Medical Billing Code Search
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8892 results found
| S0274 | Nurse practr visit outs cap | Description: Nurse practitioner visit at member's home, outside of a capitation arrangement |
| S0280 | Medical home, initial plan | Description: Medical home program, comprehensive care coordination and planning, initial plan |
| S0281 | Medical home, maintenance | Description: Medical home program, comprehensive care coordination and planning, maintenance of plan |
| S0285 | Cnslt before screen colonosc | Description: Colonoscopy consultation performed prior to a screening colonoscopy procedure |
| S0302 | Completed epsdt | Description: Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
| S0310 | Hospitalist visit | Description: Hospitalist services (list separately in addition to code for appropriate evaluation and management service) |
| S0311 | Comp mgmt care coord adv ill | Description: Comprehensive management and care coordination for advanced illness, per calendar month |
| S0315 | Disease management program | Description: Disease management program; initial assessment and initiation of the program |
| S0316 | Follow-up/reassessment | Description: Disease management program, follow-up/reassessment |
| S0317 | Disease mgmt per diem | Description: Disease management program; per diem |
| S0320 | Rn telephone calls to dmp | Description: Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month |
| S0340 | Lifestyle mod 1st stage | Description: Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
| S0341 | Lifestyle mod 2 or 3 stage | Description: Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage |
| S0342 | Lifestyle mod 4th stage | Description: Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage |
| S0353 | Cancer treatmentplan initial | Description: Treatment planning and care coordination management for cancer, initial treatment |
| S0354 | Cancer treatment plan change | Description: Treatment planning and care coordination management for cancer, established patient with a change of regimen |
| S0390 | Rout foot care per visit | Description: Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit |
| S0395 | Impression casting ft | Description: Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
| S0400 | Global eswl kidney | Description: Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) |
| S0500 | Dispos cont lens | Description: Disposable contact lens, per lens |
| S0504 | Singl prscrp lens | Description: Single vision prescription lens (safety, athletic, or sunglass), per lens |
| S0506 | Bifoc prscp lens | Description: Bifocal vision prescription lens (safety, athletic, or sunglass), per lens |
| S0508 | Trifoc prscrp lens | Description: Trifocal vision prescription lens (safety, athletic, or sunglass), per lens |
| S0510 | Non-prscrp lens | Description: Non-prescription lens (safety, athletic, or sunglass), per lens |
| S0512 | Daily cont lens | Description: Daily wear specialty contact lens, per lens |
| S0514 | Color cont lens | Description: Color contact lens, per lens |
| S0515 | Scleral lens liquid bandage | Description: Scleral lens, liquid bandage device, per lens |
| S0516 | Safety frames | Description: Safety eyeglass frames |
| S0518 | Sunglass frames | Description: Sunglasses frames |
| S0580 | Polycarb lens | Description: Polycarbonate lens (list this code in addition to the basic code for the lens) |
| S0581 | Nonstnd lens | Description: Nonstandard lens (list this code in addition to the basic code for the lens) |
| S0590 | Misc integral lens serv | Description: Integral lens service, miscellaneous services reported separately |
| S0592 | Comp cont lens eval | Description: Comprehensive contact lens evaluation |
| S0595 | New lenses in pts old frame | Description: Dispensing new spectacle lenses for patient supplied frame |
| S0596 | Phakic iol refractive error | Description: Phakic intraocular lens for correction of refractive error |
| S0601 | Screening proctoscopy | Description: Screening proctoscopy |
| S0610 | Annual gynecological examina | Description: Annual gynecological examination, new patient |
| S0612 | Annual gynecological examina | Description: Annual gynecological examination, established patient |
| S0613 | Ann breast exam | Description: Annual gynecological examination; clinical breast examination without pelvic evaluation |
| S0618 | Audiometry for hearing aid | Description: Audiometry for hearing aid evaluation to determine the level and degree of hearing loss |
| S0620 | Routine ophthalmological exa | Description: Routine ophthalmological examination including refraction; new patient |
| S0621 | Routine ophthalmological exa | Description: Routine ophthalmological examination including refraction; established patient |
| S0622 | Phys exam for college | Description: Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code) |
| S0630 | Removal of sutures | Description: Removal of sutures; by a physician other than the physician who originally closed the wound |
| S0800 | Laser in situ keratomileusis | Description: Laser in situ keratomileusis (lasik) |
| S0810 | Photorefractive keratectomy | Description: Photorefractive keratectomy (prk) |
| S0812 | Phototherap keratect | Description: Phototherapeutic keratectomy (ptk) |
| S1001 | Deluxe item | Description: Deluxe item, patient aware (list in addition to code for basic item) |
| S1002 | Custom item | Description: Customized item (list in addition to code for basic item) |
| S1015 | Iv tubing extension set | Description: Iv tubing extension set |
| S1016 | Non-pvc intravenous administ | Description: Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel |
| S1030 | Gluc monitor purchase | Description: Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code) |
| S1031 | Gluc monitor rental | Description: Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code) |
| S1034 | Art pancreas system | Description: Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices |
| S1035 | Art pancreas inv disp sensor | Description: Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system |
| S1036 | Art pancreas ext transmitter | Description: Transmitter; external, for use with artificial pancreas device system |
| S1037 | Art pancreas ext receiver | Description: Receiver (monitor); external, for use with artificial pancreas device system |
| S1040 | Cranial remolding orthosis | Description: Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) |
