HCPCS	HCPCS Descriptor	Proposed 2014 SI	Packaging Policy	
0054T	Bone surgery using computer	N	Addon Codes	
0055T	Bone surgery using computer	N	Addon Codes	
0159T	Cad breast mri	N	Addon Codes	
0172T	Lumbar spine process addl	N	Addon Codes	
0174T	Cad cxr with interp	N	Addon Codes	
0190T	Place intraoc radiation src	N	Addon Codes	
01953	Anesth burn each 9 percent	N	Addon Codes	
01968	Anes/analg cs deliver add-on	N	Addon Codes	
01969	Anesth/analg cs hyst add-on	N	Addon Codes	
0205T	Inirs each vessel add-on	N	Addon Codes	
0214T	Njx paravert w/us cer/thor	N	Addon Codes	
0215T	Njx paravert w/us cer/thor	N	Addon Codes	
0217T	Njx paravert w/us lumb/sac	N	Addon Codes	
0218T	Njx paravert w/us lumb/sac	N	Addon Codes	
0222T	Plmt post facet implt addl	N	Addon Codes	
0229T	Njx tfrml eprl w/us cer/thor	N	Addon Codes	
0231T	Njx tfrml eprl w/us lumb/sac	N	Addon Codes	
0241T	Esoph motility w/stim/perf	N	Addon Codes	
0289T	Laser inc for pkp/lkp donor	N	Addon Codes	
0290T	Laser inc for pkp/lkp recip	N	Addon Codes	
0291T	Iv oct for proc init vessel	N	Addon Codes	
0292T	Iv oct for proc addl vessel	N	Addon Codes	
0300T	Esw wound healing addl wound	N	Addon Codes	
11001	Debride infected skin add-on	N	Addon Codes	
11045	Deb subq tissue add-on	N	Addon Codes	
11046	Deb musc/fascia add-on	N	Addon Codes	
11047	Deb bone add-on	N	Addon Codes	
11101	Biopsy skin add-on	N	Addon Codes	
11201	Remove skin tags add-on	N	Addon Codes	
11732	Remove nail plate add-on	N	Addon Codes	
11922	Correct skin color ea 20.0cm	N	Addon Codes	
13102	Cmplx rpr trunk addl 5cm/<	N	Addon Codes	
13122	Cmplx rpr s/a/l addl 5 cm/>	N	Addon Codes	
13133	Cmplx rpr f/c/c/m/n/ax/g/h/f	N	Addon Codes	
13153	Cmplx rpr e/n/e/l addl 5cm/<	N	Addon Codes	
14302	Tis trnfr addl 30 sq cm/<	N	Addon Codes	
15003	Wound prep addl 100 cm	N	Addon Codes	
15005	Wnd prep f/n/hf/g addl cm	N	Addon Codes	
15101	Skin splt grft t/a/l add-on	N	Addon Codes	
15111	Epidrm autogrft t/a/l add-on	N	Addon Codes	
15116	Epidrm a-grft f/n/hf/g addl	N	Addon Codes	
15121	Skn splt a-grft f/n/hf/g add	N	Addon Codes	
15131	Derm autograft t/a/l add-on	N	Addon Codes	
15136	Derm autograft f/n/hf/g add	N	Addon Codes	
15151	Cult skin grft t/a/l addl	N	Addon Codes	
15152	Cult skin graft t/a/l +%	N	Addon Codes	
15156	Cult skin grft f/n/hfg add	N	Addon Codes	
15157	Cult epiderm grft f/n/hfg +%	N	Addon Codes	
15201	Skin full graft trunk add-on	N	Addon Codes	
15221	Skin full graft add-on	N	Addon Codes	
15241	Skin full graft add-on	N	Addon Codes	
15261	Skin full graft add-on	N	Addon Codes	
15272	Skin sub graft t/a/l add-on	N	Addon Codes	
15274	Skn sub grft t/a/l child add	N	Addon Codes	
15276	Skin sub graft f/n/hf/g addl	N	Addon Codes	
15278	Skn sub grft f/n/hf/g ch add	N	Addon Codes	
15777	Acellular derm matrix implt	N	Addon Codes	
15787	Abrasion lesions add-on	N	Addon Codes	
15847	Exc skin abd add-on	N	Addon Codes	
17003	Destruct premalg les 2-14	N	Addon Codes	
17312	Mohs addl stage	N	Addon Codes	
17314	Mohs addl stage t/a/l	N	Addon Codes	
17315	Mohs surg addl block	N	Addon Codes	
19001	Drain breast lesion add-on	N	Addon Codes	
19126	Excision addl breast lesion	N	Addon Codes	
19291	Place needle wire breast	N	Addon Codes	
19295	Place breast clip percut	N	Addon Codes	
19297	Place breast cath for rad	N	Addon Codes	
