HCPCS	HCPCS Descriptor	Proposed 2014 SI	Packaging Policy
0058T	Cryopreservation ovary tiss	Q1	Ancilllary Services
0059T	Cryopreservation oocyte	Q1	Ancilllary Services
0106T	Touch quant sensory test	Q1	Ancilllary Services
0107T	Vibrate quant sensory test	Q1	Ancilllary Services
0108T	Cool quant sensory test	Q1	Ancilllary Services
0109T	Heat quant sensory test	Q1	Ancilllary Services
0110T	Nos quant sensory test	Q1	Ancilllary Services
0179T	64 lead ecg w/tracing	Q1	Ancilllary Services
0208T	Audiometry air only	Q1	Ancilllary Services
0209T	Audiometry air & bone	Q1	Ancilllary Services
0210T	Speech audiometry threshold	Q1	Ancilllary Services
0211T	Speech audiom thresh & recog	Q1	Ancilllary Services
0212T	Compre audiometry evaluation	Q1	Ancilllary Services
0226T	Anoscopy hra w/spec collect	Q1	Ancilllary Services
0232T	Njx platelet plasma	Q1	Ancilllary Services
0240T	Esoph motility 3d topography	Q1	Ancilllary Services
0244T	Cont msr bronchodil wheeze	Q1	Ancilllary Services
0299T	Esw wound healing init wound	Q1	Ancilllary Services
11980	Implant hormone pellet(s)	Q1	Ancilllary Services
11981	Insert drug implant device	Q1	Ancilllary Services
11982	Remove drug implant device	Q1	Ancilllary Services
11983	Remove/insert drug implant	Q1	Ancilllary Services
15852	Dressing change not for burn	Q1	Ancilllary Services
15860	Test for blood flow in graft	Q1	Ancilllary Services
20979	Us bone stimulation	Q1	Ancilllary Services
30300	Remove nasal foreign body	Q1	Ancilllary Services
32553	Ins mark thor for rt perq	Q1	Ancilllary Services
36420	Vein access cutdown < 1 yr	Q1	Ancilllary Services
36425	Vein access cutdown > 1 yr	Q1	Ancilllary Services
37799	Vascular surgery procedure	Q1	Ancilllary Services
40804	Removal foreign body mouth	Q1	Ancilllary Services
42809	Remove pharynx foreign body	Q1	Ancilllary Services
43753	Tx gastro intub w/asp	Q1	Ancilllary Services
43754	Dx gastr intub w/asp spec	Q1	Ancilllary Services
43756	Dx duod intub w/asp spec	Q1	Ancilllary Services
43757	Dx duod intub w/asp specs	Q1	Ancilllary Services
46600	Diagnostic anoscopy	Q1	Ancilllary Services
49411	Ins mark abd/pel for rt perq	Q1	Ancilllary Services
51701	Insert bladder catheter	Q1	Ancilllary Services
51702	Insert temp bladder cath	Q1	Ancilllary Services
51736	Urine flow measurement	Q1	Ancilllary Services
51798	Us urine capacity measure	Q1	Ancilllary Services
55876	Place rt device/marker pros	Q1	Ancilllary Services
69200	Clear outer ear canal	Q1	Ancilllary Services
69210	Remove impacted ear wax	Q1	Ancilllary Services
70030	X-ray eye for foreign body	Q1	Ancilllary Services
70100	X-ray exam of jaw <4views	Q1	Ancilllary Services
70110	X-ray exam of jaw 4/> views	Q1	Ancilllary Services
70120	X-ray exam of mastoids	Q1	Ancilllary Services
70130	X-ray exam of mastoids	Q1	Ancilllary Services
70134	X-ray exam of middle ear	Q1	Ancilllary Services
70140	X-ray exam of facial bones	Q1	Ancilllary Services
70150	X-ray exam of facial bones	Q1	Ancilllary Services
70160	X-ray exam of nasal bones	Q1	Ancilllary Services
70190	X-ray exam of eye sockets	Q1	Ancilllary Services
70200	X-ray exam of eye sockets	Q1	Ancilllary Services
70210	X-ray exam of sinuses	Q1	Ancilllary Services
70220	X-ray exam of sinuses	Q1	Ancilllary Services
70240	X-ray exam pituitary saddle	Q1	Ancilllary Services
70250	X-ray exam of skull	Q1	Ancilllary Services
