Medical Billing Code Search
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8892 results found
E0740 | Non-implant pelv flr e-stim | Description: Non-implanted pelvic floor electrical stimulator, complete system |
E0744 | Neuromuscular stim for scoli | Description: Neuromuscular stimulator for scoliosis |
E0745 | Neuromuscular stim for shock | Description: Neuromuscular stimulator, electronic shock unit |
E0746 | Electromyograph biofeedback | Description: Electromyography (emg), biofeedback device |
E0747 | Elec osteogen stim not spine | Description: Osteogenesis stimulator, electrical, non-invasive, other than spinal applications |
E0748 | Elec osteogen stim spinal | Description: Osteogenesis stimulator, electrical, non-invasive, spinal applications |
E0749 | Elec osteogen stim implanted | Description: Osteogenesis stimulator, electrical, surgically implanted |
E0755 | Electronic salivary reflex s | Description: Electronic salivary reflex stimulator (intra-oral/non-invasive) |
E0760 | Osteogen ultrasound stimltor | Description: Osteogenesis stimulator, low intensity ultrasound, non-invasive |
E0761 | Nontherm electromgntc device | Description: Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device |
E0762 | Trans elec jt stim dev sys | Description: Transcutaneous electrical joint stimulation device system, includes all accessories |
E0764 | Functional neuromuscularstim | Description: Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program |
E0765 | Nerve stimulator for tx n&v | Description: Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting |
E0766 | Elec stim cancer treatment | Description: Electrical stimulation device used for cancer treatment, includes all accessories, any type |
E0769 | Electric wound treatment dev | Description: Electrical stimulation or electromagnetic wound treatment device, not otherwise classified |
E0770 | Functional electric stim nos | Description: Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified |
E0776 | Iv pole | Description: Iv pole |
E0779 | Amb infusion pump mechanical | Description: Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater |
E0780 | Mech amb infusion pump <8hrs | Description: Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours |
E0781 | External ambulatory infus pu | Description: Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
E0782 | Non-programble infusion pump | Description: Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) |
E0783 | Programmable infusion pump | Description: Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) |
E0784 | Ext amb infusn pump insulin | Description: External ambulatory infusion pump, insulin |
E0785 | Replacement impl pump cathet | Description: Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement |
E0786 | Implantable pump replacement | Description: Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) |
E0787 | Cgs dose adj insulin inf pmp | Description: External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing |
E0791 | Parenteral infusion pump sta | Description: Parenteral infusion pump, stationary, single or multi-channel |
E0830 | Ambulatory traction device | Description: Ambulatory traction device, all types, each |
E0840 | Tract frame attach headboard | Description: Traction frame, attached to headboard, cervical traction |
E0849 | Cervical pneum trac equip | Description: Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
E0850 | Traction stand free standing | Description: Traction stand, free standing, cervical traction |
E0855 | Cervical traction equipment | Description: Cervical traction equipment not requiring additional stand or frame |
E0856 | Cervic collar w air bladders | Description: Cervical traction device, with inflatable air bladder(s) |
E0860 | Tract equip cervical tract | Description: Traction equipment, overdoor, cervical |
E0870 | Tract frame attach footboard | Description: Traction frame, attached to footboard, extremity traction, (e.g., buck's) |
E0880 | Trac stand free stand extrem | Description: Traction stand, free standing, extremity traction |
E0890 | Traction frame attach pelvic | Description: Traction frame, attached to footboard, pelvic traction |
E0900 | Trac stand free stand pelvic | Description: Traction stand, free standing, pelvic traction, (e.g., buck's) |
E0910 | Trapeze bar attached to bed | Description: Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
E0911 | Hd trapeze bar attach to bed | Description: Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar |
E0912 | Hd trapeze bar free standing | Description: Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar |
E0920 | Fracture frame attached to b | Description: Fracture frame, attached to bed, includes weights |
E0930 | Fracture frame free standing | Description: Fracture frame, free standing, includes weights |
E0935 | Cont pas motion exercise dev | Description: Continuous passive motion exercise device for use on knee only |
E0936 | Cpm device, other than knee | Description: Continuous passive motion exercise device for use other than knee |
E0940 | Trapeze bar free standing | Description: Trapeze bar, free standing, complete with grab bar |
E0941 | Gravity assisted traction de | Description: Gravity assisted traction device, any type |
E0942 | Cervical head harness/halter | Description: Cervical head harness/halter |
E0944 | Pelvic belt/harness/boot | Description: Pelvic belt/harness/boot |
E0945 | Belt/harness extremity | Description: Extremity belt/harness |
E0946 | Fracture frame dual w cross | Description: Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) |
E0947 | Fracture frame attachmnts pe | Description: Fracture frame, attachments for complex pelvic traction |
E0948 | Fracture frame attachmnts ce | Description: Fracture frame, attachments for complex cervical traction |
E0950 | Tray | Description: Wheelchair accessory, tray, each |
E0951 | Loop heel | Description: Heel loop/holder, any type, with or without ankle strap, each |
E0952 | Toe loop/holder, each | Description: Toe loop/holder, any type, each |
E0953 | W/c lateral thigh/knee sup | Description: Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each |
E0954 | Foot box, any type each foot | Description: Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
E0955 | Cushioned headrest | Description: Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
E0956 | W/c lateral trunk/hip suppor | Description: Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
E0957 | W/c medial thigh support | Description: Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each |
E0958 | Whlchr att- conv 1 arm drive | Description: Manual wheelchair accessory, one-arm drive attachment, each |
E0959 | Amputee adapter | Description: Manual wheelchair accessory, adapter for amputee, each |
E0960 | W/c shoulder harness/straps | Description: Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
E0961 | Wheelchair brake extension | Description: Manual wheelchair accessory, wheel lock brake extension (handle), each |
