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Triggering and Grouping Codes			Table of Contents	
ACUTE CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)/ASTHMA				
Code	Code Type	Used in Trigger Rule	Code Description	
490	ICD-9 Diagnosis	Y	"Bronchitis, not specified as acute or chronic"	 
496	ICD-9 Diagnosis	Y	"Chronic airway obstruction, not elsewhere classified"	 
491.0	ICD-9 Diagnosis	Y	Simple chronic bronchitis	 
491.1	ICD-9 Diagnosis	Y	Mucopurulent chronic bronchitis	 
491.2	ICD-9 Diagnosis	Y	Chronic bronchitis - Obstructive chronic bronchitis	 
491.20	ICD-9 Diagnosis	Y	Obstructive chronic bronchitis without exacerbation	 
491.21	ICD-9 Diagnosis	Y	Obstructive chronic bronchitis with (acute) exacerbation	 
491.22	ICD-9 Diagnosis	Y	Obstructive chronic bronchitis with acute bronchitis	 
491.8	ICD-9 Diagnosis	Y	Other chronic bronchitis	 
491.9	ICD-9 Diagnosis	Y	Unspecified chronic bronchitis	 
492.0	ICD-9 Diagnosis	Y	Emphysematous bleb	 
492.8	ICD-9 Diagnosis	Y	Other emphysema	 
493.00	ICD-9 Diagnosis	Y	"Extrinsic asthma, unspecified"	 
493.01	ICD-9 Diagnosis	Y	Extrinsic asthma with status asthmaticus	 
493.02	ICD-9 Diagnosis	Y	Extrinsic asthma with (acute) exacerbation	 
493.10	ICD-9 Diagnosis	Y	"Intrinsic asthma, unspecified"	 
493.11	ICD-9 Diagnosis	Y	Intrinsic asthma with status asthmaticus	 
493.12	ICD-9 Diagnosis	Y	Intrinsic asthma with (acute) exacerbation	 
493.20	ICD-9 Diagnosis	Y	"Chronic obstructive asthma, unspecified"	 
493.21	ICD-9 Diagnosis	Y	Chronic obstructive asthma with status asthmaticus	 
493.22	ICD-9 Diagnosis	Y	Chronic obstructive asthma with (acute) exacerbation	 
493.81	ICD-9 Diagnosis	Y	Exercise induced bronchospasm	 
493.82	ICD-9 Diagnosis	Y	Cough variant asthma	 
493.90	ICD-9 Diagnosis	Y	"Asthma,unspecified type, unspecified"	 
493.91	ICD-9 Diagnosis	Y	"Asthma, unspecified type, with status asthmaticus"	 
493.92	ICD-9 Diagnosis	Y	"Asthma, unspecified type, with (acute) exacerbation"	 
36410	CPT-4	No data	"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for"	 
36415	CPT-4	No data	Collection of venous blood by venipuncture	 
36592	CPT-4	No data	"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified"	 
36600	CPT-4	No data	"Arterial puncture, withdrawal of blood for diagnosis"	 
80047	CPT-4	No data	"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass"	 
80050	CPT-4	No data	"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)"	 
80051	CPT-4	No data	Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)	 
80053	CPT-4	No data	"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8"	 
80054	CPT-4	No data	"Comprehen, Metabolic, Panel"	 
80198	CPT-4	No data	Theophylline	 
82792	CPT-4	No data	"Blood, Oxygen, Saturation"	 
82800	CPT-4	No data	"Gases, blood, pH only"	 
82801	CPT-4	No data	"Blood, Gases:, Pco2"	 
82802	CPT-4	No data	"Blood, Gases:, Ph, &, Pco2"	 
82803	CPT-4	No data	"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);"	 
82804	CPT-4	No data	"Blood, Gases:, Electrode, Po2"	 
82805	CPT-4	No data	"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry"	 
82810	CPT-4	No data	"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry"	 
82812	CPT-4	No data	"Blood, Gases:, Manometry, Po2"	 
82817	CPT-4	No data	"Blood, Gases:, Ph, Pco2"	 
82820	CPT-4	No data	Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen)	 
85004	CPT-4	No data	Blood count; automated differential WBC count	 
85007	CPT-4	No data	"Blood count; blood smear, microscopic examination with manual differential WBC count"	 
85008	CPT-4	No data	"Blood count; blood smear, microscopic examination without manual differential WBC count"	 
85009	CPT-4	No data	"Blood count; manual differential WBC count, buffy coat"	 
85013	CPT-4	No data	Blood count; spun microhematocrit	 
85014	CPT-4	No data	Blood count; hematocrit (Hct)	 
85018	CPT-4	No data	Blood count; hemoglobin (Hgb)	 
85025	CPT-4	No data	"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count"	 
85027	CPT-4	No data	"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)"	 
85041	CPT-4	No data	"Blood count; red blood cell (RBC), automated"	 
85048	CPT-4	No data	"Blood count; leukocyte (WBC), automated"	 
85055	CPT-4	No data	Reticulated platelet assay	 
0243T	CPT-4	No data	"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s), with interpretation and report"	 
0244T	CPT-4	No data	"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours, with interpretation and repor"	 
31660	CPT-4	No data	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe"	 
31661	CPT-4	No data	"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes"	 
71010	CPT-4	No data	"Radiologic examination, chest; single view, frontal"	 
71015	CPT-4	No data	"Radiologic examination, chest; stereo, frontal"	 
71020	CPT-4	No data	"Radiologic examination, chest, 2 views, frontal and lateral;"	 