70260	X-ray exam of skull	Q1	Ancilllary Services
70300	X-ray exam of teeth	Q1	Ancilllary Services
70310	X-ray exam of teeth	Q1	Ancilllary Services
70320	Full mouth x-ray of teeth	Q1	Ancilllary Services
70328	X-ray exam of jaw joint	Q1	Ancilllary Services
70330	X-ray exam of jaw joints	Q1	Ancilllary Services
70350	X-ray head for orthodontia	Q1	Ancilllary Services
70355	Panoramic x-ray of jaws	Q1	Ancilllary Services
70360	X-ray exam of neck	Q1	Ancilllary Services
70370	Throat x-ray & fluoroscopy	Q1	Ancilllary Services
70371	Speech evaluation complex	Q1	Ancilllary Services
70380	X-ray exam of salivary gland	Q1	Ancilllary Services
71021	Chest x-ray frnt lat lordotc	Q1	Ancilllary Services
71022	Chest x-ray frnt lat oblique	Q1	Ancilllary Services
71023	Chest x-ray and fluoroscopy	Q1	Ancilllary Services
71030	Chest x-ray 4/> views	Q1	Ancilllary Services
71034	Chest x-ray&fluoro 4/> views	Q1	Ancilllary Services
71035	Chest x-ray special views	Q1	Ancilllary Services
71100	X-ray exam ribs uni 2 views	Q1	Ancilllary Services
71101	X-ray exam unilat ribs/chest	Q1	Ancilllary Services
71110	X-ray exam ribs bil 3 views	Q1	Ancilllary Services
71111	X-ray exam ribs/chest4/> vws	Q1	Ancilllary Services
71120	X-ray exam breastbone 2/>vws	Q1	Ancilllary Services
71130	X-ray strenoclavic jt 3/>vws	Q1	Ancilllary Services
72010	X-ray exam spine ap&lat	Q1	Ancilllary Services
72020	X-ray exam of spine 1 view	Q1	Ancilllary Services
72040	X-ray exam neck spine 3/<vws	Q1	Ancilllary Services
72050	X-ray exam neck spine 4/5vws	Q1	Ancilllary Services
72052	X-ray exam neck spine 6/>vws	Q1	Ancilllary Services
72069	X-ray exam trunk spine stand	Q1	Ancilllary Services
72070	X-ray exam thorac spine 2vws	Q1	Ancilllary Services
72072	X-ray exam thorac spine 3vws	Q1	Ancilllary Services
72074	X-ray exam thorac spine4/>vw	Q1	Ancilllary Services
72080	X-ray exam trunk spine 2 vws	Q1	Ancilllary Services
72090	X-ray exam scloiosis erect	Q1	Ancilllary Services
72100	X-ray exam l-s spine 2/3 vws	Q1	Ancilllary Services
72110	X-ray exam l-2 spine 4/>vws	Q1	Ancilllary Services
72114	X-ray exam l-s spine bending	Q1	Ancilllary Services
72120	X-ray bend only l-s spine	Q1	Ancilllary Services
72170	X-ray exam of pelvis	Q1	Ancilllary Services
72190	X-ray exam of pelvis	Q1	Ancilllary Services
72200	X-ray exam si joints	Q1	Ancilllary Services
72202	X-ray exam si joints 3/> vws	Q1	Ancilllary Services
72220	X-ray exam sacrum tailbone	Q1	Ancilllary Services
73000	X-ray exam of collar bone	Q1	Ancilllary Services
73010	X-ray exam of shoulder blade	Q1	Ancilllary Services
73020	X-ray exam of shoulder	Q1	Ancilllary Services
73030	X-ray exam of shoulder	Q1	Ancilllary Services
73050	X-ray exam of shoulders	Q1	Ancilllary Services
73060	X-ray exam of humerus	Q1	Ancilllary Services
73070	X-ray exam of elbow	Q1	Ancilllary Services
73080	X-ray exam of elbow	Q1	Ancilllary Services
73090	X-ray exam of forearm	Q1	Ancilllary Services
73092	X-ray exam of arm infant	Q1	Ancilllary Services
73100	X-ray exam of wrist	Q1	Ancilllary Services
73110	X-ray exam of wrist	Q1	Ancilllary Services
73120	X-ray exam of hand	Q1	Ancilllary Services
73130	X-ray exam of hand	Q1	Ancilllary Services
73140	X-ray exam of finger(s)	Q1	Ancilllary Services
73500	X-ray exam of hip	Q1	Ancilllary Services
73510	X-ray exam of hip	Q1	Ancilllary Services
73520	X-ray exam of hips	Q1	Ancilllary Services
