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APC Status Codes and Titles
2007
| APC Status Codes and Titles Effective 01-01-2007 |
| Source: CMS OCE/APC V 8.0 Module, January 2007 |
| Notes: |
| 1) There are 868 APC Titles as of January 2007 |
| APC Status Description |
| ----- - ----------------------------------------------------- |
| 00001 S LEVEL I PHOTOCHEMOTHERAPY |
| 00002 T LEVEL I FINE NEEDLE BIOPSY/ASPIRATION |
| 00003 T BONE MARROW BIOPSY/ASPIRATION |
| 00004 T LEVEL I NEEDLE BIOPSY/ ASPIRATION EXCEPT BONE MARROW |
| 00005 T LEVEL II NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW |
| 00006 T LEVEL I INCISION & DRAINAGE |
| 00007 T LEVEL II INCISION & DRAINAGE |
| 00008 T LEVEL III INCISION AND DRAINAGE |
| 00009 T NAIL PROCEDURES |
| 00010 T LEVEL I DESTRUCTION OF LESION |
| 00011 T LEVEL II DESTRUCTION OF LESION |
| 00012 T LEVEL I DEBRIDEMENT & DESTRUCTION |
| 00013 T LEVEL II DEBRIDEMENT & DESTRUCTION |
| 00015 T LEVEL III DEBRIDEMENT & DESTRUCTION |
| 00016 T LEVEL IV DEBRIDEMENT & DESTRUCTION |
| 00017 T LEVEL VI DEBRIDEMENT & DESTRUCTION |
| 00018 T BIOPSY OF SKIN/PUNCTURE OF LESION |
| 00019 T LEVEL I EXCISION/ BIOPSY |
| 00020 T LEVEL II EXCISION/ BIOPSY |
| 00021 T LEVEL III EXCISION/ BIOPSY |
| 00022 T LEVEL IV EXCISION/ BIOPSY |
| 00023 T EXPLORATION PENETRATING WOUND |
| 00024 T LEVEL I SKIN REPAIR |
| 00025 T LEVEL II SKIN REPAIR |
| 00027 T LEVEL IV SKIN REPAIR |
| 00028 T LEVEL I BREAST SURGERY |
| 00029 T LEVEL II BREAST SURGERY |
| 00030 T LEVEL III BREAST SURGERY |
| 00031 X SMOKING CESSATION SERVICES |
| 00033 P PARTIAL HOSPITALIZATION |
| 00034 P DAILY MENTAL HEALTH SERVICES |
| 00035 T ARTERIAL/VENOUS PUNCTURE |
| 00036 T LEVEL II FINE NEEDLE BIOPSY/ASPIRATION |
| 00037 T LEVEL IV NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW |
| 00038 S SPONTANEOUS MEG |
| 00039 S LEVEL I IMPLANTATION OF NEUROSTIMULATOR |
| 00040 S PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, EXCLUDING CRANIAL NERV |
| 00041 T LEVEL I ARTHROSCOPY |
| 00042 T LEVEL II ARTHROSCOPY |
| 00043 T CLOSED TREATMENT FRACTURE FINGER/TOE/TRUNK |
| 00045 T BONE/JOINT MANIPULATION UNDER ANESTHESIA |
| 00047 T ARTHROPLASTY WITHOUT PROSTHESIS |
| 00048 T LEVEL I ARTHROPLASTY WITH PROSTHESIS |
| 00049 T LEVEL I MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT |
| 00050 T LEVEL II MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT |
| 00051 T LEVEL III MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT |
| 00052 T LEVEL IV MUSCULOSKELETAL PROCEDURES EXCEPT HAND AND FOOT |
| 00053 T LEVEL I HAND MUSCULOSKELETAL PROCEDURES |
| 00054 T LEVEL II HAND MUSCULOSKELETAL PROCEDURES |
| 00055 T LEVEL I FOOT MUSCULOSKELETAL PROCEDURES |
| 00056 T LEVEL II FOOT MUSCULOSKELETAL PROCEDURES |
| 00057 T BUNION PROCEDURES |
| 00058 S LEVEL I STRAPPING AND CAST APPLICATION |
| 00060 S MANIPULATION THERAPY |
| 00061 S LAMINECTOMY OR INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, EXCLUDI |
| 00062 T LEVEL I TREATMENT FRACTURE/DISLOCATION |
| 00063 T LEVEL II TREATMENT FRACTURE/DISLOCATION |
| 00064 T LEVEL III TREATMENT FRACTURE/DISLOCATION |
| 00065 S LEVEL I STEREOTACTIC RADIOSURGERY |
| 00066 S LEVEL II STEREOTACTIC RADIOSURGERY |
| 00067 S LEVEL III STEREOTACTIC RADIOSURGERY |
| 00068 S CPAP INITIATION |
| 00069 T THORACOSCOPY |
| 00070 T THORACENTESIS/LAVAGE PROCEDURES |
| 00071 T LEVEL I ENDOSCOPY UPPER AIRWAY |