71021	CPT-4	No data	"Radiologic examination, chest, 2 views, frontal and lateral; with apical lordotic procedure"	 
71022	CPT-4	No data	"Radiologic examination, chest, 2 views, frontal and lateral; with oblique projections"	 
71023	CPT-4	No data	"Radiologic examination, chest, 2 views, frontal and lateral; with fluoroscopy"	 
71030	CPT-4	No data	"Radiologic examination, chest, complete, minimum of 4 views;"	 
71034	CPT-4	No data	"Radiologic examination, chest, complete, minimum of 4 views; with fluoroscopy"	 
71035	CPT-4	No data	"Radiologic examination, chest, special views (eg, lateral decubitus, Bucky studies)"	 
71250	CPT-4	No data	"Computed tomography, thorax; without contrast material"	 
71260	CPT-4	No data	"Computed tomography, thorax; with contrast material(s)"	 
71270	CPT-4	No data	"Computed tomography, thorax; without contrast material, followed by contrast material(s) and further sections"	 
78579	CPT-4	No data	"Pulmonary ventilation imaging (eg, aerosol or gas)"	 
78580	CPT-4	No data	"Pulmonary perfusion imaging (eg, particulate)"	 
78581	CPT-4	No data	"Nuclear, Scan, of, Lung"	 
78582	CPT-4	No data	"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging"	 
78584	CPT-4	No data	"Pulmonary perfusion imaging, particulate, with ventilation; single breath"	 
78585	CPT-4	No data	"Pulmonary perfusion imaging, particulate, with ventilation; rebreathing and washout, with or without single breath"	 
78586	CPT-4	No data	"Pulmonary ventilation imaging, aerosol; single projection"	 
78587	CPT-4	No data	"Pulmonary ventilation imaging, aerosol; multiple projections (eg, anterior, posterior, lateral views)"	 
78588	CPT-4	No data	"Pulmonary perfusion imaging, particulate, with ventilation imaging, aerosol, 1 or multiple projections"	 
78591	CPT-4	No data	"Pulmonary ventilation imaging, gaseous, single breath, single projection"	 
78593	CPT-4	No data	"Pulmonary ventilation imaging, gaseous, with rebreathing and washout with or without single breath; single projection"	 
78594	CPT-4	No data	"Pulmonary ventilation imaging, gaseous, with rebreathing and washout with or without single breath; multiple projections (eg, anterior, posterior, lateral views)"	 
78596	CPT-4	No data	Pulmonary quantitative differential function (ventilation/perfusion) study	 
78597	CPT-4	No data	"Quantitative differential pulmonary perfusion, including imaging when performed"	 
78598	CPT-4	No data	"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed"	 
78599	CPT-4	No data	"Unlisted respiratory procedure, diagnostic nuclear medicine"	 
78990	CPT-4	No data	"Provide, Diag, Radionuclide(s)"	 
80002	CPT-4	No data	"1-2, Clinical, Chem, Tests"	 
80003	CPT-4	No data	"3, Clinical, Chemistry, Tests"	 
80004	CPT-4	No data	"4, Clinical, Chemistry, Tests"	 
80005	CPT-4	No data	"5, Clinical, Chemistry, Tests"	 
80006	CPT-4	No data	"6, Clinical, Chemistry, Tests"	 
80007	CPT-4	No data	"7, Clinical, Chemistry, Tests"	 
80008	CPT-4	No data	"8, Clinical, Chemistry, Tests"	 
80009	CPT-4	No data	"9, Clinical, Chemistry, Tests"	 
80010	CPT-4	No data	"10, Clinical, Chemistry, Tests"	 
80011	CPT-4	No data	"11, Clinical, Chemistry, Tests"	 
80012	CPT-4	No data	"12, Clinical, Chemistry, Tests"	 
80048	CPT-4	No data	"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium"	 
80049	CPT-4	No data	"Metabolic, Panel, Basic"	 
80069	CPT-4	No data	"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i"	 
94010	CPT-4	No data	"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation"	 
94013	CPT-4	No data	"Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of age"	 
94014	CPT-4	No data	"Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibratio"	 
94015	CPT-4	No data	"Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration)"	 
94016	CPT-4	No data	Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional	 
94060	CPT-4	No data	"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration"	 
94070	CPT-4	No data	"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)"	 
94150	CPT-4	No data	"Vital capacity, total (separate procedure)"	 
94160	CPT-4	No data	"Vital, Capacity, Screening"	 
94200	CPT-4	No data	"Maximum breathing capacity, maximal voluntary ventilation"	 
94240	CPT-4	No data	"Functional residual capacity or residual volume: helium method, nitrogen open circuit method, or other method"	 
94250	CPT-4	No data	"Expired gas collection, quantitative, single procedure (separate procedure)"	 
94260	CPT-4	No data	Thoracic gas volume	 
94350	CPT-4	No data	Determination of maldistribution of inspired gas: multiple breath nitrogen washout curve including alveolar nitrogen or helium equilibration time	 
94360	CPT-4	No data	"Determination of resistance to airflow, oscillatory or plethysmographic methods"	 
94370	CPT-4	No data	"Determination of airway closing volume, single breath tests"	 