73540	X-ray exam of pelvis & hips	Q1	Ancilllary Services
73550	X-ray exam of thigh	Q1	Ancilllary Services
73560	X-ray exam of knee 1 or 2	Q1	Ancilllary Services
73562	X-ray exam of knee 3	Q1	Ancilllary Services
73564	X-ray exam knee 4 or more	Q1	Ancilllary Services
73565	X-ray exam of knees	Q1	Ancilllary Services
73590	X-ray exam of lower leg	Q1	Ancilllary Services
73592	X-ray exam of leg infant	Q1	Ancilllary Services
73600	X-ray exam of ankle	Q1	Ancilllary Services
73610	X-ray exam of ankle	Q1	Ancilllary Services
73620	X-ray exam of foot	Q1	Ancilllary Services
73630	X-ray exam of foot	Q1	Ancilllary Services
73650	X-ray exam of heel	Q1	Ancilllary Services
73660	X-ray exam of toe(s)	Q1	Ancilllary Services
74000	X-ray exam of abdomen	Q1	Ancilllary Services
74010	X-ray exam of abdomen	Q1	Ancilllary Services
74020	X-ray exam of abdomen	Q1	Ancilllary Services
74022	X-ray exam series abdomen	Q1	Ancilllary Services
74710	X-ray measurement of pelvis	Q1	Ancilllary Services
75571	Ct hrt w/o dye w/ca test	Q1	Ancilllary Services
76010	X-ray nose to rectum	Q1	Ancilllary Services
76100	X-ray exam of body section	Q1	Ancilllary Services
76101	Complex body section x-ray	Q1	Ancilllary Services
76102	Complex body section x-rays	Q1	Ancilllary Services
76120	Cine/video x-rays	Q1	Ancilllary Services
76496	Fluoroscopic procedure	Q1	Ancilllary Services
76499	Radiographic procedure	Q1	Ancilllary Services
76514	Echo exam of eye thickness	Q1	Ancilllary Services
77071	X-ray stress view	Q1	Ancilllary Services
77072	X-rays for bone age	Q1	Ancilllary Services
77073	X-rays bone length studies	Q1	Ancilllary Services
77074	X-rays bone survey limited	Q1	Ancilllary Services
77075	X-rays bone survey complete	Q1	Ancilllary Services
77076	X-rays bone survey infant	Q1	Ancilllary Services
77077	Joint survey single view	Q1	Ancilllary Services
77082	Dxa bone density vert fx	Q1	Ancilllary Services
77280	Set radiation therapy field	Q1	Ancilllary Services
77285	Set radiation therapy field	Q1	Ancilllary Services
77290	Set radiation therapy field	Q1	Ancilllary Services
77295	Set radiation therapy field	Q1	Ancilllary Services
77299	Radiation therapy planning	Q1	Ancilllary Services
77300	Radiation therapy dose plan	Q1	Ancilllary Services
77301	Radiotherapy dose plan imrt	Q1	Ancilllary Services
77305	Teletx isodose plan simple	Q1	Ancilllary Services
77310	Teletx isodose plan intermed	Q1	Ancilllary Services
77315	Teletx isodose plan complex	Q1	Ancilllary Services
77321	Special teletx port plan	Q1	Ancilllary Services
77326	Brachytx isodose calc simp	Q1	Ancilllary Services
77327	Brachytx isodose calc interm	Q1	Ancilllary Services
77328	Brachytx isodose plan compl	Q1	Ancilllary Services
77331	Special radiation dosimetry	Q1	Ancilllary Services
77332	Radiation treatment aid(s)	Q1	Ancilllary Services
77333	Radiation treatment aid(s)	Q1	Ancilllary Services
77334	Radiation treatment aid(s)	Q1	Ancilllary Services
77336	Radiation physics consult	Q1	Ancilllary Services
77338	Design mlc device for imrt	Q1	Ancilllary Services
77370	Radiation physics consult	Q1	Ancilllary Services
77399	External radiation dosimetry	Q1	Ancilllary Services
80500	Lab pathology consultation	Q1	Ancilllary Services
80502	Lab pathology consultation	Q1	Ancilllary Services
85097	Bone marrow interpretation	Q1	Ancilllary Services
