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Triggering and Grouping Codes			Table of Contents				
CHRONIC CONGESTIVE HEART FAILURE (CHF)							
Code	Code Type	Used in Trigger Rule	Code Description				
J1940	HCPCS	Y	"Injection, furosemide, up to 20 mg"	 			
J2260	HCPCS	Y	"Injection, milrinone lactate, 5 mg"	 			
J3265	HCPCS	Y	"Injection, torsemide, 10 mg/ml"	 			
S0171	HCPCS	Y	"Injection, bumetanide, 0. 5mg"	 			
S9361	HCPCS	Y	"Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits code"	 			
398.91	ICD-9 Diagnosis	Y	Rheumatic heart failure (congestive)	 			
402.01	ICD-9 Diagnosis	Y	Malignant hypertensive heart disease with heart failure	 			
402.11	ICD-9 Diagnosis	Y	Benign hypertensive heart disease with heart failure	 			
402.91	ICD-9 Diagnosis	Y	Unspecified hypertensive heart disease with heart failure	 			
404.01	ICD-9 Diagnosis	Y	"Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified"	 			
404.11	ICD-9 Diagnosis	Y	"Hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified"	 			
404.91	ICD-9 Diagnosis	Y	"Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified"	 			
428.0	ICD-9 Diagnosis	Y	"Congestive heart failure, unspecified"	 			
428.1	ICD-9 Diagnosis	Y	Left heart failure	 			
428.20	ICD-9 Diagnosis	Y	"Systolic heart failure, unspecified"	 			
428.21	ICD-9 Diagnosis	Y	Acute systolic heart failure	 			
428.22	ICD-9 Diagnosis	Y	Chronic systolic heart failure	 			
428.23	ICD-9 Diagnosis	Y	Acute on chronic systolic heart failure	 			
428.30	ICD-9 Diagnosis	Y	"Diastolic heart failure, unspecified"	 			
428.31	ICD-9 Diagnosis	Y	Acute diastolic heart failure	 			
428.32	ICD-9 Diagnosis	Y	Chronic diastolic heart failure	 			
428.33	ICD-9 Diagnosis	Y	Acute on chronic diastolic heart failure	 			
428.40	ICD-9 Diagnosis	Y	"Combined systolic and diastolic heart failure, unspecified"	 			
428.41	ICD-9 Diagnosis	Y	Acute combined systolic and diastolic heart failure	 			
428.42	ICD-9 Diagnosis	Y	Chronic combined systolic and diastolic heart failure	 			
428.43	ICD-9 Diagnosis	Y	Acute on chronic combined systolic and diastolic heart failure	 			
428.9	ICD-9 Diagnosis	Y	"Heart failure, unspecified"	 			
0178T	CPT-4	No data	"Electrocardiogram, 64 leads or greater, with graphic presentation and analysis; with interpretation and report"	 			
0179T	CPT-4	No data	"Electrocardiogram, 64 leads or greater, with graphic presentation and analysis; tracing and graphics only, without interpretation and report"	 			
0180T	CPT-4	No data	"Electrocardiogram, 64 leads or greater, with graphic presentation and analysis; interpretation and report only"	 			
01920	CPT-4	No data	Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to include Swan-Ganz catheter)	 			
33245	CPT-4	No data	"Insert, Epic, Eltrd, Pace-Defib"	 			
33246	CPT-4	No data	"Insert, Epic, Eltrd, Generator"	 			
33249	CPT-4	No data	"Insertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber"	 			
33967	CPT-4	No data	"Insertion of intra-aortic balloon assist device, percutaneous"	 			
33968	CPT-4	No data	"Removal of intra-aortic balloon assist device, percutaneous"	 			
33970	CPT-4	No data	"Insertion of intra-aortic balloon assist device through the femoral artery, open approach"	 			
33971	CPT-4	No data	"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft"	 			
33972	CPT-4	No data	"Aortic, Circulation, Assist"	 			
33973	CPT-4	No data	Insertion of intra-aortic balloon assist device through the ascending aorta	 			
33974	CPT-4	No data	"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft"	 			
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	 			
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)"	 			
75552	CPT-4	No data	Cardiac magnetic resonance imaging for morphology; without contrast material	 			
75553	CPT-4	No data	Cardiac magnetic resonance imaging for morphology; with contrast material	 			
75554	CPT-4	No data	"Cardiac magnetic resonance imaging for function, with or without morphology; complete study"	 			
75555	CPT-4	No data	"Cardiac magnetic resonance imaging for function, with or without morphology; limited study"	 			
75556	CPT-4	No data	Cardiac magnetic resonance imaging for velocity flow mapping	 			
75557	CPT-4	No data	Cardiac magnetic resonance imaging for morphology and function without contrast material;	 			
75559	CPT-4	No data	Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging	 			
