Modifiers - AAPC

Table of Contents

Introduction yy Features, Symbols, and Conventions 3

Instructions for Using This Manual4 Anatomical Illustrations5

? Surgery/Eye and Ocular Adnexa 939 ? Surgery/Auditory System 963 ? Surgery/Operating Microscope 971 yy Radiology Procedures 973 yy Pathology and Laboratory Procedures 1021

New/Revised/Deleted Codes Advice for 202041

CPT? Modifiers, Definitions, and Tips97

yy Medicine Services and Procedures1135 yy Category II Codes 1223 yy Category III Codes 1243

HCPCS Modifiers, Definitions, and Tips109

yy Multianalyte Assays 1269 yy Proprietary Laboratory Analyses 1271

Index 177 Appendices

Code Chapters441 yy Evaluation and Management Services 441 yy Anesthesia 471 yy Surgery ? Surgery/General 491

yy Appendix A: New, Revised, and Deleted Codes for 2020 1283

yy Appendix B: Crosswalks for Deleted Codes 1285

yy Appendix C: Inpatient-Only Procedure Codes 1287

? Surgery/Integumentary System 493 ? Surgery/Musculoskeletal System 533 ? Surgery/Respiratory System 671 ? Surgery/Cardiovascular System 695 ? Surgery/Hemic and Lymphatic

Systems 757 ? Surgery/Mediastinum and Diaphragm 763 ? Surgery/Digestive System 765 ? Surgery/Urinary System 829 ? Surgery/Male Genital System 855 ? Surgery/Reproductive System 867 ? Surgery/Intersex Surgery 869 ? Surgery/Female Genital System 871 ? Surgery/Maternity Care and Delivery 889

yy Appendix D: Category II Modifiers 1293

yy Appendix E: HCPCS Level II Modifiers 1295

yy Appendix F: Resequenced CPT? Codes 1303

yy Appendix G: Vascular Families for Interventional Radiology Coding 1305

yy Appendix H: Modifier 51 Exempt, Modifier 63 Exempt, and Add-On Codes1311

yy Appendix I: Brand-Name and Generic Vaccinations Associated With CPT? Codes 1313

yy Appendix J: Place of Service/Type of Service 1315

yy Appendix K: Drug Class List 1319

yy Appendix L: APC Status Indicators 1337

? Surgery/Endocrine System 895 yy Appendix M: ASC Payment Indicators 1339

? Surgery/Nervous System 899

Anatomical Illustrations

Title: Skin layers.png, Author: Madhero88, Source: Own work, License/Permission: This file is licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license., URL link:

17

Anatomical Illustrations

Anatomical Illustrations 18

Anatomical Illustrations

A (Vitamin A) -- Abdomen or Abdominal, X-ray

Index

A

A (Vitamin A) 84590

A-II (Angiotensin II) 82163

Ab Externo Trabeculectomy (AET) 65850

Abbe-Estlander Reconstruction Procedure

Lip Excision 40527 Plastic Repair With Sectioning and

Inserting Pedicle 40761

Abdomen or Abdominal Abscess Incision and Drainage Peritoneal 49020 Retroperitoneal 49060 Subphrenic 49040 Anesthesia, See Anesthesia, Abdomen Angiography CT With Contrast Material 74174, 74175, 75635 Magnetic Resonance (MRA) 74185 Aorta Angiography 75635 Aortography 75625, 75630 Thromboendarterectomy 35331 Aortic Aneurysm Endovascular 34701-34708 Device Placement 34808 Open Repair 34832, 34841-34848, 35081-35103 Prosthesis or Graft 34813, 34820, 34709-34711 Exposure 34812 Infrarenal Repair 34830, 34831, 34832 Open Exposure 34833, 34834 Screening Ultrasound 76706 Biopsy During Exploratory Laparotomy 49000 Blood Vessel Repair Direct 35221 With Graft 35281 With Vein Graft 35251 Bypass Graft Removal (Infected) 35907 Catheter (Tunneled) Removal 49422 Celiotomy, See Laparotomy Cesarean Section Delivery Delivery Only 59514, 59620 Delivery With Postpartum Care 59515, 59622 Routine Obstetric Care 59510, 59618 With Hysterectomy 59525 With Tubal Ligation 58611 CT Scan With Contrast 74160, 74174, 74175, 74177, 75635 Without Contrast 74150, 74170, 74176, 74178 Drainage Paracentesis With Imaging Guidance 49083 Without Imaging Guidance 49082

Peripancreatic 48000 Skin and Subcutaneous Tissue 10060,

10061 Ectopic Pregnancy, Surgical Treatment

59130 Excision/Destruction

Cyst 5 cm Diameter or Less 49203 5.1-10.0 cm Diameter 49204 Greater Than 10.0 cm Diameter 49205

