Special coverage instructions apply
Every HCPCS Level II code whose Medicare coverage status is "Special coverage instructions apply".
Medicare coverageCMS code D2,231 codes
What this status means
Review the relevant Medicare manual or National Coverage Determination before billing.
By series
These 2,231 codes span 14 series, split as below. Opening one shows that whole series, not just the codes listed here.
All codes 2,231
All code series- A0999Unlisted ambulance service
- A4211Supp for self-adm injections
- A4216Sterile water/saline, 10 ml
- A4217Sterile water/saline, 500 ml
- A4218Sterile saline or water
- A4220Infusion pump refill kit
- A4225Sup/ext insulin inf pump syr
- A4230Infus insulin pump non needl
- A4231Infusion insulin pump needle
- A4253Blood glucose/reagent strips
- A4255Glucose monitor platforms
- A4256Calibrator solution/chips
- A4258Lancet device each
- A4259Lancets per box
- A4262Temporary tear duct plug
- A4263Permanent tear duct plug
- A4265Paraffin
- A4271Home lancing/test cartridges
- A4295Straigh tip hydrophilic cath
- A4296Coude tip hydrophilic cath
- A4297Hydrophilic coat insert sup
- A4300Cath impl vasc access portal
- A4310Insert tray w/o bag/cath
- A4312Cath w/o bag 2-way silicone
- A4313Catheter w/bag 3-way
- A4314Cath w/drainage 2-way latex
- A4315Cath w/drainage 2-way silcne
- A4316Cath w/drainage 3-way
- A4320Irrigation tray
- A4321Cath therapeutic irrig agent
- A4322Irrigation syringe
- A4326Male external catheter
- A4327Fem urinary collect dev cup
- A4328Fem urinary collect pouch
- A4330Stool collection pouch
- A4331Extension drainage tubing
- A4332Lube sterile packet
- A4333Urinary cath anchor device
- A4334Urinary cath leg strap
- A4335Incontinence supply
- A4336Urethral insert
- A4337Incontinent rectal insert
- A4338Indwelling catheter latex
- A4340Indwelling catheter special
- A4344Cath indw foley 2 way silicn
- A4346Cath indw foley 3 way
- A4349Disposable male external cat
- A4351Straight tip urine catheter
- A4352Coude tip urinary catheter
- A4353Intermittent urinary cath
- A4354Cath insertion tray w/bag
- A4355Bladder irrigation tubing
- A4356Ext ureth clmp or compr dvc
- A4357Bedside drainage bag
- A4358Urinary leg or abdomen bag
- A4360Disposable ext urethral dev
- A4361Ostomy face plate
- A4362Solid skin barrier
- A4363Ostomy clamp, replacement
- A4364Adhesive, liquid or equal
- A4367Ostomy belt
- A4369Skin barrier liquid per oz
- A4371Skin barrier powder per oz
- A4372Skin barrier solid 4x4 equiv
- A4373Skin barrier with flange
- A4375Drainable plastic pch w fcpl
- A4376Drainable rubber pch w fcplt
- A4377Drainable plstic pch w/o fp
- A4378Drainable rubber pch w/o fp
- A4379Urinary plastic pouch w fcpl
- A4380Urinary rubber pouch w fcplt
- A4381Urinary plastic pouch w/o fp
- A4382Urinary hvy plstc pch w/o fp
- A4383Urinary rubber pouch w/o fp
- A4384Ostomy faceplt/silicone ring
- A4385Ost skn barrier sld ext wear
- A4387Ost clsd pouch w att st barr
- A4388Drainable pch w ex wear barr
- A4389Drainable pch w st wear barr
- A4390Drainable pch ex wear convex
- A4391Urinary pouch w ex wear barr
- A4392Urinary pouch w st wear barr
- A4393Urine pch w ex wear bar conv
- A4394Ostomy pouch liq deodorant
- A4395Ostomy pouch solid deodorant
- A4396Peristomal hernia supprt blt
- A4397Irrigation supply sleeve
- A4398Ostomy irrigation bag
- A4399Ostomy irrig cone/cath w brs
- A4400Ostomy irrigation set
- A4402Lubricant per ounce
- A4404Ostomy ring each
- A4405Nonpectin based ostomy paste
- A4406Pectin based ostomy paste
- A4407Ext wear ost skn barr <=4sq"
- A4408Ext wear ost skn barr >4sq"
- A4409Ost skn barr convex <=4 sq i
- A4410Ost skn barr extnd >4 sq
- A4411Ost skn barr extnd =4sq
- A4412Ost pouch drain high output
- A44132 pc drainable ost pouch
- A4414Ost sknbar w/o conv<=4 sq in
- A4415Ost skn barr w/o conv >4 sqi
- A4422Ost pouch absorbent material
- A4436Irr supply sleev reus per mo
- A4437Irr supply sleev disp per mo
- A4450Non-waterproof tape
- A4452Waterproof tape
- A4455Adhesive remover per ounce
- A4456Adhesive remover, wipes
- A4470Gravlee jet washer
- A4480Vabra aspirator
- A4481Tracheostoma filter
- A4483Moisture exchanger
- A4550Surgical trays
- A4595Tens suppl 2 lead per month
- A4615Cannula nasal
- A4616Tubing (oxygen) per foot
- A4617Mouth piece
- A4618Breathing circuits
- A4619Face tent
- A4620Variable concentration mask
- A4623Tracheostomy inner cannula
- A4625Trach care kit for new trach
- A4626Tracheostomy cleaning brush
- A4629Tracheostomy care kit
- A4630Repl bat t.e.n.s. own by pt
- A4635Underarm crutch pad
- A4636Handgrip for cane etc
- A4637Repl tip cane/crutch/walker
- A4640Alternating pressure pad
- A4651Calibrated microcap tube
- A4652Microcapillary tube sealant
- A4657Syringe w/wo needle
- A4660Sphyg/bp app w cuff and stet
- A4663Dialysis blood pressure cuff
- A4671Disposable cycler set
- A4672Drainage ext line, dialysis
- A4673Ext line w easy lock connect
- A4674Chem/antisept solution, 8oz
- A4680Activated carbon filter, ea
- A4690Dialyzer, each
- A4706Bicarbonate conc sol per gal
- A4707Bicarbonate conc pow per pac
- A4708Acetate conc sol per gallon
- A4709Acid conc sol per gallon
- A4714Treated water per gallon
- A4719"y set" tubing
- A4720Dialysat sol fld vol > 249cc
- A4721Dialysat sol fld vol > 999cc
- A4722Dialys sol fld vol > 1999cc
- A4723Dialys sol fld vol > 2999cc
- A4724Dialys sol fld vol > 3999cc
- A4725Dialys sol fld vol > 4999cc
- A4726Dialys sol fld vol > 5999cc
- A4730Fistula cannulation set, ea
- A4736Topical anesthetic, per gram
- A4737Inj anesthetic per 10 ml
- A4740Shunt accessory
- A4750Art or venous blood tubing
- A4755Comb art/venous blood tubing
- A4760Dialysate sol test kit, each
- A4765Dialysate conc pow per pack
- A4766Dialysate conc sol add 10 ml
- A4770Blood collection tube/vacuum
- A4771Serum clotting time tube
- A4772Blood glucose test strips
- A4773Occult blood test strips
- A4774Ammonia test strips
- A4802Protamine sulfate per 50 mg
- A4860Disposable catheter tips
- A4870Plumb/elec wk hm hemo equip
- A4890Repair/maint cont hemo equip
- A4911Drain bag/bottle
- A4913Misc dialysis supplies noc
- A4918Venous pressure clamp
- A4927Non-sterile gloves
- A4928Surgical mask
- A4929Tourniquet for dialysis, ea
- A4930Sterile, gloves per pair
- A5051Pouch clsd w barr attached
- A5052Clsd ostomy pouch w/o barr
- A5053Clsd ostomy pouch faceplate
- A5054Clsd ostomy pouch w/flange
- A5055Stoma cap
- A50561 pc ost pouch w filter
- A50571 pc ost pou w built-in conv
- A5062Drnble ostomy pouch w/o barr
- A5063Drain ostomy pouch w/flange
- A5071Urinary pouch w/barrier
- A5072Urinary pouch w/o barrier
- A5073Urinary pouch on barr w/flng
- A5081Stoma plug or seal, any type
- A5082Continent stoma catheter
- A5093Ostomy accessory convex inse
- A5102Bedside drain btl w/wo tube
- A5105Urinary suspensory
- A5112Urinary leg bag
- A5113Latex leg strap
- A5114Foam/fabric leg strap
- A5120Skin barrier, wipe or swab
- A5121Solid skin barrier 6x6
- A5122Solid skin barrier 8x8
- A5126Disk/foam pad +or- adhesive
- A5131Appliance cleaner
- A5200Percutaneous catheter anchor
- A5500Diab shoe for density insert
- A5501Diabetic custom molded shoe
- A5503Diabetic shoe w/roller/rockr
- A5504Diabetic shoe with wedge
- A5505Diab shoe w/metatarsal bar
- A5506Diabetic shoe w/off set heel
- A5507Modification diabetic shoe
- A5508Diabetic deluxe shoe
- A5510Compression form shoe insert
- A5512Multi den insert direct form
- A5513Multi den insert custom mold
- A5514Mult den insert dir carv/cam
- A6010Collagen based wound filler
- A6011Collagen gel/paste wound fil
- A6021Collagen dressing <=16 sq in
- A6022Collagen drsg>16<=48 sq in
- A6023Collagen dressing >48 sq in
- A6024Collagen dsg wound filler
- A6154Wound pouch each
- A6196Alginate dressing <=16 sq in
- A6197Alginate drsg >16 <=48 sq in
- A6198Alginate dressing > 48 sq in
- A6199Alginate drsg wound filler
- A6203Composite drsg <= 16 sq in
- A6204Composite drsg >16<=48 sq in
- A6205Composite drsg > 48 sq in
- A6206Contact layer <= 16 sq in
- A6207Contact layer >16<= 48 sq in
- A6208Contact layer > 48 sq in
- A6209Foam drsg <=16 sq in w/o bdr
- A6210Foam drg >16<=48 sq in w/o b
- A6211Foam drg > 48 sq in w/o brdr
- A6212Foam drg <=16 sq in w/border
- A6213Foam drg >16<=48 sq in w/bdr
- A6214Foam drg > 48 sq in w/border
- A6215Foam dressing wound filler
- A6216Non-sterile gauze<=16 sq in
- A6217Non-sterile gauze>16<=48 sq
- A6218Non-sterile gauze > 48 sq in
- A6219Gauze <= 16 sq in w/border
- A6220Gauze >16 <=48 sq in w/bordr
- A6221Gauze > 48 sq in w/border
- A6222Gauze <=16 in no w/sal w/o b
- A6223Gauze >16<=48 no w/sal w/o b
- A6224Gauze > 48 in no w/sal w/o b
- A6228Gauze <= 16 sq in water/sal
- A6229Gauze >16<=48 sq in watr/sal
- A6230Gauze > 48 sq in water/salne
- A6231Hydrogel dsg<=16 sq in
- A6232Hydrogel dsg>16<=48 sq in
- A6233Hydrogel dressing >48 sq in
- A6234Hydrocolld drg <=16 w/o bdr
- A6235Hydrocolld drg >16<=48 w/o b
- A6236Hydrocolld drg > 48 in w/o b
- A6237Hydrocolld drg <=16 in w/bdr
- A6238Hydrocolld drg >16<=48 w/bdr
- A6239Hydrocolld drg > 48 in w/bdr
- A6240Hydrocolld drg filler paste
- A6241Hydrocolloid drg filler dry
- A6242Hydrogel drg <=16 in w/o bdr
- A6243Hydrogel drg >16<=48 w/o bdr
- A6244Hydrogel drg >48 in w/o bdr
- A6245Hydrogel drg <= 16 in w/bdr
- A6246Hydrogel drg >16<=48 in w/b
- A6247Hydrogel drg > 48 sq in w/b
- A6248Hydrogel drsg gel filler
- A6250Skin seal protect moisturizr
- A6251Absorpt drg <=16 sq in w/o b
- A6252Absorpt drg >16 <=48 w/o bdr
- A6253Absorpt drg > 48 sq in w/o b
- A6254Absorpt drg <=16 sq in w/bdr
- A6255Absorpt drg >16<=48 in w/bdr
- A6256Absorpt drg > 48 sq in w/bdr
- A6257Transparent film <= 16 sq in
- A6258Transparent film >16<=48 in
- A6259Transparent film > 48 sq in
- A6260Wound cleanser any type/size
- A6261Wound filler gel/paste /oz
- A6262Wound filler dry form / gram
- A6266Impreg gauze no h20/sal/yard
- A6402Sterile gauze <= 16 sq in
- A6403Sterile gauze>16 <= 48 sq in
- A6404Sterile gauze > 48 sq in
- A6410Sterile eye pad
- A6411Non-sterile eye pad
- A6501Compres burngarment bodysuit
- A6502Compres burngarment chinstrp
- A6503Compres burngarment facehood
- A6504Cmprsburngarment glove-wrist
- A6505Cmprsburngarment glove-elbow
- A6506Cmprsburngrmnt glove-axilla
- A6507Cmprs burngarment foot-knee
- A6508Cmprs burngarment foot-thigh
- A6509Compres burn garment jacket
- A6510Compres burn garment leotard
- A6511Compres burn garment panty
- A6512Compres burn garment, noc
- A6531Compress stking bk30-40 surg
- A6532Compress stking bk40-50 surg
- A6545Grad com non-elastic bk surg
- A7017Nebulizer not used w oxygen
- A7045Repl exhalation port for pap
- A7046Repl water chamber, pap dev
- A7501Tracheostoma valve w diaphra
- A7502Replacement diaphragm/fplate
- A7503Hmes filter holder or cap
- A7504Tracheostoma hmes filter
- A7505Hmes or trach valve housing
- A7506Hmes/trachvalve adhesivedisk
- A7507Integrated filter & holder
- A7508Housing & integrated adhesiv
- A7509Heat & moisture exchange sys
- A9150Misc/exper non-prescript dru
- A9156Oral mucoadhesive per 1 ml
- A9272Disp wound suct, drsg/access
- A9284Non-electronic spirometer
- A9513Lutetium lu 177 dotatat ther
- A9586Florbetapir f18
- A9599Radioph dx b amyloid pet nos
- A9698Non-rad contrast materialnoc
- A9700Echocardiography contrast
- B4034Enter feed supkit syr by day
- B4035Enteral feed supp pump per d
- B4036Enteral feed sup kit grav by
- B4081Enteral ng tubing w/ stylet
- B4082Enteral ng tubing w/o stylet
- B4083Enteral stomach tube levine
- B4102Ef adult fluids and electro
- B4103Ef ped fluid and electrolyte
- B4104Additive for enteral formula
- B4148Enteral feed elastomer daily
- B4149Ef blenderized foods
- B4150Ef complet w/intact nutrient
- B4152Ef calorie dense>/=1.5kcal
- B4153Ef hydrolyzed/amino acids
- B4154Ef spec metabolic noninherit
- B4155Ef incomplete/modular
- B4157Ef special metabolic inherit
- B4158Ef ped complete intact nut
- B4159Ef ped complete soy based
- B4160Ef ped caloric dense>/=0.7kc
- B4161Ef ped hydrolyzed/amino acid
- B4162Ef ped specmetabolic inherit
- B4164Parenteral 50% dextrose solu
- B4168Parenteral sol amino acid 3.