86077	Phys blood bank serv xmatch	Q1	Ancilllary Services
86078	Phys blood bank serv reactj	Q1	Ancilllary Services
86079	Phys blood bank serv authrj	Q1	Ancilllary Services
86485	Skin test candida	Q1	Ancilllary Services
86486	Skin test nos antigen	Q1	Ancilllary Services
86490	Coccidioidomycosis skin test	Q1	Ancilllary Services
86510	Histoplasmosis skin test	Q1	Ancilllary Services
86580	TB intradermal test	Q1	Ancilllary Services
86850	RBC antibody screen	Q1	Ancilllary Services
86860	RBC antibody elution	Q1	Ancilllary Services
86870	RBC antibody identification	Q1	Ancilllary Services
86880	Coombs test direct	Q1	Ancilllary Services
86885	Coombs test indirect qual	Q1	Ancilllary Services
86886	Coombs test indirect titer	Q1	Ancilllary Services
86890	Autologous blood process	Q1	Ancilllary Services
86891	Autologous blood op salvage	Q1	Ancilllary Services
86900	Blood typing abo	Q1	Ancilllary Services
86901	Blood typing rh (d)	Q1	Ancilllary Services
86902	Blood type antigen donor ea	Q1	Ancilllary Services
86904	Blood typing patient serum	Q1	Ancilllary Services
86905	Blood typing rbc antigens	Q1	Ancilllary Services
86906	Blood typing rh phenotype	Q1	Ancilllary Services
86920	Compatibility test spin	Q1	Ancilllary Services
86921	Compatibility test incubate	Q1	Ancilllary Services
86922	Compatibility test antiglob	Q1	Ancilllary Services
86923	Compatibility test electric	Q1	Ancilllary Services
86927	Plasma fresh frozen	Q1	Ancilllary Services
86930	Frozen blood prep	Q1	Ancilllary Services
86931	Frozen blood thaw	Q1	Ancilllary Services
86932	Frozen blood freeze/thaw	Q1	Ancilllary Services
86945	Blood product/irradiation	Q1	Ancilllary Services
86950	Leukacyte transfusion	Q1	Ancilllary Services
86960	Vol reduction of blood/prod	Q1	Ancilllary Services
86965	Pooling blood platelets	Q1	Ancilllary Services
86970	Rbc pretx incubatj w/chemicl	Q1	Ancilllary Services
86971	Rbc pretx incubatj w/enzymes	Q1	Ancilllary Services
86972	Rbc pretx incubatj w/density	Q1	Ancilllary Services
86975	Rbc serum pretx incubj drugs	Q1	Ancilllary Services
86976	Rbc serum pretx id dilution	Q1	Ancilllary Services
86977	Rbc serum pretx incubj/inhib	Q1	Ancilllary Services
86978	Rbc pretreatment serum	Q1	Ancilllary Services
86985	Split blood or products	Q1	Ancilllary Services
86999	Transfusion procedure	Q1	Ancilllary Services
88104	Cytopath fl nongyn smears	Q1	Ancilllary Services
88106	Cytopath fl nongyn filter	Q1	Ancilllary Services
88108	Cytopath concentrate tech	Q1	Ancilllary Services
88112	Cytopath cell enhance tech	Q1	Ancilllary Services
88120	Cytp urne 3-5 probes ea spec	Q1	Ancilllary Services
88121	Cytp urine 3-5 probes cmptr	Q1	Ancilllary Services
88125	Forensic cytopathology	Q1	Ancilllary Services
88160	Cytopath smear other source	Q1	Ancilllary Services
88161	Cytopath smear other source	Q1	Ancilllary Services
88162	Cytopath smear other source	Q1	Ancilllary Services
88172	Cytp dx eval fna 1st ea site	Q1	Ancilllary Services
88173	Cytopath eval fna report	Q1	Ancilllary Services
88182	Cell marker study	Q1	Ancilllary Services
88184	Flowcytometry/ tc 1 marker	Q1	Ancilllary Services
88187	Flowcytometry/read 2-8	Q1	Ancilllary Services
88188	Flowcytometry/read 9-15	Q1	Ancilllary Services
88189	Flowcytometry/read 16 & >	Q1	Ancilllary Services
88199	Cytopathology procedure	Q1	Ancilllary Services
88299	Cytogenetic study	Q1	Ancilllary Services