| 00072 T LEVEL II ENDOSCOPY UPPER AIRWAY |
| 00073 T LEVEL III ENDOSCOPY UPPER AIRWAY |
| 00074 T LEVEL IV ENDOSCOPY UPPER AIRWAY |
| 00075 T LEVEL V ENDOSCOPY UPPER AIRWAY |
| 00076 T LEVEL I ENDOSCOPY LOWER AIRWAY |
| 00077 S LEVEL I PULMONARY TREATMENT |
| 00078 S LEVEL II PULMONARY TREATMENT |
| 00079 S VENTILATION INITIATION AND MANAGEMENT |
| 00080 T DIAGNOSTIC CARDIAC CATHETERIZATION |
| 00081 T NON-CORONARY ANGIOPLASTY OR ATHERECTOMY |
| 00082 T CORONARY ATHERECTOMY |
| 00083 T CORONARY ANGIOPLASTY AND PERCUTANEOUS VALVULOPLASTY |
| 00084 S LEVEL I ELECTROPHYSIOLOGIC EVALUATION |
| 00085 T LEVEL II ELECTROPHYSIOLOGIC EVALUATION |
| 00086 T ABLATE HEART DYSRHYTHM FOCUS |
| 00087 T CARDIAC ELECTROPHYSIOLOGIC RECORDING/MAPPING |
| 00088 T THROMBECTOMY |
| 00089 T INSERTION/REPLACEMENT OF PERMANENT PACEMAKER AND ELECTRODES |
| 00090 T INSERTION/REPLACEMENT OF PACEMAKER PULSE GENERATOR |
| 00091 T LEVEL II VASCULAR LIGATION |
| 00092 T LEVEL I VASCULAR LIGATION |
| 00093 T VASCULAR RECONSTRUCTION/FISTULA REPAIR WITHOUT DEVICE |
| 00094 S LEVEL I RESUSCITATION AND CARDIOVERSION |
| 00095 S CARDIAC REHABILITATION |
| 00096 S NON-INVASIVE VASCULAR STUDIES |
| 00097 X CARDIAC AND AMBULATORY BLOOD PRESSURE MONITORING |
| 00098 T INJECTION OF SCLEROSING SOLUTION |
| 00099 S ELECTROCARDIOGRAMS |
| 00100 X CARDIAC STRESS TESTS |
| 00101 S TILT TABLE EVALUATION |
| 00103 T MISCELLANEOUS VASCULAR PROCEDURES |
| 00104 T TRANSCATHETER PLACEMENT OF INTRACORONARY STENTS |
| 00105 T REPAIR/REVISION/REMOVAL OF PACEMAKERS, AICDS, OR VASCULAR DEVICES |
| 00106 T INSERTION/REPLACEMENT OF PACEMAKER LEADS AND/OR ELECTRODES |
| 00107 T INSERTION OF CARDIOVERTER-DEFIBRILLATOR |
| 00108 T INSERTION/REPLACEMENT/REPAIR OF CARDIOVERTER-DEFIBRILLATOR LEADS |
| 00109 T REMOVAL OF IMPLANTED DEVICES |
| 00110 S TRANSFUSION |
| 00111 S BLOOD PRODUCT EXCHANGE |
| 00112 S APHERESIS, PHOTOPHERESIS, AND PLASMAPHERESIS |
| 00113 T EXCISION LYMPHATIC SYSTEM |
| 00114 T THYROID/LYMPHADENECTOMY PROCEDURES |
| 00115 T CANNULA/ACCESS DEVICE PROCEDURES |
| 00121 T LEVEL I TUBE CHANGES AND REPOSITIONING |
| 00122 T LEVEL II TUBE CHANGES AND REPOSITIONING |
| 00123 S BONE MARROW HARVESTING AND BONE MARROW/STEM CELL TRANSPLANT |
| 00125 T REFILLING OF INFUSION PUMP |
| 00126 T LEVEL I URINARY AND ANAL PROCEDURES |
| 00127 S LEVEL IV STEREOTACTIC RADIOSURGERY |
| 00130 T LEVEL I LAPAROSCOPY |
| 00131 T LEVEL II LAPAROSCOPY |
| 00132 T LEVEL III LAPAROSCOPY |
| 00140 T ESOPHAGEAL DILATION WITHOUT ENDOSCOPY |
| 00141 T LEVEL I UPPER GI PROCEDURES |
| 00142 T SMALL INTESTINE ENDOSCOPY |
| 00143 T LOWER GI ENDOSCOPY |
| 00146 T LEVEL I SIGMOIDOSCOPY AND ANOSCOPY |
| 00147 T LEVEL II SIGMOIDOSCOPY AND ANOSCOPY |
| 00148 T LEVEL I ANAL/RECTAL PROCEDURES |
| 00149 T LEVEL III ANAL/RECTAL PROCEDURES |
| 00150 T LEVEL IV ANAL/RECTAL PROCEDURES |
| 00151 T ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY (ERCP) |
| 00152 T LEVEL I PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES |
| 00153 T PERITONEAL AND ABDOMINAL PROCEDURES |
| 00154 T HERNIA/HYDROCELE PROCEDURES |
| 00155 T LEVEL II ANAL/RECTAL PROCEDURES |
| 00156 T LEVEL III URINARY AND ANAL PROCEDURES |
| 00157 S COLORECTAL CANCER SCREENING: BARIUM ENEMA |
| 00158 T COLORECTAL CANCER SCREENING: COLONOSCOPY |
| 00159 S COLORECTAL CANCER SCREENING: FLEXIBLE SIGMOIDOSCOPY |
| 00160 T LEVEL I CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES |
| 00161 T LEVEL II CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES |
| 00162 T LEVEL III CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES |
| 00163 T LEVEL IV CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES |
| 00164 T LEVEL II URINARY AND ANAL PROCEDURES |
| 00165 T LEVEL IV URINARY AND ANAL PROCEDURES |
| 00166 T LEVEL I URETHRAL PROCEDURES |
| 00168 T LEVEL II URETHRAL PROCEDURES |
| 00169 T LITHOTRIPSY |
| 00170 S DIALYSIS |
| 00171 T LEVEL V ANAL/RECTAL PROCEDURES |
| 00180 T CIRCUMCISION |
| 00181 T PENILE PROCEDURES |
| 00183 T TESTES/EPIDIDYMIS PROCEDURES |
| 00184 T PROSTATE BIOPSY |
| 00188 T LEVEL II FEMALE REPRODUCTIVE PROC |
| 00189 T LEVEL III FEMALE REPRODUCTIVE PROC |
| 00190 T LEVEL I HYSTEROSCOPY |
| 00191 T LEVEL I FEMALE REPRODUCTIVE PROC |
| 00192 T LEVEL IV FEMALE REPRODUCTIVE PROC |
| 00193 T LEVEL V FEMALE REPRODUCTIVE PROC |
| 00194 T LEVEL VIII FEMALE REPRODUCTIVE PROC |
| 00195 T LEVEL IX FEMALE REPRODUCTIVE PROC |
| 00196 T DILATION AND CURETTAGE |
| 00197 T INFERTILITY PROCEDURES |
| 00198 T PREGNANCY AND NEONATAL CARE PROCEDURES |
| 00200 T LEVEL VII FEMALE REPRODUCTIVE PROC |
| 00201 T LEVEL VI FEMALE REPRODUCTIVE PROC |
| 00202 T LEVEL X FEMALE REPRODUCTIVE PROC |
| 00203 T LEVEL IV NERVE INJECTIONS |
| 00204 T LEVEL I NERVE INJECTIONS |
| 00206 T LEVEL II NERVE INJECTIONS |
| 00207 T LEVEL III NERVE INJECTIONS |
| 00208 T LAMINOTOMIES AND LAMINECTOMIES |
| 00209 S LEVEL II MEG, EXTENDED EEG STUDIES AND SLEEP STUDIES |
| 00212 T NERVOUS SYSTEM INJECTIONS |
| 00213 S LEVEL I MEG, EXTENDED EEG STUDIES AND SLEEP STUDIES |
| 00214 S ELECTROENCEPHALOGRAM |
| 00215 S LEVEL I NERVE AND MUSCLE TESTS |
| 00216 S LEVEL III NERVE AND MUSCLE TESTS |
| 00218 S LEVEL II NERVE AND MUSCLE TESTS |
| 00220 T LEVEL I NERVE PROCEDURES |
| 00221 T LEVEL II NERVE PROCEDURES |
| 00222 T IMPLANTATION OF NEUROLOGICAL DEVICE |
| 00223 T IMPLANTATION OR REVISION OF PAIN MANAGEMENT CATHETER |
| 00224 T IMPLANTATION OF RESERVOIR/PUMP/SHUNT |
| 00225 S IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CRANIAL NERVE |
| 00226 T IMPLANTATION OF DRUG INFUSION RESERVOIR |
| 00227 T IMPLANTATION OF DRUG INFUSION DEVICE |
| 00228 T CREATION OF LUMBAR SUBARACHNOID SHUNT |
| 00229 T TRANSCATHERTER PLACEMENT OF INTRAVASCULAR SHUNTS |
| 00230 S LEVEL I EYE TESTS & TREATMENTS |
| 00231 S LEVEL III EYE TESTS & TREATMENTS |
| 00232 T LEVEL I ANTERIOR SEGMENT EYE PROCEDURES |
| 00233 T LEVEL II ANTERIOR SEGMENT EYE PROCEDURES |
| 00234 T LEVEL III ANTERIOR SEGMENT EYE PROCEDURES |
| 00235 T LEVEL I POSTERIOR SEGMENT EYE PROCEDURES |
| 00236 T LEVEL II POSTERIOR SEGMENT EYE PROCEDURES |
| 00237 T LEVEL III POSTERIOR SEGMENT EYE PROCEDURES |
| 00238 T LEVEL I REPAIR AND PLASTIC EYE PROCEDURES |
| 00239 T LEVEL II REPAIR AND PLASTIC EYE PROCEDURES |
| 00240 T LEVEL III REPAIR AND PLASTIC EYE PROCEDURES |
| 00241 T LEVEL IV REPAIR AND PLASTIC EYE PROCEDURES |
| 00242 T LEVEL V REPAIR AND PLASTIC EYE PROCEDURES |
| 00243 T STRABISMUS/MUSCLE PROCEDURES |
| 00244 T CORNEAL TRANSPLANT |
| 00245 T LEVEL I CATARACT PROCEDURES WITHOUT IOL INSERT |
| 00246 T CATARACT PROCEDURES WITH IOL INSERT |
| 00247 T LASER EYE PROCEDURES EXCEPT RETINAL |
| 00248 T LASER RETINAL PROCEDURES |
| 00249 T LEVEL II CATARACT PROCEDURES WITHOUT IOL INSERT |
| 00250 T NASAL CAUTERIZATION/PACKING |
| 00251 T LEVEL I ENT PROCEDURES |
| 00252 T LEVEL II ENT PROCEDURES |
| 00253 T LEVEL III ENT PROCEDURES |