- B4172Parenteral sol amino acid 5.
- B4176Parenteral sol amino acid 7-
- B4178Parenteral sol amino acid >
- B4180Parenteral sol carb > 50%
- B4185Pn soln nos 10 grams lipids
- B4187Omegaven, 10 grams lipids
- B4189Parenteral sol amino acid &
- B4193Parenteral sol 52-73 gm prot
- B4197Parenteral sol 74-100 gm pro
- B4199Parenteral sol > 100gm prote
- B4216Parenteral nutrition additiv
- B4220Parenteral supply kit premix
- B4222Parenteral supply kit homemi
- B4224Parenteral administration ki
- B5000Parenteral sol renal-amirosy
- B5100Parenteral solution hepatic
- B5200Parenteral sol hepatic fream
- B9000Enter infusion pump w/o alrm
- B9002Enter nutr inf pump any type
- B9004Parenteral infus pump portab
- B9006Parenteral infus pump statio
- B9998Enteral supp not otherwise c
- B9999Parenteral supp not othrws c
- C1052Hemostatic agent, gi, topic
- C1062Intravertebral fx aug impl
- C1300Hyperbaric oxygen
- C1600Cath, bladed, vasc prep
- C1601Endo, single, pulmonary
- C1602Orth/matrx/bn fill drug-elut
- C1603Ret dev, laser, ivc filter
- C1604Grft, trnsmurl/trnsvens byps
- C1605Pmkr, dual, leadless
- C1606Adapter, us to endoscope
- C1607Neurostim integ rechg
- C1608Prosthesis, dual mob cmc1
- C1713Anchor/screw bn/bn,tis/bn
- C1714Cath, trans atherectomy, dir
- C1715Brachytherapy needle
- C1716Brachytx, non-str, gold-198
- C1717Brachytx, non-str,hdr ir-192
- C1719Brachytx, ns, non-hdrir-192
- C1721Aicd, dual chamber
- C1722Aicd, single chamber
- C1724Cath, trans atherec,rotation
- C1725Cath, translumin non-laser
- C1726Cath, bal dil, non-vascular
- C1727Cath, bal tis dis, non-vas
- C1728Cath, brachytx seed adm
- C1729Cath, drainage
- C1730Cath, ep, 19 or few elect
- C1731Cath, ep, 20 or more elec
- C1732Cath, ep, diag/abl, 3d/vect
- C1733Cath, ep, othr than cool-tip
- C1734Orth/devic/drug bn/bn,tis/bn
- C1735Cath renal denerv radiofreq
- C1736Cath renal denerv ultrasnd
- C1737Si&pelvis fusn&fixn dev
- C1738Power endo us-guid bx dev
- C1739Marker uniq detect w/prbe
- C1740Lt vent pacing syst, sequen
- C1741Anchor/screw bone absorb
- C1742Pressure sens syst, cont im
- C1743Scafld endovas resrb drg elu
- C1747Endo, single, urinary tract
- C1748Endoscope, single, ugi
- C1749Endo, colon, retro imaging
- C1750Cath, hemodialysis,long-term
- C1751Cath, inf, per/cent/midline
- C1752Cath,hemodialysis,short-term
- C1753Cath, intravas ultrasound
- C1754Catheter, intradiscal
- C1755Catheter, intraspinal
- C1756Cath, pacing, transesoph
- C1757Cath, thrombectomy/embolect
- C1758Catheter, ureteral
- C1759Cath, intra echocardiography
- C1760Closure dev, vasc
- C1761Cath, trans intra litho/coro
- C1762Conn tiss, human(inc fascia)
- C1763Conn tiss, non-human
- C1764Event recorder, cardiac
- C1765Adhesion barrier
- C1766Intro/sheath,strble,non-peel
- C1767Generator, neuro non-recharg
- C1768Graft, vascular
- C1769Guide wire
- C1770Imaging coil, mr, insertable
- C1771Rep dev, urinary, w/sling
- C1772Infusion pump, programmable
- C1773Ret dev, insertable
- C1776Joint device (implantable)
- C1777Lead, aicd, endo single coil
- C1778Lead, neurostimulator
- C1779Lead, pmkr, transvenous vdd
- C1780Lens, intraocular (new tech)
- C1781Mesh (implantable)
- C1782Morcellator
- C1783Ocular imp, aqueous drain de
- C1784Ocular dev, intraop, det ret
- C1785Pmkr, dual, rate-resp
- C1786Pmkr, single, rate-resp
- C1787Patient progr, neurostim
- C1788Port, indwelling, imp
- C1789Prosthesis, breast, imp
- C1813Prosthesis, penile, inflatab
- C1814Retinal tamp, silicone oil
- C1815Pros, urinary sph, imp
- C1816Receiver/transmitter, neuro
- C1817Septal defect imp sys
- C1818Integrated keratoprosthesis
- C1819Tissue localization-excision
- C1820Generator neuro rechg bat sy
- C1821Interspinous implant
- C1822Gen, neuro, hf, rechg bat
- C1823Gen, neuro, trans sen/stim
- C1824Generator, ccm, implant
- C1825Gen, neuro, carot sinus baro
- C1826Gen, neuro, clo loop, rechg
- C1827Gen, neuro, imp led, ex cntr
- C1830Power bone marrow bx needle
- C1831Personalized interbody cage
- C1832Auto cell process sys
- C1833Cardiac monitor sys
- C1834Pressure sensor system, im
- C1839Iris prosthesis
- C1840Telescopic intraocular lens
- C1841Retinal prosth int/ext comp
- C1842Retinal prosth, add-on
- C1849Skin substitute, synthetic
- C1874Stent, coated/cov w/del sys
- C1875Stent, coated/cov w/o del sy
- C1876Stent, non-coa/non-cov w/del
- C1877Stent, non-coat/cov w/o del
- C1878Matrl for vocal cord
- C1880Vena cava filter
- C1881Dialysis access system
- C1882Aicd, other than sing/dual
- C1883Adapt/ext, pacing/neuro lead
- C1884Embolization protect syst
- C1885Cath, translumin angio laser
- C1886Catheter, ablation
- C1887Catheter, guiding
- C1888Endovas non-cardiac abl cath
- C1889Implant/insert device, noc
- C1890No device w/dev-intensive px
- C1891Infusion pump,non-prog, perm
- C1892Intro/sheath,fixed,peel-away
- C1893Intro/sheath, fixed,non-peel
- C1894Intro/sheath, non-laser
- C1895Lead, aicd, endo dual coil
- C1896Lead, aicd, non sing/dual
- C1897Lead, neurostim test kit
- C1898Lead, pmkr, other than trans
- C1899Lead, pmkr/aicd combination
- C1900Lead, coronary venous
- C1982Cath, pressure,valve-occlu
- C2596Probe, robotic, water-jet
- C2613Lung bx plug w/del sys
- C2614Probe, perc lumb disc
- C2615Sealant, pulmonary, liquid
- C2616Brachytx, non-str,yttrium-90
- C2617Stent, non-cor, tem w/o del
- C2618Probe/needle, cryo
- C2619Pmkr, dual, non rate-resp
- C2620Pmkr, single, non rate-resp
- C2621Pmkr, other than sing/dual
- C2622Prosthesis, penile, non-inf
- C2623Cath, translumin, drug-coat
- C2624Wireless pressure sensor
- C2625Stent, non-cor, tem w/del sy
- C2626Infusion pump, non-prog,temp
- C2627Cath, suprapubic/cystoscopic
- C2628Catheter, occlusion
- C2629Intro/sheath, laser
- C2630Cath, ep, cool-tip
- C2631Rep dev, urinary, w/o sling
- C2634Brachytx, non-str, ha, i-125
- C2635Brachytx, non-str, ha, p-103
- C2636Brachy linear, non-str,p-103
- C2637Brachy,non-str,ytterbium-169
- C2638Brachytx, stranded, i-125
- C2639Brachytx, non-stranded,i-125
- C2640Brachytx, stranded, p-103
- C2641Brachytx, non-stranded,p-103
- C2642Brachytx, stranded, c-131
- C2643Brachytx, non-stranded,c-131
- C2644Brachytx cesium-131 chloride
- C2645Brachytx planar, p-103
- C2698Brachytx, stranded, nos
- C2699Brachytx, non-stranded, nos
- C5271Low cost skin substitute app
- C5272Low cost skin substitute app
- C5273Low cost skin substitute app
- C5274Low cost skin substitute app
- C5275Low cost skin substitute app
- C5276Low cost skin substitute app
- C5277Low cost skin substitute app
- C5278Low cost skin substitute app
- C7537Insrt atril pm w/l vent lead
- C7538Insrt vent pm w/l vent lead
- C7539Insrt a & v pm w/l vent lead
- C7541Ercp w/ pancreatoscopy
- C7542Ercp w/bx & pancreatoscopy
- C7543Ercp w/otomy, pancreatoscopy
- C7544Ercp rmv calc pancreatoscopy
- C7556Bronch lavage w/ebus
- C7557Cor angio/vent w/ffr
- C7558Cor angio/vent w/drug admin
- C7560Ercp remove forgn body&endo
- C7562R&l hrt angio w/ffr & 3d map
- C7563Trluml ballo angiop all art
- C7564Vein mech throm w/intrvas us
- C7565Rpr aa hrn < 3 rdc w/ rmvl
- C7566Fuse finger joints w/grafts
- C7567Bronch/needle bx(s) w/ nav
- C7568Cor angio w/flow resrv
- C7569Ptca w/ ivus or oct
- C7570Cor angio w/ffr & 3d map
- C7571Pcta w/ cor lithotrip
- C7903Hopd mntl hlt, grp
- C8000Suprt dev, a-v fistula, imp
- C8004Sim ang w/prs cath rad emb
- C8005Pef bronch ablt 3d nav ebus
- C8006Inst pleu-perit shnt w pump
- C8010Pc plm pm c ctd emb prtc
- C8900Mra w/cont, abd
- C8901Mra w/o cont, abd
- C8902Mra w/o fol w/cont, abd
- C8903Mri w/cont, breast, uni
- C8904Mri w/o cont, breast, uni
- C8905Mri w/o fol w/cont, brst, un
- C8906Mri w/cont, breast, bi
- C8907Mri w/o cont, breast, bi
- C8908Mri w/o fol w/cont, breast,
- C8909Mra w/cont, chest
- C8910Mra w/o cont, chest
- C8911Mra w/o fol w/cont, chest
- C8912Mra w/cont, lwr ext
- C8913Mra w/o cont, lwr ext
- C8914Mra w/o fol w/cont, lwr ext
- C8918Mra w/cont, pelvis
- C8919Mra w/o cont, pelvis
- C8920Mra w/o fol w/cont, pelvis
- C8921Tte w or w/o fol w/cont, com
- C8922Tte w or w/o fol w/cont, f/u
- C89232d tte w or w/o fol w/con,co
- C89242d tte w or w/o fol w/con,fu
- C89252d tee w or w/o fol w/con,in
- C8926Tee w or w/o fol w/cont,cong
- C8927Tee w or w/o fol w/cont, mon
- C8928Tte w or w/o fol w/con,stres
- C8929Tte w or wo fol wcon,doppler
- C8930Tte w or w/o contr, cont ecg
- C8931Mra, w/dye, spinal canal
- C8932Mra, w/o dye, spinal canal
- C8933Mra, w/o&w/dye, spinal canal
- C8934Mra, w/dye, upper extremity
- C8935Mra, w/o dye, upper extr
- C8936Mra, w/o&w/dye, upper extr
- C8937Cad breast mri
- C8957Prolonged iv inf, req pump
- C9014Injection, cerliponase alfa
- C9015C-1 esterase, haegarda
- C9016Inj, triptorelin ext rel
- C9021Injection, obinutuzumab
- C9022Injection, elosulfase alfa
- C9023Inj testosterone undecanoate
- C9024Inj, daunorubicin-cytarabine
- C9025Injection, ramucirumab
- C9026Injection, vedolizumab
- C9027Injection, pembrolizumab
- C9028Inj. inotuzumab ozogamicin
- C9029Injection, guselkumab