| S1091 | Stent non-coronary propel | Description: Stent, non-coronary, temporary, with delivery system (propel) |
| S2053 | Transplantation of small int | Description: Transplantation of small intestine and liver allografts |
| S2054 | Transplantation of multivisc | Description: Transplantation of multivisceral organs |
| S2055 | Harvesting of donor multivis | Description: Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor |
| S2060 | Lobar lung transplantation | Description: Lobar lung transplantation |
| S2061 | Donor lobectomy (lung) | Description: Donor lobectomy (lung) for transplantation, living donor |
| S2065 | Simult panc kidn trans | Description: Simultaneous pancreas kidney transplantation |
| S2066 | Breast gap flap reconst | Description: Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral |
| S2067 | Breast stacked" diep/gap" | Description: Breast reconstruction of a single breast with 'stacked' deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral |
| S2068 | Breast diep or siea flap | Description: Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral |
| S2070 | Cysto laser tx ureteral calc | Description: Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) |
| S2079 | Lap esophagomyotomy | Description: Laparoscopic esophagomyotomy (heller type) |
| S2080 | Laup | Description: Laser-assisted uvulopalatoplasty (laup) |
| S2083 | Adjustment gastric band | Description: Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline |
| S2095 | Transcath emboliz microspher | Description: Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres |
| S2102 | Islet cell tissue transplant | Description: Islet cell tissue transplant from pancreas; allogeneic |
| S2103 | Adrenal tissue transplant | Description: Adrenal tissue transplant to brain |
| S2107 | Adoptive immunotherapy | Description: Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment |
| S2112 | Knee arthroscp harv | Description: Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) |
| S2115 | Periacetabular osteotomy | Description: Osteotomy, periacetabular, with internal fixation |
| S2117 | Arthroereisis, subtalar | Description: Arthroereisis, subtalar |
| S2118 | Total hip resurfacing | Description: Metal-on-metal total hip resurfacing, including acetabular and femoral components |
| S2120 | Low density lipoprotein(ldl) | Description: Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation |
| S2140 | Cord blood harvesting | Description: Cord blood harvesting for transplantation, allogeneic |
| S2142 | Cord blood-derived stem-cell | Description: Cord blood-derived stem-cell transplantation, allogeneic |
| S2150 | Bmt harv/transpl 28d pkg | Description: Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition |
| S2152 | Solid organ transpl pkg | Description: Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition |
| S2202 | Echosclerotherapy | Description: Echosclerotherapy |
| S2205 | Minimally invasive direct co | Description: Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft |
| S2206 | Minimally invasive direct co | Description: Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts |
| S2207 | Minimally invasive direct co | Description: Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft |
| S2208 | Minimally invasive direct co | Description: Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft |
| S2209 | Minimally invasive direct co | Description: Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft |
| S2225 | Myringotomy laser-assist | Description: Myringotomy, laser-assisted |
| S2230 | Implant semi-imp hear | Description: Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear |
| S2235 | Implant auditory brain imp | Description: Implantation of auditory brain stem implant |
| S2260 | Induced abortion 17-24 weeks | Description: Induced abortion, 17 to 24 weeks |
| S2265 | Induced abortion 25-28 wks | Description: Induced abortion, 25 to 28 weeks |
| S2266 | Induced abortion 29-31 wks | Description: Induced abortion, 29 to 31 weeks |
| S2267 | Induced abortion 32 or more | Description: Induced abortion, 32 weeks or greater |
| S2300 | Arthroscopy, shoulder, surgi | Description: Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy |
| S2325 | Hip core decompression | Description: Hip core decompression |
| S2340 | Chemodenervation of abductor | Description: Chemodenervation of abductor muscle(s) of vocal cord |
| S2341 | Chemodenerv adduct vocal | Description: Chemodenervation of adductor muscle(s) of vocal cord |
| S2342 | Nasal endoscop po debrid | Description: Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral |
| S2348 | Decompress disc rf lumbar | Description: Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar |
| S2350 | Diskectomy, anterior, with d | Description: Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace |
| S2351 | Diskectomy, anterior, with d | Description: Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure) |
| S2400 | Fetal surg congen hernia | Description: Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero |
| S2401 | Fetal surg urin trac obstr | Description: Repair, urinary tract obstruction in the fetus, procedure performed in utero |
| S2402 | Fetal surg cong cyst malf | Description: Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero |
| S2403 | Fetal surg pulmon sequest | Description: Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero |
| S2404 | Fetal surg myelomeningo | Description: Repair, myelomeningocele in the fetus, procedure performed in utero |
| S2405 | Fetal surg sacrococ teratoma | Description: Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero |
| S2409 | Fetal surg noc | Description: Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified |
| S2411 | Fetoscop laser ther ttts | Description: Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome |
| S2900 | Robotic surgical system | Description: Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
| S3000 | Bilat dil retinal exam | Description: Diabetic indicator; retinal eye exam, dilated, bilateral |
| S3005 | Eval self-assess depression | Description: Performance measurement, evaluation of patient self assessment, depression |
| S3600 | Stat lab | Description: Stat laboratory request (situations other than s3601) |
| S3601 | Stat lab home/nf | Description: Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility |
| S3620 | Newborn metabolic screening | Description: Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
| S3630 | Eosinophil blood count | Description: Eosinophil count, blood, direct |