E0966 | Wheelchair head rest extensi | Description: Manual wheelchair accessory, headrest extension, each |
E0967 | Man wc rim/projection rep ea | Description: Manual wheelchair accessory, hand rim with projections, any type, replacement only, each |
E0968 | Wheelchair commode seat | Description: Commode seat, wheelchair |
E0969 | Wheelchair narrowing device | Description: Narrowing device, wheelchair |
E0970 | Wheelchair no. 2 footplates | Description: No. 2 footplates, except for elevating leg rest |
E0971 | Wheelchair anti-tipping devi | Description: Manual wheelchair accessory, anti-tipping device, each |
E0973 | W/ch access det adj armrest | Description: Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each |
E0974 | W/ch access anti-rollback | Description: Manual wheelchair accessory, anti-rollback device, each |
E0978 | W/c acc,saf belt pelv strap | Description: Wheelchair accessory, positioning belt/safety belt/pelvic strap, each |
E0980 | Wheelchair safety vest | Description: Safety vest, wheelchair |
E0981 | Seat upholstery, replacement | Description: Wheelchair accessory, seat upholstery, replacement only, each |
E0982 | Back upholstery, replacement | Description: Wheelchair accessory, back upholstery, replacement only, each |
E0983 | Add pwr joystick | Description: Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control |
E0984 | Add pwr tiller | Description: Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control |
E0985 | W/c seat lift mechanism | Description: Wheelchair accessory, seat lift mechanism |
E0986 | Man w/c push-rim powr system | Description: Manual wheelchair accessory, push-rim activated power assist system |
E0988 | Lever-activated wheel drive | Description: Manual wheelchair accessory, lever-activated, wheel drive, pair |
E0990 | Wheelchair elevating leg res | Description: Wheelchair accessory, elevating leg rest, complete assembly, each |
E0992 | Wheelchair solid seat insert | Description: Manual wheelchair accessory, solid seat insert |
E0994 | Wheelchair arm rest | Description: Arm rest, each |
E0995 | Wc calf rest, pad replacemnt | Description: Wheelchair accessory, calf rest/pad, replacement only, each |
E1002 | Pwr seat tilt | Description: Wheelchair accessory, power seating system, tilt only |
E1003 | Pwr seat recline | Description: Wheelchair accessory, power seating system, recline only, without shear reduction |
E1004 | Pwr seat recline mech | Description: Wheelchair accessory, power seating system, recline only, with mechanical shear reduction |
E1005 | Pwr seat recline pwr | Description: Wheelchair accessory, power seatng system, recline only, with power shear reduction |
E1006 | Pwr seat combo w/o shear | Description: Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction |
E1007 | Pwr seat combo w/shear | Description: Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction |
E1008 | Pwr seat combo pwr shear | Description: Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction |
E1009 | Add mech leg elevation | Description: Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each |
E1010 | Add pwr leg elevation | Description: Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair |
E1011 | Ped wc modify width adjustm | Description: Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair) |
E1012 | Ctr mount pwr elev leg rest | Description: Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each |
E1014 | Reclining back add ped w/c | Description: Reclining back, addition to pediatric size wheelchair |
E1015 | Shock absorber for man w/c | Description: Shock absorber for manual wheelchair, each |
E1016 | Shock absorber for power w/c | Description: Shock absorber for power wheelchair, each |
E1017 | Hd shck absrbr for hd man wc | Description: Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each |
E1018 | Hd shck absrber for hd powwc | Description: Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each |
E1020 | Residual limb support system | Description: Residual limb support system for wheelchair, any type |
E1029 | W/c vent tray fixed | Description: Wheelchair accessory, ventilator tray, fixed |
E1030 | W/c vent tray gimbaled | Description: Wheelchair accessory, ventilator tray, gimbaled |
E1031 | Rollabout chair with casters | Description: Rollabout chair, any and all types with casters 5'' or greater |
E1035 | Patient transfer system <300 | Description: Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs |
E1036 | Patient transfer system >300 | Description: Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs |
E1037 | Transport chair, ped size | Description: Transport chair, pediatric size |
E1038 | Transport chair pt wt<=300lb | Description: Transport chair, adult size, patient weight capacity up to and including 300 pounds |
E1039 | Transport chair pt wt >300lb | Description: Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds |
E1050 | Whelchr fxd full length arms | Description: Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests |
E1060 | Wheelchair detachable arms | Description: Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
E1070 | Wheelchair detachable foot r | Description: Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest |
E1083 | Hemi-wheelchair fixed arms | Description: Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest |
E1084 | Hemi-wheelchair detachable a | Description: Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests |
E1085 | Hemi-wheelchair fixed arms | Description: Hemi-wheelchair, fixed full length arms, swing away detachable foot rests |
E1086 | Hemi-wheelchair detachable a | Description: Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests |
E1087 | Wheelchair lightwt fixed arm | Description: High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests |
E1088 | Wheelchair lightweight det a | Description: High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests |
E1089 | Wheelchair lightwt fixed arm | Description: High strength lightweight wheelchair, fixed length arms, swing away detachable footrest |
E1090 | Wheelchair lightweight det a | Description: High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable foot rests |
E1092 | Wheelchair wide w/ leg rests | Description: Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests |
E1093 | Wheelchair wide w/ foot rest | Description: Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests |
E1100 | Whchr s-recl fxd arm leg res | Description: Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests |
E1110 | Wheelchair semi-recl detach | Description: Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest |
E1130 | Whlchr stand fxd arm ft rest | Description: Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
E1140 | Wheelchair standard detach a | Description: Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
E1150 | Wheelchair standard w/ leg r | Description: Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests |
E1160 | Wheelchair fixed arms | Description: Wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1161 | Manual adult wc w tiltinspac | Description: Manual adult size wheelchair, includes tilt in space |