94375	CPT-4	No data	Respiratory flow volume loop	 
94400	CPT-4	No data	Breathing response to CO2 (CO2 response curve)	 
94450	CPT-4	No data	Breathing response to hypoxia (hypoxia response curve)	 
94452	CPT-4	No data	"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional;"	 
94620	CPT-4	No data	"Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry)"	 
94621	CPT-4	No data	"Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake, and electrocardiographic recordings)"	 
94640	CPT-4	No data	"Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or inter"	 
94642	CPT-4	No data	Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis	 
94650	CPT-4	No data	"Pressure, Breathing, (IPPB)"	 
94651	CPT-4	No data	"Pressure, Breathing, (IPPB)"	 
94652	CPT-4	No data	"Pressure, Breathing, (IPPB)"	 
94656	CPT-4	No data	"Initial, Ventilator, Mgmt"	 
94657	CPT-4	No data	"Continued, Ventilator, Mgmt"	 
94660	CPT-4	No data	"Continuous positive airway pressure ventilation (CPAP), initiation and management"	 
94662	CPT-4	No data	"Continuous negative pressure ventilation (CNP), initiation and management"	 
94664	CPT-4	No data	"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device"	 
94665	CPT-4	No data	"Aerosol, or, Vapor, Inhalations"	 
94680	CPT-4	No data	"Oxygen uptake, expired gas analysis; rest and exercise, direct, simple"	 
94681	CPT-4	No data	"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted"	 
94690	CPT-4	No data	"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure)"	 
94720	CPT-4	No data	"Carbon monoxide diffusing capacity (eg, single breath, steady state)"	 
94725	CPT-4	No data	Membrane diffusion capacity	 
94726	CPT-4	No data	"Plethysmography for determination of lung volumes and, when performed, airway resistance"	 
94727	CPT-4	No data	"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes"	 
94728	CPT-4	No data	Airway resistance by impulse oscillometry	 
94729	CPT-4	No data	"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)"	 
94750	CPT-4	No data	"Pulmonary compliance study (eg, plethysmography, volume and pressure measurements)"	 
94760	CPT-4	No data	Noninvasive ear or pulse oximetry for oxygen saturation; single determination	 
94761	CPT-4	No data	"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)"	 
94762	CPT-4	No data	Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)	 
94770	CPT-4	No data	"Carbon dioxide, expired gas determination by infrared analyzer"	 
95070	CPT-4	No data	"Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with histamine, methacholine, or similar compounds"	 
95071	CPT-4	No data	"Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with antigens or gases, specify"	 
A4559	HCPCS	No data	"Coupling gel or paste, for use with ultrasound device, per oz"	 
A4604	HCPCS	No data	Tubing with integrated heating element for use with positive airway pressure device	 
A4641	HCPCS	No data	"Radiopharmaceutical, diagnostic, not otherwise classified"	 
A4642	HCPCS	No data	"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries"	 
A4643	HCPCS	No data	"supply of additional high dose contrast material(s) during magnetic resonance imaging, e.g., gadoteridol injection"	 
A4644	HCPCS	No data	supply of low osmolar contrast material (100-199 mgs of iodine)	 
A4645	HCPCS	No data	supply of low osmolar contrast material (200-299 mgs of iodine)	 
A4646	HCPCS	No data	supply of low osmolar contrast material (300-399 mgs of iodine)	 
A4647	HCPCS	No data	"supply of paramagnetic contrast material, eg., gadolinium"	 
A7003	HCPCS	No data	"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable"	 
A7004	HCPCS	No data	"Small volume nonfiltered pneumatic nebulizer, disposable"	 
A7005	HCPCS	No data	"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable"	 
A7006	HCPCS	No data	"Administration set, with small volume filtered pneumatic nebulizer"	 
A7007	HCPCS	No data	"Large volume nebulizer, disposable, unfilled, used with aerosol compressor"	 
A7008	HCPCS	No data	"Large volume nebulizer, disposable, prefilled, used with aerosol compressor"	 
A7009	HCPCS	No data	"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer"	 
A7010	HCPCS	No data	"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet"	 
A7011	HCPCS	No data	"Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet"	 
A7012	HCPCS	No data	"Water collection device, used with large volume nebulizer"	 
A9507	HCPCS	No data	"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries"	 
A9511	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m, depreotide, per mci"	 
A9512	HCPCS	No data	"Technetium tc-99m pertechnetate, diagnostic, per millicurie"	 
A9514	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc-99m pyrophosphate, per mci"	 
A9519	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc-99m macroaggregated albumin, per mci"	 