Endometrioma 49203, 49204, 49205 Tumor

Intraabdominal 5 cm or Less 49203 5.1-10.0 cm Diameter 49204 Greater Than 10.0 cm 49205

Radical Resection 5 cm and Greater 22905 Less Than 5 cm 22904

Subcutaneous (Abdominal Wall) 3 cm and Greater 22903 Less Than 3 cm 22902

Subfascial (Abdominal Wall) 5 cm and Greater 22901 Less Than 5 cm 22900

Exploration Post-operative Hemorrhage 35840 Preperitoneal Pelvic Packing 49013, 49014 Reopening of Recent Laparotomy 49010 Staging/Restaging 49220, 58960 With or Without Biopsy 49000

Fascia Reinforcement with Nonbiologic or Synthetic Implant 0437T

Hernia Repair Epigastric 49570, 49572 Inguinal 5 Years or Older 49505, 49507, 49520, 49521, 49525 Laparoscopic 49650, 49651 6 Months to Less Than 5 Years 49500, 49501 Less Than 6 Months of Age 49491, 49492, 49495, 49496 Omphalocele 49600, 49605, 49606, 49610, 49611 Spigelian 49590 Umbilical 5 Years or Older 49585, 49587 Less Than 5 Years 49580, 49582 Ventral or Incisional 49560, 49561, 49565, 49566 With Mesh Implantation 49568

Hysterectomy (With or Without Salpingooophorectomy)

Radical 58210 Supracervical 58180 Total (TAH) 58150

Colpourethrocystopexy 58152 Omentectomy 58956 Partial Vaginectomy 58200 With Resection of Ovarian Malignancy

58951, 58953, 58954, 58956 Incision Procedures, See Also Laparotomy

Drainage 49020, 49040, 49060, 49062

Exploration 49000, 49010 Paracentesis 49082, 49083 Peritoneal Lavage 49084 Reopening, Recent 49002 Staging/Restaging 49220 With or Without Omentectomy 58960 Injection, Air or Contrast Material 49400 Intraperitoneal Tunneled Catheter

Exit Site 49436 Insertion 49418, 49419, 49421, 49435 Removal 49422 Revision 49325 Venous Shunt Insertion 49425 Ligation 49428 Removal 49429 Revision 49426 Laparoscopy Surgical 49321, 49322, 49323, 49324,

49325, 49326, 49327 Unlisted Procedure 49329 Without Treatment 49320 Laparotomy, See Also Exploratory

Laparotomy, Abdomen Reopening, Recent 49002 Staging 49220, 58960 Ligation, Artery 37617 Lymphadenectomy (Removal) 49220 Lymphangiogram/Lymphangiography

75805, 75807 Injection 38790 Magnetic Resonance Imaging (MRI) With Contrast Material 74182 Without Contrast Material 74181

Followed With Contrast Material 74183 Needle Biopsy (Percutaneous) 49180 Nonbiologic or Synthetic Implant 0437T Panniculectomy, Infraumbilical 15830 Paracentesis

With Imaging Guidance 49083 Without Imaging Guidance 49082 Pelvic Exenteration (Radical Resection)

51597 Peritoneal Venous Shunt Revision 49426 Radiation Therapy Guidance Device

Placement 49411, 49412 Radiography/Imaging

CT 74150-74178 MRI 74181, 74182, 74183, 74185 Peritoneogram 74190 Ultrasound 76700, 76705 X-ray 74018-74022 Removal, Mesh/Prosthetic Material 11008 Suture, Secondary 49900 Ultrasound Complete 76700 Limited 76705 Unlisted Procedure 49999 Wall Debridement for Infection 11005,

11006 Wound (Penetrating) Exploration 20102 X-ray, Radiologic Exam 74018-74022

INDEX

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177

Esophagorrhaphy (Suture) -- Established Patient, Emergency Department Services

INDEX Esophagorrhaphy (Suture)

Esophagorrhaphy (Suture) 43405, 43410, 43415

Esophagoscopy Transnasal Diagnostic Specimen Collection 43197 With Biopsy 43198 Transoral Ablation Lesion/Polyp/Tumor 43229 Band Ligation Varices 43205 Biopsy Needle 43232 Single/Multiple 43193, 43198, 43202 Diagnostic 43191, 43200 Dilation Balloon 43195, 43214, 43220, 43233 With Ablation, Polyps/Tumors/Other Lesions 43229 With Guidewire Insertion 43196, 43226 With Stent Placement 43212 Injection Directed, Submucosal 43192, 43201 Sclerosis, Esophageal Varices 43204 Insertion Guidewire 43196, 43212, 43226, 43229 Removal Foreign Body 43194, 43215 Polyp/Tumor/Other Lesions 43216, 43217, 43229 Specimen Collection 43191, 43200 Stent 43212 Ultrasound Endoscopic Examination 43231 Guided Needle Aspiration/Biopsy 43232 With Band Ligation 43205 With Control of Bleeding 43277 With Cricopharyngeal Myotomy 43180 With Diverticulectomy 43180 With Mucosal Resection 43211 With Optical Endomicroscopy 43206