E1170 | Whlchr ampu fxd arm leg rest | Description: Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1171 | Wheelchair amputee w/o leg r | Description: Amputee wheelchair, fixed full length arms, without footrests or legrest |
E1172 | Wheelchair amputee detach ar | Description: Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest |
E1180 | Wheelchair amputee w/ foot r | Description: Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests |
E1190 | Wheelchair amputee w/ leg re | Description: Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests |
E1195 | Wheelchair amputee heavy dut | Description: Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1200 | Wheelchair amputee fixed arm | Description: Amputee wheelchair, fixed full length arms, swing away detachable footrest |
E1220 | Whlchr special size/constrc | Description: Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification |
E1221 | Wheelchair spec size w foot | Description: Wheelchair with fixed arm, footrests |
E1222 | Wheelchair spec size w/ leg | Description: Wheelchair with fixed arm, elevating legrests |
E1223 | Wheelchair spec size w foot | Description: Wheelchair with detachable arms, footrests |
E1224 | Wheelchair spec size w/ leg | Description: Wheelchair with detachable arms, elevating legrests |
E1225 | Manual semi-reclining back | Description: Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each |
E1226 | Manual fully reclining back | Description: Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each |
E1227 | Wheelchair spec sz spec ht a | Description: Special height arms for wheelchair |
E1228 | Wheelchair spec sz spec ht b | Description: Special back height for wheelchair |
E1229 | Pediatric wheelchair nos | Description: Wheelchair, pediatric size, not otherwise specified |
E1230 | Power operated vehicle | Description: Power operated vehicle (three or four wheel nonhighway) specify brand name and model number |
E1231 | Rigid ped w/c tilt-in-space | Description: Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system |
E1232 | Folding ped wc tilt-in-space | Description: Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system |
E1233 | Rig ped wc tltnspc w/o seat | Description: Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system |
E1234 | Fld ped wc tltnspc w/o seat | Description: Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system |
E1235 | Rigid ped wc adjustable | Description: Wheelchair, pediatric size, rigid, adjustable, with seating system |
E1236 | Folding ped wc adjustable | Description: Wheelchair, pediatric size, folding, adjustable, with seating system |
E1237 | Rgd ped wc adjstabl w/o seat | Description: Wheelchair, pediatric size, rigid, adjustable, without seating system |
E1238 | Fld ped wc adjstabl w/o seat | Description: Wheelchair, pediatric size, folding, adjustable, without seating system |
E1239 | Ped power wheelchair nos | Description: Power wheelchair, pediatric size, not otherwise specified |
E1240 | Whchr litwt det arm leg rest | Description: Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
E1250 | Wheelchair lightwt fixed arm | Description: Lightweight wheelchair, fixed full length arms, swing away detachable footrest |
E1260 | Wheelchair lightwt foot rest | Description: Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest |
E1270 | Wheelchair lightweight leg r | Description: Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests |
E1280 | Whchr h-duty det arm leg res | Description: Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests |
E1285 | Wheelchair heavy duty fixed | Description: Heavy duty wheelchair, fixed full length arms, swing away detachable footrest |
E1290 | Wheelchair hvy duty detach a | Description: Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest |
E1295 | Wheelchair heavy duty fixed | Description: Heavy duty wheelchair, fixed full length arms, elevating legrest |
E1296 | Wheelchair special seat heig | Description: Special wheelchair seat height from floor |
E1297 | Wheelchair special seat dept | Description: Special wheelchair seat depth, by upholstery |
E1298 | Wheelchair spec seat depth/w | Description: Special wheelchair seat depth and/or width, by construction |
E1300 | Whirlpool portable | Description: Whirlpool, portable (overtub type) |
E1301 | Whirlpool tub walkin portabl | Description: Whirlpool tub, walk-in, portable |
E1310 | Whirlpool non-portable | Description: Whirlpool, non-portable (built-in type) |
E1352 | O2 flow reg pos inspir press | Description: Oxygen accessory, flow regulator capable of positive inspiratory pressure |
E1353 | Oxygen supplies regulator | Description: Regulator |
E1354 | Wheeled cart, port cyl/conc | Description: Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each |
E1355 | Oxygen supplies stand/rack | Description: Stand/rack |
E1356 | Batt pack/cart, port conc | Description: Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each |
E1357 | Battery charger, port conc | Description: Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each |
E1358 | Dc power adapter, port conc | Description: Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each |
E1372 | Oxy suppl heater for nebuliz | Description: Immersion external heater for nebulizer |
E1390 | Oxygen concentrator | Description: Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
E1391 | Oxygen concentrator, dual | Description: Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each |
E1392 | Portable oxygen concentrator | Description: Portable oxygen concentrator, rental |
E1399 | Durable medical equipment mi | Description: Durable medical equipment, miscellaneous |
E1405 | O2/water vapor enrich w/heat | Description: Oxygen and water vapor enriching system with heated delivery |
E1406 | O2/water vapor enrich w/o he | Description: Oxygen and water vapor enriching system without heated delivery |
E1500 | Centrifuge | Description: Centrifuge, for dialysis |
E1510 | Kidney dialysate delivry sys | Description: Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container |
E1520 | Heparin infusion pump | Description: Heparin infusion pump for hemodialysis |
E1530 | Replacement air bubble detec | Description: Air bubble detector for hemodialysis, each, replacement |
E1540 | Replacement pressure alarm | Description: Pressure alarm for hemodialysis, each, replacement |
E1550 | Bath conductivity meter | Description: Bath conductivity meter for hemodialysis, each |
E1560 | Replace blood leak detector | Description: Blood leak detector for hemodialysis, each, replacement |
E1570 | Adjustable chair for esrd pt | Description: Adjustable chair, for esrd patients |
E1575 | Transducer protect/fld bar | Description: Transducer protectors/fluid barriers, for hemodialysis, any size, per 10 |
E1580 | Unipuncture control system | Description: Unipuncture control system for hemodialysis |
E1590 | Hemodialysis machine | Description: Hemodialysis machine |
E1592 | Auto interm peritoneal dialy | Description: Automatic intermittent peritoneal dialysis system |