A9520	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc-99m sulfur colloid, per mci"	 
A9521	HCPCS	No data	"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries"	 
A9525	HCPCS	No data	"supply of low or iso-osmolar contrast material, 10 mg of iodine"	 
A9536	HCPCS	No data	"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries"	 
A9538	HCPCS	No data	"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries"	 
A9540	HCPCS	No data	"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries"	 
A9541	HCPCS	No data	"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries"	 
A9547	HCPCS	No data	"Indium in-111 oxyquinoline, diagnostic, per 0. 5 millicurie"	 
A9549	HCPCS	No data	"technetium tc-99m arcitumomab, diagnostic, per study dose, up to 25 millicuries"	 
A9550	HCPCS	No data	"Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie"	 
A9552	HCPCS	No data	"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries"	 
A9553	HCPCS	No data	"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries"	 
A9556	HCPCS	No data	"Gallium ga-67 citrate, diagnostic, per millicurie"	 
A9558	HCPCS	No data	"Xenon xe-133 gas, diagnostic, per 10 millicuries"	 
A9560	HCPCS	No data	"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries"	 
A9565	HCPCS	No data	"INDIUM IN-111 PENTETREOTIDE, DIAGNOSTIC, PER MILLICURIE"	 
A9566	HCPCS	No data	"Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries"	 
A9568	HCPCS	No data	"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries"	 
A9572	HCPCS	No data	"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries"	 
A9576	HCPCS	No data	"Injection, gadoteridol, (prohance multipack), per ml"	 
A9577	HCPCS	No data	"Injection, gadobenate dimeglumine (multihance), per ml"	 
A9578	HCPCS	No data	"Injection, gadobenate dimeglumine (multihance multipack), per ml"	 
A9579	HCPCS	No data	"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml"	 
A9580	HCPCS	No data	"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries"	 
A9581	HCPCS	No data	"Injection, gadoxetate disodium, 1 ml"	 
A9582	HCPCS	No data	"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries"	 
A9583	HCPCS	No data	"Injection, gadofosveset trisodium, 1 ml"	 
A9585	HCPCS	No data	"Injection, gadobutrol, 0. 1 ml"	 
A9698	HCPCS	No data	"Non-radioactive contrast imaging material, not otherwise classified, per study"	 
C1045	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, i-131 mibg [iobenguane sulfate i-131], per 0.5 mci"	 
C1066	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, indium 111 satumomab pendetide, per vial"	 
C1090	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, indium in 111 chloride, per mci"	 
C1091	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, indium 111 oxyquinoline, per 0.5 millicurie"	 
C1093	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m fanolesomab, per dose (10 - 20 mci)"	 
C1094	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m albumin aggregated, per 1.0 millicurie"	 
C1095	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m depreotide, per vial"	 
C1096	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m exametazime, per dose"	 
C1099	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m pyrophosphate, per vial"	 
C1122	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m arcitumomab, per vial"	 
C1200	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m sodium glucoheptonate, per vial"	 
C1202	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m sulfur colloid, per dose"	 
C1775	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, fluorodeoxyglucose f18 (2-deoxy-2-[18f]fluoro-d-glucose), per dose (4-40 mci/ml)"	 
C9013	HCPCS	No data	"supply of co 57 cobaltous chloride, radiopharmaceutical diagnostic imaging agent"	 
C9102	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, 51 sodium chromate, per 50 mci"	 
C9217	HCPCS	No data	"injection, omalizumab, per 5 mg"	 
C9246	HCPCS	No data	"Injection, gadoxetate disodium, per ml"	 
C9730	HCPCS	No data	"Bronchoscopic bronchial thermoplasty with imaging guidance (if performed), radiofrequency ablation of airway smooth muscle, 1 lobe"	 
C9731	HCPCS	No data	"Bronchoscopic bronchial thermoplasty with imaging guidance (if performed), radiofrequency ablation of airway smooth muscle, 2 or more lobes"	 
E0450	HCPCS	No data	"Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e. G. , tracheostomy tube)"	 
E0452	HCPCS	No data	intermit assis device w cpap	 
E0470	HCPCS	No data	"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e. G. , nasal or facial mask (intermittent assist device with continuous positive"	 
E0471	HCPCS	No data	"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e. G. , nasal or facial mask (intermittent assist device with continuous positive a"	 
E0472	HCPCS	No data	"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e. G. , tracheostomy tube (intermittent assist device with continuous positive airway p"	 