Esophagostomy Closure Cervical Approach 43420 Transabdominal Approach 43425 External Fistulization Cervical Approach 43352 Thoracic Approach 43351 With Esophagectomy, Total or Partial 43124

Esophagotomy, With Removal of Foreign Body 43020, 43045

Esophagotracheal Fistula, Repair Cervical Approach 43305 Thoracic Approach 43312 Congenital Defect 43314

Esophagus Ablation, Lesion/Polyp/Tumor 43229 Acid Perfusion (Bernstein) Test 91030 Acid Reflux Tests With Mucosal Attached Telemetry pH Electrode Analysis 91035 With Nasal Catheter Intraluminal Impedance Electrode Analysis 91037, 91038 pH Electrode Analysis 91034 Biopsy Endoscopic, Single or Multiple 43198, 43202 Needle 43232

Established Patient, Emergency Department Services

Forceps, For GERD 3150F Cricopharyngeal Myotomy 43030, 43180 Diagnostic 43200 Dilation 43450, 43453

Endoscopic Balloon 43195, 43214, 43220, 43233 With Ablation, Polyps/Tumors/Other Lesions 43229 With EGD 43248, 43249 With Guidewire Insertion 43196, 43226 With Stent Placement 43212

Surgical, With Permanent Insertion, Transluminal Tube 43510

Endoscopy, See Endoscopy, Esophagus; Esophagoscopy

Esophagoscopy, See Esophagoscopy Excision

Diverticula Cervical Approach 43130 Thoracic Approach 43135

Partial 43116, 43117, 43118, 43121, 43124

Total 43107, 43108, 43112, 43113, 43124 Imaging Studies 91110, 91111

Motility 78258 Obstructions/Strictures 74360 Radiologic Examination 74210, 74220,

74221 Reflux 78262 Removal of Foreign Body, via Balloon

Catheter 74235 Swallowing Function Cineradiography/

Videoradiography 74230 Incision

Muscle, Cricopharyngeal 43030 With Removal of Foreign Body 43020,

43045 Injection

Sclerosis Agent 43204 Submucosal 43192, 43201 Insertion Intraluminal Tube 43510 Stent Placement 43212 Tamponade, Sengstaken Type 43460 Lengthening Procedure (Collis or Wedge

Gastroplasty) 43338 Laparoscopic 43283 Lesion, Excision Cervical Approach 43100 Thoracic or Abdominal Approach 43101 Ligation or Stapling 43405 Motility Study 78258, 91010 With Perfusion or Stimulation 91013 Nuclear Medicine Imaging (Motility) 78258 Reflux Study 78262 Provocation Study, Balloon Distension

91040 Radiology Examination 74220, 74221 Reconstruction 43300, 43310, 43313

Esophagostomy (Stoma) Cervical 43352 Thoracic 43351

Gastrointestinal 43360, 43361 Removal

Foreign Body Cervical 43020 Esophageal, With Balloon Catheter 74235

Thoracic 43045 Transoral 43194, 43215 Polyp/Tumors/Other Lesions Hot Biopsy Forceps 43216 Snare Technique 43217 Repair Esophagogastric Fundoplasty Laparoscopic (Nissen, Toupet

Procedures) 43280 Partial or Complete 43327, 43328 With Fundic Patch 43325 Esophagogastrostomy, Transabdominal or

Transthoracic 43320 Esophagojejunostomy

Abdominal Approach 43340 Thoracic Approach 43341 Esophagomyotomy (Heller Type), With

Fundoplasty 43279 Esophagoplasty

Cervical Approach 43300, 43305 Thoracic Approach 43310, 43312 Fistula 43305, 43312, 43314, 43420,

43425 Muscle (Heller Type Esophagomyotomy)

Abdominal Approach 43330 Thoracic Approach 43331 With Surgical Thoracoscopy 32665 Paraesophageal Hernia Laparoscopic 43281, 43282 Through Laparotomy 43332, 43333 Through Thoracoabdominal Incision

43336, 43337 Through Thoracotomy 43334, 43335 Pre-existing Perforation, Ligation or

Stapling 43405 Wound/Injury Suture 43410, 43415 Specimen of Collection 43191, 43197,