E1594 | Cycler dialysis machine | Description: Cycler dialysis machine for peritoneal dialysis |
E1600 | Deli/install chrg hemo equip | Description: Delivery and/or installation charges for hemodialysis equipment |
E1610 | Reverse osmosis h2o puri sys | Description: Reverse osmosis water purification system, for hemodialysis |
E1615 | Deionizer h2o puri system | Description: Deionizer water purification system, for hemodialysis |
E1620 | Replacement blood pump | Description: Blood pump for hemodialysis, replacement |
E1625 | Water softening system | Description: Water softening system, for hemodialysis |
E1629 | Tablo for dialysis service | Description: Tablo hemodialysis system for the billable dialysis service |
E1630 | Reciprocating peritoneal dia | Description: Reciprocating peritoneal dialysis system |
E1632 | Wearable artificial kidney | Description: Wearable artificial kidney, each |
E1634 | Peritoneal dialysis clamp | Description: Peritoneal dialysis clamps, each |
E1635 | Compact travel hemodialyzer | Description: Compact (portable) travel hemodialyzer system |
E1636 | Sorbent cartridges per 10 | Description: Sorbent cartridges, for hemodialysis, per 10 |
E1637 | Hemostats for dialysis, each | Description: Hemostats, each |
E1639 | Scale, each | Description: Scale, each |
E1699 | Dialysis equipment noc | Description: Dialysis equipment, not otherwise specified |
E1700 | Jaw motion rehab system | Description: Jaw motion rehabilitation system |
E1701 | Repl cushions for jaw motion | Description: Replacement cushions for jaw motion rehabilitation system, pkg. of 6 |
E1702 | Repl measr scales jaw motion | Description: Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 |
E1802 | Adjst forearm pro/sup device | Description: Dynamic adjustable forearm pronation/supination device, includes soft interface material |
E1806 | Sps wrist device | Description: Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories |
E1812 | Knee ext/flex w act res ctrl | Description: Dynamic knee, extension/flexion device with active resistance control |
E1820 | Soft interface material | Description: Replacement soft interface material, dynamic adjustable extension/flexion device |
E1821 | Replacement interface spsd | Description: Replacement soft interface material/cuffs for bi-directional static progressive stretch device |
E1831 | Static str toe dev ext/flex | Description: Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories |
E1840 | Adj shoulder ext/flex device | Description: Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material |
E1902 | Aac non-electronic board | Description: Communication board, non-electronic augmentative or alternative communication device |
E1905 | Vr cbt therapy | Description: Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software |
E2000 | Gastric suction pump hme mdl | Description: Gastric suction pump, home model, portable or stationary, electric |
E2001 | Suct pum ext urine mgmt sys | Description: Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system |
E2100 | Bld glucose monitor w voice | Description: Blood glucose monitor with integrated voice synthesizer |
E2101 | Bld glucose monitor w lance | Description: Blood glucose monitor with integrated lancing/blood sample |
E2102 | Adju cgm receiver/monitor | Description: Adjunctive, non-implanted continuous glucose monitor or receiver |
E2103 | Non-adju cgm receiver/mon | Description: Non-adjunctive, non-implanted continuous glucose monitor or receiver |
E2120 | Pulse gen sys tx endolymp fl | Description: Pulse generator system for tympanic treatment of inner ear endolymphatic fluid |
E2201 | Man w/ch acc seat w>=20<24"" | Description: Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches |
E2202 | Seat width 24-27 in | Description: Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches |
E2203 | Frame depth less than 22 in | Description: Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches |
E2204 | Frame depth 22 to 25 in | Description: Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches |
E2205 | Manual wc accessory, handrim | Description: Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each |
E2206 | Man wc whl lock comp repl ea | Description: Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each |
E2207 | Crutch and cane holder | Description: Wheelchair accessory, crutch and cane holder, each |
E2208 | Cylinder tank carrier | Description: Wheelchair accessory, cylinder tank carrier, each |
E2209 | Arm trough each | Description: Accessory, arm trough, with or without hand support, each |
E2210 | Wheelchair bearings | Description: Wheelchair accessory, bearings, any type, replacement only, each |
E2211 | Pneumatic propulsion tire | Description: Manual wheelchair accessory, pneumatic propulsion tire, any size, each |
E2212 | Pneumatic prop tire tube | Description: Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each |
E2213 | Pneumatic prop tire insert | Description: Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each |
E2214 | Pneumatic caster tire each | Description: Manual wheelchair accessory, pneumatic caster tire, any size, each |
E2215 | Pneumatic caster tire tube | Description: Manual wheelchair accessory, tube for pneumatic caster tire, any size, each |
E2216 | Foam filled propulsion tire | Description: Manual wheelchair accessory, foam filled propulsion tire, any size, each |
E2217 | Foam filled caster tire each | Description: Manual wheelchair accessory, foam filled caster tire, any size, each |
E2218 | Foam propulsion tire each | Description: Manual wheelchair accessory, foam propulsion tire, any size, each |
E2219 | Foam caster tire any size ea | Description: Manual wheelchair accessory, foam caster tire, any size, each |
E2220 | Solid propuls tire, repl, ea | Description: Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each |
E2221 | Solid caster tire repl, each | Description: Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
E2222 | Solid caster integ whl, repl | Description: Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
E2224 | Propulsion whl excl tire rep | Description: Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each |
E2225 | Caster wheel excludes tire | Description: Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
E2226 | Caster fork replacement only | Description: Manual wheelchair accessory, caster fork, any size, replacement only, each |
E2227 | Gear reduction drive wheel | Description: Manual wheelchair accessory, gear reduction drive wheel, each |
E2228 | Mwc acc, wheelchair brake | Description: Manual wheelchair accessory, wheel braking system and lock, complete, each |
E2230 | Manual standing system | Description: Manual wheelchair accessory, manual standing system |
E2231 | Solid seat support base | Description: Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware |
E2291 | Planar back for ped size wc | Description: Back, planar, for pediatric size wheelchair including fixed attaching hardware |