E0487	HCPCS	No data	"Spirometer, electronic, includes all accessories"	 
E0570	HCPCS	No data	"Nebulizer, with compressor"	 
E0571	HCPCS	No data	"Aerosol compressor, battery powered, for use with small volume nebulizer"	 
E0572	HCPCS	No data	"Aerosol compressor, adjustable pressure, light duty for intermittent use"	 
E0574	HCPCS	No data	Ultrasonic/electronic aerosol generator with small volume nebulizer	 
E0575	HCPCS	No data	"Nebulizer, ultrasonic, large volume"	 
E0580	HCPCS	No data	"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter"	 
E0585	HCPCS	No data	"Nebulizer, with compressor and heater"	 
E1372	HCPCS	No data	Immersion external heater for nebulizer	 
E1375	HCPCS	No data	"nebulizer portable with small compressor, with limited flow"	 
G0001	HCPCS	No data	routine venipuncture for collection of specimen(s)	 
G0096	HCPCS	No data	basic metabolic panel	 
G0097	HCPCS	No data	electrolytes panel	 
G0098	HCPCS	No data	comprehensiv metabolic panel	 
G0110	HCPCS	No data	"nett pulm-rehab; education/skills training, individual"	 
G0111	HCPCS	No data	"nett pulm-rehab; education/skills training, group"	 
G0112	HCPCS	No data	"nett pulm-rehab; nutritional guidance, initial"	 
G0113	HCPCS	No data	"nett pulm-rehab; nutritional guidance, subsequent"	 
G0114	HCPCS	No data	nett pulm-rehab; psychosocial consultation	 
G0115	HCPCS	No data	nett pulm-rehab; psychological testing	 
G0116	HCPCS	No data	nett pulm-rehab; psychosocial counselling	 
G0237	HCPCS	No data	"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)"	 
G0238	HCPCS	No data	"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)"	 
G0239	HCPCS	No data	"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)"	 
G0306	HCPCS	No data	"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count"	 
G0307	HCPCS	No data	"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)"	 
G0424	HCPCS	No data	"Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day"	 
J0280	HCPCS	No data	"Injection, aminophyllin, up to 250 mg"	 
J0700	HCPCS	No data	betamethasone injection	 
J0702	HCPCS	No data	"Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg"	 
J0704	HCPCS	No data	"Injection, betamethasone sodium phosphate, per 4 mg"	 
J0810	HCPCS	No data	"injection, cortisone, up to 50 mg"	 
J1020	HCPCS	No data	"Injection, methylprednisolone acetate, 20 mg"	 
J1030	HCPCS	No data	"Injection, methylprednisolone acetate, 40 mg"	 
J1040	HCPCS	No data	"Injection, methylprednisolone acetate, 80 mg"	 
J1094	HCPCS	No data	"Injection, dexamethasone acetate, 1 mg"	 
J1095	HCPCS	No data	"injection, dexamethasone acetate, per 8 mg"	 
J1100	HCPCS	No data	"Injection, dexamethasone sodium phosphate, 1mg"	 
J1180	HCPCS	No data	"Injection, dyphylline, up to 500 mg"	 
J1690	HCPCS	No data	"injection, prednisolone tebutate, up to 20 mg"	 
J1700	HCPCS	No data	"Injection, hydrocortisone acetate, up to 25 mg"	 
J1710	HCPCS	No data	"Injection, hydrocortisone sodium  phosphate, up to 50 mg"	 
J1720	HCPCS	No data	"Injection, hydrocortisone sodium succinate, up to 100 mg"	 
J2190	HCPCS	No data	mersalyl & theophylline inj	 
J2357	HCPCS	No data	"Injection, omalizumab, 5 mg"	 
J2640	HCPCS	No data	"injection, prednisolone sodium phosphate, to 20 mg"	 
J2650	HCPCS	No data	"Injection, prednisolone acetate, up to 1 ml"	 
J2810	HCPCS	No data	"Injection, theophylline, per 40 mg"	 
J2920	HCPCS	No data	"Injection, methylprednisolone sodium succinate, up to 40 mg"	 
J2930	HCPCS	No data	"Injection, methylprednisolone sodium succinate, up to 125 mg"	 
J3105	HCPCS	No data	"Injection, terbutaline sulfate, up to 1 mg"	 
J3300	HCPCS	No data	"Injection, triamcinolone acetonide, preservative free, 1 mg"	 
J3301	HCPCS	No data	"Injection, triamcinolone  acetonide, not otherwise specified, 10 mg"	 
J3302	HCPCS	No data	"Injection, triamcinolone diacetate, per 5mg"	 
J3303	HCPCS	No data	"Injection, triamcinolone hexacetonide, per 5mg"	 
J7506	HCPCS	No data	"Prednisone, oral, per 5mg"	 
J7509	HCPCS	No data	"Methylprednisolone oral, per 4 mg"	 
J7510	HCPCS	No data	"Prednisolone oral, per 5 mg"	 
J7602	HCPCS	No data	"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 M"	 
J7603	HCPCS	No data	"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVAL"	 
J7605	HCPCS	No data	"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms"	 
J7606	HCPCS	No data	"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms"	 
J7607	HCPCS	No data	"Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0. 5 mg"	 
J7609	HCPCS	No data	"Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg"	 
J7610	HCPCS	No data	"Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg"	 
J7611	HCPCS	No data	"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg"	 
J7612	HCPCS	No data	"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0. 5 mg"	 
