| Index |
| 00625 Anesthesia for procedures on the thoracic spine
and cord, via an anterior transthoracic approach; not utilizing one lung
ventilation
00626 Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ventilation 0162T Electronic analysis and programming, reprogramming of gastric neurostimulator (ie, morbid obesity) 0163T Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, each additional interspace 0164T Removal of total disc arthroplasty, anterior approach, lumbar, each additional interspace 0165T Revision of total disc arthroplasty, anterior approach, lumbar, each additional interspace 0166T Transmyocardial transcatheter closure of ventricular septal defect, with implant; without cardiopulmonary bypass 0167T Transmyocardial transcatheter closure of ventricular septal defect, with implant; with cardiopulmonary bypass 0168T Rhinophototherapy, intranasal application of ultraviolet and visible light, bilateral 0169T Stereotactic placement of infusion catheter(s) in the brain for delivery of therapeutic agent(s), including computerized stereotactic planning and burr hole(s) 0170T Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS]) 0171T Insertion of posterior spinous process distraction device (including necessary removal of bone or ligament for insertion and imaging guidance), lumbar; single level 0172T Insertion of posterior spinous process distraction device (including necessary removal of bone or ligament for insertion and imaging guidance), lumbar; each additional level (List separately in addition to code for primary procedure) 0173T Monitoring of intraocular pressure during vitrectomy surgery (List separately in addition to code for primary procedure) 0174T Computer aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of film radiographic images, chest radiograph(s), performed concurrent with primary interpretation (List separately in addition to code for primary procedure) 0175T Computer aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report, with or without digitization of film radiographic images, chest radiograph(s), performed remote from primary interpretation 0176T Transluminal dilation of aqueous outflow canal; without retention of device or stent 0177T Transluminal dilation of aqueous outflow canal; with retention of device or stent 1050F History obtained regarding new or changing moles (ML) 1055F Visual functional status assessed (EC) 15002 Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children 15003 Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure) 15004 Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children 15005 Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure) 15731 Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) 15830 Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy 15847 Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure) 17311 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks 17312 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure) 17313 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks 17314 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure) 17315 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure) 19105 Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma 19300 Mastectomy for gynecomastia 19301 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); 19302 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy 19303 Mastectomy, simple, complete 19304 Mastectomy, subcutaneous 19305 Mastectomy, radical, including pectoral muscles, axillary lymph nodes 19306 Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) 19307 Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle 2019F Dilated macular exam performed, including documentation of the presence or absence of macular thickening or hemorrhage AND the level of macular degeneration severity (EC) 2020F Dilated fundus evaluation performed within six months prior to cataract surgery (EC) 2021F Dilated macular or fundus exam performed, including documentation of the presence or absence of mcular edema AND level of severity of retinopathy (EC) 2027F Optic nerve head evaluation performed (EC) 2029F Complete physical skin exam performed (ML) 22526 Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level 22527 Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; one or more additional levels (List separately in addition to code for primary procedure) 22857 Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single interspace 22862 Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace 22865 Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace 25109 Excision of tendon, forearm and/or wrist, flexor or extensor, each 25606 Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation 25607 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation 25608 Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments 25609 Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments 27325 Neurectomy, hamstring muscle 27326 Neurectomy, popliteal (gastrocnemius) 28055 Neurectomy, intrinsic musculature of foot 3044F Most recent hemoglobin Alc level <7.0% (DM) 3045F Most recent hemoglobin A1c level 7.0-9.0% (DM) 3073F Pre-surgical (cataract) axial length, corneal power measurement and method of intraocular lens power calculation documented within six months prior to surgery (EC) 3074F Most recent systolic blood pressure <130 mm Hg (DM), (HTN) 3075F Most recent systolic blood pressure 130-139mm Hg (DM), (HTN) 3095F Central Dual-energy X-Ray Absorptionmetry (DXA) results documented (OP) 3096F Central Dual-energy X-Ray Absorptionmetry (DXA) ordered (OP) 32998 Ablation therapy for reduction or eradication of one or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, radiofrequency, unilateral 33202 Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) 33203 Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) 33254 Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) 33255 Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass 33256 Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass 33265 Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass 33266 Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass 33675 Closure of multiple ventricular septal defects; 33676 Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) 33677 Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset 33724 Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) 33726 Repair of pulmonary venous stenosis 35302 Thromboendarterectomy, including patch graft, if performed; superficial femoral artery 35303 Thromboendarterectomy, including patch graft, if performed; popliteal artery 35304 Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery 35305 Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel 35306 Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) 35537 Bypass graft, with vein; aortoiliac 35538 Bypass graft, with vein; aortobi-iliac 35539 Bypass graft, with vein; aortofemoral 35540 Bypass graft, with vein; aortobifemoral 35637 Bypass graft, with other than vein; aortoiliac 35638 Bypass graft, with other than vein; aortobi-iliac 35883 Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, Dacron, ePTFE, bovine pericardium) 35884 Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft 37210 Uterine fibroid embolization (UFE, embolization of the uterine arteries to treat uterine fibroids, leiomyomata), percutaneous approach inclusive of vascular access, vessel selection, embolization, and all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the procedure 4005F Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed (OP) 4007F Antioxidant vitamin or mineral supplement prescribed or recommended (EC) 4019F Documentation of receipt of counseling on exercise AND either both calcium and vitamin D use or counseling regarding both calcium and vitamin D use (OP) 43647 Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum 43648 Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum 43881 Implantation or replacement of gastric neurostimulator electrodes, antrum, open 43882 Revision or removal of gastric neurostimulator electrodes, antrum, open 44157 Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed 44158 Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed 47719 Anastomosis, choledochal cyst, without excision 48105 Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis 48548 Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) 49324 Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent 49325 Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed 49326 Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) 49402 Removal of peritoneal foreign body from peritoneal cavity 49435 Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) 49436 Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter 5005F Patient counseled on self-examination for new or changing moles (ML) 5010F Findings of dilated macular or fundus exam communicated to the physician managing the diabetes care (EC) 5015F Documentation of communication that a fracture occurred and that the patient was or should be teested or treated for osteoporosis (OP) 54865 Exploration of epididymis, with or without biopsy 55875 Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy 55876 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple 56442 Hymenotomy, simple incision 57296 Revision (including removal) of prosthetic vaginal graft; open abdominal approach 57558 Dilation and curettage of cervical stump 58541 Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; 58542 Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) 58543 Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; 58544 Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) 58548 Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed 58957 Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; 58958 Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy 64910 Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve 64911 Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve 67346 Biopsy of extraocular muscle 70554 Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration 70555 Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing 72291 Radiological supervision and interpretation, percutaneous vertebroplasty or vertebral augmentation including cavity creation, per vertebral body; under fluoroscopic guidance 72292 Radiological supervision and interpretation, percutaneous vertebroplasty or vertebral augmentation including cavity creation, per vertebral body; under CT guidance 76776 Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation 76813 Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation 76814 Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separately in addition to code for primary procedure) 76998 Ultrasonic guidance, intraoperative 77001 Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure 77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve, or sacroiliac joint), including neurolytic agent destruction 77011 Computed tomography guidance for stereotactic localization 77012 Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation 77013 Computerized tomography guidance for, and monitoring of, parenchymal tissue ablation 77014 Computed tomography guidance for placement of radiation therapy fields 77021 Magnetic resonance guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation 77022 Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation 77031 Stereotactic localization guidance for breast biopsy or needle placement (eg, for wire localization or for injection), each lesion, radiological supervision and interpretation 77032 Mammographic guidance for needle placement, breast (eg, for wire localization or for injection), each lesion, radiological supervision and interpretation 77051 Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation, with or without digitization of film radiographic images; diagnostic mammography (List separately in addition to code for primary procedure) 77052 Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation, with or without digitization of film radiographic images; screening mammography (List separately in addition to code for primary procedure) 77053 Mammary ductogram or galactogram, single duct, radiological supervision and interpretation 77054 Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation 77055 Mammography; unilateral 77056 Mammography; bilateral 77057 Screening mammography, bilateral (2-view film study of each breast) 77058 Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral 77059 Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral 77071 Manual application of stress performed by physician for joint radiography, including contralateral joint if indicated 77072 Bone age studies 77073 Bone length studies (orthoroentgenogram, scanogram) 77074 Radiologic examination, osseous survey; limited (eg, for metastases) 77075 Radiologic examination, osseous survey; complete (axial and appendicular skeleton) 77076 Radiologic examination, osseous survey, infant 77077 Joint survey, single view, 2 or more joints (specify) 77078 Computed tomography, bone mineral density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) 77079 Computed tomography, bone mineral density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) 77082 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; vertebral fracture assessment 77083 Radiographic absorptiometry (eg, photodensitometry, radiogrammetry), 1 or more sites 77084 Magnetic resonance (eg, proton) imaging, bone marrow blood supply 77371 Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cerebral lesion(s) consisting of 1 session; multi-source Cobalt 60 based 77372 Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cerebral lesion(s) consisting of 1 session; linear accelerator based 77373 Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 77435 Stereotactic body radiation therapy, treatment management, per treatment course, to one or more lesions, including image guidance, entire course not to exceed 5 fractions 82107 Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) 83698 Lipoprotein-associated phospholipase A2, (Lp-PLA2) 83913 Molecular diagnostics; RNA stabilization 86788 Antibody; West Nile virus, IgM 86789 Antibody; West Nile virus 87305 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Aspergillus 87498 Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique 87640 Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique 87641 Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique 87653 Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique 87808 Infectious agent antigen detection by immunoassay with direct optical observation; Trichomonas vaginalis 91111 Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with physician interpretation and report 92025 Computerized corneal topography, unilateral or bilateral, with interpretation and report 92640 Diagnostic analysis with programming of auditory brainstem implant, per hour 94002 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day 94003 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day 94004 Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day 94005 Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more 94610 Intrapulmonary surfactant administration by a physician through endotracheal tube 94644 Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour 94645 Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) 94774 Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; includes monitor attachment, download of data, physician review, interpretation, and preparation of a report 94775 Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and disconnection) 94776 Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analyses by computer only 94777 Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; physician review, interpretation and preparation of report only 95012 Nitric oxide expired gas determination 96020 Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or psychologist, with review of test results and report 96040 Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family 96904 Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma 99363 Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; initial 90 days of therapy (must include a minimum of 8 INR measurements) 99364 Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; each subsequent 90 days of therapy (must include a minimum of 3 INR measurements) |