E2292 | Planar seat for ped size wc | Description: Seat, planar, for pediatric size wheelchair including fixed attaching hardware |
E2293 | Contour back for ped size wc | Description: Back, contoured, for pediatric size wheelchair including fixed attaching hardware |
E2294 | Contour seat for ped size wc | Description: Seat, contoured, for pediatric size wheelchair including fixed attaching hardware |
E2295 | Ped dynamic seating frame | Description: Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features |
E2300 | Pwr seat elevation sys | Description: Wheelchair accessory, power seat elevation system, any type |
E2301 | Pwr standing | Description: Wheelchair accessory, power standing system, any type |
E2310 | Electro connect btw control | Description: Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
E2311 | Electro connect btw 2 sys | Description: Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware |
E2312 | Mini-prop remote joystick | Description: Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware |
E2313 | Pwc harness, expand control | Description: Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each |
E2321 | Hand interface joystick | Description: Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware |
E2322 | Mult mech switches | Description: Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware |
E2323 | Special joystick handle | Description: Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated |
E2324 | Chin cup interface | Description: Power wheelchair accessory, chin cup for chin control interface |
E2325 | Sip and puff interface | Description: Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware |
E2326 | Breath tube kit | Description: Power wheelchair accessory, breath tube kit for sip and puff interface |
E2327 | Head control interface mech | Description: Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware |
E2328 | Head/extremity control inter | Description: Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware |
E2329 | Head control nonproportional | Description: Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware |
E2330 | Head control proximity switc | Description: Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware |
E2331 | Attendant control | Description: Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware |
E2340 | W/c wdth 20-23 in seat frame | Description: Power wheelchair accessory, nonstandard seat frame width, 20-23 inches |
E2341 | W/c wdth 24-27 in seat frame | Description: Power wheelchair accessory, nonstandard seat frame width, 24-27 inches |
E2342 | W/c dpth 20-21 in seat frame | Description: Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches |
E2343 | W/c dpth 22-25 in seat frame | Description: Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches |
E2351 | Electronic sgd interface | Description: Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface |
E2358 | Gr 34 nonsealed leadacid | Description: Power wheelchair accessory, group 34 non-sealed lead acid battery, each |
E2359 | Gr34 sealed leadacid battery | Description: Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
E2360 | 22nf nonsealed leadacid | Description: Power wheelchair accessory, 22nf non-sealed lead acid battery, each |
E2361 | 22nf sealed leadacid battery | Description: Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) |
E2362 | Gr24 nonsealed leadacid | Description: Power wheelchair accessory, group 24 non-sealed lead acid battery, each |
E2363 | Gr24 sealed leadacid battery | Description: Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
E2364 | U1nonsealed leadacid battery | Description: Power wheelchair accessory, u-1 non-sealed lead acid battery, each |
E2365 | U1 sealed leadacid battery | Description: Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
E2366 | Battery charger, single mode | Description: Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
E2367 | Battery charger, dual mode | Description: Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each |
E2368 | Pwr wc drivewheel motor repl | Description: Power wheelchair component, drive wheel motor, replacement only |
E2369 | Pwr wc drivewheel gear repl | Description: Power wheelchair component, drive wheel gear box, replacement only |
E2370 | Pwr wc dr wh motor/gear comb | Description: Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only |
E2371 | Gr27 sealed leadacid battery | Description: Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each |
E2372 | Gr27 non-sealed leadacid | Description: Power wheelchair accessory, group 27 non-sealed lead acid battery, each |
E2373 | Hand/chin ctrl spec joystick | Description: Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware |
E2374 | Hand/chin ctrl std joystick | Description: Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
E2375 | Non-expandable controller | Description: Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only |
E2376 | Expandable controller, repl | Description: Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only |
E2377 | Expandable controller, initl | Description: Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue |
E2378 | Pw actuator replacement | Description: Power wheelchair component, actuator, replacement only |
E2381 | Pneum drive wheel tire | Description: Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each |
E2382 | Tube, pneum wheel drive tire | Description: Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each |
E2383 | Insert, pneum wheel drive | Description: Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each |
E2384 | Pneumatic caster tire | Description: Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each |
E2385 | Tube, pneumatic caster tire | Description: Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each |
E2386 | Foam filled drive wheel tire | Description: Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
E2387 | Foam filled caster tire | Description: Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
E2388 | Foam drive wheel tire | Description: Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each |
E2389 | Foam caster tire | Description: Power wheelchair accessory, foam caster tire, any size, replacement only, each |
E2390 | Solid drive wheel tire | Description: Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each |
E2391 | Solid caster tire | Description: Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each |
E2392 | Solid caster tire, integrate | Description: Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
E2394 | Drive wheel excludes tire | Description: Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
E2395 | Caster wheel excludes tire | Description: Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
E2396 | Caster fork | Description: Power wheelchair accessory, caster fork, any size, replacement only, each |
E2397 | Pwc acc, lith-based battery | Description: Power wheelchair accessory, lithium-based battery, each |
E2398 | Wc dynamic pos back hardware | Description: Wheelchair accessory, dynamic positioning hardware for back |