75561	CPT-4	No data	"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences;"	 			
75563	CPT-4	No data	"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging"	 			
75565	CPT-4	No data	Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)	 			
76932	CPT-4	No data	"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation"	 			
78451	CPT-4	No data	"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat"	 			
78452	CPT-4	No data	"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat"	 			
78453	CPT-4	No data	"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a"	 			
78454	CPT-4	No data	"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie"	 			
78459	CPT-4	No data	"Myocardial imaging, positron emission tomography (PET), metabolic evaluation"	 			
78460	CPT-4	No data	"Myocardial perfusion imaging; (planar) single study, at rest or stress (exercise and/or pharmacologic), with or without quantification"	 			
78461	CPT-4	No data	"Myocardial perfusion imaging; multiple studies, (planar) at rest and/or stress (exercise and/or pharmacologic), and redistribution and/or rest injection, with or without quantification"	 			
78464	CPT-4	No data	"Myocardial perfusion imaging; tomographic (SPECT), single study (including attenuation correction when performed), at rest or stress (exercise and/or pharmacologic), with or without quantification"	 			
78465	CPT-4	No data	"Myocardial perfusion imaging; tomographic (SPECT), multiple studies (including attenuation correction when performed), at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or r"	 			
78466	CPT-4	No data	"Myocardial imaging, infarct avid, planar; qualitative or quantitative"	 			
78468	CPT-4	No data	"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique"	 			
78469	CPT-4	No data	"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification"	 			
78478	CPT-4	No data	"Myocardial perfusion study with wall motion, qualitative or quantitative study (List separately in addition to code for primary procedure)"	 			
78480	CPT-4	No data	Myocardial perfusion study with ejection fraction (List separately in addition to code for primary procedure)	 			
78491	CPT-4	No data	"Myocardial imaging, positron emission tomography (PET), perfusion; single study at rest or stress"	 			
78492	CPT-4	No data	"Myocardial imaging, positron emission tomography (PET), perfusion; multiple studies at rest and/or stress"	 			
78494	CPT-4	No data	"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing"	 			
78496	CPT-4	No data	"Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure)"	 			
78499	CPT-4	No data	"Unlisted cardiovascular 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"	 			
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"	 			
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"	 			
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"	 			
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"	 			
82552	CPT-4	No data	"Creatine kinase (CK), (CPK); isoenzymes"	 			
82553	CPT-4	No data	"Creatine kinase (CK), (CPK); MB fraction only"	 			
82554	CPT-4	No data	"Creatine kinase (CK), (CPK); isoforms"	 			
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)	 			
83625	CPT-4	No data	"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation"	 			
84484	CPT-4	No data	"Troponin, quantitative"	 			
84512	CPT-4	No data	"Troponin, qualitative"	 			
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"	 			
93000	CPT-4	No data	"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report"	 			
93005	CPT-4	No data	"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report"	 			
93010	CPT-4	No data	"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only"	 			
93012	CPT-4	No data	"Telephonic transmission of post-symptom electrocardiogram rhythm strip(s), 24-hour attended monitoring, per 30 day period of time; tracing only"	 			
93014	CPT-4	No data	"Telephonic transmission of post-symptom electrocardiogram rhythm strip(s), 24-hour attended monitoring, per 30 day period of time; physician review with interpretation and report only"	 			
93025	CPT-4	No data	Microvolt T-wave alternans for assessment of ventricular arrhythmias	 			
93040	CPT-4	No data	"Rhythm ECG, 1-3 leads; with interpretation and report"	 			
93041	CPT-4	No data	"Rhythm ECG, 1-3 leads; tracing only without interpretation and report"	 			