20930	Sp bone algrft morsel add-on	N	Addon Codes	
20931	Sp bone algrft struct add-on	N	Addon Codes	
20985	Cptr-asst dir ms px	N	Addon Codes	
22103	Remove extra spine segment	N	Addon Codes	
22522	Percut vertebroplasty addl	N	Addon Codes	
22525	Percut kyphoplasty add-on	N	Addon Codes	
22614	Spine fusion extra segment	N	Addon Codes	
22851	Apply spine prosth device	N	Addon Codes	
26125	Release palm contracture	N	Addon Codes	
26861	Fusion of finger jnt add-on	N	Addon Codes	
26863	Fuse/graft added joint	N	Addon Codes	
27358	Remove femur lesion/fixation	N	Addon Codes	
27692	Revise additional leg tendon	N	Addon Codes	
29826	Shoulder arthroscopy/surgery	N	Addon Codes	
31620	Endobronchial us add-on	N	Addon Codes	
31627	Navigational bronchoscopy	N	Addon Codes	
31632	Bronchoscopy/lung bx addl	N	Addon Codes	
31633	Bronchoscopy/needle bx addl	N	Addon Codes	
31637	Bronchoscopy stent add-on	N	Addon Codes	
31651	Bronchial valve addl insert	N	Addon Codes	
33225	L ventric pacing lead add-on	N	Addon Codes	
33508	Endoscopic vein harvest	N	Addon Codes	
35500	Harvest vein for bypass	N	Addon Codes	
35572	Harvest femoropopliteal vein	N	Addon Codes	
35685	Bypass graft patency/patch	N	Addon Codes	
35686	Bypass graft/av fist patency	N	Addon Codes	
36148	Access av dial grft for proc	N	Addon Codes	
36218	Place catheter in artery	N	Addon Codes	
36227	Place cath xtrnl carotid	N	Addon Codes	
36228	Place cath intracranial art	N	Addon Codes	
36248	Ins cath abd/l-ext art addl	N	Addon Codes	
36476	Endovenous rf vein add-on	N	Addon Codes	
36479	Endovenous laser vein addon	N	Addon Codes	
37185	Prim art m-thrombect add-on	N	Addon Codes	
37186	Sec art m-thrombect add-on	N	Addon Codes	
37206	Transcath iv stent/perc addl	N	Addon Codes	
37208	Transcath iv stent/open addl	N	Addon Codes	
37222	Iliac revasc add-on	N	Addon Codes	
37223	Iliac revasc w/stent add-on	N	Addon Codes	
37232	Tib/per revasc add-on	N	Addon Codes	
37233	Tibper revasc w/ather add-on	N	Addon Codes	
37234	Revsc opn/prq tib/pero stent	N	Addon Codes	
37235	Tib/per revasc stnt & ather	N	Addon Codes	
37250	Iv us first vessel add-on	N	Addon Codes	
37251	Iv us each add vessel add-on	N	Addon Codes	
38900	Io map of sent lymph node	N	Addon Codes	
43273	Endoscopic pancreatoscopy	N	Addon Codes	
44213	Lap mobil splenic fl add-on	N	Addon Codes	
44701	Intraop colon lavage add-on	N	Addon Codes	
44955	Appendectomy add-on	N	Addon Codes	
47001	Needle biopsy liver add-on	N	Addon Codes	
49326	Lap w/omentopexy add-on	N	Addon Codes	
49327	Lap ins device for rt	N	Addon Codes	
49435	Insert subq exten to ip cath	N	Addon Codes	
49568	Hernia repair w/mesh	N	Addon Codes	
51797	Intraabdominal pressure test	N	Addon Codes	
56606	Biopsy of vulva/perineum	N	Addon Codes	
57267	Insert mesh/pelvic flr addon	N	Addon Codes	
58110	Bx done w/colposcopy add-on	N	Addon Codes	
60512	Autotransplant parathyroid	N	Addon Codes	
61781	Scan proc cranial intra	N	Addon Codes	
61782	Scan proc cranial extra	N	Addon Codes	
61783	Scan proc spinal	N	Addon Codes	
62160	Neuroendoscopy add-on	N	Addon Codes	
63035	Spinal disk surgery add-on	N	Addon Codes	
63048	Remove spinal lamina add-on	N	Addon Codes	
63057	Decompress spine cord add-on	N	Addon Codes	
63066	Decompress spine cord add-on	N	Addon Codes	
63076	Neck spine disk surgery	N	Addon Codes	
