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Medical Billing Code Search

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9172 results found

V5243 Hearing aid, monaural, itc Description: Hearing aid, analog, monaural, itc (in the canal)
V5244 Hearing aid, prog, mon, cic Description: Hearing aid, digitally programmable analog, monaural, cic
V5245 Hearing aid, prog, mon, itc Description: Hearing aid, digitally programmable, analog, monaural, itc
V5246 Hearing aid, prog, mon, ite Description: Hearing aid, digitally programmable analog, monaural, ite (in the ear)
V5247 Hearing aid, prog, mon, bte Description: Hearing aid, digitally programmable analog, monaural, bte (behind the ear)
V5248 Hearing aid, binaural, cic Description: Hearing aid, analog, binaural, cic
V5249 Hearing aid, binaural, itc Description: Hearing aid, analog, binaural, itc
V5250 Hearing aid, prog, bin, cic Description: Hearing aid, digitally programmable analog, binaural, cic
V5251 Hearing aid, prog, bin, itc Description: Hearing aid, digitally programmable analog, binaural, itc
V5252 Hearing aid, prog, bin, ite Description: Hearing aid, digitally programmable, binaural, ite
V5253 Hearing aid, prog, bin, bte Description: Hearing aid, digitally programmable, binaural, bte
V5254 Hearing id, digit, mon, cic Description: Hearing aid, digital, monaural, cic
V5255 Hearing aid, digit, mon, itc Description: Hearing aid, digital, monaural, itc
V5256 Hearing aid, digit, mon, ite Description: Hearing aid, digital, monaural, ite
V5257 Hearing aid, digit, mon, bte Description: Hearing aid, digital, monaural, bte
V5258 Hearing aid, digit, bin, cic Description: Hearing aid, digital, binaural, cic
V5259 Hearing aid, digit, bin, itc Description: Hearing aid, digital, binaural, itc
V5260 Hearing aid, digit, bin, ite Description: Hearing aid, digital, binaural, ite
V5261 Hearing aid, digit, bin, bte Description: Hearing aid, digital, binaural, bte
V5262 Hearing aid, disp, monaural Description: Hearing aid, disposable, any type, monaural
V5263 Hearing aid, disp, binaural Description: Hearing aid, disposable, any type, binaural
V5264 Ear mold/insert Description: Ear mold/insert, not disposable, any type
V5265 Ear mold/insert, disp Description: Ear mold/insert, disposable, any type
V5266 Battery for hearing device Description: Battery for use in hearing device
V5267 Hearing aid sup/access/dev Description: Hearing aid or assistive listening device/supplies/accessories, not otherwise specified
V5268 Ald telephone amplifier Description: Assistive listening device, telephone amplifier, any type
V5269 Alerting device, any type Description: Assistive listening device, alerting, any type
V5270 Ald, tv amplifier, any type Description: Assistive listening device, television amplifier, any type
V5271 Ald, tv caption decoder Description: Assistive listening device, television caption decoder
V5272 Tdd Description: Assistive listening device, tdd
V5273 Ald for cochlear implant Description: Assistive listening device, for use with cochlear implant
V5274 Ald unspecified Description: Assistive listening device, not otherwise specified
V5275 Ear impression Description: Ear impression, each
V5281 Ald fm/dm system, monaural Description: Assistive listening device, personal fm/dm system, monaural, (1 receiver, transmitter, microphone), any type
V5282 Ald fm/dm system binaural Description: Assistive listening device, personal fm/dm system, binaural, (2 receivers, transmitter, microphone), any type
V5283 Ald neck, loop ind receiver Description: Assistive listening device, personal fm/dm neck, loop induction receiver
V5284 Ald fm/dm ear level receiver Description: Assistive listening device, personal fm/dm, ear level receiver
V5285 Ald fm/dm aud input receiver Description: Assistive listening device, personal fm/dm, direct audio input receiver
V5286 Ald blu tooth fm/dm receiver Description: Assistive listening device, personal blue tooth fm/dm receiver
V5287 Ald fm/dm receiver, nos Description: Assistive listening device, personal fm/dm receiver, not otherwise specified
V5288 Ald fm/dm transmitter ald Description: Assistive listening device, personal fm/dm transmitter assistive listening device
V5289 Ald fm/dm adapt/boot couplin Description: Assistive listening device, personal fm/dm adapter/boot coupling device for receiver, any type
V5290 Ald transmitter microphone Description: Assistive listening device, transmitter microphone, any type
V5298 Hearing aid noc Description: Hearing aid, not otherwise classified
V5299 Hearing service Description: Hearing service, miscellaneous
V5336 Repair communication device Description: Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid)
V5362 Speech screening Description: Speech screening
V5363 Language screening Description: Language screening
V5364 Dysphagia screening Description: Dysphagia screening
C9088 Instill, bupivac and meloxic Description: Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg
C9174 Datopotamab deruxtecan, 1 mg Description: Injection, datopotamab deruxtecan-dlnk, 1 mg
C9175 Inj, treosulfan, 50 mg Description: Injection, treosulfan, 50 mg
C9248 Inj, clevidipine butyrate Description: Injection, clevidipine butyrate, 1 mg
E0716 Supp and acces intravag pelv Description: Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
J2150 Mannitol injection Description: Injection, mannitol, 25% in 50 ml
J2503 Pegaptanib sodium injection Description: Injection, pegaptanib sodium, 0.3 mg
S0074 Injection, cefotetan disodiu Description: Injection, cefotetan disodium, 500 mg
C5271 Low cost skin substitute app Description: Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
C5272 Low cost skin substitute app Description: Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
C5273 Low cost skin substitute app Description: Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
C5274 Low cost skin substitute app Description: Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
C5275 Low cost skin substitute app Description: Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
