discharge, reason n
   G9281           No Change       Pne scrn done doc not ind      Screening performed and documentation that vaccination not indicated/p
   G9282           No Change       Doc medrsn no histo type       Documentation of medical reason(s) for not reporting the histological
   G9283           No Change       Hist type doc on report        Non small cell lung cancer biopsy and cytology specimen report documen
   G9284           No Change       No hist type doc on report     Non small cell lung cancer biopsy and cytology specimen report does no
   G9285           No Change       Site not small cell lung ca    Specimen site other than anatomic location of lung or is not classifie
   G9286           No Change       Antibio rx w in 10d of sympt   Antibiotic regimen prescribed within 10 days after onset of symptoms
   G9287           No Change       No antibio w in 10d of sympt   Antibiotic regimen not prescribed within 10 days after onset of sympto
   G9288           No Change       Doc medrsn no hist type rpt    Documentation of medical reason(s) for not reporting the histological
   G9289           No Change       Doc type nsm lung ca           Non small cell lung cancer biopsy and cytology specimen report documen
   G9290           No Change       No doc type nsm lung ca        Non small cell lung cancer biopsy and cytology specimen report does no
   G9291           No Change       Not nsm lung ca                Specimen site other than anatomic location of lung, is not classified
   G9292           No Change       Medrsn no pt category          Documentation of medical reason(s) for not reporting pt category and a
   G9293           No Change       No pt category on report       Pathology report does not include the pt category and a statement on t
   G9294           No Change       Pt cat and thck on report      Pathology report includes the pt category and a statement on thickness
   G9295           No Change       Non cutaneous loc              Specimen site other than anatomic cutaneous location
   G9296           No Change       Doc share dec prior proc       Patients with documented shared decision-making including discussion o
   G9297           No Change       No doc share dec prior proc    Shared decision-making including discussion of conservative (non-surgi
   G9298           No Change       Eval risk vte card 30d prior   Patients who are evaluated for venous thromboembolic and cardiovascula
   G9299           No Change       No eval riskk vte card prior   Patients who are not evaluated for venous thromboembolic and cardiovas
   G9300           No Change       Doc medrsn no compl antibio    Documentation of medical reason(s) for not completely infusing the pro
   G9301           No Change       Doc compl inf antibio          Patients who had the prophylactic antibiotic completely infused prior
   G9302           No Change       Norsn incomp inf antibio       Prophylactic antibiotic not completely infused prior to the inflation
   G9303           No Change       Norsn no pros info op rpt      Operative report does not identify the prosthetic implant specificatio
   G9304           No Change       Pros info op rpt               Operative report identifies the prosthetic implant specifications incl
   G9305           No Change       No interv req for leak         Intervention for presence of leak of endoluminal contents through an a
   G9306           No Change       Interv req for leak            Intervention for presence of leak of endoluminal contents through an a
   G9307           No Change       No ret for surg w in 30d       No return to the operating room for a surgical procedure, for complica
   G9308           No Change       Unpl ret or w/compl w/in 30d   Unplanned return to the operating room for a surgical procedure, for c
   G9309           No Change       No unplnd hosp readm in 30d    No unplanned hospital readmission within 30 days of principal procedur
   G9310           No Change       Unplnd hosp readm in 30d       Unplanned hospital readmission within 30 days of principal procedure
   G9311           No Change       No surg site infection         No surgical site infection
   G9312           No Change       Surgical site infection        Surgical site infection
   G9313           No Change       Amoxic not presc as 1st line   Amoxicillin, with or without clavulanate, not prescribed as first line
   G9314           No Change       Norsn not first line amox      Amoxicillin, with or without clavulanate, not prescribed as first line
   G9315           No Change       Doc first line amox            Documentation amoxicillin, with or without clavulanate, prescribed as
   G9316           No Change       Doc comm risk calc             Documentation of patient-specific risk assessment with a risk calculat
   G9317           No Change       No doc comm risk calc          Documentation of patient-specific risk assessment with a risk calculat
   G9318           No Change       Image std nomenclature         Imaging study named according to standardized nomenclature
   G9319           No Change       Image not std nomenclature     Imaging study not named according to standardized nomenclature, reason
   G9320           No Change       Medrsn no std nomenclature     Documentation of medical reason(s) for not naming ct studies according
   G9321           No Change       Doc count of ct in 12mo        Count of previous ct (any type of ct) and cardiac nuclear medicine (my
   G9322           No Change       No doc count of ct in 12mo     Count of previous ct and cardiac nuclear medicine (myocardial perfusio
   G9323           No Change       Mdrsn no doc cnt of ct         Documentation of medical reason(s) for not counting previous ct and ca
   G9324           No Change       Not all data norsn             All necessary data elements not included, reason not given
   G9325           No Change       Medrsn no ct rpt to reg        Ct studies not reported to a radiation dose index registry due to medi
   G9326           No Change       Ct done no rad ds index, nrg   Ct studies performed not reported to a radiation dose index registry t
   G9327           No Change       Ct done rad ds index           Ct studies performed reported to a radiation dose index registry that
   G9328           No Change       Medrsn no dicom format doc     Dicom format image data availability not documented in final report du
   G9329           No Change       Norsn no dicom format doc      Dicom format image data available to non-affiliated external healthcar
   G9340           No Change       Dicom format doc on rpt        Final report documented that dicom format image data available to non-
   G9341           No Change       Srch for ct w in 12 mos        Search conducted for prior patient ct studies completed at non-affilia
   G9342           No Change       No srch for ct in 12mo norsn   Search not conducted prior to an imaging study being performed for pri
   G9343           No Change       Medrsn no dicom srch           Due to medical reasons, search not conducted for dicom format images f
   G9344           No Change       Sysrsn no dicom srch           Due to system reasons search not conducted for dicom format images for
   G9345           No Change       Follow up pulm nod             Follow-up recommendations documented according to recommended guidelin
   G9346           No Change       No follow up pulm nod          Follow-up recommendations not documented according to recommended guid
   G9347           No Change       No follow up pulm nod norsn    Follow-up recommendations not documented according to recommended guid
   G9348           No Change       Doc rsn for ord ct scan        Ct scan of the paranasal sinuses ordered at the time of diagnosis for
   G9349    Long Description ChangeCt within 28 days              Ct scan of the paranasal sinuses ordered at the time of diagnosis or r
   G9350           No Change       No doc sinus ct 28d or dx      Ct scan of the paranasal sinuses not ordered at the time of diagnosis
   G9351           No Change       Doc >1 sinus ct w 90d dx       More than one ct scan of the paranasal sinuses ordered or received wit
   G9352           No Change       Not >1 sinus ct w 90d dx       More than one ct scan of the paranasal sinuses ordered or received wit
   G9353           No Change       Medrsn >1 sinus ct w 90d dx    More than one ct scan of the paranasal sinuses ordered or received wit
   G9354           No Change       1 or no ct sinus w/in 90d dx   One ct scan or no ct scan of the paranasal sinuses ordered within 90 d
   G9355    Long Description ChangeNo early ind/delivery          Early elective delivery or early induction not performed (less than 39
   G9356    Long Description ChangeEarly ind/delivery             Early elective delivery or early induction performed (less than 39 wee
   G9357           No Change       Pp eval/edu perf               Post-partum screenings, evaluations and education performed
   G9358           No Change       Pp eval/edu not perf           Post-partum screenings, evaluations and education not performed
   G9359    Long Description ChangeNeg mgd pos tb notact          Documentation of negative or managed positive tb screen with further e
   G9360           No Change       No doc of neg or man pos tb    No documentation of negative or managed positive tb screen
   G9361           No Change       Doc rsn elect c-sec/induct     Medical indication for induction [documentation of reason(s) for elect
   G9362           No Change       Mac or pnb w/o genanes >60m    Duration of monitored anesthesia care (mac) or peripheral nerve block
   G9363           No Change       Mac or pnb w/o genanes <60m    Duration of monitored anesthesia care (mac) or peripheral nerve block
   G9364           No Change       Sinus caus bac inx             Sinusitis caused by, or presumed to be caused by, bacterial infection
   G9365           No Change       1high risk med ord             One high-risk medication ordered
   G9366           No Change       1high risk no ord              One high-risk medication not ordered
   G9367           No Change       >= 2 same hi-rsk med ord       At least two orders for the same high-risk medication
   G9368           No Change       >= 2 same hi-rsk med not ord   At least two orders for the same high-risk medications not ordered
   G9369           No Change       Fill 2 rx antipsych            Individual filled at least two prescriptions for any antipsychotic med
   G9370           No Change       Not fill 2 rx antipsych        Individual who did not fill at least two prescriptions for any antipsy
   G9376           No Change       Contd ret attach at 6mth f/u   Patient continued to have the retina attached at the 6 months follow u
   G9377           No Change       No ret attach after 6mt        Patient did not have the retina attached after 6 months following only
   G9378           No Change       Contd ret attach f/u vis       Patient continued to have the retina attached at the 6 months follow u
   G9379           No Change       No acheive flat ret 6mth       Patient did not achieve flat retinas six months post surgery
   G9380           No Change       Off assis eol iss              Patient offered assistance with end of life issues during the measurem
   G9381           No Change       Doc med reas no offer eol      Documentation of medical reason(s) for not offering assistance with en
   G9382           No Change       No off assis eol               Patient not offered assistance with end of life issues during the meas
   G9383           No Change       Recd scrn hcv infec            Patient received screening for hcv infection within the 12 month repor
   G9384           No Change       Doc med rsn no hcv scrn        Documentation of medical reason(s) for not receiving annual screening
   G9385           No Change       Doc pt reas not rec hcv srn    Documentation of patient reason(s) for not receiving annual screening
   G9386           No Change       Scrn hcv infec not recd        Screening for hcv infection not received within the 12 month reporting
   G9389           No Change       Unpln rup post cap             Unplanned rupture of the posterior capsule requiring vitrectomy during
   G9390           No Change       No unpln rup post cap          No unplanned rupture of the posterior capsule requiring vitrectomy dur
   G9391           No Change       Achv refrac +1d                Patient achieves refraction +-1 d for the eye that underwent cataract
   G9392           No Change       Not achv refrac +1d            Patient does not achieve refraction +-1 d for the eye that underwent c
   G9393           No Change       Ini phq9 >9 remiss <5          Patient with an initial phq-9 score greater than nine who achieves rem
   G9394           No Change       Dx bipol, death, nhres, hosp   Patient who had a diagnosis of bipolar disorder or personality disorde
   G9395           No Change       Ini phq9 >9 no remiss >=5      Patient with an initial phq-9 score greater than nine who did not achi
   G9396           No Change       Ini phq9 >9 not assess         Patient with an initial phq-9 score greater than nine who was not asse
   G9399           No Change       Doc disc tx choices            Documentation in the patient record of a discussion between the physic
   G9400           No Change       Doc reas no disc tx opt        Documentation of medical or patient reason(s) for not discussing treat
   G9401           No Change       No disc tx choices             No documentation of a discussion in the patient record of a discussion
   G9402           No Change       Recd f/u w/in 30d disch        Patient received follow-up on the date of discharge or within 30 days
   G9403           No Change       Doc reas no 30 day f/u         Clinician documented reason patient was not able to complete 30 day fo
   G9404           No Change       No 30 day f/u                  Patient did not receive follow-up on the date of discharge or within 3
   G9405    Long Description ChangeRecd f/u w/in 7d dc            Patient received follow-up within 7 days after discharge
   G9406           No Change       Doc reas no 7d f/u             Clinician documented reason patient was not able to complete 7 day fol
   G9407           No Change       No 7d f/u                      Patient did not receive follow-up on or within 7 days after discharge
   G9408           No Change       Card tamp w/in 30d             Patients with cardiac tamponade and/or pericardiocentesis occurring wi
   G9409           No Change       No card tamp e/in 30d          Patients without cardiac tamponade and/or pericardiocentesis occurring
   G9410           No Change       Admit w/in 180d req remov      Patient admitted within 180 days, status post cied implantation, repla
   G9411           No Change       No admit w/in 180d req remov   Patient not admitted within 180 days, status post cied implantation, r
   G9412           No Change       Admit w/in 180d req surg rev   Patient admitted within 180 days, status post cied implantation, repla
   G9413           No Change       No admit req surg rev          Patient not admitted within 180 days, status post cied implantation, r
   G9414    Long Description Change1dose menig vac btwn 11 & 13   Patient had one dose of meningococcal vaccine (serogroups a, c, w, y)
   G9415           No Change       No 1dose meni vac btwn 11&13   Patient did not have one dose of meningococcal vaccine on or between t
   G9416           No Change       Pt 1 tdap betw 10-13 yrs       Patient had one tetanus, diphtheria toxoids and acellular pertussis va
   G9417           No Change       Pt not 1 tdap betw 10-13 yrs   Patient did not have one tetanus, diphtheria toxoids and acellular per
   G9418           No Change       Lungcx bx rpt docs class       Primary non-small cell lung cancer biopsy and cytology specimen report
   G9419           No Change       Med reas not incl histo type   Documentation of medical reason(s) for not including the histological
   G9420           No Change       Spec site no lung              Specimen site other than anatomic location of lung or is not classifie
   G9421           No Change       Lung cx bx rpt no doc class    Primary non-small cell lung cancer biopsy and cytology specimen report
   G9422           No Change       Rpt doc class histo type       Primary lung carcinoma resection report documents pt category, pn cate
   G9423           No Change       Med reas rpt no histo type     Documentation of medical reason for not including pt category, pn cate
   G9424           No Change       Site no lung or lung cx        Specimen site other than anatomic location of lung, or classified as n
   G9425           No Change       Spec rpt no doc class histo    Primary lung carcinoma resection report does not document pt category,
   G9426           No Change       Impr med time edarr pain med   Improvement in median time from ed arrival to initial ed oral or paren
   G9427           No Change       No impro med time pain med     Improvement in median time from ed arrival to initial ed oral or paren
   G9428           No Change       Patho rpt incl pt ctg          Pathology report includes the pt category and a statement on thickness
   G9429           No Change       Doc med rsn no pt cat          Documentation of medical reason(s) for not including pt category and a
   G9430           No Change       Spec site no cutaneous         Specimen site other than anatomic cutaneous location
   G9431           No Change       Patho rpt no pt ctg            Pathology report does not include the pt category and a statement on t
   G9432           No Change       Asth controlled                Asthma well-controlled based on the act, c-act, acq, or ataq score and
   G9433           No Change       Death, nhres, hospice          Death, permanent nursing home resident or receiving hospice or palliat
   G9434           No Change       Asth not controlled            Asthma not well-controlled based on the act, c-act, acq, or ataq score
   G9435           No Change       Asp presc disch                Aspirin prescribed at discharge
   G9436           No Change       Asp not presc doc reas         Aspirin not prescribed for documented reasons (e.g., allergy, medical
   G9437           No Change       Asp not presc disch            Aspirin not prescribed at discharge
   G9438           No Change       P2y inhib presc                P2y inhibitor prescribed at discharge
   G9439           No Change       P2y inhib not presc doc reas   P2y inhibitor not prescribed for documented reasons (e.g., allergy, me
   G9440           No Change       P2y inhib not presc            P2y inhibitor not prescribed at discharge
   G9441           No Change       Statin presc disch             Statin prescribed at discharge
   G9442           No Change       Statin not presc doc reas      Statin not prescribed for documented reasons (e.g., allergy, medical i
   G9443           No Change       Statin not presc disch         Statin not prescribed at discharge
   G9448           No Change       Born 1945-1965                 Patients who were born in the years 1945?1965
   G9449           No Change       Hx bld transf b/f 1992         History of receiving blood transfusions prior to 1992
   G9450           No Change       Hx injec drug use              History of injection drug use
   G9451           No Change       1x scrn hcv infect             Patient received one-time screening for hcv infection
   G9452           No Change       Doc med reas no scrn hcv       Documentation of medical reason(s) for not receiving one-time screenin
   G9453           No Change       Pt reas no hcv infect          Documentation of patient reason(s) for not receiving one-time screenin
   G9454           No Change       No scr hcv inf 12 mth rp       One-time screening for hcv infection not received within 12-month repo
   G9455           No Change       Abd imag w/us, ct or mri       Patient underwent abdominal imaging with ultrasound, contrast enhanced
   G9456           No Change       Doc med pt reas no hcc scrn    Documentation of medical or patient reason(s) for not ordering or perf
   G9457           No Change       Pt no abd img no doc rsn       Patient did not undergo abdominal imaging and did not have a documente
   G9458           No Change       Tob user recd cess interv      Patient documented as tobacco user and received tobacco cessation inte
   G9459           No Change       Tob non-user                   Currently a tobacco non-user
   G9460           No Change       No tob assess or cess inter    Tobacco assessment or tobacco cessation intervention not performed, re
   G9463           No Change       Sinusitis intent               I intend to report the sinusitis measures group
   G9464           No Change       Sinusitis comp                 All quality actions for the applicable measures in the sinusitis measu
   G9465           No Change       Aoe intent                     I intend to report the acute otitis externa (aoe) measures group
   G9466           No Change       Aoe comp                       All quality actions for the applicable measures in the aoe measures gr
   G9467           No Change       Recd cortico >=10mg/day >60d   Patient who have received or are receiving corticosteroids greater tha
   G9468           No Change       No recd cortico>=10mg/d >60d   Patient not receiving corticosteroids greater than or equal to 10 mg/d
   G9469    Long Description ChangeRec cortico>90d or 1rx 900mg   Patients who have received or are receiving corticosteroids greater th
   G9470           No Change       No rec cortico>60d 1rx 600mg   Patients not receiving corticosteroids greater than or equal to 10 mg/
   G9471           No Change       W/in 2yr dxa not order         Within the past 2 years, central dual-energy x-ray absorptiometry (dxa
   G9472         Discontinued      No dxa no med hx no rv sx      Within the past 2 years, central dual-energy x-ray absorptiometry (dxa
   G9473           No Change       Chap services at hospice       Services performed by chaplain in the hospice setting, each 15 minutes
   G9474           No Change       Diet counsel at hospice        Services performed by dietary counselor in the hospice setting, each 1
   G9475           No Change       Other counselor at hospice     Services performed by other counselor in the hospice setting, each 15
   G9476           No Change       Volun service at hospice       Services performed by volunteer in the hospice setting, each 15 minute
   G9477           No Change       Care coord at hospice          Services performed by care coordinator in the hospice setting, each 15
   G9478           No Change       Othe therapist at hospice      Services performed by other qualified therapist in the hospice setting
   G9479           No Change       Pharmacist at hospice          Services performed by qualified pharmacist in the hospice setting, eac
   G9480           No Change       Admission to mccm              Admission to medicare care choice model program (mccm)
   G9481           No Change       Remote e/m new pt 10mins       Remote in-home visit for the evaluation and management of a new patien
   G9482           No Change       Remote e/m new pt 20mins       Remote in-home visit for the evaluation and management of a new patien
   G9483           No Change       Remote e/m new pt 30mins       Remote in-home visit for the evaluation and management of a new patien
   G9484           No Change       Remote e/m new pt 45mins       Remote in-home visit for the evaluation and management of a new patien
   G9485           No Change       Remote e/m new pt 60mins       Remote in-home visit for the evaluation and management of a new patien
   G9486           No Change       Remote e/m est. pt 10mins      Remote in-home visit for the evaluation and management of an establish
   G9487           No Change       Remote e/m est. pt 15mins      Remote in-home visit for the evaluation and management of an establish
   G9488           No Change       Remote e/m est. pt 25mins      Remote in-home visit for the evaluation and management of an establish
   G9489           No Change       Remote e/m est. pt 40mins      Remote in-home visit for the evaluation and management of an establish
   G9490           No Change       Cmmi mod home visit            Cms innovation center models, home visit for patient assessment perfor
   G9496           No Change       Doc rsn no adeno/neopl detec   Documentation of reason for not detecting adenoma(s) or other neoplasm
   G9497           No Change       Rec inst no smoke day surg     Received instruction from the anesthesiologist or proxy prior to the d
   G9498           No Change       Abx reg prescribed             Antibiotic regimen prescribed
   G9499           No Change       No start/rec antvir tx hep c   Patient did not start or is not receiving antiviral treatment for hepa
   G9500           No Change       Rad expos ind/exp tm doc       Radiation exposure indices, or exposure time and number of fluorograph
   G9501           No Change       Rad expos ind/exp tm no doc    Radiation exposure indices, or exposure time and number of fluorograph
   G9502           No Change       Med reas no perf foot exam     Documentation of medical reason for not performing foot exam (i.e., pa
   G9503           No Change       Pt tk tams hcl                 Patient taking tamsulosin hydrochloride
   G9504           No Change       Doc rsn hep b stat not asses   Documented reason for not assessing hepatitis b virus (hbv) status (e.
   G9505           No Change       Abx pres w/in 10 dys of symp   Antibiotic regimen prescribed within 10 days after onset of symptoms f
   G9506           No Change       Bio imm resp mod presc         Biologic immune response modifier prescribed
   G9507           No Change       Doc reas on statin or contra   Documentation that the patient is on a statin medication or has docume
   G9508           No Change       Doc pt not on statin           Documentation that the patient is not on a statin medication
   G9509           No Change       Adit mdd dys rem 12 mnths      Adult patients 18 years of age or older with major depression or dysth
   G9510    Long Description ChangeRemis12m not phq-9 score <5    Adult patients 18 years of age or older with major depression or dysth
   G9511           No Change       Idx evt dte phq>9 doc 12 mo    Index event date phq-9 or phq-9m score greater than 9 documented durin
   G9512           No Change       Indiv pdc > 0.8                Individual had a pdc of 0.8 or greater
   G9513           No Change       Indiv pdc not > 0.8            Individual did not have a pdc of 0.8 or greater
   G9514           No Change       Req ret or w/in 90d of surg    Patient required a return to the operating room within 90 days of surg
   G9515           No Change       No reas, no ret or w/in 90d    Patient did not require a return to the operating room within 90 days
   G9516           No Change       Impr vis acuit w/in 90d        Patient achieved an improvement in visual acuity, from their preoperat
   G9517           No Change       No impr vis acuit w/in 90d     Patient did not achieve an improvement in visual acuity, from their pr
   G9518           No Change       Doc active inj drug use        Documentation of active injection drug use
   G9519    Long Description ChangeFinal ref +/- 1.0 w/in 90d     Patient achieves final refraction (spherical equivalent) +/- 1.0 diopt
   G9520    Long Description ChangeRefract not +/- 1.0 w/in 90d   Patient does not achieve final refraction (spherical equivalent) +/- 1
   G9521           No Change       Er and ip hosp <2 in 12 mos    Total number of emergency department visits and inpatient hospitalizat
   G9522           No Change       Er/ip hosp =/>2 in 12 mos      Total number of emergency department visits and inpatient hospitalizat
   G9523           No Change       D/c hemo or perit dialysis     Patient discontinued from hemodialysis or peritoneal dialysis
   G9524           No Change       Refer to hospice               Patient was referred to hospice care
   G9525           No Change       Doc pt reas no hospice refer   Documentation of patient reason(s) for not referring to hospice care (
   G9526           No Change       No reason, no refer hospice    Patient was not referred to hospice care, reason not given
   G9529           No Change       Minor blunt trauma w/head ct   Patient with minor blunt head trauma had an appropriate indication(s)
   G9530           No Change       Pt mbht hd ct ord ec prov      Patient presented with a minor blunt head trauma  and had a head ct or
   G9531    Long Description ChangePt doc                         Patient has documentation of ventricular shunt, brain tumor, multisyst
   G9532           No Change       Pt hd ct ord                   Patient had a head ct for trauma ordered by someone other than an emer
   G9533           No Change       Indic for head ct not valid    Patient with minor blunt head trauma did not have an appropriate indic
   G9534           No Change       Adv brain image not ordered    Advanced brain imaging (cta, ct, mra or mri) was not ordered
   G9535           No Change       Normal neuro exam              Patients with a normal neurological examination
   G9536           No Change       Doc med reas adv brain image   Documentation of medical reason(s) for ordering an advanced brain imag
   G9537           No Change       Doc sysm rsn img hd            Documentation of system reason(s) for obtaining imaging of the head (c
   G9538           No Change       Adv brain image ordered        Advanced brain imaging (cta, ct, mra or mri) was ordered
   G9539           No Change       Intent pot remv time placemt   Intent for potential removal at time of placement
   G9540           No Change       Pt alive 3 mos post proc       Patient alive 3 months post procedure
   G9541           No Change       Filter rem 3 mon plmt          Filter removed within 3 months of placement
   G9542           No Change       Doc reass appr remo filt 3ms   Documented re-assessment for the appropriateness of filter removal wit
   G9543           No Change       Doc 2x re-assess filt remov    Documentation of at least two attempts to reach the patient to arrange
   G9544           No Change       No filt remov w/in 3mos plcm   Patients that do not have the filter removed, documented re-assessment
   G9547    Long Description ChangeCys ren les or adren           Cystic renal lesion that is simple appearing (bosniak i or ii) , or ad
   G9548    Long Description ChangeNo f/u rec image study         Final reports for imaging studies stating no  follow-up imaging is rec
   G9549    Long Description ChangeDoc med rsn for f/u imag       Documentation of medical reason(s) that follow-up imaging is indicated
   G9550    Long Description ChangeImag rec                       Final reports for imaging studies with follow-up imaging recommended
   G9551    Long Description ChangeImag no les                    Final reports for imaging studies without an incidentally found lesion
   G9552           No Change       Inc thyr node <1.0 in rpt      Incidental thyroid nodule < 1.0 cm noted in report
   G9553           No Change       Prior thyroid dise dx          Prior thyroid disease diagnosis
   G9554           No Change       Ct/cta/mri/a chst foll rec     Final reports for ct, cta, mri or mra of the chest or neck or ultrasou
   G9555           No Change       Doc med rsn for follup image   Documentation of medical reason(s) for recommending follow up imaging
   G9556           No Change       Ct/cta/mri/a no follup imag    Final reports for ct, cta, mri or mra of the chest or neck or ultrasou
   G9557           No Change       Ct/cta/mri/a no thyr <1.0cm    Final reports for ct, cta, mri or mra studies of the chest or neck or
   G9558           No Change       Tx beta-lactam abx therapy     Patient treated with a beta-lactam antibiotic as definitive therapy
   G9559           No Change       Doc med reas no abx therapy    Documentation of medical reason(s) for not prescribing a beta-lactam a
   G9560           No Change       No beta-lactam abx ther, rng   Patient not treated with a beta-lactam antibiotic as definitive therap
   G9561           No Change       Presc opiates >6 wks           Patients prescribed opiates for longer than six weeks
   G9562           No Change       Foll-up eval q3mo opiod tx     Patients who had a follow-up evaluation conducted at least every three
   G9563           No Change       No f/u eval q3mo opiod tx      Patients who did not have a follow-up evaluation conducted at least ev
   G9572           No Change       Phq-scr >9 doc in 12m time     Index date phq-score greater than 9 documented during the twelve month
   G9573           No Change       Adl pt md or dys rem 6 mon     Adult patients 18 years of age or older with major depression or dysth
   G9574           No Change       Adl pt md dys no rem 6 mon     Adult patients 18 years of age or older with major depression or dysth
   G9577           No Change       Presc opiates >6 wks           Patients prescribed opiates for longer than six weeks
   G9578           No Change       Doc opioid tx 1x during ther   Documentation of signed opioid treatment agreement at least once durin
   G9579           No Change       No doc opioid tx 1x at ther    No documentation of signed an opioid treatment agreement at least once
   G9580           No Change       Door to punc time <2hrs        Door to puncture time of less than 2 hours
   G9581           No Change       Md doc, door to punc tm >2hr   Door to puncture time of greater than 2 hours for reasons documented b
   G9582           No Change       Door to punc time >2hr, nrg    Door to puncture time of greater than 2 hours, no reason given
   G9583           No Change       Presc opiates >6 wks           Patients prescribed opiates for longer than six weeks
   G9584           No Change       Eval opioid use instr/pt int   Patient evaluated for risk of misuse of opiates by using a brief valid
   G9585           No Change       No eval opi use instr/intv     Patient not evaluated for risk of misuse of opiates by using a brief v
   G9593           No Change       Low pecarn ped head trauma     Pediatric patient with minor blunt head trauma classified as low risk
   G9594           No Change       Pt mbht hd ct ord ec prov      Patient presented with a minor blunt head trauma and had a head ct ord
   G9595    Long Description ChangeDoc shnt/tum/coag              Patient has documentation of ventricular shunt, brain tumor, or coagul
   G9596           No Change       Ped pt hd ct ord               Pediatric patient had a head ct for trauma ordered by someone other th
   G9597           No Change       No low pecarn ped head traum   Pediatric patient with minor blunt head trauma not classified as low r
   G9598           No Change       Aor ane 5.5-5.9 cm max diam    Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted
   G9599           No Change       Aor ane >=6.0 cm max diam      Aortic aneurysm 6.0 cm or greater maximum diameter on centerline forma
   G9600           No Change       Symp aaa urgent repair         Symptomatic aaas that required urgent/emergent (non-elective) repair
   G9601           No Change       Pt dchg home post op day 7     Patient discharge to home no later than post-operative day #7
   G9602           No Change       Pt no dchg home postop day 7   Patient not discharged to home by post-operative day #7
   G9603           No Change       Pt surv improv bsline tx       Patient survey score improved from baseline following treatment
   G9604           No Change       Pt surv results not avail      Patient survey results not available
   G9605           No Change       Surv score no improv w/tx      Patient survey score did not improve from baseline following treatment
   G9606           No Change       Intraop cyst eval trac inj     Intraoperative cystoscopy performed to evaluate for lower tract injury
   G9607           No Change       Doc med rsn not perf cystosc   Documented medical reasons for not performing intraoperative cystoscop
   G9608           No Change       Intraop cyst eval not done     Intraoperative cystoscopy not performed to evaluate for lower tract in
   G9609           No Change       Doc order anti-plat            Documentation of an order for anti-platelet agents
   G9610           No Change       Doc md rsn no antipla          Documentation of medical reason(s) in the patient's record for not ord
   G9611           No Change       No doc order anti-plat rng     Order for anti-platelet agents was not documented in the patient's rec
   G9612           No Change       Phodoc 2 mr cec lndmk          Photodocumentation of two or more cecal landmarks to establish a compl
   G9613           No Change       Doc post surg anatomy          Documentation of post-surgical anatomy (e.g., right hemicolectomy, ile
   G9614           No Change       Photodoc < 2 cec lndmk         Photodocumentation of less than two cecal landmarks (i.e., no cecal la
   G9615           No Change       Pre-op asst doc                Preoperative assessment documented
   G9616           No Change       Doc rsn no preop assmt         Documentation of reason(s) for not documenting a preoperative assessme
   G9617           No Change       Pre-op asst not doc, rng       Preoperative assessment not documented, reason not given
   G9618           No Change       Doc scr uter mal or us/samp    Documentation of screening for uterine malignancy or those that had an
   G9619           No Change       Doc rsn no scr uter malig      Documentation of reason(s) for not screening for uterine malignancy (e
   G9620           No Change       No scr utr malig/us/samp rng   Patient not screened for uterine malignancy, or those that have not ha
   G9621           No Change       Scr unheal etoh w/counsel      Patient identified as an unhealthy alcohol user when screened for unhe
   G9622           No Change       No unheal etoh user            Patient not identified as an unhealthy alcohol user when screened for
   G9623           No Change       Doc med rsn no scr etoh use    Documentation of medical reason(s) for not screening for unhealthy alc
   G9624           No Change       Pt not scrn or no counseling   Patient not screened for unhealthy alcohol use using a systematic scre
   G9625           No Change       Pt bl srg 30 day pst srg       Patient sustained bladder injury at the time of surgery or discovered
   G9626           No Change       Med rsn no rpt baldder inj     Documented medical reason for not reporting bladder injury (e.g., gyne
   G9627           No Change       Pt no bl srg 30 day pst srg    Patient did not sustain bladder injury at the time of surgery nor disc
   G9628           No Change       Pt bwli srg 30 day pst srg     Patient sustained bowel injury at the time of surgery or discovered su
   G9629           No Change       Med rsn no rpt bowel inj       Documented medical reasons for not reporting bowel injury (e.g., gynec
   G9630           No Change       Pt no bwli srg 30 day srg      Patient did not sustain a bowel injury at the time of surgery nor disc
   G9631           No Change       Pt ui srg 30 day pst srg       Patient sustained ureter injury at the time of surgery or discovered s
   G9632           No Change       Med rsn for no rpt uret inj    Documented medical reasons for not reporting ureter injury (e.g., gyne
   G9633           No Change       Pt no ui srg 30 day pst srg    Patient did not sustain ureter injury at the time of surgery nor disco
   G9634           No Change       Qual life tool 2x same/impr    Health-related quality of life assessed with tool during at least two
   G9635           No Change       No doc rsn do qual life assm   Health-related quality of life not assessed with tool for documented r
   G9636           No Change       No life asst 2x same/decr      Health-related quality of life not assessed with tool during at least
   G9637           No Change       Doc >1 dose reduc tech         Final reports with documentation of one or more dose reduction techniq
   G9638           No Change       No doc >1 dose reduc tech      Final reports without documentation of one or more dose reduction tech
   G9639           No Change       Amp no reqd in48h ieler proc   Major amputation or open surgical bypass not required within 48 hours
   G9640           No Change       Doc plan hybrid/stage proc     Documentation of planned hybrid or staged procedure
   G9641           No Change       Amp reqd w/in 48h ieler proc   Major amputation or open surgical bypass required within 48 hours of t
   G9642           No Change       Current smoker                 Current smokers (e.g., cigarette, cigar, pipe, e-cigarette or marijuan
   G9643           No Change       Elective surgery               Elective surgery
   G9644           No Change       No smok b/4 anes day of surg   Patients who abstained from smoking prior to anesthesia on the day of
   G9645           No Change       Had smoke b/4 anes day surg    Patients who did not abstain from smoking prior to anesthesia on the d
   G9646           No Change       Pt w/90d mrs 0-2               Patients with 90 day mrs score of 0 to 2
   G9647           No Change       No mrs score in 90d followup   Patients in whom mrs score could not be obtained at 90 day follow-up
   G9648           No Change       Pt w/90d mrs >2                Patients with 90 day mrs score greater than 2
   G9649           No Change       Psor as doc spc bm             Psoriasis assessment tool documented meeting any one of the specified
   G9650           No Change       Doc pt no ther chg or contra   Documentation that the patient declined therapy change or has document
   G9651           No Change       Psor as doc no spc bm          Psoriasis assessment tool documented not meeting any one of the specif
   G9652           No Change       Pt tx sys bio med psori 6mth   Patient has been treated with a systemic or biologic medication for ps
   G9653           No Change       Pt no tx sys bio rx 6 mths     Patient has not been treated with a systemic or biologic medication fo
   G9654           No Change       Mon anesth care                Monitored anesthesia care (mac)
   G9655           No Change       Toc tool incl key elem         A transfer of care protocol or handoff tool/checklist that includes th
   G9656           No Change       Pt trans from anest to pacu    Patient transferred directly from anesthetizing location to pacu or ot
   G9657           No Change       Toc dur aneth to icu           Transfer of care during an anesthetic or to the intensive care unit
   G9658           No Change       Toc tool incl elem not used    A transfer of care protocol or handoff tool/checklist that includes th
   G9659           No Change       >85y no hx colo ca/rsn scope   Patients greater than 85 years of age who did not have a history of co
   G9660           No Change       Doc med rsn scope pt >85y      Documentation of medical reason(s) for a colonoscopy performed on a pa
   G9661           No Change       >85y scope othr rsn            Patients greater than 85 years of age who received a routine colonosco
   G9662           No Change       Prior dx/active clin ascvd     Previously diagnosed or have an active diagnosis of clinical ascvd
   G9663    Long Description ChangeFast/dir ldl <= 190 mg/dl      Any fasting or direct ldl-c laboratory test result <= 190 mg/dl
   G9664           No Change       Taking statin or rec'd order   Patients who are currently statin therapy users or received an order (
   G9665           No Change       No statin/no order statin      Patients who are not currently statin therapy users or did not receive
   G9666           No Change       Fas/dir ldl 70-189mg/dl mst    The highest fasting or direct ldl-c laboratory test result of 70-189 m
   G9667           No Change       Doc med rsn no stat tx/presc   Documentation of medical reason(s) for not currently being a statin
   G9669           No Change       Intend rpt mult chr msr grp    I intend to report the multiple chronic conditions measures group
   G9670           No Change       Qty act mcc mg perf            All quality actions for the applicable measures in the multiple chroni
   G9671           No Change       Intend rpt dia retin msr grp   I intend to report the diabetic retinopathy measures group
   G9672           No Change       Qty act diab retin mg perf     All quality actions for the applicable measures in the diabetic retino
   G9673           No Change       Intend rpt card prev msr grp   I intend to report the cardiovascular prevention measures group
   G9674           No Change       Pt w/clin ascvd dx             Patients with clinical ascvd diagnosis
   G9675           No Change       Pt w/fast/dir lab ldl-c >190   Patients who have ever had a fasting or direct laboratory result of ld
   G9676           No Change       40-75y w/type 1/2 w/ldl-c rs   Patients aged 40 to 75 years at the beginning of the measurement perio
   G9677           No Change       Qty act card prev mg perf      All quality actions for the applicable measures in the cardiovascular
   G9678           No Change       Oncology care model service    Oncology care model (ocm) monthly enhanced oncology services (meos) pa
   G9679           No Change       Acute care pneumonia           This code is for onsite acute care treatment of a nursing facility res
   G9680           No Change       Acute care congestive heart    This code is for onsite acute care treatment of a nursing facility res
   G9681           No Change       Acute care chronic obstruct    This code is for onsite acute care treatment of a resident with copd o
   G9682           No Change       Acute care skin infection      This code is for the onsite acute care treatment a nursing facility re
   G9683           No Change       Acute fluid/electro disorder   Facility service(s) for the onsite acute care treatment of a nursing f
   G9684           No Change       Acute care urinary tract inf   This code is for the onsite acute care treatment of a nursing facility
   G9685           No Change       Acute nursing facility care    Physician service or other qualified health care professional for the
   G9686           No Change       Nursing facility conference    Onsite nursing facility conference, that is separate and distinct from
   G9687           No Change       Hospice anytime msmt per       Hospice services provided to patient any time during the measurement p
   G9688           No Change       Pt w/hosp anytime msmt per     Patients using hospice services any time during the measurement period
   G9689           No Change       Inpt elect carotid intervent   Patient admitted for performance of elective carotid intervention
   G9690           No Change       Pt in hos                      Patient receiving hospice services any time during the measurement per
   G9691           No Change       Pt hosp dur msmt period        Patient had hospice services any time during the measurement period
   G9692           No Change       Hosp recd by pt dur msmt per   Hospice services received by patient any time during the measurement p
   G9693           No Change       Pt use hosp during msmt per    Patient use of hospice services any time during the measurement period
   G9694           No Change       Hosp srv used pt in msmt per   Hospice services utilized by patient any time during the measurement p
   G9695           No Change       Long act inhal bronchdil pre   Long-acting inhaled bronchodilator prescribed
   G9696           No Change       Med rsn no presc bronchdil     Documentation of medical reason(s) for not prescribing a long-acting i
   G9697           No Change       Pt rsn no presc bronchdil      Documentation of patient reason(s) for not prescribing a long-acting i
   G9698           No Change       Sys rsn no presc bronchdil     Documentation of system reason(s) for not prescribing a long-acting in
   G9699           No Change       Long inhal bronchdil no pres   Long-acting inhaled bronchodilator not prescribed, reason not otherwis
   G9700           No Change       Pt is w/hosp during msmt per   Patients who use hospice services any time during the measurement peri
   G9701           No Change       Child anbx 30 prior dx estab   Children who are taking antibiotics in the 30 days prior to the date o
   G9702           No Change       Pt use hosp during msmt per    Patients who use hospice services any time during the measurement peri
   G9703           No Change       Child anbx 30 prior dx phary   Children who are taking antibiotics in the 30 days prior to the  diagn
   G9704           No Change       Ajcc br ca stg i: t1 mic/t1a   Ajcc breast cancer stage i: t1 mic or t1a documented
   G9705           No Change       Ajcc br ca stg ib              Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greates
   G9706           No Change       Low recur prost ca             Low (or very low) risk of recurrence, prostate cancer
   G9707           No Change       Pt had hosp dur msmt per       Patient received hospice services any time during the measurement peri
   G9708           No Change       Bilat mast/hx bi /unilat mas   Women who had a bilateral mastectomy or who have a history of a bilate
   G9709           No Change       Hosp srv used pt in msmt per   Hospice services used by patient any time during the measurement perio
   G9710           No Change       Pt prov hosp srv msmt per      Patient was provided hospice services any time during the measurement
   G9711           No Change       Pt hx tot col or colon ca      Patients with a diagnosis or past history of total colectomy or colore
   G9712           No Change       Doc med rsn presc anbx         Documentation of medical reason(s) for prescribing or dispensing antib
   G9713           No Change       Pt use hosp during msmt per    Patients who use hospice services any time during the measurement peri
   G9714           No Change       Pt is w/hosp during msmt per   Patient is using hospice services any time during the measurement peri
   G9715           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9716           No Change       Bmi doc onl fup not cmpltd     Bmi is documented as being outside of normal limits, follow-up plan is
   G9717           No Change       Doc pt dx dep/bp f/u nt req    Documentation stating the patient has an active diagnosis of depressio
   G9718           No Change       Hospice anytime msmt per       Hospice services for patient provided any time during the measurement
   G9719           No Change       Pt not ambul/immob/wc          Patient is not ambulatory, bed ridden, immobile, confined to chair, wh
   G9720           No Change       Hospice anytime msmt per       Hospice services for patient occurred any time during the measurement
   G9721           No Change       Pt not ambul/immob/wc          Patient not ambulatory, bed ridden, immobile, confined to chair, wheel
   G9722           No Change       Doc hx renal fail or cr+ >4    Documented history of renal failure or baseline serum creatinine = 4.0
   G9723           No Change       Hosp recd by pt dur msmt per   Hospice services for patient received any time during the measurement
   G9724           No Change       Pt w/doc use anticoag mst yr   Patients who had documentation of use of anticoagulant medications ove
   G9725           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9726           No Change       Refused to participate         Patient refused to participate
   G9727    Long Description ChangePt unable cmplt knee fs prom   Patient unable to complete the knee fs prom at initial evaluation and/
   G9728           No Change       Refused to participate         Patient refused to participate
   G9729    Long Description ChangePt unbl cmplt hip fs prom      Patient unable to complete the hip fs prom at initial evaluation and d
   G9730           No Change       Refused to participate         Patient refused to participate
   G9731    Long Description ChangePt unbl cmplt ft/ank fs prom   Patient unable to complete the ankle/foot fs prom at initial evaluatio
   G9732           No Change       Refused to participate         Patient refused to participate
   G9733    Long Description ChangePt unbl cmplt lb fs prom       Patient unable to complete the low back fs prom at initial evaluation
   G9734           No Change       Refused to participate         Patient refused to participate
   G9735    Long Description ChangePt unbl cmplt shld fs prom     Patient unable to complete the shoulder fs prom at initial evaluation
   G9736           No Change       Refused to participate         Patient refused to participate
   G9737    Long Description ChangePt unbl cmplt ewh fs prom      Patient unable to complete the elbow/wrist/hand fs prom at initial eva
   G9738           No Change       Refused to participate         Patient refused to participate
   G9739    Long Description ChangePt unbl cmplt go fs prom       Patient unable to complete the general orthopedic fs prom at initial e
   G9740           No Change       Hosp srv to pt dur msmt per    Hospice services given to patient any time during the measurement peri
   G9741           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9742         Discontinued      Psych sympt assessed           Psychiatric symptoms assessed
   G9743         Discontinued      Psych symp not assessed, rns   Psychiatric symptoms not assessed, reason not otherwise specified
   G9744           No Change       Pt not eli d/t act dig htn     Patient not eligible due to active diagnosis of hypertension
   G9745           No Change       Doc rsn no hbp scrn or f/u     Documented reason for not screening or recommending a follow-up for hi
   G9746           No Change       Mit sten, valve or trans af    Patient has mitral stenosis or prosthetic heart valves or patient has
   G9747           No Change       Pall dialysis with catheter    Patient is undergoing palliative dialysis with a catheter
   G9748           No Change       App transpl lvg kidney donor   Patient approved by a qualified transplant program and scheduled to re
   G9749           No Change       Pall dialysis with catheter    Patient is undergoing palliative dialysis with a catheter
   G9750           No Change       App transpl lvg kidney donor   Patient approved by a qualified transplant program and scheduled to re
   G9751           No Change       Pt died w/in 24 mos rpt time   Patient died at any time during the 24-month measurement period
   G9752           No Change       Urgent surgery                 Emergency surgery
   G9753           No Change       Doc no dicom, ct other fac     Documentation of medical reason for not conducting a search for dicom
   G9754           No Change       Incid pulm nodule              A finding of an incidental pulmonary nodule
   G9755           No Change       Doc med rsn no fllw up         Documentation of medical reason(s) for not including a recommended int
   G9756           No Change       Surg proc w/silicone oil       Surgical procedures that included the use of silicone oil
   G9757           No Change       Surg proc w/silicone oil       Surgical procedures that included the use of silicone oil
   G9758           No Change       Pt in hos                      Patient in hospice at any time during the measurement period
   G9759           No Change       Hx preop post cap rup          History of preoperative posterior capsule rupture
   G9760           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9761           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9762           No Change       Pt had >= 2-3 hpv vaccines     Patient had at least two hpv vaccines (with at least 146 days between
   G9763           No Change       Pt not have 2-3 hpv vaccines   Patient did not have at least two hpv vaccines (with at least 146 days
   G9764           No Change       Pt treatd w/oral syst or bio   Patient has been treated with a systemic medication for psoriasis vulg
   G9765           No Change       Doc pat declined therapy       Documentation that the patient declined change in medication or altern
   G9766           No Change       Cva stroke dx tx transf fac    Patients who are transferred from one institution to another with a kn
   G9767           No Change       Hosp new dx cva consid evst    Hospitalized patients with newly diagnosed cva considered for endovasc
   G9768           No Change       Pt w/hosp anytime msmt per     Patients who utilize hospice services any time during the measurement
   G9769           No Change       Bn den 2yr/got ost med/ther    Patient had a bone mineral density test in the past two years or recei
   G9770           No Change       Perip nerve block              Peripheral nerve block (pnb)
   G9771           No Change       Anes end, 1 temp >35.5(95.9)   At least 1 body temperature measurement equal to or greater than 35.5
   G9772    Long Description ChangeDoc med rsn no temp >= 35.5    Documentation of medical reason(s) for not achieving at least 1 body t
   G9773           No Change       1 bod temp >=35.5              At least 1 body temperature measurement equal to or greater than 35.5
   G9774           No Change       Pt had hyst                    Patients who have had a hysterectomy
   G9775           No Change       Recd 2 anti-emet pre/intraop   Patient received at least 2 prophylactic pharmacologic anti-emetic age
   G9776           No Change       Doc med rsn no proph antiem    Documentation of medical reason for not receiving at least 2 prophylac
   G9777           No Change       Pt no antiemet pre/intraop     Patient did not receive at least 2 prophylactic pharmacologic anti-eme
   G9778           No Change       Pts dx w/pregn                 Patients who have a diagnosis of pregnancy
   G9779           No Change       Pts breastfeeding              Patients who are breastfeeding
   G9780           No Change       Pts dx w/rhabdomyolysis        Patients who have a diagnosis of rhabdomyolysis
   G9781    Long Description ChangeDoc rsn no statin              Documentation of medical reason(s) for not currently being a statin th
   G9782           No Change       Hx dx fam/pure hypercholes     History of or active diagnosis of familial or pure hypercholesterolemi
   G9783           No Change       Doc dx dm, fast <70, no stat   Documentation of patients with diabetes who have a most recent fasting
   G9784           No Change       Path/derm prov 2nd biop opin   Pathologists/dermatopathologists providing a second opinion on a biops
   G9785    Long Description ChangePath report sent               Pathology report diagnosing cutaneous basal cell carcinoma, squamous c
   G9786    Long Description ChangePath report not sent           Pathology report diagnosing cutaneous basal cell carcinoma, squamous c
