Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Every HCPCS Level II code priced by Part B as "Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)".
Part B pricingCMS code 13329 codes
By series
These 329 codes span 7 series, split as below. Opening one shows that whole series, not just the codes listed here.
All codes 329
All code series- A2004Xcellistem, 1 mg
- A2014Omeza collag compl 100 mg
- A2017Permeaderm glove, each
- A2020Ac5 wound system
- A2023Innovamatrix pd, 1 mg
- A2026Restrata minimatrix, 5 mg
- A2028Micromatrix flex per mg
- A2030Miro3d fibers, per mg
- A2033Myriad morcells, 4 mg
- A2035Corpl p therac p allac p mg
- A2037G4derm plus/suprello, pr ml
- A2040Microlyte painguard pr sq cm
- A2041Foundation drs+ duo pr sq cm
- A2042Foundation drs+ solo, sq cm
- A2043Biobrane, per sq cm
- A2044Biobrane glove, each
- A2045Novashield/novogen pr sq cm
- A4100Nosht skin sub fda clrd nos
- C80013d anat seg imaging preop
- G0011Hiv prep counsel, md 15-30m
- G0012Injection of hiv prep drug
- G0013Hiv prep counsel, clin staff
- G0017Crisis psychotherapy 60m
- G0018Crisis psychotherapy add 30m
- G0019Comm hlth intg svs sdoh 60mn
- G0022Comm hlth intg svs add 30 m
- G0023Pin service 60m per month
- G0024Pin srv add 30 min pr m
- G0071Comm svcs by rhc/fqhc 5 min
- G0076Care manag h vst new pt 20 m
- G0077Care manag h vst new pt 30 m
- G0078Care manag h vst new pt 45 m
- G0079Care manag h vst new pt 60 m
- G0080Care manag h vst new pt 75 m
- G0081Care man h v ext pt 20 mi
- G0082Care man h v ext pt 30 m
- G0083Care man h v ext pt 45 m
- G0084Care man h v ext pt 60 m
- G0085Care man h v ext pt 75 m
- G0086Care man home care plan 30 m
- G0087Care man home care plan 60 m
- G0136Adm of pa/n assess 5-15 m
- G0137Inten outpt svs,min 9 pr 7 d
- G0138Iv cipaglucosidase alfa-atga
- G0140Nav srv peer sup 60 min pr m
- G0146Nav srv peer sup add 30 pr m
- G0183Software meas of cardiac vol
- G0202Scr mammo bi incl cad
- G0204Dx mammo incl cad bi
- G0206Dx mammo incl cad uni
- G0276Pild/placebo control clin tr
- G0277Hbot, full body chamber, 30m
- G0279Tomosynthesis, mammo
- G0296Visit to determ ldct elig
- G0297Ldct for lung ca screen
- G0308180 d implant glucose sensor
- G0309Rem/inser glu sensor dif sit
- G0320Two-way audio and video hhs
- G0321Audio-only hhs
- G0322Home h physio data collec tr
- G0323Care manage beh svs 20mins
- G0339Robot lin-radsurg com, first
- G0340Robt lin-radsurg fractx 2-5
- G0341Percutaneous islet celltrans
- G0342Laparoscopy islet cell trans
- G0343Laparotomy islet cell transp
- G0372Md service required for pmd
- G0389Ultrasound exam aaa screen
- G0398Home sleep test/type 2 porta
- G0399Home sleep test/type 3 porta
- G0400Home sleep test/type 4 porta
- G0406Inpt/tele follow up 15
- G0409Corf related serv 15 mins ea
- G0410Grp psych php/iop 45-50
- G0411Interactive grp psyc php/iop
- G0412Open tx iliac spine uni/bil
- G0413Pelvic ring fracture uni/bil
- G0414Pelvic ring fx treat int fix
- G0415Open tx post pelvic fxcture
- G0416Prostate biopsy, any mthd
- G0417Sat biopsy prostate 21-40
- G0418Sat biopsy prostate 41-60
- G0419Sat biopsy prostate: >60
- G0425Inpt/ed teleconsult30
- G0426Inpt/ed teleconsult50
- G0427Inpt/ed teleconsult70
- G0429Dermal filler injection(s)
- G0431Drug screen multiple class
- G0436Tobacco-use counsel 3-10 min
- G0437Tobacco-use counsel>10min
- G0439Ppps, subseq visit
- G0442Annual alcohol screen 15 min
- G0443Brief alcohol misuse counsel
- G0444Depression screen annual
- G0445High inten beh couns std 30m
- G0446Intens behave ther cardio dx
- G0447Behavior counsel obesity 15m
- G0448Place perm pacing cardiovert
- G0451Devlopment test interpt&rep
- G0452Molecular pathology interpr
- G0453Cont intraop neuro monitor
- G0454Md document visit by npp
- G0455Fecal microbiota prep instil
- G0456Neg pre wound <=50 sq cm