64480	Inj foramen epidural add-on	N	Addon Codes	
64484	Inj foramen epidural add-on	N	Addon Codes	
64491	Inj paravert f jnt c/t 2 lev	N	Addon Codes	
64492	Inj paravert f jnt c/t 3 lev	N	Addon Codes	
64494	Inj paravert f jnt l/s 2 lev	N	Addon Codes	
64495	Inj paravert f jnt l/s 3 lev	N	Addon Codes	
64634	Destroy c/th facet jnt addl	N	Addon Codes	
64636	Destroy l/s facet jnt addl	N	Addon Codes	
64727	Internal nerve revision	N	Addon Codes	
64778	Digit nerve surgery add-on	N	Addon Codes	
64783	Limb nerve surgery add-on	N	Addon Codes	
64787	Implant nerve end	N	Addon Codes	
64832	Repair nerve add-on	N	Addon Codes	
64837	Repair nerve add-on	N	Addon Codes	
64859	Nerve surgery	N	Addon Codes	
64872	Subsequent repair of nerve	N	Addon Codes	
64874	Repair & revise nerve add-on	N	Addon Codes	
64876	Repair nerve/shorten bone	N	Addon Codes	
64901	Nerve graft add-on	N	Addon Codes	
64902	Nerve graft add-on	N	Addon Codes	
65757	Prep corneal endo allograft	N	Addon Codes	
66990	Ophthalmic endoscope add-on	N	Addon Codes	
67225	Eye photodynamic ther add-on	N	Addon Codes	
67320	Revise eye muscle(s) add-on	N	Addon Codes	
67331	Eye surgery follow-up add-on	N	Addon Codes	
67332	Rerevise eye muscles add-on	N	Addon Codes	
67334	Revise eye muscle w/suture	N	Addon Codes	
67335	Eye suture during surgery	N	Addon Codes	
67340	Revise eye muscle add-on	N	Addon Codes	
69990	Microsurgery add-on	N	Addon Codes	
74301	X-rays at surgery add-on	N	Addon Codes	
75565	Card mri veloc flow mapping	N	Addon Codes	
75774	Artery x-ray each vessel	N	Addon Codes	
75946	Intravascular us add-on	N	Addon Codes	
75964	Repair artery blockage each	N	Addon Codes	
75968	Repair artery blockage each	N	Addon Codes	
76125	Cine/video x-rays add-on	N	Addon Codes	
76802	Ob us < 14 wks addl fetus	N	Addon Codes	
76810	Ob us >/= 14 wks addl fetus	N	Addon Codes	
76812	Ob us detailed addl fetus	N	Addon Codes	
76814	Ob us nuchal meas add-on	N	Addon Codes	
76937	Us guide vascular access	N	Addon Codes	
77001	Fluoroguide for vein device	N	Addon Codes	
78020	Thyroid met uptake	N	Addon Codes	
78496	Heart first pass add-on	N	Addon Codes	
78730	Urinary bladder retention	N	Addon Codes	
88177	Cytp fna eval ea addl	N	Addon Codes	
88185	Flowcytometry/tc add-on	N	Addon Codes	
88311	Decalcify tissue	N	Addon Codes	
88314	Histochemical stains add-on	N	Addon Codes	
88332	Path consult intraop addl	N	Addon Codes	
88334	Intraop cyto path consult 2	N	Addon Codes	
88388	Tiss ex molecul study add-on	N	Addon Codes	
90472	Immunization admin each add	N	Addon Codes	
90474	Immune admin oral/nasal addl	N	Addon Codes	
90785	Psytx complex interactive	N	Addon Codes	
90833	Psytx pt&/fam w/e&m 30 min	N	Addon Codes	
90836	Psytx pt&/fam w/e&m 45 min	N	Addon Codes	
90838	Psytx pt&/fam w/e&m 60 min	N	Addon Codes	
90840	Psytx crisis ea addl 30 min	N	Addon Codes	
91013	Esophgl motil w/stim/perfus	N	Addon Codes	
92547	Supplemental electrical test	N	Addon Codes	
92621	Auditory function + 15 min	N	Addon Codes	
92627	Eval aud status rehab add-on	N	Addon Codes	
92921	Prq cardiac angio addl art	N	Addon Codes	
92925	Prq card angio/athrect addl	N	Addon Codes	
92929	Prq card stent w/angio addl	N	Addon Codes	
92934	Prq card stent/ath/angio	N	Addon Codes	
92938	Prq revasc byp graft addl	N	Addon Codes	
