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Triggering and Grouping Codes			Table of Contents					
CHRONIC ATRIAL FIBRILLATION/FLUTTER								
Code	Code Type	Used in Trigger Rule	Code Description					
33250	CPT-4	Y	"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass"	 				
33251	CPT-4	Y	"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass"	 				
33254	CPT-4	Y	"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)"	 				
33255	CPT-4	Y	"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass"	 				
33256	CPT-4	Y	"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass"	 				
33257	CPT-4	Y	"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary proce"	 				
33258	CPT-4	Y	"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition"	 				
33259	CPT-4	Y	"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to"	 				
33260	CPT-4	Y	"Ablate, Heart, Dysrhythm, Focus"	 				
92960	CPT-4	Y	"Cardioversion, elective, electrical conversion of arrhythmia; external"	 				
92961	CPT-4	Y	"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)"	 				
99363	CPT-4	Y	"Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), an"	 				
99364	CPT-4	Y	"Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), an"	 				
G0248	HCPCS	Y	"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteri"	 				
G0250	HCPCS	Y	"Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicar"	 				
S9401	HCPCS	Y	"Anticoagulation clinic, inclusive of all services except laboratory tests, per session"	 				
427.31	ICD-9 Diagnosis	Y	Atrial fibrillation	 				
427.32	ICD-9 Diagnosis	Y	Atrial flutter	 				
00537	CPT-4	No data	Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation	 				
33206	CPT-4	No data	Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial	 				
33207	CPT-4	No data	Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular	 				
33208	CPT-4	No data	Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular	 				
33212	CPT-4	No data	Insertion of pacemaker pulse generator only; with existing single lead	 				
33213	CPT-4	No data	Insertion of pacemaker pulse generator only; with existing dual leads	 				
33214	CPT-4	No data	"Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lea"	 				
33221	CPT-4	No data	Insertion of pacemaker pulse generator only; with existing multiple leads	 				
33227	CPT-4	No data	Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system	 				
33228	CPT-4	No data	Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system	 				
33229	CPT-4	No data	Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system	 				
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"	 				
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"	 				
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)	 				
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"	 				
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"	 				
85610	CPT-4	No data	Prothrombin time;	 				
85611	CPT-4	No data	"Prothrombin time; substitution, plasma fractions, each"	 				
85730	CPT-4	No data	"Thromboplastin time, partial (PTT); plasma or whole blood"	 				
85732	CPT-4	No data	"Thromboplastin time, partial (PTT); substitution, plasma fractions, each"	 				
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"	 				
93201	CPT-4	No data	"Phonocardiogram, &, ECG, Lead"	 				
93202	CPT-4	No data	"Phonocardiogram, &, ECG, Lead"	 				
93204	CPT-4	No data	"Phonocardiogram, &, ECG, Lead"	 				
93205	CPT-4	No data	"Special, Phonocardiogram"	 				
93208	CPT-4	No data	"Special, Phonocardiogram"	 				
93209	CPT-4	No data	"Special, Phonocardiogram"	 				
93210	CPT-4	No data	"Intracardiac, Phonocardiogram"	 				
93220	CPT-4	No data	Vectorcardiogram	 				
93221	CPT-4	No data	"Vectorcardiogram, Tracing"	 				
93222	CPT-4	No data	"Vectorcardiogram, Report"	 				
93224	CPT-4	No data	"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other"	 				
93225	CPT-4	No data	"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)"	 				
93226	CPT-4	No data	External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report	 				
93227	CPT-4	No data	External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional	 				
93228	CPT-4	No data	"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with"	 				
93229	CPT-4	No data	"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with"	 				
93230	CPT-4	No data	Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized prin	 				
93231	CPT-4	No data	Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized prin	 				
93232	CPT-4	No data	Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized prin	 				
93233	CPT-4	No data	Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized prin	 				
93235	CPT-4	No data	"Electrocardiographic monitoring for 24 hours by continuous computerized monitoring and non-continuous recording, and real-time data analysis utilizing a device capable of producing intermittent full-s"	 				
93236	CPT-4	No data	"Electrocardiographic monitoring for 24 hours by continuous computerized monitoring and non-continuous recording, and real-time data analysis utilizing a device capable of producing intermittent full-s"	 				