93042	CPT-4	No data	"Rhythm ECG, 1-3 leads; interpretation and report only"	 			
93306	CPT-4	No data	"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc"	 			
93307	CPT-4	No data	"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography"	 			
93308	CPT-4	No data	"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study"	 			
93312	CPT-4	No data	"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report"	 			
93313	CPT-4	No data	"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only"	 			
93314	CPT-4	No data	"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only"	 			
93318	CPT-4	No data	"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of ("	 			
93320	CPT-4	No data	"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete"	 			
93321	CPT-4	No data	"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in"	 			
93325	CPT-4	No data	Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)	 			
93350	CPT-4	No data	"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or"	 			
93351	CPT-4	No data	"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or"	 			
93352	CPT-4	No data	Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure)	 			
93451	CPT-4	No data	"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed"	 			
93453	CPT-4	No data	"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed"	 			
93501	CPT-4	No data	Right heart catheterization	 			
93505	CPT-4	No data	Endomyocardial biopsy	 			
93526	CPT-4	No data	Combined right heart catheterization and retrograde left heart catheterization	 			
93527	CPT-4	No data	Combined right heart catheterization and transseptal left heart catheterization through intact septum (with or without retrograde left heart catheterization)	 			
93528	CPT-4	No data	Combined right heart catheterization with left ventricular puncture (with or without retrograde left heart catheterization)	 			
93529	CPT-4	No data	Combined right heart catheterization and left heart catheterization through existing septal opening (with or without retrograde left heart catheterization)	 			
93536	CPT-4	No data	"Insert, Circulation, Assi"	 			
93542	CPT-4	No data	Injection procedure during cardiac catheterization; for selective right ventricular or right atrial angiography	 			
93566	CPT-4	No data	"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t"	 			
93797	CPT-4	No data	Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session)	 			
93798	CPT-4	No data	Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)	 			
A4559	HCPCS	No data	"Coupling gel or paste, for use with ultrasound device, per oz"	 			
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"	 			
A6530	HCPCS	No data	"Gradient compression stocking, below knee, 18-30 mmhg, each"	 			
A6531	HCPCS	No data	"Gradient compression stocking, below knee, 30-40 mmhg, each"	 			
A6532	HCPCS	No data	"Gradient compression stocking, below knee, 40-50 mmhg, each"	 			
A6533	HCPCS	No data	"Gradient compression stocking, thigh length, 18-30 mmhg, each"	 			
A6534	HCPCS	No data	"Gradient compression stocking, thigh length, 30-40 mmhg, each"	 			
A6535	HCPCS	No data	"Gradient compression stocking, thigh length, 40-50 mmhg, each"	 			
A6536	HCPCS	No data	"Gradient compression stocking, full length/chap style, 18-30 mmhg, each"	 			
A6537	HCPCS	No data	"Gradient compression stocking, full length/chap style, 30-40 mmhg, each"	 			
A6538	HCPCS	No data	"Gradient compression stocking, full length/chap style, 40-50 mmhg, each"	 			
A6539	HCPCS	No data	"Gradient compression stocking, waist length, 18-30 mmhg, each"	 			
A6540	HCPCS	No data	"Gradient compression stocking, waist length, 30-40 mmhg, each"	 			
A6541	HCPCS	No data	"Gradient compression stocking, waist length, 40-50 mmhg, each"	 			
A6542	HCPCS	No data	"Gradient compression stocking, custom made"	 			
A6544	HCPCS	No data	"Gradient compression stocking, garter belt"	 			
A6545	HCPCS	No data	"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each"	 			
A6549	HCPCS	No data	"Gradient compression stocking/sleeve, not otherwise specified"	 			
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"	 			
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"	 			
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"	 			
A9700	HCPCS	No data	"Supply of injectable contrast material for use in echocardiography, per study"	 			