   G9787           No Change       Pt alive                       Patient alive as of the last day of the measurement year
   G9788           No Change       Most rct bp </= 140/90         Most recent bp is less than or equal to 140/90 mm hg
   G9789           No Change       Record bp ip, er, urg/self     Blood pressure recorded during inpatient stays, emergency room visits,
   G9790           No Change       Most rct bp >/= 140/90         Most recent bp is greater than 140/90 mm hg, or blood pressure not doc
   G9791           No Change       Most rct tob stat free         Most recent tobacco status is tobacco free
   G9792           No Change       Most rct tob stat not free     Most recent tobacco status is not tobacco free
   G9793           No Change       Pt on daily asa/antiplat       Patient is currently on a daily aspirin or other antiplatelet
   G9794           No Change       Doc med rsn no daily aspirin   Documentation of medical reason(s) for not on a daily aspirin or other
   G9795           No Change       Pt no daily asa/antiplat       Patient is not currently on a daily aspirin or other antiplatelet
   G9796           No Change       Pt not currently on statin     Patient is currently on a statin therapy
   G9797           No Change       Pt currently on statin         Patient is not on a statin therapy
   G9798    Long Description ChangeD/c ami btw 7/1-6/30 meas pd   Discharge(s) for ami between july 1 of the year prior measurement peri
   G9799           No Change       Med disp evt indic hx asth     Patients with a medication dispensing event indicator of a history of
   G9800           No Change       Pt id intol/alleg beta-block   Patients who are identified as having an intolerance or allergy to bet
   G9801           No Change       Nonacut transf from inpt       Hospitalizations in which the patient was transferred directly to a no
   G9802           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9803           No Change       Pt presc 135 day trmt          Patient prescribed at least a 135 day treatment within the 180-day mea
   G9804           No Change       Pt not presc 135 day trmt      Patient was not prescribed at least a 135 day treatment within the 180
   G9805           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9806           No Change       Pt recd cerv cyto/hpv          Patients who received cervical cytology or an hpv test
   G9807           No Change       Pt no recd cerv cyto/hpv       Patients who did not receive cervical cytology or an hpv test
   G9808           No Change       Pt no asthm cont med mst per   Any patients who had no asthma controller medications dispensed during
   G9809           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9810           No Change       Pdc 75% w/asth cont med        Patient achieved a pdc of at least 75% for their asthma controller med
   G9811           No Change       No pdc 75% w/asth cont med     Patient did not achieve a pdc of at least 75% for their asthma control
   G9812           No Change       Pt died during inpt/30d aft    Patient died including all deaths occurring during the hospitalization
   G9813           No Change       Pt not died w/in 30d of proc   Patient did not die within 30 days of the procedure or during the inde
   G9814           No Change       Death during index hosp        Death occurring during the index acute care hospitalization
   G9815           No Change       Death not during index hosp    Death did not occur during the index acute care hospitalization
   G9816           No Change       Death <30 day post discharge   Death occurring after discharge from the hospital but within 30 days p
   G9817           No Change       No death 30-days post-disch    Death did not occur after discharge from the hospital within 30 days p
   G9818           No Change       Doc sex activity               Documentation of sexual activity
   G9819           No Change       Pt w/hosp anytime msmt per     Patients who use hospice services any time during the measurement peri
   G9820           No Change       Doc chlam scr test w/follow    Documentation of a chlamydia screening test with proper follow-up
   G9821           No Change       No doc chlam scr ts w/follow   No documentation of a chlamydia screening test with proper follow-up
   G9822           No Change       Endo abl proc yr prev ind dt   Women who had an endometrial ablation procedure during the year prior
   G9823           No Change       Endo smpl/hyst bx res doc      Endometrial sampling or hysteroscopy with biopsy and results documente
   G9824           No Change       Endo smpl/hyst bx res no doc   Endometrial sampling or hysteroscopy with biopsy and results not docum
   G9825           No Change       Her-2 neg,undoc/unkn           Her-2/neu negative or undocumented/unknown
   G9826           No Change       Transf pract aft init chemo    Patient transferred to practice after initiation of chemotherapy
   G9827           No Change       Her-2 targ ther no init tx     Her2-targeted therapies not administered during the initial course of
   G9828           No Change       Her-2 targ ther dur init tx    Her2-targeted therapies administered during the initial course of trea
   G9829           No Change       Breast adj chemo admin         Breast adjuvant chemotherapy administered
   G9830           No Change       Her-2 pos                      Her-2/neu positive
   G9831           No Change       Ajcc stg brt ca dx ii or iii   Ajcc stage at breast cancer diagnosis = ii or iii
   G9832           No Change       Brt ca dx i, no t1/t1a/t1b     Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at br
   G9833           No Change       Transf pract aft init chemo    Patient transfer to practice after initiation of chemotherapy
   G9834           No Change       Pt met dis at dx               Patient has metastatic disease at diagnosis
   G9835           No Change       Trastuz given w/in 12 mos dx   Trastuzumab administered within 12 months of diagnosis
   G9836           No Change       Rsn no trast given doc         Reason for not administering trastuzumab documented (e.g. patient decl
   G9837           No Change       Trastuz not in 12 mos dx       Trastuzumab not administered within 12 months of diagnosis
   G9838           No Change       Pt met dis at dx               Patient has metastatic disease at diagnosis
   G9839           No Change       Anti-egfr mon anti ther        Anti-egfr monoclonal antibody therapy
   G9840           No Change       Gene testing performed         Ras (kras and nras) gene mutation testing performed before initiation
   G9841           No Change       Gene testing not performed     Ras (kras and nras) gene mutation testing not performed before initiat
   G9842           No Change       Pt met dis at dx               Patient has metastatic disease at diagnosis
   G9843           No Change       Kras or nras gene mutation     Ras (kras or nras) gene mutation
   G9844           No Change       Pt no recd anti-egfr ther      Patient did not receive anti-egfr monoclonal antibody therapy
   G9845           No Change       Pt recd anti-egfr ther         Patient received anti-egfr monoclonal antibody therapy
   G9846           No Change       Pt died from cancer            Patients who died from cancer
   G9847           No Change       Pt recd chemo last 14d life    Patient received chemotherapy in the last 14 days of life
   G9848           No Change       Pt no chemo last 14d life      Patient did not receive chemotherapy in the last 14 days of life
   G9849           No Change       Pt died from cancer            Patients who died from cancer
   G9850           No Change       1/more ed last 30d life        Patient had more than one emergency department visit in the last 30 da
   G9851           No Change       1/no ed visit last 30d life    Patient had one or less emergency department visits in the last 30 day
   G9852           No Change       Pt died from cancer            Patients who died from cancer
   G9853           No Change       Icu stay last 30d life         Patient admitted to the icu in the last 30 days of life
   G9854           No Change       No icu stay last 30d life      Patient was not admitted to the icu in the last 30 days of life
   G9855           No Change       Pt died from cancer            Patients who died from cancer
   G9856           No Change       Pt no hospice                  Patient was not admitted to hospice
   G9857           No Change       Pt admit hospice               Patient admitted to hospice
   G9858           No Change       Pt enroll hospice              Patient enrolled in hospice
   G9859           No Change       Pt died from cancer            Patients who died from cancer
   G9860           No Change       Pt less 3d hospice             Patient spent less than three days in hospice care
   G9861           No Change       Pt more than 3d hospice        Patient spent greater than or equal to three days in hospice care
   G9862           No Change       Doc rsn no 10 yr follow        Documentation of medical reason(s) for not recommending at least a 10
   G9868           No Change       Next gen aco model <10min      Receipt and analysis of remote, asynchronous images for dermatologic a
   G9869           No Change       Next gen aco model 10-20min    Receipt and analysis of remote, asynchronous images for dermatologic a
   G9870           No Change       Next gen aco model >20min      Receipt and analysis of remote, asynchronous images for dermatologic a
   G9873           No Change       1 em core session              First medicare diabetes prevention program (mdpp) core session was att
   G9874           No Change       4 em core sessions             Four total medicare diabetes prevention program (mdpp) core sessions w
   G9875           No Change       9 em core sessions             Nine total medicare diabetes prevention program (mdpp) core sessions w
   G9876           No Change       2 em core ms mo 7-9 no wl      Two medicare diabetes prevention program (mdpp) core maintenance sessi
   G9877           No Change       2 em core ms mo 10-12 no wl    Two medicare diabetes prevention program (mdpp) core maintenance sessi
   G9878           No Change       2 em core ms mo 7-9 wl         Two medicare diabetes prevention program (mdpp) core maintenance sessi
   G9879           No Change       2 em core ms mo 10-12 wl       Two medicare diabetes prevention program (mdpp) core maintenance sessi
   G9880           No Change       Em 5 percent wl                The mdpp beneficiary achieved at least 5% weight loss (wl) from his/he
   G9881           No Change       Em 9 percent wl                The mdpp beneficiary achieved at least 9% weight loss (wl) from his/he
   G9882           No Change       2 em ongoing ms mo 13-15 wl    Two medicare diabetes prevention program (mdpp) ongoing maintenance se
   G9883           No Change       2 em ongoing ms mo 16-18 wl    Two medicare diabetes prevention program (mdpp) ongoing maintenance se
   G9884           No Change       2 em ongoing ms mo 19-21 wl    Two medicare diabetes prevention program (mdpp) ongoing maintenance se
   G9885           No Change       2 em ongoing ms mo 22-24 wl    Two medicare diabetes prevention program (mdpp) ongoing maintenance se
   G9890           No Change       Em bridge payment              Bridge payment: a one-time payment for the first medicare diabetes pre
   G9891           No Change       Em session reporting           Mdpp session reported as a line-item on a claim for a payable mdpp exp
   G9892           No Change       Doc pt rsn no dil mac exam     Documentation of patient reason(s) for not performing a dilated macula
   G9893           No Change       No mac exam                    Dilated macular exam was not performed, reason not otherwise specified
   G9894           No Change       Adr dep thrpy prescribed       Androgen deprivation therapy prescribed/administered in combination wi
   G9895           No Change       Doc med rsn no adr dep thrpy   Documentation of medical reason(s) for not prescribing/administering a
   G9896           No Change       Doc pt rsn no adr dep thrpy    Documentation of patient reason(s) for not prescribing/administering a
   G9897           No Change       Pt nt prsc adr dep thrpy rng   Patients who were not prescribed/administered androgen deprivation the
   G9898    Long Description ChangePt 66+ snp or ltc pos          Patient age 65 or older in institutional special needs plans (snp) or
   G9899           No Change       Scrn mam perf rslts doc        Screening, diagnostic, film, digital or digital breast tomosynthesis (
   G9900           No Change       Scrn mam perf rslts not doc    Screening, diagnostic, film, digital or digital breast tomosynthesis (
   G9901    Long Description ChangePt 66+ snp or ltc pos          Patient age 65 or older in institutional special needs plans (snp) or
   G9902           No Change       Pt scrn tbco and id as user    Patient screened for tobacco use and identified as a tobacco user
   G9903           No Change       Pt scrn tbco id as non user    Patient screened for tobacco use and identified as a tobacco non-user
   G9904           No Change       Doc med rsn no tbco scrn       Documentation of medical reason(s) for not screening for tobacco use (
   G9905           No Change       No pt tbco scrn rng            Patient not screened for tobacco use, reason not given
   G9906           No Change       Pt recv tbco cess interv       Patient identified as a tobacco user received tobacco cessation interv
   G9907           No Change       Doc med rsn no tbco interv     Documentation of medical reason(s) for not providing tobacco cessation
   G9908           No Change       No pt tbco cess interv rng     Patient identified as tobacco user did not receive tobacco cessation i
   G9909           No Change       Doc med rsn no tbco interv     Documentation of medical reason(s) for not  providing tobacco cessatio
   G9910    Long Description ChangePt 66+ snp or ltc pos          Patients age 66 or older in institutional special needs plans (snp) or
   G9911           No Change       Node neg pre/post syst ther    Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer bef
   G9912           No Change       Hbv status assesed and int     Hepatitis b virus (hbv) status assessed and results interpreted prior
   G9913           No Change       No hbv status assesd and int   Hepatitis b virus (hbv) status not assessed and results interpreted pr
   G9914           No Change       Pt receiving anti-tnf agent    Patient receiving an anti-tnf agent
   G9915           No Change       No documntd hbv results rcd    No record of hbv results documented
   G9916           No Change       Funct status past 12 months    Functional status  performed once in the last 12 months
   G9917    Long Description ChangeAdv dem crgvr limited          Documentation of advanced stage dementia and caregiver knowledge is li
   G9918           No Change       No funct stat perf, rsn nos    Functional status not performed, reason not otherwise specified
   G9919           No Change       Scrn nd pos nd prov of rec     Screening performed and positive and provision of recommendations
   G9920           No Change       Scrning perf and negative      Screening performed and negative
   G9921           No Change       No or part scrn nd rng or os   No screening performed, partial screening performed or positive screen
   G9922           No Change       Sfty cncrns scrn nd mit recs   Safety concerns screen provided and if positive then documented mitiga
   G9923           No Change       Safty cncrns scrn and neg      Safety concerns screen provided and negative
   G9924           No Change       Doc med rsn no scrn or recs    Documentation of medical reason(s) for not providing safety concerns s
   G9925           No Change       No scrn prov rsn nos           Safety concerns screening not provided, reason not otherwise specified
   G9926           No Change       Sfty cncrns scrn but no recs   Safety concerns screening positive screen is without provision of miti
   G9927           No Change       Doc no warf /fda  pt trial     Documentation of system reason(s) for not prescribing warfarin or anot
   G9928           No Change       No warf or fda drug presc      Warfarin or another fda-approved anticoagulant not prescribed, reason
   G9929           No Change       Trs/rev af                     Patient with transient or reversible cause of af (e.g., pneumonia, hyp
   G9930           No Change       Com care                       Patients who are receiving comfort care only
   G9931           No Change       No chad or chad scr 0 or 1     Documentation of cha2ds2-vasc risk score of 0 or 1
   G9932           No Change       Doc pt rsn no tb scrn recrds   Documentation of patient reason(s) for not having records of negative
   G9933           No Change       Canc detectd during col scrn   Adenoma(s) or colorectal cancer detected during screening colonoscopy
   G9934           No Change       Doc rsn not detecting cancer   Documentation that neoplasm detected is only diagnosed as traditional
   G9935           No Change       Canc not detectd during srcn   Adenoma(s) or colorectal cancer not detected during screening colonosc
   G9936           No Change       Pmh plyp/neo co/rect/jun/ans   Surveillance colonoscopy - personal history of colonic polyps, colon c
   G9937           No Change       Dig or surv colsco             Diagnostic colonoscopy
   G9938    Long Description ChangePt 66+ snp or ltc pos          Patients age 66 or older in institutional special needs plans (snp) or
   G9939           No Change       Same path/derm perf biopsy     Pathologists/dermatopathologists is the same clinician who performed t
   G9940           No Change       Doc reas no statin therapy     Documentation of medical reason(s) for not on a statin (e.g., pregnanc
   G9941         Discontinued      Pre and post vas wthn 3 mos    Back pain was measured by the visual analog scale (vas) within three m
   G9942    Long Description ChangeAdtl spine proc on same date   Patient had any additional spine procedures performed on the same date
   G9943           No Change       Bk pn nt msr vas scl pre/pst   Back pain was not measured by the visual analog scale (vas) within thr
   G9944         Discontinued      Vas 3 mon pre and 1 yr post    Back pain was measured by the visual analog scale (vas) within three m
   G9945           No Change       Pt w/cancer  scoliosis         Patient had cancer, fracture or infection related to the lumbar spine
   G9946    Short Description ChangBk pain no vas                 Back pain was not measured by the visual analog scale (vas) within thr
   G9947         Discontinued      Pre and post vas wthn 3 mos    Leg pain was measured by the visual analog scale (vas) within three mo
   G9948    Long Description ChangeAdtl spine proc on same date   Patient had any additional spine procedures performed on the same date
   G9949    Long Description ChangeLeg pain no vas                Leg pain was not measured by the visual analog scale (vas) at three mo
   G9954           No Change       Pt >2 rsk fac post-op vomit    Patient exhibits 2 or more risk factors for post-operative vomiting
   G9955           No Change       Inhlnt anesth only for induc   Cases in which an inhalational anesthetic is used only for induction
   G9956           No Change       Combo thrpy of >= 2 prophly    Patient received combination therapy consisting of at least two prophy
   G9957           No Change       Doc med rsn no combo thrpy     Documentation of medical reason for not receiving combination therapy
   G9958           No Change       No combo prohpyl thrp for pt   Patient did not receive combination therapy consisting of at least two
   G9959           No Change       Systemic antimicro not presc   Systemic antimicrobials not prescribed
   G9960           No Change       Med rsn sys antimi nt rx       Documentation of medical reason(s) for prescribing systemic antimicrob
   G9961           No Change       Systemic antimicro presc       Systemic antimicrobials prescribed
   G9962           No Change       Embolization doc separatly     Embolization endpoints are documented separately for each embolized ve
   G9963           No Change       Embolization not doc separat   Embolization endpoints are not documented separately for each embolize
   G9964           No Change       Pt recv >=1 well-chld visit    Patient received at least one well-child visit with a pcp during the p
   G9965           No Change       No well-chld vist recv by pt   Patient did not receive at least one well-child visit with a pcp durin
   G9966           No Change       Scrn, inter, report child      Children who were screened for risk of developmental, behavioral and s
   G9967           No Change       No scrn, inter, reprt child    Children who were not screened for risk of developmental, behavioral a
   G9968           No Change       Pt refrd 2 pvdr/spclst in pp   Patient was referred to another provider or specialist during the perf
   G9969           No Change       Pvdr rfrd pt rprt rcvd         Provider who referred the patient to another provider received a repor
   G9970           No Change       Pvdr rfrd pt no rprt rcvd      Provider who referred the patient to another provider did not receive
   G9974           No Change       Mac exam perf                  Dilated macular exam performed, including documentation of the presenc
   G9975           No Change       Doc med rsn no dil mac exam    Documentation of medical reason(s) for not performing a dilated macula
   G9978           No Change       Remote e/m new pt 10mins       Remote in-home visit for the evaluation and management of a new patien
   G9979           No Change       Remote e/m new pt 20mins       Remote in-home visit for the evaluation and management of a new patien
   G9980           No Change       Remote e/m new pt 30 mins      Remote in-home visit for the evaluation and management of a new patien
   G9981           No Change       Remote e/m new pt 45mins       Remote in-home visit for the evaluation and management of a new patien
   G9982           No Change       Remote e/m new pt 60mins       Remote in-home visit for the evaluation and management of a new patien
   G9983           No Change       Remote e/m est. pt 10mins      Remote in-home visit for the evaluation and management of an establish
   G9984           No Change       Remote e/m est. pt  15mins     Remote in-home visit for the evaluation and management of an establish
   G9985           No Change       Remote e/m est. pt 25mins      Remote in-home visit for the evaluation and management of an establish
   G9986           No Change       Remote e/m est. pt 40mins      Remote in-home visit for the evaluation and management of an establish
   G9987           No Change       Bpci advanced in home visit    Bundled payments for care improvement advanced (bpci advanced) model h
   H0001           No Change       Alcohol and/or drug assess     Alcohol and/or drug assessment
   H0002           No Change       Alcohol and/or drug screenin   Behavioral health screening to determine eligibility for admission to
   H0003           No Change       Alcohol and/or drug screenin   Alcohol and/or drug screening; laboratory analysis of specimens for pr
   H0004           No Change       Alcohol and/or drug services   Behavioral health counseling and therapy, per 15 minutes
   H0005           No Change       Alcohol and/or drug services   Alcohol and/or drug services; group counseling by a clinician
   H0006           No Change       Alcohol and/or drug services   Alcohol and/or drug services; case management
   H0007           No Change       Alcohol and/or drug services   Alcohol and/or drug services; crisis intervention (outpatient)
   H0008           No Change       Alcohol and/or drug services   Alcohol and/or drug services; sub-acute detoxification (hospital inpat
   H0009           No Change       Alcohol and/or drug services   Alcohol and/or drug services; acute detoxification (hospital inpatient
   H0010           No Change       Alcohol and/or drug services   Alcohol and/or drug services; sub-acute detoxification (residential ad
   H0011           No Change       Alcohol and/or drug services   Alcohol and/or drug services; acute detoxification (residential addict
   H0012           No Change       Alcohol and/or drug services   Alcohol and/or drug services; sub-acute detoxification (residential ad
   H0013           No Change       Alcohol and/or drug services   Alcohol and/or drug services; acute detoxification (residential addict
   H0014           No Change       Alcohol and/or drug services   Alcohol and/or drug services; ambulatory detoxification
   H0015           No Change       Alcohol and/or drug services   Alcohol and/or drug services; intensive outpatient (treatment program
   H0016           No Change       Alcohol and/or drug services   Alcohol and/or drug services; medical/somatic (medical intervention in
   H0017           No Change       Alcohol and/or drug services   Behavioral health; residential (hospital residential treatment program
   H0018           No Change       Alcohol and/or drug services   Behavioral health; short-term residential (non-hospital residential tr
   H0019           No Change       Alcohol and/or drug services   Behavioral health; long-term residential (non-medical, non-acute care
   H0020           No Change       Alcohol and/or drug services   Alcohol and/or drug services; methadone administration and/or service
   H0021           No Change       Alcohol and/or drug training   Alcohol and/or drug training service (for staff and personnel not empl
   H0022           No Change       Alcohol and/or drug interven   Alcohol and/or drug intervention service (planned facilitation)
   H0023           No Change       Alcohol and/or drug outreach   Behavioral health outreach service (planned approach to reach a target
   H0024           No Change       Alcohol and/or drug preventi   Behavioral health prevention information dissemination service (one-wa
   H0025           No Change       Alcohol and/or drug preventi   Behavioral health prevention education service (delivery of services w
   H0026           No Change       Alcohol and/or drug preventi   Alcohol and/or drug prevention process service, community-based (deliv
   H0027           No Change       Alcohol and/or drug preventi   Alcohol and/or drug prevention environmental service (broad range of e
   H0028           No Change       Alcohol and/or drug preventi   Alcohol and/or drug prevention problem identification and referral ser
   H0029           No Change       Alcohol and/or drug preventi   Alcohol and/or drug prevention alternatives service (services for popu
   H0030           No Change       Alcohol and/or drug hotline    Behavioral health hotline service
   H0031           No Change       Mh health assess by non-md     Mental health assessment, by non-physician
   H0032           No Change       Mh svc plan dev by non-md      Mental health service plan development by non-physician
   H0033           No Change       Oral med adm direct observe    Oral medication administration, direct observation
   H0034           No Change       Med trng & support per 15min   Medication training and support, per 15 minutes
   H0035           No Change       Mh partial hosp tx under 24h   Mental health partial hospitalization, treatment, less than 24 hours
   H0036           No Change       Comm psy face-face per 15min   Community psychiatric supportive treatment, face-to-face, per 15 minut
   H0037           No Change       Comm psy sup tx pgm per diem   Community psychiatric supportive treatment program, per diem
   H0038           No Change       Self-help/peer svc per 15min   Self-help/peer services, per 15 minutes
   H0039           No Change       Asser com tx face-face/15min   Assertive community treatment, face-to-face, per 15 minutes
   H0040           No Change       Assert comm tx pgm per diem    Assertive community treatment program, per diem
   H0041           No Change       Fos c chld non-ther per diem   Foster care, child, non-therapeutic, per diem
   H0042           No Change       Fos c chld non-ther per mon    Foster care, child, non-therapeutic, per month
   H0043           No Change       Supported housing, per diem    Supported housing, per diem
   H0044           No Change       Supported housing, per month   Supported housing, per month
   H0045           No Change       Respite not-in-home per diem   Respite care services, not in the home, per diem
   H0046           No Change       Mental health service, nos     Mental health services, not otherwise specified
   H0047           No Change       Alcohol/drug abuse svc nos     Alcohol and/or other drug abuse services, not otherwise specified
   H0048           No Change       Spec coll non-blood:a/d test   Alcohol and/or other drug testing: collection and handling only, speci
   H0049           No Change       Alcohol/drug screening         Alcohol and/or drug screening
   H0050           No Change       Alcohol/drug service 15 min    Alcohol and/or drug services, brief intervention, per 15 minutes
   H1000           No Change       Prenatal care atrisk assessm   Prenatal care, at-risk assessment
   H1001           No Change       Antepartum management          Prenatal care, at-risk enhanced service; antepartum management
   H1002           No Change       Carecoordination prenatal      Prenatal care, at risk enhanced service; care coordination
   H1003           No Change       Prenatal at risk education     Prenatal care, at-risk enhanced service; education
   H1004           No Change       Follow up home visit/prental   Prenatal care, at-risk enhanced service; follow-up home visit
   H1005           No Change       Prenatalcare enhanced srv pk   Prenatal care, at-risk enhanced service package (includes h1001-h1004)
   H1010           No Change       Nonmed family planning ed      Non-medical family planning education, per session
   H1011           No Change       Family assessment              Family assessment by licensed behavioral health professional for state
   H2000           No Change       Comp multidisipln evaluation   Comprehensive multidisciplinary evaluation
   H2001           No Change       Rehabilitation program 1/2 d   Rehabilitation program, per 1/2 day
   H2010           No Change       Comprehensive med svc 15 min   Comprehensive medication services, per 15 minutes
   H2011           No Change       Crisis interven svc, 15 min    Crisis intervention service, per 15 minutes
   H2012           No Change       Behav hlth day treat, per hr   Behavioral health day treatment, per hour
   H2013           No Change       Psych hlth fac svc, per diem   Psychiatric health facility service, per diem
   H2014           No Change       Skills train and dev, 15 min   Skills training and development, per 15 minutes
   H2015           No Change       Comp comm supp svc, 15 min     Comprehensive community support services, per 15 minutes
   H2016           No Change       Comp comm supp svc, per diem   Comprehensive community support services, per diem
   H2017           No Change       Psysoc rehab svc, per 15 min   Psychosocial rehabilitation services, per 15 minutes
   H2018           No Change       Psysoc rehab svc, per diem     Psychosocial rehabilitation services, per diem
   H2019           No Change       Ther behav svc, per 15 min     Therapeutic behavioral services, per 15 minutes
   H2020           No Change       Ther behav svc, per diem       Therapeutic behavioral services, per diem
   H2021           No Change       Com wrap-around sv, 15 min     Community-based wrap-around services, per 15 minutes
   H2022           No Change       Com wrap-around sv, per diem   Community-based wrap-around services, per diem
   H2023           No Change       Supported employ, per 15 min   Supported employment, per 15 minutes
   H2024           No Change       Supported employ, per diem     Supported employment, per diem
   H2025           No Change       Supp maint employ, 15 min      Ongoing support to maintain employment, per 15 minutes
   H2026           No Change       Supp maint employ, per diem    Ongoing support to maintain employment, per diem
   H2027           No Change       Psychoed svc, per 15 min       Psychoeducational service, per 15 minutes
   H2028           No Change       Sex offend tx svc, 15 min      Sexual offender treatment service, per 15 minutes
   H2029           No Change       Sex offend tx svc, per diem    Sexual offender treatment service, per diem
   H2030           No Change       Mh clubhouse svc, per 15 min   Mental health clubhouse services, per 15 minutes
   H2031           No Change       Mh clubhouse svc, per diem     Mental health clubhouse services, per diem
   H2032           No Change       Activity therapy, per 15 min   Activity therapy, per 15 minutes
   H2033           No Change       Multisys ther/juvenile 15min   Multisystemic therapy for juveniles, per 15 minutes
   H2034           No Change       A/d halfway house, per diem    Alcohol and/or drug abuse halfway house services, per diem
   H2035           No Change       A/d tx program, per hour       Alcohol and/or other drug treatment program, per hour
   H2036           No Change       A/d tx program, per diem       Alcohol and/or other drug treatment program, per diem
   H2037           No Change       Dev delay prev dp ch, 15 min   Developmental delay prevention activities, dependent child of client,
   J0120           No Change       Tetracyclin injection          Injection, tetracycline, up to 250 mg
   J0121              ADD          Inj., omadacycline, 1 mg       Injection, omadacycline, 1 mg
   J0122              ADD          Inj., eravacycline, 1 mg       Injection, eravacycline, 1 mg
   J0129           No Change       Abatacept injection            Injection, abatacept, 10 mg (code may be used for medicare when drug a
   J0130           No Change       Abciximab injection            Injection abciximab, 10 mg
   J0131           No Change       Acetaminophen injection        Injection, acetaminophen, 10 mg
   J0132           No Change       Acetylcysteine injection       Injection, acetylcysteine, 100 mg
   J0133           No Change       Acyclovir injection            Injection, acyclovir, 5 mg
   J0135           No Change       Adalimumab injection           Injection, adalimumab, 20 mg
   J0150           No Change       Injection adenosine 6 mg       Injection, adenosine for therapeutic use,  6 mg (not to be used to rep
   J0151           No Change       Inj adenosine diag 1mg         Injection, adenosine for diagnostic use, 1 mg (not to be used to repor
   J0153           No Change       Adenosine inj 1mg              Injection, adenosine, 1 mg (not to be used to report any adenosine pho
   J0171           No Change       Adrenalin epinephrine inject   Injection, adrenalin, epinephrine, 0.1 mg
   J0178           No Change       Aflibercept injection          Injection, aflibercept, 1 mg
   J0179              ADD          Inj, brolucizumab-dbll, 1 mg   Injection, brolucizumab-dbll, 1 mg
   J0180           No Change       Agalsidase beta injection      Injection, agalsidase beta, 1 mg
   J0185           No Change       Inj., aprepitant, 1 mg         Injection, aprepitant, 1 mg
   J0190           No Change       Inj biperiden lactate/5 mg     Injection, biperiden lactate, per 5 mg
   J0200           No Change       Alatrofloxacin mesylate        Injection, alatrofloxacin mesylate, 100 mg
   J0202           No Change       Injection, alemtuzumab         Injection, alemtuzumab, 1 mg
   J0205           No Change       Alglucerase injection          Injection, alglucerase, per 10 units
   J0207           No Change       Amifostine                     Injection, amifostine, 500 mg
   J0210           No Change       Methyldopate hcl injection     Injection, methyldopate hcl, up to 250 mg
   J0215           No Change       Alefacept                      Injection, alefacept, 0.5 mg
   J0220           No Change       Alglucosidase alfa injection   Injection, alglucosidase alfa, 10 mg, not otherwise specified
   J0221           No Change       Lumizyme injection             Injection, alglucosidase alfa, (lumizyme), 10 mg
   J0222              ADD          Inj., patisiran, 0.1 mg        Injection, patisiran, 0.1 mg
   J0256           No Change       Alpha 1 proteinase inhibitor   Injection, alpha 1 proteinase inhibitor (human), not otherwise specifi
   J0257           No Change       Glassia injection              Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg
   J0270           No Change       Alprostadil for injection      Injection, alprostadil, 1.25 mcg (code may be used for medicare when d
   J0275           No Change       Alprostadil urethral suppos    Alprostadil urethral suppository (code may be used for medicare when d
   J0278           No Change       Amikacin sulfate injection     Injection, amikacin sulfate, 100 mg
   J0280           No Change       Aminophyllin 250 mg inj        Injection, aminophyllin, up to 250 mg
   J0282           No Change       Amiodarone hcl                 Injection, amiodarone hydrochloride, 30 mg
   J0285           No Change       Amphotericin b                 Injection, amphotericin b, 50 mg
   J0287           No Change       Amphotericin b lipid complex   Injection, amphotericin b lipid complex, 10 mg
   J0288           No Change       Ampho b cholesteryl sulfate    Injection, amphotericin b cholesteryl sulfate complex, 10 mg
   J0289           No Change       Amphotericin b liposome inj    Injection, amphotericin b liposome, 10 mg
   J0290           No Change       Ampicillin 500 mg inj          Injection, ampicillin sodium, 500 mg
   J0291              ADD          Inj., plazomicin, 5 mg         Injection, plazomicin, 5 mg
   J0295           No Change       Ampicillin sulbactam 1.5 gm    Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm
   J0300           No Change       Amobarbital 125 mg inj         Injection, amobarbital, up to 125 mg
   J0330           No Change       Succinycholine chloride inj    Injection, succinylcholine chloride, up to 20 mg
   J0348           No Change       Anidulafungin injection        Injection, anidulafungin, 1 mg
   J0350           No Change       Injection anistreplase 30 u    Injection, anistreplase, per 30 units
   J0360           No Change       Hydralazine hcl injection      Injection, hydralazine hcl, up to 20 mg
   J0364           No Change       Apomorphine hydrochloride      Injection, apomorphine hydrochloride, 1 mg
   J0365           No Change       Aprotonin, 10,000 kiu          Injection, aprotonin, 10,000 kiu
   J0380           No Change       Inj metaraminol bitartrate     Injection, metaraminol bitartrate, per 10 mg
   J0390           No Change       Chloroquine injection          Injection, chloroquine hydrochloride, up to 250 mg
   J0395           No Change       Arbutamine hcl injection       Injection, arbutamine hcl, 1 mg
   J0400           No Change       Aripiprazole injection         Injection, aripiprazole, intramuscular, 0.25 mg
   J0401           No Change       Inj aripiprazole ext rel 1mg   Injection, aripiprazole, extended release, 1 mg
   J0456           No Change       Azithromycin                   Injection, azithromycin, 500 mg
   J0461           No Change       Atropine sulfate injection     Injection, atropine sulfate, 0.01 mg
   J0470           No Change       Dimecaprol injection           Injection, dimercaprol, per 100 mg
   J0475           No Change       Baclofen 10 mg injection       Injection, baclofen, 10 mg
   J0476           No Change       Baclofen intrathecal trial     Injection, baclofen, 50 mcg for intrathecal trial
   J0480           No Change       Basiliximab                    Injection, basiliximab, 20 mg
   J0485           No Change       Belatacept injection           Injection, belatacept, 1 mg
   J0490           No Change       Belimumab injection            Injection, belimumab, 10 mg
   J0500           No Change       Dicyclomine injection          Injection, dicyclomine hcl, up to 20 mg
   J0515           No Change       Inj benztropine mesylate       Injection, benztropine mesylate, per 1 mg
   J0517           No Change       Inj., benralizumab, 1 mg       Injection, benralizumab, 1 mg
   J0520           No Change       Bethanechol chloride inject    Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg
   J0558           No Change       Peng benzathine/procaine inj   Injection, penicillin g benzathine and penicillin g procaine, 100,000
   J0561           No Change       Penicillin g benzathine inj    Injection, penicillin g benzathine, 100,000 units
   J0565           No Change       Inj, bezlotoxumab, 10 mg       Injection, bezlotoxumab, 10 mg
   J0567           No Change       Inj., cerliponase alfa 1 mg    Injection, cerliponase alfa, 1 mg
   J0570           No Change       Buprenorphine implant 74.2mg   Buprenorphine implant, 74.2 mg
   J0571           No Change       Buprenorphine oral 1mg         Buprenorphine, oral, 1 mg
   J0572           No Change       Bupren/nal up to 3mg bupreno   Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine
   J0573           No Change       Bupren/nal 3.1 to 6mg bupren   Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equa
   J0574           No Change       Bupren/nal 6.1 to 10mg bupre   Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equa
   J0575           No Change       Bupren/nal over 10mg bupreno   Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine
   J0583           No Change       Bivalirudin                    Injection, bivalirudin, 1 mg
   J0584           No Change       Injection, burosumab-twza 1m   Injection, burosumab-twza 1 mg
   J0585           No Change       Injection,onabotulinumtoxina   Injection, onabotulinumtoxina, 1 unit
   J0586           No Change       Abobotulinumtoxina             Injection, abobotulinumtoxina, 5 units
   J0587           No Change       Inj, rimabotulinumtoxinb       Injection, rimabotulinumtoxinb, 100 units
   J0588           No Change       Incobotulinumtoxin a           Injection, incobotulinumtoxin a, 1 unit
   J0592           No Change       Buprenorphine hydrochloride    Injection, buprenorphine hydrochloride, 0.1 mg
   J0593              ADD          Inj., lanadelumab-flyo, 1 mg   Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when
   J0594           No Change       Busulfan injection             injection, busulfan, 1 mg
   J0595           No Change       Butorphanol tartrate 1 mg      Injection, butorphanol tartrate, 1 mg
   J0596           No Change       Injection, ruconest            Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units
   J0597           No Change       C-1 esterase, berinert         Injection, c-1 esterase inhibitor (human), berinert, 10 units
   J0598           No Change       C-1 esterase, cinryze          Injection, c-1 esterase inhibitor (human), cinryze, 10 units
   J0599           No Change       Inj., haegarda 10 units        Injection, c-1 esterase inhibitor (human), (haegarda), 10 units
   J0600           No Change       Edetate calcium disodium inj   Injection, edetate calcium disodium, up to 1000 mg
   J0604           No Change       Cinacalcet, esrd on dialysis   Cinacalcet, oral, 1 mg, (for esrd on dialysis)
   J0606           No Change       Inj, etelcalcetide, 0.1 mg     Injection, etelcalcetide, 0.1 mg
   J0610           No Change       Calcium gluconate injection    Injection, calcium gluconate, per 10 ml
   J0620           No Change       Calcium glycer & lact/10 ml    Injection, calcium glycerophosphate and calcium lactate, per 10 ml
   J0630           No Change       Calcitonin salmon injection    Injection, calcitonin salmon, up to 400 units
   J0636           No Change       Inj calcitriol per 0.1 mcg     Injection, calcitriol, 0.1 mcg
   J0637           No Change       Caspofungin acetate            Injection, caspofungin acetate, 5 mg
   J0638           No Change       Canakinumab injection          Injection, canakinumab, 1 mg
   J0640           No Change       Leucovorin calcium injection   Injection, leucovorin calcium, per 50 mg
   J0641    Long Description ChangeInj levoleucovorin nos 0.5mg   Injection, levoleucovorin, not otherwise specified, 0.5 mg
   J0642              ADD          Injection, khapzory, 0.5 mg    Injection, levoleucovorin (khapzory), 0.5 mg
   J0670           No Change       Inj mepivacaine hcl/10 ml      Injection, mepivacaine hydrochloride, per 10 ml
   J0690           No Change       Cefazolin sodium injection     Injection, cefazolin sodium, 500 mg
   J0692           No Change       Cefepime hcl for injection     Injection, cefepime hydrochloride, 500 mg
   J0694           No Change       Cefoxitin sodium injection     Injection, cefoxitin sodium, 1 gm
   J0695           No Change       Inj ceftolozane tazobactam     Injection, ceftolozane 50 mg and tazobactam 25 mg
   J0696           No Change       Ceftriaxone sodium injection   Injection, ceftriaxone sodium, per 250 mg
   J0697           No Change       Sterile cefuroxime injection   Injection, sterile cefuroxime sodium, per 750 mg
   J0698           No Change       Cefotaxime sodium injection    Injection, cefotaxime sodium, per gm
   J0702           No Change       Betamethasone acet&sod phosp   Injection, betamethasone acetate 3 mg and betamethasone sodium phospha
   J0706           No Change       Caffeine citrate injection     Injection, caffeine citrate, 5 mg
   J0710           No Change       Cephapirin sodium injection    Injection, cephapirin sodium, up to 1 gm
   J0712           No Change       Ceftaroline fosamil inj        Injection, ceftaroline fosamil, 10 mg
   J0713           No Change       Inj ceftazidime per 500 mg     Injection, ceftazidime, per 500 mg
   J0714           No Change       Ceftazidime and avibactam      Injection, ceftazidime and avibactam, 0.5 g/0.125 g
   J0715           No Change       Ceftizoxime sodium / 500 mg    Injection, ceftizoxime sodium, per 500 mg
   J0716           No Change       Centruroides immune f(ab)      Injection, centruroides immune f(ab)2, up to 120 milligrams
   J0717           No Change       Certolizumab pegol inj 1mg     Injection, certolizumab pegol, 1 mg (code may be used for medicare whe
   J0720           No Change       Chloramphenicol sodium injec   Injection, chloramphenicol sodium succinate, up to 1 gm
   J0725           No Change       Chorionic gonadotropin/1000u   Injection, chorionic gonadotropin, per 1,000 usp units
   J0735           No Change       Clonidine hydrochloride        Injection, clonidine hydrochloride, 1 mg
   J0740           No Change       Cidofovir injection            Injection, cidofovir, 375 mg
   J0743           No Change       Cilastatin sodium injection    Injection, cilastatin sodium; imipenem, per 250 mg
   J0744           No Change       Ciprofloxacin iv               Injection, ciprofloxacin for intravenous infusion, 200 mg
   J0745           No Change       Inj codeine phosphate /30 mg   Injection, codeine phosphate, per 30 mg
   J0760           No Change       Colchicine injection           Injection, colchicine, per 1 mg
   J0770           No Change       Colistimethate sodium inj      Injection, colistimethate sodium, up to 150 mg
   J0775           No Change       Collagenase, clost hist inj    Injection, collagenase, clostridium histolyticum, 0.01 mg
   J0780           No Change       Prochlorperazine injection     Injection, prochlorperazine, up to 10 mg
   J0795           No Change       Corticorelin ovine triflutal   Injection, corticorelin ovine triflutate, 1 microgram
   J0800        Payment Change     Corticotropin injection        Injection, corticotropin, up to 40 units
   J0833           No Change       Cosyntropin injection nos      Injection, cosyntropin, not otherwise specified, 0.25 mg
   J0834           No Change       Inj., cosyntropin, 0.25 mg     Injection, cosyntropin, 0.25 mg
   J0840           No Change       Crotalidae poly immune fab     Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
   J0841           No Change       Inj crotalidae im f(ab')2 eq   Injection, crotalidae immune f(ab')2 (equine), 120 mg
   J0850           No Change       Cytomegalovirus imm iv /vial   Injection, cytomegalovirus immune globulin intravenous (human), per vi
   J0875           No Change       Injection, dalbavancin         Injection, dalbavancin, 5 mg
   J0878           No Change       Daptomycin injection           Injection, daptomycin, 1 mg
   J0881           No Change       Darbepoetin alfa, non-esrd     Injection, darbepoetin alfa, 1 microgram (non-esrd use)
   J0882           No Change       Darbepoetin alfa, esrd use     Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)
   J0883           No Change       Argatroban nonesrd use 1mg     Injection, argatroban, 1 mg (for non-esrd use)
   J0884           No Change       Argatroban esrd dialysis 1mg   Injection, argatroban, 1 mg (for esrd on dialysis)
   J0885           No Change       Epoetin alfa, non-esrd         Injection, epoetin alfa, (for non-esrd use), 1000 units
   J0886           No Change       Epoetin alfa 1000 units esrd   Injection, epoetin alfa, 1000 units (for esrd on dialysis)
   J0887           No Change       Epoetin beta esrd use          Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
   J0888           No Change       Epoetin beta non esrd          Injection, epoetin beta, 1 microgram, (for non esrd use)
   J0890           No Change       Peginesatide injection         Injection, peginesatide, 0.1 mg (for esrd on dialysis)
   J0894           No Change       Decitabine injection           Injection, decitabine, 1 mg
   J0895           No Change       Deferoxamine mesylate inj      Injection, deferoxamine mesylate, 500 mg
   J0897           No Change       Denosumab injection            Injection, denosumab, 1 mg
   J0900           No Change       Testosterone enanthate inj     Injection, testosterone enanthate and estradiol valerate, up to 1 cc
   J0945           No Change       Brompheniramine maleate inj    Injection, brompheniramine maleate, per 10 mg
   J1000           No Change       Depo-estradiol cypionate inj   Injection, depo-estradiol cypionate, up to 5 mg
   J1020           No Change       Methylprednisolone 20 mg inj   Injection, methylprednisolone acetate, 20 mg
   J1030           No Change       Methylprednisolone 40 mg inj   Injection, methylprednisolone acetate, 40 mg
   J1040           No Change       Methylprednisolone 80 mg inj   Injection, methylprednisolone acetate, 80 mg
   J1050           No Change       Medroxyprogesterone acetate    Injection, medroxyprogesterone acetate, 1 mg
   J1060           No Change       Testosterone cypionate 1 ml    Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
   J1070           No Change       Testosterone cypionat 100 mg   Injection, testosterone cypionate, up to 100 mg
   J1071           No Change       Inj testosterone cypionate     Injection, testosterone cypionate, 1 mg
   J1080           No Change       Testosterone cypionat 200 mg   Injection, testosterone cypionate, 1 cc, 200 mg
   J1094           No Change       Inj dexamethasone acetate      Injection, dexamethasone acetate, 1 mg
   J1095           No Change       Injection, dexamethasone 9%    Injection, dexamethasone 9 percent, intraocular, 1 microgram
   J1096              ADD          Dexametha opth insert 0.1 mg   Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
   J1097              ADD          Phenylep ketorolac opth soln   Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigati
   J1100           No Change       Dexamethasone sodium phos      Injection, dexamethasone sodium phosphate, 1 mg
   J1110           No Change       Inj dihydroergotamine mesylt   Injection, dihydroergotamine mesylate, per 1 mg
   J1120           No Change       Acetazolamid sodium injectio   Injection, acetazolamide sodium, up to 500 mg
   J1130           No Change       Inj diclofenac sodium 0.5mg    Injection, diclofenac sodium, 0.5 mg
   J1160           No Change       Digoxin injection              Injection, digoxin, up to 0.5 mg
   J1162           No Change       Digoxin immune fab (ovine)     Injection, digoxin immune fab (ovine), per vial
   J1165           No Change       Phenytoin sodium injection     Injection, phenytoin sodium, per 50 mg
   J1170           No Change       Hydromorphone injection        Injection, hydromorphone, up to 4 mg
   J1180           No Change       Dyphylline injection           Injection, dyphylline, up to 500 mg
   J1190           No Change       Dexrazoxane hcl injection      Injection, dexrazoxane hydrochloride, per 250 mg
   J1200           No Change       Diphenhydramine hcl injectio   Injection, diphenhydramine hcl, up to 50 mg
   J1205           No Change       Chlorothiazide sodium inj      Injection, chlorothiazide sodium, per 500 mg
   J1212           No Change       Dimethyl sulfoxide 50% 50 ml   Injection, dmso, dimethyl sulfoxide, 50%, 50 ml
   J1230           No Change       Methadone injection            Injection, methadone hcl, up to 10 mg
   J1240           No Change       Dimenhydrinate injection       Injection, dimenhydrinate, up to 50 mg
   J1245           No Change       Dipyridamole injection         Injection, dipyridamole, per 10 mg
   J1250           No Change       Inj dobutamine hcl/250 mg      Injection, dobutamine hydrochloride, per 250 mg
   J1260           No Change       Dolasetron mesylate            Injection, dolasetron mesylate, 10 mg
   J1265           No Change       Dopamine injection             Injection, dopamine hcl, 40 mg
   J1267        Payment Change     Doripenem injection            Injection, doripenem, 10 mg
   J1270           No Change       Injection, doxercalciferol     Injection, doxercalciferol, 1 mcg
   J1290           No Change       Ecallantide injection          Injection, ecallantide, 1 mg
   J1300           No Change       Eculizumab injection           Injection, eculizumab, 10 mg
   J1301           No Change       Injection, edaravone, 1 mg     Injection, edaravone, 1 mg
   J1303              ADD          Inj., ravulizumab-cwvz 10 mg   Injection, ravulizumab-cwvz, 10 mg
   J1320           No Change       Amitriptyline injection        Injection, amitriptyline hcl, up to 20 mg
   J1322           No Change       Elosulfase alfa, injection     Injection, elosulfase alfa, 1 mg
   J1324           No Change       Enfuvirtide injection          Injection, enfuvirtide, 1 mg
   J1325           No Change       Epoprostenol injection         Injection, epoprostenol, 0.5 mg
   J1327           No Change       Eptifibatide injection         Injection, eptifibatide, 5 mg
   J1330           No Change       Ergonovine maleate injection   Injection, ergonovine maleate, up to 0.2 mg
   J1335           No Change       Ertapenem injection            Injection, ertapenem sodium, 500 mg
   J1364           No Change       Erythro lactobionate /500 mg   Injection, erythromycin lactobionate, per 500 mg
   J1380           No Change       Estradiol valerate 10 mg inj   Injection, estradiol valerate, up to 10 mg
   J1410           No Change       Inj estrogen conjugate 25 mg   Injection, estrogen conjugated, per 25 mg
   J1428           No Change       Inj, eteplirsen, 10 mg         Injection, eteplirsen, 10 mg
   J1430           No Change       Ethanolamine oleate 100 mg     Injection, ethanolamine oleate, 100 mg
   J1435           No Change       Injection estrone per 1 mg     Injection, estrone, per 1 mg
   J1436           No Change       Etidronate disodium inj        Injection, etidronate disodium, per 300 mg
   J1438           No Change       Etanercept injection           Injection, etanercept, 25 mg (code may be used for medicare when drug
   J1439           No Change       Inj ferric carboxymaltos 1mg   Injection, ferric carboxymaltose, 1 mg
   J1442           No Change       Inj filgrastim excl biosimil   Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram
   J1443           No Change       Inj ferric pyrophosphate cit   Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron
   J1444              ADD          Fe pyro cit pow 0.1 mg iron    Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron
   J1446           No Change       Inj, tbo-filgrastim, 5 mcg     Injection, tbo-filgrastim, 5 micrograms
   J1447           No Change       Inj tbo filgrastim 1 microg    Injection, tbo-filgrastim, 1 microgram
   J1450           No Change       Fluconazole                    Injection fluconazole, 200 mg
   J1451           No Change       Fomepizole, 15 mg              Injection, fomepizole, 15 mg
   J1452           No Change       Intraocular fomivirsen na      Injection, fomivirsen sodium, intraocular, 1.65 mg
   J1453           No Change       Fosaprepitant injection        Injection, fosaprepitant, 1 mg
   J1454           No Change       Inj fosnetupitant, palonoset   Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
   J1455           No Change       Foscarnet sodium injection     Injection, foscarnet sodium, per 1000 mg
   J1457           No Change       Gallium nitrate injection      Injection, gallium nitrate, 1 mg
   J1458           No Change       Galsulfase injection           Injection, galsulfase, 1 mg
   J1459           No Change       Inj ivig privigen 500 mg       Injection, immune globulin (privigen), intravenous, non-lyophilized (e
   J1460           No Change       Gamma globulin 1 cc inj        Injection, gamma globulin, intramuscular, 1 cc
   J1555           No Change       Inj cuvitru, 100 mg            Injection, immune globulin (cuvitru), 100 mg
   J1556           No Change       Inj, imm glob bivigam, 500mg   Injection, immune globulin (bivigam), 500 mg
   J1557           No Change       Gammaplex injection            Injection, immune globulin, (gammaplex), intravenous, non-lyophilized
   J1559           No Change       Hizentra injection             Injection, immune globulin (hizentra), 100 mg
   J1560           No Change       Gamma globulin > 10 cc inj     Injection, gamma globulin, intramuscular, over 10 cc
   J1561           No Change       Gamunex-c/gammaked             Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g
   J1562           No Change       Vivaglobin, inj                Injection, immune globulin (vivaglobin), 100 mg
   J1566           No Change       Immune globulin, powder        Injection, immune globulin, intravenous, lyophilized (e.g., powder), n
   J1568           No Change       Octagam injection              Injection, immune globulin, (octagam), intravenous, non-lyophilized (e
   J1569           No Change       Gammagard liquid injection     Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g.