C5276 Low cost skin substitute app Description: Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
C5277 Low cost skin substitute app Description: Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
C5278 Low cost skin substitute app Description: Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
C9089 Bupivacaine implant, 1 mg Description: Bupivacaine, collagen-matrix implant, 1 mg
C9305 Inj, nipocalimab-aahu, 3 mg Description: Injection, nipocalimab-aahu, 3 mg
C9306 Telisotuzumab vedotin-tllv Description: Injection, telisotuzumab vedotin-tllv, 1 mg
C9751 Microwave bronch, 3d, ebus Description: Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)
C9784 Endo sleeve gastro w/tube Description: Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
G0071 Comm svcs by rhc/fqhc 5 min Description: Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only
G0511 Ccm/bhi by rhc/fqhc 20min mo Description: Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month
G0512 Cocm by rhc/fqhc 60 min mo Description: Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month
G6001 Echo guidance radiotherapy Description: Ultrasonic guidance for placement of radiation therapy fields
G6002 Stereoscopic x-ray guidance Description: Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
G6003 Radiation treatment delivery Description: Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev
G6004 Radiation treatment delivery Description: Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev
G6005 Radiation treatment delivery Description: Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev
G6006 Radiation treatment delivery Description: Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater
G6007 Radiation treatment delivery Description: Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev
G6008 Radiation treatment delivery Description: Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev
G6009 Radiation treatment delivery Description: Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev
G6010 Radiation treatment delivery Description: Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater
G6011 Radiation treatment delivery Description: Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev
G6012 Radiation treatment delivery Description: Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
G6013 Radiation treatment delivery Description: Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev
G6014 Radiation treatment delivery Description: Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater
G6015 Radiation tx delivery imrt Description: Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session
G6016 Delivery comp imrt Description: Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session
G6017 Intrafraction track motion Description: Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment
G9604 Pt surv results not avail Description: Patient survey results not available
J0172 Inj, aducanumab-avwa, 2 mg Description: Injection, aducanumab-avwa, 2 mg
J0190 Inj biperiden lactate/5 mg Description: Injection, biperiden lactate, per 5 mg
J0200 Alatrofloxacin mesylate Description: Injection, alatrofloxacin mesylate, 100 mg
J0205 Alglucerase injection Description: Injection, alglucerase, per 10 units
J0215 Alefacept Description: Injection, alefacept, 0.5 mg
J0288 Ampho b cholesteryl sulfate Description: Injection, amphotericin b cholesteryl sulfate complex, 10 mg
J0350 Injection anistreplase 30 u Description: Injection, anistreplase, per 30 units
J0365 Aprotonin, 10,000 kiu Description: Injection, aprotonin, 10,000 kiu
J0380 Inj metaraminol bitartrate Description: Injection, metaraminol bitartrate, per 10 mg
J0395 Arbutamine hcl injection Description: Injection, arbutamine hcl, 1 mg
J0710 Cephapirin sodium injection Description: Injection, cephapirin sodium, up to 1 gm
J0715 Ceftizoxime sodium / 500 mg Description: Injection, ceftizoxime sodium, per 500 mg
J0795 Corticorelin ovine triflutal Description: Injection, corticorelin ovine triflutate, 1 microgram
J0889 Daprodustat oral 1mg esrd Description: Daprodustat, oral, 1 mg, (for esrd on dialysis)
J1267 Doripenem injection Description: Injection, doripenem, 10 mg
J1330 Ergonovine maleate injection Description: Injection, ergonovine maleate, up to 0.2 mg
J1443 Inj ferric pyrophosphate cit Description: Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron
J1444 Fe pyro cit pow 0.1 mg iron Description: Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron
J1445 Inj triferic avnu 0.1mg iron Description: Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron
J1452 Intraocular fomivirsen na Description: Injection, fomivirsen sodium, intraocular, 1.65 mg
J1457 Gallium nitrate injection Description: Injection, gallium nitrate, 1 mg
J1562 Vivaglobin, inj Description: Injection, immune globulin (vivaglobin), 100 mg
J1572 Flebogamma injection Description: Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg
J1620 Gonadorelin hydroch/ 100 mcg Description: Injection, gonadorelin hydrochloride, per 100 mcg
J1655 Tinzaparin sodium injection Description: Injection, tinzaparin sodium, 1000 iu
J1710 Hydrocortisone sodium ph inj Description: Injection, hydrocortisone sodium phosphate, up to 50 mg
J1945 Lepirudin Description: Injection, lepirudin, 50 mg
J2504 Pegademase bovine, 25 iu Description: Injection, pegademase bovine, 25 iu
J2513 Pentastarch 10% solution Description: Injection, pentastarch, 10% solution, 100 ml
J2910 Aurothioglucose injeciton Description: Injection, aurothioglucose, up to 50 mg
J2940 Somatrem injection Description: Injection, somatrem, 1 mg
J2995 Inj streptokinase /250000 iu Description: Injection, streptokinase, per 250,000 iu
J3280 Thiethylperazine maleate inj Description: Injection, thiethylperazine maleate, up to 10 mg
J3305 Inj trimetrexate glucoronate Description: Injection, trimetrexate glucuronate, per 25 mg
J3310 Perphenazine injeciton Description: Injection, perphenazine, up to 5 mg
J3320 Spectinomycn di-hcl inj Description: Injection, spectinomycin dihydrochloride, up to 2 gm