J7613	HCPCS	No data	"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg"	 
J7614	HCPCS	No data	"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0. 5 mg"	 
J7615	HCPCS	No data	"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0. 5 mg"	 
J7616	HCPCS	No data	"albuterol, up to 5 mg and ipratropium bromide, up to 1 mg, compounded inhalation solution, administered through dme"	 
J7617	HCPCS	No data	"levalbuterol, up to 2.5 mg and ipratropium bromide, up to 1 mg, compounded inhalation solution, administered through dme"	 
J7618	HCPCS	No data	"albuterol, all formulations including separated isomers, inhalation solution administered through dme, concentrated form, per 1 mg (albuterol) or per 0.5 mg (levalbuterol)"	 
J7619	HCPCS	No data	"albuterol, all formulations including separated isomers, inhalation solution administered through dme, unit dose, per 1 mg (albuterol) or per 0.5 mg (levalbuterol)"	 
J7620	HCPCS	No data	"Albuterol, up to 2. 5 mg and ipratropium bromide, up to 0. 5 mg, fda-approved final product, non-compounded, administered through dme"	 
J7621	HCPCS	No data	"albuterol, all formulations, including separated isomers, up to 5 mg (albuterol) or 2.5 mg (levoalbuterol), and ipratropium bromide, up to 1 mg, compounded inhalation solution, administered through dm"	 
J7622	HCPCS	No data	"Beclomethasone, inhalation solution, compounded product,  administered through dme, unit dose form, per milligram"	 
J7624	HCPCS	No data	"Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J7625	HCPCS	No data	"albuterol sulfate, 0.5%, per ml, inhalation solution administered through dme"	 
J7626	HCPCS	No data	"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0. 5 mg"	 
J7627	HCPCS	No data	"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0. 5 mg"	 
J7628	HCPCS	No data	"Bitolterol mesylate, inhalation solution, compounded product,  administered through dme, concentrated form, per milligram"	 
J7629	HCPCS	No data	"Bitolterol mesylate, inhalation solution, compounded product,  administered through dme, unit dose form, per milligram"	 
J7630	HCPCS	No data	"cromolyn sodium, per 20 mg, inhalation solution administered through dme"	 
J7631	HCPCS	No data	"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams"	 
J7632	HCPCS	No data	"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams"	 
J7633	HCPCS	No data	"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0. 25 milligram"	 
J7634	HCPCS	No data	"Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0. 25 milligram"	 
J7637	HCPCS	No data	"Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"	 
J7638	HCPCS	No data	"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J7640	HCPCS	No data	"Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms"	 
J7641	HCPCS	No data	"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram"	 
J7644	HCPCS	No data	"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"	 
J7645	HCPCS	No data	"Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J7647	HCPCS	No data	"Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"	 
J7648	HCPCS	No data	"Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram"	 
J7649	HCPCS	No data	"Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"	 
J7650	HCPCS	No data	"Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J7651	HCPCS	No data	"isoetharine hydrochloride, 0.125%, per ml, inhalation solution administered through dme"	 
J7652	HCPCS	No data	"isoetharine hydrochloride, 0.167%, per ml, inhalation solution administered through dme"	 
J7653	HCPCS	No data	"isoetharine hydrochloride, 0.2%, per ml, inhalation solution administered through dme"	 
J7654	HCPCS	No data	"isoetharine hydrochloride, 0.25%, per ml, inhalation solution administered through dme"	 
J7655	HCPCS	No data	"isoetharine hydrochloride, 1.0%, per ml, inhalation solution administered through dme"	 
J7657	HCPCS	No data	"Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"	 
J7658	HCPCS	No data	"Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram"	 
J7659	HCPCS	No data	"Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"	 
J7660	HCPCS	No data	"Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J7665	HCPCS	No data	"Mannitol, administered through an inhaler, 5 mg"	 
J7667	HCPCS	No data	"Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams"	 
J7668	HCPCS	No data	"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams"	 
J7669	HCPCS	No data	"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams"	 
J7670	HCPCS	No data	"Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams"	 
J7672	HCPCS	No data	"metaproterenol sulfate, 0.6%, per 2.5 ml, inhalation solution administered through dme"	 
J7675	HCPCS	No data	"metaproterenol sulfate, 5.0%, per ml, inhalation solution administered through dme"	 
J7680	HCPCS	No data	"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"	 