   J1570           No Change       Ganciclovir sodium injection   Injection, ganciclovir sodium, 500 mg
   J1571           No Change       Hepagam b im injection         Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5
   J1572           No Change       Flebogamma injection           Injection, immune globulin, (flebogamma/flebogamma dif), intravenous,
   J1573           No Change       Hepagam b intravenous, inj     Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 m
   J1575           No Change       Hyqvia 100mg immuneglobulin    Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobu
   J1580           No Change       Garamycin gentamicin inj       Injection, garamycin, gentamicin, up to 80 mg
   J1590           No Change       Gatifloxacin injection         Injection, gatifloxacin, 10 mg
   J1595           No Change       Injection glatiramer acetate   Injection, glatiramer acetate, 20 mg
   J1599           No Change       Ivig non-lyophilized, nos      Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid
   J1600           No Change       Gold sodium thiomaleate inj    Injection, gold sodium thiomalate, up to 50 mg
   J1602           No Change       Golimumab for iv use 1mg       Injection, golimumab, 1 mg, for intravenous use
   J1610           No Change       Glucagon hydrochloride/1 mg    Injection, glucagon hydrochloride, per 1 mg
   J1620           No Change       Gonadorelin hydroch/ 100 mcg   Injection, gonadorelin hydrochloride, per 100 mcg
   J1626           No Change       Granisetron hcl injection      Injection, granisetron hydrochloride, 100 mcg
   J1627           No Change       Inj, granisetron, xr, 0.1 mg   Injection, granisetron, extended-release, 0.1 mg
   J1628           No Change       Inj., guselkumab, 1 mg         Injection, guselkumab, 1 mg
   J1630           No Change       Haloperidol injection          Injection, haloperidol, up to 5 mg
   J1631           No Change       Haloperidol decanoate inj      Injection, haloperidol decanoate, per 50 mg
   J1640           No Change       Hemin, 1 mg                    Injection, hemin, 1 mg
   J1642           No Change       Inj heparin sodium per 10 u    Injection, heparin sodium, (heparin lock flush), per 10 units
   J1644           No Change       Inj heparin sodium per 1000u   Injection, heparin sodium, per 1000 units
   J1645           No Change       Dalteparin sodium              Injection, dalteparin sodium, per 2500 iu
   J1650           No Change       Inj enoxaparin sodium          Injection, enoxaparin sodium, 10 mg
   J1652           No Change       Fondaparinux sodium            Injection, fondaparinux sodium, 0.5 mg
   J1655           No Change       Tinzaparin sodium injection    Injection, tinzaparin sodium, 1000 iu
   J1670           No Change       Tetanus immune globulin inj    Injection, tetanus immune globulin, human, up to 250 units
   J1675           No Change       Histrelin acetate              Injection, histrelin acetate, 10 micrograms
   J1700           No Change       Hydrocortisone acetate inj     Injection, hydrocortisone acetate, up to 25 mg
   J1710           No Change       Hydrocortisone sodium ph inj   Injection, hydrocortisone sodium phosphate, up to 50 mg
   J1720           No Change       Hydrocortisone sodium succ i   Injection, hydrocortisone sodium succinate, up to 100 mg
   J1725           No Change       Hydroxyprogesterone caproate   Injection, hydroxyprogesterone caproate, 1 mg
   J1726           No Change       Makena, 10 mg                  Injection, hydroxyprogesterone caproate, (makena), 10 mg
   J1729        Payment Change     Inj hydroxyprogst capoat nos   Injection, hydroxyprogesterone caproate, not otherwise specified, 10 m
   J1730           No Change       Diazoxide injection            Injection, diazoxide, up to 300 mg
   J1740           No Change       Ibandronate sodium injection   Injection, ibandronate sodium, 1 mg
   J1741           No Change       Ibuprofen injection            Injection, ibuprofen, 100 mg
   J1742           No Change       Ibutilide fumarate injection   Injection, ibutilide fumarate, 1 mg
   J1743           No Change       Idursulfase injection          Injection, idursulfase, 1 mg
   J1744           No Change       Icatibant injection            Injection, icatibant, 1 mg
   J1745           No Change       Infliximab not biosimil 10mg   Injection, infliximab, excludes biosimilar, 10 mg
   J1746           No Change       Inj., ibalizumab-uiyk, 10 mg   Injection, ibalizumab-uiyk, 10 mg
   J1750           No Change       Inj iron dextran               Injection, iron dextran, 50 mg
   J1756           No Change       Iron sucrose injection         Injection, iron sucrose, 1 mg
   J1786           No Change       Imuglucerase injection         Injection, imiglucerase, 10 units
   J1790           No Change       Droperidol injection           Injection, droperidol, up to 5 mg
   J1800           No Change       Propranolol injection          Injection, propranolol hcl, up to 1 mg
   J1810           No Change       Droperidol/fentanyl inj        Injection, droperidol and fentanyl citrate, up to 2 ml ampule
   J1815           No Change       Insulin injection              Injection, insulin, per 5 units
   J1817           No Change       Insulin for insulin pump use   Insulin for administration through dme (i.e., insulin pump) per 50 uni
   J1826           No Change       Interferon beta-1a inj         Injection, interferon beta-1a, 30 mcg
   J1830           No Change       Interferon beta-1b / .25 mg    Injection, interferon beta-1b, 0.25 mg (code may be used for medicare
   J1833           No Change       Injection, isavuconazonium     Injection, isavuconazonium, 1 mg
   J1835           No Change       Itraconazole injection         Injection, itraconazole, 50 mg
   J1840           No Change       Kanamycin sulfate 500 mg inj   Injection, kanamycin sulfate, up to 500 mg
   J1850           No Change       Kanamycin sulfate 75 mg inj    Injection, kanamycin sulfate, up to 75 mg
   J1885           No Change       Ketorolac tromethamine inj     Injection, ketorolac tromethamine, per 15 mg
   J1890           No Change       Cephalothin sodium injection   Injection, cephalothin sodium, up to 1 gram
   J1930           No Change       Lanreotide injection           Injection, lanreotide, 1 mg
   J1931           No Change       Laronidase injection           Injection, laronidase, 0.1 mg
   J1940           No Change       Furosemide injection           Injection, furosemide, up to 20 mg
   J1942         Discontinued      Aripiprazole lauroxil 1mg      Injection, aripiprazole lauroxil, 1 mg
   J1943              ADD          Inj., aristada initio, 1 mg    Injection, aripiprazole lauroxil, (aristada initio), 1 mg
   J1944              ADD          Aripirazole lauroxil 1 mg      Injection, aripiprazole lauroxil, (aristada), 1 mg
   J1945           No Change       Lepirudin                      Injection, lepirudin, 50 mg
   J1950           No Change       Leuprolide acetate /3.75 mg    Injection, leuprolide acetate (for depot suspension), per 3.75 mg
   J1953           No Change       Levetiracetam injection        Injection, levetiracetam, 10 mg
   J1955           No Change       Inj levocarnitine per 1 gm     Injection, levocarnitine, per 1 gm
   J1956           No Change       Levofloxacin injection         Injection, levofloxacin, 250 mg
   J1960           No Change       Levorphanol tartrate inj       Injection, levorphanol tartrate, up to 2 mg
   J1980           No Change       Hyoscyamine sulfate inj        Injection, hyoscyamine sulfate, up to 0.25 mg
   J1990           No Change       Chlordiazepoxide injection     Injection, chlordiazepoxide hcl, up to 100 mg
   J2001           No Change       Lidocaine injection            Injection, lidocaine hcl for intravenous infusion, 10 mg
   J2010           No Change       Lincomycin injection           Injection, lincomycin hcl, up to 300 mg
   J2020           No Change       Linezolid injection            Injection, linezolid, 200 mg
   J2060           No Change       Lorazepam injection            Injection, lorazepam, 2 mg
   J2062           No Change       Loxapine for inhalation 1 mg   Loxapine for inhalation, 1 mg
   J2150           No Change       Mannitol injection             Injection, mannitol, 25% in 50 ml
   J2170           No Change       Mecasermin injection           Injection, mecasermin, 1 mg
   J2175           No Change       Meperidine hydrochl /100 mg    Injection, meperidine hydrochloride, per 100 mg
   J2180           No Change       Meperidine/promethazine inj    Injection, meperidine and promethazine hcl, up to 50 mg
   J2182           No Change       Injection, mepolizumab, 1mg    Injection, mepolizumab, 1 mg
   J2185           No Change       Meropenem                      Injection, meropenem, 100 mg
   J2186           No Change       Inj., meropenem, vaborbactam   Injection, meropenem and vaborbactam, 10mg/10mg (20mg)
   J2210           No Change       Methylergonovin maleate inj    Injection, methylergonovine maleate, up to 0.2 mg
   J2212           No Change       Methylnaltrexone injection     Injection, methylnaltrexone, 0.1 mg
   J2248           No Change       Micafungin sodium injection    Injection, micafungin sodium, 1 mg
   J2250           No Change       Inj midazolam hydrochloride    Injection, midazolam hydrochloride, per 1 mg
   J2260           No Change       Inj milrinone lactate / 5 mg   Injection, milrinone lactate, 5 mg
   J2265           No Change       Minocycline hydrochloride      Injection, minocycline hydrochloride, 1 mg
   J2270           No Change       Morphine sulfate injection     Injection, morphine sulfate, up to 10 mg
   J2271           No Change       Morphine so4 injection 100mg   Injection, morphine sulfate, 100mg
   J2274           No Change       Inj morphine pf epid ithc      Injection, morphine sulfate, preservative-free for epidural or intrath
   J2275           No Change       Morphine sulfate injection     Injection, morphine sulfate (preservative-free sterile solution), per
   J2278           No Change       Ziconotide injection           Injection, ziconotide, 1 microgram
   J2280           No Change       Inj, moxifloxacin 100 mg       Injection, moxifloxacin, 100 mg
   J2300           No Change       Inj nalbuphine hydrochloride   Injection, nalbuphine hydrochloride, per 10 mg
   J2310           No Change       Inj naloxone hydrochloride     Injection, naloxone hydrochloride, per 1 mg
   J2315           No Change       Naltrexone, depot form         Injection, naltrexone, depot form, 1 mg
   J2320           No Change       Nandrolone decanoate 50 mg     Injection, nandrolone decanoate, up to 50 mg
   J2323           No Change       Natalizumab injection          Injection, natalizumab, 1 mg
   J2325           No Change       Nesiritide injection           Injection, nesiritide, 0.1 mg
   J2326           No Change       Inj, nusinersen, 0.1mg         Injection, nusinersen, 0.1 mg
   J2350           No Change       Injection, ocrelizumab, 1 mg   Injection, ocrelizumab, 1 mg
   J2353           No Change       Octreotide injection, depot    Injection, octreotide, depot form for intramuscular injection, 1 mg
   J2354           No Change       Octreotide inj, non-depot      Injection, octreotide, non-depot form for subcutaneous or intravenous
   J2355           No Change       Oprelvekin injection           Injection, oprelvekin, 5 mg
   J2357           No Change       Omalizumab injection           Injection, omalizumab, 5 mg
   J2358           No Change       Olanzapine long-acting inj     Injection, olanzapine, long-acting, 1 mg
   J2360           No Change       Orphenadrine injection         Injection, orphenadrine citrate, up to 60 mg
   J2370           No Change       Phenylephrine hcl injection    Injection, phenylephrine hcl, up to 1 ml
   J2400           No Change       Chloroprocaine hcl injection   Injection, chloroprocaine hydrochloride, per 30 ml
   J2405           No Change       Ondansetron hcl injection      Injection, ondansetron hydrochloride, per 1 mg
   J2407           No Change       Injection, oritavancin         Injection, oritavancin, 10 mg
   J2410           No Change       Oxymorphone hcl injection      Injection, oxymorphone hcl, up to 1 mg
   J2425           No Change       Palifermin injection           Injection, palifermin, 50 micrograms
   J2426           No Change       Paliperidone palmitate inj     Injection, paliperidone palmitate extended release, 1 mg
   J2430           No Change       Pamidronate disodium /30 mg    Injection, pamidronate disodium, per 30 mg
   J2440           No Change       Papaverin hcl injection        Injection, papaverine hcl, up to 60 mg
   J2460           No Change       Oxytetracycline injection      Injection, oxytetracycline hcl, up to 50 mg
   J2469           No Change       Palonosetron hcl               Injection, palonosetron hcl, 25 mcg
   J2501           No Change       Paricalcitol                   Injection, paricalcitol, 1 mcg
   J2502           No Change       Inj, pasireotide long acting   Injection, pasireotide long acting, 1 mg
   J2503           No Change       Pegaptanib sodium injection    Injection, pegaptanib sodium, 0.3 mg
   J2504           No Change       Pegademase bovine, 25 iu       Injection, pegademase bovine, 25 iu
   J2505           No Change       Injection, pegfilgrastim 6mg   Injection, pegfilgrastim, 6 mg
   J2507           No Change       Pegloticase injection          Injection, pegloticase, 1 mg
   J2510           No Change       Penicillin g procaine inj      Injection, penicillin g procaine, aqueous, up to 600,000 units
   J2513           No Change       Pentastarch 10% solution       Injection, pentastarch, 10% solution, 100 ml
   J2515           No Change       Pentobarbital sodium inj       Injection, pentobarbital sodium, per 50 mg
   J2540           No Change       Penicillin g potassium inj     Injection, penicillin g potassium, up to 600,000 units
   J2543           No Change       Piperacillin/tazobactam        Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (
   J2545           No Change       Pentamidine non-comp unit      Pentamidine isethionate, inhalation solution, fda-approved final produ
   J2547           No Change       Injection, peramivir           Injection, peramivir, 1 mg
   J2550           No Change       Promethazine hcl injection     Injection, promethazine hcl, up to 50 mg
   J2560           No Change       Phenobarbital sodium inj       Injection, phenobarbital sodium, up to 120 mg
   J2562           No Change       Plerixafor injection           Injection, plerixafor, 1 mg
   J2590           No Change       Oxytocin injection             Injection, oxytocin, up to 10 units
   J2597           No Change       Inj desmopressin acetate       Injection, desmopressin acetate, per 1 mcg
   J2650           No Change       Prednisolone acetate inj       Injection, prednisolone acetate, up to 1 ml
   J2670           No Change       Totazoline hcl injection       Injection, tolazoline hcl, up to 25 mg
   J2675           No Change       Inj progesterone per 50 mg     Injection, progesterone, per 50 mg
   J2680           No Change       Fluphenazine decanoate 25 mg   Injection, fluphenazine decanoate, up to 25 mg
   J2690           No Change       Procainamide hcl injection     Injection, procainamide hcl, up to 1 gm
   J2700           No Change       Oxacillin sodium injeciton     Injection, oxacillin sodium, up to 250 mg
   J2704           No Change       Inj, propofol, 10 mg           Injection, propofol, 10 mg
   J2710           No Change       Neostigmine methylslfte inj    Injection, neostigmine methylsulfate, up to 0.5 mg
   J2720           No Change       Inj protamine sulfate/10 mg    Injection, protamine sulfate, per 10 mg
   J2724           No Change       Protein c concentrate          Injection, protein c concentrate, intravenous, human, 10 iu
   J2725           No Change       Inj protirelin per 250 mcg     Injection, protirelin, per 250 mcg
   J2730           No Change       Pralidoxime chloride inj       Injection, pralidoxime chloride, up to 1 gm
   J2760           No Change       Phentolaine mesylate inj       Injection, phentolamine mesylate, up to 5 mg
   J2765           No Change       Metoclopramide hcl injection   Injection, metoclopramide hcl, up to 10 mg
   J2770           No Change       Quinupristin/dalfopristin      Injection, quinupristin/dalfopristin, 500 mg (150/350)
   J2778           No Change       Ranibizumab injection          Injection, ranibizumab, 0.1 mg
   J2780           No Change       Ranitidine hydrochloride inj   Injection, ranitidine hydrochloride, 25 mg
   J2783           No Change       Rasburicase                    Injection, rasburicase, 0.5 mg
   J2785           No Change       Regadenoson injection          Injection, regadenoson, 0.1 mg
   J2786           No Change       Injection, reslizumab, 1mg     Injection, reslizumab, 1 mg
   J2787           No Change       Riboflavin 5'phos opth<=3ml    Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml
   J2788           No Change       Rho d immune globulin 50 mcg   Injection, rho d immune globulin, human, minidose, 50 micrograms (250
   J2790           No Change       Rho d immune globulin inj      Injection, rho d immune globulin, human, full dose, 300 micrograms (15
   J2791           No Change       Rhophylac injection            Injection, rho(d) immune globulin (human), (rhophylac), intramuscular
   J2792           No Change       Rho(d) immune globulin h, sd   Injection, rho d immune globulin, intravenous, human, solvent detergen
   J2793           No Change       Rilonacept injection           Injection, rilonacept, 1 mg
   J2794    Long Description ChangeInj risperdal consta, 0.5 mg   Injection, risperidone (risperdal consta), 0.5 mg
   J2795           No Change       Ropivacaine hcl injection      Injection, ropivacaine hydrochloride, 1 mg
   J2796           No Change       Romiplostim injection          Injection, romiplostim, 10 micrograms
   J2797           No Change       Inj., rolapitant, 0.5 mg       Injection, rolapitant, 0.5 mg
   J2798              ADD          Inj., perseris, 0.5 mg         Injection, risperidone, (perseris), 0.5 mg
   J2800           No Change       Methocarbamol injection        Injection, methocarbamol, up to 10 ml
   J2805           No Change       Sincalide injection            Injection, sincalide, 5 micrograms
   J2810           No Change       Inj theophylline per 40 mg     Injection, theophylline, per 40 mg
   J2820           No Change       Sargramostim injection         Injection, sargramostim (gm-csf), 50 mcg
   J2840           No Change       Inj sebelipase alfa 1 mg       Injection, sebelipase alfa, 1 mg
   J2850           No Change       Inj secretin synthetic human   Injection, secretin, synthetic, human, 1 microgram
   J2860           No Change       Injection, siltuximab          Injection, siltuximab, 10 mg
   J2910           No Change       Aurothioglucose injeciton      Injection, aurothioglucose, up to 50 mg
   J2916           No Change       Na ferric gluconate complex    Injection, sodium ferric gluconate complex in sucrose injection, 12.5
   J2920           No Change       Methylprednisolone injection   Injection, methylprednisolone sodium succinate, up to 40 mg
   J2930           No Change       Methylprednisolone injection   Injection, methylprednisolone sodium succinate, up to 125 mg
   J2940           No Change       Somatrem injection             Injection, somatrem, 1 mg
   J2941        Payment Change     Somatropin injection           Injection, somatropin, 1 mg
   J2950           No Change       Promazine hcl injection        Injection, promazine hcl, up to 25 mg
   J2993           No Change       Reteplase injection            Injection, reteplase, 18.1 mg
   J2995           No Change       Inj streptokinase /250000 iu   Injection, streptokinase, per 250,000 iu
   J2997           No Change       Alteplase recombinant          Injection, alteplase recombinant, 1 mg
   J3000           No Change       Streptomycin injection         Injection, streptomycin, up to 1 gm
   J3010           No Change       Fentanyl citrate injection     Injection, fentanyl citrate, 0.1 mg
   J3030           No Change       Sumatriptan succinate / 6 mg   Injection, sumatriptan succinate, 6 mg (code may be used for medicare
   J3031              ADD          Inj., fremanezumab-vfrm 1 mg   Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when
   J3060           No Change       Inj, taliglucerase alfa 10 u   Injection, taliglucerase alfa, 10 units
   J3070           No Change       Pentazocine injection          Injection, pentazocine, 30 mg
   J3090           No Change       Inj tedizolid phosphate        Injection, tedizolid phosphate, 1 mg
   J3095           No Change       Telavancin injection           Injection, telavancin, 10 mg
   J3101           No Change       Tenecteplase injection         Injection, tenecteplase, 1 mg
   J3105           No Change       Terbutaline sulfate inj        Injection, terbutaline sulfate, up to 1 mg
   J3110           No Change       Teriparatide injection         Injection, teriparatide, 10 mcg
   J3111              ADD          Inj. romosozumab-aqqg 1 mg     Injection, romosozumab-aqqg, 1 mg
   J3120           No Change       Testosterone enanthate inj     Injection, testosterone enanthate, up to 100 mg
   J3121           No Change       Inj testostero enanthate 1mg   Injection, testosterone enanthate, 1 mg
   J3130           No Change       Testosterone enanthate inj     Injection, testosterone enanthate, up to 200 mg
   J3140           No Change       Testosterone suspension inj    Injection, testosterone suspension, up to 50 mg
   J3145           No Change       Testosterone undecanoate 1mg   Injection, testosterone undecanoate, 1 mg
   J3150           No Change       Testosteron propionate inj     Injection, testosterone propionate, up to 100 mg
   J3230           No Change       Chlorpromazine hcl injection   Injection, chlorpromazine hcl, up to 50 mg
   J3240           No Change       Thyrotropin injection          Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
   J3243           No Change       Tigecycline injection          Injection, tigecycline, 1 mg
   J3245           No Change       Inj., tildrakizumab, 1 mg      Injection, tildrakizumab, 1 mg
   J3246           No Change       Tirofiban hcl                  Injection, tirofiban hcl, 0.25 mg
   J3250           No Change       Trimethobenzamide hcl inj      Injection, trimethobenzamide hcl, up to 200 mg
   J3260           No Change       Tobramycin sulfate injection   Injection, tobramycin sulfate, up to 80 mg
   J3262           No Change       Tocilizumab injection          Injection, tocilizumab, 1 mg
   J3265           No Change       Injection torsemide 10 mg/ml   Injection, torsemide, 10 mg/ml
   J3280           No Change       Thiethylperazine maleate inj   Injection, thiethylperazine maleate, up to 10 mg
   J3285           No Change       Treprostinil injection         Injection, treprostinil, 1 mg
   J3300           No Change       Triamcinolone a inj prs-free   Injection, triamcinolone acetonide, preservative free, 1 mg
   J3301           No Change       Triamcinolone acet inj nos     Injection, triamcinolone acetonide, not otherwise specified, 10 mg
   J3302           No Change       Triamcinolone diacetate inj    Injection, triamcinolone diacetate, per 5 mg
   J3303           No Change       Triamcinolone hexacetonl inj   Injection, triamcinolone hexacetonide, per 5 mg
   J3304           No Change       Inj triamcinolone ace xr 1mg   Injection, triamcinolone acetonide, preservative-free, extended-releas
   J3305           No Change       Inj trimetrexate glucoronate   Injection, trimetrexate glucuronate, per 25 mg
   J3310           No Change       Perphenazine injeciton         Injection, perphenazine, up to 5 mg
   J3315           No Change       Triptorelin pamoate            Injection, triptorelin pamoate, 3.75 mg
   J3316           No Change       Inj., triptorelin xr 3.75 mg   Injection, triptorelin, extended-release, 3.75 mg
   J3320           No Change       Spectinomycn di-hcl inj        Injection, spectinomycin dihydrochloride, up to 2 gm
   J3350           No Change       Urea injection                 Injection, urea, up to 40 gm
   J3355           No Change       Urofollitropin, 75 iu          Injection, urofollitropin, 75 iu
   J3357           No Change       Ustekinumab sub cu inj, 1 mg   Ustekinumab, for subcutaneous injection, 1 mg
   J3358           No Change       Ustekinumab, iv inject, 1 mg   Ustekinumab, for intravenous injection, 1 mg
   J3360           No Change       Diazepam injection             Injection, diazepam, up to 5 mg
   J3364           No Change       Urokinase 5000 iu injection    Injection, urokinase, 5000 iu vial
   J3365           No Change       Urokinase 250,000 iu inj       Injection, iv, urokinase, 250,000 i.u. vial
   J3370           No Change       Vancomycin hcl injection       Injection, vancomycin hcl, 500 mg
   J3380           No Change       Injection, vedolizumab         Injection, vedolizumab, 1 mg
   J3385           No Change       Velaglucerase alfa             Injection, velaglucerase alfa, 100 units
   J3396           No Change       Verteporfin injection          Injection, verteporfin, 0.1 mg
   J3397           No Change       Inj., vestronidase alfa-vjbk   Injection, vestronidase alfa-vjbk, 1 mg
   J3398           No Change       Inj luxturna 1 billion vec g   Injection, voretigene neparvovec-rzyl, 1 billion vector genomes
   J3400           No Change       Triflupromazine hcl inj        Injection, triflupromazine hcl, up to 20 mg
   J3410           No Change       Hydroxyzine hcl injection      Injection, hydroxyzine hcl, up to 25 mg
   J3411           No Change       Thiamine hcl 100 mg            Injection, thiamine hcl, 100 mg
   J3415           No Change       Pyridoxine hcl 100 mg          Injection, pyridoxine hcl, 100 mg
   J3420           No Change       Vitamin b12 injection          Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
   J3430           No Change       Vitamin k phytonadione inj     Injection, phytonadione (vitamin k), per 1 mg
   J3465           No Change       Injection, voriconazole        Injection, voriconazole, 10 mg
   J3470           No Change       Hyaluronidase injection        Injection, hyaluronidase, up to 150 units
   J3471           No Change       Ovine, up to 999 usp units     Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up
   J3472           No Change       Ovine, 1000 usp units          Injection, hyaluronidase, ovine, preservative free, per 1000 usp units
   J3473           No Change       Hyaluronidase recombinant      Injection, hyaluronidase, recombinant, 1 usp unit
   J3475           No Change       Inj magnesium sulfate          Injection, magnesium sulfate, per 500 mg
   J3480           No Change       Inj potassium chloride         Injection, potassium chloride, per 2 meq
   J3485           No Change       Zidovudine                     Injection, zidovudine, 10 mg
   J3486           No Change       Ziprasidone mesylate           Injection, ziprasidone mesylate, 10 mg
   J3489           No Change       Zoledronic acid 1mg            Injection, zoledronic acid, 1 mg
   J3490           No Change       Drugs unclassified injection   Unclassified drugs
   J3520           No Change       Edetate disodium per 150 mg    Edetate disodium, per 150 mg
   J3530           No Change       Nasal vaccine inhalation       Nasal vaccine inhalation
   J3535           No Change       Metered dose inhaler drug      Drug administered through a metered dose inhaler
   J3570           No Change       Laetrile amygdalin vit b17     Laetrile, amygdalin, vitamin b17
   J3590           No Change       Unclassified biologics         Unclassified biologics
   J3591           No Change       Esrd on dialysi drug/bio noc   Unclassified drug or biological used for esrd on dialysis
   J7030           No Change       Normal saline solution infus   Infusion, normal saline solution , 1000 cc
   J7040           No Change       Normal saline solution infus   Infusion, normal saline solution, sterile (500 ml = 1 unit)
   J7042           No Change       5% dextrose/normal saline      5% dextrose/normal saline (500 ml = 1 unit)
   J7050           No Change       Normal saline solution infus   Infusion, normal saline solution, 250 cc
   J7060           No Change       5% dextrose/water              5% dextrose/water (500 ml = 1 unit)
   J7070           No Change       D5w infusion                   Infusion, d5w, 1000 cc
   J7100           No Change       Dextran 40 infusion            Infusion, dextran 40, 500 ml
   J7110           No Change       Dextran 75 infusion            Infusion, dextran 75, 500 ml
   J7120           No Change       Ringers lactate infusion       Ringers lactate infusion, up to 1000 cc
   J7121           No Change       5% dextrose in lac ringers     5% dextrose in lactated ringers infusion, up to 1000 cc
   J7131           No Change       Hypertonic saline sol          Hypertonic saline solution, 1 ml
   J7170           No Change       Inj., emicizumab-kxwh 0.5 mg   Injection, emicizumab-kxwh, 0.5 mg
   J7175           No Change       Inj, factor x, (human), 1iu    Injection, factor x, (human), 1 i.u.
   J7177           No Change       Inj., fibryga, 1 mg            Injection, human fibrinogen concentrate (fibryga), 1 mg
   J7178           No Change       Inj human fibrinogen con nos   Injection, human fibrinogen concentrate, not otherwise specified, 1 mg
   J7179           No Change       Vonvendi inj 1 iu vwf:rco      Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf
   J7180           No Change       Factor xiii anti-hem factor    Injection, factor xiii (antihemophilic factor, human), 1 i.u.
   J7181           No Change       Factor xiii recomb a-subunit   Injection, factor xiii a-subunit, (recombinant), per iu
   J7182           No Change       Factor viii recomb novoeight   Injection, factor viii, (antihemophilic factor, recombinant), (novoeig
   J7183           No Change       Wilate injection               Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:r
   J7185           No Change       Xyntha inj                     Injection, factor viii (antihemophilic factor, recombinant) (xyntha),
   J7186           No Change       Antihemophilic viii/vwf comp   Injection, antihemophilic factor viii/von willebrand factor complex (h
   J7187           No Change       Humate-p, inj                  Injection, von willebrand factor complex (humate-p), per iu vwf:rco
   J7188           No Change       Factor viii recomb obizur      Injection, factor viii (antihemophilic factor, recombinant), (obizur),
   J7189           No Change       Factor viia                    Factor viia (antihemophilic factor, recombinant), per 1 microgram
   J7190           No Change       Factor viii                    Factor viii (antihemophilic factor, human) per i.u.
   J7191           No Change       Factor viii (porcine)          Factor viii (antihemophilic factor (porcine)), per i.u.
   J7192           No Change       Factor viii recombinant nos    Factor viii (antihemophilic factor, recombinant) per i.u., not otherwi
   J7193           No Change       Factor ix non-recombinant      Factor ix (antihemophilic factor, purified, non-recombinant) per i.u.
   J7194           No Change       Factor ix complex              Factor ix, complex, per i.u.
   J7195           No Change       Factor ix recombinant nos      Injection, factor ix (antihemophilic factor, recombinant) per iu, not
   J7196        Payment Change     Antithrombin recombinant       Injection, antithrombin recombinant, 50 i.u.
   J7197           No Change       Antithrombin iii injection     Antithrombin iii (human), per i.u.
   J7198           No Change       Anti-inhibitor                 Anti-inhibitor, per i.u.
   J7199           No Change       Hemophilia clot factor noc     Hemophilia clotting factor, not otherwise classified
   J7200           No Change       Factor ix recombinan rixubis   Injection, factor ix, (antihemophilic factor, recombinant), rixubis, p
   J7201           No Change       Factor ix alprolix recomb      Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.
   J7202           No Change       Factor ix idelvion inj         Injection, factor ix, albumin fusion protein, (recombinant), idelvion,
   J7203           No Change       Factor ix recomb gly rebinyn   Injection factor ix, (antihemophilic factor, recombinant), glycopegyla
   J7205           No Change       Factor viii fc fusion recomb   Injection, factor viii fc fusion protein (recombinant), per iu
   J7207           No Change       Factor viii pegylated recomb   Injection, factor viii, (antihemophilic factor, recombinant), pegylate
   J7208              ADD          Inj. jivi 1 iu                 Injection, factor viii, (antihemophilic factor, recombinant), pegylate
   J7209           No Change       Factor viii nuwiq recomb 1iu   Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq),
   J7210           No Change       Inj, afstyla, 1 i.u.           Injection, factor viii, (antihemophilic factor, recombinant), (afstyla
   J7211           No Change       Inj, kovaltry, 1 i.u.          Injection, factor viii, (antihemophilic factor, recombinant), (kovaltr
   J7296           No Change       Kyleena, 19.5 mg               Levonorgestrel-releasing intrauterine contraceptive system, (kyleena),
   J7297           No Change       Liletta, 52 mg                 Levonorgestrel-releasing intrauterine contraceptive system (liletta),
   J7298           No Change       Mirena, 52 mg                  Levonorgestrel-releasing intrauterine contraceptive system (mirena), 5
   J7300           No Change       Intraut copper contraceptive   Intrauterine copper contraceptive
   J7301           No Change       Skyla, 13.5 mg                 Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13
   J7302           No Change       Levonorgestrel iu 52 mg        Levonorgestrel-releasing intrauterine contraceptive system, 52 mg
   J7303           No Change       Contraceptive vaginal ring     Contraceptive supply, hormone containing vaginal ring, each
   J7304           No Change       Contraceptive hormone patch    Contraceptive supply, hormone containing patch, each
   J7306           No Change       Levonorgestrel implant sys     Levonorgestrel (contraceptive) implant system, including implants and
   J7307           No Change       Etonogestrel implant system    Etonogestrel (contraceptive) implant system, including implant and sup
   J7308           No Change       Aminolevulinic acid hcl top    Aminolevulinic acid hcl for topical administration, 20%, single unit d
   J7309           No Change       Methyl aminolevulinate, top    Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram
   J7310           No Change       Ganciclovir long act implant   Ganciclovir, 4.5 mg, long-acting implant
   J7311    Long Description ChangeInj., retisert, 0.01 mg        Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.
   J7312           No Change       Dexamethasone intra implant    Injection, dexamethasone, intravitreal implant, 0.1 mg
   J7313    Long Description ChangeInj., iluvien, 0.01 mg         Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.0
   J7314              ADD          Inj., yutiq, 0.01 mg           Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01
   J7315           No Change       Ophthalmic mitomycin           Mitomycin, ophthalmic, 0.2 mg
   J7316           No Change       Inj, ocriplasmin, 0.125 mg     Injection, ocriplasmin, 0.125 mg
   J7318           No Change       Inj, durolane 1 mg             Hyaluronan or derivative, durolane, for intra-articular injection, 1 m
   J7320           No Change       Genvisc 850, inj, 1mg          Hyaluronan or derivitive, genvisc 850, for intra-articular injection,
   J7321           No Change       Hyalgan supartz visco-3 dose   Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-artic
   J7322           No Change       Hymovis injection 1 mg         Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
   J7323           No Change       Euflexxa inj per dose          Hyaluronan or derivative, euflexxa, for intra-articular injection, per
   J7324           No Change       Orthovisc inj per dose         Hyaluronan or derivative, orthovisc, for intra-articular injection, pe
   J7325           No Change       Synvisc or synvisc-one         Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular
   J7326           No Change       Gel-one                        Hyaluronan or derivative, gel-one, for intra-articular injection, per
   J7327           No Change       Monovisc inj per dose          Hyaluronan or derivative, monovisc, for intra-articular injection, per
   J7328           No Change       Gelsyn-3 injection 0.1 mg      Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1
   J7329           No Change       Inj, trivisc 1 mg              Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
   J7330           No Change       Cultured chondrocytes implnt   Autologous cultured chondrocytes, implant
   J7331              ADD          Synojoynt, inj., 1 mg          Hyaluronan or derivative, synojoynt, for intra-articular injection, 1
   J7332              ADD          Inj., triluron, 1 mg           Hyaluronan or derivative, triluron, for intra-articular injection, 1 m
   J7335           No Change       Capsaicin 8% patch             Capsaicin 8% patch, per 10 square centimeters
   J7336           No Change       Capsaicin 8% patch             Capsaicin 8% patch, per square centimeter
   J7340        Payment Change     Carbidopa levodopa ent 100ml   Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml
   J7342           No Change       Ciprofloxacin otic susp 6 mg   Instillation, ciprofloxacin otic suspension, 6 mg
   J7345           No Change       Aminolevulinic acid, 10% gel   Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
   J7401              ADD          Mometasone furoate sinus imp   Mometasone furoate sinus implant, 10 micrograms
   J7500           No Change       Azathioprine oral 50mg         Azathioprine, oral, 50 mg
   J7501           No Change       Azathioprine parenteral        Azathioprine, parenteral, 100 mg
   J7502           No Change       Cyclosporine oral 100 mg       Cyclosporine, oral, 100 mg
   J7503           No Change       Tacrol envarsus ex rel oral    Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg
   J7504           No Change       Lymphocyte immune globulin     Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral
   J7505           No Change       Monoclonal antibodies          Muromonab-cd3, parenteral, 5 mg
   J7506           No Change       Prednisone oral                Prednisone, oral, per 5 mg
   J7507           No Change       Tacrolimus imme rel oral 1mg   Tacrolimus, immediate release, oral, 1 mg
   J7508           No Change       Tacrol astagraf ex rel oral    Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg
   J7509           No Change       Methylprednisolone oral        Methylprednisolone oral, per 4 mg
   J7510           No Change       Prednisolone oral per 5 mg     Prednisolone oral, per 5 mg
   J7511           No Change       Antithymocyte globuln rabbit   Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral
   J7512           No Change       Prednisone ir or dr oral 1mg   Prednisone, immediate release or delayed release, oral, 1 mg
   J7513           No Change       Daclizumab, parenteral         Daclizumab, parenteral, 25 mg
   J7515           No Change       Cyclosporine oral 25 mg        Cyclosporine, oral, 25 mg
   J7516           No Change       Cyclosporin parenteral 250mg   Cyclosporin, parenteral, 250 mg
   J7517           No Change       Mycophenolate mofetil oral     Mycophenolate mofetil, oral, 250 mg
   J7518           No Change       Mycophenolic acid              Mycophenolic acid, oral, 180 mg
   J7520           No Change       Sirolimus, oral                Sirolimus, oral, 1 mg
   J7525           No Change       Tacrolimus injection           Tacrolimus, parenteral, 5 mg
   J7527           No Change       Oral everolimus                Everolimus, oral, 0.25 mg
   J7599           No Change       Immunosuppressive drug noc     Immunosuppressive drug, not otherwise classified
   J7604           No Change       Acetylcysteine comp unit       Acetylcysteine, inhalation solution, compounded product, administered
   J7605           No Change       Arformoterol non-comp unit     Arformoterol, inhalation solution, fda approved final product, non-com
   J7606           No Change       Formoterol fumarate, inh       Formoterol fumarate, inhalation solution, fda approved final product,
   J7607           No Change       Levalbuterol comp con          Levalbuterol, inhalation solution, compounded product, administered th
   J7608           No Change       Acetylcysteine non-comp unit   Acetylcysteine, inhalation solution, fda-approved final product, non-c
   J7609           No Change       Albuterol comp unit            Albuterol, inhalation solution, compounded product, administered throu
   J7610           No Change       Albuterol comp con             Albuterol, inhalation solution, compounded product, administered throu
   J7611           No Change       Albuterol non-comp con         Albuterol, inhalation solution, fda-approved final product, non-compou
   J7612           No Change       Levalbuterol non-comp con      Levalbuterol, inhalation solution, fda-approved final product, non-com
   J7613           No Change       Albuterol non-comp unit        Albuterol, inhalation solution, fda-approved final product, non-compou
   J7614           No Change       Levalbuterol non-comp unit     Levalbuterol, inhalation solution, fda-approved final product, non-com
   J7615           No Change       Levalbuterol comp unit         Levalbuterol, inhalation solution, compounded product, administered th
   J7620           No Change       Albuterol ipratrop non-comp    Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-app
   J7622           No Change       Beclomethasone comp unit       Beclomethasone, inhalation solution, compounded product, administered
   J7624           No Change       Betamethasone comp unit        Betamethasone, inhalation solution, compounded product, administered t
   J7626           No Change       Budesonide non-comp unit       Budesonide, inhalation solution, fda-approved final product, non-compo
   J7627           No Change       Budesonide comp unit           Budesonide, inhalation solution, compounded product, administered thro
   J7628           No Change       Bitolterol mesylate comp con   Bitolterol mesylate, inhalation solution, compounded product, administ
   J7629           No Change       Bitolterol mesylate comp unt   Bitolterol mesylate, inhalation solution, compounded product, administ
   J7631           No Change       Cromolyn sodium noncomp unit   Cromolyn sodium, inhalation solution, fda-approved final product, non-
   J7632           No Change       Cromolyn sodium comp unit      Cromolyn sodium, inhalation solution, compounded product, administered
   J7633           No Change       Budesonide non-comp con        Budesonide, inhalation solution, fda-approved final product, non-compo
   J7634           No Change       Budesonide comp con            Budesonide, inhalation solution, compounded product, administered thro
   J7635           No Change       Atropine comp con              Atropine, inhalation solution, compounded product, administered throug
   J7636           No Change       Atropine comp unit             Atropine, inhalation solution, compounded product, administered throug
   J7637           No Change       Dexamethasone comp con         Dexamethasone, inhalation solution, compounded product, administered t
   J7638           No Change       Dexamethasone comp unit        Dexamethasone, inhalation solution, compounded product, administered t
   J7639           No Change       Dornase alfa non-comp unit     Dornase alfa, inhalation solution, fda-approved final product, non-com
   J7640           No Change       Formoterol comp unit           Formoterol, inhalation solution, compounded product, administered thro
   J7641           No Change       Flunisolide comp unit          Flunisolide, inhalation solution, compounded product, administered thr
   J7642           No Change       Glycopyrrolate comp con        Glycopyrrolate, inhalation solution, compounded product, administered
   J7643           No Change       Glycopyrrolate comp unit       Glycopyrrolate, inhalation solution, compounded product, administered
   J7644           No Change       Ipratropium bromide non-comp   Ipratropium bromide, inhalation solution, fda-approved final product,
   J7645           No Change       Ipratropium bromide comp       Ipratropium bromide, inhalation solution, compounded product, administ
   J7647           No Change       Isoetharine comp con           Isoetharine hcl, inhalation solution, compounded product, administered
   J7648           No Change       Isoetharine non-comp con       Isoetharine hcl, inhalation solution, fda-approved final product, non-
   J7649           No Change       Isoetharine non-comp unit      Isoetharine hcl, inhalation solution, fda-approved final product, non-
   J7650           No Change       Isoetharine comp unit          Isoetharine hcl, inhalation solution, compounded product, administered
   J7657           No Change       Isoproterenol comp con         Isoproterenol hcl, inhalation solution, compounded product, administer
   J7658           No Change       Isoproterenol non-comp con     Isoproterenol hcl, inhalation solution, fda-approved final product, no
   J7659           No Change       Isoproterenol non-comp unit    Isoproterenol hcl, inhalation solution, fda-approved final product, no
   J7660           No Change       Isoproterenol comp unit        Isoproterenol hcl, inhalation solution, compounded product, administer
   J7665           No Change       Mannitol for inhaler           Mannitol, administered through an inhaler, 5 mg
   J7667           No Change       Metaproterenol comp con        Metaproterenol sulfate, inhalation solution, compounded product, conce
   J7668           No Change       Metaproterenol non-comp con    Metaproterenol sulfate, inhalation solution, fda-approved final produc
   J7669           No Change       Metaproterenol non-comp unit   Metaproterenol sulfate, inhalation solution, fda-approved final produc
   J7670           No Change       Metaproterenol comp unit       Metaproterenol sulfate, inhalation solution, compounded product, admin
   J7674           No Change       Methacholine chloride, neb     Methacholine chloride administered as inhalation solution through a ne
   J7676           No Change       Pentamidine comp unit dose     Pentamidine isethionate, inhalation solution, compounded product, admi
   J7677              ADD          Revefenacin inh non-com 1mcg   Revefenacin inhalation solution, fda-approved final product, non-compo
   J7680           No Change       Terbutaline sulf comp con      Terbutaline sulfate, inhalation solution, compounded product, administ
   J7681           No Change       Terbutaline sulf comp unit     Terbutaline sulfate, inhalation solution, compounded product, administ
   J7682           No Change       Tobramycin non-comp unit       Tobramycin, inhalation solution, fda-approved final product, non-compo
   J7683           No Change       Triamcinolone comp con         Triamcinolone, inhalation solution, compounded product, administered t
   J7684           No Change       Triamcinolone comp unit        Triamcinolone, inhalation solution, compounded product, administered t
   J7685           No Change       Tobramycin comp unit           Tobramycin, inhalation solution, compounded product, administered thro
   J7686           No Change       Treprostinil, non-comp unit    Treprostinil, inhalation solution, fda-approved final product, non-com
   J7699           No Change       Inhalation solution for dme    Noc drugs, inhalation solution administered through dme
   J7799           No Change       Non-inhalation drug for dme    Noc drugs, other than inhalation drugs, administered through dme
   J7999           No Change       Compounded drug, noc           Compounded drug, not otherwise classified
   J8498           No Change       Antiemetic rectal/supp nos     Antiemetic drug, rectal/suppository, not otherwise specified
   J8499           No Change       Oral prescrip drug non chemo   Prescription drug, oral, non chemotherapeutic, nos
   J8501           No Change       Oral aprepitant                Aprepitant, oral, 5 mg
   J8510        Payment Change     Oral busulfan                  Busulfan; oral, 2 mg
   J8515           No Change       Cabergoline, oral 0.25mg       Cabergoline, oral, 0.25 mg
   J8520           No Change       Capecitabine, oral, 150 mg     Capecitabine, oral, 150 mg
   J8521           No Change       Capecitabine, oral, 500 mg     Capecitabine, oral, 500 mg
   J8530           No Change       Cyclophosphamide oral 25 mg    Cyclophosphamide; oral, 25 mg
   J8540           No Change       Oral dexamethasone             Dexamethasone, oral, 0.25 mg
   J8560           No Change       Etoposide oral 50 mg           Etoposide; oral, 50 mg
   J8562           No Change       Oral fludarabine phosphate     Fludarabine phosphate, oral, 10 mg
   J8565           No Change       Gefitinib oral                 Gefitinib, oral, 250 mg
   J8597           No Change       Antiemetic drug oral nos       Antiemetic drug, oral, not otherwise specified
   J8600           No Change       Melphalan oral 2 mg            Melphalan; oral, 2 mg
   J8610           No Change       Methotrexate oral 2.5 mg       Methotrexate; oral, 2.5 mg
   J8650           No Change       Nabilone oral                  Nabilone, oral, 1 mg
   J8655           No Change       Oral netupitant, palonosetro   Netupitant 300 mg and palonosetron 0.5 mg, oral
   J8670           No Change       Rolapitant, oral, 1mg          Rolapitant, oral, 1 mg
   J8700           No Change       Temozolomide                   Temozolomide, oral, 5 mg
   J8705           No Change       Topotecan oral                 Topotecan, oral, 0.25 mg
   J8999           No Change       Oral prescription drug chemo   Prescription drug, oral, chemotherapeutic, nos
   J9000           No Change       Doxorubicin hcl injection      Injection, doxorubicin hydrochloride, 10 mg
   J9010           No Change       Alemtuzumab injection          Injection, alemtuzumab, 10 mg
   J9015           No Change       Aldesleukin injection          Injection, aldesleukin, per single use vial
   J9017           No Change       Arsenic trioxide injection     Injection, arsenic trioxide, 1 mg
   J9019           No Change       Erwinaze injection             Injection, asparaginase (erwinaze), 1,000 iu
   J9020           No Change       Asparaginase, nos              Injection, asparaginase, not otherwise specified, 10,000 units
   J9022           No Change       Inj, atezolizumab,10 mg        Injection, atezolizumab, 10 mg
   J9023           No Change       Injection, avelumab, 10 mg     Injection, avelumab, 10 mg
   J9025           No Change       Azacitidine injection          Injection, azacitidine, 1 mg
   J9027           No Change       Clofarabine injection          Injection, clofarabine, 1 mg
   J9030              ADD          Bcg live intravesical 1mg      Bcg live intravesical instillation, 1 mg
   J9031         Discontinued      Bcg live intravesical vac      Bcg (intravesical) per instillation
   J9032           No Change       Injection, belinostat, 10mg    Injection, belinostat, 10 mg
   J9033           No Change       Inj., treanda 1 mg             Injection, bendamustine hcl (treanda), 1 mg
   J9034           No Change       Inj., bendeka 1 mg             Injection, bendamustine hcl (bendeka), 1 mg
   J9035           No Change       Bevacizumab injection          Injection, bevacizumab, 10 mg
   J9036              ADD          Inj. belrapzo/bendamustine     Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg
   J9039           No Change       Injection, blinatumomab        Injection, blinatumomab, 1 microgram
   J9040           No Change       Bleomycin sulfate injection    Injection, bleomycin sulfate, 15 units
   J9041           No Change       Inj., velcade 0.1 mg           Injection, bortezomib (velcade), 0.1 mg
   J9042           No Change       Brentuximab vedotin inj        Injection, brentuximab vedotin, 1 mg
   J9043           No Change       Cabazitaxel injection          Injection, cabazitaxel, 1 mg
   J9044           No Change       Inj, bortezomib, nos, 0.1 mg   Injection, bortezomib, not otherwise specified, 0.1 mg
   J9045           No Change       Carboplatin injection          Injection, carboplatin, 50 mg
   J9047           No Change       Injection, carfilzomib, 1 mg   Injection, carfilzomib, 1 mg
   J9050           No Change       Carmustine injection           Injection, carmustine, 100 mg
   J9055           No Change       Cetuximab injection            Injection, cetuximab, 10 mg
   J9057           No Change       Inj., copanlisib, 1 mg         Injection, copanlisib, 1 mg
   J9060           No Change       Cisplatin 10 mg injection      Injection, cisplatin, powder or solution, 10 mg
   J9065           No Change       Inj cladribine per 1 mg        Injection, cladribine, per 1 mg
   J9070           No Change       Cyclophosphamide 100 mg inj    Cyclophosphamide, 100 mg
   J9098           No Change       Cytarabine liposome inj        Injection, cytarabine liposome, 10 mg
   J9100           No Change       Cytarabine hcl 100 mg inj      Injection, cytarabine, 100 mg
   J9118              ADD          Inj. calaspargase pegol-mknl   Injection, calaspargase pegol-mknl, 10 units
   J9119              ADD          Inj., cemiplimab-rwlc, 1 mg    Injection, cemiplimab-rwlc, 1 mg
   J9120           No Change       Dactinomycin injection         Injection, dactinomycin, 0.5 mg
   J9130           No Change       Dacarbazine 100 mg inj         Dacarbazine, 100 mg
   J9145           No Change       Injection, daratumumab 10 mg   Injection, daratumumab, 10 mg
   J9150           No Change       Daunorubicin injection         Injection, daunorubicin, 10 mg
   J9151           No Change       Daunorubicin citrate inj       Injection, daunorubicin citrate, liposomal formulation, 10 mg
   J9153           No Change       Inj daunorubicin, cytarabine   Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
   J9155           No Change       Degarelix injection            Injection, degarelix, 1 mg
   J9160           No Change       Denileukin diftitox inj        Injection, denileukin diftitox, 300 micrograms
   J9165           No Change       Diethylstilbestrol injection   Injection, diethylstilbestrol diphosphate, 250 mg
   J9171           No Change       Docetaxel injection            Injection, docetaxel, 1 mg
   J9173           No Change       Inj., durvalumab, 10 mg        Injection, durvalumab, 10 mg
   J9175           No Change       Elliotts b solution per ml     Injection, elliotts' b solution, 1 ml
   J9176           No Change       Injection, elotuzumab, 1mg     Injection, elotuzumab, 1 mg
   J9178           No Change       Inj, epirubicin hcl, 2 mg      Injection, epirubicin hcl, 2 mg
   J9179           No Change       Eribulin mesylate injection    Injection, eribulin mesylate, 0.1 mg
   J9181           No Change       Etoposide injection            Injection, etoposide, 10 mg
   J9185           No Change       Fludarabine phosphate inj      Injection, fludarabine phosphate, 50 mg
   J9190           No Change       Fluorouracil injection         Injection, fluorouracil, 500 mg
   J9199              ADD          Injection, infugem, 200 mg     Injection, gemcitabine hydrochloride (infugem), 200 mg
   J9200           No Change       Floxuridine injection          Injection, floxuridine, 500 mg
   J9201    Long Description ChangeIn gemcitabine hcl nos 200mg   Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg
   J9202           No Change       Goserelin acetate implant      Goserelin acetate implant, per 3.6 mg
   J9203           No Change       Gemtuzumab ozogamicin 0.1 mg   Injection, gemtuzumab ozogamicin, 0.1 mg
   J9204              ADD          Inj mogamulizumab-kpkc, 1 mg   Injection, mogamulizumab-kpkc, 1 mg
   J9205           No Change       Inj irinotecan liposome 1 mg   Injection, irinotecan liposome, 1 mg
   J9206           No Change       Irinotecan injection           Injection, irinotecan, 20 mg
   J9207           No Change       Ixabepilone injection          Injection, ixabepilone, 1 mg
   J9208           No Change       Ifosfamide injection           Injection, ifosfamide, 1 gram
   J9209           No Change       Mesna injection                Injection, mesna, 200 mg
   J9210              ADD          Inj., emapalumab-lzsg, 1 mg    Injection, emapalumab-lzsg, 1 mg
   J9211           No Change       Idarubicin hcl injection       Injection, idarubicin hydrochloride, 5 mg
   J9212           No Change       Interferon alfacon-1 inj       Injection, interferon alfacon-1, recombinant, 1 microgram
   J9213           No Change       Interferon alfa-2a inj         Injection, interferon, alfa-2a, recombinant, 3 million units
   J9214           No Change       Interferon alfa-2b inj         Injection, interferon, alfa-2b, recombinant, 1 million units
   J9215           No Change       Interferon alfa-n3 inj         Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu
   J9216           No Change       Interferon gamma 1-b inj       Injection, interferon, gamma 1-b, 3 million units
   J9217           No Change       Leuprolide acetate suspnsion   Leuprolide acetate (for depot suspension), 7.5 mg
   J9218           No Change       Leuprolide acetate injeciton   Leuprolide acetate, per 1 mg
   J9219           No Change       Leuprolide acetate implant     Leuprolide acetate implant, 65 mg
   J9225           No Change       Vantas implant                 Histrelin implant (vantas), 50 mg
   J9226           No Change       Supprelin la implant           Histrelin implant (supprelin la), 50 mg
   J9228           No Change       Ipilimumab injection           Injection, ipilimumab, 1 mg
   J9229           No Change       Inj inotuzumab ozogam 0.1 mg   Injection, inotuzumab ozogamicin, 0.1 mg
   J9230           No Change       Mechlorethamine hcl inj        Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg
   J9245           No Change       Inj melphalan hydrochl 50 mg   Injection, melphalan hydrochloride, 50 mg
   J9250           No Change       Methotrexate sodium inj        Methotrexate sodium, 5 mg
   J9260           No Change       Methotrexate sodium inj        Methotrexate sodium, 50 mg
   J9261           No Change       Nelarabine injection           Injection, nelarabine, 50 mg
   J9262           No Change       Inj, omacetaxine mep, 0.01mg   Injection, omacetaxine mepesuccinate, 0.01 mg
   J9263           No Change       Oxaliplatin                    Injection, oxaliplatin, 0.5 mg
   J9264           No Change       Paclitaxel protein bound       Injection, paclitaxel protein-bound particles, 1 mg
   J9265           No Change       Paclitaxel injection           Injection, paclitaxel, 30 mg
   J9266           No Change       Pegaspargase injection         Injection, pegaspargase, per single dose vial
   J9267           No Change       Paclitaxel injection           Injection, paclitaxel, 1 mg
   J9268           No Change       Pentostatin injection          Injection, pentostatin, 10 mg
   J9269              ADD          Inj. tagraxofusp-erzs 10 mcg   Injection, tagraxofusp-erzs, 10 micrograms
   J9270           No Change       Plicamycin (mithramycin) inj   Injection, plicamycin, 2.5 mg
   J9271           No Change       Inj pembrolizumab              Injection, pembrolizumab, 1 mg
   J9280           No Change       Mitomycin injection            Injection, mitomycin, 5 mg
   J9285           No Change       Inj, olaratumab, 10 mg         Injection, olaratumab, 10 mg
   J9293           No Change       Mitoxantrone hydrochl / 5 mg   Injection, mitoxantrone hydrochloride, per 5 mg
   J9295           No Change       Injection, necitumumab, 1 mg   Injection, necitumumab, 1 mg
   J9299           No Change       Injection, nivolumab           Injection, nivolumab, 1 mg
   J9300           No Change       Gemtuzumab ozogamicin inj      Injection, gemtuzumab ozogamicin, 5 mg
   J9301           No Change       Obinutuzumab inj               Injection, obinutuzumab, 10 mg
   J9302           No Change       Ofatumumab injection           Injection, ofatumumab, 10 mg
   J9303           No Change       Panitumumab injection          Injection, panitumumab, 10 mg
   J9305           No Change       Pemetrexed injection           Injection, pemetrexed, 10 mg
   J9306           No Change       Injection, pertuzumab, 1 mg    Injection, pertuzumab, 1 mg
   J9307           No Change       Pralatrexate injection         Injection, pralatrexate, 1 mg
   J9308           No Change       Injection, ramucirumab         Injection, ramucirumab, 5 mg