93237	CPT-4	No data	"Electrocardiographic monitoring for 24 hours by continuous computerized monitoring and non-continuous recording, and real-time data analysis utilizing a device capable of producing intermittent full-s"	 				
93268	CPT-4	No data	"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende"	 				
93270	CPT-4	No data	"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende"	 				
93271	CPT-4	No data	"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende"	 				
93272	CPT-4	No data	"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende"	 				
93278	CPT-4	No data	"Signal-averaged electrocardiography (SAECG), with or without ECG"	 				
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)	 				
93600	CPT-4	No data	Bundle of His recording	 				
93602	CPT-4	No data	Intra-atrial recording	 				
93603	CPT-4	No data	Right ventricular recording	 				
93607	CPT-4	No data	"Left, Ventricular, Recording"	 				
93610	CPT-4	No data	Intra-atrial pacing	 				
93612	CPT-4	No data	Intraventricular pacing	 				
93613	CPT-4	No data	Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)	 				
93615	CPT-4	No data	Esophageal recording of atrial electrogram with or without ventricular electrogram(s);	 				
93616	CPT-4	No data	Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing	 				
93618	CPT-4	No data	Induction of arrhythmia by electrical pacing	 				
93619	CPT-4	No data	"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec"	 				
93620	CPT-4	No data	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco	 				
93624	CPT-4	No data	"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia"	 				
93650	CPT-4	No data	"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement"	 				
93651	CPT-4	No data	"Intracardiac catheter ablation of arrhythmogenic focus; for treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathways, accessory atrioventricular connections or o"	 				
93652	CPT-4	No data	Intracardiac catheter ablation of arrhythmogenic focus; for treatment of ventricular tachycardia	 				
93653	CPT-4	No data	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with right atrial pacing and re	 				
93654	CPT-4	No data	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with right atrial pacing and re	 				
93655	CPT-4	No data	"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh"	 				
93656	CPT-4	No data	"Comprehensive electrophysiologic evaluation including transseptal catheterizations, insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia w"	 				
93657	CPT-4	No data	Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad	 				
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"	 				
0295T	CPT-4	No data	"External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation"	 				
0296T	CPT-4	No data	External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	 				
0297T	CPT-4	No data	External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; scanning analysis with report	 				
0298T	CPT-4	No data	External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; review and interpretation	 				
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"	 				
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"	 				
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"	 				
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"	 				
C1361	HCPCS	No data	"recorder, cardiac event, implantable, reveal, reveal plus"	 				
C1764	HCPCS	No data	"Event recorder, cardiac (implantable)"	 				
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)"	 				
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"	 				
C9223	HCPCS	No data	"injection, adenosine for therapeutic or diagnostic use, 6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)"	 				
C9246	HCPCS	No data	"Injection, gadoxetate disodium, per ml"	 				
E0616	HCPCS	No data	"Implantable cardiac event recorder with memory, activator and programmer"	 				
G0001	HCPCS	No data	routine venipuncture for collection of specimen(s)	 				
G0003	HCPCS	No data	ecg 24hr attended monitoring	 				
G0004	HCPCS	No data	"patient demand single or multiple event recording with pre-symptom memory loop and 24 hour attended monitoring, per 30 day period; includes transmission, physician review and interpretation"	 				
G0005	HCPCS	No data	"patient demand single or multiple event recording with pre-symptom memory loop and 24 hour attended monitoring, per 30 day period; recording (includes hook-up, recording and disconnection)"	 				
G0006	HCPCS	No data	"patient demand single or multiple event recording with pre-symptom memory loop and 24 hour attended monitoring, per 30 day period; 24 hour attended monitoring, receipt of transmissions, and analysis"	 				
G0007	HCPCS	No data	"patient demand single or multiple event recording with pre-sympton memory loop and 24 hour attended monitoring, per 30 day period; physician review and interpretation only"	 				
G0015	HCPCS	No data	"post-symptom telephonic transmission of electrocardiogram rhythm strip(s) and 24 hour attended monitoring, per 30 day period; tracing only"	 				
G0016	HCPCS	No data	"post-symptom telephonic transmission of electrocardiogram rhythm strips(s) and 24 hour attended monitoring, per 30 day period; physician review and interpretation only"	 				