88300	Surgical path gross	Q1	Ancilllary Services
88302	Tissue exam by pathologist	Q1	Ancilllary Services
88304	Tissue exam by pathologist	Q1	Ancilllary Services
88305	Tissue exam by pathologist	Q1	Ancilllary Services
88307	Tissue exam by pathologist	Q1	Ancilllary Services
88309	Tissue exam by pathologist	Q1	Ancilllary Services
88312	Special stains group 1	Q1	Ancilllary Services
88313	Special stains group 2	Q1	Ancilllary Services
88319	Enzyme histochemistry	Q1	Ancilllary Services
88321	Microslide consultation	Q1	Ancilllary Services
88323	Microslide consultation	Q1	Ancilllary Services
88325	Comprehensive review of data	Q1	Ancilllary Services
88329	Path consult introp	Q1	Ancilllary Services
88331	Path consult intraop 1 bloc	Q1	Ancilllary Services
88333	Intraop cyto path consult 1	Q1	Ancilllary Services
88342	Immunohistochemistry	Q1	Ancilllary Services
88346	Immunofluorescent study	Q1	Ancilllary Services
88347	Immunofluorescent study	Q1	Ancilllary Services
88348	Electron microscopy	Q1	Ancilllary Services
88349	Scanning electron microscopy	Q1	Ancilllary Services
88355	Analysis skeletal muscle	Q1	Ancilllary Services
88356	Analysis nerve	Q1	Ancilllary Services
88358	Analysis tumor	Q1	Ancilllary Services
88360	Tumor immunohistochem/manual	Q1	Ancilllary Services
88361	Tumor immunohistochem/comput	Q1	Ancilllary Services
88362	Nerve teasing preparations	Q1	Ancilllary Services
88363	Xm archive tissue molec anal	Q1	Ancilllary Services
88365	Insitu hybridization (fish)	Q1	Ancilllary Services
88367	Insitu hybridization auto	Q1	Ancilllary Services
88368	Insitu hybridization manual	Q1	Ancilllary Services
88399	Surgical pathology procedure	Q1	Ancilllary Services
89049	Chct for mal hyperthermia	Q1	Ancilllary Services
89220	Sputum specimen collection	Q1	Ancilllary Services
89230	Collect sweat for test	Q1	Ancilllary Services
89240	Pathology lab procedure	Q1	Ancilllary Services
89250	Cultr oocyte/embryo <4 days	Q1	Ancilllary Services
89251	Cultr oocyte/embryo <4 days	Q1	Ancilllary Services
89253	Embryo hatching	Q1	Ancilllary Services
89254	Oocyte identification	Q1	Ancilllary Services
89255	Prepare embryo for transfer	Q1	Ancilllary Services
89257	Sperm identification	Q1	Ancilllary Services
89258	Cryopreservation embryo(s)	Q1	Ancilllary Services
89259	Cryopreservation sperm	Q1	Ancilllary Services
89260	Sperm isolation simple	Q1	Ancilllary Services
89261	Sperm isolation complex	Q1	Ancilllary Services
89264	Identify sperm tissue	Q1	Ancilllary Services
89268	Insemination of oocytes	Q1	Ancilllary Services
89272	Extended culture of oocytes	Q1	Ancilllary Services
89280	Assist oocyte fertilization	Q1	Ancilllary Services
89281	Assist oocyte fertilization	Q1	Ancilllary Services
89290	Biopsy oocyte polar body	Q1	Ancilllary Services
89291	Biopsy oocyte polar body	Q1	Ancilllary Services
89335	Cryopreserve testicular tiss	Q1	Ancilllary Services
89342	Storage/year embryo(s)	Q1	Ancilllary Services
89343	Storage/year sperm/semen	Q1	Ancilllary Services
89344	Storage/year reprod tissue	Q1	Ancilllary Services
89346	Storage/year oocyte(s)	Q1	Ancilllary Services
89352	Thawing cryopresrved embryo	Q1	Ancilllary Services
89353	Thawing cryopresrved sperm	Q1	Ancilllary Services
89354	Thaw cryoprsvrd reprod tiss	Q1	Ancilllary Services
89356	Thawing cryopresrved oocyte	Q1	Ancilllary Services