   J9309              ADD          Inj, polatuzumab vedotin 1mg   Injection, polatuzumab vedotin-piiq, 1 mg
   J9310           No Change       Rituximab injection            Injection, rituximab, 100 mg
   J9311           No Change       Inj rituximab, hyaluronidase   Injection, rituximab 10 mg and hyaluronidase
   J9312           No Change       Inj., rituximab, 10 mg         Injection, rituximab, 10 mg
   J9313              ADD          Inj., lumoxiti, 0.01 mg        Injection, moxetumomab pasudotox-tdfk, 0.01 mg
   J9315           No Change       Romidepsin injection           Injection, romidepsin, 1 mg
   J9320           No Change       Streptozocin injection         Injection, streptozocin, 1 gram
   J9325           No Change       Inj talimogene laherparepvec   Injection, talimogene laherparepvec, per 1 million plaque forming unit
   J9328           No Change       Temozolomide injection         Injection, temozolomide, 1 mg
   J9330           No Change       Temsirolimus injection         Injection, temsirolimus, 1 mg
   J9340           No Change       Thiotepa injection             Injection, thiotepa, 15 mg
   J9351           No Change       Topotecan injection            Injection, topotecan, 0.1 mg
   J9352           No Change       Injection trabectedin 0.1mg    Injection, trabectedin, 0.1 mg
   J9354           No Change       Inj, ado-trastuzumab emt 1mg   Injection, ado-trastuzumab emtansine, 1 mg
   J9355    Long Description ChangeInj trastuzumab excl biosimi   Injection, trastuzumab, excludes biosimilar, 10 mg
   J9356              ADD          Inj. herceptin hylecta, 10mg   Injection, trastuzumab, 10 mg and hyaluronidase-oysk
   J9357           No Change       Valrubicin injection           Injection, valrubicin, intravesical, 200 mg
   J9360           No Change       Vinblastine sulfate inj        Injection, vinblastine sulfate, 1 mg
   J9370           No Change       Vincristine sulfate 1 mg inj   Vincristine sulfate, 1 mg
   J9371           No Change       Inj, vincristine sul lip 1mg   Injection, vincristine sulfate liposome, 1 mg
   J9390           No Change       Vinorelbine tartrate inj       Injection, vinorelbine tartrate, 10 mg
   J9395           No Change       Injection, fulvestrant         Injection, fulvestrant, 25 mg
   J9400           No Change       Inj, ziv-aflibercept, 1mg      Injection, ziv-aflibercept, 1 mg
   J9600           No Change       Porfimer sodium injection      Injection, porfimer sodium, 75 mg
   J9999           No Change       Chemotherapy drug              Not otherwise classified, antineoplastic drugs
   K0001           No Change       Standard wheelchair            Standard wheelchair
   K0002           No Change       Stnd hemi (low seat) whlchr    Standard hemi (low seat) wheelchair
   K0003           No Change       Lightweight wheelchair         Lightweight wheelchair
   K0004           No Change       High strength ltwt whlchr      High strength, lightweight wheelchair
   K0005           No Change       Ultralightweight wheelchair    Ultralightweight wheelchair
   K0006           No Change       Heavy duty wheelchair          Heavy duty wheelchair
   K0007           No Change       Extra heavy duty wheelchair    Extra heavy duty wheelchair
   K0008           No Change       Cstm manual wheelchair/base    Custom manual wheelchair/base
   K0009           No Change       Other manual wheelchair/base   Other manual wheelchair/base
   K0010           No Change       Stnd wt frame power whlchr     Standard - weight frame motorized/power wheelchair
   K0011           No Change       Stnd wt pwr whlchr w control   Standard - weight frame motorized/power wheelchair with programmable c
   K0012           No Change       Ltwt portbl power whlchr       Lightweight portable motorized/power wheelchair
   K0013           No Change       Custom power whlchr base       Custom motorized/power wheelchair base
   K0014           No Change       Other power whlchr base        Other motorized/power wheelchair base
   K0015           No Change       Detach non-adj ht armrst rep   Detachable, non-adjustable height armrest, replacement only, each
   K0017           No Change       Detach adjust armrest base     Detachable, adjustable height armrest, base, replacement only, each
   K0018           No Change       Detach adjust armrst upper     Detachable, adjustable height armrest, upper portion, replacement only
   K0019           No Change       Arm pad repl, each             Arm pad, replacement only, each
   K0020           No Change       Fixed adjust armrest pair      Fixed, adjustable height armrest, pair
   K0037           No Change       Hi mount flip-up footrest ea   High mount flip-up footrest, each
   K0038           No Change       Leg strap each                 Leg strap, each
   K0039           No Change       Leg strap h style each         Leg strap, h style, each
   K0040           No Change       Adjustable angle footplate     Adjustable angle footplate, each
   K0041           No Change       Large size footplate each      Large size footplate, each
   K0042           No Change       Standard size ftplate rep ea   Standard size footplate, replacement only, each
   K0043           No Change       Ftrst lowr exten tube rep ea   Footrest, lower extension tube, replacement only, each
   K0044           No Change       Ftrst upr hanger brac rep ea   Footrest, upper hanger bracket, replacement only, each
   K0045           No Change       Ftrst compl assembly repl ea   Footrest, complete assembly, replacement only, each
   K0046           No Change       Elev lgrst lwr exten repl ea   Elevating legrest, lower extension tube, replacement only, each
   K0047           No Change       Elev legrst upr hangr rep ea   Elevating legrest, upper hanger bracket, replacement only, each
   K0050           No Change       Ratchet assembly replacement   Ratchet assembly, replacement only
   K0051           No Change       Cam rel asm ft/legrst rep ea   Cam release assembly, footrest or legrest, replacement only, each
   K0052           No Change       Swingaway detach ftrest repl   Swingaway, detachable footrests, replacement only, each
   K0053           No Change       Elevate footrest articulate    Elevating footrests, articulating (telescoping), each
   K0056           No Change       Seat ht <17 or >=21 ltwt wc    Seat height less than 17" or equal to or greater than 21" for a high s
   K0065           No Change       Spoke protectors               Spoke protectors, each
   K0069           No Change       Rr whl compl sol tire rep ea   Rear wheel assembly, complete, with solid tire, spokes or molded, repl
   K0070           No Change       Rr whl compl pne tire rep ea   Rear wheel assembly, complete, with pneumatic tire, spokes or molded,
   K0071           No Change       Fr cstr comp pne tire rep ea   Front caster assembly, complete, with pneumatic tire, replacement only
   K0072           No Change       Fr cstr semi-pne tire rep ea   Front caster assembly, complete, with semi-pneumatic tire, replacement
   K0073           No Change       Caster pin lock each           Caster pin lock, each
   K0077           No Change       Fr cstr asmb sol tire rep ea   Front caster assembly, complete, with solid tire, replacement only, ea
   K0098           No Change       Drive belt for pwc, repl       Drive belt for power wheelchair, replacement only
   K0105           No Change       Iv hanger                      Iv hanger, each
   K0108           No Change       W/c component-accessory nos    Wheelchair component or accessory, not otherwise specified
   K0195           No Change       Elevating whlchair leg rests   Elevating leg rests, pair (for use with capped rental wheelchair base)
   K0455           No Change       Pump uninterrupted infusion    Infusion pump used for uninterrupted parenteral administration of medi
   K0462           No Change       Temporary replacement eqpmnt   Temporary replacement for patient owned equipment being repaired, any
   K0552           No Change       Sup/ext non-ins inf pump syr   Supplies for external non-insulin drug infusion pump, syringe type car
   K0553           No Change       Ther cgm supply allowance      Supply allowance for therapeutic continuous glucose monitor (cgm), inc
   K0554           No Change       Ther cgm receiver/monitor      Receiver (monitor), dedicated, for use with therapeutic glucose contin
   K0601           No Change       Repl batt silver oxide 1.5 v   Replacement battery for external infusion pump owned by patient, silve
   K0602           No Change       Repl batt silver oxide 3 v     Replacement battery for external infusion pump owned by patient, silve
   K0603           No Change       Repl batt alkaline 1.5 v       Replacement battery for external infusion pump owned by patient, alkal
   K0604           No Change       Repl batt lithium 3.6 v        Replacement battery for external infusion pump owned by patient, lithi
   K0605           No Change       Repl batt lithium 4.5 v        Replacement battery for external infusion pump owned by patient, lithi
   K0606           No Change       Aed garment w elec analysis    Automatic external defibrillator, with integrated electrocardiogram an
   K0607           No Change       Repl batt for aed              Replacement battery for automated external defibrillator, garment type
   K0608           No Change       Repl garment for aed           Replacement garment for use with automated external defibrillator, eac
   K0609           No Change       Repl electrode for aed         Replacement electrodes for use with automated external defibrillator,
   K0669           No Change       Seat/back cus no dmepdac ver   Wheelchair accessory, wheelchair seat or back cushion, does not meet s
   K0672           No Change       Removable soft interface le    Addition to lower extremity orthosis, removable soft interface, all co
   K0730           No Change       Ctrl dose inh drug deliv sys   Controlled dose inhalation drug delivery system
   K0733           No Change       12-24hr sealed lead acid       Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery
   K0738           No Change       Portable gas oxygen system     Portable gaseous oxygen system, rental; home compressor used to fill p
   K0739           No Change       Repair/svc dme non-oxygen eq   Repair or nonroutine service for durable medical equipment other than
   K0740           No Change       Repair/svc oxygen equipment    Repair or nonroutine service for oxygen equipment requiring the skill
   K0743           No Change       Portable home suction pump     Suction pump, home model, portable, for use on wounds
   K0744           No Change       Absorp drg <= 16 suc pump      Absorptive wound dressing for use with suction pump, home model, porta
   K0745           No Change       Absorp drg >16<=48 suc pump    Absorptive wound dressing for use with suction pump, home model, porta
   K0746           No Change       Absorp drg >48 suc pump        Absorptive wound dressing for use with suction pump, home model, porta
   K0800           No Change       Pov group 1 std up to 300lbs   Power operated vehicle, group 1 standard, patient weight capacity up t
   K0801           No Change       Pov group 1 hd 301-450 lbs     Power operated vehicle, group 1 heavy duty, patient weight capacity 30
   K0802           No Change       Pov group 1 vhd 451-600 lbs    Power operated vehicle, group 1 very heavy duty, patient weight capaci
   K0806           No Change       Pov group 2 std up to 300lbs   Power operated vehicle, group 2 standard, patient weight capacity up t
   K0807           No Change       Pov group 2 hd 301-450 lbs     Power operated vehicle, group 2 heavy duty, patient weight capacity 30
   K0808           No Change       Pov group 2 vhd 451-600 lbs    Power operated vehicle, group 2 very heavy duty, patient weight capaci
   K0812           No Change       Power operated vehicle noc     Power operated vehicle, not otherwise classified
   K0813           No Change       Pwc gp 1 std port seat/back    Power wheelchair, group 1 standard, portable, sling/solid seat and bac
   K0814           No Change       Pwc gp 1 std port cap chair    Power wheelchair, group 1 standard, portable, captains chair, patient
   K0815           No Change       Pwc gp 1 std seat/back         Power wheelchair, group 1 standard, sling/solid seat and back, patient
   K0816           No Change       Pwc gp 1 std cap chair         Power wheelchair, group 1 standard, captains chair, patient weight cap
   K0820           No Change       Pwc gp 2 std port seat/back    Power wheelchair, group 2 standard, portable, sling/solid seat/back, p
   K0821           No Change       Pwc gp 2 std port cap chair    Power wheelchair, group 2 standard, portable, captains chair, patient
   K0822           No Change       Pwc gp 2 std seat/back         Power wheelchair, group 2 standard, sling/solid seat/back, patient wei
   K0823           No Change       Pwc gp 2 std cap chair         Power wheelchair, group 2 standard, captains chair, patient weight cap
   K0824           No Change       Pwc gp 2 hd seat/back          Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient w
   K0825           No Change       Pwc gp 2 hd cap chair          Power wheelchair, group 2 heavy duty, captains chair, patient weight c
   K0826           No Change       Pwc gp 2 vhd seat/back         Power wheelchair, group 2 very heavy duty, sling/solid seat/back, pati
   K0827           No Change       Pwc gp vhd cap chair           Power wheelchair, group 2 very heavy duty, captains chair, patient wei
   K0828           No Change       Pwc gp 2 xtra hd seat/back     Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, pat
   K0829           No Change       Pwc gp 2 xtra hd cap chair     Power wheelchair, group 2 extra heavy duty, captains chair, patient we
   K0830           No Change       Pwc gp2 std seat elevate s/b   Power wheelchair, group 2 standard, seat elevator, sling/solid seat/ba
   K0831           No Change       Pwc gp2 std seat elevate cap   Power wheelchair, group 2 standard, seat elevator, captains chair, pat
   K0835           No Change       Pwc gp2 std sing pow opt s/b   Power wheelchair, group 2 standard, single power option, sling/solid s
   K0836           No Change       Pwc gp2 std sing pow opt cap   Power wheelchair, group 2 standard, single power option, captains chai
   K0837           No Change       Pwc gp 2 hd sing pow opt s/b   Power wheelchair, group 2 heavy duty, single power option, sling/solid
   K0838           No Change       Pwc gp 2 hd sing pow opt cap   Power wheelchair, group 2 heavy duty, single power option, captains ch
   K0839           No Change       Pwc gp2 vhd sing pow opt s/b   Power wheelchair, group 2 very heavy duty, single power option, sling/
   K0840           No Change       Pwc gp2 xhd sing pow opt s/b   Power wheelchair, group 2 extra heavy duty, single power option, sling
   K0841           No Change       Pwc gp2 std mult pow opt s/b   Power wheelchair, group 2 standard, multiple power option, sling/solid
   K0842           No Change       Pwc gp2 std mult pow opt cap   Power wheelchair, group 2 standard, multiple power option, captains ch
   K0843           No Change       Pwc gp2 hd mult pow opt s/b    Power wheelchair, group 2 heavy duty, multiple power option, sling/sol
   K0848           No Change       Pwc gp 3 std seat/back         Power wheelchair, group 3 standard, sling/solid seat/back, patient wei
   K0849           No Change       Pwc gp 3 std cap chair         Power wheelchair, group 3 standard, captains chair, patient weight cap
   K0850           No Change       Pwc gp 3 hd seat/back          Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient w
   K0851           No Change       Pwc gp 3 hd cap chair          Power wheelchair, group 3 heavy duty, captains chair, patient weight c
   K0852           No Change       Pwc gp 3 vhd seat/back         Power wheelchair, group 3 very heavy duty, sling/solid seat/back, pati
   K0853           No Change       Pwc gp 3 vhd cap chair         Power wheelchair, group 3 very heavy duty, captains chair, patient wei
   K0854           No Change       Pwc gp 3 xhd seat/back         Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, pat
   K0855           No Change       Pwc gp 3 xhd cap chair         Power wheelchair, group 3 extra heavy duty, captains chair, patient we
   K0856           No Change       Pwc gp3 std sing pow opt s/b   Power wheelchair, group 3 standard, single power option, sling/solid s
   K0857           No Change       Pwc gp3 std sing pow opt cap   Power wheelchair, group 3 standard, single power option, captains chai
   K0858           No Change       Pwc gp3 hd sing pow opt s/b    Power wheelchair, group 3 heavy duty, single power option, sling/solid
   K0859           No Change       Pwc gp3 hd sing pow opt cap    Power wheelchair, group 3 heavy duty, single power option, captains ch
   K0860           No Change       Pwc gp3 vhd sing pow opt s/b   Power wheelchair, group 3 very heavy duty, single power option, sling/
   K0861           No Change       Pwc gp3 std mult pow opt s/b   Power wheelchair, group 3 standard, multiple power option, sling/solid
   K0862           No Change       Pwc gp3 hd mult pow opt s/b    Power wheelchair, group 3 heavy duty, multiple power option, sling/sol
   K0863           No Change       Pwc gp3 vhd mult pow opt s/b   Power wheelchair, group 3 very heavy duty, multiple power option, slin
   K0864           No Change       Pwc gp3 xhd mult pow opt s/b   Power wheelchair, group 3 extra heavy duty, multiple power option, sli
   K0868           No Change       Pwc gp 4 std seat/back         Power wheelchair, group 4 standard, sling/solid seat/back, patient wei
   K0869           No Change       Pwc gp 4 std cap chair         Power wheelchair, group 4 standard, captains chair, patient weight cap
   K0870           No Change       Pwc gp 4 hd seat/back          Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient w
   K0871           No Change       Pwc gp 4 vhd seat/back         Power wheelchair, group 4 very heavy duty, sling/solid seat/back, pati
   K0877           No Change       Pwc gp4 std sing pow opt s/b   Power wheelchair, group 4 standard, single power option, sling/solid s
   K0878           No Change       Pwc gp4 std sing pow opt cap   Power wheelchair, group 4 standard, single power option, captains chai
   K0879           No Change       Pwc gp4 hd sing pow opt s/b    Power wheelchair, group 4 heavy duty, single power option, sling/solid
   K0880           No Change       Pwc gp4 vhd sing pow opt s/b   Power wheelchair, group 4 very heavy duty, single power option, sling/
   K0884           No Change       Pwc gp4 std mult pow opt s/b   Power wheelchair, group 4 standard, multiple power option, sling/solid
   K0885           No Change       Pwc gp4 std mult pow opt cap   Power wheelchair, group 4 standard, multiple power option, captains ch
   K0886           No Change       Pwc gp4 hd mult pow s/b        Power wheelchair, group 4 heavy duty, multiple power option, sling/sol
   K0890           No Change       Pwc gp5 ped sing pow opt s/b   Power wheelchair, group 5 pediatric, single power option, sling/solid
   K0891           No Change       Pwc gp5 ped mult pow opt s/b   Power wheelchair, group 5 pediatric, multiple power option, sling/soli
   K0898           No Change       Power wheelchair noc           Power wheelchair, not otherwise classified
   K0899           No Change       Pow mobil dev no dmepdac       Power mobility device, not coded by dme pdac or does not meet criteria
   K0900           No Change       Cstm dme other than wheelchr   Customized durable medical equipment, other than wheelchair
   K0901           No Change       Ko single upright pre ots      Knee orthosis (ko), single upright, thigh and calf, with adjustable fl
   K0902           No Change       Ko double upright pre ots      Knee orthosis (ko), double upright, thigh and calf, with adjustable fl
   K0903           No Change       Mult den insert dir carv/cam   For diabetics only, multiple density insert, made by direct carving wi
   K1001              ADD          Electronic posa treatment      Electronic positional obstructive sleep apnea treatment, with sensor,
   K1002              ADD          Ces system w/supplies access   Cranial electrotherapy stimulation (ces) system, includes all supplies
   K1003              ADD          Whirlpool tub walkin portabl   Whirlpool tub, walk-in, portable
   K1004              ADD          Lo freq us diathermy device    Low frequency ultrasonic diathermy treatment device for home use, incl
   K1005              ADD          Disp col sto bag breast milk   Disposable collection and storage bag for breast milk, any size, any t
   L0112           No Change       Cranial cervical orthosis      Cranial cervical orthosis, congenital torticollis type, with or withou
   L0113           No Change       Cranial cervical torticollis   Cranial cervical orthosis, torticollis type, with or without joint, wi
   L0120           No Change       Cerv flex n/adj foam pre ots   Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam
   L0130           No Change       Flex thermoplastic collar mo   Cervical, flexible, thermoplastic collar, molded to patient
   L0140           No Change       Cervical semi-rigid adjustab   Cervical, semi-rigid, adjustable (plastic collar)
   L0150           No Change       Cerv semi-rig adj molded chn   Cervical, semi-rigid, adjustable molded chin cup (plastic collar with
   L0160           No Change       Cerv sr wire occ/man pre ots   Cervical, semi-rigid, wire frame occipital/mandibular support, prefabr
   L0170           No Change       Cervical collar molded to pt   Cervical, collar, molded to patient model
   L0172           No Change       Cerv col sr foam 2pc pre ots   Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabrica
   L0174           No Change       Cerv sr 2pc thor ext pre ots   Cervical, collar, semi-rigid, thermoplastic foam, two piece with thora
   L0180           No Change       Cer post col occ/man sup adj   Cervical, multiple post collar, occipital/mandibular supports, adjusta
   L0190           No Change       Cerv collar supp adj cerv ba   Cervical, multiple post collar, occipital/mandibular supports, adjusta
   L0200           No Change       Cerv col supp adj bar & thor   Cervical, multiple post collar, occipital/mandibular supports, adjusta
   L0220           No Change       Thor rib belt custom fabrica   Thoracic, rib belt, custom fabricated
   L0450           No Change       Tlso flex trunk/thor pre ots   Tlso, flexible, provides trunk support, upper thoracic region, produce
   L0452           No Change       Tlso flex custom fab thoraci   Tlso, flexible, provides trunk support, upper thoracic region, produce
   L0454           No Change       Tlso trnk sj-t9 pre cst        Tlso flexible, provides trunk support, extends from sacrococcygeal jun
   L0455           No Change       Tlso flex trnk sj-t9 pre ots   Tlso, flexible, provides trunk support, extends from sacrococcygeal ju
   L0456           No Change       Tlso flex trnk sj-ss pre cst   Tlso, flexible, provides trunk support, thoracic region, rigid posteri
   L0457           No Change       Tlso flex trnk sj-ss pre ots   Tlso, flexible, provides trunk support, thoracic region, rigid posteri
   L0458           No Change       Tlso 2mod symphis-xipho pre    Tlso, triplanar control, modular segmented spinal system, two rigid pl
   L0460           No Change       Tlso 2 shl symphys-stern cst   Tlso, triplanar control, modular segmented spinal system, two rigid pl
   L0462           No Change       Tlso 3mod sacro-scap pre       Tlso, triplanar control, modular segmented spinal system, three rigid
   L0464           No Change       Tlso 4mod sacro-scap pre       Tlso, triplanar control, modular segmented spinal system, four rigid p
   L0466           No Change       Tlso r fram soft ant pre cst   Tlso, sagittal control, rigid posterior frame and flexible soft anteri
   L0467           No Change       Tlso r fram soft pre ots       Tlso, sagittal control, rigid posterior frame and flexible soft anteri
   L0468           No Change       Tlso rig fram pelvic pre cst   Tlso, sagittal-coronal control, rigid posterior frame and flexible sof
   L0469           No Change       Tlso rig fram pelvic pre ots   Tlso, sagittal-coronal control, rigid posterior frame and flexible sof
   L0470           No Change       Tlso rigid frame pre subclav   Tlso, triplanar control, rigid posterior frame and flexible soft anter
   L0472           No Change       Tlso rigid frame hyperex pre   Tlso, triplanar control, hyperextension, rigid anterior and lateral fr
   L0480           No Change       Tlso rigid plastic custom fa   Tlso, triplanar control, one piece rigid plastic shell without interfa
   L0482           No Change       Tlso rigid lined custom fab    Tlso, triplanar control, one piece rigid plastic shell with interface
   L0484           No Change       Tlso rigid plastic cust fab    Tlso, triplanar control, two piece rigid plastic shell without interfa
   L0486           No Change       Tlso rigidlined cust fab two   Tlso, triplanar control, two piece rigid plastic shell with interface
   L0488           No Change       Tlso rigid lined pre one pie   Tlso, triplanar control, one piece rigid plastic shell with interface
   L0490           No Change       Tlso rigid plastic pre one     Tlso, sagittal-coronal control, one piece rigid plastic shell, with ov
   L0491           No Change       Tlso 2 piece rigid shell       Tlso, sagittal-coronal control, modular segmented spinal system, two r
   L0492           No Change       Tlso 3 piece rigid shell       Tlso, sagittal-coronal control, modular segmented spinal system, three
   L0621           No Change       Sio flex pelvic/sacr pre ots   Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces
   L0622           No Change       Sio flex pelvisacral custom    Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces
   L0623           No Change       Sio rig pnl pelv/sac pre ots   Sacroiliac orthosis, provides pelvic-sacral support, with rigid or sem
   L0624           No Change       Sio panel custom               Sacroiliac orthosis, provides pelvic-sacral support, with rigid or sem
   L0625           No Change       Lo flex l1-below l5 pre ots    Lumbar orthosis, flexible, provides lumbar support, posterior extends
   L0626           No Change       Lo sag rig pnl stays pre cst   Lumbar orthosis, sagittal control, with rigid posterior panel(s), post
   L0627           No Change       Lo sag ri an/pos pnl pre cst   Lumbar orthosis, sagittal control, with rigid anterior and posterior p
   L0628           No Change       Lso flex no ri stays pre ots   Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, poste
   L0629           No Change       Lso flex w/rigid stays cust    Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, poste
   L0630           No Change       Lso r post pnl sj-t9 pre cst   Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s
   L0631           No Change       Lso sag r an/pos pnl pre cst   Lumbar-sacral orthosis, sagittal control, with rigid anterior and post
   L0632           No Change       Lso sag rigid frame cust       Lumbar-sacral orthosis, sagittal control, with rigid anterior and post
   L0633           No Change       Lso sc r pos/lat pnl pre cst   Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior
   L0634           No Change       Lso flexion control custom     Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior
   L0635           No Change       Lso sagit rigid panel prefab   Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigi
   L0636           No Change       Lso sagittal rigid panel cus   Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigi
   L0637           No Change       Lso sc r ant/pos pnl pre cst   Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior
   L0638           No Change       Lso sag-coronal panel custom   Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior
   L0639           No Change       Lso s/c shell/panel prefab     Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel
   L0640           No Change       Lso s/c shell/panel custom     Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel
   L0641           No Change       Lo rig pos pnl l1-l5 pre ots   Lumbar orthosis, sagittal control, with rigid posterior panel(s), post
   L0642           No Change       Lo sag ri an/pos pnl pre ots   Lumbar orthosis, sagittal control, with rigid anterior and posterior p
   L0643           No Change       Lso sag ctr rigi pos pre ots   Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s
   L0648           No Change       Lso sag r an/pos pnl pre ots   Lumbar-sacral orthosis, sagittal control, with rigid anterior and post
   L0649           No Change       Lso sc r pos/lat pnl pre ots   Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior
   L0650           No Change       Lso sc r ant/pos pnl pre ots   Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior
   L0651           No Change       Lso sag-co shell pnl pre ots   Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel
   L0700           No Change       Ctlso a-p-l control molded     Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-l
   L0710           No Change       Ctlso a-p-l control w/ inter   Ctlso, anterior-posterior-lateral-control, molded to patient model, wi
   L0810           No Change       Halo cervical into jckt vest   Halo procedure, cervical halo incorporated into jacket vest
   L0820           No Change       Halo cervical into body jack   Halo procedure, cervical halo incorporated into plaster body jacket
   L0830           No Change       Halo cerv into milwaukee typ   Halo procedure, cervical halo incorporated into milwaukee type orthosi
   L0859           No Change       Mri compatible system          Addition to halo procedure, magnetic resonance image compatible system
   L0861           No Change       Halo repl liner/interface      Addition to halo procedure, replacement liner/interface material
   L0970           No Change       Tlso corset front              Tlso, corset front
   L0972           No Change       Lso corset front               Lso, corset front
   L0974           No Change       Tlso full corset               Tlso, full corset
   L0976           No Change       Lso full corset                Lso, full corset
   L0978           No Change       Axillary crutch extension      Axillary crutch extension
   L0980           No Change       Peroneal straps pair pre ots   Peroneal straps, prefabricated, off-the-shelf, pair
   L0982           No Change       Stocking sup grips 4 pre ots   Stocking supporter grips, prefabricated, off-the-shelf, set of four (4
   L0984           No Change       Protect body sock ea pre ots   Protective body sock, prefabricated, off-the-shelf, each
   L0999           No Change       Add to spinal orthosis nos     Addition to spinal orthosis, not otherwise specified
   L1000           No Change       Ctlso milwauke initial model   Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusiv
   L1001           No Change       Ctlso infant immobilizer       Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, pr
   L1005           No Change       Tension based scoliosis orth   Tension based scoliosis orthosis and accessory pads, includes fitting
   L1010           No Change       Ctlso axilla sling             Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scolio
   L1020           No Change       Kyphosis pad                   Addition to ctlso or scoliosis orthosis, kyphosis pad
   L1025           No Change       Kyphosis pad floating          Addition to ctlso or scoliosis orthosis, kyphosis pad, floating
   L1030           No Change       Lumbar bolster pad             Addition to ctlso or scoliosis orthosis, lumbar bolster pad
   L1040           No Change       Lumbar or lumbar rib pad       Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad
   L1050           No Change       Sternal pad                    Addition to ctlso or scoliosis orthosis, sternal pad
   L1060           No Change       Thoracic pad                   Addition to ctlso or scoliosis orthosis, thoracic pad
   L1070           No Change       Trapezius sling                Addition to ctlso or scoliosis orthosis, trapezius sling
   L1080           No Change       Outrigger                      Addition to ctlso or scoliosis orthosis, outrigger
   L1085           No Change       Outrigger bil w/ vert extens   Addition to ctlso or scoliosis orthosis, outrigger, bilateral with ver
   L1090           No Change       Lumbar sling                   Addition to ctlso or scoliosis orthosis, lumbar sling
   L1100           No Change       Ring flange plastic/leather    Addition to ctlso or scoliosis orthosis, ring flange, plastic or leath
   L1110           No Change       Ring flange plas/leather mol   Addition to ctlso or scoliosis orthosis, ring flange, plastic or leath
   L1120           No Change       Covers for upright each        Addition to ctlso, scoliosis orthosis, cover for upright, each
   L1200           No Change       Furnsh initial orthosis only   Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initia
   L1210           No Change       Lateral thoracic extension     Addition to tlso, (low profile), lateral thoracic extension
   L1220           No Change       Anterior thoracic extension    Addition to tlso, (low profile), anterior thoracic extension
   L1230           No Change       Milwaukee type superstructur   Addition to tlso, (low profile), milwaukee type superstructure
   L1240           No Change       Lumbar derotation pad          Addition to tlso, (low profile), lumbar derotation pad
   L1250           No Change       Anterior asis pad              Addition to tlso, (low profile), anterior asis pad
   L1260           No Change       Anterior thoracic derotation   Addition to tlso, (low profile), anterior thoracic derotation pad
   L1270           No Change       Abdominal pad                  Addition to tlso, (low profile), abdominal pad
   L1280           No Change       Rib gusset (elastic) each      Addition to tlso, (low profile), rib gusset (elastic), each
   L1290           No Change       Lateral trochanteric pad       Addition to tlso, (low profile), lateral trochanteric pad
   L1300           No Change       Body jacket mold to patient    Other scoliosis procedure, body jacket molded to patient model
   L1310           No Change       Post-operative body jacket     Other scoliosis procedure, post-operative body jacket
   L1499           No Change       Spinal orthosis nos            Spinal orthosis, not otherwise specified
   L1600           No Change       Ho flex frejka w/cov pre cst   Hip orthosis, abduction control of hip joints, flexible, frejka type w
   L1610           No Change       Ho frejka cov only pre cst     Hip orthosis, abduction control of hip joints, flexible, (frejka cover
   L1620           No Change       Ho flex pavlik harns pre cst   Hip orthosis, abduction control of hip joints, flexible, (pavlik harne
   L1630           No Change       Abduct control hip semi-flex   Hip orthosis, abduction control of hip joints, semi-flexible (von rose
   L1640           No Change       Pelv band/spread bar thigh c   Hip orthosis, abduction control of hip joints, static, pelvic band or
   L1650           No Change       Ho abduction hip adjustable    Hip orthosis, abduction control of hip joints, static, adjustable, (il
   L1652           No Change       Ho bi thighcuffs w sprdr bar   Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader
   L1660           No Change       Ho abduction static plastic    Hip orthosis, abduction control of hip joints, static, plastic, prefab
   L1680           No Change       Pelvic & hip control thigh c   Hip orthosis, abduction control of hip joints, dynamic, pelvic control
   L1685           No Change       Post-op hip abduct custom fa   Hip orthosis, abduction control of hip joint, postoperative hip abduct
   L1686           No Change       Ho post-op hip abduction       Hip orthosis, abduction control of hip joint, postoperative hip abduct
   L1690           No Change       Combination bilateral ho       Combination, bilateral, lumbo-sacral, hip, femur orthosis providing ad
   L1700           No Change       Leg perthes orth toronto typ   Legg perthes orthosis, (toronto type), custom fabricated
   L1710           No Change       Legg perthes orth newington    Legg perthes orthosis, (newington type), custom fabricated
   L1720           No Change       Legg perthes orthosis trilat   Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated
   L1730           No Change       Legg perthes orth scottish r   Legg perthes orthosis, (scottish rite type), custom fabricated
   L1755           No Change       Legg perthes patten bottom t   Legg perthes orthosis, (patten bottom type), custom fabricated
   L1810           No Change       Ko elastic with joints         Knee orthosis, elastic with joints, prefabricated item that has been t
   L1812           No Change       Ko elastic w/joints pre ots    Knee orthosis, elastic with joints, prefabricated, off-the-shelf
   L1820           No Change       Ko elas w/ condyle pads & jo   Knee orthosis, elastic with condylar pads and joints, with or without
   L1830           No Change       Ko immob canvas long pre ots   Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-th
   L1831           No Change       Knee orth pos locking joint    Knee orthosis, locking knee joint(s), positional orthosis, prefabricat
   L1832           No Change       Ko adj jnt pos r sup pre cst   Knee orthosis, adjustable knee joints (unicentric or polycentric), pos
   L1833           No Change       Ko adj jnt pos r sup pre ots   Knee orthosis, adjustable knee joints (unicentric or polycentric), pos
   L1834           No Change       Ko w/0 joint rigid molded to   Knee orthosis, without knee joint, rigid, custom fabricated
   L1836           No Change       Ko rigid w/o joints pre ots    Knee orthosis, rigid, without joint(s), includes soft interface materi
   L1840           No Change       Ko derot ant cruciate custom   Knee orthosis, derotation, medial-lateral, anterior cruciate ligament,
   L1843           No Change       Ko single upright pre cst      Knee orthosis, single upright, thigh and calf, with adjustable flexion
   L1844           No Change       Ko w/adj jt rot cntrl molded   Knee orthosis, single upright, thigh and calf, with adjustable flexion
   L1845           No Change       Ko double upright pre cst      Knee orthosis, double upright, thigh and calf, with adjustable flexion
   L1846           No Change       Ko w adj flex/ext rotat mold   Knee orthosis, double upright, thigh and calf, with adjustable flexion
   L1847           No Change       Ko dbl upright w/air pre cst   Knee orthosis, double upright with adjustable joint, with inflatable a
   L1848           No Change       Ko dbl upright w/air pre ots   Knee orthosis, double upright with adjustable joint, with inflatable a
   L1850           No Change       Ko swedish type pre ots        Knee orthosis, swedish type, prefabricated, off-the-shelf
   L1851           No Change       Ko single upright prefab ots   Knee orthosis (ko), single upright, thigh and calf, with adjustable fl
   L1852           No Change       Ko double upright prefab ots   Knee orthosis (ko), double upright, thigh and calf, with adjustable fl
   L1860           No Change       Ko supracondylar socket mold   Knee orthosis, modification of supracondylar prosthetic socket, custom
   L1900           No Change       Afo sprng wir drsflx calf bd   Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custo
   L1902           No Change       Afo ankle gauntlet pre ots     Ankle orthosis, ankle gauntlet or similar, with or without joints, pre
   L1904           No Change       Afo molded ankle gauntlet      Ankle orthosis, ankle gauntlet or similar, with or without joints, cus
   L1906           No Change       Afo multilig ank sup pre ots   Ankle foot orthosis, multiligamentous ankle support, prefabricated, of
   L1907           No Change       Afo supramalleolar custom      Ankle orthosis, supramalleolar with straps, with or without interface/
   L1910           No Change       Afo sing bar clasp attach sh   Ankle foot orthosis, posterior, single bar, clasp attachment to shoe c
   L1920           No Change       Afo sing upright w/ adjust s   Ankle foot orthosis, single upright with static or adjustable stop (ph
   L1930           No Change       Afo plastic                    Ankle foot orthosis, plastic or other material, prefabricated, include
   L1932           No Change       Afo rig ant tib prefab tcf/=   Afo, rigid anterior tibial section, total carbon fiber or equal materi
   L1940           No Change       Afo molded to patient plasti   Ankle foot orthosis, plastic or other material, custom fabricated
   L1945           No Change       Afo molded plas rig ant tib    Ankle foot orthosis, plastic, rigid anterior tibial section (floor rea
   L1950           No Change       Afo spiral molded to pt plas   Ankle foot orthosis, spiral, (institute of rehabilitative medicine typ
   L1951           No Change       Afo spiral prefabricated       Ankle foot orthosis, spiral, (institute of rehabilitative medicine typ
   L1960           No Change       Afo pos solid ank plastic mo   Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
   L1970           No Change       Afo plastic molded w/ankle j   Ankle foot orthosis, plastic with ankle joint, custom fabricated
   L1971           No Change       Afo w/ankle joint, prefab      Ankle foot orthosis, plastic or other material with ankle joint, prefa
   L1980           No Change       Afo sing solid stirrup calf    Ankle foot orthosis, single upright free plantar dorsiflexion, solid s
   L1990           No Change       Afo doub solid stirrup calf    Ankle foot orthosis, double upright free plantar dorsiflexion, solid s
   L2000           No Change       Kafo sing fre stirr thi/calf   Knee ankle foot orthosis, single upright, free knee, free ankle, solid
   L2005           No Change       Kafo sng/dbl mechanical act    Knee ankle foot orthosis, any material, single or double upright, stan
   L2006              ADD          Kaf sng/dbl swg/stn mcpr cus   Knee ankle foot device, any material, single or double upright, swing
   L2010           No Change       Kafo sng solid stirrup w/o j   Knee ankle foot orthosis, single upright, free ankle, solid stirrup, t
   L2020           No Change       Kafo dbl solid stirrup band/   Knee ankle foot orthosis, double upright, free ankle, solid stirrup, t
   L2030           No Change       Kafo dbl solid stirrup w/o j   Knee ankle foot orthosis, double upright, free ankle, solid stirrup, t
   L2034           No Change       Kafo pla sin up w/wo k/a cus   Knee ankle foot orthosis, full plastic, single upright, with or withou
   L2035           No Change       Kafo plastic pediatric size    Knee ankle foot orthosis, full plastic, static (pediatric size), witho
   L2036           No Change       Kafo plas doub free knee mol   Knee ankle foot orthosis, full plastic, double upright, with or withou
   L2037           No Change       Kafo plas sing free knee mol   Knee ankle foot orthosis, full plastic, single upright, with or withou
   L2038           No Change       Kafo w/o joint multi-axis an   Knee ankle foot orthosis, full plastic, with or without free motion kn
   L2040           No Change       Hkafo torsion bil rot straps   Hip knee ankle foot orthosis, torsion control, bilateral rotation stra
   L2050           No Change       Hkafo torsion cable hip pelv   Hip knee ankle foot orthosis, torsion control, bilateral torsion cable
   L2060           No Change       Hkafo torsion ball bearing j   Hip knee ankle foot orthosis, torsion control, bilateral torsion cable
   L2070           No Change       Hkafo torsion unilat rot str   Hip knee ankle foot orthosis, torsion control, unilateral rotation str
   L2080           No Change       Hkafo unilat torsion cable     Hip knee ankle foot orthosis, torsion control, unilateral torsion cabl
   L2090           No Change       Hkafo unilat torsion ball br   Hip knee ankle foot orthosis, torsion control, unilateral torsion cabl
   L2106           No Change       Afo tib fx cast plaster mold   Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis,
   L2108           No Change       Afo tib fx cast molded to pt   Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis,
   L2112           No Change       Afo tibial fracture soft       Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft
   L2114           No Change       Afo tib fx semi-rigid          Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi
   L2116           No Change       Afo tibial fracture rigid      Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigi
   L2126           No Change       Kafo fem fx cast thermoplas    Knee ankle foot orthosis, fracture orthosis, femoral fracture cast ort
   L2128           No Change       Kafo fem fx cast molded to p   Knee ankle foot orthosis, fracture orthosis, femoral fracture cast ort
   L2132           No Change       Kafo femoral fx cast soft      Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabr
   L2134           No Change       Kafo fem fx cast semi-rigid    Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, p
   L2136           No Change       Kafo femoral fx cast rigid     Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefab
   L2180           No Change       Plas shoe insert w ank joint   Addition to lower extremity fracture orthosis, plastic shoe insert wit
   L2182           No Change       Drop lock knee                 Addition to lower extremity fracture orthosis, drop lock knee joint
   L2184           No Change       Limited motion knee joint      Addition to lower extremity fracture orthosis, limited motion knee joi
   L2186           No Change       Adj motion knee jnt lerman t   Addition to lower extremity fracture orthosis, adjustable motion knee
   L2188           No Change       Quadrilateral brim             Addition to lower extremity fracture orthosis, quadrilateral brim
   L2190           No Change       Waist belt                     Addition to lower extremity fracture orthosis, waist belt
   L2192           No Change       Pelvic band & belt thigh fla   Addition to lower extremity fracture orthosis, hip joint, pelvic band,
   L2200           No Change       Limited ankle motion ea jnt    Addition to lower extremity, limited ankle motion, each joint
   L2210           No Change       Dorsiflexion assist each joi   Addition to lower extremity, dorsiflexion assist (plantar flexion resi
   L2220           No Change       Dorsi & plantar flex ass/res   Addition to lower extremity, dorsiflexion and plantar flexion assist/r
   L2230           No Change       Split flat caliper stirr & p   Addition to lower extremity, split flat caliper stirrups and plate att
   L2232           No Change       Rocker bottom, contact afo     Addition to lower extremity orthosis, rocker bottom for total contact
   L2240           No Change       Round caliper and plate atta   Addition to lower extremity, round caliper and plate attachment
   L2250           No Change       Foot plate molded stirrup at   Addition to lower extremity, foot plate, molded to patient model, stir
   L2260           No Change       Reinforced solid stirrup       Addition to lower extremity, reinforced solid stirrup (scott-craig typ
   L2265           No Change       Long tongue stirrup            Addition to lower extremity, long tongue stirrup
   L2270           No Change       Varus/valgus strap padded/li   Addition to lower extremity, varus/valgus correction ('t') strap, padd
   L2275           No Change       Plastic mod low ext pad/line   Addition to lower extremity, varus/valgus correction, plastic modifica
   L2280           No Change       Molded inner boot              Addition to lower extremity, molded inner boot
   L2300           No Change       Abduction bar jointed adjust   Addition to lower extremity, abduction bar (bilateral hip involvement)
   L2310           No Change       Abduction bar-straight         Addition to lower extremity, abduction bar-straight
   L2320           No Change       Non-molded lacer               Addition to lower extremity, non-molded lacer, for custom fabricated o
   L2330           No Change       Lacer molded to patient mode   Addition to lower extremity, lacer molded to patient model, for custom
   L2335           No Change       Anterior swing band            Addition to lower extremity, anterior swing band
   L2340           No Change       Pre-tibial shell molded to p   Addition to lower extremity, pre-tibial shell, molded to patient model
   L2350           No Change       Prosthetic type socket molde   Addition to lower extremity, prosthetic type, (bk) socket, molded to p
   L2360           No Change       Extended steel shank           Addition to lower extremity, extended steel shank
   L2370           No Change       Patten bottom                  Addition to lower extremity, patten bottom
   L2375           No Change       Torsion ank & half solid sti   Addition to lower extremity, torsion control, ankle joint and half sol
   L2380           No Change       Torsion straight knee joint    Addition to lower extremity, torsion control, straight knee joint, eac
   L2385           No Change       Straight knee joint heavy du   Addition to lower extremity, straight knee joint, heavy duty, each joi
   L2387           No Change       Add le poly knee custom kafo   Addition to lower extremity, polycentric knee joint, for custom fabric
   L2390           No Change       Offset knee joint each         Addition to lower extremity, offset knee joint, each joint
   L2395           No Change       Offset knee joint heavy duty   Addition to lower extremity, offset knee joint, heavy duty, each joint
   L2397           No Change       Suspension sleeve lower ext    Addition to lower extremity orthosis, suspension sleeve
   L2405           No Change       Knee joint drop lock ea jnt    Addition to knee joint, drop lock, each
   L2415           No Change       Knee joint cam lock each joi   Addition to knee lock with integrated release mechanism (bail, cable,
   L2425           No Change       Knee disc/dial lock/adj flex   Addition to knee joint, disc or dial lock for adjustable knee flexion,
   L2430           No Change       Knee jnt ratchet lock ea jnt   Addition to knee joint, ratchet lock for active and progressive knee e
   L2492           No Change       Knee lift loop drop lock rin   Addition to knee joint, lift loop for drop lock ring
   L2500           No Change       Thi/glut/ischia wgt bearing    Addition to lower extremity, thigh/weight bearing, gluteal/ ischial we
   L2510           No Change       Th/wght bear quad-lat brim m   Addition to lower extremity, thigh/weight bearing, quadri- lateral bri
   L2520           No Change       Th/wght bear quad-lat brim c   Addition to lower extremity, thigh/weight bearing, quadri- lateral bri
   L2525           No Change       Th/wght bear nar m-l brim mo   Addition to lower extremity, thigh/weight bearing, ischial containment
   L2526           No Change       Th/wght bear nar m-l brim cu   Addition to lower extremity, thigh/weight bearing, ischial containment
   L2530           No Change       Thigh/wght bear lacer non-mo   Addition to lower extremity, thigh-weight bearing, lacer, non-molded
   L2540           No Change       Thigh/wght bear lacer molded   Addition to lower extremity, thigh/weight bearing, lacer, molded to pa
   L2550           No Change       Thigh/wght bear high roll cu   Addition to lower extremity, thigh/weight bearing, high roll cuff
   L2570           No Change       Hip clevis type 2 posit jnt    Addition to lower extremity, pelvic control, hip joint, clevis type tw
   L2580           No Change       Pelvic control pelvic sling    Addition to lower extremity, pelvic control, pelvic sling
   L2600           No Change       Hip clevis/thrust bearing fr   Addition to lower extremity, pelvic control, hip joint, clevis type, o
   L2610           No Change       Hip clevis/thrust bearing lo   Addition to lower extremity, pelvic control, hip joint, clevis or thru
   L2620           No Change       Pelvic control hip heavy dut   Addition to lower extremity, pelvic control, hip joint, heavy duty, ea
   L2622           No Change       Hip joint adjustable flexion   Addition to lower extremity, pelvic control, hip joint, adjustable fle
   L2624           No Change       Hip adj flex ext abduct cont   Addition to lower extremity, pelvic control, hip joint, adjustable fle
   L2627           No Change       Plastic mold recipro hip & c   Addition to lower extremity, pelvic control, plastic, molded to patien
   L2628           No Change       Metal frame recipro hip & ca   Addition to lower extremity, pelvic control, metal frame, reciprocatin
   L2630           No Change       Pelvic control band & belt u   Addition to lower extremity, pelvic control, band and belt, unilateral
   L2640           No Change       Pelvic control band & belt b   Addition to lower extremity, pelvic control, band and belt, bilateral
   L2650           No Change       Pelv & thor control gluteal    Addition to lower extremity, pelvic and thoracic control, gluteal pad,
   L2660           No Change       Thoracic control thoracic ba   Addition to lower extremity, thoracic control, thoracic band
   L2670           No Change       Thorac cont paraspinal uprig   Addition to lower extremity, thoracic control, paraspinal uprights
   L2680           No Change       Thorac cont lat support upri   Addition to lower extremity, thoracic control, lateral support upright
   L2750           No Change       Plating chrome/nickel pr bar   Addition to lower extremity orthosis, plating chrome or nickel, per ba
   L2755           No Change       Carbon graphite lamination     Addition to lower extremity orthosis, high strength, lightweight mater
   L2760           No Change       Extension per extension per    Addition to lower extremity orthosis, extension, per extension, per ba
   L2768           No Change       Ortho sidebar disconnect       Orthotic side bar disconnect device, per bar
   L2780           No Change       Non-corrosive finish           Addition to lower extremity orthosis, non-corrosive finish, per bar
   L2785           No Change       Drop lock retainer each        Addition to lower extremity orthosis, drop lock retainer, each
   L2795           No Change       Knee control full kneecap      Addition to lower extremity orthosis, knee control, full kneecap
   L2800           No Change       Knee cap medial or lateral p   Addition to lower extremity orthosis, knee control, knee cap, medial o
   L2810           No Change       Knee control condylar pad      Addition to lower extremity orthosis, knee control, condylar pad
   L2820           No Change       Soft interface below knee se   Addition to lower extremity orthosis, soft interface for molded plasti
   L2830           No Change       Soft interface above knee se   Addition to lower extremity orthosis, soft interface for molded plasti
   L2840           No Change       Tibial length sock fx or equ   Addition to lower extremity orthosis, tibial length sock, fracture or
   L2850           No Change       Femoral lgth sock fx or equa   Addition to lower extremity orthosis, femoral length sock, fracture or
   L2861           No Change       Torsion mechanism knee/ankle   Addition to lower extremity joint, knee or ankle, concentric adjustabl
   L2999           No Change       Lower extremity orthosis nos   Lower extremity orthoses, not otherwise specified
   L3000           No Change       Ft insert ucb berkeley shell   Foot, insert, removable, molded to patient model, 'ucb' type, berkeley
   L3001           No Change       Foot insert remov molded spe   Foot, insert, removable, molded to patient model, spenco, each
   L3002           No Change       Foot insert plastazote or eq   Foot, insert, removable, molded to patient model, plastazote or equal,
   L3003           No Change       Foot insert silicone gel eac   Foot, insert, removable, molded to patient model, silicone gel, each
   L3010           No Change       Foot longitudinal arch suppo   Foot, insert, removable, molded to patient model, longitudinal arch su
   L3020           No Change       Foot longitud/metatarsal sup   Foot, insert, removable, molded to patient model, longitudinal/ metata
   L3030           No Change       Foot arch support remov prem   Foot, insert, removable, formed to patient foot, each
   L3031           No Change       Foot lamin/prepreg composite   Foot, insert/plate, removable, addition to lower extremity orthosis, h
   L3040           No Change       Ft arch suprt premold longit   Foot, arch support, removable, premolded, longitudinal, each
   L3050           No Change       Foot arch supp premold metat   Foot, arch support, removable, premolded, metatarsal, each
   L3060           No Change       Foot arch supp longitud/meta   Foot, arch support, removable, premolded, longitudinal/ metatarsal, ea
   L3070           No Change       Arch suprt att to sho longit   Foot, arch support, non-removable attached to shoe, longitudinal, each
   L3080           No Change       Arch supp att to shoe metata   Foot, arch support, non-removable attached to shoe, metatarsal, each
   L3090           No Change       Arch supp att to shoe long/m   Foot, arch support, non-removable attached to shoe, longitudinal/metat
   L3100           No Change       Hallus-valgus nt dyn pre ots   Hallus-valgus night dynamic splint, prefabricated, off-the-shelf
   L3140           No Change       Abduction rotation bar shoe    Foot, abduction rotation bar, including shoes
   L3150           No Change       Abduct rotation bar w/o shoe   Foot, abduction rotation bar, without shoes
   L3160           No Change       Shoe styled positioning dev    Foot, adjustable shoe-styled positioning device
   L3170           No Change       Foot plas heel stabi pre ots   Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-
   L3201           No Change       Oxford w supinat/pronat inf    Orthopedic shoe, oxford with supinator or pronator, infant
   L3202           No Change       Oxford w/ supinat/pronator c   Orthopedic shoe, oxford with supinator or pronator, child
   L3203           No Change       Oxford w/ supinator/pronator   Orthopedic shoe, oxford with supinator or pronator, junior
   L3204           No Change       Hightop w/ supp/pronator inf   Orthopedic shoe, hightop with supinator or pronator, infant
   L3206           No Change       Hightop w/ supp/pronator chi   Orthopedic shoe, hightop with supinator or pronator, child
   L3207           No Change       Hightop w/ supp/pronator jun   Orthopedic shoe, hightop with supinator or pronator, junior
   L3208           No Change       Surgical boot each infant      Surgical boot, each, infant
   L3209           No Change       Surgical boot each child       Surgical boot, each, child
   L3211           No Change       Surgical boot each junior      Surgical boot, each, junior
   L3212           No Change       Benesch boot pair infant       Benesch boot, pair, infant
   L3213           No Change       Benesch boot pair child        Benesch boot, pair, child
   L3214           No Change       Benesch boot pair junior       Benesch boot, pair, junior
   L3215           No Change       Orthopedic ftwear ladies oxf   Orthopedic footwear, ladies shoe, oxford, each
   L3216           No Change       Orthoped ladies shoes dpth i   Orthopedic footwear, ladies shoe, depth inlay, each
   L3217           No Change       Ladies shoes hightop depth i   Orthopedic footwear, ladies shoe, hightop, depth inlay, each
   L3219           No Change       Orthopedic mens shoes oxford   Orthopedic footwear, mens shoe, oxford, each
   L3221           No Change       Orthopedic mens shoes dpth i   Orthopedic footwear, mens shoe, depth inlay, each
   L3222           No Change       Mens shoes hightop depth inl   Orthopedic footwear, mens shoe, hightop, depth inlay, each
   L3224           No Change       Woman's shoe oxford brace      Orthopedic footwear, woman's shoe, oxford, used as an integral part of
   L3225           No Change       Man's shoe oxford brace        Orthopedic footwear, man's shoe, oxford, used as an integral part of a
   L3230           No Change       Custom shoes depth inlay       Orthopedic footwear, custom shoe, depth inlay, each
   L3250           No Change       Custom mold shoe remov prost   Orthopedic footwear, custom molded shoe, removable inner mold, prosthe
   L3251           No Change       Shoe molded to pt silicone s   Foot, shoe molded to patient model, silicone shoe, each
   L3252           No Change       Shoe molded plastazote cust    Foot, shoe molded to patient model, plastazote (or similar), custom fa
   L3253           No Change       Shoe molded plastazote cust    Foot, molded shoe plastazote (or similar) custom fitted, each
   L3254           No Change       Orth foot non-stndard size/w   Non-standard size or width
   L3255           No Change       Orth foot non-standard size/   Non-standard size or length