J3355 Urofollitropin, 75 iu Description: Injection, urofollitropin, 75 iu
J3364 Urokinase 5000 iu injection Description: Injection, urokinase, 5000 iu vial
J3365 Urokinase 250,000 iu inj Description: Injection, iv, urokinase, 250,000 i.u. vial
J3400 Triflupromazine hcl inj Description: Injection, triflupromazine hcl, up to 20 mg
J7309 Methyl aminolevulinate, top Description: Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram
J7310 Ganciclovir long act implant Description: Ganciclovir, 4.5 mg, long-acting implant
J7505 Monoclonal antibodies Description: Muromonab-cd3, parenteral, 5 mg
J7513 Daclizumab, parenteral Description: Daclizumab, parenteral, 25 mg
J8562 Oral fludarabine phosphate Description: Fludarabine phosphate, oral, 10 mg
J8650 Nabilone oral Description: Nabilone, oral, 1 mg
J9019 Erwinaze injection Description: Injection, asparaginase (erwinaze), 1,000 iu
J9020 Asparaginase, nos Description: Injection, asparaginase, not otherwise specified, 10,000 units
J9098 Cytarabine liposome inj Description: Injection, cytarabine liposome, 10 mg
J9151 Daunorubicin citrate inj Description: Injection, daunorubicin citrate, liposomal formulation, 10 mg
J9165 Diethylstilbestrol injection Description: Injection, diethylstilbestrol diphosphate, 250 mg
J9212 Interferon alfacon-1 inj Description: Injection, interferon alfacon-1, recombinant, 1 microgram
J9270 Plicamycin (mithramycin) inj Description: Injection, plicamycin, 2.5 mg
Q0174 Thiethylperazine maleate10mg Description: Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Q2017 Teniposide, 50 mg Description: Injection, teniposide, 50 mg
Q4100 Skin substitute, nos Description: Skin substitute, not otherwise specified
Q4106 Dermagraft Description: Dermagraft, per square centimeter
Q5109 Injection, ixifi, 10 mg Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
Q9969 Non-heu tc-99m add-on/dose Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
S0013 Esketamine, nasal spray Description: Esketamine, nasal spray, 1 mg
S0080 Injection, pentamidine iseth Description: Injection, pentamidine isethionate, 300 mg
A2001 Innovamatrix ac, per sq cm Description: Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
A2002 Mirragen adv wnd mat per sq Description: Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2005 Microlyte matrix, per sq cm Description: Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2006 Novosorb synpath per sq cm Description: Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2007 Restrata, per sq cm Description: Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
A2008 Theragenesis, per sq cm Description: Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
A2009 Symphony, per sq cm Description: Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
A2010 Apis, per square centimeter Description: Apis, per square centimeter (add-on, list separately in addition to primary procedure)
A2011 Supra sdrm, per sq cm Description: Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure)
A2012 Suprathel, per sq cm Description: Suprathel, per square centimeter (add-on, list separately in addition to primary procedure)
A2013 Innovamatrix fs, per sq cm Description: Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure)
A2015 Phoenix wnd mtrx, per sq cm Description: Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2016 Permeaderm b, per sq cm Description: Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure)
A2018 Permeaderm c, per sq cm Description: Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure)
A2019 Kerecis marigen shld sq cm Description: Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure)
A2021 Neomatrix per sq cm Description: Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2022 Innovabrn/innovamatx xl sqcm Description: Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure)
A2024 Resolve or xenopatch sq cm Description: Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure)
A2025 Miro3d per cubic cm Description: Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure)
A2027 Matriderm per sq cm Description: Matriderm, per square centimeter (add-on, list separately in addition to primary procedure)
A2029 Mirotract matrix sheet Description: Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure)
A2031 Mirodry, per sq cm Description: Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2032 Myriad matrix, per sq cm Description: Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2034 Found drs solo, per sq cm Description: Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure)
A2036 Cohealyx col dml mx pr sq cm Description: Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2038 Marigen pacto, per sq cm Description: Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure)
A2039 Innovamatrix fd, per sq cm Description: Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure)
A4100 Nosht skin sub fda clrd nos Description: Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)
A4295 Straigh tip hydrophilic cath Description: Intermittent urinary catheter; straight tip, hydrophilic coating, each
A4296 Coude tip hydrophilic cath Description: Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each
A4297 Hydrophilic coat insert sup Description: Intermittent urinary catheter; hydrophilic coating, with insertion supplies
A4351 Straight tip urine catheter Description: Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each
A4352 Coude tip urinary catheter Description: Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each
A9507 In111 capromab Description: Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
A9508 I131 iodobenguate, dx Description: Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
A9532 I125 serum albumin, dx Description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
A9553 Cr51 chromate Description: Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
A9554 I125 iothalamate, dx Description: Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
C1607 Neurostim integ rechg Description: Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system