- C9030Inj copanlisib
- C9031Lutetium lu 177 dotatate, tx
- C9032Voretigene neparvovec-rzyl
- C9033Inj, akynzeo
- C9034Injection, dexamethasone 9%
- C9035Injection, aristada initio
- C9036Injection, patisiran
- C9037Injection, risperidone
- C9038Inj mogamulizumab-kpkc
- C9039Injection, plazomicin
- C9040Injection, fremanezumab-vfrm
- C9041Inj, coagulation factor xa
- C9042Inj., belrapzo 1 mg
- C9043Injection, levoleucovorin
- C9044Injection, cemiplimab-rwlc
- C9045Moxetumomab pasudotox-tdfk
- C9046Cocaine hcl nasal (goprelto)
- C9047Injection, caplacizumab-yhdp
- C9048Dexamethasone ophth insert
- C9049Injection, tagraxofusp-erzs
- C9050Injection, emapalumab-lzsg
- C9051Injection, omadacycline
- C9052Injection, ravulizumab-cwv
- C9053Inj, crizanlizumab-tmca
- C9054Injection, lefamulin
- C9055Inj, brexanolone
- C9056Injection, givosiran
- C9057Inj cetirizine hydrochloride
- C9058Injection,pegfilgrastim-bmez
- C9059Injection, meloxicam
- C9060Fluoroestradiol f18
- C9061Injection, teprotumumab-trbw
- C9062Daratumumab hyaluronidase
- C9063Injection, eptinezumab-jjmr
- C9064Mitomycin pyelocalyceal inst
- C9065Romidepsin non-lyophilized
- C9066Sacituzumab govitecan-hziy
- C9067Gallium ga-68 dotatoc
- C9068Copper cu-64, dotatate, dx
- C9069Belantamab mafodontin-blmf
- C9070Injection, tafasitamab-cxix
- C9071Injection, viltolarsen
- C9072Inj, imm glob asceniv
- C9073Brexucabtagene autoleucel ca
- C9074Injection, lumasiran
- C9075Injection, casimersen, 10 mg
- C9076Lisocabtagene car pos t
- C9077Inj cabotegravir/rilpivirine
- C9078Inj, trilaciclib, 1 mg
- C9079Inj, evinacumab-dgnb, 5 mg
- C9080Inj, melphalan flufen, 1 mg
- C9081Idecabtagene car pos t
- C9082Inj dostarlimab-gxly, 100 mg
- C9083Inj, amivantamab-vmjw, 10 mg
- C9084Loncastuximab-lpyl, 0.1 mg
- C9085Inj avalglucosid alfa-ngpt
- C9086Inj, anifrolumab-fnia
- C9087Inj cyclophosphamd auromedic
- C9088Instill, bupivac and meloxic
- C9089Bupivacaine implant, 1 mg
- C9090Plasminogen, human-tvmh 1 mg
- C9091Sirolimus, protein-bound,1mg
- C9092Inj., xipere, 1 mg
- C9093Inj., susvimo, 0.1 mg
- C9101Inj, oliceridine 0.1 mg
- C9113Inj pantoprazole sodium, via
- C9121Injection, argatroban
- C9122Mometasone furoate (sinuva)
- C9132Kcentra, per i.u.
- C9133Factor ix recombinant
- C9134Factor xiii a-subunit recomb
- C9135Factor ix (alprolix)
- C9136Factor viii (eloctate)
- C9137Adynovate factor viii recom
- C9138Nuwiq factor viii recomb
- C9139Idelvion, 1 i.u.
- C9140Afstyla factor viii recomb
- C9141Factor viii pegylated-aucl
- C9142Inj, alymsys, 10 mg
- C9143Cocaine hcl nasal (numbrino)
- C9144Inj, bupivacaine (posimir)
- C9145Inj, aponvie, 1 mg
- C9146Inj, elahere, 1 mg
- C9147Inj, tremelimumab-actl, 1 mg
- C9148Inj, teclistamab-cqyv, 0.5mg
- C9149Inj, teplizumab-mzwv, 5 mcg
- C9150Xe129 xenon, diagnostic
- C9151Inj, pegcetacoplan 1 mg
- C9152Inj, abilify asimtufii, 1 mg
- C9153Inj, amisulpride, 1 mg
- C9154Inj buprenorph (brixadi) 1mg
- C9155Inj epcoritamab-bysp,0.16 mg
- C9156Flotufolastat f18, dia 1 mci
- C9157Inj, tofersen, 1 mg
- C9158Inj, uzedy, 1 mg
- C9159Inj, balfaxar, per i.u
- C9160Inj daxibotulinumtoxina-lanm
- C9161Inj, aflibercept hd, 1 mg
- C9162Inj, avacincaptad peg 0.1 mg
- C9163Inj talquetamab-tgvs 0.25 mg
- C9164Cantharidin top, applicator
- C9165Inj, elranatamab-bcmm, 1 mg
- C9166Injection, secukinumab
- C9167Inj, adzynma, 10 iu
- C9168Injection, mirikizumab-mrkz
- C9169Inj, nogapendekin pmln 1 mcg
- C9170Inj, tarlatamab-dlle, 1 mg
- C9171Inj, pegulicianine, 1 mg
- C9172Inj, beqvez, per tx dose
- C9173Inj, nypozi, 1 mcg
- C9174Datopotamab deruxtecan, 1 mg
- C9175Inj, treosulfan, 50 mg
- C9176Dom nonheu tc99m add-on/dose
- C9248Inj, clevidipine butyrate
- C9250Artiss fibrin sealant
- C9254Injection, lacosamide
- C9257Bevacizumab injection
- C9275Hexaminolevulinate hcl
- C9285Patch, lidocaine/tetracaine
- C9290Inj, bupivacaine liposome
- C9293Injection, glucarpidase
- C9300Indigotindisulfonate, 1 mg
- C9301Obecabtagene car pos t
- C9302Inj zanidatamab, 2 mg
- C9303Inj zolbetuximab, 1 mg
- C9304Inj marstacimab, 0.5 mg
- C9305Inj, nipocalimab-aahu, 3 mg
- C9306Telisotuzumab vedotin-tllv
- C9307Inj linvoseltamab-gcpt 1 mg
- C9308Inj, carboplatin (avyxa)
- C9309Inj onase abepar-brve treat
- C9349Puraply, puraply antimic
- C9352Neuragen nerve guide, per cm
- C9353Neurawrap nerve protector,cm
- C9354Veritas collagen matrix, cm2
- C9355Neuromatrix nerve cuff, cm
- C9356Tenoglide tendon prot, cm2
- C9358Surgimend, fetal
- C9359Implnt,bon void filler-putty
- C9360Surgimend, neonatal
- C9361Neuromend nerve wrap
- C9362Implnt,bon void filler-strip
- C9363Integra meshed bil wound mat
- C9364Porcine implant, permacol
- C9399Unclassified drugs or biolog
- C9407Iodine i-131 iobenguane, dx
- C9408Iodine i-131 iobenguane, tx
- C9441Inj, ferric carboxymaltose
- C9442Injection, belinostat
- C9443Injection, dalbavancin
- C9444Injection, oritavancin
- C9445C-1 esterase, ruconest
- C9446Inj, tedizolid phosphate
- C9447Inj, phenylephrine ketorolac
- C9448Oral netupitant palonosetron
- C9449Inj, blinatumomab
- C9450Fluocinolone acetonide implt
- C9451Injection, peramivir
- C9452Inj, ceftolozane/tazobactam
- C9453Injection, nivolumab
- C9454Inj, pasireotide long acting
- C9455Injection, siltuximab
- C9456Inj, isavuconazonium sulfate
- C9457Lumason contrast agent
- C9458Florbetaben f18
- C9459Flutemetamol f18
- C9460Injection, cangrelor
- C9461Choline c 11, diagnostic
- C9462Injection, delafloxacin
- C9463Injection, aprepitant
- C9464Injection, rolapitant
- C9465Injection, durolane
- C9466Injection, benralizumab
- C9467Inj rituximab hyaluronidase
- C9468Inj, factor ix, rebinyn
- C9469Inj triamcinolone acetonide
- C9470Aripiprazole lauroxil im
- C9471Hymovis, 1 mg
- C9472Inj talimogene laherparepvec
- C9473Injection, mepolizumab
- C9474Inj, irinotecan liposome
- C9475Injection, necitumumab
- C9476Injection, daratumumab
- C9477Injection, elotuzumab
- C9478Injection, sebelipase alfa
- C9479Instill, ciprofloxacin otic
- C9480Injection, trabectedin
- C9481Injection, reslizumab
- C9482Sotalol hydrochloride iv
- C9483Injection, atezolizumab
- C9484Injection, eteplirsen
- C9485Injection, olaratumab
- C9486Inj, granisetron ext
- C9487Ustekinumab iv inj, 1 mg
- C9488Conivaptan hcl
- C9489Injection, nusinersen
- C9490Injection, bezlotoxumab
- C9491Injection, avelumab
- C9492Injection, durvalumab
- C9493Injection, edaravone
- C9494Injection, ocrelizumab
- C9497Loxapine, inhalation powder
- C9507Covid-19 convalescent plasma
- C9600Perc drug-el cor stent sing
- C9601Perc drug-el cor stent bran
- C9602Perc d-e cor stent ather s
- C9603Perc d-e cor stent ather br
- C9604Perc d-e cor revasc t cabg s
- C9605Perc d-e cor revasc t cabg b
- C9606Perc d-e cor revasc w ami s
- C9607Perc d-e cor revasc chro sin
- C9608Perc d-e cor revasc chro add
- C9610Cath coronary drug-delivery
- C9724Eps stomach plic
- C9725Place endorectal app
- C9726Rxt breast appl place/remov
- C9727Insert palate implants
- C9728Place device/marker, non pro
- C9733Non-ophthalmic fva
- C9734U/s trtmt, not leiomyomata
- C9735Anoscopy, submucosal inj
- C9737Lap esoph augmentation
- C9738Blue light cysto imag agent
- C9739Cystoscopy prostatic imp 1-3
- C9740Cysto impl 4 or more
- C9741Impl pressure sensor w/angio
- C9742Laryngoscopy with injection
- C9743Bulking/spacer material impl
- C9744Abd us w/contrast
- C9745Nasal endo eustachian tube
- C9746Trans imp balloon cont
- C9747Ablation, hifu, prostate
- C9748Prostatic rf water vapor tx
- C9749Repair nasal stenosis w/imp
- C9750Ins/rem-replace compl iims
- C9751Microwave bronch, 3d, ebus
- C9752Intraosseous des lumb/sacrum
- C9753Intraosseous destruct add'l
- C9754Perc av fistula, direct
- C9755Rf magnetic-guide av fistula
- C9756Fluorescence lymph map w/icg
- C9757Spine device implant surgery
- C9758Blind interatrial shunt ide
- C9759Transcath intraop microinf
- C9760Non-blind interatrial shunt
- C9761Cysto, litho, vacuum kidney
- C9762Cardiac mri seg dys strain
- C9763Cardiac mri seg dys stress
- C9764Revasc intravasc lithotripsy
- C9765Revasc intra lithotrip-stent
- C9766Revasc intra lithotrip-ather
- C9767Revasc lithotrip-stent-ather
- C9768Endo us-guide hep porto grad
- C9769Cysto w/temp pros implant
- C9770Vitrec/mech pars, subret inj
- C9771Nsl/sins cryo post nasal tis
- C9772Revasc lithotrip tibi/perone
- C9773Revasc lithotr-stent tib/per
- C9774Revasc lithotr-ather tib/per
- C9775Revasc lith-sten-ath tib/per
- C9776Fluo bile duct imaging w/icg
- C9777Esophag muc integ w/eso egd
- C9778Colpopexy, min/inv, ex-perit
- C9779Esd endoscopy or colonoscopy
- C9780Insert cv cath inf & sup app
- C9781Arthro/shoul surg; w/spacer
- C9782Blind myocar trpl bon marrow
- C9783Blind cor sinus reducer impl
- C9784Endo sleeve gastro w/tube
- C9785Endo outlet restrict w/tube
- C9786Echo cad for hf preserved ef
- C9787Gastric ep mapg simult pt sx
- C9788Uni breas optoacoustic imag
- C9789Instill pharm renal pelvis
- C9790Kidney histotripsy w/image
- C9791Mri hyperpolarized xenon129