92944	Prq card revasc chronic addl	N	Addon Codes	
92973	Prq coronary mech thrombect	N	Addon Codes	
92974	Cath place cardio brachytx	N	Addon Codes	
92978	Intravasc us heart add-on	N	Addon Codes	
92979	Intravasc us heart add-on	N	Addon Codes	
92998	Pul art balloon repr percut	N	Addon Codes	
93320	Doppler echo exam heart	N	Addon Codes	
93321	Doppler echo exam heart	N	Addon Codes	
93325	Doppler color flow add-on	N	Addon Codes	
93462	L hrt cath trnsptl puncture	N	Addon Codes	
93463	Drug admin & hemodynmic meas	N	Addon Codes	
93464	Exercise w/hemodynamic meas	N	Addon Codes	
93563	Inject congenital card cath	N	Addon Codes	
93564	Inject hrt congntl art/grft	N	Addon Codes	
93565	Inject l ventr/atrial angio	N	Addon Codes	
93566	Inject r ventr/atrial angio	N	Addon Codes	
93567	Inject suprvlv aortography	N	Addon Codes	
93568	Inject pulm art hrt cath	N	Addon Codes	
93571	Heart flow reserve measure	N	Addon Codes	
93572	Heart flow reserve measure	N	Addon Codes	
93609	Map tachycardia add-on	N	Addon Codes	
93613	Electrophys map 3d add-on	N	Addon Codes	
93621	Electrophysiology evaluation	N	Addon Codes	
93622	Electrophysiology evaluation	N	Addon Codes	
93623	Stimulation pacing heart	N	Addon Codes	
93655	Ablate arrhythmia add on	N	Addon Codes	
93657	Tx l/r atrial fib addl	N	Addon Codes	
93662	Intracardiac ecg (ice)	N	Addon Codes	
94645	Cbt each addl hour	N	Addon Codes	
94729	Co/membane diffuse capacity	N	Addon Codes	
94781	Car seat/bed test + 30 min	N	Addon Codes	
95079	Ingest challenge addl 60 min	N	Addon Codes	
95873	Guide nerv destr elec stim	N	Addon Codes	
95874	Guide nerv destr needle emg	N	Addon Codes	
95885	Musc tst done w/nerv tst lim	N	Addon Codes	
95886	Musc test done w/n test comp	N	Addon Codes	
95887	Musc tst done w/n tst nonext	N	Addon Codes	
95940	Ionm in operatng room 15 min	N	Addon Codes	
95941	Ionm remote/>1 pt or per hr	N	Addon Codes	
95962	Electrode stim brain add-on	N	Addon Codes	
95967	Meg evoked each addl	N	Addon Codes	
95973	Analyze neurostim complex	N	Addon Codes	
95975	Cranial neurostim complex	N	Addon Codes	
95979	Analyz neurostim brain addon	N	Addon Codes	
96361	Hydrate iv infusion add-on	N	Addon Codes	
96366	Ther/proph/diag iv inf addon	N	Addon Codes	
96367	Tx/proph/dg addl seq iv inf	N	Addon Codes	
96368	Ther/diag concurrent inf	N	Addon Codes	
96370	Sc ther infusion addl hr	N	Addon Codes	
96371	Sc ther infusion reset pump	N	Addon Codes	
96375	Tx/pro/dx inj new drug addon	N	Addon Codes	
96376	Tx/pro/dx inj same drug adon	N	Addon Codes	
96411	Chemo iv push addl drug	N	Addon Codes	
96415	Chemo iv infusion addl hr	N	Addon Codes	
96417	Chemo iv infus each addl seq	N	Addon Codes	
96423	Chemo ia infuse each addl hr	N	Addon Codes	
96570	Photodynmc tx 30 min add-on	N	Addon Codes	
96571	Photodynamic tx addl 15 min	N	Addon Codes	
97598	Rmvl devital tis addl 20cm/<	N	Addon Codes	
99145	Mod sedat phys/qhp ea 15 min	N	Addon Codes	
99150	Mod sed diff phys/qhp add on	N	Addon Codes	
99292	Critical care addl 30 min	N	Addon Codes	
99354	Prolonged service office	N	Addon Codes	
99355	Prolonged service office	N	Addon Codes	
99359	Prolong serv w/o contact add	N	Addon Codes	
99467	Ped crit care transport addl	N	Addon Codes	
99489	Complx chron care addl30 min	N	Addon Codes	
				
	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.			