C1608 Prosthesis, dual mob cmc1 Description: Prosthesis, total, dual mobility, first carpometacarpal joint (implantable)
C1741 Anchor/screw bone absorb Description: Anchor/screw for bone fixation, absorbable, metallic (implantable)
C7566 Fuse finger joints w/grafts Description: Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts)
C7567 Bronch/needle bx(s) w/ nav Description: Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted image-guided naviagation
C7568 Cor angio w/flow resrv Description: Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7569 Ptca w/ ivus or oct Description: Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
C7570 Cor angio w/ffr & 3d map Description: Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention (list separately in addition to code for primary procedure)
C7571 Pcta w/ cor lithotrip Description: Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy
C8925 2d tee w or w/o fol w/con,in Description: Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report
C8926 Tee w or w/o fol w/cont,cong Description: Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
C8927 Tee w or w/o fol w/cont, mon Description: Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis
C9144 Inj, bupivacaine (posimir) Description: Injection, bupivacaine (posimir), 1 mg
C9176 Dom nonheu tc99m add-on/dose Description: Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose
C9307 Inj linvoseltamab-gcpt 1 mg Description: Injection, linvoseltamab-gcpt, 1 mg
C9308 Inj, carboplatin (avyxa) Description: Injection, carboplatin (avyxa), 1 mg
C9363 Integra meshed bil wound mat Description: Skin substitute, integra meshed bilayer wound matrix, per square centimeter
C9602 Perc d-e cor stent ather s Description: Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch
C9604 Perc d-e cor revasc t cabg s Description: Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
C9607 Perc d-e cor revasc chro sin Description: Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel
C9760 Non-blind interatrial shunt Description: Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
C9779 Esd endoscopy or colonoscopy Description: Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed
C9780 Insert cv cath inf & sup app Description: Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance
C9782 Blind myocar trpl bon marrow Description: Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
C9783 Blind cor sinus reducer impl Description: Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study
C9785 Endo outlet restrict w/tube Description: Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
C9792 Blind/nonblind trans atrial Description: Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
C9810 Cold therapy non-opioid dev Description: Water circulating motorized cold therapy device (e.g., iceman) including all system components (e.g. pads, console, disposable parts), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9811 Elec amb pmp nonopioid dev Description: Electronic ambulatory infusion pump (e.g. sapphire pump), including all pump components, including disposable components , non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9812 Echgnc nv ndls nonopioid dev Description: Echogenic nerve block needles (e.g. sonoplex, sonoblock, sonotap), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9813 Prf infs cth nonopioid dev Description: Perforated continuous infusion catheter set (e.g. infiltralong), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9814 Echognc cathr nonopioid dev Description: Continuous anesthesia echogenic conduction catheter set (e.g. sonolong), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9815 Peristlc pmp nonopioid dev Description: Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9816 Pmp prs reusbl nonopioid dev Description: Rotary peristaltic infusion pump (e.g., reusable ambit pump) including all disposable system components, reusable non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9817 Crypnm cmprs nonopioid dev Description: Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
C9901 Endo defect closure gi tract Description: Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
G0136 Adm of pa/n assess 5-15 m Description: Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months
G0412 Open tx iliac spine uni/bil Description: Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed
G0413 Pelvic ring fracture uni/bil Description: Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)
G0414 Pelvic ring fx treat int fix Description: Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)
G0415 Open tx post pelvic fxcture Description: Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
G0438 Ppps, initial visit Description: Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0568 Int psych care mng, 1 cal mo Description: Initial psychiatric collaborative care management, in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies (list separately in addition to the advanced primary care management code)
G0569 Subs psych care mng, subs mo Description: Subsequent psychiatric collaborative care management, in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment (list separately in addition to advanced primary care management code)
G0570 Care manage serv, pr cal mo Description: Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code)
G0571 Intraop nerve cryoablation Description: Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service)
G0660 Team remote e/m new pt 10 mn Description: Team remote e/m new pt 10mins
G0661 Team remote e/m new pt 20 mn Description: Team remote e/m new pt 20mins
G0662 Team remote e/m new pt 30 mn Description: Team remote e/m new pt 30 mins
G0663 Team remote e/m new pt 45 mn Description: Team remote e/m new pt 45mins
G0664 Team remote e/m new pt 60 mn Description: Team remote e/m new pt 60mins
G0665 Team remote e/m est pt 10 mn Description: Team remote e/m est. pt 10mins
G0666 Team remote e/m est pt 15 mn Description: Team remote e/m est. pt 15mins
G0667 Team remote e/m est pt 25 mn Description: Team remote e/m est. pt 25mins