J7681	HCPCS	No data	"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J7683	HCPCS	No data	"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram"	 
J7684	HCPCS	No data	"Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram"	 
J8540	HCPCS	No data	"Dexamethasone, oral, 0. 25 mg"	 
K0125	HCPCS	No data	prednisone oral 5 mg	 
K0141	HCPCS	No data	albuterol sulfate inhalation	 
K0142	HCPCS	No data	cromolyn sodium inhalation	 
K0143	HCPCS	No data	isoetharine hydrochl inhalat	 
K0144	HCPCS	No data	isoproterenol hydrochl inhal	 
K0145	HCPCS	No data	metaproterenol inhalation	 
K0146	HCPCS	No data	terbutaline inhalation	 
K0166	HCPCS	No data	methylprednisolone oral 4 mg	 
K0167	HCPCS	No data	prednisolone oral 5 mg	 
K0168	HCPCS	No data	disposable nebulizer set	 
K0169	HCPCS	No data	disposable nebulizer small	 
K0170	HCPCS	No data	non disposable nebulizer set	 
K0171	HCPCS	No data	filtered nebulizer set	 
K0172	HCPCS	No data	disposable nebulizer unfill	 
K0173	HCPCS	No data	disposable nebulizer prefill	 
K0174	HCPCS	No data	reservoir bottle w nebulizer	 
K0175	HCPCS	No data	disposable corrugated tubing	 
K0176	HCPCS	No data	non dispos corrugated tubing	 
K0177	HCPCS	No data	water collec dev w nebulizer	 
K0178	HCPCS	No data	disposbl filter w compressor	 
K0179	HCPCS	No data	non-dispos filter w compress	 
K0180	HCPCS	No data	aerosol mask w nebulizer	 
K0181	HCPCS	No data	dome & mouthpiece w nebuliz	 
K0182	HCPCS	No data	"water, distilled, used with large volume nebulizer, 1000 ml"	 
K0183	HCPCS	No data	nasal application device used with positive airway pressure device	 
K0268	HCPCS	No data	"humidifier, non-heated, used with positive airway pressure device"	 
K0269	HCPCS	No data	"aerosol compressor, adjustable pressure, light duty for intermittent use"	 
K0270	HCPCS	No data	ultrasonic generator with small volume ultrasonic nebulizer	 
K0282	HCPCS	No data	distilled water w nebulizer	 
K0283	HCPCS	No data	"saline solution, per 10 ml, metered dose dispenser, for use with inhalation drugs"	 
K0501	HCPCS	No data	"aerosol compressor, battery powered, for use with small volume nebulizer"	 
K0504	HCPCS	No data	albuterol inh sol con	 
K0505	HCPCS	No data	albuterol inh sol u d	 
K0508	HCPCS	No data	bitolterol mes inh sol con	 
K0509	HCPCS	No data	bitolterol mes inh sol u d	 
K0511	HCPCS	No data	cromolyn sodium inh sol u d	 
K0512	HCPCS	No data	dexamethasone inh sol con	 
K0513	HCPCS	No data	dexamethasone inh sol u d	 
K0518	HCPCS	No data	ipratropium brom inh sol u d	 
K0519	HCPCS	No data	isoetharine hcl inh sol con	 
K0520	HCPCS	No data	isoetharine hcl inh sol u d	 
K0521	HCPCS	No data	isoproterenolhcl inh sol con	 
K0522	HCPCS	No data	isoproterenolhcl inh sol u d	 
K0523	HCPCS	No data	metaproterenol inh sol con	 
K0524	HCPCS	No data	metaproterenol inh sol u d	 
K0525	HCPCS	No data	terbutaline so4 inh sol con	 
K0526	HCPCS	No data	terbutaline so4 inh sol u d	 
K0527	HCPCS	No data	triamcinolone inh sol con	 
K0528	HCPCS	No data	triamcinolone inh sol u d	 
K0529	HCPCS	No data	"sterile water or sterile saline, 1000 ml, used with large volume nebulizer"	 
K0530	HCPCS	No data	nebulizer not used w oxygen	 
K0531	HCPCS	No data	"humidifier, heated, used with positive airway pressure device"	 
K0532	HCPCS	No data	"respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a"	 
K0533	HCPCS	No data	"respiratory assist device, bi-level pressure capability, with backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airw"	 
K0534	HCPCS	No data	"respiratory assist device, bi-level pressure capacity, with back up rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pres"	 
K0554	HCPCS	No data	"ORAL CUSHION FOR COMBINATION ORAL/NASAL MASK, REPLACEMENT ONLY, EACH"	 
K0730	HCPCS	No data	Controlled dose inhalation drug delivery system	 
P9605	HCPCS	No data	routine venipuncture	 
Q0105	HCPCS	No data	lo osmol contr(100-199 mg i)	 
Q0106	HCPCS	No data	lo osmol contr(200-299 mg i)	 
Q0107	HCPCS	No data	lo osmol contr(300-399 mg i)	 
Q0132	HCPCS	No data	dispensing fee dme neb drug	 
Q0135	HCPCS	No data	high dose inj contrast mri	 
Q3002	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, gallium ga 67, per mci"	 
Q3004	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, xenon xe 133, per 10 mci"	 
Q3006	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, technetium tc 99m glucepatate, per 5 mci"	 
Q3007	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, sodium phosphate p32, per mci"	 
Q3008	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, indium 111-in pentetreotide, per 3 mci"	 
Q3011	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, chromic phosphate p32 suspension, per mci"	 
Q4093	HCPCS	No data	"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, PER 1 MG (ALBUTEROL) OR PER 0.5 M"	 