- C9792Blind/nonblind trans atrial
- C9793Pre 3d mdl w/ccta and/or mri
- C9795Sbrt w/positron emission del
- C9796Rpr intst excl anrect fist
- C9797Vasc emb/occ w/prs cath
- C9800Dermal filler inj px/suppl
- C9803Hopd covid-19 spec collect
- C9804Pump elastomc non-opioid dev
- C9806Pump perist non-opioid dev
- C9807Nerve stim non-opioid dev
- C9808Cryo probe non-opioid dev
- C9809Cryo needle non-opioid dev
- C9810Cold therapy non-opioid dev
- C9811Elec amb pmp nonopioid dev
- C9812Echgnc nv ndls nonopioid dev
- C9813Prf infs cth nonopioid dev
- C9814Echognc cathr nonopioid dev
- C9815Peristlc pmp nonopioid dev
- C9816Pmp prs reusbl nonopioid dev
- C9817Crypnm cmprs nonopioid dev
- C9818Suzetrigine, orl, 1mg
- C9898Inpnt stay radiolabeled item
- C9899Inpt implant pros dev,no cov
- C9901Endo defect closure gi tract
- E0100Cane adjust/fixed with tip
- E0105Cane adjust/fixed quad/3 pro
- E0110Crutch forearm pair
- E0111Crutch forearm each
- E0112Crutch underarm pair wood
- E0113Crutch underarm each wood
- E0114Crutch underarm pair no wood
- E0116Crutch underarm each no wood
- E0117Underarm springassist crutch
- E0130Walker rigid adjust/fixed ht
- E0135Walker folding adjust/fixed
- E0140Walker w trunk support
- E0141Rigid wheeled walker adj/fix
- E0143Walker folding wheeled w/o s
- E0144Enclosed walker w rear seat
- E0147Walker variable wheel resist
- E0160Sitz type bath or equipment
- E0161Sitz bath/equipment w/faucet
- E0162Sitz bath chair
- E0163Commode chair with fixed arm
- E0165Commode chair with detacharm
- E0167Commode chair pail or pan
- E0181Press pad alternating w/ pum
- E0182Replace pump, alt press pad
- E0184Dry pressure mattress
- E0185Gel pressure mattress pad
- E0186Air pressure mattress
- E0187Water pressure mattress
- E0188Synthetic sheepskin pad
- E0189Lambswool sheepskin pad
- E0190Positioning cushion
- E0194Air fluidized bed
- E0196Gel pressure mattress
- E0197Air pressure pad for mattres
- E0198Water pressure pad for mattr
- E0199Dry pressure pad for mattres
- E0200Heat lamp without stand
- E0205Heat lamp with stand
- E0210Electric heat pad standard
- E0215Electric heat pad moist
- E0217Water circ heat pad w pump
- E0218Fluid circ cold pad w pump
- E0225Hydrocollator unit
- E0235Paraffin bath unit portable
- E0236Pump for water circulating p
- E0239Hydrocollator unit portable
- E0247Trans bench w/wo comm open
- E0248Hdtrans bench w/wo comm open
- E0249Pad water circulating heat u
- E0250Hosp bed fixed ht w/ mattres
- E0251Hosp bed fixd ht w/o mattres
- E0255Hospital bed var ht w/ mattr
- E0256Hospital bed var ht w/o matt
- E0260Hosp bed semi-electr w/ matt
- E0261Hosp bed semi-electr w/o mat
- E0265Hosp bed total electr w/ mat
- E0266Hosp bed total elec w/o matt
- E0271Mattress innerspring
- E0272Mattress foam rubber
- E0275Bed pan standard
- E0276Bed pan fracture
- E0277Powered pres-redu air mattrs
- E0290Hosp bed fx ht w/o rails w/m
- E0291Hosp bed fx ht w/o rail w/o
- E0292Hosp bed var ht no sr w/matt
- E0293Hosp bed var ht no sr no mat
- E0294Hosp bed semi-elect w/ mattr
- E0295Hosp bed semi-elect w/o matt
- E0296Hosp bed total elect w/ matt
- E0297Hosp bed total elect w/o mat
- E0301Hd hosp bed, 350-600 lbs
- E0302Ex hd hosp bed > 600 lbs
- E0303Hosp bed hvy dty xtra wide
- E0304Hosp bed xtra hvy dty x wide
- E0305Rails bed side half length
- E0310Rails bed side full length
- E0325Urinal male jug-type
- E0326Urinal female jug-type
- E0424Stationary compressed gas 02
- E0425Gas system stationary compre
- E0430Oxygen system gas portable
- E0431Portable gaseous 02
- E0434Portable liquid 02
- E0435Oxygen system liquid portabl
- E0439Stationary liquid 02
- E0440Oxygen system liquid station
- E0441Stationary o2 contents, gas
- E0442Stationary o2 contents, liq
- E0443Portable 02 contents, gas
- E0444Portable 02 contents, liquid
- E0447Port o2 cont, liq over 4 lpm
- E0450Vol control vent invasiv int
- E0455Oxygen tent excl croup/ped t
- E0460Neg press vent portabl/statn
- E0461Vol control vent noninv int
- E0465Home vent invasive interface
- E0466Home vent non-invasive inter
- E0467Home vent multi-function
- E0468Home vent dual fnct incl all
- E0470Rad w/o backup non-inv intfc
- E0471Rad w/backup non inv intrfc
- E0472Rad w backup invasive intrfc
- E0480Percussor elect/pneum home m
- E0487Electronic spirometer
- E0500Ippb all types
- E0550Humidif extens supple w ippb
- E0555Humidifier for use w/ regula
- E0560Humidifier supplemental w/ i
- E0570Nebulizer with compression
- E0575Nebulizer ultrasonic
- E0580Nebulizer for use w/ regulat
- E0585Nebulizer w/ compressor & he
- E0600Suction pump portab hom modl
- E0601Cont airway pressure device
- E0605Vaporizer room type
- E0606Drainage board postural
- E0607Blood glucose monitor home
- E0610Pacemaker monitr audible/vis
- E0621Patient lift sling or seat
- E0627Seat lift mech, electric any
- E0628Seat lift for pt furn-electr
- E0629Seat lift mech, non-electric
- E0630Patient lift hydraulic
- E0635Patient lift electric
- E0650Pneuma compresor non-segment
- E0651Pneum compressor segmental
- E0652Pneum compres w/cal pressure
- E0655Pneumatic appliance half arm
- E0656Segmental pneumatic trunk
- E0657Segmental pneumatic chest
- E0658Seg pneum comp 2 arm chest
- E0659Seg pneum comp head neck che
- E0660Pneumatic appliance full leg
- E0665Pneumatic appliance full arm
- E0666Pneumatic appliance half leg
- E0667Seg pneumatic appl full leg
- E0668Seg pneumatic appl full arm
- E0669Seg pneumatic appli half leg
- E0670Seg pneum int legs/trunk
- E0671Pressure pneum appl full leg
- E0672Pressure pneum appl full arm
- E0673Pressure pneum appl half leg
- E0705Transfer device
- E0720Tens two lead
- E0730Tens four lead
- E0731Conductive garment for tens/
- E0740Non-implant pelv flr e-stim
- E0745Neuromuscular stim for shock
- E0746Electromyograph biofeedback
- E0747Elec osteogen stim not spine
- E0748Elec osteogen stim spinal
- E0749Elec osteogen stim implanted
- E0761Nontherm electromgntc device
- E0764Functional neuromuscularstim
- E0769Electric wound treatment dev
- E0770Functional electric stim nos
- E0781External ambulatory infus pu
- E0782Non-programble infusion pump
- E0783Programmable infusion pump
- E0784Ext amb infusn pump insulin
- E0785Replacement impl pump cathet
- E0786Implantable pump replacement
- E0791Parenteral infusion pump sta
- E0830Ambulatory traction device
- E0840Tract frame attach headboard
- E0850Traction stand free standing
- E0860Tract equip cervical tract
- E0870Tract frame attach footboard
- E0880Trac stand free stand extrem
- E0890Traction frame attach pelvic
- E0900Trac stand free stand pelvic
- E0910Trapeze bar attached to bed
- E0911Hd trapeze bar attach to bed
- E0912Hd trapeze bar free standing
- E0920Fracture frame attached to b
- E0930Fracture frame free standing
- E0935Cont pas motion exercise dev
- E0940Trapeze bar free standing
- E0941Gravity assisted traction de
- E0946Fracture frame dual w cross
- E0947Fracture frame attachmnts pe
- E0948Fracture frame attachmnts ce
- E0950Tray
- E0952Toe loop/holder, each
- E0958Whlchr att- conv 1 arm drive
- E0967Man wc rim/projection rep ea
- E0968Wheelchair commode seat
- E0969Wheelchair narrowing device
- E0973W/ch access det adj armrest
- E0974W/ch access anti-rollback
- E0994Wheelchair arm rest
- E1011Ped wc modify width adjustm
- E1014Reclining back add ped w/c
- E1015Shock absorber for man w/c
- E1016Shock absorber for power w/c
- E1017Hd shck absrbr for hd man wc
- E1018Hd shck absrber for hd powwc
- E1020Residual limb support system
- E1031Rollabout chair with casters
- E1035Patient transfer system <300
- E1037Transport chair, ped size
- E1038Transport chair pt wt<=300lb
- E1050Whelchr fxd full length arms
- E1060Wheelchair detachable arms
- E1070Wheelchair detachable foot r
- E1083Hemi-wheelchair fixed arms
- E1084Hemi-wheelchair detachable a
- E1087Wheelchair lightwt fixed arm
- E1088Wheelchair lightweight det a
- E1092Wheelchair wide w/ leg rests
- E1093Wheelchair wide w/ foot rest
- E1100Whchr s-recl fxd arm leg res
- E1110Wheelchair semi-recl detach
- E1150Wheelchair standard w/ leg r
- E1160Wheelchair fixed arms
- E1170Whlchr ampu fxd arm leg rest
- E1171Wheelchair amputee w/o leg r
- E1172Wheelchair amputee detach ar
- E1180Wheelchair amputee w/ foot r
- E1190Wheelchair amputee w/ leg re
- E1195Wheelchair amputee heavy dut
- E1200Wheelchair amputee fixed arm
- E1220Whlchr special size/constrc
- E1221Wheelchair spec size w foot
- E1222Wheelchair spec size w/ leg
- E1223Wheelchair spec size w foot
- E1224Wheelchair spec size w/ leg
- E1225Manual semi-reclining back
- E1226Manual fully reclining back
- E1227Wheelchair spec sz spec ht a
- E1228Wheelchair spec sz spec ht b
- E1230Power operated vehicle
- E1231Rigid ped w/c tilt-in-space
- E1232Folding ped wc tilt-in-space
- E1233Rig ped wc tltnspc w/o seat
- E1234Fld ped wc tltnspc w/o seat
- E1235Rigid ped wc adjustable
- E1236Folding ped wc adjustable
- E1237Rgd ped wc adjstabl w/o seat
- E1238Fld ped wc adjstabl w/o seat