G0668 Team remote e/m est pt 40 mn Description: Team remote e/m est. pt 40mins
G2076 Intake act w/med exam Description: Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code
G2077 Periodic assessment Description: Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code
G8430 Doc med rsn no medrec Description: Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)
G9414 1dose menig vac btwn 10 & 13 Description: Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays
G9415 No 1dose meni vac btwn 10&13 Description: Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b), on or between the patient's 10th and 13th birthdays
G9788 Most rct bp </= 130/80 Description: Most recent bp is less than or equal to 130/80 mm hg
G9790 Most rct bp >/= 130/80 Description: Most recent bp is greater than 130/80 mm hg, or blood pressure not documented
G9796 Pt currently on statin Description: Patient is currently on a high intensity statin therapy
G9797 Pt not currently on statin Description: Patient is not on a high intensity statin therapy
G9832 Br ca stg = 1 t stg = t1c Description: Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis = t1c
G9871 Bhv couns dm prev, onln 60 m Description: Behavioral counseling for diabetes prevention, online, 60 minutes
J0013 Esketamine, nasal spray Description: Esketamine, nasal spray, 1 mg
J0162 Inj epinephrine (fresenius) Description: Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg
J0209 Inj, sod thiosulfate (hope) Description: Injection, sodium thiosulfate (hope), 100 mg
J0248 Inj, remdesivir, 1 mg Description: Injection, remdesivir, 1 mg
J0654 Inj, liothyronine, 1 mcg Description: Injection, liothyronine, 1 mcg
J0720 Chloramphenicol sodium injec Description: Injection, chloramphenicol sodium succinate, up to 1 gm
J0759 Inj, clevidipine, 1 mg Description: Injection, clevidipine butyrate, 1 mg
J1073 Testosterone pellet 75 mg Description: Testosterone pellet, implant, 75 mg
J1736 Inj meloxicam (delova) 1mg Description: Injection, meloxicam (delova), 1 mg
J1737 Inj meloxicam (azurity) 1mg Description: Injection, meloxicam (azurity), 1 mg
J1837 Inj, posaconazole, 1 mg Description: Injection, posaconazole, 1 mg
J2515 Pentobarbital sodium inj Description: Injection, pentobarbital sodium, per 50 mg
J2516 Inj, pentamidine isethionate Description: Injection, pentamidine isethionate, 1 mg
J2596 Vasopressin (long grove) 1 u Description: Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit
J2711 Inj neostigmin/glycopyrrolat Description: Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg
J3291 Tranexamic acid in sod chlor Description: Injection, tranexamic acid in sodium chloride, 5 mg
J3376 Inj vancomycin (hikma) 10mg Description: Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg
J3379 Inj, valproate sod, 5 mg Description: Injection, valproate sodium, 5 mg
J3387 Inj elivaldogene autotemecel Description: Injection, elivaldogene autotemcel, per treatment
J3389 Topi adm prad zami per treat Description: Topical administration, prademagene zamikeracel, per treatment
J3485 Zidovudine Description: Injection, zidovudine, 10 mg
J7191 Factor viii (porcine) Description: Factor viii (antihemophilic factor (porcine)), per i.u.
J7299 Intraut copp cont (miudella) Description: Intrauterine copper contraceptive (miudella)
J7322 Hyaluronan, hymo or hymo one Description: Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg
J7528 Mycophen mofetil for susp Description: Mycophenolate mofetil, for suspension, oral, 100 mg
J9030 Bcg live intravesical 1mg Description: Bcg live intravesical instillation, 1 mg
J9184 Inj gemcitabin (avyxa) 200mg Description: Injection, gemcitabine hydrochloride (avyxa), 200 mg
J9256 Inj, nipocalimab-aahu, 3 mg Description: Injection, nipocalimab-aahu, 3 mg
J9282 Mitomycin intravesical inst Description: Mitomycin, intravesical instillation, 1 mg
J9326 Telisotuzumab vedotin-tllv Description: Injection, telisotuzumab vedotin-tllv, 1 mg
M0010 Eom meos payment Description: Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
M1174 Pt w/ 2 hzv 10/2017 - mp Description: Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period
M1176 No 2 hzv 10/2017-meas pd Description: Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period
M1426 Telehealth enc Description: Encounters conducted via telehealth
M1427 Doc med rsn bone scn Description: Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons)
M1428 Bilateral absence of eyes Description: Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period
M1429 Retinopathy in od, os, ou Description: Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
M1430 Ret exm ou no retinopthy doc Description: Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)
M1431 Telehealth enc Description: Encounters conducted via telehealth
M1432 Telehealth enc Description: Encounters conducted via telehealth
M1433 Oral chemo wthn 30 days enc Description: Patient on oral chemotherapy on or within 30 days before denominator eligible encounter
M1434 Orl chemo wthn 30 d post enc Description: Patient on oral chemotherapy on or within 30 days after denominator eligible encounter
M1435 Oral chemo in perf pd Description: Patient on oral chemotherapy during the performance period
M1436 Telehealth enc Description: Encounters conducted via telehealth
M1437 Telehealth enc Description: Encounters conducted via telehealth
M1438 Lst knwn well <=210 min Description: Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)
M1439 Sig ocu cond imp surg out Description: Significant ocular conditions that impact the visual outcome of surgery
M1440 Telehealth enc Description: Encounters conducted via telehealth
M1441 Init dx slp apn = 1st enc Description: Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient
M1442 Telehealth enc Description: Encounters conducted via telehealth
M1443 Telehealth enc Description: Encounters conducted via telehealth
M1444 Del < 39 weeks gest Description: Delivery at < 39 weeks of gestation
M1445 Pp care visit by 12 weeks Description: Postpartum care visit before or at 12 weeks of giving birth