| 00254 T LEVEL IV ENT PROCEDURES |
| 00256 T LEVEL V ENT PROCEDURES |
| 00257 S LEVEL I THERAPEUTIC RADIOLOGIC PROCEDURES |
| 00258 T TONSIL AND ADENOID PROCEDURES |
| 00259 T LEVEL VI ENT PROCEDURES |
| 00260 X LEVEL I PLAIN FILM EXCEPT TEETH |
| 00261 X LEVEL II PLAIN FILM EXCEPT TEETH INCLUDING BONE DENSITY MEASUREMENT |
| 00262 X PLAIN FILM OF TEETH |
| 00263 X LEVEL I MISCELLANEOUS RADIOLOGY PROCEDURES |
| 00264 X LEVEL II MISCELLANEOUS RADIOLOGY PROCEDURES |
| 00265 S LEVEL I DIAGNOSTIC AND SCREENING ULTRASOUND |
| 00266 S LEVEL II DIAGNOSTIC AND SCREENING ULTRASOUND |
| 00267 S LEVEL III DIAGNOSTIC AND SCREENING ULTRASOUND |
| 00268 S LEVEL I ULTRASOUND GUIDANCE PROCEDURES |
| 00269 S LEVEL II ECHOCARDIOGRAM EXCEPT TRANSESOPHAGEAL |
| 00270 S TRANSESOPHAGEAL ECHOCARDIOGRAM |
| 00272 X FLUOROSCOPY |
| 00274 S MYELOGRAPHY |
| 00275 S ARTHROGRAPHY |
| 00276 S LEVEL I DIGESTIVE RADIOLOGY |
| 00277 S LEVEL II DIGESTIVE RADIOLOGY |
| 00278 S DIAGNOSTIC UROGRAPHY |
| 00279 S LEVEL II ANGIOGRAPHY AND VENOGRAPHY |
| 00280 S LEVEL III ANGIOGRAPHY AND VENOGRAPHY |
| 00282 S MISCELLANEOUS COMPUTERIZED AXIAL TOMOGRAPHY |
| 00283 S COMPUTED TOMOGRAPHY WITH CONTRAST |
| 00284 S MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITH CONTRAST |
| 00288 S BONE DENSITY:AXIAL SKELETON |
| 00293 T LEVEL V ANTERIOR SEGMENT EYE PROCEDURES |
| 00296 S LEVEL II THERAPEUTIC RADIOLOGIC PROCEDURES |
| 00297 S LEVEL III THERAPEUTIC RADIOLOGIC PROCEDURES |
| 00298 S LEVEL IV THERAPEUTIC RADIOLOGIC PROCEDURES |
| 00299 S MISCELLANEOUS RADIATION TREATMENT |
| 00300 S LEVEL I RADIATION THERAPY |
| 00301 S LEVEL II RADIATION THERAPY |
| 00302 S COMPUTER ASSISTED NAVIGATIONAL PROCEDURES |
| 00303 X TREATMENT DEVICE CONSTRUCTION |
| 00304 X LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION |
| 00305 X LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION |
| 00307 S MYOCARDIAL POSITRON EMISSION TOMOGRAPHY (PET) IMAGING |
| 00308 S NON-MYOCARDIAL POSITRON EMISSION TOMOGRAPHY (PET) IMAGING |
| 00309 S LEVEL II ULTRASOUND GUIDANCE PROCEDURES |
| 00310 X LEVEL III THERAPEUTIC RADIATION TREATMENT PREPARATION |
| 00312 S RADIOELEMENT APPLICATIONS |
| 00313 S BRACHYTHERAPY |
| 00314 S HYPERTHERMIC THERAPIES |
| 00315 T LEVEL II IMPLANTATION OF NEUROSTIMULATOR |
| 00320 S ELECTROCONVULSIVE THERAPY |
| 00321 S BIOFEEDBACK AND OTHER TRAINING |
| 00322 S BRIEF INDIVIDUAL PSYCHOTHERAPY |
| 00323 S EXTENDED INDIVIDUAL PSYCHOTHERAPY |
| 00324 S FAMILY PSYCHOTHERAPY |
| 00325 S GROUP PSYCHOTHERAPY |
| 00330 S DENTAL PROCEDURES |
| 00332 S COMPUTED TOMOGRAPHY WITHOUT CONTRAST |
| 00333 S COMPUTED TOMOGRAPHY WITHOUT CONTRAST FOLLOWED BY CONTRAST) |
| 00335 S MAGNETIC RESONANCE IMAGING, MISCELLANEOUS |
| 00336 S MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST |
| 00337 S MAGNETIC RESONANCE IMAGING AND MAGNETIC RESONANCE ANGIOGRAPHY WITHOUT CONTRAST |
| 00339 S OBSERVATION |
| 00340 X MINOR ANCILLARY PROCEDURES |
| 00341 X SKIN TESTS |
| 00342 X LEVEL I PATHOLOGY |
| 00343 X LEVEL III PATHOLOGY |
| 00344 X LEVEL IV PATHOLOGY |
| 00345 X LEVEL I TRANSFUSION LABORATORY PROCEDURES |
| 00346 X LEVEL II TRANSFUSION LABORATORY PROCEDURES |
| 00347 X LEVEL III TRANSFUSION LABORATORY PROCEDURES |
| 00348 X FERTILITY LABORATORY PROCEDURES |
| 00350 S ADMINISTRATION OF FLU AND PPV VACCINE |
| 00360 X LEVEL I ALIMENTARY TESTS |
| 00361 X LEVEL II ALIMENTARY TESTS |
| 00362 X CONTACT LENS AND SPECTACLE SERVICES |