43200 Sphincter

Placement, Augmentation Device 43284 Removal, Augmentation Device 43285 Suture 43405 Wound/Injury

Cervical Approach 43410 Transthoracic Approach 43415 Ultrasound Examination 43231 With Needle Aspiration/Biopsy 43232 Unlisted Esophagus Procedure 43499 Laparoscopic 43289 Vein, Band Ligation 43205 With Control of Bleeding 43227 With Mucosal Resection 43211

Esophagus Neoplasm Ablation 43229

Esophagus, Varix, See Esophageal Varices

Established Patient

Counseling, See Counseling Critical Care

Each Additional 30 Minutes 99292 First 30-74 Minutes 99291 Domiciliary or Rest Home Visit 99334,

99335, 99336, 99337 Complex and Multidisciplinary Care

99339, 99340 Emergency Department Services 99281,

99282, 99283, 99284, 99285

INDEX

248

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00100 - 00162

Anesthesia

Anesthesia for Procedures on the Head

(00100-00222)

00100 Anesthesia for procedures on salivary glands, including biopsy

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QJ, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8, JUL 2012; Vol 22: Issue 7, JUL 2011; Vol 21: Issue 7, OCT 2011; Vol 21: Issue 10, NOV 2007; Vol 17: Issue 11, FEB 2006; Vol 16: Issue 2, MAR 2006; Vol 16: Issue 3, NOV 2002; Vol 12: Issue 11

00102 Anesthesia for procedures involving plastic repair of cleft lip

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00103 Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 52, 53, 59, 76, 77, 99, AA, AD, CR, E1, E2, E3, E4, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00104 Anesthesia for electroconvulsive therapy

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, H9, HK, HW, KX, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00120 Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00124

Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy G Code Crosswalk G0268

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QJ, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00126 Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QJ, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU

CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00140 00142 00144 00145 00147 00148 00160 00162

Anesthesia for procedures on eye; not otherwise specified FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, 99, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QJ, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on eye; lens surgery FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on eye; corneal transplant FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on eye; vitreoretinal surgery FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on eye; iridectomy FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on eye; ophthalmoscopy FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on nose and accessory sinuses; not otherwise specified FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for procedures on nose and accessory sinuses; radical surgery FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

APC APC Value ASC PI ASC Payment Indicator APC SI APC Status Indicator ASC Sep. Pay ASC Separate Payment CPT Asst CPT? Assistant Article Reference HCPCS CODE DOSAGE Dosage Amount for Drug PAYMENT LIMIT Maximum Reimbursement Amount 2019 PAYMENT WITH CAP Lab Payment for CY 2019 Including Phase-in Reduction Cap WEIGHTED MEDIAN From Market-based Payment Rates by Volume

CPT? is a registered trademark of the American Medical Association. All rights reserved.

471

Anesthesia

00470 - 00540

Anesthesia

00470 - 00540

00470 00472 00474

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for partial rib resection; not otherwise specified FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for partial rib resection; thoracoplasty (any type) FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum) FRVU 0.00 NFRVU 0.00 GLOBAL XXX MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, LT, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, RT, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8, NOV 2007; Vol 17: Issue 11

Anesthesia for Intrathoracic Procedures (00500-00580)

00500 Anesthesia for all procedures on esophagus

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8, NOV 2007; Vol 17: Issue 11, MAR 2006; Vol 16: Issue 3

00520

Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00522

Anesthesia for closed chest procedures; needle biopsy of pleura

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00524

Anesthesia for closed chest procedures; pneumocentesis

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

00528 00529 00530 00532 00534 00537 00539 00540

Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8, JUN 2004; Vol 14: Issue 6

Anesthesia for permanent transvenous pacemaker insertion FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for access to central venous circulation FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator G Code Crosswalk G0448

FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for tracheobronchial reconstruction FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified FRVU 0.00 NFRVU 0.00 GLOBAL XXX

MOD 22, 23, 52, 53, 59, 76, 77, AA, AD, CR, ET, G8, G9, GA, GC, GJ, GR, KX, P1, P2, P3, P4, P5, P6, Q5, Q6, QK, QS, QX, QY, QZ, XE, XP, XS, XU CPT? Asst: DEC 2017; Vol 27: Issue 12, AUG 2014; Vol 24: Issue 8

Anesthesia

New Code Revised Code Add-On Code # Resequenced Code FDA Approval Pending Modifier 51 Exempt Modifier 63 Exempt Female-only Procedure Male-only Procedure Maternity Merit-based Incentive Payment System Code Telemedicine Code FRVU Facility Total RVU NFRVU Non-facility Total RVU GLOBAL Global Days MUE Medically Unlikely Edit MOD Modifier Crosswalk

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