M1446 Pt died bef end meas pd Description: Patients who died any time prior to the end of the measure assessment period
M1447 Pt dx bd bef end meas pd Description: Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period
M1448 Pt dx pd bef end meas pd Description: Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period
M1449 Pt dx scz/pys bef end msr pd Description: Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
M1450 Pt hos/pal care dur id/pf pd Description: Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period
M1451 Pt dx ppd dur id/pf pd Description: Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
M1452 Pt dx dementia ever Description: Patient ever had a diagnosis of dementia
M1453 Preop vis acu > 20/40 Description: Patients with a pre-operative visual acuity better than 20/40
M1454 New cied Description: New cied
M1455 Rep/rev cied Description: Replaced or revised cied
M1456 Pt had htx Description: Patient had a heart transplant
M1457 Dx asth dur crnt/prv perf pd Description: Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
M1458 Pt died bef end meas pd Description: Patient died prior to the end of the performance period
M1459 Pt hosp/pal care dur perf pd Description: Patient was in hospice or receiving palliative care services at any time during the performance period
M1460 Dx copd, cf, or arf Description: Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
M1461 Pt dx chron hepc Description: Patient diagnosis for chronic hepatitis c
M1462 Pt clin ind hd image Description: Patients with clinical indications for imaging of the head
M1463 2 f/u wthn 180 day rx atmp Description: Documentation of at least two attempts to follow up with patient within 180 days of treatment
M1464 No record of f/u by 180 days Description: No documentation of at least two attempts to follow up with patient within 180 days of treatment
M1465 F/u > 180 days after rx Description: Patient follow up more than 180 days after treatment
M1466 Pt disc/lam proc same day Description: Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
M1467 Pt dx lynch syn Description: Patients with an existing diagnosis of lynch syndrome
M1468 Hep b vaccine received Description: Patient received recommended doses of hepatitis b vaccination based on age
M1469 Hx of hep b, or pos bld test Description: Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period
M1470 Hep b vac not rec'd med rsn Description: Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)
M1471 Ffs hep b not covered Description: Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules
M1472 Hep b vaccine not received Description: Patient did not receive recommended doses of hepatitis b vaccination based on age
M1473 Pt func cap not allow impr Description: Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
M1474 Pt dx dementia Description: Patients with diagnosis of dementia
M1475 Pt dx huntington Description: Patients with diagnosis of huntington's disease
M1476 Pt dx cog imp or ad Description: Patients with diagnosis of cognitive impairment or alzheimer's disease
M1477 Dx delirium Description: Diagnosis of delirium
M1478 Psychoactive sub abuse Description: Psychoactive substance abuse
M1479 Pt func cap not allow impr Description: Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
M1480 Pt func cap not allow impr Description: Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
M1481 Pt in hosp/pal care who died Description: Patients receiving hospice or palliative care or who died during the measurement period
M1482 Pos quan hep c or qual rna Description: Positive/detectable hepatitis c virus quantitative or qualitative rna test result during the denominator identification period
M1483 Neg quan hep c or qual rna Description: Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
M1484 No rpt hcv rna perf med rsn Description: Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)
M1485 Neg viro resp hep c/qual rna Description: Patients who did not achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
M1486 Pt admitted to snf dur eval Description: Patients admitted to a skilled nursing facility (snf) during the period of evaluation
M1487 Pt adm to hospice dur eval Description: Patients in hospice in the year before or during the period of evaluation
M1488 Dx dementia in msr timeframe Description: Patients with a diagnosis for dementia in the year before or during the period of evaluation
M1489 Pt status doc Description: Patient status documented
M1490 Pt status not doc Description: Patient status not documented
M1491 Rec'd esrd mcp dur perf pd Description: Receiving esrd mcp dialysis services by the provider during the performance period
M1492 No reported fall Description: Patients who did not report a fall
M1493 No fall doc med rsn Description: Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
M1494 Fall rep since last visit Description: Patients that reported a fall since the last visit
M1495 Fall w/ poc, no fall Description: Patients that reported a fall occurred who had a plan of care for falls documented or patients that did not report a fall
M1496 No doc of fall or poc Description: Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls
M1497 No doc fall med rsn Description: Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
M1498 Diagnostic radiology mvp Description: Diagnostic radiology mips value pathway
M1499 Interventional radiology mvp Description: Interventional radiology mips value pathway
M1500 Neuropsychology mvp Description: Neuropsychology mips value pathway
M1501 Pathology mvp Description: Pathology mips value pathway
M1502 Podiatry mvp Description: Podiatry mips value pathway
M1503 Vascular surgery mvp Description: Vascular surgery mips value pathway
Q2057 Afamitresgene autoleucel Description: Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
Q2058 Obecbtge autol up to 400 mil Description: Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
Q4101 Apligraf Description: Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