- E1240Whchr litwt det arm leg rest
- E1270Wheelchair lightweight leg r
- E1280Whchr h-duty det arm leg res
- E1295Wheelchair heavy duty fixed
- E1296Wheelchair special seat heig
- E1297Wheelchair special seat dept
- E1298Wheelchair spec seat depth/w
- E1310Whirlpool non-portable
- E1353Oxygen supplies regulator
- E1355Oxygen supplies stand/rack
- E1358Dc power adapter, port conc
- E1372Oxy suppl heater for nebuliz
- E1390Oxygen concentrator
- E1391Oxygen concentrator, dual
- E1392Portable oxygen concentrator
- E1405O2/water vapor enrich w/heat
- E1406O2/water vapor enrich w/o he
- E1500Centrifuge
- E1510Kidney dialysate delivry sys
- E1520Heparin infusion pump
- E1530Replacement air bubble detec
- E1540Replacement pressure alarm
- E1550Bath conductivity meter
- E1560Replace blood leak detector
- E1570Adjustable chair for esrd pt
- E1575Transducer protect/fld bar
- E1580Unipuncture control system
- E1590Hemodialysis machine
- E1592Auto interm peritoneal dialy
- E1594Cycler dialysis machine
- E1600Deli/install chrg hemo equip
- E1610Reverse osmosis h2o puri sys
- E1615Deionizer h2o puri system
- E1620Replacement blood pump
- E1625Water softening system
- E1632Wearable artificial kidney
- E1634Peritoneal dialysis clamp
- E1635Compact travel hemodialyzer
- E1636Sorbent cartridges per 10
- E1637Hemostats for dialysis, each
- E1639Scale, each
- E1699Dialysis equipment noc
- E2100Bld glucose monitor w voice
- E2101Bld glucose monitor w lance
- E2104Glucose monitor w cartridge
- E2374Hand/chin ctrl std joystick
- E2375Non-expandable controller
- E2376Expandable controller, repl
- E2377Expandable controller, initl
- E2381Pneum drive wheel tire
- E2382Tube, pneum wheel drive tire
- E2383Insert, pneum wheel drive
- E2384Pneumatic caster tire
- E2385Tube, pneumatic caster tire
- E2386Foam filled drive wheel tire
- E2387Foam filled caster tire
- E2388Foam drive wheel tire
- E2389Foam caster tire
- E2390Solid drive wheel tire
- E2391Solid caster tire
- E2392Solid caster tire, integrate
- E2394Drive wheel excludes tire
- E2395Caster wheel excludes tire
- E2396Caster fork
- E2500Sgd digitized pre-rec <=8min
- E2502Sgd prerec msg >8min <=20min
- E2504Sgd prerec msg>20min <=40min
- E2506Sgd prerec msg > 40 min
- E2508Sgd spelling phys contact
- E2510Sgd w multi methods msg/accs
- E2511Sgd sftwre prgrm for pc/pda
- E2512Sgd accessory, mounting sys
- E2513Sgd accessory, emg sensor
- E2599Sgd accessory noc
- G0068Adm iv infusion drug in home
- G0069Adm sq infusion drug in home
- G0070Adm of chemo drug in home
- G0088Adm iv drug 1st home visit
- G0089Adm subq drug 1st home visit
- G0090Adm iv chemo 1st home visit
- G0101Ca screen;pelvic/breast exam
- G0102Prostate ca screening; dre
- G0103Psa screening
- G0104Ca screen;flexi sigmoidscope
- G0105Colorectal scrn; hi risk ind
- G0106Colon ca screen;barium enema
- G0120Colon ca scrn; barium enema
- G0121Colon ca scrn not hi rsk ind
- G0123Screen cerv/vag thin layer
- G0124Screen c/v thin layer by md
- G0127Trim nail(s)
- G0128Corf skilled nursing service
- G0130Single energy x-ray study
- G0166Extrnl counterpulse, per tx
- G0173Linear acc stereo radsur com
- G0176Opps/php/iop; activity thrpy
- G0177Opps/php/iop; train & educ
- G0245Initial foot exam pt lops
- G0246Followup eval of foot pt lop
- G0247Routine footcare pt w lops
- G0248Demonstrate use home inr mon
- G0249Provide inr test mater/equip
- G0250Md inr test revie inter mgmt
- G0251Linear acc based stero radio
- G0257Unsched dialysis esrd pt hos
- G0259Inject for sacroiliac joint
- G0260Inj for sacroiliac jt anesth
- G0269Occlusive device in vein art
- G0276Pild/placebo control clin tr
- G0277Hbot, full body chamber, 30m
- G0293Non-cov surg proc,clin trial
- G0294Non-cov proc, clinical trial
- G0327Colon ca scrn;bld-bsd biomrk
- G0328Fecal blood scrn immunoassay
- G0330Facility svs dental rehab
- G0333Dispense fee initial 30 day
- G0341Percutaneous islet celltrans
- G0342Laparoscopy islet cell trans
- G0343Laparotomy islet cell transp
- G0372Md service required for pmd
- G0378Hospital observation per hr
- G0379Direct refer hospital observ
- G0389Ultrasound exam aaa screen
- G0390Trauma respons w/hosp criti
- G0472Hep c screen high risk/other
- G0511Ccm/bhi by rhc/fqhc 20min mo
- G0512Cocm by rhc/fqhc 60 min mo
- G0680Cr art clc art vlv clc w rpt
- G6001Echo guidance radiotherapy
- G9001Mccd, initial rate
- G9002Mccd,maintenance rate
- G9003Mccd, risk adj hi, initial
- G9004Mccd, risk adj lo, initial
- G9005Mccd, risk adj, maintenance
- G9006Mccd, home monitoring
- G9007Mccd, sch team conf
- G9008Mccd,phys coor-care ovrsght
- G9009Mccd, risk adj, level 3
- G9010Mccd, risk adj, level 4
- G9011Mccd, risk adj, level 5
- G9012Other specified case mgmt
- J0120Tetracyclin injection
- J0130Abciximab injection
- J0150Injection adenosine 6 mg
- J0153Adenosine inj 1mg
- J0162Inj epinephrine (fresenius)
- J0163Epinephrine in nacl (endo)
- J0164Epinephrine in nacl (baxter)
- J0165Inj epinephrine nos 0.1 mg
- J0166Inj epinephrine (bpi)
- J0167Inj epinephrine (hospira)
- J0168Epinephrine (intl med sys)
- J0169Inj epinephrine (adrenalin)
- J0171Adrenalin epinephrine inject
- J0172Inj, aducanumab-avwa, 2 mg
- J0173Inj, epinephrine (belcher)
- J0190Inj biperiden lactate/5 mg
- J0200Alatrofloxacin mesylate
- J0205Alglucerase injection
- J0207Amifostine
- J0210Methyldopate hcl injection
- J0256Alpha 1 proteinase inhibitor
- J0257Glassia injection
- J0270Alprostadil for injection
- J0275Alprostadil urethral suppos
- J0280Aminophyllin 250 mg inj
- J0282Amiodarone hcl
- J0283Inj, amiodarone (nexterone)
- J0285Amphotericin b
- J0287Amphotericin b lipid complex
- J0288Ampho b cholesteryl sulfate
- J0289Amphotericin b liposome inj
- J0290Ampicillin 500 mg inj
- J0295Ampicillin sulbactam 1.5 gm
- J0300Amobarbital 125 mg inj
- J0330Succinycholine chloride inj
- J0350Injection anistreplase 30 u
- J0360Hydralazine hcl injection
- J0365Aprotonin, 10,000 kiu
- J0380Inj metaraminol bitartrate
- J0390Chloroquine injection
- J0395Arbutamine hcl injection
- J0456Azithromycin
- J0461Atropine sulfate injection
- J0462Atropine sulf, nte, 0.01 mg
- J0463Inj atropine (fresenius te)
- J0470Dimecaprol injection
- J0475Baclofen 10 mg injection
- J0476Baclofen intrathecal trial
- J0480Basiliximab
- J0500Dicyclomine injection
- J0515Inj benztropine mesylate
- J0520Bethanechol chloride inject
- J0561Penicillin g benzathine inj
- J0571Buprenorphine oral 1mg
- J0572Bupren/nal up to 3mg bupreno
- J0573Bupren/nal 3.1 to 6mg bupren
- J0574Bupren/nal 6.1 to 10mg bupre
- J0575Bupren/nal over 10mg bupreno
- J0585Injection,onabotulinumtoxina
- J0587Inj, rimabotulinumtoxinb
- J0592Buprenorphine hydrochloride
- J0600Edetate calcium disodium inj
- J0604Cinacalcet, esrd on dialysis
- J0606Inj, etelcalcetide, 0.1 mg
- J0610Calcium glucon (fresenius)
- J0611Calcium glucon (wg critical)
- J0612Inj, calcium gluconate, nos
- J0613Calcium glucon (wg critical)
- J0620Calcium glycer & lact/10 ml
- J0630Calcitonin salmon injection
- J0636Inj calcitriol per 0.1 mcg
- J0640Leucovorin calcium injection
- J0641Inj levoleucovorin nos 0.5mg
- J0670Inj mepivacaine hcl/10 ml
- J0687Inj cefazolin (wg crit care)
- J0688Inj cefazolin sodium, hikma
- J0689Inj cefazolin sodium, baxter
- J0690Cefazolin sodium injection
- J0694Cefoxitin sodium injection
- J0696Ceftriaxone sodium injection
- J0697Sterile cefuroxime injection
- J0698Cefotaxime sodium injection
- J0702Betamethasone acet&sod phosp
- J0710Cephapirin sodium injection
- J0713Inj ceftazidime per 500 mg
- J0715Ceftizoxime sodium / 500 mg
- J0720Chloramphenicol sodium injec
- J0725Chorionic gonadotropin/1000u
- J0735Clonidine hydrochloride
- J0738Hiv prep, inj, lenacapavir
- J0739Hiv prep, inj, cabotegravir
- J0740Cidofovir injection
- J0743Cilastatin sodium injection
- J0745Inj codeine phosphate /30 mg
- J0750Hiv prep, ftc/tdf 200/300mg
- J0751Hiv prep, ftc/taf 200/25mg
- J0752Hiv prep, oral lenacapavir
- J0760Colchicine injection
- J0770Colistimethate sodium inj
- J0780Prochlorperazine injection
- J0795Corticorelin ovine triflutal
- J0799Hiv prep, fda approved, noc
- J0800Corticotropin injection
- J0850Cytomegalovirus imm iv /vial
- J0881Darbepoetin alfa, non-esrd
- J0882Darbepoetin alfa, esrd use
- J0883Argatroban nonesrd use 1mg
- J0884Argatroban esrd dialysis 1mg
- J0885Epoetin alfa, non-esrd
- J0886Epoetin alfa 1000 units esrd
- J0887Epoetin beta esrd use
- J0888Epoetin beta non esrd
- J0891Argatroban nonesrd (accord)
- J0892Argatroban dialysis (accord)
- J0895Deferoxamine mesylate inj
- J0898Argatroban nonesrd (auromed)
- J0899Argatroban dialysis, auromed
- J0900Testosterone enanthate inj
- J0945Brompheniramine maleate inj
- J1000Depo-estradiol cypionate inj
- J1010Inj, methylpred acetate 1 mg
- J1020Methylprednisolone 20 mg inj
- J1030Methylprednisolone 40 mg inj
- J1040Methylprednisolone 80 mg inj
- J1060Testosterone cypionate 1 ml
- J1070Testosterone cypionat 100 mg
- J1071Inj testosterone cypionate
- J1072Inj, testosterone, azmiro
- J1073Testosterone pellet 75 mg