| S3645 | Hiv-1 antibody testing of or | Description: Hiv-1 antibody testing of oral mucosal transudate |
| S3650 | Saliva test, hormone level; | Description: Saliva test, hormone level; during menopause |
| S3652 | Saliva test, hormone level; | Description: Saliva test, hormone level; to assess preterm labor risk |
| S3655 | Antisperm antibodies test | Description: Antisperm antibodies test (immunobead) |
| S3708 | Gastrointestinal fat absorpt | Description: Gastrointestinal fat absorption study |
| S3722 | Dose optimization auc - 5fu | Description: Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil |
| S3800 | Genetic testing als | Description: Genetic testing for amyotrophic lateral sclerosis (als) |
| S3840 | Dna analysis ret-oncogene | Description: Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2 |
| S3841 | Gene test retinoblastoma | Description: Genetic testing for retinoblastoma |
| S3842 | Gene test hippel-lindau | Description: Genetic testing for von hippel-lindau disease |
| S3844 | Dna analysis deafness | Description: Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness |
| S3845 | Gene test alpha-thalassemia | Description: Genetic testing for alpha-thalassemia |
| S3846 | Gene test beta-thalassemia | Description: Genetic testing for hemoglobin e beta-thalassemia |
| S3849 | Gene test niemann-pick | Description: Genetic testing for niemann-pick disease |
| S3850 | Gene test sickle cell | Description: Genetic testing for sickle cell anemia |
| S3852 | Dna analysis apoe alzheimer | Description: Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease |
| S3853 | Gene test myo musclr dyst | Description: Genetic testing for myotonic muscular dystrophy |
| S3854 | Gene profile panel breast | Description: Gene expression profiling panel for use in the management of breast cancer treatment |
| S3861 | Genetic test brugada | Description: Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome |
| S3865 | Comp genet test hyp cardiomy | Description: Comprehensive gene sequence analysis for hypertrophic cardiomyopathy |
| S3866 | Spec gene test hyp cardiomy | Description: Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family |
| S3870 | Cgh test developmental delay | Description: Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability |
| S3900 | Surface emg | Description: Surface electromyography (emg) |
| S3902 | Ballistocardiogram | Description: Ballistocardiogram |
| S3904 | Masters two step | Description: Masters two step |
| S4005 | Interim labor facility globa | Description: Interim labor facility global (labor occurring but not resulting in delivery) |
| S4011 | Ivf package | Description: In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development |
| S4013 | Compl gift case rate | Description: Complete cycle, gamete intrafallopian transfer (gift), case rate |
| S4014 | Compl zift case rate | Description: Complete cycle, zygote intrafallopian transfer (zift), case rate |
| S4015 | Complete ivf nos case rate | Description: Complete in vitro fertilization cycle, not otherwise specified, case rate |
| S4016 | Frozen ivf case rate | Description: Frozen in vitro fertilization cycle, case rate |
| S4017 | Ivf canc a stim case rate | Description: Incomplete cycle, treatment cancelled prior to stimulation, case rate |
| S4018 | F emb trns canc case rate | Description: Frozen embryo transfer procedure cancelled before transfer, case rate |
| S4022 | Asst oocyte fert case rate | Description: Assisted oocyte fertilization, case rate |
| S4023 | Incompl donor egg case rate | Description: Donor egg cycle, incomplete, case rate |
| S4025 | Donor serv ivf case rate | Description: Donor services for in vitro fertilization (sperm or embryo), case rate |
| S4026 | Procure donor sperm | Description: Procurement of donor sperm from sperm bank |
| S4027 | Store prev froz embryos | Description: Storage of previously frozen embryos |
| S4028 | Microsurg epi sperm asp | Description: Microsurgical epididymal sperm aspiration (mesa) |
| S4030 | Sperm procure init visit | Description: Sperm procurement and cryopreservation services; initial visit |
| S4031 | Sperm procure subs visit | Description: Sperm procurement and cryopreservation services; subsequent visit |
| S4035 | Stimulated iui case rate | Description: Stimulated intrauterine insemination (iui), case rate |
| S4037 | Cryo embryo transf case rate | Description: Cryopreserved embryo transfer, case rate |
| S4040 | Monit store cryo embryo 30 d | Description: Monitoring and storage of cryopreserved embryos, per 30 days |
| S4042 | Ovulation mgmt per cycle | Description: Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle |
| S4981 | Insert levonorgestrel ius | Description: Insertion of levonorgestrel-releasing intrauterine system |
| S4989 | Contracept iud | Description: Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies |
| S4990 | Nicotine patch legend | Description: Nicotine patches, legend |
| S4991 | Nicotine patch nonlegend | Description: Nicotine patches, non-legend |
| S4993 | Contraceptive pills for bc | Description: Contraceptive pills for birth control |
| S4995 | Smoking cessation gum | Description: Smoking cessation gum |
| S5000 | Prescription drug, generic | Description: Prescription drug, generic |
| S5001 | Prescription drug,brand name | Description: Prescription drug, brand name |
| S5010 | 5% dextrose and 0.45% saline | Description: 5% dextrose and 0.45% normal saline, 1000 ml |
| S5012 | 5% dextrose with potassium | Description: 5% dextrose with potassium chloride, 1000 ml |
| S5013 | 5%dextrose/0.45%saline1000ml | Description: 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml |
| S5014 | D5w/0.45ns w kcl and mgs04 | Description: 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml |
| S5035 | Hit routine device maint | Description: Home infusion therapy, routine service of infusion device (e.g., pump maintenance) |
| S5036 | Hit device repair | Description: Home infusion therapy, repair of infusion device (e.g., pump repair) |
| S5100 | Adult daycare services 15min | Description: Day care services, adult; per 15 minutes |
| S5101 | Adult day care per half day | Description: Day care services, adult; per half day |
| S5102 | Adult day care per diem | Description: Day care services, adult; per diem |
| S5105 | Centerbased day care perdiem | Description: Day care services, center-based; services not included in program fee, per diem |
| S5108 | Homecare train pt 15 min | Description: Home care training to home care client, per 15 minutes |