- G0457Neg pres wound >50 sq cm
- G0459Telehealth inpt pharm mgmt
- G0460Autolog prp not diab ulcer
- G0461Immunohisto/cyto chem 1st st
- G0462Immunohisto/cyto chem add
- G0465Autolog prp diab wound ulcer
- G0466Fqhc visit new patient
- G0467Fqhc visit, estab pt
- G0468Fqhc visit, ippe or awv
- G0469Fqhc visit, mh new pt
- G0470Fqhc visit, mh estab pt
- G0472Hep c screen high risk/other
- G0473Group behave couns 2-10
- G0475Hiv combination assay
- G0476Hpv combo assay ca screen
- G0490Home visit rn, lpn by rhc/fq
- G0491Dialysis acu kidney no esrd
- G0492Md/oth eval acut kid no esrd
- G0498Chemo extend iv infus w/pump
- G0499Hepb screen high risk indiv
- G0500Mod sedat endo service >5yrs
- G0501Resource-inten svc during ov
- G0502Init psych care manag, 70min
- G0503Subseq psych care man,60mi
- G0504Init/sub psych care add 30 m
- G0505Cog/func assessment outpt
- G0506Comp asses care plan ccm svc
- G0507Care manage serv minimum 20
- G0508Crit care telehea consult 60
- G0509Crit care telehea consult 50
- G0511Ccm/bhi by rhc/fqhc 20min mo
- G0512Cocm by rhc/fqhc 60 min mo
- G0513Prolong prev svcs, first 30m
- G0514Prolong prev svcs, addl 30m
- G0516Insert drug del implant, >=4
- G0517Remove drug implant
- G0518Remove w insert drug implant
- G0519New pt-cg dyad dem low cmplx
- G0520New pt-cg dyad dem mod cmplx
- G0521New pt-cg dyad dem hig cmplx
- G0522Mgt nw pt dementia low cmplx
- G0523Mgt nw pt dem mod-high cmplx
- G0524Est pt-cg dyad dem low cmplx
- G0525Est pt-cg dyad dem mod cmplx
- G0526Est pt-cg dyad dem hig cmplx
- G0527Mgt est pt dmentia low cmplx
- G0528Mgt est pt dem mod-hi cmplx
- G0529In home respite care, 4 hr u
- G0530Adult daycare center, 8 hr u
- G0531Fclty-based respite, 24 hr u
- G0533Buprenorphone inj weekly
- G0534Coordinated care/or referral
- G0535Pt navigat svs direct/ref
- G0536Peer recover support svs
- G0537Risk ascvd tst once pr 12 mo
- G0538Ascvd rsk mng clin stf pr mo
- G0539Initial care training 30 m
- G0540Train for caregiver add 15
- G0541No pt prsnt train initial 30
- G0542No pt prsnt train add 15
- G0543Group train w/o patient
- G0544Post d/c phone follow up
- G0545Inherent visit to inpt
- G0546Phone/internet ehr assess
- G0547Phone/internet svs 11-20 m
- G0548Phone/inter svs 21-30 m
- G0549Phone/inter for treat>31m
- G0550Phone/inter for dx/treat >5m
- G0551Phn/intr svs fr dx treat 30m
- G0552Supply of digital device
- G0553Monthly tx for dmht 20mins
- G0554Add 20 m of monthly tx
- G0555Replacment pt electronic sys
- G0556Adv prim care mgmt lvl 1
- G0557Adv prim care mgmt lvl 2
- G0558Adv prim care mgmt lvl 3
- G0559Unrelat prac follow up visit
- G0560Safety plan interven
- G0561Temp tube delivery, unil
- G0562Complex simulation w/pet-ct
- G0563Sbrt w/positron emission del
- G0564365 d implant glucose sensor
- G0565Rem/ins glu snsr 365 dif sit
- G05663d bn img algor drvd fr mri
- G0567Screening hep c detect
- G0568Int psych care mng, 1 cal mo
- G0569Subs psych care mng, subs mo
- G0570Care manage serv, pr cal mo
- G0680Cr art clc art vlv clc w rpt
- G0681App of non-sheet skin sub
- G0682App non-sheet skin sub add
- G0683App of non-sheet skin sub g
- G0684App non-sheet skin sb g addl
- G2001Post d/c h vst new pt 20 m
- G2002Post-d/c h vst new pt 30 m
- G2003Post-d/c h vst new pt 45 m
- G2004Post-d/c h vst new pt 60 m
- G2005Post-d/c h vst new pt 75 m
- G2006Post-d/c h vst ext pt 20 m
- G2007Post-d/c h vst ext pt 30 m
- G2008Post-d/c h vst ext pt 45 m
- G2009Post-d/c h vst ext pt 60 m
- G2010Remot image submit by pt
- G2011Alcohol/sub misuse assess
- G2012Brief check in by md/qhp
- G2013Post-d/c h vst ext pt 75 m
- G2014Post-d/c care plan overs 30m
- G2015Post-d/c care plan overs 60m
- G2025Dis site tele svcs rhc/fqhc
- G2058Ccm add 20min
- G2061Qual nonmd est pt 5-10m
- G2062Qual nonmd est pt 11-20m
- G2063Qual nonmd est pt 21>min