- J1080Testosterone cypionat 200 mg
- J1094Inj dexamethasone acetate
- J1095Injection, dexamethasone 9%
- J1100Dexamethasone sodium phos
- J1110Inj dihydroergotamine mesylt
- J1120Acetazolamid sodium injectio
- J1160Digoxin injection
- J1162Digoxin immune fab (ovine)
- J1165Phenytoin sodium injection
- J1170Hydromorphone injection
- J1171Inj, hydromorphone, 0.1 mg
- J1180Dyphylline injection
- J1190Dexrazoxane hcl injection
- J1200Diphenhydramine hcl injectio
- J1205Chlorothiazide sodium inj
- J1212Dimethyl sulfoxide 50% 50 ml
- J1230Methadone injection
- J1240Dimenhydrinate injection
- J1245Dipyridamole injection
- J1250Inj dobutamine hcl/250 mg
- J1260Dolasetron mesylate
- J1320Amitriptyline injection
- J1325Epoprostenol injection
- J1327Eptifibatide injection
- J1330Ergonovine maleate injection
- J1364Erythro lactobionate /500 mg
- J1380Estradiol valerate 10 mg inj
- J1410Inj estrogen conjugate 25 mg
- J1430Ethanolamine oleate 100 mg
- J1435Injection estrone per 1 mg
- J1436Etidronate disodium inj
- J1438Etanercept injection
- J1442Inj filgrastim excl biosimil
- J1446Inj, tbo-filgrastim, 5 mcg
- J1447Inj tbo filgrastim 1 microg
- J1450Fluconazole
- J1451Fomepizole, 15 mg
- J1452Intraocular fomivirsen na
- J1454Inj fosnetupitant, palonoset
- J1455Foscarnet sodium injection
- J1460Gamma globulin 1 cc inj
- J1560Gamma globulin > 10 cc inj
- J1561Gamunex-c/gammaked
- J1566Immune globulin, powder
- J1569Gammagard liquid injection
- J1570Ganciclovir sodium injection
- J1571Hepagam b im injection
- J1572Flebogamma injection
- J1574Inj, ganciclovir (exela)
- J1576Inj, panzyga, 500 mg
- J1580Garamycin gentamicin inj
- J1595Injection glatiramer acetate
- J1600Gold sodium thiomaleate inj
- J1610Glucagon hydrochloride/1 mg
- J1611Inj glucagon hcl, fresenius
- J1620Gonadorelin hydroch/ 100 mcg
- J1626Granisetron hcl injection
- J1630Haloperidol injection
- J1631Haloperidol decanoate inj
- J1640Hemin, 1 mg
- J1642Inj heparin sodium per 10 u
- J1643Inj heparin, pfizer, 1000u
- J1644Inj heparin sodium per 1000u
- J1645Dalteparin sodium
- J1652Fondaparinux sodium
- J1670Tetanus immune globulin inj
- J1675Histrelin acetate
- J1700Hydrocortisone acetate inj
- J1710Hydrocortisone sodium ph inj
- J1720Hydrocortisone sodium succ i
- J1730Diazoxide injection
- J1742Ibutilide fumarate injection
- J1745Infliximab not biosimil 10mg
- J1750Inj iron dextran
- J1786Imuglucerase injection
- J1790Droperidol injection
- J1800Propranolol injection
- J1808Inj, folic acid, 0.1 mg
- J1810Droperidol/fentanyl inj
- J1812Inj. insulin (fiasp)
- J1814Inj. insulin (lyumjev)
- J1815Insulin injection
- J1830Interferon beta-1b / .25 mg
- J1840Kanamycin sulfate 500 mg inj
- J1850Kanamycin sulfate 75 mg inj
- J1885Ketorolac tromethamine inj
- J1890Cephalothin sodium injection
- J1938Inj, furosemide, 1 mg
- J1939Inj, bumetanide, 0.5 mg
- J1940Furosemide injection
- J1945Lepirudin
- J1950Leuprolide acetate /3.75 mg
- J1955Inj levocarnitine per 1 gm
- J1956Levofloxacin injection
- J1960Levorphanol tartrate inj
- J1980Hyoscyamine sulfate inj
- J1990Chlordiazepoxide injection
- J2001Lidocaine injection
- J2002Inj, lidocaine in d5w, 1 mg
- J2003Inj, lidocaine hcl, 1 mg
- J2004Inj, lidocaine w epinephrine
- J2010Lincomycin injection
- J2060Lorazepam injection
- J2150Mannitol injection
- J2151Inj, mannitol, 250 mg
- J2175Meperidine hydrochl /100 mg
- J2180Meperidine/promethazine inj
- J2210Methylergonovin maleate inj
- J2250Inj midazolam hydrochloride
- J2251Inj midazolam in 0.9% nacl
- J2252Inj midazolam in 0.8% nacl
- J2253Inj midazolam (seizalam)
- J2260Inj milrinone lactate / 5 mg
- J2270Morphine sulfate injection
- J2272Inj, morphine (fresenius)
- J2274Inj morphine pf epid ithc
- J2278Ziconotide injection
- J2290Inj, nafcillin sodium, 20 mg
- J2291Inj, nafcillin (baxter) 20mg
- J2300Inj nalbuphine hydrochloride
- J2310Inj naloxone hydrochloride
- J2311Inj, naloxone hcl (zimhi)
- J2312Inj naloxone hcl nos, 0.01mg
- J2313Inj, naloxone (zimhi) 0.01mg
- J2320Nandrolone decanoate 50 mg
- J2325Nesiritide injection
- J2355Oprelvekin injection
- J2360Orphenadrine injection
- J2370Phenylephrine hcl injection
- J2400Chloroprocaine hcl injection
- J2401Chloroprocaine hcl injection
- J2402Chloroprocaine (clorotekal)
- J2404Inj, nicardipine 0.1 mg
- J2405Ondansetron hcl injection
- J2407Injection, oritavancin
- J2410Oxymorphone hcl injection
- J2430Pamidronate disodium /30 mg
- J2440Papaverin hcl injection
- J2460Oxytetracycline injection
- J2501Paricalcitol
- J2504Pegademase bovine, 25 iu
- J2510Penicillin g procaine inj
- J2513Pentastarch 10% solution
- J2515Pentobarbital sodium inj
- J2540Penicillin g potassium inj
- J2543Piperacillin/tazobactam
- J2545Pentamidine non-comp unit
- J2550Promethazine hcl injection
- J2560Phenobarbital sodium inj
- J2590Oxytocin injection
- J2597Inj desmopressin acetate
- J2650Prednisolone acetate inj
- J2670Totazoline hcl injection
- J2675Inj progesterone per 50 mg
- J2679Inj fluphenazine hcl 1.25 mg
- J2680Fluphenazine decanoate 25 mg
- J2690Procainamide hcl injection
- J2700Oxacillin sodium injeciton
- J2710Neostigmine methylslfte inj
- J2720Inj protamine sulfate/10 mg
- J2725Inj protirelin per 250 mcg
- J2730Pralidoxime chloride inj
- J2760Phentolaine mesylate inj
- J2765Metoclopramide hcl injection
- J2770Quinupristin/dalfopristin
- J2780Ranitidine hydrochloride inj
- J2788Rho d immune globulin 50 mcg
- J2790Rho d immune globulin inj
- J2791Rhophylac injection
- J2792Rho(d) immune globulin h, sd
- J2793Rilonacept injection
- J2797Inj., rolapitant, 0.5 mg
- J2800Methocarbamol injection
- J2804Inj, rifampin, 1 mg
- J2810Inj theophylline per 40 mg
- J2820Sargramostim injection
- J2850Inj secretin synthetic human
- J2865Inj sulfameth/trim 5 mg/1 mg
- J2910Aurothioglucose injeciton
- J2916Na ferric gluconate complex
- J2919Inj, methylpred sod succ 5mg
- J2920Methylprednisolone injection
- J2930Methylprednisolone injection
- J2940Somatrem injection
- J2941Somatropin injection
- J2950Promazine hcl injection
- J2993Reteplase injection
- J2995Inj streptokinase /250000 iu
- J2997Alteplase recombinant
- J3000Streptomycin injection
- J3010Fentanyl citrate injection
- J3030Sumatriptan succinate / 6 mg
- J3070Pentazocine injection
- J3105Terbutaline sulfate inj
- J3110Teriparatide injection
- J3120Testosterone enanthate inj
- J3121Inj testostero enanthate 1mg
- J3130Testosterone enanthate inj
- J3140Testosterone suspension inj
- J3145Testosterone undecanoate 1mg
- J3150Testosteron propionate inj
- J3230Chlorpromazine hcl injection
- J3240Thyrotropin injection
- J3250Trimethobenzamide hcl inj
- J3260Tobramycin sulfate injection
- J3265Injection torsemide 10 mg/ml
- J3280Thiethylperazine maleate inj
- J3300Triamcinolone a inj prs-free
- J3301Triamcinolone acet inj nos
- J3302Triamcinolone diacetate inj
- J3303Triamcinolone hexacetonl inj
- J3304Inj triamcinolone ace xr 1mg
- J3305Inj trimetrexate glucoronate
- J3310Perphenazine injeciton
- J3315Triptorelin pamoate
- J3316Inj., triptorelin xr 3.75 mg
- J3320Spectinomycn di-hcl inj
- J3350Urea injection
- J3355Urofollitropin, 75 iu
- J3360Diazepam injection
- J3364Urokinase 5000 iu injection
- J3365Urokinase 250,000 iu inj
- J3370Vancomycin hcl injection
- J3371Inj, vancomycin hcl (mylan)
- J3372Inj, vancomycin hcl (xellia)
- J3373Inj, vancomycin hcl, 10 mg
- J3374Inj, vancomycin (mylan) 10mg
- J3375Inj vancomycin (xellia) 10mg
- J3376Inj vancomycin (hikma) 10mg
- J3380Inj vedolizumab iv 1 mg
- J3396Verteporfin injection
- J3400Triflupromazine hcl inj
- J3410Hydroxyzine hcl injection
- J3420Vitamin b12 injection
- J3425Hydroxocobalamin im 10mcg
- J3430Vitamin k phytonadione inj
- J3465Injection, voriconazole
- J3470Hyaluronidase injection
- J3471Ovine, up to 999 usp units
- J3472Ovine, 1000 usp units
- J3473Hyaluronidase recombinant
- J3475Inj magnesium sulfate
- J3480Inj potassium chloride
- J3485Zidovudine
- J3490Drugs unclassified injection
- J3530Nasal vaccine inhalation
- J7030Normal saline solution infus
- J7040Normal saline solution infus
- J70425% dextrose/normal saline
- J7050Normal saline solution infus
- J70605% dextrose/water
- J7070D5w infusion
- J7100Dextran 40 infusion
- J7110Dextran 75 infusion
- J7120Ringers lactate infusion
- J71215% dextrose in lac ringers
- J7131Hypertonic saline sol
- J7179Vonvendi inj 1 iu vwf:rco
- J7183Wilate injection
- J7186Antihemophilic viii/vwf comp
- J7187Humate-p, inj
- J7188Factor viii recomb obizur
- J7189Factor viia recomb novoseven
- J7190Factor viii
- J7191Factor viii (porcine)
- J7192Factor viii recombinant nos
- J7193Factor ix non-recombinant
- J7194Factor ix complex
- J7195Factor ix recombinant nos
- J7197Antithrombin iii injection
- J7198Anti-inhibitor
- J7199Hemophilia clot factor noc
- J7200Factor ix recombinan rixubis
- J7201Factor ix alprolix recomb
- J7202Factor ix idelvion inj
- J7203Factor ix recomb gly rebinyn
- J7205Factor viii fc fusion recomb
- J7207Factor viii pegylated recomb
- J7208Inj. jivi 1 iu
- J7213Inj, ixinity, 1 i.u.