   L3257           No Change       Orth foot add charge split s   Orthopedic footwear, additional charge for split size
   L3260           No Change       Ambulatory surgical boot eac   Surgical boot/shoe, each
   L3265           No Change       Plastazote sandal each         Plastazote sandal, each
   L3300           No Change       Sho lift taper to metatarsal   Lift, elevation, heel, tapered to metatarsals, per inch
   L3310           No Change       Shoe lift elev heel/sole neo   Lift, elevation, heel and sole, neoprene, per inch
   L3320           No Change       Shoe lift elev heel/sole cor   Lift, elevation, heel and sole, cork, per inch
   L3330           No Change       Lifts elevation metal extens   Lift, elevation, metal extension (skate)
   L3332           No Change       Shoe lifts tapered to one-ha   Lift, elevation, inside shoe, tapered, up to one-half inch
   L3334           No Change       Shoe lifts elevation heel /i   Lift, elevation, heel, per inch
   L3340           No Change       Shoe wedge sach                Heel wedge, sach
   L3350           No Change       Shoe heel wedge                Heel wedge
   L3360           No Change       Shoe sole wedge outside sole   Sole wedge, outside sole
   L3370           No Change       Shoe sole wedge between sole   Sole wedge, between sole
   L3380           No Change       Shoe clubfoot wedge            Clubfoot wedge
   L3390           No Change       Shoe outflare wedge            Outflare wedge
   L3400           No Change       Shoe metatarsal bar wedge ro   Metatarsal bar wedge, rocker
   L3410           No Change       Shoe metatarsal bar between    Metatarsal bar wedge, between sole
   L3420           No Change       Full sole/heel wedge btween    Full sole and heel wedge, between sole
   L3430           No Change       Sho heel count plast reinfor   Heel, counter, plastic reinforced
   L3440           No Change       Heel leather reinforced        Heel, counter, leather reinforced
   L3450           No Change       Shoe heel sach cushion type    Heel, sach cushion type
   L3455           No Change       Shoe heel new leather standa   Heel, new leather, standard
   L3460           No Change       Shoe heel new rubber standar   Heel, new rubber, standard
   L3465           No Change       Shoe heel thomas with wedge    Heel, thomas with wedge
   L3470           No Change       Shoe heel thomas extend to b   Heel, thomas extended to ball
   L3480           No Change       Shoe heel pad & depress for    Heel, pad and depression for spur
   L3485           No Change       Shoe heel pad removable for    Heel, pad, removable for spur
   L3500           No Change       Ortho shoe add leather insol   Orthopedic shoe addition, insole, leather
   L3510           No Change       Orthopedic shoe add rub insl   Orthopedic shoe addition, insole, rubber
   L3520           No Change       O shoe add felt w leath insl   Orthopedic shoe addition, insole, felt covered with leather
   L3530           No Change       Ortho shoe add half sole       Orthopedic shoe addition, sole, half
   L3540           No Change       Ortho shoe add full sole       Orthopedic shoe addition, sole, full
   L3550           No Change       O shoe add standard toe tap    Orthopedic shoe addition, toe tap standard
   L3560           No Change       O shoe add horseshoe toe tap   Orthopedic shoe addition, toe tap, horseshoe
   L3570           No Change       O shoe add instep extension    Orthopedic shoe addition, special extension to instep (leather with ey
   L3580           No Change       O shoe add instep velcro clo   Orthopedic shoe addition, convert instep to velcro closure
   L3590           No Change       O shoe convert to sof counte   Orthopedic shoe addition, convert firm shoe counter to soft counter
   L3595           No Change       Ortho shoe add march bar       Orthopedic shoe addition, march bar
   L3600           No Change       Trans shoe calip plate exist   Transfer of an orthosis from one shoe to another, caliper plate, exist
   L3610           No Change       Trans shoe caliper plate new   Transfer of an orthosis from one shoe to another, caliper plate, new
   L3620           No Change       Trans shoe solid stirrup exi   Transfer of an orthosis from one shoe to another, solid stirrup, exist
   L3630           No Change       Trans shoe solid stirrup new   Transfer of an orthosis from one shoe to another, solid stirrup, new
   L3640           No Change       Shoe dennis browne splint bo   Transfer of an orthosis from one shoe to another, dennis browne splint
   L3649           No Change       Orthopedic shoe modifica nos   Orthopedic shoe, modification, addition or transfer, not otherwise spe
   L3650           No Change       So 8 abd restraint pre ots     Shoulder orthosis, figure of eight design abduction restrainer, prefab
   L3660           No Change       So 8 ab rstr can/web pre ots   Shoulder orthosis, figure of eight design abduction restrainer, canvas
   L3670           No Change       So acro/clav can web pre ots   Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefa
   L3671           No Change       So cap design w/o jnts cf      Shoulder orthosis, shoulder joint design, without joints, may include
   L3674           No Change       So airplane w/wo joint cf      Shoulder orthosis, abduction positioning (airplane design), thoracic c
   L3675           No Change       So vest canvas/web pre ots     Shoulder orthosis, vest type abduction restrainer, canvas webbing type
   L3677           No Change       So hard plas stabili pre cst   Shoulder orthosis, shoulder joint design, without joints, may include
   L3678           No Change       So hard plas stabili pre ots   Shoulder orthosis, shoulder joint design, without joints, may include
   L3702           No Change       Eo w/o joints cf               Elbow orthosis, without joints, may include soft interface, straps, cu
   L3710           No Change       Eo elas w/metal jnts pre ots   Elbow orthosis, elastic with metal joints, prefabricated, off-the-shel
   L3720           No Change       Forearm/arm cuffs free motio   Elbow orthosis, double upright with forearm/arm cuffs, free motion, cu
   L3730           No Change       Forearm/arm cuffs ext/flex a   Elbow orthosis, double upright with forearm/arm cuffs, extension/ flex
   L3740           No Change       Cuffs adj lock w/ active con   Elbow orthosis, double upright with forearm/arm cuffs, adjustable posi
   L3760           No Change       Eo adj jt prefab custom fit    Elbow orthosis (eo), with adjustable position locking joint(s), prefab
   L3761           No Change       Eo, adj lock joint prefab ot   Elbow orthosis (eo), with adjustable position locking joint(s), prefab
   L3762           No Change       Eo rigid w/o joints pre ots    Elbow orthosis, rigid, without joints, includes soft interface materia
   L3763           No Change       Ewho rigid w/o jnts cf         Elbow wrist hand orthosis, rigid, without joints, may include soft int
   L3764           No Change       Ewho w/joint(s) cf             Elbow wrist hand orthosis, includes one or more nontorsion joints, ela
   L3765           No Change       Ewhfo rigid w/o jnts cf        Elbow wrist hand finger orthosis, rigid, without joints, may include s
   L3766           No Change       Ewhfo w/joint(s) cf            Elbow wrist hand finger orthosis, includes one or more nontorsion join
   L3806           No Change       Whfo w/joint(s) custom fab     Wrist hand finger orthosis, includes one or more nontorsion joint(s),
   L3807           No Change       Whfo w/o joints pre cst        Wrist hand finger orthosis, without joint(s), prefabricated item that
   L3808           No Change       Whfo, rigid w/o joints         Wrist hand finger orthosis, rigid without joints, may include soft int
   L3809           No Change       Whfo w/o joints pre ots        Wrist hand finger orthosis, without joint(s), prefabricated, off-the-s
   L3891           No Change       Torsion mechanism wrist/elbo   Addition to upper extremity joint, wrist or elbow, concentric adjustab
   L3900           No Change       Hinge extension/flex wrist/f   Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist ext
   L3901           No Change       Hinge ext/flex wrist finger    Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist ext
   L3904           No Change       Whfo electric custom fitted    Wrist hand finger orthosis, external powered, electric, custom fabrica
   L3905           No Change       Who w/nontorsion jnt(s) cf     Wrist hand orthosis, includes one or more nontorsion joints, elastic b
   L3906           No Change       Who w/o joints cf              Wrist hand orthosis, without joints, may include soft interface, strap
   L3908           No Change       Who cock-up nonmolde pre ots   Wrist hand orthosis, wrist extension control cock-up, non molded, pref
   L3912           No Change       Hfo flexion glove pre ots      Hand finger orthosis (hfo), flexion glove with elastic finger control,
   L3913           No Change       Hfo w/o joints cf              Hand finger orthosis, without joints, may include soft interface, stra
   L3915           No Change       Who nontorsion jnts pre cst    Wrist hand orthosis, includes one or more nontorsion joint(s), elastic
   L3916           No Change       Who nontorsion jnts pre ots    Wrist hand orthosis, includes one or more nontorsion joint(s), elastic
   L3917           No Change       Metacarp fx orthosis pre cst   Hand orthosis, metacarpal fracture orthosis, prefabricated item that h
   L3918           No Change       Metacarp fx orthosis pre ots   Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-sh
   L3919           No Change       Ho w/o joints cf               Hand orthosis, without joints, may include soft interface, straps, cus
   L3921           No Change       Hfo w/joint(s) cf              Hand finger orthosis, includes one or more nontorsion joints, elastic
   L3923           No Change       Hfo without joints pre cst     Hand finger orthosis, without joints, may include soft interface, stra
   L3924           No Change       Hfo without joints pre ots     Hand finger orthosis, without joints, may include soft interface, stra
   L3925           No Change       Fo pip dip jnt/sprng pre ots   Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal
   L3927           No Change       Fo pip dip no jt spr pre ots   Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal
   L3929           No Change       Hfo nontorsion jnts pre cst    Hand finger orthosis, includes one or more nontorsion joint(s), turnbu
   L3930           No Change       Hfo nontorsion jnts pre ots    Hand finger orthosis, includes one or more nontorsion joint(s), turnbu
   L3931           No Change       Whfo nontorsion joint prefab   Wrist hand finger orthosis, includes one or more nontorsion joint(s),
   L3933           No Change       Fo w/o joints cf               Finger orthosis, without joints, may include soft interface, custom fa
   L3935           No Change       Fo nontorsion joint cf         Finger orthosis, nontorsion joint, may include soft interface, custom
   L3956           No Change       Add joint upper ext orthosis   Addition of joint to upper extremity orthosis, any material; per joint
   L3960           No Change       Sewho airplan desig abdu pos   Shoulder elbow wrist hand orthosis, abduction positioning, airplane de
   L3961           No Change       Sewho cap design w/o jnts cf   Shoulder elbow wrist hand orthosis, shoulder cap design, without joint
   L3962           No Change       Sewho erbs palsey design abd   Shoulder elbow wrist hand orthosis, abduction positioning, erb's palse
   L3967           No Change       Sewho airplane w/o jnts cf     Shoulder elbow wrist hand orthosis, abduction positioning (airplane de
   L3971           No Change       Sewho cap design w/jnt(s) cf   Shoulder elbow wrist hand orthosis, shoulder cap design, includes one
   L3973           No Change       Sewho airplane w/jnt(s) cf     Shoulder elbow wrist hand orthosis, abduction positioning (airplane de
   L3975           No Change       Sewhfo cap design w/o jnt cf   Shoulder elbow wrist hand finger orthosis, shoulder cap design, withou
   L3976           No Change       Sewhfo airplane w/o jnts cf    Shoulder elbow wrist hand finger orthosis, abduction positioning (airp
   L3977           No Change       Sewhfo cap desgn w/jnt(s) cf   Shoulder elbow wrist hand finger orthosis, shoulder cap design, includ
   L3978           No Change       Sewhfo airplane w/jnt(s) cf    Shoulder elbow wrist hand finger orthosis, abduction positioning (airp
   L3980           No Change       Up ext fx orthos humeral nos   Upper extremity fracture orthosis, humeral, prefabricated, includes fi
   L3981           No Change       Ue fx orth shoul cap forearm   Upper extremity fracture orthosis, humeral, prefabricated, includes sh
   L3982           No Change       Upper ext fx orthosis rad/ul   Upper extremity fracture orthosis, radius/ulnar, prefabricated, includ
   L3984           No Change       Upper ext fx orthosis wrist    Upper extremity fracture orthosis, wrist, prefabricated, includes fitt
   L3995           No Change       Sock fracture or equal each    Addition to upper extremity orthosis, sock, fracture or equal, each
   L3999           No Change       Upper limb orthosis nos        Upper limb orthosis, not otherwise specified
   L4000           No Change       Repl girdle milwaukee orth     Replace girdle for spinal orthosis (ctlso or so)
   L4002           No Change       Replace strap, any orthosis    Replacement strap, any orthosis, includes all components, any length,
   L4010           No Change       Replace trilateral socket br   Replace trilateral socket brim
   L4020           No Change       Replace quadlat socket brim    Replace quadrilateral socket brim, molded to patient model
   L4030           No Change       Replace socket brim cust fit   Replace quadrilateral socket brim, custom fitted
   L4040           No Change       Replace molded thigh lacer     Replace molded thigh lacer, for custom fabricated orthosis only
   L4045           No Change       Replace non-molded thigh lac   Replace non-molded thigh lacer, for custom fabricated orthosis only
   L4050           No Change       Replace molded calf lacer      Replace molded calf lacer, for custom fabricated orthosis only
   L4055           No Change       Replace non-molded calf lace   Replace non-molded calf lacer, for custom fabricated orthosis only
   L4060           No Change       Replace high roll cuff         Replace high roll cuff
   L4070           No Change       Replace prox & dist upright    Replace proximal and distal upright for kafo
   L4080           No Change       Repl met band kafo-afo prox    Replace metal bands kafo, proximal thigh
   L4090           No Change       Repl met band kafo-afo calf/   Replace metal bands kafo-afo, calf or distal thigh
   L4100           No Change       Repl leath cuff kafo prox th   Replace leather cuff kafo, proximal thigh
   L4110           No Change       Repl leath cuff kafo-afo cal   Replace leather cuff kafo-afo, calf or distal thigh
   L4130           No Change       Replace pretibial shell        Replace pretibial shell
   L4205           No Change       Ortho dvc repair per 15 min    Repair of orthotic device, labor component, per 15 minutes
   L4210           No Change       Orth dev repair/repl minor p   Repair of orthotic device, repair or replace minor parts
   L4350           No Change       Ankle control ortho pre ots    Ankle control orthosis, stirrup style, rigid, includes any type interf
   L4360           No Change       Pneumat walking boot pre cst   Walking boot, pneumatic and/or vacuum, with or without joints, with or
   L4361           No Change       Pneuma/vac walk boot pre ots   Walking boot, pneumatic and/or vacuum, with or without joints, with or
   L4370           No Change       Pneum full leg splnt pre ots   Pneumatic full leg splint, prefabricated, off-the-shelf
   L4386           No Change       Non-pneum walk boot pre cst    Walking boot, non-pneumatic, with or without joints, with or without i
   L4387           No Change       Non-pneum walk boot pre ots    Walking boot, non-pneumatic, with or without joints, with or without i
   L4392           No Change       Replace afo soft interface     Replacement, soft interface material, static afo
   L4394           No Change       Replace foot drop spint        Replace soft interface material, foot drop splint
   L4396           No Change       Static or dynami afo pre cst   Static or dynamic ankle foot orthosis, including soft interface materi
   L4397           No Change       Static or dynami afo pre ots   Static or dynamic ankle foot orthosis, including soft interface materi
   L4398           No Change       Foot drop splint pre ots       Foot drop splint, recumbent positioning device, prefabricated, off-the
   L4631           No Change       Afo, walk boot type, cus fab   Ankle foot orthosis, walking boot type, varus/valgus correction, rocke
   L5000           No Change       Sho insert w arch toe filler   Partial foot, shoe insert with longitudinal arch, toe filler
   L5010           No Change       Mold socket ank hgt w/ toe f   Partial foot, molded socket, ankle height, with toe filler
   L5020           No Change       Tibial tubercle hgt w/ toe f   Partial foot, molded socket, tibial tubercle height, with toe filler
   L5050           No Change       Ank symes mold sckt sach ft    Ankle, symes, molded socket, sach foot
   L5060           No Change       Symes met fr leath socket ar   Ankle, symes, metal frame, molded leather socket, articulated ankle/fo
   L5100           No Change       Molded socket shin sach foot   Below knee, molded socket, shin, sach foot
   L5105           No Change       Plast socket jts/thgh lacer    Below knee, plastic socket, joints and thigh lacer, sach foot
   L5150           No Change       Mold sckt ext knee shin sach   Knee disarticulation (or through knee), molded socket, external knee j
   L5160           No Change       Mold socket bent knee shin s   Knee disarticulation (or through knee), molded socket, bent knee confi
   L5200           No Change       Kne sing axis fric shin sach   Above knee, molded socket, single axis constant friction knee, shin, s
   L5210           No Change       No knee/ankle joints w/ ft b   Above knee, short prosthesis, no knee joint ('stubbies'), with foot bl
   L5220           No Change       No knee joint with artic ali   Above knee, short prosthesis, no knee joint ('stubbies'), with articul
   L5230           No Change       Fem focal defic constant fri   Above knee, for proximal femoral focal deficiency, constant friction k
   L5250           No Change       Hip canad sing axi cons fric   Hip disarticulation, canadian type; molded socket, hip joint, single a
   L5270           No Change       Tilt table locking hip sing    Hip disarticulation, tilt table type; molded socket, locking hip joint
   L5280           No Change       Hemipelvect canad sing axis    Hemipelvectomy, canadian type; molded socket, hip joint, single axis c
   L5301           No Change       Bk mold socket sach ft endo    Below knee, molded socket, shin, sach foot, endoskeletal system
   L5312           No Change       Knee disart, sach ft, endo     Knee disarticulation (or through knee), molded socket, single axis kne
   L5321           No Change       Ak open end sach               Above knee, molded socket, open end, sach foot, endoskeletal system, s
   L5331           No Change       Hip disart canadian sach ft    Hip disarticulation, canadian type, molded socket, endoskeletal system
   L5341           No Change       Hemipelvectomy canadian sach   Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip
   L5400           No Change       Postop dress & 1 cast chg bk   Immediate post surgical or early fitting, application of initial rigid
   L5410           No Change       Postop dsg bk ea add cast ch   Immediate post surgical or early fitting, application of initial rigid
   L5420           No Change       Postop dsg & 1 cast chg ak/d   Immediate post surgical or early fitting, application of initial rigid
   L5430           No Change       Postop dsg ak ea add cast ch   Immediate post surgical or early fitting, application of initial rigid
   L5450           No Change       Postop app non-wgt bear dsg    Immediate post surgical or early fitting, application of non-weight be
   L5460           No Change       Postop app non-wgt bear dsg    Immediate post surgical or early fitting, application of non-weight be
   L5500           No Change       Init bk ptb plaster direct     Initial, below knee 'ptb' type socket, non-alignable system, pylon, no
   L5505           No Change       Init ak ischal plstr direct    Initial, above knee - knee disarticulation, ischial level socket, non-
   L5510           No Change       Prep bk ptb plaster molded     Preparatory, below knee 'ptb' type socket, non-alignable system, pylon
   L5520           No Change       Perp bk ptb thermopls direct   Preparatory, below knee 'ptb' type socket, non-alignable system, pylon
   L5530           No Change       Prep bk ptb thermopls molded   Preparatory, below knee 'ptb' type socket, non-alignable system, pylon
   L5535           No Change       Prep bk ptb open end socket    Preparatory, below knee 'ptb' type socket, non-alignable system, no co
   L5540           No Change       Prep bk ptb laminated socket   Preparatory, below knee 'ptb' type socket, non-alignable system, pylon
   L5560           No Change       Prep ak ischial plast molded   Preparatory, above knee- knee disarticulation, ischial level socket, n
   L5570           No Change       Prep ak ischial direct form    Preparatory, above knee - knee disarticulation, ischial level socket,
   L5580           No Change       Prep ak ischial thermo mold    Preparatory, above knee - knee disarticulation ischial level socket, n
   L5585           No Change       Prep ak ischial open end       Preparatory, above knee - knee disarticulation, ischial level socket,
   L5590           No Change       Prep ak ischial laminated      Preparatory, above knee - knee disarticulation ischial level socket, n
   L5595           No Change       Hip disartic sach thermopls    Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach
   L5600           No Change       Hip disart sach laminat mold   Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach
   L5610           No Change       Above knee hydracadence        Addition to lower extremity, endoskeletal system, above knee, hydracad
   L5611           No Change       Ak 4 bar link w/fric swing     Addition to lower extremity, endoskeletal system, above knee - knee di
   L5613           No Change       Ak 4 bar ling w/hydraul swig   Addition to lower extremity, endoskeletal system, above knee-knee disa
   L5614           No Change       4-bar link above knee w/swng   Addition to lower extremity, exoskeletal system, above knee-knee disar
   L5616           No Change       Ak univ multiplex sys frict    Addition to lower extremity, endoskeletal system, above knee, universa
   L5617           No Change       Ak/bk self-aligning unit ea    Addition to lower extremity, quick change self-aligning unit, above kn
   L5618           No Change       Test socket symes              Addition to lower extremity, test socket, symes
   L5620           No Change       Test socket below knee         Addition to lower extremity, test socket, below knee
   L5622           No Change       Test socket knee disarticula   Addition to lower extremity, test socket, knee disarticulation
   L5624           No Change       Test socket above knee         Addition to lower extremity, test socket, above knee
   L5626           No Change       Test socket hip disarticulat   Addition to lower extremity, test socket, hip disarticulation
   L5628           No Change       Test socket hemipelvectomy     Addition to lower extremity, test socket, hemipelvectomy
   L5629           No Change       Below knee acrylic socket      Addition to lower extremity, below knee, acrylic socket
   L5630           No Change       Syme typ expandabl wall sckt   Addition to lower extremity, symes type, expandable wall socket
   L5631           No Change       Ak/knee disartic acrylic soc   Addition to lower extremity, above knee or knee disarticulation, acryl
   L5632           No Change       Symes type ptb brim design s   Addition to lower extremity, symes type, 'ptb' brim design socket
   L5634           No Change       Symes type poster opening so   Addition to lower extremity, symes type, posterior opening (canadian)
   L5636           No Change       Symes type medial opening so   Addition to lower extremity, symes type, medial opening socket
   L5637           No Change       Below knee total contact       Addition to lower extremity, below knee, total contact
   L5638           No Change       Below knee leather socket      Addition to lower extremity, below knee, leather socket
   L5639           No Change       Below knee wood socket         Addition to lower extremity, below knee, wood socket
   L5640           No Change       Knee disarticulat leather so   Addition to lower extremity, knee disarticulation, leather socket
   L5642           No Change       Above knee leather socket      Addition to lower extremity, above knee, leather socket
   L5643           No Change       Hip flex inner socket ext fr   Addition to lower extremity, hip disarticulation, flexible inner socke
   L5644           No Change       Above knee wood socket         Addition to lower extremity, above knee, wood socket
   L5645           No Change       Bk flex inner socket ext fra   Addition to lower extremity, below knee, flexible inner socket, extern
   L5646           No Change       Below knee cushion socket      Addition to lower extremity, below knee, air, fluid, gel or equal, cus
   L5647           No Change       Below knee suction socket      Addition to lower extremity, below knee suction socket
   L5648           No Change       Above knee cushion socket      Addition to lower extremity, above knee, air, fluid, gel or equal, cus
   L5649           No Change       Isch containmt/narrow m-l so   Addition to lower extremity, ischial containment/narrow m-l socket
   L5650           No Change       Tot contact ak/knee disart s   Additions to lower extremity, total contact, above knee or knee disart
   L5651           No Change       Ak flex inner socket ext fra   Addition to lower extremity, above knee, flexible inner socket, extern
   L5652           No Change       Suction susp ak/knee disart    Addition to lower extremity, suction suspension, above knee or knee di
   L5653           No Change       Knee disart expand wall sock   Addition to lower extremity, knee disarticulation, expandable wall soc
   L5654           No Change       Socket insert symes            Addition to lower extremity, socket insert, symes, (kemblo, pelite, al
   L5655           No Change       Socket insert below knee       Addition to lower extremity, socket insert, below knee (kemblo, pelite
   L5656           No Change       Socket insert knee articulat   Addition to lower extremity, socket insert, knee disarticulation (kemb
   L5658           No Change       Socket insert above knee       Addition to lower extremity, socket insert, above knee (kemblo, pelite
   L5661           No Change       Multi-durometer symes          Addition to lower extremity, socket insert, multi-durometer symes
   L5665           No Change       Multi-durometer below knee     Addition to lower extremity, socket insert, multi-durometer, below kne
   L5666           No Change       Below knee cuff suspension     Addition to lower extremity, below knee, cuff suspension
   L5668           No Change       Bk molded distal cushion       Addition  to lower extremity, below knee, molded distal cushion
   L5670           No Change       Bk molded supracondylar susp   Addition to lower extremity, below knee, molded supracondylar suspensi
   L5671           No Change       Bk/ak locking mechanism        Addition to lower extremity, below knee / above knee suspension lockin
   L5672           No Change       Bk removable medial brim sus   Addition to lower extremity, below knee, removable medial brim suspens
   L5673           No Change       Socket insert w lock mech      Addition to lower extremity, below knee/above knee, custom fabricated
   L5676           No Change       Bk knee joints single axis p   Additions to lower extremity, below knee, knee joints, single axis, pa
   L5677           No Change       Bk knee joints polycentric p   Additions to lower extremity, below knee, knee joints, polycentric, pa
   L5678           No Change       Bk joint covers pair           Additions to lower extremity, below knee, joint covers, pair
   L5679           No Change       Socket insert w/o lock mech    Addition to lower extremity, below knee/above knee, custom fabricated
   L5680           No Change       Bk thigh lacer non-molded      Addition to lower extremity, below knee, thigh lacer, nonmolded
   L5681           No Change       Intl custm cong/latyp insert   Addition to lower extremity, below knee/above knee, custom fabricated
   L5682           No Change       Bk thigh lacer glut/ischia m   Addition to lower extremity, below knee, thigh lacer, gluteal/ischial,
   L5683           No Change       Initial custom socket insert   Addition to lower extremity, below knee/above knee, custom fabricated
   L5684           No Change       Bk fork strap                  Addition to lower extremity, below knee, fork strap
   L5685           No Change       Below knee sus/seal sleeve     Addition to lower extremity prosthesis, below knee, suspension/sealing
   L5686           No Change       Bk back check                  Addition to lower extremity, below knee, back check (extension control
   L5688           No Change       Bk waist belt webbing          Addition to lower extremity, below knee, waist belt, webbing
   L5690           No Change       Bk waist belt padded and lin   Addition to lower extremity, below knee, waist belt, padded and lined
   L5692           No Change       Ak pelvic control belt light   Addition to lower extremity, above knee, pelvic control belt, light
   L5694           No Change       Ak pelvic control belt pad/l   Addition to lower extremity, above knee, pelvic control belt, padded a
   L5695           No Change       Ak sleeve susp neoprene/equa   Addition to lower extremity, above knee, pelvic control, sleeve suspen
   L5696           No Change       Ak/knee disartic pelvic join   Addition to lower extremity, above knee or knee disarticulation, pelvi
   L5697           No Change       Ak/knee disartic pelvic band   Addition to lower extremity, above knee or knee disarticulation, pelvi
   L5698           No Change       Ak/knee disartic silesian ba   Addition to lower extremity, above knee or knee disarticulation, siles
   L5699           No Change       Shoulder harness               All lower extremity prostheses, shoulder harness
   L5700           No Change       Replace socket below knee      Replacement, socket, below knee, molded to patient model
   L5701           No Change       Replace socket above knee      Replacement, socket, above knee/knee disarticulation, including attach
   L5702           No Change       Replace socket hip             Replacement, socket, hip disarticulation, including hip joint, molded
   L5703           No Change       Symes ankle w/o (sach) foot    Ankle, symes, molded to patient model, socket without solid ankle cush
   L5704           No Change       Custom shape cover bk          Custom shaped protective cover, below knee
   L5705           No Change       Custom shape cover ak          Custom shaped protective cover, above knee
   L5706           No Change       Custom shape cvr knee disart   Custom shaped protective cover, knee disarticulation
   L5707           No Change       Custom shape cvr hip disart    Custom shaped protective cover, hip disarticulation
   L5710           No Change       Kne-shin exo sng axi mnl loc   Addition, exoskeletal knee-shin system, single axis, manual lock
   L5711           No Change       Knee-shin exo mnl lock ultra   Additions exoskeletal knee-shin system, single axis, manual lock, ultr
   L5712           No Change       Knee-shin exo frict swg & st   Addition, exoskeletal knee-shin system, single axis, friction swing an
   L5714           No Change       Knee-shin exo variable frict   Addition, exoskeletal knee-shin system, single axis, variable friction
   L5716           No Change       Knee-shin exo mech stance ph   Addition, exoskeletal knee-shin system, polycentric, mechanical stance
   L5718           No Change       Knee-shin exo frct swg & sta   Addition, exoskeletal knee-shin system, polycentric, friction swing an
   L5722           No Change       Knee-shin pneum swg frct exo   Addition, exoskeletal knee-shin system, single axis, pneumatic swing,
   L5724           No Change       Knee-shin exo fluid swing ph   Addition, exoskeletal knee-shin system, single axis, fluid swing phase
   L5726           No Change       Knee-shin ext jnts fld swg e   Addition, exoskeletal knee-shin system, single axis, external joints f
   L5728           No Change       Knee-shin fluid swg & stance   Addition, exoskeletal knee-shin system, single axis, fluid swing and s
   L5780           No Change       Knee-shin pneum/hydra pneum    Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra p
   L5781           No Change       Lower limb pros vacuum pump    Addition to lower limb prosthesis, vacuum pump, residual limb volume m
   L5782           No Change       Hd low limb pros vacuum pump   Addition to lower limb prosthesis, vacuum pump, residual limb volume m
   L5785           No Change       Exoskeletal bk ultralt mater   Addition, exoskeletal system, below knee, ultra-light material (titani
   L5790           No Change       Exoskeletal ak ultra-light m   Addition, exoskeletal system, above knee, ultra-light material (titani
   L5795           No Change       Exoskel hip ultra-light mate   Addition, exoskeletal system, hip disarticulation, ultra-light materia
   L5810           No Change       Endoskel knee-shin mnl lock    Addition, endoskeletal knee-shin system, single axis, manual lock
   L5811           No Change       Endo knee-shin mnl lck ultra   Addition, endoskeletal knee-shin system, single axis, manual lock, ult
   L5812           No Change       Endo knee-shin frct swg & st   Addition, endoskeletal knee-shin system, single axis, friction swing a
   L5814           No Change       Endo knee-shin hydral swg ph   Addition, endoskeletal knee-shin system, polycentric, hydraulic swing
   L5816           No Change       Endo knee-shin polyc mch sta   Addition, endoskeletal knee-shin system, polycentric, mechanical stanc
   L5818           No Change       Endo knee-shin frct swg & st   Addition, endoskeletal knee-shin system, polycentric, friction swing,
   L5822           No Change       Endo knee-shin pneum swg frc   Addition, endoskeletal knee-shin system, single axis, pneumatic swing,
   L5824           No Change       Endo knee-shin fluid swing p   Addition, endoskeletal knee-shin system, single axis, fluid swing phas
   L5826           No Change       Miniature knee joint           Addition, endoskeletal knee-shin system, single axis, hydraulic swing
   L5828           No Change       Endo knee-shin fluid swg/sta   Addition, endoskeletal knee-shin system, single axis, fluid swing and
   L5830           No Change       Endo knee-shin pneum/swg pha   Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing
   L5840           No Change       Multi-axial knee/shin system   Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial,
   L5845           No Change       Knee-shin sys stance flexion   Addition, endoskeletal, knee-shin system, stance flexion feature, adju
   L5848           No Change       Knee-shin sys hydraul stance   Addition to endoskeletal knee-shin system, fluid stance extension, dam
   L5850           No Change       Endo ak/hip knee extens assi   Addition, endoskeletal system, above knee or hip disarticulation, knee
   L5855           No Change       Mech hip extension assist      Addition, endoskeletal system, hip disarticulation, mechanical hip ext
   L5856           No Change       Elec knee-shin swing/stance    Addition to lower extremity prosthesis, endoskeletal knee-shin system,
   L5857           No Change       Elec knee-shin swing only      Addition to lower extremity prosthesis, endoskeletal knee-shin system,
   L5858           No Change       Stance phase only              Addition to lower extremity prosthesis, endoskeletal knee shin system,
   L5859           No Change       Knee-shin pro flex/ext cont    Addition to lower extremity prosthesis, endoskeletal knee-shin system,
   L5910           No Change       Endo below knee alignable sy   Addition, endoskeletal system, below knee, alignable system
   L5920           No Change       Endo ak/hip alignable system   Addition, endoskeletal system, above knee or hip disarticulation, alig
   L5925           No Change       Above knee manual lock         Addition, endoskeletal system, above knee, knee disarticulation or hip
   L5930           No Change       High activity knee frame       Addition, endoskeletal system, high activity knee control frame
   L5940           No Change       Endo bk ultra-light material   Addition, endoskeletal system, below knee, ultra-light material (titan
   L5950           No Change       Endo ak ultra-light material   Addition, endoskeletal system, above knee, ultra-light material (titan
   L5960           No Change       Endo hip ultra-light materia   Addition, endoskeletal system, hip disarticulation, ultra-light materi
   L5961           No Change       Endo poly hip, pneu/hyd/rot    Addition, endoskeletal system, polycentric hip joint, pneumatic or hyd
   L5962           No Change       Below knee flex cover system   Addition, endoskeletal system, below knee, flexible protective outer s
   L5964           No Change       Above knee flex cover system   Addition, endoskeletal system, above knee, flexible protective outer s
   L5966           No Change       Hip flexible cover system      Addition, endoskeletal system, hip disarticulation, flexible protectiv
   L5968           No Change       Multiaxial ankle w dorsiflex   Addition to lower limb prosthesis, multiaxial ankle with swing phase a
   L5969           No Change       Ak/ft power asst incl motors   Addition, endoskeletal ankle-foot or ankle system, power assist, inclu
   L5970           No Change       Foot external keel sach foot   All lower extremity prostheses, foot, external keel, sach foot
   L5971           No Change       Sach foot, replacement         All lower extremity prosthesis, solid ankle cushion heel (sach) foot,
   L5972           No Change       Flexible keel foot             All lower extremity prostheses, foot, flexible keel
   L5973           No Change       Ank-foot sys dors-plant flex   Endoskeletal ankle foot system, microprocessor controlled feature, dor
   L5974           No Change       Foot single axis ankle/foot    All lower extremity prostheses, foot, single axis ankle/foot
   L5975           No Change       Combo ankle/foot prosthesis    All lower extremity prosthesis, combination single axis ankle and flex
   L5976           No Change       Energy storing foot            All lower extremity prostheses, energy storing foot (seattle carbon co
   L5978           No Change       Ft prosth multiaxial ankl/ft   All lower extremity prostheses, foot, multiaxial ankle/foot
   L5979           No Change       Multi-axial ankle/ft prosth    All lower extremity prosthesis, multi-axial ankle, dynamic response fo
   L5980           No Change       Flex foot system               All lower extremity prostheses, flex foot system
   L5981           No Change       Flex-walk sys low ext prosth   All lower extremity prostheses, flex-walk system or equal
   L5982           No Change       Exoskeletal axial rotation u   All exoskeletal lower extremity prostheses, axial rotation unit
   L5984           No Change       Endoskeletal axial rotation    All endoskeletal lower extremity prosthesis, axial rotation unit, with
   L5985           No Change       Lwr ext dynamic prosth pylon   All endoskeletal lower extremity prostheses, dynamic prosthetic pylon
   L5986           No Change       Multi-axial rotation unit      All lower extremity prostheses, multi-axial rotation unit ('mcp' or eq
   L5987           No Change       Shank ft w vert load pylon     All lower extremity prosthesis, shank foot system with vertical loadin
   L5988           No Change       Vertical shock reducing pylo   Addition to lower limb prosthesis, vertical shock reducing pylon featu
   L5990           No Change       User adjustable heel height    Addition to lower extremity prosthesis, user adjustable heel height
   L5999           No Change       Lowr extremity prosthes nos    Lower extremity prosthesis, not otherwise specified
   L6000           No Change       Part hand thumb rem            Partial hand, thumb remaining
   L6010           No Change       Part hand little/ring          Partial hand, little and/or ring finger remaining
   L6020           No Change       Part hand no fingers           Partial hand, no finger remaining
   L6025           No Change       Part hand disart myoelectric   Transcarpal/metacarpal or partial hand disarticulation prosthesis, ext
   L6026           No Change       Part hand myo exclu term dev   Transcarpal/metacarpal or partial hand disarticulation prosthesis, ext
   L6050           No Change       Wrst mld sck flx hng tri pad   Wrist disarticulation, molded socket, flexible elbow hinges, triceps p
   L6055           No Change       Wrst mold sock w/exp interfa   Wrist disarticulation, molded socket with expandable interface, flexib
   L6100           No Change       Elb mold sock flex hinge pad   Below elbow, molded socket, flexible elbow hinge, triceps pad
   L6110           No Change       Elbow mold sock suspension t   Below elbow, molded socket, (muenster or northwestern suspension types
   L6120           No Change       Elbow mold doub splt soc ste   Below elbow, molded double wall split socket, step-up hinges, half cuf
   L6130           No Change       Elbow stump activated lock h   Below elbow, molded double wall split socket, stump activated locking
   L6200           No Change       Elbow mold outsid lock hinge   Elbow disarticulation, molded socket, outside locking hinge, forearm
   L6205           No Change       Elbow molded w/ expand inter   Elbow disarticulation, molded socket with expandable interface, outsid
   L6250           No Change       Elbow inter loc elbow forarm   Above elbow, molded double wall socket, internal locking elbow, forear
   L6300           No Change       Shlder disart int lock elbow   Shoulder disarticulation, molded socket, shoulder bulkhead, humeral se
   L6310           No Change       Shoulder passive restor comp   Shoulder disarticulation, passive restoration (complete prosthesis)
   L6320           No Change       Shoulder passive restor cap    Shoulder disarticulation, passive restoration (shoulder cap only)
   L6350           No Change       Thoracic intern lock elbow     Interscapular thoracic, molded socket, shoulder bulkhead, humeral sect
   L6360           No Change       Thoracic passive restor comp   Interscapular thoracic, passive restoration (complete prosthesis)
   L6370           No Change       Thoracic passive restor cap    Interscapular thoracic, passive restoration (shoulder cap only)
   L6380           No Change       Postop dsg cast chg wrst/elb   Immediate post surgical or early fitting, application of initial rigid
   L6382           No Change       Postop dsg cast chg elb dis/   Immediate post surgical or early fitting, application of initial rigid
   L6384           No Change       Postop dsg cast chg shlder/t   Immediate post surgical or early fitting, application of initial rigid
   L6386           No Change       Postop ea cast chg & realign   Immediate post surgical or early fitting, each additional cast change
   L6388           No Change       Postop applicat rigid dsg on   Immediate post surgical or early fitting, application of rigid dressin
   L6400           No Change       Below elbow prosth tiss shap   Below elbow, molded socket, endoskeletal system, including soft prosth
   L6450           No Change       Elb disart prosth tiss shap    Elbow disarticulation, molded socket, endoskeletal system, including s
   L6500           No Change       Above elbow prosth tiss shap   Above elbow, molded socket, endoskeletal system, including soft prosth
   L6550           No Change       Shldr disar prosth tiss shap   Shoulder disarticulation, molded socket, endoskeletal system, includin
   L6570           No Change       Scap thorac prosth tiss shap   Interscapular thoracic, molded socket, endoskeletal system, including
   L6580           No Change       Wrist/elbow bowden cable mol   Preparatory, wrist disarticulation or below elbow, single wall plastic
   L6582           No Change       Wrist/elbow bowden cbl dir f   Preparatory, wrist disarticulation or below elbow, single wall socket,
   L6584           No Change       Elbow fair lead cable molded   Preparatory, elbow disarticulation or above elbow, single wall plastic
   L6586           No Change       Elbow fair lead cable dir fo   Preparatory, elbow disarticulation or above elbow, single wall socket,
   L6588           No Change       Shdr fair lead cable molded    Preparatory, shoulder disarticulation or interscapular thoracic, singl
   L6590           No Change       Shdr fair lead cable direct    Preparatory, shoulder disarticulation or interscapular thoracic, singl
   L6600           No Change       Polycentric hinge pair         Upper extremity additions, polycentric hinge, pair
   L6605           No Change       Single pivot hinge pair        Upper extremity additions, single pivot hinge, pair
   L6610           No Change       Flexible metal hinge pair      Upper extremity additions, flexible metal hinge, pair
   L6611           No Change       Additional switch, ext power   Addition to upper extremity prosthesis, external powered, additional s
   L6615           No Change       Disconnect locking wrist uni   Upper extremity addition, disconnect locking wrist unit
   L6616           No Change       Disconnect insert locking wr   Upper extremity addition, additional disconnect insert for locking wri
   L6620           No Change       Flexion/extension wrist unit   Upper extremity addition, flexion/extension wrist unit, with or withou
   L6621           No Change       Flex/ext wrist w/wo friction   Upper extremity prosthesis addition, flexion/extension wrist with or w
   L6623           No Change       Spring-ass rot wrst w/ latch   Upper extremity addition, spring assisted rotational wrist unit with l
   L6624           No Change       Flex/ext/rotation wrist unit   Upper extremity addition, flexion/extension and rotation wrist unit
   L6625           No Change       Rotation wrst w/ cable lock    Upper extremity addition, rotation wrist unit with cable lock
   L6628           No Change       Quick disconn hook adapter o   Upper extremity addition, quick disconnect hook adapter, otto bock or
   L6629           No Change       Lamination collar w/ couplin   Upper extremity addition, quick disconnect lamination collar with coup
   L6630           No Change       Stainless steel any wrist      Upper extremity addition, stainless steel, any wrist
   L6632           No Change       Latex suspension sleeve each   Upper extremity addition, latex suspension sleeve, each
   L6635           No Change       Lift assist for elbow          Upper extremity addition, lift assist for elbow
   L6637           No Change       Nudge control elbow lock       Upper extremity addition, nudge control elbow lock
   L6638           No Change       Elec lock on manual pw elbow   Upper extremity addition to prosthesis, electric locking feature, only
   L6640           No Change       Shoulder abduction joint pai   Upper extremity additions, shoulder abduction joint, pair
   L6641           No Change       Excursion amplifier pulley t   Upper extremity addition, excursion amplifier, pulley type
   L6642           No Change       Excursion amplifier lever ty   Upper extremity addition, excursion amplifier, lever type
   L6645           No Change       Shoulder flexion-abduction j   Upper extremity addition, shoulder flexion-abduction joint, each
   L6646           No Change       Multipo locking shoulder jnt   Upper extremity addition, shoulder joint, multipositional locking, fle
   L6647           No Change       Shoulder lock actuator         Upper extremity addition, shoulder lock mechanism, body powered actuat
   L6648           No Change       Ext pwrd shlder lock/unlock    Upper extremity addition, shoulder lock mechanism, external powered ac
   L6650           No Change       Shoulder universal joint       Upper extremity addition, shoulder universal joint, each
   L6655           No Change       Standard control cable extra   Upper extremity addition, standard control cable, extra
   L6660           No Change       Heavy duty control cable       Upper extremity addition, heavy duty control cable
   L6665           No Change       Teflon or equal cable lining   Upper extremity addition, teflon, or equal, cable lining
   L6670           No Change       Hook to hand cable adapter     Upper extremity addition, hook to hand, cable adapter
   L6672           No Change       Harness chest/shlder saddle    Upper extremity addition, harness, chest or shoulder, saddle type
   L6675           No Change       Harness figure of 8 sing con   Upper extremity addition, harness, (e.g., figure of eight type), singl
   L6676           No Change       Harness figure of 8 dual con   Upper extremity addition, harness, (e.g., figure of eight type), dual
   L6677           No Change       Ue triple control harness      Upper extremity addition, harness, triple control, simultaneous operat
   L6680           No Change       Test sock wrist disart/bel e   Upper extremity addition, test socket, wrist disarticulation or below
   L6682           No Change       Test sock elbw disart/above    Upper extremity addition, test socket, elbow disarticulation or above
   L6684           No Change       Test socket shldr disart/tho   Upper extremity addition, test socket, shoulder disarticulation or int
   L6686           No Change       Suction socket                 Upper extremity addition, suction socket
   L6687           No Change       Frame typ socket bel elbow/w   Upper extremity addition, frame type socket, below elbow or wrist disa
   L6688           No Change       Frame typ sock above elb/dis   Upper extremity addition, frame type socket, above elbow or elbow disa
   L6689           No Change       Frame typ socket shoulder di   Upper extremity addition, frame type socket, shoulder disarticulation
   L6690           No Change       Frame typ sock interscap-tho   Upper extremity addition, frame type socket, interscapular-thoracic
   L6691           No Change       Removable insert each          Upper extremity addition, removable insert, each
   L6692           No Change       Silicone gel insert or equal   Upper extremity addition, silicone gel insert or equal, each
   L6693           No Change       Lockingelbow forearm cntrbal   Upper extremity addition, locking elbow, forearm counterbalance
   L6694           No Change       Elbow socket ins use w/lock    Addition to upper extremity prosthesis, below elbow/above elbow, custo
   L6695           No Change       Elbow socket ins use w/o lck   Addition to upper extremity prosthesis, below elbow/above elbow, custo
   L6696           No Change       Cus elbo skt in for con/atyp   Addition to upper extremity prosthesis, below elbow/above elbow, custo
   L6697           No Change       Cus elbo skt in not con/atyp   Addition to upper extremity prosthesis, below elbow/above elbow, custo
   L6698           No Change       Below/above elbow lock mech    Addition to upper extremity prosthesis, below elbow/above elbow, lock
   L6703           No Change       Term dev, passive hand mitt    Terminal device, passive hand/mitt, any material, any size
   L6704           No Change       Term dev, sport/rec/work att   Terminal device, sport/recreational/work attachment, any material, any
   L6706           No Change       Term dev mech hook vol open    Terminal device, hook, mechanical, voluntary opening, any material, an
   L6707           No Change       Term dev mech hook vol close   Terminal device, hook, mechanical, voluntary closing, any material, an
   L6708           No Change       Term dev mech hand vol open    Terminal device, hand, mechanical, voluntary opening, any material, an
   L6709           No Change       Term dev mech hand vol close   Terminal device, hand, mechanical, voluntary closing, any material, an
   L6711           No Change       Ped term dev, hook, vol open   Terminal device, hook, mechanical, voluntary opening, any material, an
   L6712           No Change       Ped term dev, hook, vol clos   Terminal device, hook, mechanical, voluntary closing, any material, an
   L6713           No Change       Ped term dev, hand, vol open   Terminal device, hand, mechanical, voluntary opening, any material, an
   L6714           No Change       Ped term dev, hand, vol clos   Terminal device, hand, mechanical, voluntary closing, any material, an
   L6715           No Change       Term device, multi art digit   Terminal device, multiple articulating digit, includes motor(s), initi
   L6721           No Change       Hook/hand, hvy dty, vol open   Terminal device, hook or hand, heavy duty, mechanical, voluntary openi
   L6722           No Change       Hook/hand, hvy dty, vol clos   Terminal device, hook or hand, heavy duty, mechanical, voluntary closi
   L6805           No Change       Term dev modifier wrist unit   Addition to terminal device, modifier wrist unit
   L6810           No Change       Term dev precision pinch dev   Addition to terminal device, precision pinch device
   L6880           No Change       Elec hand ind art digits       Electric hand, switch or myoelectric controlled, independently articul
   L6881           No Change       Term dev auto grasp feature    Automatic grasp feature, addition to upper limb electric prosthetic te
   L6882           No Change       Microprocessor control uplmb   Microprocessor control feature, addition to upper limb prosthetic term
   L6883           No Change       Replc sockt below e/w disa     Replacement socket, below elbow/wrist disarticulation, molded to patie
   L6884           No Change       Replc sockt above elbow disa   Replacement socket, above elbow/elbow disarticulation, molded to patie
   L6885           No Change       Replc sockt shldr dis/interc   Replacement socket, shoulder disarticulation/interscapular thoracic, m
   L6890           No Change       Prefab glove for term device   Addition to upper extremity prosthesis, glove for terminal device, any
   L6895           No Change       Custom glove for term device   Addition to upper extremity prosthesis, glove for terminal device, any
   L6900           No Change       Hand restorat thumb/1 finger   Hand restoration (casts, shading and measurements included), partial h
   L6905           No Change       Hand restoration multiple fi   Hand restoration (casts, shading and measurements included), partial h
   L6910           No Change       Hand restoration no fingers    Hand restoration (casts, shading and measurements included), partial h
   L6915           No Change       Hand restoration replacmnt g   Hand restoration (shading, and measurements included), replacement glo
   L6920           No Change       Wrist disarticul switch ctrl   Wrist disarticulation, external power, self-suspended inner socket, re
   L6925           No Change       Wrist disart myoelectronic c   Wrist disarticulation, external power, self-suspended inner socket, re
   L6930           No Change       Below elbow switch control     Below elbow, external power, self-suspended inner socket, removable fo
   L6935           No Change       Below elbow myoelectronic ct   Below elbow, external power, self-suspended inner socket, removable fo
   L6940           No Change       Elbow disarticulation switch   Elbow disarticulation, external power, molded inner socket, removable
   L6945           No Change       Elbow disart myoelectronic c   Elbow disarticulation, external power, molded inner socket, removable
   L6950           No Change       Above elbow switch control     Above elbow, external power, molded inner socket, removable humeral sh
   L6955           No Change       Above elbow myoelectronic ct   Above elbow, external power, molded inner socket, removable humeral sh
   L6960           No Change       Shldr disartic switch contro   Shoulder disarticulation, external power, molded inner socket, removab
   L6965           No Change       Shldr disartic myoelectronic   Shoulder disarticulation, external power, molded inner socket, removab
   L6970           No Change       Interscapular-thor switch ct   Interscapular-thoracic, external power, molded inner socket, removable
   L6975           No Change       Interscap-thor myoelectronic   Interscapular-thoracic, external power, molded inner socket, removable
   L7007           No Change       Adult electric hand            Electric hand, switch or myoelectric controlled, adult
   L7008           No Change       Pediatric electric hand        Electric hand, switch or myoelectric, controlled, pediatric
   L7009           No Change       Adult electric hook            Electric hook, switch or myoelectric controlled, adult
   L7040           No Change       Prehensile actuator            Prehensile actuator, switch controlled
   L7045           No Change       Pediatric electric hook        Electric hook, switch or myoelectric controlled, pediatric
   L7170           No Change       Electronic elbow hosmer swit   Electronic elbow, hosmer or equal, switch controlled
   L7180           No Change       Electronic elbow sequential    Electronic elbow, microprocessor sequential control of elbow and termi
   L7181           No Change       Electronic elbo simultaneous   Electronic elbow, microprocessor simultaneous control of elbow and ter
   L7185           No Change       Electron elbow adolescent sw   Electronic elbow, adolescent, variety village or equal, switch control
   L7186           No Change       Electron elbow child switch    Electronic elbow, child, variety village or equal, switch controlled
   L7190           No Change       Elbow adolescent myoelectron   Electronic elbow, adolescent, variety village or equal, myoelectronica
   L7191           No Change       Elbow child myoelectronic ct   Electronic elbow, child, variety village or equal, myoelectronically c
   L7259           No Change       Electronic wrist rotator any   Electronic wrist rotator, any type
   L7260           No Change       Electron wrist rotator otto    Electronic wrist rotator, otto bock or equal
   L7261           No Change       Electron wrist rotator utah    Electronic wrist rotator, for utah arm
   L7360           No Change       Six volt bat otto bock/eq ea   Six volt battery, each
   L7362           No Change       Battery chrgr six volt otto    Battery charger, six volt, each
   L7364           No Change       Twelve volt battery utah/equ   Twelve volt battery, each
   L7366           No Change       Battery chrgr 12 volt utah/e   Battery charger, twelve volt, each
   L7367           No Change       Replacemnt lithium ionbatter   Lithium ion battery, rechargeable, replacement
   L7368           No Change       Lithium ion battery charger    Lithium ion battery charger, replacement only
   L7400           No Change       Add ue prost be/wd, ultlite    Addition to upper extremity prosthesis, below elbow/wrist disarticulat
   L7401           No Change       Add ue prost a/e ultlite mat   Addition to upper extremity prosthesis, above elbow disarticulation, u
   L7402           No Change       Add ue prost s/d ultlite mat   Addition to upper extremity prosthesis, shoulder disarticulation/inter
   L7403           No Change       Add ue prost b/e acrylic       Addition to upper extremity prosthesis, below elbow/wrist disarticulat
   L7404           No Change       Add ue prost a/e acrylic       Addition to upper extremity prosthesis, above elbow disarticulation, a
   L7405           No Change       Add ue prost s/d acrylic       Addition to upper extremity prosthesis, shoulder disarticulation/inter
   L7499           No Change       Upper extremity prosthes nos   Upper extremity prosthesis, not otherwise specified
   L7510           No Change       Prosthetic device repair rep   Repair of prosthetic device, repair or replace minor parts
   L7520           No Change       Repair prosthesis per 15 min   Repair prosthetic device, labor component, per 15 minutes
   L7600           No Change       Prosthetic donning sleeve      Prosthetic donning sleeve, any material, each