89398	Unlisted reprod med lab proc	Q1	Ancilllary Services
91010	Esophagus motility study	Q1	Ancilllary Services
91020	Gastric motility studies	Q1	Ancilllary Services
91022	Duodenal motility study	Q1	Ancilllary Services
91030	Acid perfusion of esophagus	Q1	Ancilllary Services
91034	Gastroesophageal reflux test	Q1	Ancilllary Services
91035	G-esoph reflx tst w/electrod	Q1	Ancilllary Services
91037	Esoph imped function test	Q1	Ancilllary Services
91038	Esoph imped funct test > 1hr	Q1	Ancilllary Services
91040	Esoph balloon distension tst	Q1	Ancilllary Services
91065	Breath hydrogen test	Q1	Ancilllary Services
91132	Electrogastrography	Q1	Ancilllary Services
91133	Electrogastrography w/test	Q1	Ancilllary Services
91299	Gastroenterology procedure	Q1	Ancilllary Services
92227	Remote dx retinal imaging	Q1	Ancilllary Services
92228	Remote retinal imaging mgmt	Q1	Ancilllary Services
92512	Nasal function studies	Q1	Ancilllary Services
92516	Facial nerve function test	Q1	Ancilllary Services
92520	Laryngeal function studies	Q1	Ancilllary Services
92540	Basic vestibular evaluation	Q1	Ancilllary Services
92541	Spontaneous nystagmus test	Q1	Ancilllary Services
92542	Positional nystagmus test	Q1	Ancilllary Services
92543	Caloric vestibular test	Q1	Ancilllary Services
92544	Optokinetic nystagmus test	Q1	Ancilllary Services
92545	Oscillating tracking test	Q1	Ancilllary Services
92546	Sinusoidal rotational test	Q1	Ancilllary Services
92548	Posturography	Q1	Ancilllary Services
92550	Tympanometry & reflex thresh	Q1	Ancilllary Services
92552	Pure tone audiometry air	Q1	Ancilllary Services
92553	Audiometry air & bone	Q1	Ancilllary Services
92555	Speech threshold audiometry	Q1	Ancilllary Services
92556	Speech audiometry complete	Q1	Ancilllary Services
92557	Comprehensive hearing test	Q1	Ancilllary Services
92561	Bekesy audiometry diagnosis	Q1	Ancilllary Services
92562	Loudness balance test	Q1	Ancilllary Services
92563	Tone decay hearing test	Q1	Ancilllary Services
92564	Sisi hearing test	Q1	Ancilllary Services
92565	Stenger test pure tone	Q1	Ancilllary Services
92567	Tympanometry	Q1	Ancilllary Services
92568	Acoustic refl threshold tst	Q1	Ancilllary Services
92570	Acoustic immitance testing	Q1	Ancilllary Services
92571	Filtered speech hearing test	Q1	Ancilllary Services
92572	Staggered spondaic word test	Q1	Ancilllary Services
92575	Sensorineural acuity test	Q1	Ancilllary Services
92576	Synthetic sentence test	Q1	Ancilllary Services
92577	Stenger test speech	Q1	Ancilllary Services
92579	Visual audiometry (vra)	Q1	Ancilllary Services
92582	Conditioning play audiometry	Q1	Ancilllary Services
92583	Select picture audiometry	Q1	Ancilllary Services
92587	Evoked auditory test limited	Q1	Ancilllary Services
92588	Evoked auditory tst complete	Q1	Ancilllary Services
92596	Ear protector evaluation	Q1	Ancilllary Services
92601	Cochlear implt f/up exam <7	Q1	Ancilllary Services
92602	Reprogram cochlear implt 7/>	Q1	Ancilllary Services
92603	Cochlear implt f/up exam 7/>	Q1	Ancilllary Services
92604	Reprogram cochlear implt 7/>	Q1	Ancilllary Services
92620	Auditory function 60 min	Q1	Ancilllary Services
92625	Tinnitus assessment	Q1	Ancilllary Services
92626	Eval aud rehab status	Q1	Ancilllary Services
92640	Aud brainstem implt programg	Q1	Ancilllary Services
92700	Ent procedure/service	Q1	Ancilllary Services