| 00363 X LEVEL I OTORHINOLARYNGOLOGIC FUNCTION TESTS |
| 00364 X LEVEL I AUDIOMETRY |
| 00365 X LEVEL II AUDIOMETRY |
| 00366 X LEVEL III AUDIOMETRY |
| 00367 X LEVEL I PULMONARY TEST |
| 00368 X LEVEL II PULMONARY TESTS |
| 00369 X LEVEL III PULMONARY TESTS |
| 00370 X ALLERGY TESTS |
| 00372 X THERAPEUTIC PHLEBOTOMY |
| 00373 X LEVEL I NEUROPSYCHOLOGICAL TESTING |
| 00374 X MONITORING PSYCHIATRIC DRUGS |
| 00375 S ANCILLARY OUTPATIENT SERVICES WHEN PATIENT EXPIRES |
| 00376 S LEVEL II CARDIAC IMAGING |
| 00377 S LEVEL III CARDIAC IMAGING |
| 00378 S LEVEL II PULMONARY IMAGING |
| 00379 K INJECTION ADENOSINE 6 MG |
| 00381 X SINGLE ALLERGY TESTS |
| 00382 X LEVEL II NEUROPSYCHOLOGICAL TESTING |
| 00384 T GI PROCEDURES WITH STENTS |
| 00385 S LEVEL I PROSTHETIC UROLOGICAL PROCEDURES |
| 00386 S LEVEL II PROSTHETIC UROLOGICAL PROCEDURES |
| 00387 T LEVEL II HYSTEROSCOPY |
| 00388 S DISCOGRAPHY |
| 00389 S LEVEL I NON-IMAGING NUCLEAR MEDICINE |
| 00390 S LEVEL I ENDOCRINE IMAGING |
| 00391 S LEVEL II ENDOCRINE IMAGING |
| 00392 S LEVEL II NON-IMAGING NUCLEAR MEDICINE |
| 00393 S RED CELL/PLASMA STUDIES |
| 00394 S HEPATOBILIARY IMAGING |
| 00395 S GI TRACT IMAGING |
| 00396 S BONE IMAGING |
| 00397 S VASCULAR IMAGING |
| 00398 S LEVEL I CARDIAC IMAGING |
| 00399 S NUCLEAR MEDICINE ADD-ON IMAGING |
| 00400 S HEMATOPOIETIC IMAGING |
| 00401 S LEVEL I PULMONARY IMAGING |
| 00402 S BRAIN IMAGING |
| 00403 S CSF IMAGING |
| 00404 S RENAL AND GENITOURINARY STUDIES LEVEL I |
| 00405 S RENAL AND GENITOURINARY STUDIES LEVEL II |
| 00406 S LEVEL I TUMOR/INFECTION IMAGING |
| 00407 S LEVEL I RADIONUCLIDE THERAPY |
| 00408 S LEVEL II TUMOR/INFECTION IMAGING |
| 00409 X RED BLOOD CELL TESTS |
| 00411 S RESPIRATORY PROCEDURES |
| 00412 S IMRT TREATMENT DELIVERY |
| 00413 S LEVEL II RADIONUCLIDE THERAPY |
| 00415 T LEVEL II ENDOSCOPY LOWER AIRWAY |
| 00416 S LEVEL I INTRAVASCULAR AND INTRACARDIAC ULTRASOUND AND FLOW RESERVE |
| 00417 S COMPUTERIZED RECONSTRUCTION |
| 00418 T INSERTION OF LEFT VENTRICULAR PACING ELECT. |
| 00421 X PROLONGED PHYSIOLOGIC MONITORING |
| 00422 T LEVEL II UPPER GI PROCEDURES |
| 00423 T LEVEL II PERCUTANEOUS ABDOMINAL AND BILIARY PROCEDURES |
| 00425 T LEVEL II ARTHROPLASTY WITH PROSTHESIS |
| 00426 S LEVEL II STRAPPING AND CAST APPLICATION |
| 00427 T LEVEL III TUBE CHANGES AND REPOSITIONING |
| 00428 T LEVEL III SIGMOIDOSCOPY AND ANOSCOPY |
| 00429 T LEVEL V CYSTOURETHROSCOPY AND OTHER GENITOURINARY PROCEDURES |
| 00432 S HEALTH AND BEHAVIOR SERVICES |
| 00433 X LEVEL II PATHOLOGY |
| 00434 T CARDIAC DEFECT REPAIR |
| 00436 S LEVEL I DRUG ADMINISTRATION |
| 00437 S LEVEL II DRUG ADMINISTRATION |
| 00438 S LEVEL III DRUG ADMINISTRATION |
| 00439 S LEVEL IV DRUG ADMINISTRATION |
| 00440 S LEVEL V DRUG ADMINISTRATION |
| 00441 S LEVEL VI DRUG ADMINISTRATION |
| 00442 S DOSIMETRIC DRUG ADMINISTRATION |
| 00443 X OVERNIGHT PULSE OXIMETRY |
| 00604 V LEVEL 1 HOSPITAL CLINIC VISITS |
| 00605 V LEVEL 2 HOSPITAL CLINIC VISITS |
| 00606 V LEVEL 3 HOSPITAL CLINIC VISITS |
| 00607 V LEVEL 4 HOSPITAL CLINIC VISITS |
| 00608 V LEVEL 5 HOSPITAL CLINIC VISITS |
| 00609 V LEVEL 1 EMERGENCY VISITS |
| 00613 V LEVEL 2 EMERGENCY VISITS |
| 00614 V LEVEL 3 EMERGENCY VISITS |
| 00615 V LEVEL 4 EMERGENCY VISITS |
| 00616 V LEVEL 5 EMERGENCY VISITS |
| 00617 S CRITICAL CARE |
| 00618 S TRAUMA RESPONSE WITH CRITICAL CARE |
| 00621 T LEVEL I VASCULAR ACCESS PROCEDURES |