   L7700           No Change       Pros soc insert gasket/seal    Gasket or seal, for use with prosthetic socket insert, any type, each
   L7900           No Change       Male vacuum erection system    Male vacuum erection system
   L7902           No Change       Tension ring, vac erect dev    Tension ring, for vacuum erection device, any type, replacement only,
   L8000           No Change       Mastectomy bra                 Breast prosthesis, mastectomy bra, without integrated breast prosthesi
   L8001           No Change       Breast prosthesis bra & form   Breast prosthesis, mastectomy bra, with integrated breast prosthesis f
   L8002           No Change       Brst prsth bra & bilat form    Breast prosthesis, mastectomy bra, with integrated breast prosthesis f
   L8010           No Change       Mastectomy sleeve              Breast prosthesis, mastectomy sleeve
   L8015           No Change       Ext breastprosthesis garment   External breast prosthesis garment, with mastectomy form, post mastect
   L8020           No Change       Mastectomy form                Breast prosthesis, mastectomy form
   L8030           No Change       Breast prosthes w/o adhesive   Breast prosthesis, silicone or equal, without integral adhesive
   L8031           No Change       Breast prosthesis w adhesive   Breast prosthesis, silicone or equal, with integral adhesive
   L8032    Long Description ChangeReusable nipple prosthesis     Nipple prosthesis, prefabricated, reusable, any type, each
   L8033              ADD          Nipple prosthesis custom, ea   Nipple prosthesis, custom fabricated, reusable, any material, any type
   L8035           No Change       Custom breast prosthesis       Custom breast prosthesis, post mastectomy, molded to patient model
   L8039           No Change       Breast prosthesis nos          Breast prosthesis, not otherwise specified
   L8040           No Change       Nasal prosthesis               Nasal prosthesis, provided by a non-physician
   L8041           No Change       Midfacial prosthesis           Midfacial prosthesis, provided by a non-physician
   L8042           No Change       Orbital prosthesis             Orbital prosthesis, provided by a non-physician
   L8043           No Change       Upper facial prosthesis        Upper facial prosthesis, provided by a non-physician
   L8044           No Change       Hemi-facial prosthesis         Hemi-facial prosthesis, provided by a non-physician
   L8045           No Change       Auricular prosthesis           Auricular prosthesis, provided by a non-physician
   L8046           No Change       Partial facial prosthesis      Partial facial prosthesis, provided by a non-physician
   L8047           No Change       Nasal septal prosthesis        Nasal septal prosthesis, provided by a non-physician
   L8048           No Change       Unspec maxillofacial prosth    Unspecified maxillofacial prosthesis, by report, provided by a non-phy
   L8049           No Change       Repair maxillofacial prosth    Repair or modification of maxillofacial prosthesis, labor component, 1
   L8300           No Change       Truss single w/ standard pad   Truss, single with standard pad
   L8310           No Change       Truss double w/ standard pad   Truss, double with standard pads
   L8320           No Change       Truss addition to std pad wa   Truss, addition to standard pad, water pad
   L8330           No Change       Truss add to std pad scrotal   Truss, addition to standard pad, scrotal pad
   L8400           No Change       Sheath below knee              Prosthetic sheath, below knee, each
   L8410           No Change       Sheath above knee              Prosthetic sheath, above knee, each
   L8415           No Change       Sheath upper limb              Prosthetic sheath, upper limb, each
   L8417           No Change       Pros sheath/sock w gel cushn   Prosthetic sheath/sock, including a gel cushion layer, below knee or a
   L8420           No Change       Prosthetic sock multi ply bk   Prosthetic sock, multiple ply, below knee, each
   L8430           No Change       Prosthetic sock multi ply ak   Prosthetic sock, multiple ply, above knee, each
   L8435           No Change       Pros sock multi ply upper lm   Prosthetic sock, multiple ply, upper limb, each
   L8440           No Change       Shrinker below knee            Prosthetic shrinker, below knee, each
   L8460           No Change       Shrinker above knee            Prosthetic shrinker, above knee, each
   L8465           No Change       Shrinker upper limb            Prosthetic shrinker, upper limb, each
   L8470           No Change       Pros sock single ply bk        Prosthetic sock, single ply, fitting, below knee, each
   L8480           No Change       Pros sock single ply ak        Prosthetic sock, single ply, fitting, above knee, each
   L8485           No Change       Pros sock single ply upper l   Prosthetic sock, single ply, fitting, upper limb, each
   L8499           No Change       Unlisted misc prosthetic ser   Unlisted procedure for miscellaneous prosthetic services
   L8500           No Change       Artificial larynx              Artificial larynx, any type
   L8501           No Change       Tracheostomy speaking valve    Tracheostomy speaking valve
   L8505           No Change       Artificial larynx, accessory   Artificial larynx replacement battery / accessory, any type
   L8507           No Change       Trach-esoph voice pros pt in   Tracheo-esophageal voice prosthesis, patient inserted, any type, each
   L8509           No Change       Trach-esoph voice pros md in   Tracheo-esophageal voice prosthesis, inserted by a licensed health car
   L8510           No Change       Voice amplifier                Voice amplifier
   L8511           No Change       Indwelling trach insert        Insert for indwelling tracheoesophageal prosthesis, with or without va
   L8512           No Change       Gel cap for trach voice pros   Gelatin capsules or equivalent, for use with tracheoesophageal voice p
   L8513           No Change       Trach pros cleaning device     Cleaning device used with tracheoesophageal voice prosthesis, pipet, b
   L8514           No Change       Repl trach puncture dilator    Tracheoesophageal puncture dilator, replacement only, each
   L8515           No Change       Gel cap app device for trach   Gelatin capsule, application device for use with tracheoesophageal voi
   L8600           No Change       Implant breast silicone/eq     Implantable breast prosthesis, silicone or equal
   L8603           No Change       Collagen imp urinary 2.5 ml    Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syri
   L8604           No Change       Dextranomer/hyaluronic acid    Injectable bulking agent, dextranomer/hyaluronic acid copolymer implan
   L8605           No Change       Inj bulking agent anal canal   Injectable bulking agent, dextranomer/hyaluronic acid copolymer implan
   L8606           No Change       Synthetic implnt urinary 1ml   Injectable bulking agent, synthetic implant, urinary tract, 1 ml syrin
   L8607           No Change       Inj vocal cord bulking agent   Injectable bulking agent for vocal cord medialization, 0.1 ml, include
   L8608           No Change       Arg ii ext com/sup/acc misc    Miscellaneous external component, supply or accessory for use with the
   L8609           No Change       Artificial cornea              Artificial cornea
   L8610           No Change       Ocular implant                 Ocular implant
   L8612           No Change       Aqueous shunt prosthesis       Aqueous shunt
   L8613           No Change       Ossicular implant              Ossicula implant
   L8614           No Change       Cochlear device                Cochlear device, includes all internal and external components
   L8615           No Change       Coch implant headset replace   Headset/headpiece for use with cochlear implant device, replacement
   L8616           No Change       Coch implant microphone repl   Microphone for use with cochlear implant device, replacement
   L8617           No Change       Coch implant trans coil repl   Transmitting coil for use with cochlear implant device, replacement
   L8618           No Change       Coch implant tran cable repl   Transmitter cable for use with cochlear implant device or auditory oss
   L8619           No Change       Coch imp ext proc/contr rplc   Cochlear implant, external speech processor and controller, integrated
   L8621           No Change       Repl zinc air battery          Zinc air battery for use with cochlear implant device and auditory oss
   L8622           No Change       Repl alkaline battery          Alkaline battery for use with cochlear implant device, any size, repla
   L8623           No Change       Lith ion batt cid,non-earlvl   Lithium ion battery for use with cochlear implant device speech proces
   L8624           No Change       Lith ion batt cid, ear level   Lithium ion battery for use with cochlear implant or auditory osseoint
   L8625           No Change       Charger coch impl/aoi battry   External recharging system for battery for use with cochlear implant o
   L8627           No Change       Cid ext speech process repl    Cochlear implant, external speech processor, component, replacement
   L8628           No Change       Cid ext controller repl        Cochlear implant, external controller component, replacement
   L8629           No Change       Cid transmit coil and cable    Transmitting coil and cable, integrated, for use with cochlear implant
   L8630           No Change       Metacarpophalangeal implant    Metacarpophalangeal joint implant
   L8631           No Change       Mcp joint repl 2 pc or more    Metacarpal phalangeal joint replacement, two or more pieces, metal (e.
   L8641           No Change       Metatarsal joint implant       Metatarsal joint implant
   L8642           No Change       Hallux implant                 Hallux implant
   L8658           No Change       Interphalangeal joint spacer   Interphalangeal joint spacer, silicone or equal, each
   L8659           No Change       Interphalangeal joint repl     Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g
   L8670           No Change       Vascular graft, synthetic      Vascular graft material, synthetic, implant
   L8679           No Change       Imp neurosti pls gn any type   Implantable neurostimulator, pulse generator, any type
   L8680           No Change       Implt neurostim elctr each     Implantable neurostimulator electrode, each
   L8681           No Change       Pt prgrm for implt neurostim   Patient programmer (external) for use with implantable programmable ne
   L8682           No Change       Implt neurostim radiofq rec    Implantable neurostimulator radiofrequency receiver
   L8683           No Change       Radiofq trsmtr for implt neu   Radiofrequency transmitter (external) for use with implantable neurost
   L8684           No Change       Radiof trsmtr implt scrl neu   Radiofrequency transmitter (external) for use with implantable sacral
   L8685           No Change       Implt nrostm pls gen sng rec   Implantable neurostimulator pulse generator, single array, rechargeabl
   L8686           No Change       Implt nrostm pls gen sng non   Implantable neurostimulator pulse generator, single array, non-recharg
   L8687           No Change       Implt nrostm pls gen dua rec   Implantable neurostimulator pulse generator, dual array, rechargeable,
   L8688           No Change       Implt nrostm pls gen dua non   Implantable neurostimulator pulse generator, dual array, non-rechargea
   L8689           No Change       External recharg sys intern    External recharging system for battery (internal) for use with implant
   L8690           No Change       Aud osseo dev, int/ext comp    Auditory osseointegrated device, includes all internal and external co
   L8691           No Change       Aoi snd proc repl excl actua   Auditory osseointegrated device, external sound processor, excludes tr
   L8692           No Change       Non-osseointegrated snd proc   Auditory osseointegrated device, external sound processor, used withou
   L8693           No Change       Aud osseo dev, abutment        Auditory osseointegrated device abutment, any length, replacement only
   L8694           No Change       Aoi transducer/actuator repl   Auditory osseointegrated device, transducer/actuator, replacement only
   L8695           No Change       External recharg sys extern    External recharging system for battery (external) for use with implant
   L8696           No Change       Ext antenna phren nerve stim   Antenna (external) for use with implantable diaphragmatic/phrenic nerv
   L8698           No Change       Misc used with tot art heart   Miscellaneous component, supply or accessory for use with total artifi
   L8699           No Change       Prosthetic implant nos         Prosthetic implant, not otherwise specified
   L8701           No Change       Pow ue rom dev ewh uprt cust   Powered upper extremity range of motion assist device, elbow, wrist, h
   L8702           No Change       Pow ue rom dev ewhf uprt cus   Powered upper extremity range of motion assist device, elbow, wrist, h
   L9900           No Change       O&p supply/accessory/service   Orthotic and prosthetic supply, accessory, and/or service component of
   M0064           No Change       Visit for drug monitoring      Brief office visit for the sole purpose of monitoring or changing drug
   M0075           No Change       Cellular therapy               Cellular therapy
   M0076           No Change       Prolotherapy                   Prolotherapy
   M0100           No Change       Intragastric hypothermia       Intragastric hypothermia using gastric freezing
   M0300           No Change       Iv chelationtherapy            Iv chelation therapy (chemical endarterectomy)
   M0301           No Change       Fabric wrapping of aneurysm    Fabric wrapping of abdominal aneurysm
   M1000         Discontinued      Pain scr as mod to sevr        Pain screened as moderate to severe
   M1001         Discontinued      Pln to adrs pain doc           Plan of care to address moderate to severe pain documented on or befor
   M1002         Discontinued      Pln to adrs pain not doc       Plan of care for moderate to severe pain not documented on or before t
   M1003           No Change       Tb scr 12 mo pri fst bio dz    Tb screening performed and results interpreted within twelve months pr
   M1004           No Change       Doc med rsn no srn tb          Documentation of medical reason for not screening for tb or interpreti
   M1005           No Change       Tb scr no perf                 Tb screening not performed or results not interpreted, reason not give
   M1006           No Change       Dz not ases, no rsn            Disease activity not assessed, reason not given
   M1007           No Change       >=50% total pt outpt ra enct   >=50% of total number of a patient's outpatient ra encounters assessed
   M1008           No Change       <50% total pt outpt ra encts   <50% of total number of a patient's outpatient ra encounters assessed
   M1009    Long Description ChangeDc eoc doc med rec             Discharge/discontinuation of the episode of care documented in the med
   M1010    Long Description ChangeDc eoc doc med rec             Discharge/discontinuation of the episode of care documented in the med
   M1011    Long Description ChangeDc eoc doc med rec             Discharge/discontinuation of the episode of care documented in the med
   M1012    Long Description ChangeDc eoc doc med rec             Discharge/discontinuation of the episode of care documented in the med
   M1013    Long Description ChangeDc eoc doc med rec             Discharge/discontinuation of the episode of care documented in the med
   M1014    Long Description ChangeDc epi care doc medrec         Discharge/discontinuation of the episode of care documented in the med
   M1015    Long Description ChangeDc eoc doc med rec             Discharge/discontinuation of the episode of care documented in the med
   M1016           No Change       Pt dx meop or sur steri        Female patients unable to bear children
   M1017           No Change       Pt admt to palitve serv        Patient admitted to palliative care services
   M1018           No Change       Pt dx hst cr pt sk lg cr scr   Patients with an active diagnosis or history of cancer (except basal c
   M1019           No Change       Adl pt mj dep ds rs 12 phq<5   Adolescent patients 12 to 17 years of age with major depression or dys
   M1020           No Change       Adl pt mj dep ds no rs 12 mo   Adolescent patients 12 to 17 years of age with major depression or dys
   M1021           No Change       Pt uc in pp                    Patient had only urgent care visits during the performance period
   M1022           No Change       Pt hospice during perf pd      Patients who were in hospice at any time during the performance period
   M1023           No Change       Adl pt mj dep ds rs 6 phq<5    Adolescent patients 12 to 17 years of age with major depression or dys
   M1024           No Change       Adl pt mj dep ds no rs 6 mo    Adolescent patients 12 to 17 years of age with major depression or dys
   M1025           No Change       Pt hospice during perf pd      Patients who were in hospice at any time during the performance period
   M1026           No Change       Pt hospice during perf pd      Patients who were in hospice at any time during the performance period
   M1027           No Change       Img head (ct or mri) obtnd     Imaging of the head (ct or mri) was obtained
   M1028           No Change       Doc of pt prm hda dx and otr   Documentation of patients with primary headache diagnosis and imaging
   M1029           No Change       Doc sysm rsn img hd            Imaging of the head (ct or mri) was not obtained, reason not given
   M1030         Discontinued      Pt clin ind img hd             Patients with clinical indications for imaging of the head
   M1031           No Change       Pt clin ind img hd             Patients with no clinical indications for imaging of the head
   M1032           No Change       Adt tkng pharmthry for oud     Adults currently taking pharmacotherapy for oud
   M1033           No Change       Pharmthry for oud afr 6.30     Pharmacotherapy for oud initiated after june 30th of performance perio
   M1034           No Change       Adt 180 dys pharmthry oud      Adults who have at least 180 days of continuous pharmacotherapy with a
   M1035           No Change       Adt pd out mat pr 180 dys tx   Adults who are deliberately phased out of medication assisted treatmen
   M1036           No Change       Adt no 180 dys pharmthry oud   Adults who have not had at least 180 days of continuous pharmacotherap
   M1037           No Change       Pt dx lum sp reg cacr          Patients with a diagnosis of lumbar spine region cancer at the time of
   M1038           No Change       Pt dx lum sp reg fract         Patients with a diagnosis of lumbar spine region fracture at the time
   M1039           No Change       Pt dx lum sp reg inf           Patients with a diagnosis of lumbar spine region infection at the time
   M1040           No Change       Pt dx lum idi or cong scol     Patients with a diagnosis of lumbar idiopathic or congenital scoliosis
   M1041           No Change       Pt cr ft inf lm or pt id sl    Patient had cancer, fracture or infection related to the lumbar spine
   M1042         Discontinued      Ftl st mea sco ot odi 3 mo     Functional status measurement with score was obtained utilizing the os
   M1043    Long Description ChangeFs no odi 9-15mo               Functional status was not measured by the oswestry disability index (o
   M1044         Discontinued      Ftl st mea odi 3 mo            Functional status was measured by the oswestry disability index (odi v
   M1045    Long Description ChangeFs oks 9-15mo = 37             Functional status measured by the oxford knee score (oks) at one year
   M1046    Long Description ChangeFs oks 9-15mo = 37             Functional status measured by the oxford knee score (oks) at one year
   M1047         Discontinued      Fs msrd oks pre and post       Functional status was measured by the oxford knee score (oks) patient
   M1048         Discontinued      Fsm wth scr odi pre and post   Functional status measurement with score was obtained utilizing the os
   M1049    Long Description ChangeFs wth scr no odi pre and p    Functional status was not measured by the oswestry disability index (o
   M1050         Discontinued      Fs msrd odi pre and post       Functional status was measured by the oswestry disability index (odi v
   M1051           No Change       Pt w/cancer scoliosis          Patient had cancer, fracture or infection related to the lumbar spine
   M1052    Long Description ChangeLg pn not meas w/ vas 1yr po   Leg pain was not measured by the visual analog scale (vas) at one year
   M1053         Discontinued      Pre and post vas wthn 3 mos    Leg pain was measured by the visual analog scale (vas) within three mo
   M1054           No Change       Pt uc in pp                    Patient had only urgent care visits during the performance period
   M1055           No Change       Aspirin used                   Aspirin or another antiplatelet therapy used
   M1056           No Change       Presc antico med in pp         Prescribed anticoagulant medication during the performance period, his
   M1057           No Change       Aspirin not used, no rsn       Aspirin or another antiplatelet therapy not used, reason not given
   M1058           No Change       Pt prm nurs hm res in pp       Patient was a permanent nursing home resident at any time during the p
   M1059           No Change       Pt no prm nurs hm res in pp    Patient was in hospice or receiving palliative care at any time during
   M1060           No Change       Pt died in pp                  Patient died prior to the end of the performance period
   M1061           No Change       Pt preg                        Patient pregnancy
   M1062           No Change       Pt imcomprmd                   Patient immunocompromised
   M1063           No Change       Pt rec hg dos imsup thpy       Patients receiving high doses of immunosuppressive therapy
   M1064           No Change       Shing vac doc adm or pv rec    Shingrix vaccine documented as administered or previously received
   M1065           No Change       Shing vac no adm clinc rsn     Shingrix vaccine was not administered for reasons documented by clinic
   M1066           No Change       Shing vac no doc no rsn        Shingrix vaccine not documented as administered, reason not given
   M1067           No Change       Hspc pt prv time meam per      Hospice services for patient provided any time during the measurement
   M1068           No Change       Pt not ambulatory              Adults who are not ambulatory
   M1069           No Change       Pt scr ft fall rsk             Patient screened for future fall risk
   M1070           No Change       Pt not scrn fut fall no rsn    Patient not screened for future fall risk, reason not given
   M1071           No Change       Pt had add'l sp pcr perf       Patient had any additional spine procedures performed on the same date
   M1106              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1107              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1108              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1109              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1110              ADD          Oc ni pt selfdc 1-2 vis        Ongoing care not indicated, patient self-discharged early and seen onl
   M1111              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1112              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1113              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1114              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1115              ADD          Oc ni pt selfdc 1-2 vis        Ongoing care not indicated, patient self-discharged early and seen onl
   M1116              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1117              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1118              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1119              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1120              ADD          Oc ni pt selfdc 1-2 vis        Ongoing care not indicated, patient self-discharged early and seen onl
   M1121              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1122              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1123              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1124              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1125              ADD          Oc ni pt selfdc 1-2 vis        Ongoing care not indicated, patient self-discharged early and seen onl
   M1126              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1127              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1128              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1129              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1130              ADD          Oc ni pt self dc 1-2 vis       Ongoing care not indicated, patient self-discharged early and seen onl
   M1131              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1132              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1133              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1134              ADD          Oc ni pt self dc 1-2 vis       Ongoing care not indicated, patient self-discharged early and seen onl
   M1135              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1136              ADD          Start eoc doc med rec          The start of an episode of care documented in the medical record
   M1137              ADD          Docu dx degen neuro            Documentation stating patient has a diagnosis of a degenerative neurol
   M1138              ADD          Oc ni pt 1-2 vis               Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   M1139              ADD          Oc ni pt self dc 1-2 vis       Ongoing care not indicated, patient self-discharged early and seen onl
   M1140              ADD          Oc ni pt dc 1-2 vis            Ongoing care not indicated, patient discharged after only 1-2 visits d
   M1141              ADD          Fs no oks                      Functional status was not measured by the oxford knee score (oks) at o
   M1142              ADD          Emerge cases                   Emergent cases
   M1143              ADD          Ni rehab med chiro             Initiated episode of rehabilitation therapy, medical, or chiropractic
   M1144              ADD          Oc no ind pt 1-2 vis           Ongoing care not indicated, patient seen only 1-2 visits (e.g., home p
   P2028           No Change       Cephalin floculation test      Cephalin floculation, blood
   P2029           No Change       Congo red blood test           Congo red, blood
   P2031           No Change       Hair analysis                  Hair analysis (excluding arsenic)
   P2033           No Change       Blood thymol turbidity         Thymol turbidity, blood
   P2038           No Change       Blood mucoprotein              Mucoprotein, blood (seromucoid) (medical necessity procedure)
   P3000           No Change       Screen pap by tech w md supv   Screening papanicolaou smear, cervical or vaginal, up to three smears,
   P3001           No Change       Screening pap smear by phys    Screening papanicolaou smear, cervical or vaginal, up to three smears,
   P7001           No Change       Culture bacterial urine        Culture, bacterial, urine; quantitative, sensitivity study
   P9010           No Change       Whole blood for transfusion    Blood (whole), for transfusion, per unit
   P9011           No Change       Blood split unit               Blood, split unit
   P9012           No Change       Cryoprecipitate each unit      Cryoprecipitate, each unit
   P9016           No Change       Rbc leukocytes reduced         Red blood cells, leukocytes reduced, each unit
   P9017           No Change       Plasma 1 donor frz w/in 8 hr   Fresh frozen plasma (single donor), frozen within 8 hours of collectio
   P9019           No Change       Platelets, each unit           Platelets, each unit
   P9020           No Change       Plaelet rich plasma unit       Platelet rich plasma, each unit
   P9021           No Change       Red blood cells unit           Red blood cells, each unit
   P9022           No Change       Washed red blood cells unit    Red blood cells, washed, each unit
   P9023           No Change       Frozen plasma, pooled, sd      Plasma, pooled multiple donor, solvent/detergent treated, frozen, each
   P9031           No Change       Platelets leukocytes reduced   Platelets, leukocytes reduced, each unit
   P9032           No Change       Platelets, irradiated          Platelets, irradiated, each unit
   P9033           No Change       Platelets leukoreduced irrad   Platelets, leukocytes reduced, irradiated, each unit
   P9034           No Change       Platelets, pheresis            Platelets, pheresis, each unit
   P9035           No Change       Platelet pheres leukoreduced   Platelets, pheresis, leukocytes reduced, each unit
   P9036           No Change       Platelet pheresis irradiated   Platelets, pheresis, irradiated, each unit
   P9037           No Change       Plate pheres leukoredu irrad   Platelets, pheresis, leukocytes reduced, irradiated, each unit
   P9038           No Change       Rbc irradiated                 Red blood cells, irradiated, each unit
   P9039           No Change       Rbc deglycerolized             Red blood cells, deglycerolized, each unit
   P9040           No Change       Rbc leukoreduced irradiated    Red blood cells, leukocytes reduced, irradiated, each unit
   P9041           No Change       Albumin (human),5%, 50ml       Infusion, albumin (human), 5%, 50 ml
   P9043           No Change       Plasma protein fract,5%,50ml   Infusion, plasma protein fraction (human), 5%, 50 ml
   P9044           No Change       Cryoprecipitatereducedplasma   Plasma, cryoprecipitate reduced, each unit
   P9045           No Change       Albumin (human), 5%, 250 ml    Infusion, albumin (human), 5%, 250 ml
   P9046           No Change       Albumin (human), 25%, 20 ml    Infusion, albumin (human), 25%, 20 ml
   P9047           No Change       Albumin (human), 25%, 50ml     Infusion, albumin (human), 25%, 50 ml
   P9048           No Change       Plasmaprotein fract,5%,250ml   Infusion, plasma protein fraction (human), 5%, 250 ml
   P9050           No Change       Granulocytes, pheresis unit    Granulocytes, pheresis, each unit
   P9051           No Change       Blood, l/r, cmv-neg            Whole blood or red blood cells, leukocytes reduced, cmv-negative, each
   P9052           No Change       Platelets, hla-m, l/r, unit    Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each un
   P9053           No Change       Plt, pher, l/r cmv-neg, irr    Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, eac
   P9054           No Change       Blood, l/r, froz/degly/wash    Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol
   P9055           No Change       Plt, aph/pher, l/r, cmv-neg    Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each
   P9056           No Change       Blood, l/r, irradiated         Whole blood, leukocytes reduced, irradiated, each unit
   P9057           No Change       Rbc, frz/deg/wsh, l/r, irrad   Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irr
   P9058           No Change       Rbc, l/r, cmv-neg, irrad       Red blood cells, leukocytes reduced, cmv-negative, irradiated, each un
   P9059           No Change       Plasma, frz between 8-24hour   Fresh frozen plasma between 8-24 hours of collection, each unit
   P9060           No Change       Fr frz plasma donor retested   Fresh frozen plasma, donor retested, each unit
   P9070           No Change       Pathogen reduced plasma pool   Plasma, pooled multiple donor, pathogen reduced, frozen, each unit
   P9071           No Change       Pathogen reduced plasma sing   Plasma (single donor), pathogen reduced, frozen, each unit
   P9072           No Change       Plate path red/rapid bac tes   Platelets, pheresis, pathogen reduced or rapid bacterial tested, each
   P9073           No Change       Platelets pheresis path redu   Platelets, pheresis, pathogen-reduced, each unit
   P9099              ADD          Blood component/product noc    Blood component or product not otherwise classified
   P9100           No Change       Pathogen test for platelets    Pathogen(s) test for platelets
   P9603           No Change       One-way allow prorated miles   Travel allowance one way in connection with medically necessary labora
   P9604           No Change       One-way allow prorated trip    Travel allowance one way in connection with medically necessary labora
   P9612           No Change       Catheterize for urine spec     Catheterization for collection of specimen, single patient, all places
   P9615           No Change       Urine specimen collect mult    Catheterization for collection of specimen(s) (multiple patients)
   Q0035           No Change       Cardiokymography               Cardiokymography
   Q0081           No Change       Infusion ther other than che   Infusion therapy, using other than chemotherapeutic drugs, per visit
   Q0083           No Change       Chemo by other than infusion   Chemotherapy administration by other than infusion technique only (e.g
   Q0084           No Change       Chemotherapy by infusion       Chemotherapy administration by infusion technique only, per visit
   Q0085           No Change       Chemo by both infusion and o   Chemotherapy administration by both infusion technique and other techn
   Q0091           No Change       Obtaining screen pap smear     Screening papanicolaou smear; obtaining, preparing and conveyance of c
   Q0092           No Change       Set up port xray equipment     Set-up portable x-ray equipment
   Q0111           No Change       Wet mounts/ w preparations     Wet mounts, including preparations of vaginal, cervical or skin specim
   Q0112           No Change       Potassium hydroxide preps      All potassium hydroxide (koh) preparations
   Q0113           No Change       Pinworm examinations           Pinworm examinations
   Q0114           No Change       Fern test                      Fern test
   Q0115           No Change       Post-coital mucous exam        Post-coital direct, qualitative examinations of vaginal or cervical mu
   Q0138           No Change       Ferumoxytol, non-esrd          Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg
   Q0139           No Change       Ferumoxytol, esrd use          Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg
   Q0144           No Change       Azithromycin dihydrate, oral   Azithromycin dihydrate, oral, capsules/powder, 1 gram
   Q0161           No Change       Chlorpromazine hcl 5mg oral    Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription an
   Q0162           No Change       Ondansetron oral               Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use
   Q0163           No Change       Diphenhydramine hcl 50mg       Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription
   Q0164           No Change       Prochlorperazine maleate 5mg   Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-e
   Q0166           No Change       Granisetron hcl 1 mg oral      Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-
   Q0167           No Change       Dronabinol 2.5mg oral          Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for u
   Q0169           No Change       Promethazine hcl 12.5mg oral   Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription a
   Q0173           No Change       Trimethobenzamide hcl 250mg    Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescripti
   Q0174           No Change       Thiethylperazine maleate10mg   Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-
   Q0175           No Change       Perphenazine 4mg oral          Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for u
   Q0177           No Change       Hydroxyzine pamoate 25mg       Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emeti
   Q0180           No Change       Dolasetron mesylate oral       Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emet
   Q0181           No Change       Unspecified oral anti-emetic   Unspecified oral dosage form, fda approved prescription anti-emetic, f
   Q0477           No Change       Pwr module pt cable lvad rpl   Power module patient cable for use with electric or electric/pneumatic
   Q0478           No Change       Power adapter, combo vad       Power adapter for use with electric or electric/pneumatic ventricular
   Q0479           No Change       Power module combo vad, rep    Power module for use with electric or electric/pneumatic ventricular a
   Q0480           No Change       Driver pneumatic vad, rep      Driver for use with pneumatic ventricular assist device, replacement o
   Q0481           No Change       Microprcsr cu elec vad, rep    Microprocessor control unit for use with electric ventricular assist d
   Q0482           No Change       Microprcsr cu combo vad, rep   Microprocessor control unit for use with electric/pneumatic combinatio
   Q0483           No Change       Monitor elec vad, rep          Monitor/display module for use with electric ventricular assist device
   Q0484           No Change       Monitor elec or comb vad rep   Monitor/display module for use with electric or electric/pneumatic ven
   Q0485           No Change       Monitor cable elec vad, rep    Monitor control cable for use with electric ventricular assist device,
   Q0486           No Change       Mon cable elec/pneum vad rep   Monitor control cable for use with electric/pneumatic ventricular assi
   Q0487           No Change       Leads any type vad, rep only   Leads (pneumatic/electrical) for use with any type electric/pneumatic
   Q0488           No Change       Pwr pack base elec vad, rep    Power pack base for use with electric ventricular assist device, repla
   Q0489           No Change       Pwr pck base combo vad, rep    Power pack base for use with electric/pneumatic ventricular assist dev
   Q0490           No Change       Emr pwr source elec vad, rep   Emergency power source for use with electric ventricular assist device
   Q0491           No Change       Emr pwr source combo vad rep   Emergency power source for use with electric/pneumatic ventricular ass
   Q0492           No Change       Emr pwr cbl elec vad, rep      Emergency power supply cable for use with electric ventricular assist
   Q0493           No Change       Emr pwr cbl combo vad, rep     Emergency power supply cable for use with electric/pneumatic ventricul
   Q0494           No Change       Emr hd pmp elec/combo, rep     Emergency hand pump for use with electric or electric/pneumatic ventri
   Q0495           No Change       Charger elec/combo vad, rep    Battery/power pack charger for use with electric or electric/pneumatic
   Q0496           No Change       Battery elec/combo vad, rep    Battery, other than lithium-ion, for use with electric or electric/pne
   Q0497           No Change       Bat clps elec/comb vad, rep    Battery clips for use with electric or electric/pneumatic ventricular
   Q0498           No Change       Holster elec/combo vad, rep    Holster for use with electric or electric/pneumatic ventricular assist
   Q0499           No Change       Belt/vest elec/combo vad rep   Belt/vest/bag for use to carry external peripheral components of any t
   Q0500           No Change       Filters elec/combo vad, rep    Filters for use with electric or electric/pneumatic ventricular assist
   Q0501           No Change       Shwr cov elec/combo vad, rep   Shower cover for use with electric or electric/pneumatic ventricular a
   Q0502           No Change       Mobility cart pneum vad, rep   Mobility cart for pneumatic ventricular assist device, replacement onl
   Q0503           No Change       Battery pneum vad replacemnt   Battery for pneumatic ventricular assist device, replacement only, eac
   Q0504           No Change       Pwr adpt pneum vad, rep veh    Power adapter for pneumatic ventricular assist device, replacement onl
   Q0506           No Change       Lith-ion batt elec/pneum vad   Battery, lithium-ion, for use with electric or electric/pneumatic vent
   Q0507           No Change       Misc sup/acc ext vad           Miscellaneous supply or accessory for use with an external ventricular
   Q0508           No Change       Mis sup/acc imp vad            Miscellaneous supply or accessory for use with an implanted ventricula
   Q0509           No Change       Mis sup/ac imp vad nopay med   Miscellaneous supply or accessory for use with any implanted ventricul
   Q0510           No Change       Dispens fee immunosupressive   Pharmacy supply fee for initial immunosuppressive drug(s), first month
   Q0511           No Change       Sup fee antiem,antica,immuno   Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosu
   Q0512           No Change       Px sup fee anti-can sub pres   Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosu
   Q0513           No Change       Disp fee inhal drugs/30 days   Pharmacy dispensing fee for inhalation drug(s); per 30 days
   Q0514           No Change       Disp fee inhal drugs/90 days   Pharmacy dispensing fee for inhalation drug(s); per 90 days
   Q0515           No Change       Sermorelin acetate injection   Injection, sermorelin acetate, 1 microgram
   Q1004           No Change       Ntiol category 4               New technology intraocular lens category 4 as defined in federal regis
   Q1005           No Change       Ntiol category 5               New technology intraocular lens category 5 as defined in federal regis
   Q2004           No Change       Bladder calculi irrig sol      Irrigation solution for treatment of bladder calculi, for example rena
   Q2009        Payment Change     Fosphenytoin inj pe            Injection, fosphenytoin, 50 mg phenytoin equivalent
   Q2017           No Change       Teniposide, 50 mg              Injection, teniposide, 50 mg
   Q2026        Payment Change     Radiesse injection             Injection, radiesse, 0.1 ml
   Q2028           No Change       Inj, sculptra, 0.5mg           Injection, sculptra, 0.5 mg
   Q2034           No Change       Agriflu vaccine                Influenza virus vaccine, split virus, for intramuscular use (agriflu)
   Q2035           No Change       Afluria vacc, 3 yrs & >, im    Influenza virus vaccine, split virus, when administered to individuals
   Q2036           No Change       Flulaval vacc, 3 yrs & >, im   Influenza virus vaccine, split virus, when administered to individuals
   Q2037           No Change       Fluvirin vacc, 3 yrs & >, im   Influenza virus vaccine, split virus, when administered to individuals
   Q2038           No Change       Fluzone vacc, 3 yrs & >, im    Influenza virus vaccine, split virus, when administered to individuals
   Q2039           No Change       Influenza virus vaccine, nos   Influenza virus vaccine, not otherwise specified
   Q2040           No Change       Tisagenlecleucel car-pos t     Tisagenlecleucel, up to 250 million car-positive viable t cells, inclu
   Q2041           No Change       Axicabtagene ciloleucel car+   Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car po
   Q2042           No Change       Tisagenlecleucel car-pos t     Tisagenlecleucel, up to 600 million car-positive viable t cells, inclu
   Q2043           No Change       Sipuleucel-t auto cd54+        Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated w
   Q2049           No Change       Imported lipodox inj           Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10
   Q2050           No Change       Doxorubicin inj 10mg           Injection, doxorubicin hydrochloride, liposomal, not otherwise specifi
   Q2052           No Change       Ivig demo, services/supplies   Services, supplies and accessories used in the home under the medicare
   Q3001           No Change       Brachytherapy radioelements    Radioelements for brachytherapy, any type, each
   Q3014           No Change       Telehealth facility fee        Telehealth originating site facility fee
   Q3027           No Change       Inj beta interferon im 1 mcg   Injection, interferon beta-1a, 1 mcg for intramuscular use
   Q3028           No Change       Inj beta interferon sq 1 mcg   Injection, interferon beta-1a, 1 mcg for subcutaneous use
   Q3031           No Change       Collagen skin test             Collagen skin test
   Q4001           No Change       Cast sup body cast plaster     Casting supplies, body cast adult, with or without head, plaster
   Q4002           No Change       Cast sup body cast fiberglas   Cast supplies, body cast adult, with or without head, fiberglass
   Q4003           No Change       Cast sup shoulder cast plstr   Cast supplies, shoulder cast, adult (11 years +), plaster
   Q4004           No Change       Cast sup shoulder cast fbrgl   Cast supplies, shoulder cast, adult (11 years +), fiberglass
   Q4005           No Change       Cast sup long arm adult plst   Cast supplies, long arm cast, adult (11 years +), plaster
   Q4006           No Change       Cast sup long arm adult fbrg   Cast supplies, long arm cast, adult (11 years +), fiberglass
   Q4007           No Change       Cast sup long arm ped plster   Cast supplies, long arm cast, pediatric (0-10 years), plaster
   Q4008           No Change       Cast sup long arm ped fbrgls   Cast supplies, long arm cast, pediatric (0-10 years), fiberglass
   Q4009           No Change       Cast sup sht arm adult plstr   Cast supplies, short arm cast, adult (11 years +), plaster
   Q4010           No Change       Cast sup sht arm adult fbrgl   Cast supplies, short arm cast, adult (11 years +), fiberglass
   Q4011           No Change       Cast sup sht arm ped plaster   Cast supplies, short arm cast, pediatric (0-10 years), plaster
   Q4012           No Change       Cast sup sht arm ped fbrglas   Cast supplies, short arm cast, pediatric (0-10 years), fiberglass
   Q4013           No Change       Cast sup gauntlet plaster      Cast supplies, gauntlet cast (includes lower forearm and hand), adult
   Q4014           No Change       Cast sup gauntlet fiberglass   Cast supplies, gauntlet cast (includes lower forearm and hand), adult
   Q4015           No Change       Cast sup gauntlet ped plster   Cast supplies, gauntlet cast (includes lower forearm and hand), pediat
   Q4016           No Change       Cast sup gauntlet ped fbrgls   Cast supplies, gauntlet cast (includes lower forearm and hand), pediat
   Q4017           No Change       Cast sup lng arm splint plst   Cast supplies, long arm splint, adult (11 years +), plaster
   Q4018           No Change       Cast sup lng arm splint fbrg   Cast supplies, long arm splint, adult (11 years +), fiberglass
   Q4019           No Change       Cast sup lng arm splnt ped p   Cast supplies, long arm splint, pediatric (0-10 years), plaster
   Q4020           No Change       Cast sup lng arm splnt ped f   Cast supplies, long arm splint, pediatric (0-10 years), fiberglass
   Q4021           No Change       Cast sup sht arm splint plst   Cast supplies, short arm splint, adult (11 years +), plaster
   Q4022           No Change       Cast sup sht arm splint fbrg   Cast supplies, short arm splint, adult (11 years +), fiberglass
   Q4023           No Change       Cast sup sht arm splnt ped p   Cast supplies, short arm splint, pediatric (0-10 years), plaster
   Q4024           No Change       Cast sup sht arm splnt ped f   Cast supplies, short arm splint, pediatric (0-10 years), fiberglass
   Q4025           No Change       Cast sup hip spica plaster     Cast supplies, hip spica (one or both legs), adult (11 years +), plast
   Q4026           No Change       Cast sup hip spica fiberglas   Cast supplies, hip spica (one or both legs), adult (11 years +), fiber
   Q4027           No Change       Cast sup hip spica ped plstr   Cast supplies, hip spica (one or both legs), pediatric (0-10 years), p
   Q4028           No Change       Cast sup hip spica ped fbrgl   Cast supplies, hip spica (one or both legs), pediatric (0-10 years), f
   Q4029           No Change       Cast sup long leg plaster      Cast supplies, long leg cast, adult (11 years +), plaster
   Q4030           No Change       Cast sup long leg fiberglass   Cast supplies, long leg cast, adult (11 years +), fiberglass
   Q4031           No Change       Cast sup lng leg ped plaster   Cast supplies, long leg cast, pediatric (0-10 years), plaster
   Q4032           No Change       Cast sup lng leg ped fbrgls    Cast supplies, long leg cast, pediatric (0-10 years), fiberglass
   Q4033           No Change       Cast sup lng leg cylinder pl   Cast supplies, long leg cylinder cast, adult (11 years +), plaster
   Q4034           No Change       Cast sup lng leg cylinder fb   Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
   Q4035           No Change       Cast sup lngleg cylndr ped p   Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
   Q4036           No Change       Cast sup lngleg cylndr ped f   Cast supplies, long leg cylinder cast, pediatric (0-10 years), fibergl
   Q4037           No Change       Cast sup shrt leg plaster      Cast supplies, short leg cast, adult (11 years +), plaster
   Q4038           No Change       Cast sup shrt leg fiberglass   Cast supplies, short leg cast, adult (11 years +), fiberglass
   Q4039           No Change       Cast sup shrt leg ped plster   Cast supplies, short leg cast, pediatric (0-10 years), plaster
   Q4040           No Change       Cast sup shrt leg ped fbrgls   Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
   Q4041           No Change       Cast sup lng leg splnt plstr   Cast supplies, long leg splint, adult (11 years +), plaster
   Q4042           No Change       Cast sup lng leg splnt fbrgl   Cast supplies, long leg splint, adult (11 years +), fiberglass
   Q4043           No Change       Cast sup lng leg splnt ped p   Cast supplies, long leg splint, pediatric (0-10 years), plaster
   Q4044           No Change       Cast sup lng leg splnt ped f   Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
   Q4045           No Change       Cast sup sht leg splnt plstr   Cast supplies, short leg splint, adult (11 years +), plaster
   Q4046           No Change       Cast sup sht leg splnt fbrgl   Cast supplies, short leg splint, adult (11 years +), fiberglass
   Q4047           No Change       Cast sup sht leg splnt ped p   Cast supplies, short leg splint, pediatric (0-10 years), plaster
   Q4048           No Change       Cast sup sht leg splnt ped f   Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
   Q4049           No Change       Finger splint, static          Finger splint, static
   Q4050           No Change       Cast supplies unlisted         Cast supplies, for unlisted types and materials of casts
   Q4051           No Change       Splint supplies misc           Splint supplies, miscellaneous (includes thermoplastics, strapping, fa
   Q4074           No Change       Iloprost non-comp unit dose    Iloprost, inhalation solution, fda-approved final product, non-compoun
   Q4081           No Change       Epoetin alfa, 100 units esrd   Injection, epoetin alfa, 100 units (for esrd on dialysis)
   Q4082           No Change       Drug/bio noc part b drug cap   Drug or biological, not otherwise classified, part b drug competitive
   Q4100           No Change       Skin substitute, nos           Skin substitute, not otherwise specified
   Q4101           No Change       Apligraf                       Apligraf, per square centimeter
   Q4102           No Change       Oasis wound matrix             Oasis wound matrix, per square centimeter
   Q4103           No Change       Oasis burn matrix              Oasis burn matrix, per square centimeter
   Q4104           No Change       Integra bmwd                   Integra bilayer matrix wound dressing (bmwd), per square centimeter
   Q4105           No Change       Integra drt or omnigraft       Integra dermal regeneration template (drt) or integra omnigraft dermal
   Q4106           No Change       Dermagraft                     Dermagraft, per square centimeter
   Q4107           No Change       Graftjacket                    Graftjacket, per square centimeter
   Q4108           No Change       Integra matrix                 Integra matrix, per square centimeter
   Q4110           No Change       Primatrix                      Primatrix, per square centimeter
   Q4111           No Change       Gammagraft                     Gammagraft, per square centimeter
   Q4112           No Change       Cymetra injectable             Cymetra, injectable, 1 cc
   Q4113           No Change       Graftjacket xpress             Graftjacket xpress, injectable, 1 cc
   Q4114           No Change       Integra flowable wound matri   Integra flowable wound matrix, injectable, 1 cc
   Q4115           No Change       Alloskin                       Alloskin, per square centimeter
   Q4116           No Change       Alloderm                       Alloderm, per square centimeter
   Q4117           No Change       Hyalomatrix                    Hyalomatrix, per square centimeter
   Q4118           No Change       Matristem micromatrix          Matristem micromatrix, 1 mg
   Q4119           No Change       Matristem wound matrix         Matristem wound matrix, per square centimeter
   Q4120           No Change       Matristem burn matrix          Matristem burn matrix, per square centimeter
   Q4121           No Change       Theraskin                      Theraskin, per square centimeter
   Q4122    Long Description ChangeDermacell, awm, porous sq cm   Dermacell, dermacell awm or dermacell awm porous, per square centimete
   Q4123           No Change       Alloskin                       Alloskin rt, per square centimeter
   Q4124           No Change       Oasis tri-layer wound matrix   Oasis ultra tri-layer wound matrix, per square centimeter
   Q4125           No Change       Arthroflex                     Arthroflex, per square centimeter
   Q4126           No Change       Memoderm/derma/tranz/integup   Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
   Q4127           No Change       Talymed                        Talymed, per square centimeter
   Q4128           No Change       Flexhd/allopatchhd/matrixhd    Flex hd, allopatch hd, or matrix hd, per square centimeter
   Q4129           No Change       Unite biomatrix                Unite biomatrix, per square centimeter
   Q4130           No Change       Strattice tm                   Strattice tm, per square centimeter
   Q4131           No Change       Epifix or epicord              Epifix or epicord, per square centimeter
   Q4132           No Change       Grafix core, grafixpl core     Grafix core and grafixpl core, per square centimeter
   Q4133           No Change       Grafix stravix prime pl sqcm   Grafix prime, grafixpl prime, stravix and stravixpl, per square centim
   Q4134           No Change       Hmatrix                        Hmatrix, per square centimeter
   Q4135           No Change       Mediskin                       Mediskin, per square centimeter
   Q4136           No Change       Ezderm                         Ez-derm, per square centimeter
   Q4137           No Change       Amnioexcel biodexcel 1sq cm    Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
   Q4138           No Change       Biodfence dryflex, 1cm         Biodfence dryflex, per square centimeter
   Q4139           No Change       Amnio or biodmatrix, inj 1cc   Amniomatrix or biodmatrix, injectable, 1 cc
   Q4140           No Change       Biodfence 1cm                  Biodfence, per square centimeter
   Q4141           No Change       Alloskin ac, 1 cm              Alloskin ac, per square centimeter
   Q4142           No Change       Xcm biologic tiss matrix 1cm   Xcm biologic tissue matrix, per square centimeter
   Q4143           No Change       Repriza, 1cm                   Repriza, per square centimeter
   Q4145           No Change       Epifix, inj, 1mg               Epifix, injectable, 1 mg
   Q4146           No Change       Tensix, 1cm                    Tensix, per square centimeter
   Q4147           No Change       Architect ecm px fx 1 sq cm    Architect, architect px, or architect fx, extracellular matrix, per sq
   Q4148           No Change       Neox neox rt or clarix cord    Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter
   Q4149           No Change       Excellagen, 0.1 cc             Excellagen, 0.1 cc
   Q4150           No Change       Allowrap ds or dry 1 sq cm     Allowrap ds or dry, per square centimeter
   Q4151           No Change       Amnioband, guardian 1 sq cm    Amnioband or guardian, per square centimeter
   Q4152           No Change       Dermapure 1 square cm          Dermapure, per square centimeter
   Q4153           No Change       Dermavest, plurivest sq cm     Dermavest and plurivest, per square centimeter
   Q4154           No Change       Biovance 1 square cm           Biovance, per square centimeter
   Q4155           No Change       Neoxflo or clarixflo 1 mg      Neoxflo or clarixflo, 1 mg
   Q4156           No Change       Neox 100 or clarix 100         Neox 100 or clarix 100, per square centimeter
   Q4157           No Change       Revitalon 1 square cm          Revitalon, per square centimeter
   Q4158           No Change       Kerecis omega3, per sq cm      Kerecis omega3, per square centimeter
   Q4159           No Change       Affinity1 square cm            Affinity, per square centimeter
   Q4160           No Change       Nushield 1 square cm           Nushield, per square centimeter
   Q4161           No Change       Bio-connekt per square cm      Bio-connekt wound matrix, per square centimeter
   Q4162           No Change       Wndex flw, bioskn flw, 0.5cc   Woundex flow, bioskin flow, 0.5 cc
   Q4163           No Change       Woundex, bioskin, per sq cm    Woundex, bioskin, per square centimeter
   Q4164           No Change       Helicoll, per square cm        Helicoll, per square centimeter
   Q4165    Long Description ChangeKeramatrix, kerasorb sq cm     Keramatrix or kerasorb, per square centimeter
   Q4166           No Change       Cytal, per square centimeter   Cytal, per square centimeter
   Q4167           No Change       Truskin, per sq centimeter     Truskin, per square centimeter
   Q4168           No Change       Amnioband, 1 mg                Amnioband, 1 mg
   Q4169           No Change       Artacent wound, per sq cm      Artacent wound, per square centimeter
   Q4170           No Change       Cygnus, per sq cm              Cygnus, per square centimeter
   Q4171           No Change       Interfyl, 1 mg                 Interfyl, 1 mg
   Q4172           No Change       Puraply or puraply am          Puraply or puraply am, per square centimeter
   Q4173           No Change       Palingen or palingen xplus     Palingen or palingen xplus, per square centimeter
   Q4174           No Change       Palingen or promatrx           Palingen or promatrx, 0.36 mg per 0.25 cc
   Q4175           No Change       Miroderm                       Miroderm, per square centimeter
   Q4176           No Change       Neopatch, per sq centimeter    Neopatch, per square centimeter
   Q4177           No Change       Floweramnioflo, 0.1 cc         Floweramnioflo, 0.1 cc
   Q4178           No Change       Floweramniopatch, per sq cm    Floweramniopatch, per square centimeter
   Q4179           No Change       Flowerderm, per sq cm          Flowerderm, per square centimeter
   Q4180           No Change       Revita, per sq cm              Revita, per square centimeter
   Q4181           No Change       Amnio wound, per square cm     Amnio wound, per square centimeter
   Q4182           No Change       Transcyte, per sq centimeter   Transcyte, per square centimeter
   Q4183           No Change       Surgigraft, 1 sq cm            Surgigraft, per square centimeter
   Q4184    Long Description ChangeCellesta or duo per sq cm      Cellesta or cellesta duo, per square centimeter
   Q4185           No Change       Cellesta flowab amnion 0.5cc   Cellesta flowable amnion (25 mg per cc); per 0.5 cc
   Q4186           No Change       Epifix 1 sq cm                 Epifix, per square centimeter
   Q4187           No Change       Epicord 1 sq cm                Epicord, per square centimeter
   Q4188           No Change       Amnioarmor 1 sq cm             Amnioarmor, per square centimeter
   Q4189           No Change       Artacent ac, 1 mg              Artacent ac, 1 mg
   Q4190           No Change       Artacent ac 1 sq cm            Artacent ac, per square centimeter
   Q4191           No Change       Restorigin 1 sq cm             Restorigin, per square centimeter
   Q4192           No Change       Restorigin, 1 cc               Restorigin, 1 cc
   Q4193           No Change       Coll-e-derm 1 sq cm            Coll-e-derm, per square centimeter
   Q4194           No Change       Novachor 1 sq cm               Novachor, per square centimeter
   Q4195           No Change       Puraply 1 sq cm                Puraply, per square centimeter
   Q4196           No Change       Puraply am 1 sq cm             Puraply am, per square centimeter