| S5109 | Homecare train pt session | Description: Home care training to home care client, per session |
| S5110 | Family homecare training 15m | Description: Home care training, family; per 15 minutes |
| S5111 | Family homecare train/sessio | Description: Home care training, family; per session |
| S5115 | Nonfamily homecare train/15m | Description: Home care training, non-family; per 15 minutes |
| S5116 | Nonfamily hc train/session | Description: Home care training, non-family; per session |
| S5120 | Chore services per 15 min | Description: Chore services; per 15 minutes |
| S5121 | Chore services per diem | Description: Chore services; per diem |
| S5125 | Attendant care service /15m | Description: Attendant care services; per 15 minutes |
| S5126 | Attendant care service /diem | Description: Attendant care services; per diem |
| S5130 | Homaker service nos per 15m | Description: Homemaker service, nos; per 15 minutes |
| S5131 | Homemaker service nos /diem | Description: Homemaker service, nos; per diem |
| S5135 | Adult companioncare per 15m | Description: Companion care, adult (e.g., iadl/adl); per 15 minutes |
| S5136 | Adult companioncare per diem | Description: Companion care, adult (e.g., iadl/adl); per diem |
| S5140 | Adult foster care per diem | Description: Foster care, adult; per diem |
| S5141 | Adult foster care per month | Description: Foster care, adult; per month |
| S5145 | Child fostercare th per diem | Description: Foster care, therapeutic, child; per diem |
| S5146 | Ther fostercare child /month | Description: Foster care, therapeutic, child; per month |
| S5150 | Unskilled respite care /15m | Description: Unskilled respite care, not hospice; per 15 minutes |
| S5151 | Unskilled respitecare /diem | Description: Unskilled respite care, not hospice; per diem |
| S5160 | Emer response sys instal&tst | Description: Emergency response system; installation and testing |
| S5161 | Emer rspns sys serv permonth | Description: Emergency response system; service fee, per month (excludes installation and testing) |
| S5162 | Emer rspns system purchase | Description: Emergency response system; purchase only |
| S5165 | Home modifications per serv | Description: Home modifications; per service |
| S5170 | Homedelivered prepared meal | Description: Home delivered meals, including preparation; per meal |
| S5175 | Laundry serv,ext,prof,/order | Description: Laundry service, external, professional; per order |
| S5180 | Hh respiratory thrpy in eval | Description: Home health respiratory therapy, initial evaluation |
| S5181 | Hh respiratory thrpy nos/day | Description: Home health respiratory therapy, nos, per diem |
| S5185 | Med reminder serv per month | Description: Medication reminder service, non-face-to-face; per month |
| S5190 | Wellness assessment by nonph | Description: Wellness assessment, performed by non-physician |
| S5199 | Personal care item nos each | Description: Personal care item, nos, each |
| S5497 | Hit cath care noc | Description: Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S5498 | Hit simple cath care | Description: Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem |
| S5501 | Hit complex cath care | Description: Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S5502 | Hit interim cath care | Description: Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) |
| S5517 | Hit declotting kit | Description: Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting |
| S5518 | Hit cath repair kit | Description: Home infusion therapy, all supplies necessary for catheter repair |
| S5520 | Hit picc insert kit | Description: Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion |
| S5521 | Hit midline cath insert kit | Description: Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion |
| S5522 | Hit picc insert no supp | Description: Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) |
| S5523 | Hip midline cath insert kit | Description: Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) |
| S5550 | Insulin rapid 5 u | Description: Insulin, rapid onset, 5 units |
| S5551 | Insulin most rapid 5 u | Description: Insulin, most rapid onset (lispro or aspart); 5 units |
| S5552 | Insulin intermed 5 u | Description: Insulin, intermediate acting (nph or lente); 5 units |
| S5553 | Insulin long acting 5 u | Description: Insulin, long acting; 5 units |
| S5560 | Insulin reuse pen 1.5 ml | Description: Insulin delivery device, reusable pen; 1.5 ml size |
| S5561 | Insulin reuse pen 3 ml | Description: Insulin delivery device, reusable pen; 3 ml size |
| S5565 | Insulin cartridge 150 u | Description: Insulin cartridge for use in insulin delivery device other than pump; 150 units |
| S5566 | Insulin cartridge 300 u | Description: Insulin cartridge for use in insulin delivery device other than pump; 300 units |
| S5570 | Insulin dispos pen 1.5 ml | Description: Insulin delivery device, disposable pen (including insulin); 1.5 ml size |
| S5571 | Insulin dispos pen 3 ml | Description: Insulin delivery device, disposable pen (including insulin); 3 ml size |
| S8030 | Tantalum ring application | Description: Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy |
| S8035 | Magnetic source imaging | Description: Magnetic source imaging |
| S8037 | Mrcp | Description: Magnetic resonance cholangiopancreatography (mrcp) |
| S8040 | Topographic brain mapping | Description: Topographic brain mapping |
| S8042 | Mri low field | Description: Magnetic resonance imaging (mri), low-field |
| S8055 | Us guidance fetal reduct | Description: Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866) |
| S8080 | Scintimammography | Description: Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical |
| S8085 | Fluorine-18 fluorodeoxygluco | Description: Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan) |
| S8092 | Electron beam computed tomog | Description: Electron beam computed tomography (also known as ultrafast ct, cine ct) |
| S8096 | Portable peak flow meter | Description: Portable peak flow meter |
| S8097 | Asthma kit | Description: Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer) |
| S8100 | Spacer without mask | Description: Holding chamber or spacer for use with an inhaler or nebulizer; without mask |
| S8101 | Spacer with mask | Description: Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
| S8110 | Peak expiratory flow rate (p | Description: Peak expiratory flow rate (physician services) |