- J7309Methyl aminolevulinate, top
- J7310Ganciclovir long act implant
- J7345Aminolevulinic acid, 10% gel
- J7500Azathioprine oral 50mg
- J7501Azathioprine parenteral
- J7502Cyclosporine oral 100 mg
- J7503Tacrol envarsus ex rel oral
- J7504Lymphocyte immune globulin
- J7505Monoclonal antibodies
- J7506Prednisone oral
- J7507Tacrolimus imme rel oral 1mg
- J7508Tacrol astagraf ex rel oral
- J7509Methylprednisolone oral
- J7510Prednisolone oral per 5 mg
- J7512Prednisone ir or dr oral 1mg
- J7513Daclizumab, parenteral
- J7518Mycophenolic acid
- J7520Sirolimus, oral
- J7521Tacrolim granules oral susp
- J7525Tacrolimus injection
- J7527Oral everolimus
- J7599Immunosuppressive drug noc
- J7608Acetylcysteine non-comp unit
- J7611Albuterol non-comp con
- J7612Levalbuterol non-comp con
- J7613Albuterol non-comp unit
- J7614Levalbuterol non-comp unit
- J7620Albuterol ipratrop non-comp
- J7628Bitolterol mesylate comp con
- J7629Bitolterol mesylate comp unt
- J7631Cromolyn sodium noncomp unit
- J7635Atropine comp con
- J7636Atropine comp unit
- J7637Dexamethasone comp con
- J7638Dexamethasone comp unit
- J7639Dornase alfa non-comp unit
- J7642Glycopyrrolate comp con
- J7643Glycopyrrolate comp unit
- J7644Ipratropium bromide non-comp
- J7648Isoetharine non-comp con
- J7649Isoetharine non-comp unit
- J7658Isoproterenol non-comp con
- J7659Isoproterenol non-comp unit
- J7668Metaproterenol non-comp con
- J7669Metaproterenol non-comp unit
- J7680Terbutaline sulf comp con
- J7681Terbutaline sulf comp unit
- J7682Tobramycin non-comp unit
- J7683Triamcinolone comp con
- J7684Triamcinolone comp unit
- J7699Inhalation solution for dme
- J7799Non-inhalation drug for dme
- J7999Compounded drug, noc
- J8498Antiemetic rectal/supp nos
- J8501Oral aprepitant
- J8510Oral busulfan
- J8520Capecitabine, oral, 150 mg
- J8521Capecitabine, oral, 500 mg
- J8522Capecitabine, oral, 50 mg
- J8530Cyclophosphamide oral 25 mg
- J8540Oral dexamethasone
- J8560Etoposide oral 50 mg
- J8565Gefitinib oral
- J8597Antiemetic drug oral nos
- J8600Melphalan oral 2 mg
- J8610Methotrexate oral 2.5 mg
- J8611Oral methotrexate (jylamvo)
- J8612Oral methotrexate (xatmep)
- J8655Oral netupitant, palonosetro
- J8670Rolapitant, oral, 1mg
- J8700Temozolomide
- J8999Oral prescription drug chemo
- J9000Doxorubicin hcl injection
- J9015Aldesleukin injection
- J9019Erwinaze injection
- J9020Asparaginase, nos
- J9030Bcg live intravesical 1mg
- J9031Bcg live intravesical vac
- J9040Bleomycin sulfate injection
- J9045Carboplatin injection
- J9050Carmustine injection
- J9052Inj, carmustine (accord)
- J9060Cisplatin 10 mg injection
- J9065Inj cladribine per 1 mg
- J9070Cyclophosphamide 100 mg inj
- J9071Inj cyclophosphamd auromedic
- J9072Inj cyclophos frindovyx 5 mg
- J9073Inj cyclophos dr reddys 5 mg
- J9074Inj, cyclophosphamd, sandoz
- J9075Inj, cyclophosphamide, nos
- J9076Inj, cyclophos (baxter) 5mg
- J9100Cytarabine hcl 100 mg inj
- J9120Dactinomycin injection
- J9130Dacarbazine 100 mg inj
- J9145Injection, daratumumab 10 mg
- J9150Daunorubicin injection
- J9151Daunorubicin citrate inj
- J9165Diethylstilbestrol injection
- J9171Docetaxel injection
- J9175Elliotts b solution per ml
- J9181Etoposide injection
- J9184Inj gemcitabin (avyxa) 200mg
- J9185Fludarabine phosphate inj
- J9190Fluorouracil injection
- J9196Inj gemcitabine hcl (accord)
- J9200Floxuridine injection
- J9201In gemcitabine hcl nos 200mg
- J9202Goserelin acetate implant
- J9205Inj irinotecan liposome 1 mg
- J9206Irinotecan injection
- J9208Ifosfamide injection
- J9209Mesna injection
- J9211Idarubicin hcl injection
- J9212Interferon alfacon-1 inj
- J9213Interferon alfa-2a inj
- J9214Interferon alfa-2b inj
- J9215Interferon alfa-n3 inj
- J9216Interferon gamma 1-b inj
- J9217Leuprolide acetate suspnsion
- J9218Leuprolide acetate injeciton
- J9219Leuprolide acetate implant
- J9225Vantas implant
- J9226Supprelin la implant
- J9230Mechlorethamine hcl inj
- J9245Inj melpha hydroch nos 50 mg
- J9250Methotrexate sodium inj
- J9255Inj, methotrexate (accord)
- J9260Inj methotrexate sodium 50mg
- J9265Paclitaxel injection
- J9266Pegaspargase injection
- J9267Paclitaxel injection
- J9268Pentostatin injection
- J9270Plicamycin (mithramycin) inj
- J9280Mitomycin injection
- J9293Mitoxantrone hydrochl / 5 mg
- J9299Injection, nivolumab
- J9310Rituximab injection
- J9311Inj rituximab, hyaluronidase
- J9312Inj., rituximab, 10 mg
- J9320Streptozocin injection
- J9340Thiotepa injection
- J9341Inj thiotepa (tepylute) 1 mg
- J9342Inj thiotepa nos 1 mg
- J9357Valrubicin injection
- J9360Vinblastine sulfate inj
- J9370Vincristine sulfate 1 mg inj
- J9390Vinorelbine tartrate inj
- J9600Porfimer sodium injection
- J9999Chemotherapy drug
- K0008Cstm manual wheelchair/base
- K0013Custom power whlchr base
- K0195Elevating whlchair leg rests
- K0455Pump uninterrupted infusion
- K0462Temporary replacement eqpmnt
- K0552Sup/ext non-ins inf pump syr
- K0553Ther cgm supply allowance
- K0554Ther cgm receiver/monitor
- K0900Cstm dme other than wheelchr
- L3000Ft insert ucb berkeley shell
- L3001Foot insert remov molded spe
- L3002Foot insert plastazote or eq
- L3003Foot insert silicone gel eac
- L3010Foot longitudinal arch suppo
- L3020Foot longitud/metatarsal sup
- L3030Foot arch support remov prem
- L3040Ft arch suprt premold longit
- L3050Foot arch supp premold metat
- L3060Foot arch supp longitud/meta
- L3070Arch suprt att to sho longit
- L3080Arch supp att to shoe metata
- L3090Arch supp att to shoe long/m
- L3100Hallus-valgus nt dyn pre ots
- L3140Abduction rotation bar shoe
- L3150Abduct rotation bar w/o shoe
- L3170Foot plas heel stabi pre ots
- L3201Oxford w supinat/pronat inf
- L3202Oxford w/ supinat/pronator c
- L3203Oxford w/ supinator/pronator
- L3204Hightop w/ supp/pronator inf
- L3206Hightop w/ supp/pronator chi
- L3207Hightop w/ supp/pronator jun
- L3208Surgical boot each infant
- L3209Surgical boot each child
- L3211Surgical boot each junior
- L3212Benesch boot pair infant
- L3213Benesch boot pair child
- L3214Benesch boot pair junior
- L3224Woman's shoe oxford brace
- L3225Man's shoe oxford brace
- L3230Custom shoes depth inlay
- L3250Custom mold shoe remov prost
- L3251Shoe molded to pt silicone s
- L3252Shoe molded plastazote cust
- L3253Shoe molded plastazote cust
- L3254Orth foot non-stndard size/w
- L3255Orth foot non-standard size/
- L3257Orth foot add charge split s
- L3260Ambulatory surgical boot eac
- L3300Sho lift taper to metatarsal
- L3310Shoe lift elev heel/sole neo
- L3320Shoe lift elev heel/sole cor
- L3330Lifts elevation metal extens
- L3332Shoe lifts tapered to one-ha
- L3334Shoe lifts elevation heel /i
- L3340Shoe wedge sach
- L3350Shoe heel wedge
- L3360Shoe sole wedge outside sole
- L3370Shoe sole wedge between sole
- L3380Shoe clubfoot wedge
- L3390Shoe outflare wedge
- L3400Shoe metatarsal bar wedge ro
- L3410Shoe metatarsal bar between
- L3420Full sole/heel wedge btween
- L3430Sho heel count plast reinfor
- L3440Heel leather reinforced
- L3450Shoe heel sach cushion type
- L3455Shoe heel new leather standa
- L3460Shoe heel new rubber standar
- L3465Shoe heel thomas with wedge
- L3470Shoe heel thomas extend to b
- L3480Shoe heel pad & depress for
- L3485Shoe heel pad removable for
- L3500Ortho shoe add leather insol
- L3510Orthopedic shoe add rub insl
- L3520O shoe add felt w leath insl
- L3530Ortho shoe add half sole
- L3540Ortho shoe add full sole
- L3550O shoe add standard toe tap
- L3560O shoe add horseshoe toe tap
- L3570O shoe add instep extension
- L3580O shoe add instep velcro clo
- L3590O shoe convert to sof counte
- L3595Ortho shoe add march bar
- L3600Trans shoe calip plate exist
- L3610Trans shoe caliper plate new
- L3620Trans shoe solid stirrup exi
- L3630Trans shoe solid stirrup new
- L3640Shoe dennis browne splint bo
- L3649Orthopedic shoe modifica nos
- L3677So hard plas stabili pre cst
- L4205Ortho dvc repair per 15 min
- L4210Orth dev repair/repl minor p
- L5000Sho insert w arch toe filler
- L5010Mold socket ank hgt w/ toe f
- L5020Tibial tubercle hgt w/ toe f
- L6805Term dev modifier wrist unit
- L6810Term dev precision pinch dev
- L6882Microprocessor control uplmb
- L7510Prosthetic device repair rep
- L8000Mastectomy bra
- L8001Breast prosthesis bra & form
- L8002Brst prsth bra & bilat form
- L8010Mastectomy sleeve
- L8015Ext breastprosthesis garment
- L8020Mastectomy form
- L8030Breast prosthes w/o adhesive
- L8031Breast prosthesis w adhesive
- L8035Custom breast prosthesis
- L8300Truss single w/ standard pad
- L8310Truss double w/ standard pad
- L8320Truss addition to std pad wa
- L8330Truss add to std pad scrotal
- L8400Sheath below knee
- L8410Sheath above knee