93017	Cardiovascular stress test	Q1	Ancilllary Services
93024	Cardiac drug stress test	Q1	Ancilllary Services
93025	Microvolt t-wave assess	Q1	Ancilllary Services
93041	Rhythm ecg tracing	Q1	Ancilllary Services
93278	ECG/signal-averaged	Q1	Ancilllary Services
93290	Icm device eval	Q1	Ancilllary Services
93740	Temperature gradient studies	Q1	Ancilllary Services
93998	Noninvas vasc dx study proc	Q1	Ancilllary Services
94010	Breathing capacity test	Q1	Ancilllary Services
94011	Spirometry up to 2 yrs old	Q1	Ancilllary Services
94012	Spirmtry w/brnchdil inf-2 yr	Q1	Ancilllary Services
94013	Meas lung vol thru 2 yrs	Q1	Ancilllary Services
94014	Patient recorded spirometry	Q1	Ancilllary Services
94015	Patient recorded spirometry	Q1	Ancilllary Services
94070	Evaluation of wheezing	Q1	Ancilllary Services
94150	Vital capacity test	Q1	Ancilllary Services
94200	Lung function test (MBC/MVV)	Q1	Ancilllary Services
94250	Expired gas collection	Q1	Ancilllary Services
94375	Respiratory flow volume loop	Q1	Ancilllary Services
94400	CO2 breathing response curve	Q1	Ancilllary Services
94450	Hypoxia response curve	Q1	Ancilllary Services
94452	Hast w/report	Q1	Ancilllary Services
94453	Hast w/oxygen titrate	Q1	Ancilllary Services
94620	Pulmonary stress test/simple	Q1	Ancilllary Services
94621	Pulm stress test/complex	Q1	Ancilllary Services
94644	Cbt 1st hour	Q1	Ancilllary Services
94680	Exhaled air analysis o2	Q1	Ancilllary Services
94681	Exhaled air analysis o2/co2	Q1	Ancilllary Services
94690	Exhaled air analysis	Q1	Ancilllary Services
94726	Pulm funct tst plethysmograp	Q1	Ancilllary Services
94727	Pulm function test by gas	Q1	Ancilllary Services
94728	Pulm funct test oscillometry	Q1	Ancilllary Services
94750	Pulmonary compliance study	Q1	Ancilllary Services
94770	Exhaled carbon dioxide test	Q1	Ancilllary Services
94772	Breath recording infant	Q1	Ancilllary Services
94780	Car seat/bed test 60 min	Q1	Ancilllary Services
94799	Pulmonary service/procedure	Q1	Ancilllary Services
95004	Percut allergy skin tests	Q1	Ancilllary Services
95012	Exhaled nitric oxide meas	Q1	Ancilllary Services
95024	Icut allergy test drug/bug	Q1	Ancilllary Services
95027	Icut allergy titrate-airborn	Q1	Ancilllary Services
95028	Icut allergy test-delayed	Q1	Ancilllary Services
95044	Allergy patch tests	Q1	Ancilllary Services
95052	Photo patch test	Q1	Ancilllary Services
95056	Photosensitivity tests	Q1	Ancilllary Services
95060	Eye allergy tests	Q1	Ancilllary Services
95065	Nose allergy test	Q1	Ancilllary Services
95070	Bronchial allergy tests	Q1	Ancilllary Services
95071	Bronchial allergy tests	Q1	Ancilllary Services
95180	Rapid desensitization	Q1	Ancilllary Services
95199	Allergy immunology services	Q1	Ancilllary Services
99195	Phlebotomy	Q1	Ancilllary Services
C9728	"Place device/marker, non pro"	Q1	Ancilllary Services
G0293	"Non-cov surg proc,clin trial"	Q1	Ancilllary Services
G0294	"Non-cov proc, clinical trial"	Q1	Ancilllary Services
G0364	Bone marrow aspirate &biopsy	Q1	Ancilllary Services
G0416	Sat biopsy 10-20	Q1	Ancilllary Services
Q0035	Cardiokymography	Q1	Ancilllary Services
			
	CPT codes and descriptions only are copyright 2012 American Medical Association.ÿ All Rights Reserved.ÿ Applicable FARS/DFARS Apply. Dental codes (D codes) are copyright 2011/12 American Dental Association.ÿ All Rights Reserved.		