| S8120 | O2 contents gas cubic ft | Description: Oxygen contents, gaseous, 1 unit equals 1 cubic foot |
| S8121 | O2 contents liquid lb | Description: Oxygen contents, liquid, 1 unit equals 1 pound |
| S8130 | Interferential stim 2 chan | Description: Interferential current stimulator, 2 channel |
| S8131 | Interferential stim 4 chan | Description: Interferential current stimulator, 4 channel |
| S8185 | Flutter device | Description: Flutter device |
| S8186 | Swivel adaptor | Description: Swivel adapter |
| S8189 | Trach supply noc | Description: Tracheostomy supply, not otherwise classified |
| S8210 | Mucus trap | Description: Mucus trap |
| S8265 | Haberman feeder | Description: Haberman feeder for cleft lip/palate |
| S8270 | Enuresis alarm | Description: Enuresis alarm, using auditory buzzer and/or vibration device |
| S8301 | Infect control supplies nos | Description: Infection control supplies, not otherwise specified |
| S8415 | Supplies for home delivery | Description: Supplies for home delivery of infant |
| S8420 | Custom gradient sleev/glov | Description: Gradient pressure aid (sleeve and glove combination), custom made |
| S8421 | Ready gradient sleev/glov | Description: Gradient pressure aid (sleeve and glove combination), ready made |
| S8422 | Custom grad sleeve med | Description: Gradient pressure aid (sleeve), custom made, medium weight |
| S8423 | Custom grad sleeve heavy | Description: Gradient pressure aid (sleeve), custom made, heavy weight |
| S8424 | Ready gradient sleeve | Description: Gradient pressure aid (sleeve), ready made |
| S8425 | Custom grad glove med | Description: Gradient pressure aid (glove), custom made, medium weight |
| S8426 | Custom grad glove heavy | Description: Gradient pressure aid (glove), custom made, heavy weight |
| S8427 | Ready gradient glove | Description: Gradient pressure aid (glove), ready made |
| S8428 | Ready gradient gauntlet | Description: Gradient pressure aid (gauntlet), ready made |
| S8429 | Gradient pressure wrap | Description: Gradient pressure exterior wrap |
| S8430 | Padding for comprssn bdg | Description: Padding for compression bandage, roll |
| S8431 | Compression bandage | Description: Compression bandage, roll |
| S8450 | Splint digit | Description: Splint, prefabricated, digit (specify digit by use of modifier) |
| S8451 | Splint wrist or ankle | Description: Splint, prefabricated, wrist or ankle |
| S8452 | Splint elbow | Description: Splint, prefabricated, elbow |
| S8460 | Camisole post-mast | Description: Camisole, post-mastectomy |
| S8490 | 100 insulin syringes | Description: Insulin syringes (100 syringes, any size) |
| S8930 | Auricular electrostimulation | Description: Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient |
| S8940 | Hippotherapy per session | Description: Equestrian/hippotherapy, per session |
| S8948 | Low-level laser trmt 15 min | Description: Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes |
| S8950 | Complex lymphedema therapy, | Description: Complex lymphedema therapy, each 15 minutes |
| S8990 | Pt or manip for maint | Description: Physical or manipulative therapy performed for maintenance rather than restoration |
| S8999 | Resuscitation bag | Description: Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) |
| S9001 | Home uterine monitor with or | Description: Home uterine monitor with or without associated nursing services |
| S9007 | Ultrafiltration monitor | Description: Ultrafiltration monitor |
| S9024 | Paranasal sinus ultrasound | Description: Paranasal sinus ultrasound |
| S9025 | Omnicardiogram/cardiointegra | Description: Omnicardiogram/cardiointegram |
| S9034 | Eswl for gallstones | Description: Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) |
| S9055 | Procuren or other growth fac | Description: Procuren or other growth factor preparation to promote wound healing |
| S9056 | Coma stimulation per diem | Description: Coma stimulation per diem |
| S9061 | Medical supplies and equipme | Description: Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9083 | Urgent care center global | Description: Global fee urgent care centers |
| S9088 | Services provided in urgent | Description: Services provided in an urgent care center (list in addition to code for service) |
| S9090 | Vertebral axial decompressio | Description: Vertebral axial decompression, per session |
| S9097 | Home visit wound care | Description: Home visit for wound care |
| S9098 | Home phototherapy visit | Description: Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem |
| S9110 | Telemonitoring/home per mnth | Description: Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
| S9117 | Back school visit | Description: Back school, per visit |
| S9122 | Home health aide or certifie | Description: Home health aide or certified nurse assistant, providing care in the home; per hour |
| S9123 | Nursing care in home rn | Description: Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
| S9124 | Nursing care, in the home; b | Description: Nursing care, in the home; by licensed practical nurse, per hour |
| S9125 | Respite care, in the home, p | Description: Respite care, in the home, per diem |
| S9126 | Hospice care, in the home, p | Description: Hospice care, in the home, per diem |
| S9127 | Social work visit, in the ho | Description: Social work visit, in the home, per diem |
| S9128 | Speech therapy, in the home, | Description: Speech therapy, in the home, per diem |
| S9129 | Occupational therapy, in the | Description: Occupational therapy, in the home, per diem |
| S9131 | Pt in the home per diem | Description: Physical therapy; in the home, per diem |
| S9140 | Diabetic management program, | Description: Diabetic management program, follow-up visit to non-md provider |
| S9141 | Diabetic management program, | Description: Diabetic management program, follow-up visit to md provider |
| S9145 | Insulin pump initiation | Description: Insulin pump initiation, instruction in initial use of pump (pump not included) |
| S9150 | Evaluation by ocularist | Description: Evaluation by ocularist |
| S9152 | Speech therapy, re-eval | Description: Speech therapy, re-evaluation |
| S9208 | Home mgmt preterm labor | Description: Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code) |
| S9209 | Home mgmt pprom | Description: Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code) |
| S9211 | Home mgmt gest hypertension | Description: Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code) |