- L8415Sheath upper limb
- L8420Prosthetic sock multi ply bk
- L8430Prosthetic sock multi ply ak
- L8435Pros sock multi ply upper lm
- L8440Shrinker below knee
- L8460Shrinker above knee
- L8465Shrinker upper limb
- L8470Pros sock single ply bk
- L8480Pros sock single ply ak
- L8485Pros sock single ply upper l
- L8500Artificial larynx
- L8501Tracheostomy speaking valve
- L8510Voice amplifier
- L8600Implant breast silicone/eq
- L8603Collagen imp urinary 2.5 ml
- L8606Synthetic implnt urinary 1ml
- L8607Inj vocal cord bulking agent
- L8610Ocular implant
- L8612Aqueous shunt prosthesis
- L8613Ossicular implant
- L8614Cochlear device
- L8615Coch implant headset replace
- L8616Coch implant microphone repl
- L8617Coch implant trans coil repl
- L8618Coch implant tran cable repl
- L8619Coch imp ext proc/contr rplc
- L8625Charger coch impl/aoi battry
- L8627Cid ext speech process repl
- L8628Cid ext controller repl
- L8629Cid transmit coil and cable
- L8630Metacarpophalangeal implant
- L8631Mcp joint repl 2 pc or more
- L8641Metatarsal joint implant
- L8642Hallux implant
- L8658Interphalangeal joint spacer
- L8659Interphalangeal joint repl
- L8670Vascular graft, synthetic
- L8679Imp neurosti pls gn any type
- L8681Pt prgrm for implt neurostim
- L8682Implt neurostim radiofq rec
- L8683Radiofq trsmtr for implt neu
- L8684Radiof trsmtr implt scrl neu
- L8689External recharg sys intern
- L8695External recharg sys extern
- L8696Ext antenna phren nerve stim
- L8698Misc used with tot art heart
- M0064Visit for drug monitoring
- P2028Cephalin floculation test
- P2029Congo red blood test
- P2033Blood thymol turbidity
- P2038Blood mucoprotein
- P3000Screen pap by tech w md supv
- P3001Screening pap smear by phys
- P9010Whole blood for transfusion
- P9011Blood split unit
- P9012Cryoprecipitate each unit
- P9016Rbc leukocytes reduced
- P9017Plasma 1 donor frz w/in 8 hr
- P9019Platelets, each unit
- P9020Plaelet rich plasma unit
- P9021Red blood cells unit
- P9022Washed red blood cells unit
- P9023Frozen plasma, pooled, sd
- P9031Platelets leukocytes reduced
- P9032Platelets, irradiated
- P9033Platelets leukoreduced irrad
- P9034Platelets, pheresis
- P9035Platelet pheres leukoreduced
- P9036Platelet pheresis irradiated
- P9037Plate pheres leukoredu irrad
- P9038Rbc irradiated
- P9039Rbc deglycerolized
- P9040Rbc leukoreduced irradiated
- P9043Plasma protein fract,5%,50ml
- P9044Cryoprecipitatereducedplasma
- P9051Blood, l/r, cmv-neg
- P9052Platelets, hla-m, l/r, unit
- P9053Plt, pher, l/r cmv-neg, irr
- P9054Blood, l/r, froz/degly/wash
- P9055Plt, aph/pher, l/r, cmv-neg
- P9056Blood, l/r, irradiated
- P9057Rbc, frz/deg/wsh, l/r, irrad
- P9058Rbc, l/r, cmv-neg, irrad
- P9059Plasma, frz between 8-24hour
- P9060Fr frz plasma donor retested
- P9070Pathogen reduced plasma pool
- P9071Pathogen reduced plasma sing
- P9073Platelets pheresis path redu
- P9100Pathogen test for platelets
- P9603One-way allow prorated miles
- P9604One-way allow prorated trip
- P9612Catheterize for urine spec
- P9615Urine specimen collect mult
- Q0035Cardiokymography
- Q0081Infusion ther other than che
- Q0084Chemotherapy by infusion
- Q0091Obtaining screen pap smear
- Q0092Set up port xray equipment
- Q0155Dronabinol (syndros) 0.1 mg
- Q0162Ondansetron oral
- Q0163Diphenhydramine hcl 50mg
- Q0164Prochlorperazine maleate 5mg
- Q0166Granisetron hcl 1 mg oral
- Q0167Dronabinol 2.5mg oral
- Q0169Promethazine hcl 12.5mg oral
- Q0173Trimethobenzamide hcl 250mg
- Q0174Thiethylperazine maleate10mg
- Q0175Perphenazine 4mg oral
- Q0177Hydroxyzine pamoate 25mg
- Q0180Dolasetron mesylate oral
- Q0181Unspecified oral anti-emetic
- Q0477Pwr module pt cable lvad rpl
- Q0478Power adapter, combo vad
- Q0479Power module combo vad, rep
- Q0480Driver pneumatic vad, rep
- Q0481Microprcsr cu elec vad, rep
- Q0482Microprcsr cu combo vad, rep
- Q0483Monitor elec vad, rep
- Q0484Monitor elec or comb vad rep
- Q0485Monitor cable elec vad, rep
- Q0486Mon cable elec/pneum vad rep
- Q0487Leads any type vad, rep only
- Q0488Pwr pack base elec vad, rep
- Q0489Pwr pck base combo vad, rep
- Q0490Emr pwr source elec vad, rep
- Q0491Emr pwr source combo vad rep
- Q0492Emr pwr cbl elec vad, rep
- Q0493Emr pwr cbl combo vad, rep
- Q0494Emr hd pmp elec/combo, rep
- Q0495Charger elec/combo vad, rep
- Q0496Battery elec/combo vad, rep
- Q0497Bat clps elec/comb vad, rep
- Q0498Holster elec/combo vad, rep
- Q0499Belt/vest elec/combo vad rep
- Q0500Filters elec/combo vad, rep
- Q0501Shwr cov elec/combo vad, rep
- Q0502Mobility cart pneum vad, rep
- Q0503Battery pneum vad replacemnt
- Q0504Pwr adpt pneum vad, rep veh
- Q0506Lith-ion batt elec/pneum vad
- Q0507Misc sup/acc ext vad
- Q0508Mis sup/acc imp vad
- Q0509Mis sup/ac imp vad nopay med
- Q0510Dispens fee immunosupressive
- Q0511Sup fee antiem,antica,immuno
- Q0512Px sup fee anti-can sub pres
- Q0513Disp fee inhal drugs/30 days
- Q0514Disp fee inhal drugs/90 days
- Q0515Sermorelin acetate injection
- Q0516Supply fee hiv prep oral 30
- Q0517Supply fee hiv prep oral 60
- Q0518Supply fee hiv prep oral 90
- Q0519Supply fee hiv prep inj 30
- Q0520Supply fee hiv prep inj 60
- Q0521Supply fee hiv prep fda appr
- Q1004Ntiol category 4
- Q1005Ntiol category 5
- Q2004Bladder calculi irrig sol
- Q2009Fosphenytoin inj pe
- Q2017Teniposide, 50 mg
- Q2026Radiesse injection
- Q2028Inj, sculptra, 0.5mg
- Q2034Agriflu vaccine
- Q2035Afluria vacc, 3 yrs & >, im
- Q2036Flulaval vacc, 3 yrs & >, im
- Q2037Fluvirin vacc, 3 yrs & >, im
- Q2038Fluzone vacc, 3 yrs & >, im
- Q2039Influenza virus vaccine, nos
- Q2043Sipuleucel-t auto cd54+
- Q2050Doxorubicin inj 10mg
- Q2052Home ivig, services/supplies
- Q3001Brachytherapy radioelements
- Q3027Inj beta interferon im 1 mcg
- Q3031Collagen skin test
- Q4081Epoetin alfa, 100 units esrd
- Q5001Hospice or home hlth in home
- Q5002Hospice/home hlth in asst lv
- Q5003Hospice in lt/non-skilled nf
- Q5004Hospice in snf
- Q5005Hospice, inpatient hospital
- Q5006Hospice in hospice facility
- Q5007Hospice in ltch
- Q5008Hospice in inpatient psych
- Q5009Hospice/home hlth, place nos
- Q5010Hospice home care in hospice
- Q5101Injection, zarxio
- Q5102Inj., infliximab biosimilar
- Q5103Injection, inflectra
- Q5104Injection, renflexis
- Q5105Inj retacrit esrd on dialysi
- Q5106Inj retacrit non-esrd use
- Q5107Inj mvasi 10 mg
- Q5109Injection, ixifi, 10 mg
- Q5110Nivestym
- Q5115Inj truxima 10 mg
- Q5148Inj, nyposi 1 mcg
- Q9951Locm >= 400 mg/ml iodine,1ml
- Q9953Inj fe-based mr contrast,1ml
- Q9954Oral mr contrast, 100 ml
- Q9958Hocm <=149 mg/ml iodine, 1ml
- Q9959Hocm 150-199mg/ml iodine,1ml
- Q9960Hocm 200-249mg/ml iodine,1ml
- Q9961Hocm 250-299mg/ml iodine,1ml
- Q9962Hocm 300-349mg/ml iodine,1ml
- Q9963Hocm 350-399mg/ml iodine,1ml
- Q9964Hocm>= 400mg/ml iodine, 1ml
- Q9965Locm 100-199mg/ml iodine,1ml
- Q9966Locm 200-299mg/ml iodine,1ml
- Q9967Locm 300-399mg/ml iodine,1ml
- Q9969Non-heu tc-99m add-on/dose
- Q9972Epoetin beta esrd use
- Q9973Epoetin beta non esrd
- Q9974Morphine epidural/intratheca
- Q9975Factor viii fc fusion recomb
- Q9977Compounded drug noc
- Q9978Netupitant palonosetron oral
- Q9979Injection, alemtuzumab
- Q9981Rolapitant, oral, 1mg
- Q9982Flutemetamol f18 diagnostic
- Q9983Florbetaben f18 diagnostic
- Q9987Pathogen test for platelets
- Q9988Platelets, pathogen reduced
- Q9993Inj., triamcinolone ext rel
- R0070Transport portable x-ray
- R0075Transport port x-ray multipl
- R0076Transport portable ekg
- S3620Newborn metabolic screening
- V2020Vision svcs frames purchases
- V2121Lenticular lens, single
- V2221Lenticular lens, bifocal
- V2321Lenticular lens, trifocal
- V2520Contact lens hydrophilic
- V2521Cntct lens hydrophilic toric
- V2522Cntct lens hydrophil bifocl
- V2523Cntct lens hydrophil extend
- V2524Cntct lens hydrophil photoch
- V2531Contact lens gas permeable
- V2623Plastic eye prosth custom
- V2627Scleral cover shell
- V2630Anter chamber intraocul lens
- V2631Iris support intraoclr lens
- V2632Post chmbr intraocular lens
- V2744Tint photochromatic lens/es
- V2745Tint, any color/solid/grad
- V2750Anti-reflective coating
- V2755Uv lens/es
- V2761Mirror coating
- V2762Polarization, any lens
- V2782Lens, 1.54-1.65 p/1.60-1.79g
- V2783Lens, >= 1.66 p/>=1.80 g
- V2784Lens polycarb or equal
- V2786Occupational multifocal lens
- V5299Hearing service
About this list
Coverage status comes from the Medicare coverage field in the CMS HCPCS release. It describes how Medicare treats the code, not whether a particular claim will be paid: that depends on the patient, the documentation and your payer's policy. The largest group here is the J series (Drugs Administered Other than Oral Method; Chemotherapy Drugs).