Q4094	HCPCS	No data	"ALBUTEROL, ALL FORMULATIONS INCLUDING SEPARATED ISOMERS, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, PER 1 MG (ALBUTEROL) OR PER 0.5 MG (LEVAL"	 
Q4099	HCPCS	No data	"FORMOTEROL FUMARATE, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS"	 
Q9945	HCPCS	No data	"LOW OSMOLAR CONTRAST MATERIAL, UP TO 149 MG/ML IODINE CONCENTRATION, PER ML"	 
Q9946	HCPCS	No data	"LOW OSMOLAR CONTRAST MATERIAL, 150-199 MG/ML IODINE CONCENTRATION, PER ML"	 
Q9947	HCPCS	No data	"LOW OSMOLAR CONTRAST MATERIAL, 200-249 MG/ML IODINE CONCENTRATION, PER ML"	 
Q9948	HCPCS	No data	"LOW OSMOLAR CONTRAST MATERIAL, 250-299 MG/ML IODINE CONCENTRATION, PER ML"	 
Q9949	HCPCS	No data	"LOW OSMOLAR CONTRAST MATERIAL, 300-349 MG/ML IODINE CONCENTRATION, PER ML"	 
Q9950	HCPCS	No data	"LOW OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML"	 
Q9951	HCPCS	No data	"Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"	 
Q9952	HCPCS	No data	"INJECTION, GADOLINIUM-BASED MAGNETIC RESONANCE CONTRAST AGENT, PER ML"	 
Q9953	HCPCS	No data	"Injection, iron-based magnetic resonance contrast agent, per ml"	 
Q9954	HCPCS	No data	"Oral magnetic resonance contrast agent, per 100 ml"	 
Q9958	HCPCS	No data	"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml"	 
Q9959	HCPCS	No data	"High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml"	 
Q9960	HCPCS	No data	"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml"	 
Q9961	HCPCS	No data	"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml"	 
Q9962	HCPCS	No data	"High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml"	 
Q9963	HCPCS	No data	"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml"	 
Q9964	HCPCS	No data	"High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"	 
Q9965	HCPCS	No data	"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml"	 
Q9966	HCPCS	No data	"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml"	 
Q9967	HCPCS	No data	"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml"	 
Q9969	HCPCS	No data	"Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose"	 
S0107	HCPCS	No data	"injection, omalizumab, 25 mg"	 
S0173	HCPCS	No data	"dexamethasone, oral, 4mg"	 
S3630	HCPCS	No data	"Eosinophil count, blood, direct"	 
S8002	HCPCS	No data	"supply of diagnostic radiopharmaceutical, indium-111"	 
S8085	HCPCS	No data	Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)	 
S8100	HCPCS	No data	Holding chamber or spacer for use with an inhaler or nebulizer; without mask	 
S8101	HCPCS	No data	Holding chamber or spacer for use with an inhaler or nebulizer; with mask	 
S8182	HCPCS	No data	"humidifier, heated, used with ventilator, non-servo-controlled"	 
S8183	HCPCS	No data	"humidifier, heated, used with ventilator, dual servo-controlled with temperature monitoring"	 
S9473	HCPCS	No data	"Pulmonary rehabilitation program, non-physician provider, per diem"	 
S9529	HCPCS	No data	"Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient"	 
416.8	ICD-9 Diagnosis	No data	Other chronic pulmonary heart diseases	 
416.9	ICD-9 Diagnosis	No data	"Chronic pulmonary heart disease, unspecified"	 
518.81	ICD-9 Diagnosis	No data	Acute respiratory failure	 
518.83	ICD-9 Diagnosis	No data	Chronic respiratory failure	 
518.84	ICD-9 Diagnosis	No data	Acute and chronic respiratory failure	 
519.11	ICD-9 Diagnosis	No data	Acute bronchospasm	 
781.5	ICD-9 Diagnosis	No data	Clubbing of fingers	 
786.00	ICD-9 Diagnosis	No data	"Respiratory abnormality, unspecified"	 
786.01	ICD-9 Diagnosis	No data	Hyperventilation	 
786.03	ICD-9 Diagnosis	No data	Apnea	 
786.04	ICD-9 Diagnosis	No data	Cheyne-Stokes respiration	 
786.05	ICD-9 Diagnosis	No data	Shortness of breath	 
786.06	ICD-9 Diagnosis	No data	Tachypnea	 
786.07	ICD-9 Diagnosis	No data	Wheezing	 
786.09	ICD-9 Diagnosis	No data	Other respiratory abnormalities	 
786.1	ICD-9 Diagnosis	No data	Stridor	 
786.2	ICD-9 Diagnosis	No data	Cough	 
786.7	ICD-9 Diagnosis	No data	Abnormal chest sounds	 
786.9	ICD-9 Diagnosis	No data	Other symptoms involving respiratory system and chest	 
790.91	ICD-9 Diagnosis	No data	Abnormal arterial blood gases	 
794.2	ICD-9 Diagnosis	No data	Nonspecific abnormal results of pulmonary function study	 
799.1	ICD-9 Diagnosis	No data	Respiratory arrest	 
93.90	ICD-9 Procedure	No data	Non-invasive mechanical ventilation	 
96.71	ICD-9 Procedure	No data	Continuous invasive mechanical ventilation for less than 96 consecutive hours	 
96.72	ICD-9 Procedure	No data	Continuous invasive mechanical ventilation for 96 consecutive hours or more	 
324	Revenue Center	No data	Radiology diagnostic-chest x-ray	 
410	Revenue Center	No data	Respiratory services-general classification	 
412	Revenue Center	No data	Respiratory services-inhalation services	 
419	Revenue Center	No data	Respiratory services-other	 
976	Revenue Center	No data	Professional fees-respiratory therapy	 
End of Worksheet				