| S9212 | Hm postpar hyper per diem | Description: Home management of postpartum hypertension, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code) |
| S9213 | Hm preeclamp per diem | Description: Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code) |
| S9214 | Hm gest dm per diem | Description: Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code) |
| S9325 | Hit pain mgmt per diem | Description: Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328) |
| S9326 | Hit cont pain per diem | Description: Home infusion therapy, continuous (twenty-four hours or more) pain management infusion; administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9327 | Hit int pain per diem | Description: Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9328 | Hit pain imp pump diem | Description: Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9329 | Hit chemo per diem | Description: Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331) |
| S9330 | Hit cont chem diem | Description: Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9331 | Hit intermit chemo diem | Description: Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9335 | Ht hemodialysis diem | Description: Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem |
| S9336 | Hit cont anticoag diem | Description: Home infusion therapy, continuous anticoagulant infusion therapy (e.g., heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9338 | Hit immunotherapy diem | Description: Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9339 | Hit periton dialysis diem | Description: Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9340 | Hit enteral per diem | Description: Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
| S9341 | Hit enteral grav diem | Description: Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
| S9342 | Hit enteral pump diem | Description: Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
| S9343 | Hit enteral bolus nurs | Description: Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
| S9345 | Hit anti-hemophil diem | Description: Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9346 | Hit alpha-1-proteinas diem | Description: Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9347 | Hit longterm infusion diem | Description: Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9348 | Hit sympathomim diem | Description: Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9349 | Hit tocolysis diem | Description: Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9351 | Hit cont antiemetic diem | Description: Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem |
| S9353 | Hit cont insulin diem | Description: Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9355 | Hit chelation diem | Description: Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9357 | Hit enzyme replace diem | Description: Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9359 | Hit anti-tnf per diem | Description: Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9361 | Hit diuretic infus diem | Description: Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9363 | Hit anti-spasmotic diem | Description: Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9364 | Hit tpn total diem | Description: Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales) |
| S9365 | Hit tpn 1 liter diem | Description: Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
| S9366 | Hit tpn 2 liter diem | Description: Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
| S9367 | Hit tpn 3 liter diem | Description: Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
| S9368 | Hit tpn over 3l diem | Description: Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
| S9370 | Ht inj antiemetic diem | Description: Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9372 | Ht inj anticoag diem | Description: Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency) |
| S9373 | Hit hydra total diem | Description: Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales) |
| S9374 | Hit hydra 1 liter diem | Description: Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9375 | Hit hydra 2 liter diem | Description: Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9376 | Hit hydra 3 liter diem | Description: Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9377 | Hit hydra over 3l diem | Description: Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem |
| S9379 | Hit noc per diem | Description: Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9381 | Hit high risk/escort | Description: Delivery or service to high risk areas requiring escort or extra protection, per visit |
| S9401 | Anticoag clinic per session | Description: Anticoagulation clinic, inclusive of all services except laboratory tests, per session |
| S9430 | Pharmacy comp/disp serv | Description: Pharmacy compounding and dispensing services |
| S9432 | Med food non inborn err meta | Description: Medical foods for non-inborn errors of metabolism |
| S9433 | Medical food oral 100% nutr | Description: Medical food nutritionally complete, administered orally, providing 100% of nutritional intake |
| S9434 | Mod solid food suppl | Description: Modified solid food supplements for inborn errors of metabolism |
| S9435 | Medical foods for inborn err | Description: Medical foods for inborn errors of metabolism |
| S9436 | Lamaze class | Description: Childbirth preparation/lamaze classes, non-physician provider, per session |
| S9437 | Childbirth refresher class | Description: Childbirth refresher classes, non-physician provider, per session |
| S9438 | Cesarean birth class | Description: Cesarean birth classes, non-physician provider, per session |
| S9439 | Vbac class | Description: Vbac (vaginal birth after cesarean) classes, non-physician provider, per session |
| S9441 | Asthma education | Description: Asthma education, non-physician provider, per session |
| S9442 | Birthing class | Description: Birthing classes, non-physician provider, per session |
| S9443 | Lactation class | Description: Lactation classes, non-physician provider, per session |
| S9444 | Parenting class | Description: Parenting classes, non-physician provider, per session |
| S9445 | Pt education noc individ | Description: Patient education, not otherwise classified, non-physician provider, individual, per session |
| S9446 | Pt education noc group | Description: Patient education, not otherwise classified, non-physician provider, group, per session |
| S9447 | Infant safety class | Description: Infant safety (including cpr) classes, non-physician provider, per session |