   Q4197           No Change       Puraply xt 1 sq cm             Puraply xt, per square centimeter
   Q4198           No Change       Genesis amnio membrane 1sqcm   Genesis amniotic membrane, per square centimeter
   Q4200           No Change       Skin te 1 sq cm                Skin te, per square centimeter
   Q4201           No Change       Matrion 1 sq cm                Matrion, per square centimeter
   Q4202           No Change       Keroxx (2.5g/cc), 1cc          Keroxx (2.5g/cc), 1cc
   Q4203           No Change       Derma-gide, 1 sq cm            Derma-gide, per square centimeter
   Q4204           No Change       Xwrap 1 sq cm                  Xwrap, per square centimeter
   Q4205              ADD          Membrane graft or wrap sq cm   Membrane graft or membrane wrap, per square centimeter
   Q4206              ADD          Fluid flow or fluid gf 1 cc    Fluid flow or fluid gf, 1 cc
   Q4208              ADD          Novafix per sq cm              Novafix, per square cenitmeter
   Q4209              ADD          Surgraft per sq cm             Surgraft, per square centimeter
   Q4210              ADD          Axolotl graf dualgraf sq cm    Axolotl graft or axolotl dualgraft, per square centimeter
   Q4211              ADD          Amnion bio or axobio sq cm     Amnion bio or axobiomembrane, per square centimeter
   Q4212              ADD          Allogen, per cc                Allogen, per cc
   Q4213              ADD          Ascent, 0.5 mg                 Ascent, 0.5 mg
   Q4214              ADD          Cellesta cord per sq cm        Cellesta cord, per square centimeter
   Q4215              ADD          Axolotl ambient, cryo 0.1 mg   Axolotl ambient or axolotl cryo, 0.1 mg
   Q4216              ADD          Artacent cord per sq cm        Artacent cord, per square centimeter
   Q4217              ADD          Woundfix biowound plus xplus   Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or bi
   Q4218              ADD          Surgicord per sq cm            Surgicord, per square centimeter
   Q4219              ADD          Surgigraft dual per sq cm      Surgigraft-dual, per square centimeter
   Q4220              ADD          Bellacell hd, surederm sq cm   Bellacell hd or surederm, per square centimeter
   Q4221              ADD          Amniowrap2 per sq cm           Amniowrap2, per square centimeter
   Q4222              ADD          Progenamatrix, per sq cm       Progenamatrix, per square centimeter
   Q4226              ADD          Myown harv prep proc sq cm     Myown skin, includes harvesting and preparation procedures, per square
   Q5001           No Change       Hospice or home hlth in home   Hospice or home health care provided in patient's home/residence
   Q5002           No Change       Hospice/home hlth in asst lv   Hospice or home health care provided in assisted living facility
   Q5003           No Change       Hospice in lt/non-skilled nf   Hospice care provided in nursing long term care facility (ltc) or non-
   Q5004           No Change       Hospice in snf                 Hospice care provided in skilled nursing facility (snf)
   Q5005           No Change       Hospice, inpatient hospital    Hospice care provided in inpatient hospital
   Q5006           No Change       Hospice in hospice facility    Hospice care provided in inpatient hospice facility
   Q5007           No Change       Hospice in ltch                Hospice care provided in long term care facility
   Q5008           No Change       Hospice in inpatient psych     Hospice care provided in inpatient psychiatric facility
   Q5009           No Change       Hospice/home hlth, place nos   Hospice or home health care provided in place not otherwise specified
   Q5010           No Change       Hospice home care in hospice   Hospice home care provided in a hospice facility
   Q5101           No Change       Injection, zarxio              Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
   Q5102           No Change       Inj., infliximab biosimilar    Injection, infliximab, biosimilar, 10 mg
   Q5103           No Change       Injection, inflectra           Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
   Q5104           No Change       Injection, renflexis           Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
   Q5105    Long Description ChangeInj retacrit esrd on dialysi   Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dial
   Q5106    Long Description ChangeInj retacrit non-esrd use      Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use
   Q5107           No Change       Inj mvasi 10 mg                Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
   Q5108           No Change       Injection, fulphila            Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
   Q5109           No Change       Injection, ixifi, 10 mg        Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
   Q5110           No Change       Nivestym                       Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram
   Q5111           No Change       Injection, udenyca 0.5 mg      Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg
   Q5112              ADD          Inj ontruzant 10 mg            Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg
   Q5113              ADD          Inj herzuma 10 mg              Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg
   Q5114              ADD          Inj ogivri 10 mg               Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg
   Q5115              ADD          Inj truxima 10 mg              Injection, rituximab-abbs, biosimilar, (truxima), 10 mg
   Q5116              ADD          Inj., trazimera, 10 mg         Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg
   Q5117              ADD          Inj., kanjinti, 10 mg          Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg
   Q5118              ADD          Inj., zirabev, 10 mg           Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg
   Q9950           No Change       Inj sulf hexa lipid microsph   Injection, sulfur hexafluoride lipid microspheres, per ml
   Q9951           No Change       Locm >= 400 mg/ml iodine,1ml   Low osmolar contrast material, 400 or greater mg/ml iodine concentrati
   Q9953           No Change       Inj fe-based mr contrast,1ml   Injection, iron-based magnetic resonance contrast agent, per ml
   Q9954           No Change       Oral mr contrast, 100 ml       Oral magnetic resonance contrast agent, per 100 ml
   Q9955           No Change       Inj perflexane lip micros,ml   Injection, perflexane lipid microspheres, per ml
   Q9956           No Change       Inj octafluoropropane mic,ml   Injection, octafluoropropane microspheres, per ml
   Q9957           No Change       Inj perflutren lip micros,ml   Injection, perflutren lipid microspheres, per ml
   Q9958           No Change       Hocm <=149 mg/ml iodine, 1ml   High osmolar contrast material, up to 149 mg/ml iodine concentration,
   Q9959           No Change       Hocm 150-199mg/ml iodine,1ml   High osmolar contrast material, 150-199 mg/ml iodine concentration, pe
   Q9960           No Change       Hocm 200-249mg/ml iodine,1ml   High osmolar contrast material, 200-249 mg/ml iodine concentration, pe
   Q9961           No Change       Hocm 250-299mg/ml iodine,1ml   High osmolar contrast material, 250-299 mg/ml iodine concentration, pe
   Q9962           No Change       Hocm 300-349mg/ml iodine,1ml   High osmolar contrast material, 300-349 mg/ml iodine concentration, pe
   Q9963           No Change       Hocm 350-399mg/ml iodine,1ml   High osmolar contrast material, 350-399 mg/ml iodine concentration, pe
   Q9964           No Change       Hocm>= 400mg/ml iodine, 1ml    High osmolar contrast material, 400 or greater mg/ml iodine concentrat
   Q9965           No Change       Locm 100-199mg/ml iodine,1ml   Low osmolar contrast material, 100-199 mg/ml iodine concentration, per
   Q9966           No Change       Locm 200-299mg/ml iodine,1ml   Low osmolar contrast material, 200-299 mg/ml iodine concentration, per
   Q9967           No Change       Locm 300-399mg/ml iodine,1ml   Low osmolar contrast material, 300-399 mg/ml iodine concentration, per
   Q9968           No Change       Visualization adjunct          Injection, non-radioactive, non-contrast, visualization adjunct (e.g.,
   Q9969           No Change       Non-heu tc-99m add-on/dose     Tc-99m from non-highly enriched uranium source, full cost recovery add
   Q9970           No Change       Inj ferric carboxymaltos 1mg   Injection, ferric carboxymaltose, 1mg
   Q9972           No Change       Epoetin beta esrd use          Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
   Q9973           No Change       Epoetin beta non esrd          Injection, epoetin beta, 1 microgram, (non-esrd use)
   Q9974           No Change       Morphine epidural/intratheca   Injection, morphine sulfate, preservative-free for epidural or intrath
   Q9975           No Change       Factor viii fc fusion recomb   Injection, factor viii fc fusion protein (recombinant), per iu
   Q9976           No Change       Inj ferric pyrophosphate cit   Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron
   Q9977           No Change       Compounded drug noc            Compounded drug, not otherwise classified
   Q9978           No Change       Netupitant palonosetron oral   Netupitant 300 mg and palonosetron 0.5 mg
   Q9979           No Change       Injection, alemtuzumab         Injection, alemtuzumab, 1 mg
   Q9980           No Change       Genvisc, inj, 1mg              Hyaluronan or derivative, genvisc 850, for intra-articular injection,
   Q9981           No Change       Rolapitant, oral, 1mg          Rolapitant, oral, 1 mg
   Q9982           No Change       Flutemetamol f18 diagnostic    Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
   Q9983           No Change       Florbetaben f18 diagnostic     Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
   Q9984           No Change       Kyleena, 19.5 mg               Levonorgestrel-releasing intrauterine contraceptive system (kyleena),
   Q9985           No Change       Inj hydroxyprogst capoat nos   Injection, hydroxyprogesterone caproate, not otherwise specified, 10 m
   Q9986           No Change       Makena, 10 mg                  Injection, hydroxyprogesterone caproate, (makena), 10 mg
   Q9987           No Change       Pathogen test for platelets    Pathogen(s) test for platelets
   Q9988           No Change       Platelets, pathogen reduced    Platelets, pheresis, pathogen-reduced, each unit
   Q9989           No Change       Ustekinumab, iv inject,1 mg    Ustekinumab, for intravenous injection, 1 mg
   Q9991           No Change       Buprenorph xr 100 mg or less   Injection, buprenorphine extended-release (sublocade), less than or eq
   Q9992           No Change       Buprenorphine xr over 100 mg   Injection, buprenorphine extended-release (sublocade), greater than 10
   Q9993           No Change       Inj., triamcinolone ext rel    Injection, triamcinolone acetonide, preservative-free, extended-releas
   Q9994           No Change       Enzyme cartridge enteral nut   In-line cartridge containing digestive enzyme(s) for enteral feeding,
   Q9995           No Change       Inj., emicizumab-kxwh 0.5 mg   Injection, emicizumab-kxwh, 0.5 mg
   R0070           No Change       Transport portable x-ray       Transportation of portable x-ray equipment and personnel to home or nu
   R0075           No Change       Transport port x-ray multipl   Transportation of portable x-ray equipment and personnel to home or nu
   R0076           No Change       Transport portable ekg         Transportation of portable ekg to facility or location, per patient
   S0012           No Change       Butorphanol tartrate, nasal    Butorphanol tartrate, nasal spray, 25 mg
   S0014           No Change       Tacrine hydrochloride, 10 mg   Tacrine hydrochloride, 10 mg
   S0017           No Change       Injection, aminocaproic acid   Injection, aminocaproic acid, 5 grams
   S0020           No Change       Injection, bupivicaine hydro   Injection, bupivicaine hydrochloride, 30 ml
   S0021           No Change       Injection, cefoperazone sod    Injection, cefoperazone sodium, 1 gram
   S0023           No Change       Injection, cimetidine hydroc   Injection, cimetidine hydrochloride, 300 mg
   S0028           No Change       Injection, famotidine, 20 mg   Injection, famotidine, 20 mg
   S0030           No Change       Injection, metronidazole       Injection, metronidazole, 500 mg
   S0032           No Change       Injection, nafcillin sodium    Injection, nafcillin sodium, 2 grams
   S0034           No Change       Injection, ofloxacin, 400 mg   Injection, ofloxacin, 400 mg
   S0039           No Change       Injection, sulfamethoxazole    Injection, sulfamethoxazole and trimethoprim, 10 ml
   S0040           No Change       Injection, ticarcillin disod   Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams
   S0073           No Change       Injection, aztreonam, 500 mg   Injection, aztreonam, 500 mg
   S0074           No Change       Injection, cefotetan disodiu   Injection, cefotetan disodium, 500 mg
   S0077           No Change       Injection, clindamycin phosp   Injection, clindamycin phosphate, 300 mg
   S0078           No Change       Injection, fosphenytoin sodi   Injection, fosphenytoin sodium, 750 mg
   S0080           No Change       Injection, pentamidine iseth   Injection, pentamidine isethionate, 300 mg
   S0081           No Change       Injection, piperacillin sodi   Injection, piperacillin sodium, 500 mg
   S0088           No Change       Imatinib 100 mg                Imatinib, 100 mg
   S0090           No Change       Sildenafil citrate, 25 mg      Sildenafil citrate, 25 mg
   S0091           No Change       Granisetron 1mg                Granisetron hydrochloride, 1 mg (for circumstances falling under the m
   S0092           No Change       Hydromorphone 250 mg           Injection, hydromorphone hydrochloride, 250 mg (loading dose for infus
   S0093           No Change       Morphine 500 mg                Injection, morphine sulfate, 500 mg (loading dose for infusion pump)
   S0104           No Change       Zidovudine, oral, 100 mg       Zidovudine, oral, 100 mg
   S0106           No Change       Bupropion hcl sr 60 tablets    Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 table
   S0108           No Change       Mercaptopurine 50 mg           Mercaptopurine, oral, 50 mg
   S0109           No Change       Methadone oral 5mg             Methadone, oral, 5 mg
   S0117           No Change       Tretinoin topical 5 g          Tretinoin, topical, 5 grams
   S0119           No Change       Ondansetron 4 mg               Ondansetron, oral, 4 mg (for circumstances falling under the medicare
   S0122           No Change       Inj menotropins 75 iu          Injection, menotropins, 75 iu
   S0126           No Change       Inj follitropin alfa 75 iu     Injection, follitropin alfa, 75 iu
   S0128           No Change       Inj follitropin beta 75 iu     Injection, follitropin beta, 75 iu
   S0132           No Change       Inj ganirelix acetat 250 mcg   Injection, ganirelix acetate, 250 mcg
   S0136           No Change       Clozapine, 25 mg               Clozapine, 25 mg
   S0137           No Change       Didanosine, 25 mg              Didanosine (ddi), 25 mg
   S0138           No Change       Finasteride, 5 mg              Finasteride, 5 mg
   S0139           No Change       Minoxidil, 10 mg               Minoxidil, 10 mg
   S0140           No Change       Saquinavir, 200 mg             Saquinavir, 200 mg
   S0142           No Change       Colistimethate inh sol mg      Colistimethate sodium, inhalation solution administered through dme, c
   S0144           No Change       Inj, propofol, 10 mg           Injection, propofol, 10 mg
   S0145           No Change       Peg interferon alfa-2a/180     Injection, pegylated interferon alfa-2a, 180 mcg per ml
   S0148           No Change       Peg interferon alfa-2b/10      Injection, pegylated interferon alfa-2b, 10 mcg
   S0155           No Change       Epoprostenol dilutant          Sterile dilutant for epoprostenol, 50 ml
   S0156           No Change       Exemestane, 25 mg              Exemestane, 25 mg
   S0157           No Change       Becaplermin gel 1%, 0.5 gm     Becaplermin gel 0.01%, 0.5 gm
   S0160           No Change       Dextroamphetamine              Dextroamphetamine sulfate, 5 mg
   S0164           No Change       Injection pantroprazole        Injection, pantoprazole sodium, 40 mg
   S0166           No Change       Inj olanzapine 2.5mg           Injection, olanzapine, 2.5 mg
   S0169           No Change       Calcitrol                      Calcitrol, 0.25 microgram
   S0170           No Change       Anastrozole 1 mg               Anastrozole, oral, 1 mg
   S0171           No Change       Bumetanide 0.5 mg              Injection, bumetanide, 0.5 mg
   S0172           No Change       Chlorambucil 2 mg              Chlorambucil, oral, 2 mg
   S0174           No Change       Dolasetron 50 mg               Dolasetron mesylate, oral 50 mg (for circumstances falling under the m
   S0175           No Change       Flutamide 125 mg               Flutamide, oral, 125 mg
   S0176           No Change       Hydroxyurea 500 mg             Hydroxyurea, oral, 500 mg
   S0177           No Change       Levamisole 50 mg               Levamisole hydrochloride, oral, 50 mg
   S0178           No Change       Lomustine 10 mg                Lomustine, oral, 10 mg
   S0179           No Change       Megestrol 20 mg                Megestrol acetate, oral, 20 mg
   S0182           No Change       Procarbazine, oral             Procarbazine hydrochloride, oral, 50 mg
   S0183           No Change       Prochlorperazine 5 mg          Prochlorperazine maleate, oral, 5 mg (for circumstances falling under
   S0187           No Change       Tamoxifen 10 mg                Tamoxifen citrate, oral, 10 mg
   S0189           No Change       Testosterone pellet 75 mg      Testosterone pellet, 75 mg
   S0190           No Change       Mifepristone, oral, 200 mg     Mifepristone, oral, 200 mg
   S0191           No Change       Misoprostol, oral, 200 mcg     Misoprostol, oral, 200 mcg
   S0194           No Change       Vitamin suppl 100 caps         Dialysis/stress vitamin supplement, oral, 100 capsules
   S0195           No Change       Pneumo vaccine 5-9 yrs         Pneumococcal conjugate vaccine, polyvalent, intramuscular, for childre
   S0197           No Change       Prenatal vitamins 30 day       Prenatal vitamins, 30-day supply
   S0199           No Change       Med abortion inc all ex drug   Medically induced abortion by oral ingestion of medication including a
   S0201           No Change       Partial hospitalization serv   Partial hospitalization services, less than 24 hours, per diem
   S0207           No Change       Paramedicintercep nonhospals   Paramedic intercept, non-hospital-based als service (non-voluntary), n
   S0208           No Change       Paramed intrcept nonvol        Paramedic intercept, hospital-based als service (non-voluntary), non-t
   S0209           No Change       Wc van mileage per mi          Wheelchair van, mileage, per mile
   S0215           No Change       Nonemerg transp mileage        Non-emergency transportation; mileage, per mile
   S0220           No Change       Medical conference by physic   Medical conference by a physician with interdisciplinary team of healt
   S0221           No Change       Medical conference, 60 min     Medical conference by a physician with interdisciplinary team of healt
   S0250           No Change       Comp geriatr assmt team        Comprehensive geriatric assessment and treatment planning performed by
   S0255           No Change       Hospice refer visit nonmd      Hospice referral visit (advising patient and family of care options) p
   S0257           No Change       End of life counseling         Counseling and discussion regarding advance directives or end of life
   S0260           No Change       H&p for surgery                History and physical (outpatient or office) related to surgical proced
   S0265           No Change       Genetic counsel 15 mins        Genetic counseling, under physician supervision, each 15 minutes
   S0270           No Change       Home std case rate 30 days     Physician management of patient home care, standard monthly case rate
   S0271           No Change       Home hospice case 30 days      Physician management of patient home care, hospice monthly case rate (
   S0272           No Change       Home episodic case 30 days     Physician management of patient home care, episodic care monthly case
   S0273           No Change       Md home visit outside cap      Physician visit at member's home, outside of a capitation arrangement
   S0274           No Change       Nurse practr visit outs cap    Nurse practitioner visit at member's home, outside of a capitation arr
   S0280           No Change       Medical home, initial plan     Medical home program, comprehensive care coordination and planning, in
   S0281           No Change       Medical home, maintenance      Medical home program, comprehensive care coordination and planning, ma
   S0285           No Change       Cnslt before screen colonosc   Colonoscopy consultation performed prior to a screening colonoscopy pr
   S0302           No Change       Completed epsdt                Completed early periodic screening diagnosis and treatment (epsdt) ser
   S0310           No Change       Hospitalist visit              Hospitalist services (list separately in addition to code for appropri
   S0311           No Change       Comp mgmt care coord adv ill   Comprehensive management and care coordination for advanced illness, p
   S0315           No Change       Disease management program     Disease management program; initial assessment and initiation of the p
   S0316           No Change       Follow-up/reassessment         Disease management program, follow-up/reassessment
   S0317           No Change       Disease mgmt per diem          Disease management program; per diem
   S0320           No Change       Rn telephone calls to dmp      Telephone calls by a registered nurse to a disease management program
   S0340           No Change       Lifestyle mod 1st stage        Lifestyle modification program for management of coronary artery disea
   S0341           No Change       Lifestyle mod 2 or 3 stage     Lifestyle modification program for management of coronary artery disea
   S0342           No Change       Lifestyle mod 4th stage        Lifestyle modification program for management of coronary artery disea
   S0353           No Change       Cancer treatmentplan initial   Treatment planning and care coordination management for cancer, initia
   S0354           No Change       Cancer treatment plan change   Treatment planning and care coordination management for cancer, establ
   S0390           No Change       Rout foot care per visit       Routine foot care; removal and/or trimming of corns, calluses and/or n
   S0395           No Change       Impression casting ft          Impression casting of a foot performed by a practitioner other than th
   S0400           No Change       Global eswl kidney             Global fee for extracorporeal shock wave lithotripsy treatment of kidn
   S0500           No Change       Dispos cont lens               Disposable contact lens, per lens
   S0504           No Change       Singl prscrp lens              Single vision prescription lens (safety, athletic, or sunglass), per l
   S0506           No Change       Bifoc prscp lens               Bifocal vision prescription lens (safety, athletic, or sunglass), per
   S0508           No Change       Trifoc prscrp lens             Trifocal vision prescription lens (safety, athletic, or sunglass), per
   S0510           No Change       Non-prscrp lens                Non-prescription lens (safety, athletic, or sunglass), per lens
   S0512           No Change       Daily cont lens                Daily wear specialty contact lens, per lens
   S0514           No Change       Color cont lens                Color contact lens, per lens
   S0515           No Change       Scleral lens liquid bandage    Scleral lens, liquid bandage device, per lens
   S0516           No Change       Safety frames                  Safety eyeglass frames
   S0518           No Change       Sunglass frames                Sunglasses frames
   S0580           No Change       Polycarb lens                  Polycarbonate lens (list this code in addition to the basic code for t
   S0581           No Change       Nonstnd lens                   Nonstandard lens (list this code in addition to the basic code for the
   S0590           No Change       Misc integral lens serv        Integral lens service, miscellaneous services reported separately
   S0592           No Change       Comp cont lens eval            Comprehensive contact lens evaluation
   S0595           No Change       New lenses in pts old frame    Dispensing new spectacle lenses for patient supplied frame
   S0596           No Change       Phakic iol refractive error    Phakic intraocular lens for correction of refractive error
   S0601           No Change       Screening proctoscopy          Screening proctoscopy
   S0610           No Change       Annual gynecological examina   Annual gynecological examination, new patient
   S0612           No Change       Annual gynecological examina   Annual gynecological examination, established patient
   S0613           No Change       Ann breast exam                Annual gynecological examination; clinical breast examination without
   S0618           No Change       Audiometry for hearing aid     Audiometry for hearing aid evaluation to determine the level and degre
   S0620           No Change       Routine ophthalmological exa   Routine ophthalmological examination including refraction; new patient
   S0621           No Change       Routine ophthalmological exa   Routine ophthalmological examination including refraction; established
   S0622           No Change       Phys exam for college          Physical exam for college, new or established patient (list separately
   S0630           No Change       Removal of sutures             Removal of sutures; by a physician other than the physician who origin
   S0800           No Change       Laser in situ keratomileusis   Laser in situ keratomileusis (lasik)
   S0810           No Change       Photorefractive keratectomy    Photorefractive keratectomy (prk)
   S0812           No Change       Phototherap keratect           Phototherapeutic keratectomy (ptk)
   S1001           No Change       Deluxe item                    Deluxe item, patient aware (list in addition to code for basic item)
   S1002           No Change       Custom item                    Customized item (list in addition to code for basic item)
   S1015           No Change       Iv tubing extension set        Iv tubing extension set
   S1016           No Change       Non-pvc intravenous administ   Non-pvc (polyvinyl chloride) intravenous administration set, for use w
   S1030           No Change       Gluc monitor purchase          Continuous noninvasive glucose monitoring device, purchase (for physic
   S1031           No Change       Gluc monitor rental            Continuous noninvasive glucose monitoring device, rental, including se
   S1034           No Change       Art pancreas system            Artificial pancreas device system (e.g., low glucose suspend (lgs) fea
   S1035           No Change       Art pancreas inv disp sensor   Sensor; invasive (e.g., subcutaneous), disposable, for use with artifi
   S1036           No Change       Art pancreas ext transmitter   Transmitter; external, for use with artificial pancreas device system
   S1037           No Change       Art pancreas ext receiver      Receiver (monitor); external, for use with artificial pancreas device
   S1040           No Change       Cranial remolding orthosis     Cranial remolding orthosis, pediatric, rigid, with soft interface mate
   S1090         Discontinued      Mometasone sinus implant       Mometasone furoate sinus implant, 370 micrograms
   S2053           No Change       Transplantation of small int   Transplantation of small intestine and liver allografts
   S2054           No Change       Transplantation of multivisc   Transplantation of multivisceral organs
   S2055           No Change       Harvesting of donor multivis   Harvesting of donor multivisceral organs, with preparation and mainten
   S2060           No Change       Lobar lung transplantation     Lobar lung transplantation
   S2061           No Change       Donor lobectomy (lung)         Donor lobectomy (lung) for transplantation, living donor
   S2065           No Change       Simult panc kidn trans         Simultaneous pancreas kidney transplantation
   S2066           No Change       Breast gap flap reconst        Breast reconstruction with gluteal artery perforator (gap) flap, inclu
   S2067           No Change       Breast "stacked" diep/gap      Breast reconstruction of a single breast with "stacked" deep inferior
   S2068           No Change       Breast diep or siea flap       Breast reconstruction with deep inferior epigastric perforator (diep)
   S2070           No Change       Cysto laser tx ureteral calc   Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopi
   S2079           No Change       Lap esophagomyotomy            Laparoscopic esophagomyotomy (heller type)
   S2080           No Change       Laup                           Laser-assisted uvulopalatoplasty (laup)
   S2083           No Change       Adjustment gastric band        Adjustment of gastric band diameter via subcutaneous port by injection
   S2095           No Change       Transcath emboliz microspher   Transcatheter occlusion or embolization for tumor destruction, percuta
   S2102           No Change       Islet cell tissue transplant   Islet cell tissue transplant from pancreas; allogeneic
   S2103           No Change       Adrenal tissue transplant      Adrenal tissue transplant to brain
   S2107           No Change       Adoptive immunotherapy         Adoptive immunotherapy i.e. development of specific anti-tumor reactiv
   S2112           No Change       Knee arthroscp harv            Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte c
   S2115           No Change       Periacetabular osteotomy       Osteotomy, periacetabular, with internal fixation
   S2117           No Change       Arthroereisis, subtalar        Arthroereisis, subtalar
   S2118           No Change       Total hip resurfacing          Metal-on-metal total hip resurfacing, including acetabular and femoral
   S2120           No Change       Low density lipoprotein(ldl)   Low density lipoprotein (ldl) apheresis using heparin-induced extracor
   S2140           No Change       Cord blood harvesting          Cord blood harvesting for transplantation, allogeneic
   S2142           No Change       Cord blood-derived stem-cell   Cord blood-derived stem-cell transplantation, allogeneic
   S2150           No Change       Bmt harv/transpl 28d pkg       Bone marrow or blood-derived stem cells (peripheral or umbilical), all
   S2152           No Change       Solid organ transpl pkg        Solid organ(s), complete or segmental, single organ or combination of
   S2202           No Change       Echosclerotherapy              Echosclerotherapy
   S2205           No Change       Minimally invasive direct co   Minimally invasive direct coronary artery bypass surgery involving min
   S2206           No Change       Minimally invasive direct co   Minimally invasive direct coronary artery bypass surgery involving min
   S2207           No Change       Minimally invasive direct co   Minimally invasive direct coronary artery bypass surgery involving min
   S2208           No Change       Minimally invasive direct co   Minimally invasive direct coronary artery bypass surgery involving min
   S2209           No Change       Minimally invasive direct co   Minimally invasive direct coronary artery bypass surgery involving min
   S2225           No Change       Myringotomy laser-assist       Myringotomy, laser-assisted
   S2230           No Change       Implant semi-imp hear          Implantation of magnetic component of semi-implantable hearing device
   S2235           No Change       Implant auditory brain imp     Implantation of auditory brain stem implant
   S2260           No Change       Induced abortion 17-24 weeks   Induced abortion, 17 to 24 weeks
   S2265           No Change       Induced abortion 25-28 wks     Induced abortion, 25 to 28 weeks
   S2266           No Change       Induced abortion 29-31 wks     Induced abortion, 29 to 31 weeks
   S2267           No Change       Induced abortion 32 or more    Induced abortion, 32 weeks or greater
   S2300           No Change       Arthroscopy, shoulder, surgi   Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy
   S2325           No Change       Hip core decompression         Hip core decompression
   S2340           No Change       Chemodenervation of abductor   Chemodenervation of abductor muscle(s) of vocal cord
   S2341           No Change       Chemodenerv adduct vocal       Chemodenervation of adductor muscle(s) of vocal cord
   S2342           No Change       Nasal endoscop po debrid       Nasal endoscopy for post-operative debridement following functional en
   S2348           No Change       Decompress disc rf lumbar      Decompression procedure, percutaneous, of nucleus pulposus of interver
   S2350           No Change       Diskectomy, anterior, with d   Diskectomy, anterior, with decompression of spinal cord and/or nerve r
   S2351           No Change       Diskectomy, anterior, with d   Diskectomy, anterior, with decompression of spinal cord and/or nerve r
   S2360           No Change       Vertebroplast cerv 1st         Percutaneous vertebroplasty, one vertebral body, unilateral or bilater
   S2361           No Change       Vertebroplast cerv addl        Each additional cervical vertebral body (list separately in addition t
   S2400           No Change       Fetal surg congen hernia       Repair, congenital diaphragmatic hernia in the fetus using temporary t
   S2401           No Change       Fetal surg urin trac obstr     Repair, urinary tract obstruction in the fetus, procedure performed in
   S2402           No Change       Fetal surg cong cyst malf      Repair, congenital cystic adenomatoid malformation in the fetus, proce
   S2403           No Change       Fetal surg pulmon sequest      Repair, extralobar pulmonary sequestration in the fetus, procedure per
   S2404           No Change       Fetal surg myelomeningo        Repair, myelomeningocele in the fetus, procedure performed in utero
   S2405           No Change       Fetal surg sacrococ teratoma   Repair of sacrococcygeal teratoma in the fetus, procedure performed in
   S2409           No Change       Fetal surg noc                 Repair, congenital malformation of fetus, procedure performed in utero
   S2411           No Change       Fetoscop laser ther ttts       Fetoscopic laser therapy for treatment of twin-to-twin transfusion syn
   S2900           No Change       Robotic surgical system        Surgical techniques requiring use of robotic surgical system (list sep
   S3000           No Change       Bilat dil retinal exam         Diabetic indicator; retinal eye exam, dilated, bilateral
   S3005           No Change       Eval self-assess depression    Performance measurement, evaluation of patient self assessment, depres
   S3600           No Change       Stat lab                       Stat laboratory request (situations other than s3601)
   S3601           No Change       Stat lab home/nf               Emergency stat laboratory charge for patient who is homebound or resid
   S3620           No Change       Newborn metabolic screening    Newborn metabolic screening panel, includes test kit, postage and the
   S3630           No Change       Eosinophil blood count         Eosinophil count, blood, direct
   S3645           No Change       Hiv-1 antibody testing of or   Hiv-1 antibody testing of oral mucosal transudate
   S3650           No Change       Saliva test, hormone level;    Saliva test, hormone level; during menopause
   S3652           No Change       Saliva test, hormone level;    Saliva test, hormone level; to assess preterm labor risk
   S3655           No Change       Antisperm antibodies test      Antisperm antibodies test (immunobead)
   S3708           No Change       Gastrointestinal fat absorpt   Gastrointestinal fat absorption study
   S3721           No Change       Pca3 testing                   Prostate cancer antigen 3 (pca3) testing
   S3722           No Change       Dose optimization auc - 5fu    Dose optimization by area under the curve (auc) analysis, for infusion
   S3800           No Change       Genetic testing als            Genetic testing for amyotrophic lateral sclerosis (als)
   S3840           No Change       Dna analysis ret-oncogene      Dna analysis for germline mutations of the ret proto-oncogene for susc
   S3841           No Change       Gene test retinoblastoma       Genetic testing for retinoblastoma
   S3842           No Change       Gene test hippel-lindau        Genetic testing for von hippel-lindau disease
   S3844           No Change       Dna analysis deafness          Dna analysis of the connexin 26 gene (gjb2) for susceptibility to cong
   S3845           No Change       Gene test alpha-thalassemia    Genetic testing for alpha-thalassemia
   S3846           No Change       Gene test beta-thalassemia     Genetic testing for hemoglobin e beta-thalassemia
   S3849           No Change       Gene test niemann-pick         Genetic testing for niemann-pick disease
   S3850           No Change       Gene test sickle cell          Genetic testing for sickle cell anemia
   S3852           No Change       Dna analysis apoe alzheimer    Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer
   S3853           No Change       Gene test myo musclr dyst      Genetic testing for myotonic muscular dystrophy
   S3854           No Change       Gene profile panel breast      Gene expression profiling panel for use in the management of breast ca
   S3855           No Change       Gene test presenilin-1 gene    Genetic testing for detection of mutations in the presenilin - 1 gene
   S3861           No Change       Genetic test brugada           Genetic testing, sodium channel, voltage-gated, type v, alpha subunit
   S3865           No Change       Comp genet test hyp cardiomy   Comprehensive gene sequence analysis for hypertrophic cardiomyopathy
   S3866           No Change       Spec gene test hyp cardiomy    Genetic analysis for a specific gene mutation for hypertrophic cardiom
   S3870           No Change       Cgh test developmental delay   Comparative genomic hybridization (cgh) microarray testing for develop
   S3890           No Change       Fecal dna analysis             Dna analysis, fecal, for colorectal cancer screening
   S3900           No Change       Surface emg                    Surface electromyography (emg)
   S3902           No Change       Ballistocardiogram             Ballistocardiogram
   S3904           No Change       Masters two step               Masters two step
   S4005           No Change       Interim labor facility globa   Interim labor facility global (labor occurring but not resulting in de
   S4011           No Change       Ivf package                    In vitro fertilization; including but not limited to identification an
   S4013           No Change       Compl gift case rate           Complete cycle, gamete intrafallopian transfer (gift), case rate
   S4014           No Change       Compl zift case rate           Complete cycle, zygote intrafallopian transfer (zift), case rate
   S4015           No Change       Complete ivf nos case rate     Complete in vitro fertilization cycle, not otherwise specified, case r
   S4016           No Change       Frozen ivf case rate           Frozen in vitro fertilization cycle, case rate
   S4017           No Change       Ivf canc a stim case rate      Incomplete cycle, treatment cancelled prior to stimulation, case rate
   S4018           No Change       F emb trns canc case rate      Frozen embryo transfer procedure cancelled before transfer, case rate
   S4020           No Change       Ivf canc a aspir case rate     In vitro fertilization procedure cancelled before aspiration, case rat
   S4021           No Change       Ivf canc p aspir case rate     In vitro fertilization procedure cancelled after aspiration, case rate
   S4022           No Change       Asst oocyte fert case rate     Assisted oocyte fertilization, case rate
   S4023           No Change       Incompl donor egg case rate    Donor egg cycle, incomplete, case rate
   S4025           No Change       Donor serv ivf case rate       Donor services for in vitro fertilization (sperm or embryo), case rate
   S4026           No Change       Procure donor sperm            Procurement of donor sperm from sperm bank
   S4027           No Change       Store prev froz embryos        Storage of previously frozen embryos
   S4028           No Change       Microsurg epi sperm asp        Microsurgical epididymal sperm aspiration (mesa)
   S4030           No Change       Sperm procure init visit       Sperm procurement and cryopreservation services; initial visit
   S4031           No Change       Sperm procure subs visit       Sperm procurement and cryopreservation services; subsequent visit
   S4035           No Change       Stimulated iui case rate       Stimulated intrauterine insemination (iui), case rate
   S4037           No Change       Cryo embryo transf case rate   Cryopreserved embryo transfer, case rate
   S4040           No Change       Monit store cryo embryo 30 d   Monitoring and storage of cryopreserved embryos, per 30 days
   S4042           No Change       Ovulation mgmt per cycle       Management of ovulation induction (interpretation of diagnostic tests
   S4981           No Change       Insert levonorgestrel ius      Insertion of levonorgestrel-releasing intrauterine system
   S4989           No Change       Contracept iud                 Contraceptive intrauterine device (e.g., progestacert iud), including
   S4990           No Change       Nicotine patch legend          Nicotine patches, legend
   S4991           No Change       Nicotine patch nonlegend       Nicotine patches, non-legend
   S4993           No Change       Contraceptive pills for bc     Contraceptive pills for birth control
   S4995           No Change       Smoking cessation gum          Smoking cessation gum
   S5000           No Change       Prescription drug, generic     Prescription drug, generic
   S5001           No Change       Prescription drug,brand name   Prescription drug, brand name
   S5010           No Change       5% dextrose and 0.45% saline   5% dextrose and 0.45% normal saline, 1000 ml
   S5011           No Change       5% dextrose in lactated ring   5% dextrose in lactated ringer's, 1000 ml
   S5012           No Change       5% dextrose with potassium     5% dextrose with potassium chloride, 1000 ml
   S5013           No Change       5%dextrose/0.45%saline1000ml   5% dextrose/0.45% normal saline with potassium chloride and magnesium
   S5014           No Change       D5w/0.45ns w kcl and mgs04     5% dextrose/0.45% normal saline with potassium chloride and magnesium
   S5035           No Change       Hit routine device maint       Home infusion therapy, routine service of infusion device (e.g., pump
   S5036           No Change       Hit device repair              Home infusion therapy, repair of infusion device (e.g., pump repair)
   S5100           No Change       Adult daycare services 15min   Day care services, adult; per 15 minutes
   S5101           No Change       Adult day care per half day    Day care services, adult; per half day
   S5102           No Change       Adult day care per diem        Day care services, adult; per diem
   S5105           No Change       Centerbased day care perdiem   Day care services, center-based; services not included in program fee,
   S5108           No Change       Homecare train pt 15 min       Home care training to home care client, per 15 minutes
   S5109           No Change       Homecare train pt session      Home care training to home care client, per session
   S5110           No Change       Family homecare training 15m   Home care training, family; per 15 minutes
   S5111           No Change       Family homecare train/sessio   Home care training, family; per session
   S5115           No Change       Nonfamily homecare train/15m   Home care training, non-family; per 15 minutes
   S5116           No Change       Nonfamily hc train/session     Home care training, non-family; per session
   S5120           No Change       Chore services per 15 min      Chore services; per 15 minutes
   S5121           No Change       Chore services per diem        Chore services; per diem
   S5125           No Change       Attendant care service /15m    Attendant care services; per 15 minutes
   S5126           No Change       Attendant care service /diem   Attendant care services; per diem
   S5130           No Change       Homaker service nos per 15m    Homemaker service, nos; per 15 minutes
   S5131           No Change       Homemaker service nos /diem    Homemaker service, nos; per diem
   S5135           No Change       Adult companioncare per 15m    Companion care, adult (e.g., iadl/adl); per 15 minutes
   S5136           No Change       Adult companioncare per diem   Companion care, adult (e.g., iadl/adl); per diem
   S5140           No Change       Adult foster care per diem     Foster care, adult; per diem
   S5141           No Change       Adult foster care per month    Foster care, adult; per month
   S5145           No Change       Child fostercare th per diem   Foster care, therapeutic, child; per diem
   S5146           No Change       Ther fostercare child /month   Foster care, therapeutic, child; per month
   S5150           No Change       Unskilled respite care /15m    Unskilled respite care, not hospice; per 15 minutes
   S5151           No Change       Unskilled respitecare /diem    Unskilled respite care, not hospice; per diem
   S5160           No Change       Emer response sys instal&tst   Emergency response system; installation and testing
   S5161           No Change       Emer rspns sys serv permonth   Emergency response system; service fee, per month (excludes installati
   S5162           No Change       Emer rspns system purchase     Emergency response system; purchase only
   S5165           No Change       Home modifications per serv    Home modifications; per service
   S5170           No Change       Homedelivered prepared meal    Home delivered meals, including preparation; per meal
   S5175           No Change       Laundry serv,ext,prof,/order   Laundry service, external, professional; per order
   S5180           No Change       Hh respiratory thrpy in eval   Home health respiratory therapy, initial evaluation
   S5181           No Change       Hh respiratory thrpy nos/day   Home health respiratory therapy, nos, per diem
   S5185           No Change       Med reminder serv per month    Medication reminder service, non-face-to-face; per month
   S5190           No Change       Wellness assessment by nonph   Wellness assessment, performed by non-physician
   S5199           No Change       Personal care item nos each    Personal care item, nos, each
   S5497           No Change       Hit cath care noc              Home infusion therapy, catheter care / maintenance, not otherwise clas
   S5498           No Change       Hit simple cath care           Home infusion therapy, catheter care / maintenance, simple (single lum
   S5501           No Change       Hit complex cath care          Home infusion therapy, catheter care / maintenance, complex (more than
   S5502           No Change       Hit interim cath care          Home infusion therapy, catheter care / maintenance, implanted access d
   S5517           No Change       Hit declotting kit             Home infusion therapy, all supplies necessary for restoration of cathe
   S5518           No Change       Hit cath repair kit            Home infusion therapy, all supplies necessary for catheter repair
   S5520           No Change       Hit picc insert kit            Home infusion therapy, all supplies (including catheter) necessary for
   S5521           No Change       Hit midline cath insert kit    Home infusion therapy, all supplies (including catheter) necessary for
   S5522           No Change       Hit picc insert no supp        Home infusion therapy, insertion of peripherally inserted central veno
   S5523           No Change       Hip midline cath insert kit    Home infusion therapy, insertion of midline venous catheter, nursing s
   S5550           No Change       Insulin rapid 5 u              Insulin, rapid onset, 5 units
   S5551           No Change       Insulin most rapid 5 u         Insulin, most rapid onset (lispro or aspart); 5 units
   S5552           No Change       Insulin intermed 5 u           Insulin, intermediate acting (nph or lente); 5 units
   S5553           No Change       Insulin long acting 5 u        Insulin, long acting; 5 units
   S5560           No Change       Insulin reuse pen 1.5 ml       Insulin delivery device, reusable pen; 1.5 ml size
   S5561           No Change       Insulin reuse pen 3 ml         Insulin delivery device, reusable pen; 3 ml size
   S5565           No Change       Insulin cartridge 150 u        Insulin cartridge for use in insulin delivery device other than pump;
   S5566           No Change       Insulin cartridge 300 u        Insulin cartridge for use in insulin delivery device other than pump;
   S5570           No Change       Insulin dispos pen 1.5 ml      Insulin delivery device, disposable pen (including insulin); 1.5 ml si
   S5571           No Change       Insulin dispos pen 3 ml        Insulin delivery device, disposable pen (including insulin); 3 ml size
   S8030           No Change       Tantalum ring application      Scleral application of tantalum ring(s) for localization of lesions fo
   S8032           No Change       Low dose ct lung screening     Low-dose computed tomography for lung cancer screening
   S8035           No Change       Magnetic source imaging        Magnetic source imaging
   S8037           No Change       Mrcp                           Magnetic resonance cholangiopancreatography (mrcp)
   S8040           No Change       Topographic brain mapping      Topographic brain mapping
   S8042           No Change       Mri low field                  Magnetic resonance imaging (mri), low-field
   S8055           No Change       Us guidance fetal reduct       Ultrasound guidance for multifetal pregnancy reduction(s), technical c
   S8080           No Change       Scintimammography              Scintimammography (radioimmunoscintigraphy of the breast), unilateral,
   S8085           No Change       Fluorine-18 fluorodeoxygluco   Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coin
   S8092           No Change       Electron beam computed tomog   Electron beam computed tomography (also known as ultrafast ct, cine ct
   S8096           No Change       Portable peak flow meter       Portable peak flow meter
   S8097           No Change       Asthma kit                     Asthma kit (including but not limited to portable peak expiratory flow
   S8100           No Change       Spacer without mask            Holding chamber or spacer for use with an inhaler or nebulizer; withou
   S8101           No Change       Spacer with mask               Holding chamber or spacer for use with an inhaler or nebulizer; with m
   S8110           No Change       Peak expiratory flow rate (p   Peak expiratory flow rate (physician services)
   S8120           No Change       O2 contents gas cubic ft       Oxygen contents, gaseous, 1 unit equals 1 cubic foot
   S8121           No Change       O2 contents liquid lb          Oxygen contents, liquid, 1 unit equals 1 pound
   S8130           No Change       Interferential stim 2 chan     Interferential current stimulator, 2 channel
   S8131           No Change       Interferential stim 4 chan     Interferential current stimulator, 4 channel
   S8185           No Change       Flutter device                 Flutter device
   S8186           No Change       Swivel adaptor                 Swivel adapter
   S8189           No Change       Trach supply noc               Tracheostomy supply, not otherwise classified
   S8210           No Change       Mucus trap                     Mucus trap
   S8262           No Change       Mandib ortho repos device      Mandibular orthopedic repositioning device, each
   S8265           No Change       Haberman feeder                Haberman feeder for cleft lip/palate
   S8270           No Change       Enuresis alarm                 Enuresis alarm, using auditory buzzer and/or vibration device
   S8301           No Change       Infect control supplies nos    Infection control supplies, not otherwise specified
   S8415           No Change       Supplies for home delivery     Supplies for home delivery of infant
   S8420           No Change       Custom gradient sleev/glov     Gradient pressure aid (sleeve and glove combination), custom made
   S8421           No Change       Ready gradient sleev/glov      Gradient pressure aid (sleeve and glove combination), ready made
   S8422           No Change       Custom grad sleeve med         Gradient pressure aid (sleeve), custom made, medium weight
   S8423           No Change       Custom grad sleeve heavy       Gradient pressure aid (sleeve), custom made, heavy weight
   S8424           No Change       Ready gradient sleeve          Gradient pressure aid (sleeve), ready made
   S8425           No Change       Custom grad glove med          Gradient pressure aid (glove), custom made, medium weight
   S8426           No Change       Custom grad glove heavy        Gradient pressure aid (glove), custom made, heavy weight
   S8427           No Change       Ready gradient glove           Gradient pressure aid (glove), ready made
   S8428           No Change       Ready gradient gauntlet        Gradient pressure aid (gauntlet), ready made
   S8429           No Change       Gradient pressure wrap         Gradient pressure exterior wrap
   S8430           No Change       Padding for comprssn bdg       Padding for compression bandage, roll
   S8431           No Change       Compression bandage            Compression bandage, roll
   S8450           No Change       Splint digit                   Splint, prefabricated, digit (specify digit by use of modifier)
   S8451           No Change       Splint wrist or ankle          Splint, prefabricated, wrist or ankle
   S8452           No Change       Splint elbow                   Splint, prefabricated, elbow
   S8460           No Change       Camisole post-mast             Camisole, post-mastectomy
   S8490           No Change       100 insulin syringes           Insulin syringes (100 syringes, any size)
   S8930           No Change       Auricular electrostimulation   Electrical stimulation of auricular acupuncture points; each 15 minute
   S8940           No Change       Hippotherapy per session       Equestrian/hippotherapy, per session
   S8948           No Change       Low-level laser trmt 15 min    Application of a modality (requiring constant provider attendance) to
   S8950           No Change       Complex lymphedema therapy,    Complex lymphedema therapy, each 15 minutes
   S8990           No Change       Pt or manip for maint          Physical or manipulative therapy performed for maintenance rather than
   S8999           No Change       Resuscitation bag              Resuscitation bag (for use by patient on artificial respiration during
   S9001           No Change       Home uterine monitor with or   Home uterine monitor with or without associated nursing services
   S9007           No Change       Ultrafiltration monitor        Ultrafiltration monitor
   S9015           No Change       Automated eeg monitoring       Automated eeg monitoring
   S9024           No Change       Paranasal sinus ultrasound     Paranasal sinus ultrasound
   S9025           No Change       Omnicardiogram/cardiointegra   Omnicardiogram/cardiointegram
   S9034           No Change       Eswl for gallstones            Extracorporeal shockwave lithotripsy for gall stones (if performed wit
   S9055           No Change       Procuren or other growth fac   Procuren or other growth factor preparation to promote wound healing
   S9056           No Change       Coma stimulation per diem      Coma stimulation per diem
   S9061           No Change       Medical supplies and equipme   Home administration of aerosolized drug therapy (e.g., pentamidine); a
   S9083           No Change       Urgent care center global      Global fee urgent care centers
   S9088           No Change       Services provided in urgent    Services provided in an urgent care center (list in addition to code f
   S9090           No Change       Vertebral axial decompressio   Vertebral axial decompression, per session
   S9097           No Change       Home visit wound care          Home visit for wound care
   S9098           No Change       Home phototherapy visit        Home visit, phototherapy services (e.g., bili-lite), including equipme
   S9110           No Change       Telemonitoring/home per mnth   Telemonitoring of patient in their home, including all necessary equip
   S9117           No Change       Back school visit              Back school, per visit
   S9122           No Change       Home health aide or certifie   Home health aide or certified nurse assistant, providing care in the h
   S9123           No Change       Nursing care in home rn        Nursing care, in the home; by registered nurse, per hour (use for gene
   S9124           No Change       Nursing care, in the home; b   Nursing care, in the home; by licensed practical nurse, per hour
   S9125           No Change       Respite care, in the home, p   Respite care, in the home, per diem
   S9126           No Change       Hospice care, in the home, p   Hospice care, in the home, per diem
   S9127           No Change       Social work visit, in the ho   Social work visit, in the home, per diem
   S9128           No Change       Speech therapy, in the home,   Speech therapy, in the home, per diem
   S9129           No Change       Occupational therapy, in the   Occupational therapy, in the home, per diem
   S9131           No Change       Pt in the home per diem        Physical therapy; in the home, per diem
   S9140           No Change       Diabetic management program,   Diabetic management program, follow-up visit to non-md provider
   S9141           No Change       Diabetic management program,   Diabetic management program, follow-up visit to md provider
   S9145           No Change       Insulin pump initiation        Insulin pump initiation, instruction in initial use of pump (pump not
   S9150           No Change       Evaluation by ocularist        Evaluation by ocularist
   S9152           No Change       Speech therapy, re-eval        Speech therapy, re-evaluation
   S9208           No Change       Home mgmt preterm labor        Home management of preterm labor, including administrative services, p
   S9209           No Change       Home mgmt pprom                Home management of preterm premature rupture of membranes (pprom), inc
   S9211           No Change       Home mgmt gest hypertension    Home management of gestational hypertension, includes administrative s
   S9212           No Change       Hm postpar hyper per diem      Home management of postpartum hypertension, includes administrative se
   S9213           No Change       Hm preeclamp per diem          Home management of preeclampsia, includes administrative services, pro
   S9214           No Change       Hm gest dm per diem            Home management of gestational diabetes, includes administrative servi
   S9325           No Change       Hit pain mgmt per diem         Home infusion therapy, pain management infusion; administrative servic
   S9326           No Change       Hit cont pain per diem         Home infusion therapy, continuous (twenty-four hours or more) pain man
   S9327           No Change       Hit int pain per diem          Home infusion therapy, intermittent (less than twenty-four hours) pain
   S9328           No Change       Hit pain imp pump diem         Home infusion therapy, implanted pump pain management infusion; admini
   S9329           No Change       Hit chemo per diem             Home infusion therapy, chemotherapy infusion; administrative services,
   S9330           No Change       Hit cont chem diem             Home infusion therapy, continuous (twenty-four hours or more) chemothe
   S9331           No Change       Hit intermit chemo diem        Home infusion therapy, intermittent (less than twenty-four hours) chem
   S9335           No Change       Ht hemodialysis diem           Home therapy, hemodialysis; administrative services, professional phar
   S9336           No Change       Hit cont anticoag diem         Home infusion therapy, continuous anticoagulant infusion therapy (e.g.