| 00622 T LEVEL II VASCULAR ACCESS PROCEDURES |
| 00623 T LEVEL III VASCULAR ACCESS PROCEDURES |
| 00624 X MINOR VASCULAR ACCESS DEVICE PROCEDURES |
| 00625 T LEVEL IV VASCULAR ACCESS PROCEDURES |
| 00648 T LEVEL IV BREAST SURGERY |
| 00651 S COMPLEX INTERSTITIAL RADIATION SOURCE APPLICATION |
| 00652 T INSERTION OF INTRAPERITONEAL AND PLEURAL CATHETERS |
| 00653 T VASCULAR RECONSTRUCTION/FISTULA REPAIR WITH DEVICE |
| 00654 T INSERTION/REPLACEMENT OF A PERMANENT DUAL CHAMBER PACEMAKER |
| 00655 T INSERTION/REPLACEMENT/CONVERSION OF A PERMANENT DUAL CHAMBER PACEMAKER |
| 00656 T TRANSCATHETER PLACEMENT OF INTRACORONARY DRUG-ELUTING STENTS |
| 00657 S PLACEMENT OF TISSUE CLIPS |
| 00658 T PERCUTANEOUS BREAST BIOPSIES |
| 00659 S HYPERBARIC OXYGEN |
| 00660 X LEVEL II OTORHINOLARYNGOLOGIC FUNCTION TESTS |
| 00661 X LEVEL V PATHOLOGY |
| 00662 S CT ANGIOGRAPHY |
| 00663 S LEVEL I ELECTRONIC ANALYSIS OF NEUROSTIMULATOR PULSE GENERATORS |
| 00664 S LEVEL I PROTON BEAM RADIATION THERAPY |
| 00665 S BONE DENSITY:APPENDICULARSKELETON |
| 00667 S LEVEL II PROTON BEAM RADIATION THERAPY |
| 00668 S LEVEL I ANGIOGRAPHY AND VENOGRAPHY |
| 00670 S LEVEL II INTRAVASCULAR AND INTRACARDIAC ULTRASOUND AND FLOW RESERVE |
| 00672 T LEVEL IV POSTERIOR SEGMENT EYE PROCEDURES |
| 00673 T LEVEL IV ANTERIOR SEGMENT EYE PROCEDURES |
| 00674 T PROSTATE CRYOABLATION |
| 00675 T PROSTATIC THERMOTHERAPY |
| 00676 T THROMBOLYSIS AND THROMBECTOMY |
| 00678 T EXTERNAL COUNTERPULSATION |
| 00679 S LEVEL II RESUSCITATION AND CARDIOVERSION |
| 00680 S INSERTION OF PATIENT ACTIVATED EVENT RECORDERS |
| 00681 T KNEE ARTHROPLASTY |
| 00682 T LEVEL V DEBRIDEMENT & DESTRUCTION |
| 00683 S LEVEL II PHOTOCHEMOTHERAPY |
| 00685 T LEVEL III NEEDLE BIOPSY/ASPIRATION EXCEPT BONE MARROW |
| 00686 T LEVEL III SKIN REPAIR |
| 00687 T REVISION/REMOVAL OF NEUROSTIMULATOR ELECTRODES |
| 00688 T REVISION/REMOVAL OF NEUROSTIMULATOR PULSE GENERATOR RECEIVER |
| 00689 S ELECTRONIC ANALYSIS OF CARDIOVERTER-DEFIBRILLATORS |
| 00690 S ELECTRONIC ANALYSIS OF PACEMAKERS AND OTHER CARDIAC DEVICES |
| 00691 S ELECTRONIC ANALYSIS OF PROGRAMMABLE SHUNTS/PUMPS |
| 00692 S LEVEL II ELECTRONIC ANALYSIS OF NEUROSTIMULATOR PULSE GENERATORS |
| 00693 T BREAST RECONSTRUCTION |
| 00694 T MOHS SURGERY |
| 00695 T LEVEL VII DEBRIDEMENT & DESTRUCTION |
| 00697 S LEVEL I ECHOCARDIOGRAM EXCEPT TRANSESOPHAGEAL |
| 00698 S LEVEL II EYE TESTS & TREATMENTS |
| 00699 T LEVEL IV EYE TESTS & TREATMENTS |
| 00700 T ANTEPARTUM MANIPULATION |
| 00701 H SR89 STRONTIUM |
| 00702 H SM 153 LEXIDRONM |
| 00704 H IN111 SATUMOMAB |
| 00705 H TC99M TETROFOSMIN |
| 00722 H TC99M PENTETATE |
| 00723 H CO57/58 |
| 00724 H CO57 CYANO |
| 00726 K DEXRAZOXANE HCL INJECTION |
| 00728 K FILGRASTIM 300 MCG INJECTION |
| 00730 K PAMIDRONATE DISODIUM /30 MG |
| 00731 K SARGRAMOSTIM INJECTION |
| 00732 K MESNA INJECTION |
| 00735 K AMPHO B CHOLESTERYL SULFATE |
| 00736 K AMPHOTERICIN B LIPOSOME INJ |
| 00737 H NITROGEN N-13 AMMONIA |
| 00738 K RASBURICASE |
| 00739 H TC99M DEPREOTIDE |
| 00740 H TC99M GLUCEPTATE |
| 00741 H CR51 CHROMATE |
| 00742 H TC99M LABELED RBC |
| 00743 H TC99M MERTIATIDE |
| 00744 K PLAGUE VACCINE, IM |
| 00746 K DACARBAZINE 100 MG INJ |
| 00747 K CHLOROTHIAZIDE SODIUM INJ |
| 00748 K BLEOMYCIN SULFATE INJECTION |
| 00750 K DOLASETRON MESYLATE |
| 00751 K MECHLORETHAMINE HCL INJ |
| 00752 K DACTINOMYCIN ACTINOMYCIN D |