| S9449 | Weight mgmt class | Description: Weight management classes, non-physician provider, per session |
| S9451 | Exercise class | Description: Exercise classes, non-physician provider, per session |
| S9452 | Nutrition class | Description: Nutrition classes, non-physician provider, per session |
| S9453 | Smoking cessation class | Description: Smoking cessation classes, non-physician provider, per session |
| S9454 | Stress mgmt class | Description: Stress management classes, non-physician provider, per session |
| S9455 | Diabetic management program, | Description: Diabetic management program, group session |
| S9460 | Diabetic management program, | Description: Diabetic management program, nurse visit |
| S9465 | Diabetic management program, | Description: Diabetic management program, dietitian visit |
| S9470 | Nutritional counseling, diet | Description: Nutritional counseling, dietitian visit |
| S9472 | Cardiac rehabilitation progr | Description: Cardiac rehabilitation program, non-physician provider, per diem |
| S9473 | Pulmonary rehabilitation pro | Description: Pulmonary rehabilitation program, non-physician provider, per diem |
| S9474 | Enterostomal therapy by a re | Description: Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem |
| S9475 | Ambulatory setting substance | Description: Ambulatory setting substance abuse treatment or detoxification services, per diem |
| S9476 | Vestibular rehab per diem | Description: Vestibular rehabilitation program, non-physician provider, per diem |
| S9480 | Intensive outpatient psychia | Description: Intensive outpatient psychiatric services, per diem |
| S9482 | Family stabilization 15 min | Description: Family stabilization services, per 15 minutes |
| S9484 | Crisis intervention per hour | Description: Crisis intervention mental health services, per hour |
| S9485 | Crisis intervention mental h | Description: Crisis intervention mental health services, per diem |
| S9490 | Hit corticosteroid/diem | Description: Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9494 | Hit antibiotic total diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) |
| S9497 | Hit antibiotic q3h diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9500 | Hit antibiotic q24h diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9501 | Hit antibiotic q12h diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9502 | Hit antibiotic q8h diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9503 | Hit antibiotic q6h diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9504 | Hit antibiotic q4h diem | Description: Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9529 | Venipuncture home/snf | Description: Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient |
| S9537 | Ht hem horm inj diem | Description: Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9538 | Hit blood products diem | Description: Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem |
| S9542 | Ht inj noc per diem | Description: Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9558 | Ht inj growth horm diem | Description: Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9559 | Hit inj interferon diem | Description: Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9560 | Ht inj hormone diem | Description: Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9562 | Ht inj palivizumab/ab diem | Description: Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9563 | Ht inj immuno diem | Description: Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9590 | Ht irrigation diem | Description: Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
| S9810 | Ht pharm per hour | Description: Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code) |
| S9900 | Christian sci pract visit | Description: Services by a journal-listed christian science practitioner for the purpose of healing, per diem |
| S9901 | Christian sci nurse visit | Description: Services by a journal-listed christian science nurse, per hour |
| S9960 | Air ambulanc nonemerg fixed | Description: Ambulance service, conventional air service, nonemergency transport, one way (fixed wing) |
| S9961 | Air ambulan nonemerg rotary | Description: Ambulance service, conventional air service, nonemergency transport, one way (rotary wing) |
| S9970 | Health club membership yr | Description: Health club membership, annual |
| S9975 | Transplant related per diem | Description: Transplant related lodging, meals and transportation, per diem |
| S9976 | Lodging per diem | Description: Lodging, per diem, not otherwise classified |
| S9977 | Meals per diem | Description: Meals, per diem, not otherwise specified |
| S9981 | Med record copy admin | Description: Medical records copying fee, administrative |
| S9982 | Med record copy per page | Description: Medical records copying fee, per page |
| S9986 | Not medically necessary svc | Description: Not medically necessary service (patient is aware that service not medically necessary) |
| S9988 | Serv part of phase i trial | Description: Services provided as part of a phase i clinical trial |
| S9989 | Services outside us | Description: Services provided outside of the united states of america (list in addition to code(s) for service(s)) |
| S9990 | Services provided as part of | Description: Services provided as part of a phase ii clinical trial |
| S9991 | Services provided as part of | Description: Services provided as part of a phase iii clinical trial |
| S9992 | Transportation costs to and | Description: Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion |
| S9994 | Lodging costs (e.g. hotel ch | Description: Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion |
| S9996 | Meals for clinical trial par | Description: Meals for clinical trial participant and one caregiver/companion |
| S9999 | Sales tax | Description: Sales tax |
| T1000 | Private duty/independent nsg | Description: Private duty / independent nursing service(s) - licensed, up to 15 minutes |
| T1001 | Nursing assessment/evaluatn | Description: Nursing assessment / evaluation |
| T1002 | Rn services up to 15 minutes | Description: Rn services, up to 15 minutes |
| T1003 | Lpn/lvn services up to 15min | Description: Lpn/lvn services, up to 15 minutes |
| T1004 | Nsg aide service up to 15min | Description: Services of a qualified nursing aide, up to 15 minutes |
| T1005 | Respite care service 15 min | Description: Respite care services, up to 15 minutes |
| T1006 | Family/couple counseling | Description: Alcohol and/or substance abuse services, family/couple counseling |