Q4102 Oasis wound matrix Description: Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4103 Oasis burn matrix Description: Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4104 Integra bmwd Description: Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
Q4105 Integra drt or omnigraft Description: Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4107 Graftjacket Description: Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)
Q4108 Integra matrix Description: Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4110 Primatrix Description: Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4111 Gammagraft Description: Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
Q4112 Cymetra injectable Description: Cymetra, injectable, 1 cc
Q4113 Graftjacket xpress Description: Graftjacket xpress, injectable, 1 cc
Q4114 Integra flowable wound matri Description: Integra flowable wound matrix, injectable, 1 cc
Q4115 Alloskin Description: Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4116 Alloderm Description: Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4117 Hyalomatrix Description: Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4118 Matristem micromatrix Description: Matristem micromatrix, 1 mg
Q4121 Theraskin Description: Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4122 Dermacell, awm, porous sq cm Description: Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)
Q4123 Alloskin Description: Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)
Q4124 Oasis tri-layer wound matrix Description: Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4125 Arthroflex Description: Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
Q4126 Memoderm/derma/tranz/integup Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)
Q4127 Talymed Description: Talymed, per square centimeter (add-on, list separately in addition to primary procedure)
Q4128 Flexhd/allopatchhd/sq cm Description: Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)
Q4130 Strattice tm Description: Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4132 Grafix core, grafixpl core Description: Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
Q4133 Grafix stravix prime pl sqcm Description: Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)
Q4134 Hmatrix Description: Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4135 Mediskin Description: Mediskin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4136 Ezderm Description: Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4137 Amnioexcel biodexcel 1sq cm Description: Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)
Q4138 Biodfence dryflex, 1cm Description: Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)
Q4139 Amnio or biodmatrix, inj 1cc Description: Amniomatrix or biodmatrix, injectable, 1 cc
Q4140 Biodfence 1cm Description: Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
Q4141 Alloskin ac, 1 cm Description: Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure)
Q4142 Xcm biologic tiss matrix 1cm Description: Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4143 Repriza, 1cm Description: Repriza, per square centimeter (add-on, list separately in addition to primary procedure)
Q4145 Epifix, inj, 1mg Description: Epifix, injectable, 1 mg
Q4146 Tensix, 1cm Description: Tensix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4147 Architect ecm px fx 1 sq cm Description: Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4148 Neox neox rt or clarix cord Description: Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)
Q4149 Excellagen, 0.1 cc Description: Excellagen, 0.1 cc
Q4150 Allowrap ds or dry 1 sq cm Description: Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)
Q4151 Amnioband, guardian 1 sq cm Description: Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)
Q4152 Dermapure 1 square cm Description: Dermapure, per square centimeter (add-on, list separately in addition to primary procedure)
Q4153 Dermavest, plurivest sq cm Description: Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure)
Q4154 Biovance 1 square cm Description: Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
Q4155 Neoxflo or clarixflo 1 mg Description: Neoxflo or clarixflo, 1 mg
Q4156 Neox 100 or clarix 100 Description: Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)
Q4157 Revitalon 1 square cm Description: Revitalon, per square centimeter (add-on, list separately in addition to primary procedure)
Q4158 Kerecis omega3, per sq cm Description: Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)
Q4159 Affinity1 square cm Description: Affinity, per square centimeter (add-on, list separately in addition to primary procedure)
Q4160 Nushield 1 square cm Description: Nushield, per square centimeter (add-on, list separately in addition to primary procedure)
Q4161 Bio-connekt per square cm Description: Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4162 Wndex flw, bioskn flw, 0.5cc Description: Woundex flow, bioskin flow, 0.5 cc
Q4163 Woundex, bioskin, per sq cm Description: Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4164 Helicoll, per square cm Description: Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)
Q4165 Keramatrix, kerasorb sq cm Description: Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure)
Q4166 Cytal, per square centimeter Description: Cytal, per square centimeter (add-on, list separately in addition to primary procedure)
Q4167 Truskin, per sq centimeter Description: Truskin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4168 Amnioband, 1 mg Description: Amnioband, 1 mg
Q4169 Artacent wound, per sq cm Description: Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)
Q4170 Cygnus, per sq cm Description: Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4171 Interfyl, 1 mg Description: Interfyl, 1 mg
Q4173 Palingen or palingen xplus Description: Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4174 Palingen or promatrx Description: Palingen or promatrx, 0.36 mg per 0.25 cc
Q4175 Miroderm Description: Miroderm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4176 Neopatch or therion, 1 sq cm Description: Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure)