G0096	HCPCS	No data	basic metabolic panel	 				
G0097	HCPCS	No data	electrolytes panel	 				
G0098	HCPCS	No data	comprehensiv metabolic panel	 				
G0249	HCPCS	No data	"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage c"	 				
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"	 				
G9143	HCPCS	No data	"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)"	 				
J0150	HCPCS	No data	"Injection, adenosine for therapeutic use,  6 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)"	 				
J0151	HCPCS	No data	"injection, adenosine, 90 mg (not to be used to report any adenosine phosphate compounds, instead use a9270)"	 				
J0152	HCPCS	No data	"Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270)"	 				
J0282	HCPCS	No data	"Injection, amiodarone hydrochloride, 30 mg"	 				
J1155	HCPCS	No data	digitoxin injection	 				
J1160	HCPCS	No data	"Injection, digoxin, up to 0. 5 mg"	 				
J1744	HCPCS	No data	"Injection, icatibant, 1 mg"	 				
J2690	HCPCS	No data	"Injection, procainamide hcl, up to 1 gm"	 				
M0526	HCPCS	No data	tracing/interpretation of ec	 				
M0530	HCPCS	No data	electrocardiograph mon to 12	 				
M0535	HCPCS	No data	electrocardiograph mon 12-24	 				
M0540	HCPCS	No data	signal-averaging ekg	 				
M0590	HCPCS	No data	monitor ecg/eeg/crit surg pr	 				
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	 				
Q0159	HCPCS	No data	adenosine injection	 				
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"	 				
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"	 				
S0345	HCPCS	No data	"Electrocardiographic monitoring utilizing a home computerized telemetry station with automatic activation and real-time notification of monitoring station, 24-hour attended monitoring, including recor"	 				
S0346	HCPCS	No data	"Electrocardiographic monitoring utilizing a home computerized telemetry station with automatic activation and real-time notification of monitoring station, 24-hour attended monitoring, including recor"	 				
S0347	HCPCS	No data	"Electrocardiographic monitoring utilizing a home computerized telemetry station with automatic activation and real-time notification of monitoring station, 24-hour attended monitoring, including physi"	 				
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)	 				
S9025	HCPCS	No data	Omnicardiogram/cardiointegram	 				
S9529	HCPCS	No data	"Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient"	 				
426.89	ICD-9 Diagnosis	No data	Other specified conduction disorders	 				
426.9	ICD-9 Diagnosis	No data	"Conduction disorder, unspecified"	 				
427.0	ICD-9 Diagnosis	No data	Paroxysmal supraventricular tachycardia	 				
427.2	ICD-9 Diagnosis	No data	"Paroxysmal tachycardia, unspecified"	 				
427.60	ICD-9 Diagnosis	No data	"Premature beats, unspecified"	 				
427.61	ICD-9 Diagnosis	No data	Supraventricular premature beats	 				
427.69	ICD-9 Diagnosis	No data	Other premature beats	 				
427.89	ICD-9 Diagnosis	No data	Other specified cardiac dysrhythmias	 				
427.9	ICD-9 Diagnosis	No data	"Cardiac dysrhythmia, unspecified"	 				
429.2	ICD-9 Diagnosis	No data	"Cardiovascular disease, unspecified"	 				
434.1	ICD-9 Diagnosis	No data	Occlusion of cerebral arteries - Cerebral embolism	 				
434.10	ICD-9 Diagnosis	No data	Cerebral embolism without mention of cerebral infarction	 				
434.11	ICD-9 Diagnosis	No data	Cerebral embolism with cerebral infarction	 				
435.2	ICD-9 Diagnosis	No data	Subclavian steal syndrome	 				
435.8	ICD-9 Diagnosis	No data	Other specified transient cerebral ischemias	 				
435.9	ICD-9 Diagnosis	No data	Unspecified transient cerebral ischemia	 				
436	ICD-9 Diagnosis	No data	"Acute, but ill-defined, cerebrovascular disease"	 				
785.0	ICD-9 Diagnosis	No data	"Tachycardia, unspecified"	 				
785.1	ICD-9 Diagnosis	No data	Palpitations	 				
785.3	ICD-9 Diagnosis	No data	Other abnormal heart sounds	 				
785.9	ICD-9 Diagnosis	No data	Other symptoms involving cardiovascular system	 				
790.92	ICD-9 Diagnosis	No data	Abnormal coagulation profile	 				
794.31	ICD-9 Diagnosis	No data	Nonspecific abnormal electrocardiogram [ECG] [EKG]	 				
V58.61	ICD-9 Diagnosis	No data	Long-term (current) use of anticoagulants	 				
V71.7	ICD-9 Diagnosis	No data	Observation for suspected cardiovascular disease	 				
37.26	ICD-9 Procedure	No data	Catheter based invasive electrophysiologic testing	 				
88.72	ICD-9 Procedure	No data	Diagnostic ultrasound of heart	 				
242	MS-DRG	No data	Permanent cardiac pacemaker implant w MCC	 				
243	MS-DRG	No data	Permanent cardiac pacemaker implant w CC	 				
244	MS-DRG	No data	Permanent cardiac pacemaker implant w/o CC/MCC	 				
258	MS-DRG	No data	Cardiac pacemaker device replacement w MCC	 				
259	MS-DRG	No data	Cardiac pacemaker device replacement w/o MCC	 				
483	Revenue Center	No data	Echocardiology	 				
730	Revenue Center	No data	EKG/ECG-general classification	 				
731	Revenue Center	No data	EKG/ECG-Holter moniter	 				
732	Revenue Center	No data	EKG/ECG-telemetry	 				
739	Revenue Center	No data	EKG/ECG-other	 				
985	Revenue Center	No data	Professional fees-EKG	 				
End of Worksheet								