| T1007 | Treatment plan development | Description: Alcohol and/or substance abuse services, treatment plan development and/or modification |
| T1009 | Child sitting services | Description: Child sitting services for children of the individual receiving alcohol and/or substance abuse services |
| T1010 | Meals when receive services | Description: Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program) |
| T1012 | Alcohol/substance abuse skil | Description: Alcohol and/or substance abuse services, skills development |
| T1013 | Sign lang/oral interpreter | Description: Sign language or oral interpretive services, per 15 minutes |
| T1014 | Telehealth transmit, per min | Description: Telehealth transmission, per minute, professional services bill separately |
| T1015 | Clinic service | Description: Clinic visit/encounter, all-inclusive |
| T1016 | Case management | Description: Case management, each 15 minutes |
| T1017 | Targeted case management | Description: Targeted case management, each 15 minutes |
| T1018 | School-based iep ser bundled | Description: School-based individualized education program (iep) services, bundled |
| T1019 | Personal care ser per 15 min | Description: Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
| T1020 | Personal care ser per diem | Description: Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
| T1021 | Hh aide or cn aide per visit | Description: Home health aide or certified nurse assistant, per visit |
| T1022 | Contracted services per day | Description: Contracted home health agency services, all services provided under contract, per day |
| T1023 | Program intake assessment | Description: Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
| T1024 | Team evaluation & management | Description: Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
| T1025 | Ped compr care pkg, per diem | Description: Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
| T1026 | Ped compr care pkg, per hour | Description: Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
| T1027 | Family training & counseling | Description: Family training and counseling for child development, per 15 minutes |
| T1028 | Home environment assessment | Description: Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
| T1029 | Dwelling lead investigation | Description: Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling |
| T1030 | Rn home care per diem | Description: Nursing care, in the home, by registered nurse, per diem |
| T1031 | Lpn home care per diem | Description: Nursing care, in the home, by licensed practical nurse, per diem |
| T1032 | Sv doula brth wrk per 15 min | Description: Services performed by a doula birth worker, per 15 minutes |
| T1033 | Sv doula brth wrk per diem | Description: Services performed by a doula birth worker, per diem |
| T1040 | Comm bh clinic svc per diem | Description: Medicaid certified community behavioral health clinic services, per diem |
| T1041 | Comm bh clinic svc per month | Description: Medicaid certified community behavioral health clinic services, per month |
| T1502 | Medication admin visit | Description: Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
| T1503 | Med admin, not oral/inject | Description: Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
| T1505 | Elec med comp dev, noc | Description: Electronic medication compliance management device, includes all components and accessories, not otherwise classified |
| T1999 | Noc retail items andsupplies | Description: Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in 'remarks' |
| T2001 | N-et; patient attend/escort | Description: Non-emergency transportation; patient attendant/escort |
| T2002 | N-et; per diem | Description: Non-emergency transportation; per diem |
| T2003 | N-et; encounter/trip | Description: Non-emergency transportation; encounter/trip |
| T2004 | N-et; commerc carrier pass | Description: Non-emergency transport; commercial carrier, multi-pass |
| T2005 | N-et; stretcher van | Description: Non-emergency transportation; stretcher van |
| T2007 | Non-emer transport wait time | Description: Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
| T2010 | Pasrr level i | Description: Preadmission screening and resident review (pasrr) level i identification screening, per screen |
| T2011 | Pasrr level ii | Description: Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation |
| T2012 | Habil ed waiver, per diem | Description: Habilitation, educational; waiver, per diem |
| T2013 | Habil ed waiver per hour | Description: Habilitation, educational, waiver; per hour |
| T2014 | Habil prevoc waiver, per d | Description: Habilitation, prevocational, waiver; per diem |
| T2015 | Habil prevoc waiver per hr | Description: Habilitation, prevocational, waiver; per hour |
| T2016 | Habil res waiver per diem | Description: Habilitation, residential, waiver; per diem |
| T2017 | Habil res waiver 15 min | Description: Habilitation, residential, waiver; 15 minutes |
| T2018 | Habil sup empl waiver/diem | Description: Habilitation, supported employment, waiver; per diem |
| T2019 | Habil sup empl waiver 15min | Description: Habilitation, supported employment, waiver; per 15 minutes |
| T2020 | Day habil waiver per diem | Description: Day habilitation, waiver; per diem |
| T2021 | Day habil waiver per 15 min | Description: Day habilitation, waiver; per 15 minutes |
| T2022 | Case management, per month | Description: Case management, per month |
| T2023 | Targeted case mgmt per month | Description: Targeted case management; per month |
| T2024 | Serv asmnt/care plan waiver | Description: Service assessment/plan of care development, waiver |
| T2025 | Waiver service, nos | Description: Waiver services; not otherwise specified (nos) |
| T2026 | Special childcare waiver/d | Description: Specialized childcare, waiver; per diem |
| T2027 | Spec childcare waiver 15 min | Description: Specialized childcare, waiver; per 15 minutes |
| T2028 | Special supply, nos waiver | Description: Specialized supply, not otherwise specified, waiver |
| T2029 | Special med equip, noswaiver | Description: Specialized medical equipment, not otherwise specified, waiver |
| T2030 | Assist living waiver/month | Description: Assisted living, waiver; per month |
| T2031 | Assist living waiver/diem | Description: Assisted living; waiver, per diem |
| T2032 | Res care, nos waiver/month | Description: Residential care, not otherwise specified (nos), waiver; per month |