C1035	HCPCS	No data	"catheter, intracardiac echocardiography, ultra ice 6f, 12.5 mhz catheter (with disposable sheath), ultra ice 9f, 9 mhz catheter (with disposable sheath)"	 			
C1045	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, i-131 mibg [iobenguane sulfate i-131], per 0.5 mci"	 			
C1047	HCPCS	No data	"catheter, diagnostic, navi-star diagnostic deflectable tip catheter, noga-star diagnostic deflectable tip catheter"	 			
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"	 			
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"	 			
C1759	HCPCS	No data	"Catheter, intracardiac echocardiography"	 			
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)"	 			
C1980	HCPCS	No data	"catheter, atlantis sr coronary imaging catheter"	 			
C8923	HCPCS	No data	"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spect"	 			
C8924	HCPCS	No data	"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited st"	 			
C8925	HCPCS	No data	"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placeme"	 			
C8926	HCPCS	No data	"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and"	 			
C8927	HCPCS	No data	"Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and i"	 			
C8928	HCPCS	No data	"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiov"	 			
C8929	HCPCS	No data	"Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral"	 			
C8930	HCPCS	No data	"Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardio"	 			
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"	 			
C9202	HCPCS	No data	"injection, suspension of microspheres of human serum albumin with octafluoropropane, per 3 ml"	 			
C9203	HCPCS	No data	"injection, perflexane lipid microspheres, per 10 ml vial"	 			
C9246	HCPCS	No data	"Injection, gadoxetate disodium, per ml"	 			
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	 			
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)"	 			
G0366	HCPCS	No data	"ELECTROCARDIOGRAM, ROUTINE ECG WITH 12 LEADS; PERFORMED AS A COMPONENT OF THE INITIAL PREVENTIVE EXAMINATION WITH INTERPRETATION AND REPORT"	 			
G0367	HCPCS	No data	"TRACING ONLY, WITHOUT INTERPRETATION AND REPORT, PERFORMED AS A COMPONENT OF THE INITIAL PREVENTIVE EXAMINATION"	 			
G0368	HCPCS	No data	"INTERPRETATION AND REPORT ONLY, PERFORMED AS A COMPONENT OF THE INITIAL PREVENTIVE EXAMINATION"	 			
G0403	HCPCS	No data	"Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report"	 			
G0404	HCPCS	No data	"Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination"	 			
G0405	HCPCS	No data	"Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination"	 			
G0422	HCPCS	No data	"Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session"	 			
G0423	HCPCS	No data	"Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session"	 			
J1155	HCPCS	No data	digitoxin injection	 			
J1160	HCPCS	No data	"Injection, digoxin, up to 0. 5 mg"	 			
J1250	HCPCS	No data	"Injection, dobutamine hydrochloride, per 250 mg"	 			
J1265	HCPCS	No data	"Injection, dopamine hcl, 40 mg"	 			
J1742	HCPCS	No data	"Injection, ibutilide fumarate, 1 mg"	 			
L8100	HCPCS	No data	"gradient compression stocking, below knee, 18-30 mmhg, each"	 			
L8110	HCPCS	No data	"gradient compression stocking, below knee, 30-40 mmhg, each"	 			
L8120	HCPCS	No data	"gradient compression stocking, below knee, 40-50 mmhg, each"	 			
L8130	HCPCS	No data	"gradient compression stocking, thigh length, 18-30 mmhg, each"	 			
L8140	HCPCS	No data	"gradient compression stocking, thigh length, 30-40 mmhg, each"	 			
L8150	HCPCS	No data	"gradient compression stocking, thigh length, 40-50 mmhg, each"	 			
L8160	HCPCS	No data	"gradient compression stocking, full length/chap style, 18-30 mmhg, each"	 			
L8170	HCPCS	No data	"gradient compression stocking, full length/chap style, 30-40 mmhg, each"	 			
L8180	HCPCS	No data	"gradient compression stocking, full length/chap style, 40-50 mmhg, each"	 			
L8190	HCPCS	No data	"gradient compression stocking, waist length, 18-30 mmhg, each"	 			
L8195	HCPCS	No data	"gradient compression stocking, waist length, 30-40 mmhg, each"	 			
L8200	HCPCS	No data	"gradient compression stocking, waist length, 40-50 mmhg, each"	 			
L8210	HCPCS	No data	"gradient compression  stocking, custom made"	 			
L8220	HCPCS	No data	"gradient compression stocking, lymphedema"	 			