- G2064Md mang high risk dx 30
- G2065Clin mang h risk dx 30
- G2066Inter devc remote 30d
- G2067Med assist tx meth wk
- G2068Med assist tx bupre oral
- G2069Med assist tx inject
- G2070Med assist tx implant
- G2071Med tx remove implant
- G2072Med tx insert/remove imp
- G2073Med tx naltrexone
- G2074Med assist tx no drug
- G2075Med tx meds nos
- G2076Intake act w/med exam
- G2077Periodic assessment
- G2078Take-home meth
- G2079Take-hom buprenorphine
- G2080Add 30 mins counsel
- G2082Visit esketamine 56m or less
- G2083Visit esketamine, > 56m
- G2086Off base opioid tx 70min
- G2087Off base opioid tx, 60 m
- G2088Off base opioid tx, add30
- G2170Avf by tissue w thermal e
- G2171Avf use magnetic/art/ven
- G2250Remot img sub by pt, non e/m
- G2251Brief chkin, 5-10, non-e/m
- G2252Brief chkin by md/qhp, 11-20
- G3001Admin + supply, tositumomab
- G6001Echo guidance radiotherapy
- G6002Stereoscopic x-ray guidance
- G6003Radiation treatment delivery
- G6004Radiation treatment delivery
- G6005Radiation treatment delivery
- G6006Radiation treatment delivery
- G6007Radiation treatment delivery
- G6008Radiation treatment delivery
- G6009Radiation treatment delivery
- G6010Radiation treatment delivery
- G6011Radiation treatment delivery
- G6012Radiation treatment delivery
- G6013Radiation treatment delivery
- G6014Radiation treatment delivery
- G6015Radiation tx delivery imrt
- G6016Delivery comp imrt
- G6017Intrafraction track motion
- G6018Ileoscopy w/stent
- G6019Colonoscopy lesion removal
- G6020Colonoscopy w/stent
- G6021Unlisted px small intestine
- G6022Sigmoidoscopy w/ablate tumr
- G6023Sigmoidoscopy w/stent
- G6024Lesion removal colonoscopy
- G6025Colonoscopy w/stent
- G6027Anoscopy hra w/spec collect
- G6028Anoscopy hra w/biopsy
- G9017Amantadine hcl 100mg oral
- G9018Zanamivir,inhalation pwd 10m
- G9019Oseltamivir phosphate 75mg
- G9020Rimantadine hcl 100mg oral
- G9033Amantadine hcl oral brand
- G9143Warfarin respon genetic test
- G9187Bpci home visit
- G9868Cmmi asyntelehealth <10min
- G9869Cmmi asyntelehealth 10-20min
- G9870Cmmi asyntelehealth >20min
- G9978Remote e/m new pt 10mins
- G9979Remote e/m new pt 20mins
- G9980Remote e/m new pt 30 mins
- G9981Remote e/m new pt 45mins
- G9982Remote e/m new pt 60mins
- G9983Remote e/m est. pt 10mins
- G9984Remote e/m est. pt 15mins
- G9985Remote e/m est. pt 25mins
- G9986Remote e/m est. pt 40mins
- G9987Bpci advanced in home visit
- J1440Fecal microbiota jslm 1 ml
- Q4112Cymetra injectable
- Q4113Graftjacket xpress
- Q4114Integra flowable wound matri
- Q4118Matristem micromatrix
- Q4139Amnio or biodmatrix, inj 1cc
- Q4145Epifix, inj, 1mg
- Q4149Excellagen, 0.1 cc
- Q4155Neoxflo or clarixflo 1 mg
- Q4162Wndex flw, bioskn flw, 0.5cc
- Q4168Amnioband, 1 mg
- Q4171Interfyl, 1 mg
- Q4174Palingen or promatrx
- Q4177Floweramnioflo, 0.1 cc
- Q4185Cellesta flowab amnion 0.5cc
- Q4189Artacent ac, 1 mg
- Q4192Restorigin, 1 cc
- Q4202Keroxx (2.5g/cc), 1cc
- Q4206Fluid flow or fluid gf 1 cc
- Q4212Allogen, per cc
- Q4213Ascent, 0.5 mg
- Q4215Axolotl ambient, cryo 0.1 mg
- Q4230Cogenex flow amnion 0.5 cc
- Q4233Surfactor /nudyn per 0.5 cc
- Q4240Corecyte topical only 0.5 cc
- Q4241Polycyte, topical only 0.5cc
- Q4242Amniocyte plus, per 0.5 cc
- Q4245Amniotext, per cc
- Q4246Coretext or protext, per cc
- Q4310Procenta, per 100 mg
- Q4431Pma skin substitute, nos
- Q4432510(k) skin subs, nos
- Q4433361 hct/p skin subs, nos
- R0070Transport portable x-ray
- R0075Transport port x-ray multipl
- R0076Transport portable ekg
- V5299Hearing service
About this list
The pricing indicator comes from the CMS HCPCS release and describes the method Part B uses to price the code. It is not a price, and it says nothing about what another payer will allow. The largest group here is the G series (Procedures / Professional Services (Temporary)).