| 00753 K SPECTINOMYCN DI-HCL INJ |
| 00759 K NALTREXONE, DEPOT FORM |
| 00760 G ANADULAFUNGIN INJECTION |
| 00763 K DOLASETRON MESYLATE ORAL |
| 00764 K GRANISETRON HCL INJECTION |
| 00765 K GRANISETRON HCL 1 MG ORAL |
| 00766 K APOMORPHINE HYDROCHLORIDE |
| 00767 K ENFUVIRTIDE INJECTION |
| 00768 K ONDANSETRON HCL INJECTION |
| 00769 K ONDANSETRON HCL 8MG ORAL |
| 00800 K LEUPROLIDE ACETATE /3.75 MG |
| 00802 K ETOPOSIDE ORAL 50 MG |
| 00804 K IMMUNE GLOBULIN SUBCUTANEOUS |
| 00805 K MECASERMIN INJECTION |
| 00806 G HYALURONIDASE RECOMBINANT |
| 00807 K ALDESLEUKIN/SINGLE USE VIAL |
| 00808 K NABILONE ORAL |
| 00809 K BCG LIVE INTRAVESICAL VAC |
| 00810 K GOSERELIN ACETATE IMPLANT |
| 00811 K CARBOPLATIN INJECTION |
| 00812 K CARMUS BISCHL NITRO INJ |
| 00814 K ASPARAGINASE INJECTION |
| 00820 K DAUNORUBICIN |
| 00821 K DAUNORUBICIN CITRATE LIPOSOM |
| 00823 K DOCETAXEL |
| 00825 K NELARABINE INJECTION |
| 00827 K FLOXURIDINE INJECTION |
| 00828 K GEMCITABINE HCL |
| 00829 H TECHNETIUM TC-99M AEROSOL |
| 00830 K IRINOTECAN INJECTION |
| 00831 K IFOSFOMIDE INJECTION |
| 00832 K IDARUBICIN HCL INJECTION |
| 00834 K INTERFERON ALFA-2A INJ |
| 00835 K INJ COSYNTROPIN PER 0.25 MG |
| 00836 K INTERFERON ALFA-2B INJ |
| 00837 K NON-HUMAN, NON-METAB TISSUE |
| 00838 K INTERFERON GAMMA 1-B INJ |
| 00840 K INJ MELPHALAN HYDROCHL 50 MG |
| 00842 K FLUDARABINE PHOSPHATE INJ |
| 00843 K PEGASPARGASE/SINGL DOSE VIAL |
| 00844 K PENTOSTATIN INJECTION |
| 00849 K RITUXIMAB CANCER TREATMENT |
| 00850 K STREPTOZOCIN INJECTION |
| 00851 K THIOTEPA INJECTION |
| 00852 K TOPOTECAN |
| 00855 K VINORELBINE TARTRATE/10 MG |
| 00856 K PORFIMER SODIUM |
| 00858 K INJ CLADRIBINE PER 1 MG |
| 00860 K PLICAMYCIN (MITHRAMYCIN) INJ |
| 00861 K LEUPROLIDE ACETATE INJECTION |
| 00862 K MITOMYCIN 5 MG INJ |
| 00863 K PACLITAXEL INJECTION |
| 00864 K MITOXANTRONE HYDROCHL / 5 MG |
| 00865 K INTERFERON ALFA-N3 INJ |
| 00868 G ORAL APREPITANT |
| 00873 K HYALGAN/SUPARTZ INJ PER DOSE |
| 00874 K SYNVISC INJ PER DOSE |
| 00875 K EUFLEXXA INJ PER DOSE |
| 00876 K CAFFEINE CITRATE INJECTION |
| 00877 K ORTHOVISC INJ PER DOSE |
| 00884 K RHO D IMMUNE GLOBULIN INJ |
| 00887 K AZATHIOPRINE PARENTERAL |
| 00888 K CYCLOSPORINE ORAL 100 MG |
| 00890 K LYMPHOCYTE IMMUNE GLOBULIN |
| 00891 K TACROLIMUS ORAL PER 1 MG |
| 00892 K EDETATE CALCIUM DISODIUM INJ |
| 00895 K DEFEROXAMINE MESYLATE INJ |
| 00900 K ALGLUCERASE INJECTION |
| 00901 K ALPHA 1 PROTEINASE INHIBITOR |
| 00902 K BOTULINUM TOXIN A PER UNIT |
| 00903 K CYTOMEGALOVIRUS IMM IV /VIAL |
| 00906 K RSV-IVIG |
| 00910 K INTERFERON BETA-1B / .25 MG |
| 00911 K INJ STREPTOKINASE /250000 IU |
| 00912 K INTERFERON ALFACON-1 |
| 00913 K GANCICLOVIR LONG ACT IMPLANT |
| 00916 K INJECTION IMIGLUCERASE /UNIT |
| 00917 K ADENOSINE INJECTION |
| 00925 K FACTOR VIII |
| 00926 K FACTOR VIII (PORCINE) |
| 00927 K FACTOR VIII RECOMBINANT |
| 00928 K FACTOR IX COMPLEX |
| 00929 K ANTI-INHIBITOR |
| 00930 K ANTITHROMBIN III INJECTION |
| 00931 K FACTOR IX NON-RECOMBINANT |
| 00932 K FACTOR IX RECOMBINANT |
| 00935 K CLONIDINE HYDROCHLORIDE |
| 00949 K FROZEN PLASMA, POOLED, SD |
| 00950 K WHOLE BLOOD FOR TRANSFUSION |
| 00952 K CRYOPRECIPITATE EACH UNIT |
| 00954 K RBC LEUKOCYTES REDUCED |
| 00955 K PLASMA, FRZ BETWEEN 8-24HOUR |
| 00956 K PLASMA PROTEIN FRACT,5%,50ML |
| 00957 K PLATELETS, EACH UNIT |
| 00958 K PLATELET RICH PLASMA UNIT |
| 00959 K RED BLOOD CELLS UNIT |