   S9338           No Change       Hit immunotherapy diem         Home infusion therapy, immunotherapy, administrative services, profess
   S9339           No Change       Hit periton dialysis diem      Home therapy; peritoneal dialysis, administrative services, profession
   S9340           No Change       Hit enteral per diem           Home therapy; enteral nutrition; administrative services, professional
   S9341           No Change       Hit enteral grav diem          Home therapy; enteral nutrition via gravity; administrative services,
   S9342           No Change       Hit enteral pump diem          Home therapy; enteral nutrition via pump; administrative services, pro
   S9343           No Change       Hit enteral bolus nurs         Home therapy; enteral nutrition via bolus; administrative services, pr
   S9345           No Change       Hit anti-hemophil diem         Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., f
   S9346           No Change       Hit alpha-1-proteinas diem     Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin);
   S9347           No Change       Hit longterm infusion diem     Home infusion therapy, uninterrupted, long-term, controlled rate intra
   S9348           No Change       Hit sympathomim diem           Home infusion therapy, sympathomimetic/inotropic agent infusion therap
   S9349           No Change       Hit tocolysis diem             Home infusion therapy, tocolytic infusion therapy; administrative serv
   S9351           No Change       Hit cont antiemetic diem       Home infusion therapy, continuous or intermittent anti-emetic infusion
   S9353           No Change       Hit cont insulin diem          Home infusion therapy, continuous insulin infusion therapy; administra
   S9355           No Change       Hit chelation diem             Home infusion therapy, chelation therapy; administrative services, pro
   S9357           No Change       Hit enzyme replace diem        Home infusion therapy, enzyme replacement intravenous therapy; (e.g.,
   S9359           No Change       Hit anti-tnf per diem          Home infusion therapy, anti-tumor necrosis factor intravenous therapy;
   S9361           No Change       Hit diuretic infus diem        Home infusion therapy, diuretic intravenous therapy; administrative se
   S9363           No Change       Hit anti-spasmotic diem        Home infusion therapy, anti-spasmotic therapy; administrative services
   S9364           No Change       Hit tpn total diem             Home infusion therapy, total parenteral nutrition (tpn); administrativ
   S9365           No Change       Hit tpn 1 liter diem           Home infusion therapy, total parenteral nutrition (tpn); one liter per
   S9366           No Change       Hit tpn 2 liter diem           Home infusion therapy, total parenteral nutrition (tpn); more than one
   S9367           No Change       Hit tpn 3 liter diem           Home infusion therapy, total parenteral nutrition (tpn); more than two
   S9368           No Change       Hit tpn over 3l diem           Home infusion therapy, total parenteral nutrition (tpn); more than thr
   S9370           No Change       Ht inj antiemetic diem         Home therapy, intermittent anti-emetic injection therapy; administrati
   S9372           No Change       Ht inj anticoag diem           Home therapy; intermittent anticoagulant injection therapy (e.g., hepa
   S9373           No Change       Hit hydra total diem           Home infusion therapy, hydration therapy; administrative services, pro
   S9374           No Change       Hit hydra 1 liter diem         Home infusion therapy, hydration therapy; one liter per day, administr
   S9375           No Change       Hit hydra 2 liter diem         Home infusion therapy, hydration therapy; more than one liter but no m
   S9376           No Change       Hit hydra 3 liter diem         Home infusion therapy, hydration therapy; more than two liters but no
   S9377           No Change       Hit hydra over 3l diem         Home infusion therapy, hydration therapy; more than three liters per d
   S9379           No Change       Hit noc per diem               Home infusion therapy, infusion therapy, not otherwise classified; adm
   S9381           No Change       Hit high risk/escort           Delivery or service to high risk areas requiring escort or extra prote
   S9401           No Change       Anticoag clinic per session    Anticoagulation clinic, inclusive of all services except laboratory te
   S9430           No Change       Pharmacy comp/disp serv        Pharmacy compounding and dispensing services
   S9433           No Change       Medical food oral 100% nutr    Medical food nutritionally complete, administered orally, providing 10
   S9434           No Change       Mod solid food suppl           Modified solid food supplements for inborn errors of metabolism
   S9435           No Change       Medical foods for inborn err   Medical foods for inborn errors of metabolism
   S9436           No Change       Lamaze class                   Childbirth preparation/lamaze classes, non-physician provider, per ses
   S9437           No Change       Childbirth refresher class     Childbirth refresher classes, non-physician provider, per session
   S9438           No Change       Cesarean birth class           Cesarean birth classes, non-physician provider, per session
   S9439           No Change       Vbac class                     Vbac (vaginal birth after cesarean) classes, non-physician provider, p
   S9441           No Change       Asthma education               Asthma education, non-physician provider, per session
   S9442           No Change       Birthing class                 Birthing classes, non-physician provider, per session
   S9443           No Change       Lactation class                Lactation classes, non-physician provider, per session
   S9444           No Change       Parenting class                Parenting classes, non-physician provider, per session
   S9445           No Change       Pt education noc individ       Patient education, not otherwise classified, non-physician provider, i
   S9446           No Change       Pt education noc group         Patient education, not otherwise classified, non-physician provider, g
   S9447           No Change       Infant safety class            Infant safety (including cpr) classes, non-physician provider, per ses
   S9449           No Change       Weight mgmt class              Weight management classes, non-physician provider, per session
   S9451           No Change       Exercise class                 Exercise classes, non-physician provider, per session
   S9452           No Change       Nutrition class                Nutrition classes, non-physician provider, per session
   S9453           No Change       Smoking cessation class        Smoking cessation classes, non-physician provider, per session
   S9454           No Change       Stress mgmt class              Stress management classes, non-physician provider, per session
   S9455           No Change       Diabetic management program,   Diabetic management program, group session
   S9460           No Change       Diabetic management program,   Diabetic management program, nurse visit
   S9465           No Change       Diabetic management program,   Diabetic management program, dietitian visit
   S9470           No Change       Nutritional counseling, diet   Nutritional counseling, dietitian visit
   S9472           No Change       Cardiac rehabilitation progr   Cardiac rehabilitation program, non-physician provider, per diem
   S9473           No Change       Pulmonary rehabilitation pro   Pulmonary rehabilitation program, non-physician provider, per diem
   S9474           No Change       Enterostomal therapy by a re   Enterostomal therapy by a registered nurse certified in enterostomal t
   S9475           No Change       Ambulatory setting substance   Ambulatory setting substance abuse treatment or detoxification service
   S9476           No Change       Vestibular rehab per diem      Vestibular rehabilitation program, non-physician provider, per diem
   S9480           No Change       Intensive outpatient psychia   Intensive outpatient psychiatric services, per diem
   S9482           No Change       Family stabilization 15 min    Family stabilization services, per 15 minutes
   S9484           No Change       Crisis intervention per hour   Crisis intervention mental health services, per hour
   S9485           No Change       Crisis intervention mental h   Crisis intervention mental health services, per diem
   S9490           No Change       Hit corticosteroid/diem        Home infusion therapy, corticosteroid infusion; administrative service
   S9494           No Change       Hit antibiotic total diem      Home infusion therapy, antibiotic, antiviral, or antifungal therapy; a
   S9497           No Change       Hit antibiotic q3h diem        Home infusion therapy, antibiotic, antiviral, or antifungal therapy; o
   S9500           No Change       Hit antibiotic q24h diem       Home infusion therapy, antibiotic, antiviral, or antifungal therapy; o
   S9501           No Change       Hit antibiotic q12h diem       Home infusion therapy, antibiotic, antiviral, or antifungal therapy; o
   S9502           No Change       Hit antibiotic q8h diem        Home infusion therapy, antibiotic, antiviral, or antifungal therapy; o
   S9503           No Change       Hit antibiotic q6h diem        Home infusion therapy, antibiotic, antiviral, or antifungal; once ever
   S9504           No Change       Hit antibiotic q4h diem        Home infusion therapy, antibiotic, antiviral, or antifungal; once ever
   S9529           No Change       Venipuncture home/snf          Routine venipuncture for collection of specimen(s), single home bound,
   S9537           No Change       Ht hem horm inj diem           Home therapy; hematopoietic hormone injection therapy (e.g., erythropo
   S9538           No Change       Hit blood products diem        Home transfusion of blood product(s); administrative services, profess
   S9542           No Change       Ht inj noc per diem            Home injectable therapy, not otherwise classified, including administr
   S9558           No Change       Ht inj growth horm diem        Home injectable therapy; growth hormone, including administrative serv
   S9559           No Change       Hit inj interferon diem        Home injectable therapy, interferon, including administrative services
   S9560           No Change       Ht inj hormone diem            Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin
   S9562           No Change       Ht inj palivizumab diem        Home injectable therapy, palivizumab, including administrative service
   S9590           No Change       Ht irrigation diem             Home therapy, irrigation therapy (e.g., sterile irrigation of an organ
   S9810           No Change       Ht pharm per hour              Home therapy; professional pharmacy services for provision of infusion
   S9900           No Change       Christian sci pract visit      Services by a journal-listed christian science practitioner for the pu
   S9901           No Change       Christian sci nurse visit      Services by a journal-listed christian science nurse, per hour
   S9960           No Change       Air ambulanc nonemerg fixed    Ambulance service, conventional air service, nonemergency transport, o
   S9961           No Change       Air ambulan nonemerg rotary    Ambulance service, conventional air service, nonemergency transport, o
   S9970           No Change       Health club membership yr      Health club membership, annual
   S9975           No Change       Transplant related per diem    Transplant related lodging, meals and transportation, per diem
   S9976           No Change       Lodging per diem               Lodging, per diem, not otherwise classified
   S9977           No Change       Meals per diem                 Meals, per diem, not otherwise specified
   S9981           No Change       Med record copy admin          Medical records copying fee, administrative
   S9982           No Change       Med record copy per page       Medical records copying fee, per page
   S9986           No Change       Not medically necessary svc    Not medically necessary service (patient is aware that service not med
   S9988           No Change       Serv part of phase i trial     Services provided as part of a phase i clinical trial
   S9989           No Change       Services outside us            Services provided outside of the united states of america (list in add
   S9990           No Change       Services provided as part of   Services provided as part of a phase ii clinical trial
   S9991           No Change       Services provided as part of   Services provided as part of a phase iii clinical trial
   S9992           No Change       Transportation costs to and    Transportation costs to and from trial location and local transportati
   S9994           No Change       Lodging costs (e.g. hotel ch   Lodging costs (e.g., hotel charges) for clinical trial participant and
   S9996           No Change       Meals for clinical trial par   Meals for clinical trial participant and one caregiver/companion
   S9999           No Change       Sales tax                      Sales tax
   T1000           No Change       Private duty/independent nsg   Private duty / independent nursing service(s) - licensed, up to 15 min
   T1001           No Change       Nursing assessment/evaluatn    Nursing assessment / evaluation
   T1002           No Change       Rn services up to 15 minutes   Rn services, up to 15 minutes
   T1003           No Change       Lpn/lvn services up to 15min   Lpn/lvn services, up to 15 minutes
   T1004           No Change       Nsg aide service up to 15min   Services of a qualified nursing aide, up to 15 minutes
   T1005           No Change       Respite care service 15 min    Respite care services, up to 15 minutes
   T1006           No Change       Family/couple counseling       Alcohol and/or substance abuse services, family/couple counseling
   T1007           No Change       Treatment plan development     Alcohol and/or substance abuse services, treatment plan development an
   T1009           No Change       Child sitting services         Child sitting services for children of the individual receiving alcoho
   T1010           No Change       Meals when receive services    Meals for individuals receiving alcohol and/or substance abuse service
   T1012           No Change       Alcohol/substance abuse skil   Alcohol and/or substance abuse services, skills development
   T1013           No Change       Sign lang/oral interpreter     Sign language or oral interpretive services, per 15 minutes
   T1014           No Change       Telehealth transmit, per min   Telehealth transmission, per minute, professional services bill separa
   T1015           No Change       Clinic service                 Clinic visit/encounter, all-inclusive
   T1016           No Change       Case management                Case management, each 15 minutes
   T1017           No Change       Targeted case management       Targeted case management, each 15 minutes
   T1018           No Change       School-based iep ser bundled   School-based individualized education program (iep) services, bundled
   T1019           No Change       Personal care ser per 15 min   Personal care services, per 15 minutes, not for an inpatient or reside
   T1020           No Change       Personal care ser per diem     Personal care services, per diem, not for an inpatient or resident of
   T1021           No Change       Hh aide or cn aide per visit   Home health aide or certified nurse assistant, per visit
   T1022           No Change       Contracted services per day    Contracted home health agency services, all services provided under co
   T1023           No Change       Program intake assessment      Screening to determine the appropriateness of consideration of an indi
   T1024           No Change       Team evaluation & management   Evaluation and treatment by an integrated, specialty team contracted t
   T1025           No Change       Ped compr care pkg, per diem   Intensive, extended multidisciplinary services provided in a clinic se
   T1026           No Change       Ped compr care pkg, per hour   Intensive, extended multidisciplinary services provided in a clinic se
   T1027           No Change       Family training & counseling   Family training and counseling for child development, per 15 minutes
   T1028           No Change       Home environment assessment    Assessment of home, physical and family environment, to determine suit
   T1029           No Change       Dwelling lead investigation    Comprehensive environmental lead investigation, not including laborato
   T1030           No Change       Rn home care per diem          Nursing care, in the home, by registered nurse, per diem
   T1031           No Change       Lpn home care per diem         Nursing care, in the home, by licensed practical nurse, per diem
   T1040           No Change       Comm bh clinic svc per diem    Medicaid certified community behavioral health clinic services, per di
   T1041           No Change       Comm bh clinic svc per month   Medicaid certified community behavioral health clinic services, per mo
   T1502           No Change       Medication admin visit         Administration of oral, intramuscular and/or subcutaneous medication b
   T1503           No Change       Med admin, not oral/inject     Administration of medication, other than oral and/or injectable, by a
   T1505           No Change       Elec med comp dev, noc         Electronic medication compliance management device, includes all compo
   T1999           No Change       Noc retail items andsupplies   Miscellaneous therapeutic items and supplies, retail purchases, not ot
   T2001           No Change       N-et; patient attend/escort    Non-emergency transportation; patient attendant/escort
   T2002           No Change       N-et; per diem                 Non-emergency transportation; per diem
   T2003           No Change       N-et; encounter/trip           Non-emergency transportation; encounter/trip
   T2004           No Change       N-et; commerc carrier pass     Non-emergency transport; commercial carrier, multi-pass
   T2005           No Change       N-et; stretcher van            Non-emergency transportation; stretcher van
   T2007           No Change       Non-emer transport wait time   Transportation waiting time, air ambulance and non-emergency vehicle,
   T2010           No Change       Pasrr level i                  Preadmission screening and resident review (pasrr) level i identificat
   T2011           No Change       Pasrr level ii                 Preadmission screening and resident review (pasrr) level ii evaluation
   T2012           No Change       Habil ed waiver, per diem      Habilitation, educational; waiver, per diem
   T2013           No Change       Habil ed waiver per hour       Habilitation, educational, waiver; per hour
   T2014           No Change       Habil prevoc waiver, per d     Habilitation, prevocational, waiver; per diem
   T2015           No Change       Habil prevoc waiver per hr     Habilitation, prevocational, waiver; per hour
   T2016           No Change       Habil res waiver per diem      Habilitation, residential, waiver; per diem
   T2017           No Change       Habil res waiver 15 min        Habilitation, residential, waiver; 15 minutes
   T2018           No Change       Habil sup empl waiver/diem     Habilitation, supported employment, waiver; per diem
   T2019           No Change       Habil sup empl waiver 15min    Habilitation, supported employment, waiver; per 15 minutes
   T2020           No Change       Day habil waiver per diem      Day habilitation, waiver; per diem
   T2021           No Change       Day habil waiver per 15 min    Day habilitation, waiver; per 15 minutes
   T2022           No Change       Case management, per month     Case management, per month
   T2023           No Change       Targeted case mgmt per month   Targeted case management; per month
   T2024           No Change       Serv asmnt/care plan waiver    Service assessment/plan of care development, waiver
   T2025           No Change       Waiver service, nos            Waiver services; not otherwise specified (nos)
   T2026           No Change       Special childcare waiver/d     Specialized childcare, waiver; per diem
   T2027           No Change       Spec childcare waiver 15 min   Specialized childcare, waiver; per 15 minutes
   T2028           No Change       Special supply, nos waiver     Specialized supply, not otherwise specified, waiver
   T2029           No Change       Special med equip, noswaiver   Specialized medical equipment, not otherwise specified, waiver
   T2030           No Change       Assist living waiver/month     Assisted living, waiver; per month
   T2031           No Change       Assist living waiver/diem      Assisted living; waiver, per diem
   T2032           No Change       Res care, nos waiver/month     Residential care, not otherwise specified (nos), waiver; per month
   T2033           No Change       Res, nos waiver per diem       Residential care, not otherwise specified (nos), waiver; per diem
   T2034           No Change       Crisis interven waiver/diem    Crisis intervention, waiver; per diem
   T2035           No Change       Utility services waiver        Utility services to support medical equipment and assistive technology
   T2036           No Change       Camp overnite waiver/session   Therapeutic camping, overnight, waiver; each session
   T2037           No Change       Camp day waiver/session        Therapeutic camping, day, waiver; each session
   T2038           No Change       Comm trans waiver/service      Community transition, waiver; per service
   T2039           No Change       Vehicle mod waiver/service     Vehicle modifications, waiver; per service
   T2040           No Change       Financial mgt waiver/15min     Financial management, self-directed, waiver; per 15 minutes
   T2041           No Change       Support broker waiver/15 min   Supports brokerage, self-directed, waiver; per 15 minutes
   T2042           No Change       Hospice routine home care      Hospice routine home care; per diem
   T2043           No Change       Hospice continuous home care   Hospice continuous home care; per hour
   T2044           No Change       Hospice respite care           Hospice inpatient respite care; per diem
   T2045           No Change       Hospice general care           Hospice general inpatient care; per diem
   T2046           No Change       Hospice long term care, r&b    Hospice long term care, room and board only; per diem
   T2048           No Change       Bh ltc res r&b, per diem       Behavioral health; long-term care residential (non-acute care in a res
   T2049           No Change       N-et; stretcher van, mileage   Non-emergency transportation; stretcher van, mileage; per mile
   T2101           No Change       Breast milk proc/store/dist    Human breast milk processing, storage and distribution only
   T4521           No Change       Adult size brief/diaper sm     Adult sized disposable incontinence product, brief/diaper, small, each
   T4522           No Change       Adult size brief/diaper med    Adult sized disposable incontinence product, brief/diaper, medium, eac
   T4523           No Change       Adult size brief/diaper lg     Adult sized disposable incontinence product, brief/diaper, large, each
   T4524           No Change       Adult size brief/diaper xl     Adult sized disposable incontinence product, brief/diaper, extra large
   T4525           No Change       Adult size pull-on sm          Adult sized disposable incontinence product, protective underwear/pull
   T4526           No Change       Adult size pull-on med         Adult sized disposable incontinence product, protective underwear/pull
   T4527           No Change       Adult size pull-on lg          Adult sized disposable incontinence product, protective underwear/pull
   T4528           No Change       Adult size pull-on xl          Adult sized disposable incontinence product, protective underwear/pull
   T4529           No Change       Ped size brief/diaper sm/med   Pediatric sized disposable incontinence product, brief/diaper, small/m
   T4530           No Change       Ped size brief/diaper lg       Pediatric sized disposable incontinence product, brief/diaper, large s
   T4531           No Change       Ped size pull-on sm/med        Pediatric sized disposable incontinence product, protective underwear/
   T4532           No Change       Ped size pull-on lg            Pediatric sized disposable incontinence product, protective underwear/
   T4533           No Change       Youth size brief/diaper        Youth sized disposable incontinence product, brief/diaper, each
   T4534           No Change       Youth size pull-on             Youth sized disposable incontinence product, protective underwear/pull
   T4535           No Change       Disposable liner/shield/pad    Disposable liner/shield/guard/pad/undergarment, for incontinence, each
   T4536           No Change       Reusable pull-on any size      Incontinence product, protective underwear/pull-on, reusable, any size
   T4537           No Change       Reusable underpad bed size     Incontinence product, protective underpad, reusable, bed size, each
   T4538           No Change       Diaper serv reusable diaper    Diaper service, reusable diaper, each diaper
   T4539           No Change       Reuse diaper/brief any size    Incontinence product, diaper/brief, reusable, any size, each
   T4540           No Change       Reusable underpad chair size   Incontinence product, protective underpad, reusable, chair size, each
   T4541           No Change       Large disposable underpad      Incontinence product, disposable underpad, large, each
   T4542           No Change       Small disposable underpad      Incontinence product, disposable underpad, small size, each
   T4543           No Change       Adult disp brief/diap abv xl   Adult sized disposable incontinence product, protective brief/diaper,
   T4544           No Change       Adlt disp und/pull on abv xl   Adult sized disposable incontinence product, protective underwear/pull
   T4545           No Change       Incon disposable penile wrap   Incontinence product, disposable, penile wrap, each
   T5001           No Change       Position seat spec orth need   Positioning seat for persons with special orthopedic needs
   T5999           No Change       Supply, nos                    Supply, not otherwise specified
   V2020           No Change       Vision svcs frames purchases   Frames, purchases
   V2025           No Change       Eyeglasses delux frames        Deluxe frame
   V2100           No Change       Lens spher single plano 4.00   Sphere, single vision, plano to plus or minus 4.00, per lens
   V2101           No Change       Single visn sphere 4.12-7.00   Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per
   V2102           No Change       Singl visn sphere 7.12-20.00   Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per
   V2103           No Change       Spherocylindr 4.00d/12-2.00d   Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .1
   V2104           No Change       Spherocylindr 4.00d/2.12-4d    Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.
   V2105           No Change       Spherocylinder 4.00d/4.25-6d   Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.
   V2106           No Change       Spherocylinder 4.00d/>6.00d    Spherocylinder, single vision, plano to plus or minus 4.00d sphere, ov
   V2107           No Change       Spherocylinder 4.25d/12-2d     Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.0
   V2108           No Change       Spherocylinder 4.25d/2.12-4d   Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.
   V2109           No Change       Spherocylinder 4.25d/4.25-6d   Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.0
   V2110           No Change       Spherocylinder 4.25d/over 6d   Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, ove
   V2111           No Change       Spherocylindr 7.25d/.25-2.25   Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.
   V2112           No Change       Spherocylindr 7.25d/2.25-4d    Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.
   V2113           No Change       Spherocylindr 7.25d/4.25-6d    Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.
   V2114           No Change       Spherocylinder over 12.00d     Spherocylinder, single vision, sphere over plus or minus 12.00d, per l
   V2115           No Change       Lens lenticular bifocal        Lenticular, (myodisc), per lens, single vision
   V2118           No Change       Lens aniseikonic single        Aniseikonic lens, single vision
   V2121           No Change       Lenticular lens, single        Lenticular lens, per lens, single
   V2199           No Change       Lens single vision not oth c   Not otherwise classified, single vision lens
   V2200           No Change       Lens spher bifoc plano 4.00d   Sphere, bifocal, plano to plus or minus 4.00d, per lens
   V2201           No Change       Lens sphere bifocal 4.12-7.0   Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
   V2202           No Change       Lens sphere bifocal 7.12-20.   Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens
   V2203           No Change       Lens sphcyl bifocal 4.00d/.1   Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2
   V2204           No Change       Lens sphcy bifocal 4.00d/2.1   Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to
   V2205           No Change       Lens sphcy bifocal 4.00d/4.2   Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to
   V2206           No Change       Lens sphcy bifocal 4.00d/ove   Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.0
   V2207           No Change       Lens sphcy bifocal 4.25-7d/.   Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sph
   V2208           No Change       Lens sphcy bifocal 4.25-7/2.   Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sph
   V2209           No Change       Lens sphcy bifocal 4.25-7/4.   Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sph
   V2210           No Change       Lens sphcy bifocal 4.25-7/ov   Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sph
   V2211           No Change       Lens sphcy bifo 7.25-12/.25-   Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sp
   V2212           No Change       Lens sphcyl bifo 7.25-12/2.2   Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sp
   V2213           No Change       Lens sphcyl bifo 7.25-12/4.2   Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sp
   V2214           No Change       Lens sphcyl bifocal over 12.   Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens
   V2215           No Change       Lens lenticular bifocal        Lenticular (myodisc), per lens, bifocal
   V2218           No Change       Lens aniseikonic bifocal       Aniseikonic, per lens, bifocal
   V2219           No Change       Lens bifocal seg width over    Bifocal seg width over 28 mm
   V2220           No Change       Lens bifocal add over 3.25d    Bifocal add over 3.25d
   V2221           No Change       Lenticular lens, bifocal       Lenticular lens, per lens, bifocal
   V2299           No Change       Lens bifocal speciality        Specialty bifocal (by report)
   V2300           No Change       Lens sphere trifocal 4.00d     Sphere, trifocal, plano to plus or minus 4.00d, per lens
   V2301           No Change       Lens sphere trifocal 4.12-7.   Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
   V2302           No Change       Lens sphere trifocal 7.12-20   Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens
   V2303           No Change       Lens sphcy trifocal 4.0/.12-   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.0
   V2304           No Change       Lens sphcy trifocal 4.0/2.25   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.
   V2305           No Change       Lens sphcy trifocal 4.0/4.25   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to
   V2306           No Change       Lens sphcyl trifocal 4.00/>6   Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.
   V2307           No Change       Lens sphcy trifocal 4.25-7/.   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sp
   V2308           No Change       Lens sphc trifocal 4.25-7/2.   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sp
   V2309           No Change       Lens sphc trifocal 4.25-7/4.   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sp
   V2310           No Change       Lens sphc trifocal 4.25-7/>6   Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sp
   V2311           No Change       Lens sphc trifo 7.25-12/.25-   Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d s
   V2312           No Change       Lens sphc trifo 7.25-12/2.25   Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d s
   V2313           No Change       Lens sphc trifo 7.25-12/4.25   Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d s
   V2314           No Change       Lens sphcyl trifocal over 12   Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens
   V2315           No Change       Lens lenticular trifocal       Lenticular, (myodisc), per lens, trifocal
   V2318           No Change       Lens aniseikonic trifocal      Aniseikonic lens, trifocal
   V2319           No Change       Lens trifocal seg width > 28   Trifocal seg width over 28 mm
   V2320           No Change       Lens trifocal add over 3.25d   Trifocal add over 3.25d
   V2321           No Change       Lenticular lens, trifocal      Lenticular lens, per lens, trifocal
   V2399           No Change       Lens trifocal speciality       Specialty trifocal (by report)
   V2410           No Change       Lens variab asphericity sing   Variable asphericity lens, single vision, full field, glass or plastic
   V2430           No Change       Lens variable asphericity bi   Variable asphericity lens, bifocal, full field, glass or plastic, per
   V2499           No Change       Variable asphericity lens      Variable sphericity lens, other type
   V2500           No Change       Contact lens pmma spherical    Contact lens, pmma, spherical, per lens
   V2501           No Change       Cntct lens pmma-toric/prism    Contact lens, pmma, toric or prism ballast, per lens
   V2502           No Change       Contact lens pmma bifocal      Contact lens, pmma, bifocal, per lens
   V2503           No Change       Cntct lens pmma color vision   Contact lens, pmma, color vision deficiency, per lens
   V2510           No Change       Cntct gas permeable sphericl   Contact lens, gas permeable, spherical, per lens
   V2511           No Change       Cntct toric prism ballast      Contact lens, gas permeable, toric, prism ballast, per lens
   V2512           No Change       Cntct lens gas permbl bifocl   Contact lens, gas permeable, bifocal, per lens
   V2513           No Change       Contact lens extended wear     Contact lens, gas permeable, extended wear, per lens
   V2520           No Change       Contact lens hydrophilic       Contact lens, hydrophilic, spherical, per lens
   V2521           No Change       Cntct lens hydrophilic toric   Contact lens, hydrophilic, toric, or prism ballast, per lens
   V2522           No Change       Cntct lens hydrophil bifocl    Contact lens, hydrophilic, bifocal, per lens
   V2523           No Change       Cntct lens hydrophil extend    Contact lens, hydrophilic, extended wear, per lens
   V2530           No Change       Contact lens gas impermeable   Contact lens, scleral, gas impermeable, per lens (for contact lens mod
   V2531           No Change       Contact lens gas permeable     Contact lens, scleral, gas permeable, per lens (for contact lens modif
   V2599           No Change       Contact lens/es other type     Contact lens, other type
   V2600           No Change       Hand held low vision aids      Hand held low vision aids and other nonspectacle mounted aids
   V2610           No Change       Single lens spectacle mount    Single lens spectacle mounted low vision aids
   V2615           No Change       Telescop/othr compound lens    Telescopic and other compound lens system, including distance vision t
   V2623           No Change       Plastic eye prosth custom      Prosthetic eye, plastic, custom
   V2624           No Change       Polishing artifical eye        Polishing/resurfacing of ocular prosthesis
   V2625           No Change       Enlargemnt of eye prosthesis   Enlargement of ocular prosthesis
   V2626           No Change       Reduction of eye prosthesis    Reduction of ocular prosthesis
   V2627           No Change       Scleral cover shell            Scleral cover shell
   V2628           No Change       Fabrication & fitting          Fabrication and fitting of ocular conformer
   V2629           No Change       Prosthetic eye other type      Prosthetic eye, other type
   V2630           No Change       Anter chamber intraocul lens   Anterior chamber intraocular lens
   V2631           No Change       Iris support intraoclr lens    Iris supported intraocular lens
   V2632           No Change       Post chmbr intraocular lens    Posterior chamber intraocular lens
   V2700           No Change       Balance lens                   Balance lens, per lens
   V2702           No Change       Deluxe lens feature            Deluxe lens feature
   V2710           No Change       Glass/plastic slab off prism   Slab off prism, glass or plastic, per lens
   V2715           No Change       Prism lens/es                  Prism, per lens
   V2718           No Change       Fresnell prism press-on lens   Press-on lens, fresnell prism, per lens
   V2730           No Change       Special base curve             Special base curve, glass or plastic, per lens
   V2744           No Change       Tint photochromatic lens/es    Tint, photochromatic, per lens
   V2745           No Change       Tint, any color/solid/grad     Addition to lens; tint, any color, solid, gradient or equal, excludes
   V2750           No Change       Anti-reflective coating        Anti-reflective coating, per lens
   V2755           No Change       Uv lens/es                     U-v lens, per lens
   V2756           No Change       Eye glass case                 Eye glass case
   V2760           No Change       Scratch resistant coating      Scratch resistant coating, per lens
   V2761           No Change       Mirror coating                 Mirror coating, any type, solid, gradient or equal, any lens material,
   V2762           No Change       Polarization, any lens         Polarization, any lens material, per lens
   V2770           No Change       Occluder lens/es               Occluder lens, per lens
   V2780           No Change       Oversize lens/es               Oversize lens, per lens
   V2781           No Change       Progressive lens per lens      Progressive lens, per lens
   V2782           No Change       Lens, 1.54-1.65 p/1.60-1.79g   Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polyc
   V2783           No Change       Lens, >= 1.66 p/>=1.80 g       Lens, index greater than or equal to 1.66 plastic or greater than or e
   V2784           No Change       Lens polycarb or equal         Lens, polycarbonate or equal, any index, per lens
   V2785           No Change       Corneal tissue processing      Processing, preserving and transporting corneal tissue
   V2786           No Change       Occupational multifocal lens   Specialty occupational multifocal lens, per lens
   V2787           No Change       Astigmatism-correct function   Astigmatism correcting function of intraocular lens
   V2788           No Change       Presbyopia-correct function    Presbyopia correcting function of intraocular lens
   V2790           No Change       Amniotic membrane              Amniotic membrane for surgical reconstruction, per procedure
   V2797           No Change       Vis item/svc in other code     Vision supply, accessory and/or service component of another hcpcs vis
   V2799           No Change       Misc vision item or service    Vision item or service, miscellaneous
   V5008           No Change       Hearing screening              Hearing screening
   V5010           No Change       Assessment for hearing aid     Assessment for hearing aid
   V5011           No Change       Hearing aid fitting/checking   Fitting/orientation/checking of hearing aid
   V5014           No Change       Hearing aid repair/modifying   Repair/modification of a hearing aid
   V5020           No Change       Conformity evaluation          Conformity evaluation
   V5030           No Change       Body-worn hearing aid air      Hearing aid, monaural, body worn, air conduction
   V5040           No Change       Body-worn hearing aid bone     Hearing aid, monaural, body worn, bone conduction
   V5050           No Change       Hearing aid monaural in ear    Hearing aid, monaural, in the ear
   V5060           No Change       Behind ear hearing aid         Hearing aid, monaural, behind the ear
   V5070           No Change       Glasses air conduction         Glasses, air conduction
   V5080           No Change       Glasses bone conduction        Glasses, bone conduction
   V5090           No Change       Hearing aid dispensing fee     Dispensing fee, unspecified hearing aid
   V5095           No Change       Implant mid ear hearing pros   Semi-implantable middle ear hearing prosthesis
   V5100           No Change       Body-worn bilat hearing aid    Hearing aid, bilateral, body worn
   V5110           No Change       Hearing aid dispensing fee     Dispensing fee, bilateral
   V5120           No Change       Body-worn binaur hearing aid   Binaural, body
   V5130           No Change       In ear binaural hearing aid    Binaural, in the ear
   V5140           No Change       Behind ear binaur hearing ai   Binaural, behind the ear
   V5150           No Change       Glasses binaural hearing aid   Binaural, glasses
   V5160           No Change       Dispensing fee binaural        Dispensing fee, binaural
   V5170           No Change       Within ear cros hearing aid    Hearing aid, cros, in the ear
   V5171           No Change       Hearing aid monaural ite       Hearing aid, contralateral routing device, monaural, in the ear (ite)
   V5172           No Change       Hearing aid monaural itc       Hearing aid, contralateral routing device, monaural, in the canal (itc
   V5180           No Change       Behind ear cros hearing aid    Hearing aid, cros, behind the ear
   V5181           No Change       Hearing aid monaural bte       Hearing aid, contralateral routing device, monaural, behind the ear (b
   V5190           No Change       Hearing aid monaural glasses   Hearing aid, contralateral routing, monaural, glasses
   V5200           No Change       Disp fee contralateral monau   Dispensing fee, contralateral, monaural
   V5210           No Change       In ear bicros hearing aid      Hearing aid, bicros, in the ear
   V5211           No Change       Hearing aid binaural ite/ite   Hearing aid, contralateral routing system, binaural, ite/ite
   V5212           No Change       Hearing aid binaural ite/itc   Hearing aid, contralateral routing system, binaural, ite/itc
   V5213           No Change       Hearing aid binaural ite/bte   Hearing aid, contralateral routing system, binaural, ite/bte
   V5214           No Change       Hearing aid binaural itc/itc   Hearing aid, contralateral routing system, binaural, itc/itc
   V5215           No Change       Hearing aid binaural itc/bte   Hearing aid, contralateral routing system, binaural, itc/bte
   V5220           No Change       Behind ear bicros hearing ai   Hearing aid, bicros, behind the ear
   V5221           No Change       Hearing aid binaural bte/bte   Hearing aid, contralateral routing system, binaural, bte/bte
   V5230           No Change       Hearing aid binaural glasses   Hearing aid, contralateral routing system, binaural, glasses
   V5240           No Change       Disp fee contralateral binau   Dispensing fee, contralateral routing system, binaural
   V5241           No Change       Dispensing fee, monaural       Dispensing fee, monaural hearing aid, any type
   V5242           No Change       Hearing aid, monaural, cic     Hearing aid, analog, monaural, cic (completely in the ear canal)
   V5243           No Change       Hearing aid, monaural, itc     Hearing aid, analog, monaural, itc (in the canal)
   V5244           No Change       Hearing aid, prog, mon, cic    Hearing aid, digitally programmable analog, monaural, cic
   V5245           No Change       Hearing aid, prog, mon, itc    Hearing aid, digitally programmable, analog, monaural, itc
   V5246           No Change       Hearing aid, prog, mon, ite    Hearing aid, digitally programmable analog, monaural, ite (in the ear)
   V5247           No Change       Hearing aid, prog, mon, bte    Hearing aid, digitally programmable analog, monaural, bte (behind the
   V5248           No Change       Hearing aid, binaural, cic     Hearing aid, analog, binaural, cic
   V5249           No Change       Hearing aid, binaural, itc     Hearing aid, analog, binaural, itc
   V5250           No Change       Hearing aid, prog, bin, cic    Hearing aid, digitally programmable analog, binaural, cic
   V5251           No Change       Hearing aid, prog, bin, itc    Hearing aid, digitally programmable analog, binaural, itc
   V5252           No Change       Hearing aid, prog, bin, ite    Hearing aid, digitally programmable, binaural, ite
   V5253           No Change       Hearing aid, prog, bin, bte    Hearing aid, digitally programmable, binaural, bte
   V5254           No Change       Hearing id, digit, mon, cic    Hearing aid, digital, monaural, cic
   V5255           No Change       Hearing aid, digit, mon, itc   Hearing aid, digital, monaural, itc
   V5256           No Change       Hearing aid, digit, mon, ite   Hearing aid, digital, monaural, ite
   V5257           No Change       Hearing aid, digit, mon, bte   Hearing aid, digital, monaural, bte
   V5258           No Change       Hearing aid, digit, bin, cic   Hearing aid, digital, binaural, cic
   V5259           No Change       Hearing aid, digit, bin, itc   Hearing aid, digital, binaural, itc
   V5260           No Change       Hearing aid, digit, bin, ite   Hearing aid, digital, binaural, ite
   V5261           No Change       Hearing aid, digit, bin, bte   Hearing aid, digital, binaural, bte
   V5262           No Change       Hearing aid, disp, monaural    Hearing aid, disposable, any type, monaural
   V5263           No Change       Hearing aid, disp, binaural    Hearing aid, disposable, any type, binaural
   V5264           No Change       Ear mold/insert                Ear mold/insert, not disposable, any type
   V5265           No Change       Ear mold/insert, disp          Ear mold/insert, disposable, any type
   V5266           No Change       Battery for hearing device     Battery for use in hearing device
   V5267           No Change       Hearing aid sup/access/dev     Hearing aid or assistive listening device/supplies/accessories, not ot
   V5268           No Change       Ald telephone amplifier        Assistive listening device, telephone amplifier, any type
   V5269           No Change       Alerting device, any type      Assistive listening device, alerting, any type
   V5270           No Change       Ald, tv amplifier, any type    Assistive listening device, television amplifier, any type
   V5271           No Change       Ald, tv caption decoder        Assistive listening device, television caption decoder
   V5272           No Change       Tdd                            Assistive listening device, tdd
   V5273           No Change       Ald for cochlear implant       Assistive listening device, for use with cochlear implant
   V5274           No Change       Ald unspecified                Assistive listening device, not otherwise specified
   V5275           No Change       Ear impression                 Ear impression, each
   V5281           No Change       Ald fm/dm system, monaural     Assistive listening device, personal fm/dm system, monaural, (1 receiv
   V5282           No Change       Ald fm/dm system binaural      Assistive listening device, personal fm/dm system, binaural, (2 receiv
   V5283           No Change       Ald neck, loop ind receiver    Assistive listening device, personal fm/dm neck, loop induction receiv
   V5284           No Change       Ald fm/dm ear level receiver   Assistive listening device, personal fm/dm, ear level receiver
   V5285           No Change       Ald fm/dm aud input receiver   Assistive listening device, personal fm/dm, direct audio input receive
   V5286           No Change       Ald blu tooth fm/dm receiver   Assistive listening device, personal blue tooth fm/dm receiver
   V5287           No Change       Ald fm/dm receiver, nos        Assistive listening device, personal fm/dm receiver, not otherwise spe
   V5288           No Change       Ald fm/dm transmitter ald      Assistive listening device, personal fm/dm transmitter assistive liste
   V5289           No Change       Ald fm/dm adapt/boot couplin   Assistive listening device, personal fm/dm adapter/boot coupling devic
   V5290           No Change       Ald transmitter microphone     Assistive listening device, transmitter microphone, any type
   V5298           No Change       Hearing aid noc                Hearing aid, not otherwise classified
   V5299           No Change       Hearing service                Hearing service, miscellaneous
   V5336           No Change       Repair communication device    Repair/modification of augmentative communicative system or device (ex
   V5362           No Change       Speech screening               Speech screening
   V5363           No Change       Language screening             Language screening
   V5364           No Change       Dysphagia screening            Dysphagia screening