L8230	HCPCS	No data	"gradient compression stocking, garter belt"	 			
L8239	HCPCS	No data	"gradient compression stocking, not otherwise specified"	 			
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)	 			
Q0135	HCPCS	No data	high dose inj contrast mri	 			
Q0188	HCPCS	No data	"supply of injectable contrast material for use in echocardiography, per study"	 			
Q3002	HCPCS	No data	"supply of radiopharmaceutical diagnostic imaging agent, gallium ga 67, per 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"	 			
Q4076	HCPCS	No data	"injection, dopamine hcl, 40 mg"	 			
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"	 			
Q9955	HCPCS	No data	"Injection, perflexane lipid microspheres, per ml"	 			
Q9956	HCPCS	No data	"Injection, octafluoropropane microspheres, per 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"	 			
S0097	HCPCS	No data	"injection, ibutilide fumarate, 1 mg"	 			
S8002	HCPCS	No data	"supply of diagnostic radiopharmaceutical, indium-111"	 			
S8060	HCPCS	No data	supply of contrast material for use in echocardiography (use in addition to echocardiography code)	 			
S8085	HCPCS	No data	Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)	 			
S9220	HCPCS	No data	"nursing services and all necessary equipment and supplies for home administration of controlled rate intravenous infusion (e.g. dobutamine) requiring prolonged attendance by the nurse, per diem (drugs"	 			
S9348	HCPCS	No data	"Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e. G. , dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equ"	 			
S9472	HCPCS	No data	"Cardiac 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"	 			
514	ICD-9 Diagnosis	No data	Pulmonary congestion and hypostasis	 			
276.6	ICD-9 Diagnosis	No data	Fluid overload disorder	 			
276.69	ICD-9 Diagnosis	No data	Other fluid overload	 			
416.8	ICD-9 Diagnosis	No data	Other chronic pulmonary heart diseases	 			
416.9	ICD-9 Diagnosis	No data	"Chronic pulmonary heart disease, unspecified"	 			
425.4	ICD-9 Diagnosis	No data	Other primary cardiomyopathies	 			
425.8	ICD-9 Diagnosis	No data	Cardiomyopathy in other diseases classified elsewhere	 			
425.9	ICD-9 Diagnosis	No data	"Secondary cardiomyopathy, unspecified"	 			
429.2	ICD-9 Diagnosis	No data	"Cardiovascular disease, unspecified"	 			
429.3	ICD-9 Diagnosis	No data	Cardiomegaly	 			
429.82	ICD-9 Diagnosis	No data	Hyperkinetic heart disease	 			
429.89	ICD-9 Diagnosis	No data	Other ill-defined heart diseases	 			
429.9	ICD-9 Diagnosis	No data	"Heart disease, unspecified"	 			
458.8	ICD-9 Diagnosis	No data	Other specified hypotension	 			
458.9	ICD-9 Diagnosis	No data	"Hypotension, unspecified"	 			
511.8	ICD-9 Diagnosis	No data	pleural effus nec not tb	 			
511.89	ICD-9 Diagnosis	No data	"Other specified forms of effusion, except tuberculous"	 			
511.9	ICD-9 Diagnosis	No data	Unspecified pleural effusion	 			
518.4	ICD-9 Diagnosis	No data	"Acute edema of lung, unspecified"	 			
518.81	ICD-9 Diagnosis	No data	Acute respiratory failure	 			
729.81	ICD-9 Diagnosis	No data	Swelling	 			
782.3	ICD-9 Diagnosis	No data	Edema	 			
783.1	ICD-9 Diagnosis	No data	Abnormal weight gain	 			
785.2	ICD-9 Diagnosis	No data	Undiagnosed cardiac murmurs	 			
785.3	ICD-9 Diagnosis	No data	Other abnormal heart sounds	 			
785.51	ICD-9 Diagnosis	No data	Cardiogenic shock	 			
785.9	ICD-9 Diagnosis	No data	Other symptoms involving cardiovascular system	 			
786.02	ICD-9 Diagnosis	No data	Orthopnea	 			
786.05	ICD-9 Diagnosis	No data	Shortness of breath	 			
794.31	ICD-9 Diagnosis	No data	Nonspecific abnormal electrocardiogram [ECG] [EKG]	 			
V71.7	ICD-9 Diagnosis	No data	Observation for suspected cardiovascular disease	 			
37.21	ICD-9 Procedure	No data	Right heart cardiac catheterization	 			
37.23	ICD-9 Procedure	No data	Combined right and left heart cardiac catheterization	 			
37.61	ICD-9 Procedure	No data	Implant of pulsation balloon	 			
88.52	ICD-9 Procedure	No data	Angiocardiography of right heart structures	 			
88.54	ICD-9 Procedure	No data	Combined right and left heart angiocardiography	 			
88.72	ICD-9 Procedure	No data	Diagnostic ultrasound of heart	 			
483	Revenue Center	No data	Echocardiology	 			
730	Revenue Center	No data	EKG/ECG-general classification	 			
943	Revenue Center	No data	Other therapeutic services-cardiac rehabilitation	 			
End of Worksheet							