Q4177 Floweramnioflo, 0.1 cc Description: Floweramnioflo, 0.1 cc
Q4178 Floweramniopatch, per sq cm Description: Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)
Q4179 Flowerderm, per sq cm Description: Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4180 Revita, per sq cm Description: Revita, per square centimeter (add-on, list separately in addition to primary procedure)
Q4181 Amnio wound, per square cm Description: Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure)
Q4182 Transcyte, per sq centimeter Description: Transcyte, per square centimeter (add-on, list separately in addition to primary procedure)
Q4183 Surgigraft, 1 sq cm Description: Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure)
Q4184 Cellesta or duo per sq cm Description: Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure)
Q4185 Cellesta flowab amnion 0.5cc Description: Cellesta flowable amnion (25 mg per cc); per 0.5 cc
Q4186 Epifix 1 sq cm Description: Epifix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4187 Epicord 1 sq cm Description: Epicord, per square centimeter (add-on, list separately in addition to primary procedure)
Q4188 Amnioarmor 1 sq cm Description: Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)
Q4189 Artacent ac, 1 mg Description: Artacent ac, 1 mg
Q4190 Artacent ac 1 sq cm Description: Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)
Q4191 Restorigin 1 sq cm Description: Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4192 Restorigin, 1 cc Description: Restorigin, 1 cc
Q4193 Coll-e-derm 1 sq cm Description: Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4194 Novachor 1 sq cm Description: Novachor, per square centimeter (add-on, list separately in addition to primary procedure)
Q4195 Puraply 1 sq cm Description: Puraply, per square centimeter (add-on, list separately in addition to primary procedure)
Q4196 Puraply am 1 sq cm Description: Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)
Q4197 Puraply xt 1 sq cm Description: Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)
Q4198 Genesis amnio membrane 1sqcm Description: Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Q4199 Cygnus matrix, per sq cm Description: Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4200 Skin te 1 sq cm Description: Skin te, per square centimeter (add-on, list separately in addition to primary procedure)
Q4201 Matrion 1 sq cm Description: Matrion, per square centimeter (add-on, list separately in addition to primary procedure)
Q4202 Keroxx (2.5g/cc), 1cc Description: Keroxx (2.5g/cc), 1cc
Q4203 Derma-gide, 1 sq cm Description: Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)
Q4204 Xwrap 1 sq cm Description: Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)
Q4205 Membrane graft or wrap sq cm Description: Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
Q4206 Fluid flow or fluid gf 1 cc Description: Fluid flow or fluid gf, 1 cc
Q4208 Novafix per sq cm Description: Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)
Q4209 Surgraft per sq cm Description: Surgraft, per square centimeter (add-on, list separately in addition to primary procedure)
Q4211 Amnion bio or axobio sq cm Description: Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)
Q4212 Allogen, per cc Description: Allogen, per cc
Q4213 Ascent, 0.5 mg Description: Ascent, 0.5 mg
Q4214 Cellesta cord per sq cm Description: Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure)
Q4215 Axolotl ambient, cryo 0.1 mg Description: Axolotl ambient or axolotl cryo, 0.1 mg
Q4216 Artacent cord per sq cm Description: Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure)
Q4217 Woundfix biowound plus xplus Description: Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4218 Surgicord per sq cm Description: Surgicord, per square centimeter (add-on, list separately in addition to primary procedure)
Q4219 Surgigraft dual per sq cm Description: Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure)
Q4220 Bellacell hd, surederm sq cm Description: Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4221 Amniowrap2 per sq cm Description: Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)
Q4222 Progenamatrix, per sq cm Description: Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4224 Hhf10-p per sq cm Description: Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure)
Q4225 Amnio or derma tl, per sq cm Description: Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure)
Q4227 Amniocore per sq cm Description: Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)
Q4229 Cogenex amnio memb per sq cm Description: Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Q4230 Cogenex flow amnion 0.5 cc Description: Cogenex flowable amnion, per 0.5 cc
Q4232 Corplex, per sq cm Description: Corplex, per square centimeter (add-on, list separately in addition to primary procedure)
Q4233 Surfactor /nudyn per 0.5 cc Description: Surfactor or nudyn, per 0.5 cc
Q4234 Xcellerate, per sq cm Description: Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)
Q4235 Amniorepair or altiply sq cm Description: Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure)
Q4236 Carepatch per sq cm Description: Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)
Q4237 Cryo-cord, per sq cm Description: Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure)
Q4238 Derm-maxx, per sq cm Description: Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure)
Q4239 Amnio-maxx or lite per sq cm Description: Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure)
Q4240 Corecyte topical only 0.5 cc Description: Corecyte, for topical use only, per 0.5 cc
Q4241 Polycyte, topical only 0.5cc Description: Polycyte, for topical use only, per 0.5 cc
Q4242 Amniocyte plus, per 0.5 cc Description: Amniocyte plus, per 0.5 cc
Q4245 Amniotext, per cc Description: Amniotext, per cc
Q4246 Coretext or protext, per cc Description: Coretext or protext, per cc
Q4247 Amniotext patch, per sq cm Description: Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure)
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