| 00960 K WASHED RED BLOOD CELLS UNIT |
| 00961 K ALBUMIN (HUMAN),5%, 50ML |
| 00963 K ALBUMIN (HUMAN), 5%, 250 ML |
| 00964 K ALBUMIN (HUMAN), 25%, 20 ML |
| 00965 K ALBUMIN (HUMAN), 25%, 50ML |
| 00966 K PLASMAPROTEIN FRACT,5%,250ML |
| 00967 K BLOOD SPLIT UNIT |
| 00968 K PLATELETS LEUKOREDUCED IRRAD |
| 00969 K RBC LEUKOREDUCED IRRADIATED |
| 01009 K CRYOPRECIPITATEREDUCEDPLASMA |
| 01010 K BLOOD, L/R, CMV-NEG |
| 01011 K PLATELETS, HLA-M, L/R, UNIT |
| 01013 K PLATELETS LEUKOCYTES REDUCED |
| 01016 K BLOOD, L/R, FROZ/DEGLY/WASH |
| 01017 K PLT, APH/PHER, L/R, CMV-NEG |
| 01018 K BLOOD, L/R, IRRADIATED |
| 01019 K PLATE PHERES LEUKOREDU IRRAD |
| 01020 K PLT, PHER, L/R CMV-NEG, IRR |
| 01021 K RBC, FRZ/DEG/WSH, L/R, IRRAD |
| 01022 K RBC, L/R, CMV-NEG, IRRAD |
| 01032 H AUD OSSEO DEV, INT/EXT COMP |
| 01045 H I131 IODOBENGUATE, DX |
| 01052 K INJECTION, VORICONAZOLE |
| 01064 H I131 IODIDE CAP, RX |
| 01083 K ADALIMUMAB INJECTION |
| 01084 K DENILEUKIN DIFTITOX, 300 MCG |
| 01086 K TEMOZOLOMIDE |
| 01088 H IODINE I-131 IODIDE CAP, DX |
| 01096 H TC99M EXAMETAZIME |
| 01150 H I131 IODIDE SOL, RX |
| 01166 K CYTARABINE LIPOSOME |
| 01167 K INJ, EPIRUBICIN HCL, 2 MG |
| 01178 K BUSULFAN INJECTION |
| 01203 K VERTEPORFIN INJECTION |
| 01207 K OCTREOTIDE INJECTION, DEPOT |
| 01280 K CORTICOTROPIN INJECTION |
| 01330 K ERGONOVINE MALEATE INJECTION |
| 01436 K ETIDRONATE DISODIUM INJ |
| 01491 S NEW TECHNOLOGY - LEVEL IA ($0-$10) |
| 01492 S NEW TECHNOLOGY - LEVEL IB ($10-$20) |
| 01493 S NEW TECHNOLOGY - LEVEL IC ($20-$30) |
| 01494 S NEW TECHNOLOGY - LEVEL ID ($30-$40) |
| 01495 S NEW TECHNOLOGY - LEVEL IE ($40-$50) |
| 01496 T NEW TECHNOLOGY - LEVEL IA ($0-$10) |
| 01497 T NEW TECHNOLOGY - LEVEL IB($10-$20) |
| 01498 T NEW TECHNOLOGY - LEVEL IC ($20-$30) |
| 01499 T NEW TECHNOLOGY - LEVEL ID($30-$40) |
| 01500 T NEW TECHNOLOGY - LEVEL IE ($40-$50) |
| 01502 S NEW TECHNOLOGY - LEVEL II ($50 - $100) |
| 01503 S NEW TECHNOLOGY - LEVEL III ($100 - $200) |
| 01504 S NEW TECHNOLOGY - LEVEL IV ($200 - $300) |
| 01505 S NEW TECHNOLOGY - LEVEL V ($300 - $400) |
| 01506 S NEW TECHNOLOGY - LEVEL VI ($400 - $500) |
| 01507 S NEW TECHNOLOGY - LEVEL VII ($500 - $600) |
| 01508 S NEW TECHNOLOGY - LEVEL VIII ($600 - $700) |
| 01509 S NEW TECHNOLOGY - LEVEL IX ($700 - $800) |
| 01510 S NEW TECHNOLOGY - LEVEL X ($800 - $900) |
| 01511 S NEW TECHNOLOGY - LEVEL XI ($900 - $1000) |
| 01512 S NEW TECHNOLOGY - LEVEL XII ($1000 - $1100) |
| 01513 S NEW TECHNOLOGY - LEVEL XIII ($1100 - $1200) |
| 01514 S NEW TECHNOLOGY - LEVEL XIV ($1200- $1300) |
| 01515 S NEW TECHNOLOGY - LEVEL XV ($1300 - $1400) |
| 01516 S NEW TECHNOLOGY - LEVEL XVI ($1400 - $1500) |
| 01517 S NEW TECHNOLOGY - LEVEL XVII ($1500-$1600) |
| 01518 S NEW TECHNOLOGY - LEVEL XVIII ($1600-$1700) |
| 01519 S NEW TECHNOLOGY - LEVEL IXX ($1700-$1800) |
| 01520 S NEW TECHNOLOGY - LEVEL XX ($1800-$1900) |
| 01521 S NEW TECHNOLOGY - LEVEL XXI ($1900-$2000) |
| 01522 S NEW TECHNOLOGY - LEVEL XXII ($2000-$2500) |
| 01523 S NEW TECHNOLOGY - LEVEL XXIII ($2500-$3000) |
| 01524 S NEW TECHNOLOGY - LEVEL XXIV ($3000-$3500) |
| 01525 S NEW TECHNOLOGY - LEVEL XXV ($3500-$4000) |
| 01526 S NEW TECHNOLOGY - LEVEL XXVI ($4000-$4500) |
| 01527 S NEW TECHNOLOGY - LEVEL XXVII ($4500-$5000) |
| 01528 S NEW TECHNOLOGY - LEVEL XXVIII ($5000-$5500) |
| 01529 S NEW TECHNOLOGY - LEVEL XXIX ($5500-$6000) |
| 01530 S NEW TECHNOLOGY - LEVEL XXX ($6000-$6500) |