E2402 | Neg press wound therapy pump | Description: Negative pressure wound therapy electrical pump, stationary or portable |
E2500 | Sgd digitized pre-rec <=8min | Description: Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time |
E2502 | Sgd prerec msg >8min <=20min | Description: Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time |
E2504 | Sgd prerec msg>20min <=40min | Description: Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time |
E2506 | Sgd prerec msg > 40 min | Description: Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time |
E2508 | Sgd spelling phys contact | Description: Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device |
E2510 | Sgd w multi methods msg/accs | Description: Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access |
E2511 | Sgd sftwre prgrm for pc/pda | Description: Speech generating software program, for personal computer or personal digital assistant |
E2512 | Sgd accessory, mounting sys | Description: Accessory for speech generating device, mounting system |
E2599 | Sgd accessory noc | Description: Accessory for speech generating device, not otherwise classified |
E2601 | Gen w/c cushion wdth < 22 in | Description: General use wheelchair seat cushion, width less than 22 inches, any depth |
E2602 | Gen w/c cushion wdth >=22 in | Description: General use wheelchair seat cushion, width 22 inches or greater, any depth |
E2603 | Skin protect wc cus wd <22in | Description: Skin protection wheelchair seat cushion, width less than 22 inches, any depth |
E2604 | Skin protect wc cus wd>=22in | Description: Skin protection wheelchair seat cushion, width 22 inches or greater, any depth |
E2605 | Position wc cush wdth <22 in | Description: Positioning wheelchair seat cushion, width less than 22 inches, any depth |
E2606 | Position wc cush wdth>=22 in | Description: Positioning wheelchair seat cushion, width 22 inches or greater, any depth |
E2607 | Skin pro/pos wc cus wd <22in | Description: Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth |
E2608 | Skin pro/pos wc cus wd>=22in | Description: Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth |
E2609 | Custom fabricate w/c cushion | Description: Custom fabricated wheelchair seat cushion, any size |
E2610 | Powered w/c cushion | Description: Wheelchair seat cushion, powered |
E2611 | Gen use back cush wdth <22in | Description: General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
E2612 | Gen use back cush wdth>=22in | Description: General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware |
E2613 | Position back cush wd <22in | Description: Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware |
E2614 | Position back cush wd>=22in | Description: Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware |
E2615 | Pos back post/lat wdth <22in | Description: Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware |
E2616 | Pos back post/lat wdth>=22in | Description: Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware |
E2617 | Custom fab w/c back cushion | Description: Custom fabricated wheelchair back cushion, any size, including any type mounting hardware |
E2619 | Replace cover w/c seat cush | Description: Replacement cover for wheelchair seat cushion or back cushion, each |
E2620 | Wc planar back cush wd <22in | Description: Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware |
E2621 | Wc planar back cush wd>=22in | Description: Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware |
E2622 | Adj skin pro w/c cus wd<22in | Description: Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
E2623 | Adj skin pro wc cus wd>=22in | Description: Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth |
E2624 | Adj skin pro/pos cus<22in | Description: Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth |
E2625 | Adj skin pro/pos wc cus>=22 | Description: Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth |
E2626 | Seo mobile arm sup att to wc | Description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable |
E2627 | Arm supp att to wc rancho ty | Description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type |
E2628 | Mobile arm supports reclinin | Description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining |
E2629 | Friction dampening arm supp | Description: Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) |
E2630 | Monosuspension arm/hand supp | Description: Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support |
E2631 | Elevat proximal arm support | Description: Wheelchair accessory, addition to mobile arm support, elevating proximal arm |
E2632 | Offset/lat rocker arm w/ela | Description: Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control |
E2633 | Mobile arm support supinator | Description: Wheelchair accessory, addition to mobile arm support, supinator |
E3000 | Speech volume modulation sys | Description: Speech volume modulation system, any type, including all components and accessories |
E8000 | Posterior gait trainer | Description: Gait trainer, pediatric size, posterior support, includes all accessories and components |
E8001 | Upright gait trainer | Description: Gait trainer, pediatric size, upright support, includes all accessories and components |
E8002 | Anterior gait trainer | Description: Gait trainer, pediatric size, anterior support, includes all accessories and components |
G0008 | Admin influenza virus vac | Description: Administration of influenza virus vaccine |
G0009 | Admin pneumococcal vaccine | Description: Administration of pneumococcal vaccine |
G0010 | Admin hepatitis b vaccine | Description: Administration of hepatitis b vaccine |
G0011 | Hiv prep counsel, md 15-30m | Description: Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes |
G0012 | Injection of hiv prep drug | Description: Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle |
G0013 | Hiv prep counsel, clin staff | Description: Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence |
G0017 | Crisis psychotherapy 60m | Description: Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes |
G0018 | Crisis psychotherapy add 30m | Description: Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service) |
G0019 | Comm hlth intg svs sdoh 60mn | Description: Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals |
G0022 | Comm hlth intg svs add 30 m | Description: Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019) |
G0023 | Pin service 60m per month | Description: Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities: person-centered assessment, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered assessment to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; home- and community-based service providers; and caregiver (if applicable). ++ communication with practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care, and helping secure appointments with them. ++ providing the patient with information/resources to consider participation in clinical trials or clinical research as applicable. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals |
G0024 | Pin srv add 30 min pr m | Description: Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023) |
G0027 | Semen analysis | Description: Semen analysis; presence and/or motility of sperm excluding huhner |
G0029 | No tob scr/cess int | Description: Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
G0030 | Pt scr tob & cess int | Description: Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
G0031 | Pall serv during meas | Description: Palliative care services given to patient any time during the measurement period |
G0032 | 2+ antipsy schiz | Description: Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics |
G0033 | 2+ benzo seiz | Description: Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines |
G0034 | Pall serv during meas | Description: Patients receiving palliative care during the measurement period |
G0035 | Pt ed pos 23 | Description: Patient has any emergency department encounter during the performance period with place of service indicator 23 |
G0036 | Pt/ptn decln assess | Description: Patient or care partner decline assessment |
G0037 | Pt not able to participate | Description: On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available |
G0038 | Clin pt no ref | Description: Clinician determines patient does not require referral |
G0039 | Pt no ref, rn spec | Description: Patient not referred, reason not otherwise specified |
G0040 | Pt phys/occ therapy | Description: Patient already receiving physical/occupational/speech/recreational therapy during the measurement period |
G0041 | Pt/ptn decln referral | Description: Patient and/or care partner decline referral |
G0042 | Ref to therapy | Description: Referral to physical, occupational, speech, or recreational therapy |
G0043 | Pt mech pros ht valv | Description: Patients with mechanical prosthetic heart valve |
G0044 | Pt mitral stenosis | Description: Patients with moderate or severe mitral stenosis |
G0045 | Mrs 90 days post stk | Description: Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention |
G0046 | No mrs 90 days post stk | Description: Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention |
G0047 | Ped blunt hd traum | Description: Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed |
G0048 | Pall serv during meas | Description: Patients who receive palliative care services any time during the intake period through the end of the measurement year |
G0049 | Main hemo in-cntr | Description: With maintenance hemodialysis (in-center and home hd) for the complete reporting month |
G0050 | Pt w/ lmted life expec | Description: Patients with a catheter that have limited life expectancy |
G0051 | Pt hospice mnth | Description: Patients under hospice care in the current reporting month |
G0052 | Pt peri dialysis dur mo | Description: Patients on peritoneal dialysis for any portion of the reporting month |
G0053 | Adv rheum pt care mvp | Description: Advancing rheumatology patient care mips value pathways |
G0054 | Strk cr prev pos outcme mvp | Description: Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways |
G0055 | Adv care heart dx mvp | Description: Advancing care for heart disease mips value pathways |
G0057 | Best pct pt safety em mvp | Description: Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways |
G0058 | Imprv care le jnt repr mvp | Description: Improving care for lower extremity joint repair mips value pathways |
G0059 | Pt sfty pos exp w aneth mvp | Description: Patient safety and support of positive experiences with anesthesia mips value pathways |
G0060 | Allergy/immunology ss | Description: Allergy/immunology mips specialty set |
G0061 | Anesthesiology ss | Description: Anesthesiology mips specialty set |
G0062 | Audiology ss | Description: Audiology mips specialty set |
G0063 | Cardiology ss | Description: Cardiology mips specialty set |
G0064 | Cert nurse midwife ss | Description: Certified nurse midwife mips specialty set |
G0065 | Chiropractic ss | Description: Chiropractic medicine mips specialty set |
G0066 | Clinical social work ss | Description: Clinical social work mips specialty set |
G0067 | Dentistry ss | Description: Dentistry mips specialty set |
G0068 | Adm iv infusion drug in home | Description: Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
G0069 | Adm sq infusion drug in home | Description: Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes |
G0070 | Adm of chemo drug in home | Description: Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes |
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 |
G0076 | Care manag h vst new pt 20 m | Description: Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0077 | Care manag h vst new pt 30 m | Description: Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0078 | Care manag h vst new pt 45 m | Description: Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0079 | Care manag h vst new pt 60 m | Description: Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0080 | Care manag h vst new pt 75 m | Description: Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0081 | Care man h v ext pt 20 mi | Description: Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0082 | Care man h v ext pt 30 m | Description: Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0083 | Care man h v ext pt 45 m | Description: Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0084 | Care man h v ext pt 60 m | Description: Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0085 | Care man h v ext pt 75 m | Description: Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0086 | Care man home care plan 30 m | Description: Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0087 | Care man home care plan 60 m | Description: Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
G0088 | Adm iv drug 1st home visit | Description: Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
G0089 | Adm subq drug 1st home visit | Description: Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes |
G0090 | Adm iv chemo 1st home visit | Description: Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes |
G0101 | Ca screen;pelvic/breast exam | Description: Cervical or vaginal cancer screening; pelvic and clinical breast examination |
G0102 | Prostate ca screening; dre | Description: Prostate cancer screening; digital rectal examination |
G0103 | Psa screening | Description: Prostate cancer screening; prostate specific antigen test (psa) |
G0104 | Ca screen;flexi sigmoidscope | Description: Colorectal cancer screening; flexible sigmoidoscopy |
G0105 | Colorectal scrn; hi risk ind | Description: Colorectal cancer screening; colonoscopy on individual at high risk |
G0108 | Diab manage trn per indiv | Description: Diabetes outpatient self-management training services, individual, per 30 minutes |
G0109 | Diab manage trn ind/group | Description: Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
G0117 | Glaucoma scrn hgh risk direc | Description: Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
G0118 | Glaucoma scrn hgh risk direc | Description: Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist |
G0121 | Colon ca scrn not hi rsk ind | Description: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
G0123 | Screen cerv/vag thin layer | Description: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
G0124 | Screen c/v thin layer by md | Description: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
G0127 | Trim nail(s) | Description: Trimming of dystrophic nails, any number |
G0128 | Corf skilled nursing service | Description: Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes |
G0129 | Php/iop ot service | Description: Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more) |
G0130 | Single energy x-ray study | Description: Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) |
G0136 | Adm of soc dtr assess 5-15 m | Description: Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes |
G0137 | Inten outpt svs,min 9 pr 7 d | Description: Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under state law); occupational therapy requiring the skills of a qualified occupational therapist; services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients; individualized activity therapies that are not primarily recreational or diversionary; family counseling (the primary purpose of which is treatment of the individual's condition); patient training and education (to the extent that training and educational activities are closely and clearly related to individual's care and treatment); diagnostic services; and such other items and services (excluding meals and transportation) that are reasonable and necessary for the diagnosis or active treatment of the individual's condition, reasonably expected to improve or maintain the individual's condition and functional level and to prevent relapse or hospitalization, and furnished pursuant to such guidelines relating to frequency and duration of services in accordance with a physician certification and plan of treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
G0140 | Nav srv peer sup 60 min pr m | Description: Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per calendar month, in the following activities: person-centered interview, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors, and including unmet sdoh needs (that are not billed separately). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the person-centered goals in the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care communication. ++ assist the patient in communicating with their practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education. helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. developing and proposing strategies to help meet person-centered treatment goals and supporting the patient in using chosen strategies to reach person-centered treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet person-centered diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals |
G0141 | Scr c/v cyto,autosys and md | Description: Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician |
G0143 | Scr c/v cyto,thinlayer,rescr | Description: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision |
G0144 | Scr c/v cyto,thinlayer,rescr | Description: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision |
G0145 | Scr c/v cyto,thinlayer,rescr | Description: Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
G0146 | Nav srv peer sup add 30 pr m | Description: Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140) |
G0147 | Scr c/v cyto, automated sys | Description: Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision |
G0148 | Scr c/v cyto, autosys, rescr | Description: Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening |
G0151 | Hhcp-serv of pt,ea 15 min | Description: Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
G0152 | Hhcp-serv of ot,ea 15 min | Description: Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
G0153 | Hhcp-svs of s/l path,ea 15mn | Description: Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes |
G0155 | Hhcp-svs of csw,ea 15 min | Description: Services of clinical social worker in home health or hospice settings, each 15 minutes |
G0156 | Hhcp-svs of aide,ea 15 min | Description: Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
G0157 | Hhc pt assistant ea 15 | Description: Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes |
G0158 | Hhc ot assistant ea 15 | Description: Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes |
G0159 | Hhc pt maint ea 15 min | Description: Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes |
G0160 | Hhc occup therapy ea 15 | Description: Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes |
G0161 | Hhc slp ea 15 min | Description: Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes |
G0162 | Hhc rn e&m plan svs, 15 min | Description: Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
G0166 | Extrnl counterpulse, per tx | Description: External counterpulsation, per treatment session |
G0168 | Wound closure by adhesive | Description: Wound closure utilizing tissue adhesive(s) only |
G0175 | Opps service,sched team conf | Description: Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
G0176 | Opps/php/iop; activity thrpy | Description: Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
G0177 | Opps/php/iop; train & educ | Description: Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
G0179 | Md recertification hha pt | Description: Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
G0180 | Md certification hha patient | Description: Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
G0181 | Home health care supervision | Description: Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
G0182 | Hospice care supervision | Description: Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more |
G0186 | Dstry eye lesn,fdr vssl tech | Description: Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) |
G0219 | Pet img wholbod melano nonco | Description: Pet imaging whole body; melanoma for non-covered indications |
G0235 | Pet not otherwise specified | Description: Pet imaging, any site, not otherwise specified |
G0237 | Therapeutic procd strg endur | Description: Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) |
G0238 | Oth resp proc, indiv | Description: Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) |
G0239 | Oth resp proc, group | Description: Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) |
G0245 | Initial foot exam pt lops | Description: Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
G0246 | Followup eval of foot pt lop | Description: Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education |
G0247 | Routine footcare pt w lops | Description: Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
G0248 | Demonstrate use home inr mon | Description: Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results |
G0249 | Provide inr test mater/equip | Description: Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests |
G0250 | Md inr test revie inter mgmt | Description: Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |