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Procedure LowDescriptionPA Effective DatePA Termination DateAIM Prior Auth Required00740Anes Upper Gastrointestinal Endoscopic P11/01/201212/31/2017?00810Anes Intestinal Endoscopic Procedures11/01/201212/31/2017?00813Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum01/01/201803/31/2020?15002Surgical Preparation or Creation of Recipient Site, T/A/L; 1st 100 Sq Cm or 1% of Body Area of Infants and Children10/01/200705/31/2018?15003Surgical Preparation or Creation of Recipient Site, T/A/L; Ea Addl 100 Sq Cm or Ea Addl 1% of Body Area Infant / Child10/01/200705/31/2018?15004Surgical Preparation or Creation of Recipient Site, F/S/E/M/N/E/O/G/H/F/D; 1st 100 Sq Cm or 1% of Body Area Infant/Child10/01/200705/31/2018?15005Surg Preparation or Creation of Recipient Site, F/S/E/M/N/E/O/G/H/F/D; Ea Addl 100 Sq Cm or 1% Of Body Area Infant/Child10/01/200705/31/2018?21010Arthrotomy Temporomandibular Unil01/01/200801/31/2016?21031Exc Torus Mandibularis09/01/200301/31/2016?21032Excision Maxillary Torus Palatinus09/01/200301/31/2016?21060Meniscectomy Temporomandibular01/01/200801/31/2016?21076Impression and Custom Preparation; Surgical Obturator Prosthesis09/01/200301/31/2016?21079Impress/Prep Interim Obturator09/01/200301/31/2016?21080Impress Custom Prep Definitive Obturator09/01/200301/31/2016?21084Impress Custom Prep Speech Aid Prosth09/01/200301/31/2016?21116Inj Proc Temporomandibular Joint Arthrog09/01/200301/31/2016?21235Graft Cartilage Ear to Nose/Ear01/01/200801/31/2016?21240Arthroplasty Temporomandib Unil01/01/200801/31/2016?21242Arthroplasty Tmj Alloplastic Agent01/01/200801/31/2016?21243Arthroplasty Tmj W/Pros Jnt Replace01/01/200801/31/2016?21255Recon Zygomatic Arch/Glenoid Fossa W/Aut09/01/200301/31/2016?21270Reposition Treacher Collins Deform09/01/200301/31/2016?22100Resect Vertebra Part Cervical07/01/201211/30/2019?22101Part Resec Vertebral Spinous Process Tho07/01/201211/30/2019?22102Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar07/01/201211/30/2019?22103Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to code for primary procedure)07/01/201211/30/2019?22510Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic01/01/201510/31/2019?22511Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral01/01/201510/31/2019?22512Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cerv01/01/201510/31/2019?22513Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb01/01/201510/31/2019?22514Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb01/01/201510/31/2019?22515Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb01/01/201510/31/2019?22526Percutaneous Intradiscal Electrothermal Annuloplasty, Unilateral or Bilateral including Fluoroscopic Guidance; Sgl Level01/01/200706/30/2016?22527Percutaneous Intradiscal Electrothermal Annuloplasty, Unilateral or Bilateral; One or More Additional Levels09/01/200306/30/2016?22851Application of Intervertebral Biomechanic Device01/01/200712/31/2016?27332Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral01/01/201603/31/2019?27333Exc Semilunar Cartilage Med + Lat01/01/201203/31/2019?27446Arthroplasty, knee, condyle and plateau; medial OR lateral compartment01/01/201803/31/2018?27700Arthroplasty Ankle04/01/200702/28/2017?27702Arthroplasty,Ankle; with Implant (Total04/01/200702/28/2017?27703Arthroplasty Ankle Second Reconstr04/01/200702/28/2017?27704Removal of Ankle Implant04/01/200702/28/2017?28291Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant01/01/201702/28/2017?29850Arthroscopically aided treatment of intercondylar spine and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy)10/01/201508/31/2016?29851Arthroscopically aided treatment of intercondylar spine and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy)10/01/201508/31/2016?29855Arthroscopically aided treatment of tibial plateau fracture01/01/201208/31/2016?29856Arthscp Tx Tib Fx Bicondy W/Wo Fix01/01/201208/31/2016?29861Arthroscopy, Hip, Surgical; With Removal Of Loose Body Or Foreign Body12/01/201205/31/2016?29862Arthroscopy, Hip, Surg; W Chondroplsty, Arthroplsty, &/ Labrum Resectn12/01/201205/31/2016?29863Arthroscopy, Hip, Surgical; With Synovectomy12/01/201205/31/2016?29868Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral07/01/201003/31/2019?29870Arthroscopy,Knee,Dx,W/Wo Syn.Bx01/01/201208/31/2016?29871Arthroscopy,Knee,Surg;for Infection,Lava01/01/201208/31/2016?29873Arthroscopy, Knee, Surgical; with Lateral Release01/01/201208/31/2016?29874Arthroscopy, knee surgical for removal of loose body or foreign body01/01/201208/31/2016?29875Arthroscopy, knee surgical with synovectomy, limited01/01/201208/31/2016?29876Arthroscopy, knee surgical with synovectomy, major01/01/201208/31/2016?29877Arthroscopy, knee surgical with debridement/shaving of articular cartilage (chondroplasty)01/01/201208/31/2016?29879Arthroscopy Knee01/01/201203/31/2019?29880Arthroscopy,Knee,Surg;w/Meniscectomy-Med01/01/201208/31/2016?29881Arthroscop Knee W Partial Meniscect01/01/201208/31/2016?29882Arthroscopy,Knee,Surg;w Meniscus Repair-01/01/201208/31/2016?29883Arthroscop Knee W Tot Meniscus Rep01/01/201208/31/2016?29884Arthroscopy, knee surgical with meniscectomy (medial AND lateral) with lysis of adhesions, with or without manipulation (separate procedure)10/01/201508/31/2016?29885Arthroscop Knee W Drilling + Graft01/01/201208/31/2016?29886Arthrosc,Knee,Surg;drill-Intact Ost.Diss01/01/201208/31/2016?29887Arthroscop Knee W Drilling+int Fix01/01/201208/31/2016?29888Arthroscopically Aided Anter,Cruciate Li01/01/201208/31/2016?29889Arthroscop Knee W Post Lig Rep01/01/201208/31/2016?30460Rhinoplsty For Deform Tip Only09/01/200310/31/2019?30462Rhinoplsty For Deform Tip/Sept/Oste09/01/200310/31/2019?32664Thoracoscopy, Surgical; with Thoracic Sympathectomy09/01/200302/28/2017?33270Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of a01/01/201501/01/2015?33271Insertion of subcutaneous implantable defibrillator electrode01/01/201501/01/2015?33272Removal of subcutaneous implantable defibrillator electrode01/01/201501/01/2015?33273Repositioning of previously implanted subcutaneous implantable defibrillator electrode01/01/201501/01/2015?33282Implantation of patient-activated cardiac event recorder10/01/201412/31/2018?33362Transcatheter Aortic Valve Replacement (TAVR/TAVI) With Prosthetic Valve; Open Femoral Artery Approach01/01/201311/30/2015?33363Transcatheter Aortic Valve Replacement (TAVR/TAVI) With Prosthetic Valve; Open Axillary Artery Approach01/01/201311/30/2015?33364Transcatheter Aortic Valve Replacement (TAVR/TAVI) With Prosthetic Valve; Open Iliac Artery Approach01/01/201311/30/2015?33365Transcatheter Aortic Valve Replacement (TAVR/TAVI) With Prosthetic Valve; Transaortic Approach01/01/201311/30/2015?33366Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)01/01/201411/30/2015?33977Removal of Ventricular Assist Device; Single Ventricle Support09/01/200312/31/2016?33978Removal of Ventricular Assist Device; Biventricular Support09/01/200312/31/2016?33980Removal Of Ventricular Assist Device, Implantable Intrcorporeal, Single Ventricle09/01/200312/31/2016?33981Replacement of Extracorporeal Ventricular Assist Device, Single or Biventricular, Pump(s), Single or Each Pump01/01/201012/31/2016?33982Replacement of Ventricular Assist Device Pump(s); Implantable Intracorporeal, Single Ventricl,w/o Cardiopulmonary Bypass01/01/201012/31/2016?33983Replacement of Ventricular Assist Device Pump(s); Implantable Intracorporeal, Single Ventricle, W Cardiopulmonary Bypass01/01/201012/31/2016?33992Removal Of Percutaneous Ventricular Assist Device At Separate And Distinct Session From Insertion01/01/201312/31/2016?33993Repositioning Of Percutaneous Ventricular Assist Device With Imaging Guidance At Separate Session From Insertion01/01/201312/31/2016?34841Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrate10/01/201405/31/2017?34842Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrate10/01/201405/31/2017?34843Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrate10/01/201405/31/2017?34844Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrate10/01/201405/31/2017?34845Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption10/01/201405/31/2017?34846Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption10/01/201405/31/2017?34847Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption10/01/201405/31/2017?34848Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption10/01/201405/31/2017?36468Single or multiple injections of sclerosing solutions, spider veins (telangiectasia), limb or trunk10/01/201412/31/2017?364691+injec-Scler.Sol,Spider Veins;face10/01/201412/31/2015?36473Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated01/01/201712/31/2017?36474Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)01/01/201712/31/2017?36516Therapeutic Apheresis; with Extracorporeal Selective Adsorption or Selective Filtration and Plasma Reinfusion07/01/200603/31/2017?37188Percutaneous transluminal mechanical thrombectomy, vein(s), repeat treatment on subsequent day of thrombolytic therapy12/01/201210/31/2017?37202Transcath Infusion Any Not Thromb01/01/201312/31/2015?41120Glossectomy; less than one-half tongue02/01/201711/30/2019?41500Fixation of tongue, mechanical, other than suture (eg, K-wire)02/01/201712/31/2018?41530Submucosal Ablation of the Tongue Base, Radiofrequency, One or More Sites, Per Session05/01/201011/30/2019?42160Destruct Lesion Palate/Uvula09/01/200311/30/2019?42953Repair Pharyngoesophageal04/01/200711/30/2019?43201Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance05/01/201812/31/2018?43236Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance05/01/201812/31/2018?43327Esophagogastric Fundoplasty Partial Or Complete; Laparotomy01/01/201105/31/2018?43842Gastroplsty Vertical-Banded Obesity09/01/200312/31/2018?47136Liver Allotrnsplnt;Heterotopic,Part/Whole,Frm Cadavr/Lvg Donr, Any Age09/01/200312/31/2015?52287Cystourethroscopy, With Injection(s) For Chemodenervation Of The Bladder01/01/201312/31/2018?53860Transurethral Radiofrequency Micro-Remodeling Of The Female Bladder Neck And Proximal Urethra01/01/201312/31/2016?55706Biopsies, Prostate, Needle, Transperineal, Stereotactic Template Guided Saturation Sampling, Including Imaging Guidance11/01/201203/31/2016?55873Cryosurgical Ablation of the Prostate (Incl Ultrasonic Probe Placemnt)09/01/200305/31/2017?56620Vulvectomy simple; partial01/01/201811/30/2018?56625Vulvectomy simple; complete01/01/201811/30/2018?57295Revision (including removal) of prosthetic vaginal graft; vaginal approach01/01/201812/31/2019?57296Revision (including removal) of prosthetic vaginal graft; open abdominal approach01/01/201812/31/2019?57426Revision (including removal) of prosthetic vaginal graft, laparoscopic approach01/01/201812/31/2019?59015Chorionic Villus Sampling, Any Method01/01/201201/31/2018?61517Implantation of Brain Intracavitary ChemoTherapy Agent09/01/200304/30/2020?61650Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial vascular territory01/01/201606/30/2017?61651Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each additional vascular territory (List separately in addition to code for primary procedure)01/01/201606/30/2017?62287Asp Percutaneous Diskectomy One/Mult Lev09/01/200311/30/2019?62290Inj Proc Diskography Ea Level; Lumb09/01/200302/28/2017?62291Inject For Diskography Cervical09/01/200302/28/2017?62310Injection, single, with or w/o contrast of diag or therapeutic substance, epidural or subarachnoid; cervical or thoracic06/01/201512/31/2016?62311Injection, single, with or w/o contrast of diag or therapeutic substance, epidural or subarachnoid; lumbar, sacral06/01/201512/31/2016?62324Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance01/01/201707/31/2017?63180Laminectomy and section of dentate ligaments, with or without dural graft, cervical; 1 or 2 segments04/01/200711/30/2019?63182Laminectomy and section of dentate ligaments, with or without dural graft, cervical; more than 2 segments04/01/200711/30/2019?63185Laminectomy with rhizotomy; 1 or 2 segments04/01/200711/30/2019?63190Laminectomy with rhizotomy; more than 2 segments04/01/200711/30/2019?63191Laminectomy with section of spinal accessory nerve04/01/200711/30/2019?63194Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; cervical04/01/200711/30/2019?63195Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; thoracic04/01/200711/30/2019?63196Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; cervical04/01/200711/30/2019?63197Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; thoracic04/01/200711/30/2019?63198Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; cervical04/01/200711/30/2019?63199Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; thoracic04/01/200711/30/2019?63200Laminectomy, with release of tethered spinal cord, lumbar04/01/200911/30/2019?63270Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical04/01/200711/30/2019?63271Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic04/01/200711/30/2019?63272Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar09/01/200311/30/2019?63275Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical04/01/200711/30/2019?63276Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic04/01/200711/30/2019?63280Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical04/01/200711/30/2019?63281Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic04/01/200711/30/2019?63285Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical04/01/200711/30/2019?63286Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic04/01/200711/30/2019?63287Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar04/01/200711/30/2019?63295Osteoplastic Reconstruction Of Dorsal Spinal Elements, Following Primary Intraspinal Procedure (List Sep)09/01/200308/31/2020?63300Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical04/01/200711/30/2019?63301Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach04/01/200711/30/2019?63302Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach04/01/200711/30/2019?63304Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical04/01/200711/30/2019?63305Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach04/01/200711/30/2019?63306Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach04/01/200711/30/2019?63307Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach09/01/200311/30/2019?63308Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segment)04/01/200711/30/2019?64553Percutaneous implantation of neurostimulator electrode array; cranial nerve10/01/201601/31/2020?64612Dest Neurolytic Agent; Muscle Enervated02/01/201412/31/2018?64616Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)02/01/201412/31/2018?64617Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed02/01/201412/31/2018?64642Chemodenervation of one extremity; 1-4 muscle(s)02/01/201412/31/2018?64643Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)02/01/201412/31/2018?64644Chemodenervation of one extremity; 5 or more muscle(s)02/01/201412/31/2018?64645Chemodenervation of one extremity; each additional extremity, 5 or more muscle(s) (List separately in addition to code for primary procedure)02/01/201412/31/2018?64646Chemodenervation of trunk muscle(s); 1-5 muscle(s)02/01/201412/31/2018?64647Chemodenervation of trunk muscle(s); 6 or more muscle(s)02/01/201412/31/2018?64650Chemodenervation of eccrine glands; both axillae01/01/201412/31/2018?64653Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day01/01/200612/31/2018?67911Correction of Lid Retraction01/01/201207/31/2016?67917Repair Ectropion; Blephplsty10/01/201508/31/2016?67935Suture Recent Wound,Lid;full Thickn01/01/201308/31/2016?69714Implantation, osseointetrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy06/01/201609/30/2017?69715Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; with mastoidectomy10/01/201710/01/2017?69717Replacement (including removal of existing device), osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy10/01/201710/01/2017?69718Replacement (including removal of existing device), osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; with mastoidectomy10/01/201710/01/2017?72285Diskography Cervical Rad S&I09/01/200302/28/2017?72295Diskography Lumbar Rad S&I09/01/200302/28/2017?75665Angiography, carotid, cerebral, unilateral, radiological supervision and interpretation02/01/201612/31/2012?75685Angiography Vertebral Cervical Intracran01/01/201312/31/2012?763773D rendering w/ interpretationand reporting of CT MRI, US or other Tomographyic modality requiring postprocessing on an independent workstation01/01/201601/01/2016Yes77058Magnetic Resonance Imaging, Breast, without and/or with Contrast Material(s); Unilateral07/01/200712/31/2018Yes77059Magnetic Resonance Imaging, Breast, without and/or with Contrast Material(s); Bilateral07/01/200712/31/2018Yes77767Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel01/01/201611/30/2019?77768Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions01/01/201611/30/2019?77770Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel01/01/201611/30/2019?77771Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels01/01/201611/30/2019?77772Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels01/01/201611/30/2019?81211Brca1, Brca2 Gene Analysis; Full Sequence Analysis And Common Duplication/Deletion Variants In Brca101/01/201212/31/2018?81213Brca1, Brca2 Gene Analysis; Uncommon Duplication/Deletion Variants01/01/201203/31/2017?81214Brca1 Gene Analysis; Full Sequence Analysis And Common Duplication/Deletion Variants01/01/201212/31/2018?81220Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)01/01/201201/01/2016?81221Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) (Eg, Cystic Fibrosis) Gene Analysis; Known Familial Variants01/01/201201/01/2016?81222Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Duplication/Deletion Variants01/01/201206/01/2016?81223Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) (Eg, Cystic Fibrosis) Gene Analysis; Full Gene Sequence01/01/201201/01/2016?81224Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Intron 8 Poly-T Analysis01/01/201201/01/2016?81228Cytogenomic constitutional (genome-wide) microarray analysis; interrogation of genomic regions for copy number variants (eg, bacterial artificial chromosome [BAC] or oligo-based comparative genomic hybridization [CGH] microarray analysis)02/01/201804/30/2020?81229Cytogenomic constitutional (genome-wide) microarray analysis; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants for chromosomal abnormalities02/01/201804/30/2020?81252GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence02/01/201803/31/2018?81253GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants02/01/201803/31/2018?81254GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb [del(GJB6-D13S1830)] and 232kb [del(GJB6-D13S1854)])02/01/201803/31/2018?81280Long Qt Syndrome Gene Analyses; Full Sequence Analysis01/01/201312/31/2016?81281Long Qt Syndrome Gene Analyses; Known Familial Sequence Variant01/01/201312/31/2016?81282Long Qt Syndrome Gene Analyses; Duplication/Deletion Variants01/01/201312/31/2016?81301Microsatellite Instability Analysis Of Markers For Mismatch Repair Deficiency01/01/201207/31/2016?81425Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis02/01/201805/31/2019?81426Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)02/01/201805/31/2019?81427Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome)02/01/201805/31/2019?81508Fetal congenital abnormalities, biochemical assays of 2 proteins04/01/201606/30/2017?81509Fetal congenital abnormalities, biochemical assays of 3 proteins04/01/201606/30/2017?81510Fetal congenital abnormalities, biochemical assays of three analytes04/01/201606/30/2017?81511Fetal congenital abnormalities, biochemical assays of 4 analytes04/01/201606/30/2017?81512Fetal congenital abnormalities, biochemical assays of 4 analytes04/01/201601/31/2018?81525Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence score02/01/201806/30/2018?81535Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combination01/01/201601/31/2017?81536Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure)01/01/201601/31/2017?81538Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival01/01/201606/30/2018?81540Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype01/01/201606/30/2018?82106Alpha-fetoprotein; amniotic fluid08/01/201605/30/2017?83020Hemoglobulin frantionation and quantitation, electrophoresis04/01/201606/30/2017?83021Hemoglobin fractionation and quantitation, chromatography04/01/201606/30/2017?86001Allergen Specific Igg Quantitative or Semiquantitative, Each Allergen09/01/200310/31/2017?86003Allergen Specific IGE each Panel09/01/200306/30/2019?86005Allergen Specific IGE Multiallergen Screen09/01/200310/31/2017?86008Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each05/01/201806/30/2019?86152Cell Enumeration Using Immunologic Selection And Identification In Fluid Specimen01/01/201302/28/2017?86153Cell Enumeration Using Immunologic Selection And Identification In Fluid Specimen; Physician Interp And Report01/01/201302/28/2017?87900Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics01/01/200607/31/2017?88235tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells04/01/201612/31/2018?88240cryopreservation, freezing and storage of cells, each cell line12/01/201510/31/2017?88241Thawing and expansion of frozen cells each aliquot09/01/200306/30/2018?88245Chrom.An-Break.Syn;25cls,Ct 5,1kary09/01/200306/30/2018?88248Chrom.An-Brk.Syn;100cls,Ct.20,2kary09/01/200306/30/2018?88249Chromosome analysis for breakage syndromes score 100 cells clastogen stress09/01/200306/30/2018?88261Chrom.Analy;ct.5 Cells,1 Kary,Band09/01/200306/30/2018?88263Chrom.Anal;ct.45 Clls-Mosaic,2 Kary09/01/200306/30/2018?88267Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding04/01/201612/31/2018?88269Chromosome analysis, in situ for amniotic fluid cells, count cells from 6/12 colonies, 1 kayotype, with banding08/01/201612/31/2018?88271Molecular cytogenetics DNA probe each09/01/200306/30/2018?88272Molecular cytogenetics chromosomal in situ hybridization analyze 3-5 cells09/01/200306/30/2018?88273Molecular cypogenetics; chromosomal in situ hybridization, analyze 10-30 cells ( eg for microdeletions)08/01/201606/30/2018?88274Molecular cytogenetics interphase in situ hybridization analyze 25-99 cells09/01/200306/30/2018?88275Molecular cytogenetics interphase in situ hybridization analyze 100-300 cells09/01/200306/30/2018?88280Chromosome analysis; additional karyotypes, each study04/01/201604/30/2020?88283Chromosome Analy; Add. Specialized Bandi09/01/200306/30/2018?88285Chrom.Anal;add.Cell Counted,Ea Stdy09/01/200306/30/2018?88289Chrom.Anal;addtl High Resolutn Stdy09/01/200306/30/2018?88291Cytogenetics and molecular cytogenetics interpretation and report09/01/200306/30/2018?91111Gastrointestinal Tract Imaging, Intraluminal (Eg, Capsule Endoscopy), Esophagus with Physician Interpretation and Report01/01/200706/30/2020?91112Gastrointestinal Transit And Pressure Measurement, Stomach Through Colon, Wireless Capsule, W Interpretation And Report01/01/201310/31/2018?92597Evaluation for use of Voice Prosthetic01/01/201306/30/2017?92618Eval For Rx Non-Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face W Pt; Ea Addl 30 Min01/01/201212/31/2014?93568Injection Procedure During Cardiac Cath; For Pulmonary Angiography10/01/201412/31/2015?93784Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report09/01/200309/30/2016?93786Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only09/01/200309/30/2016?93788Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report09/01/200309/30/2016?93790Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; review with interpretation and report09/01/200309/30/2016?94669Mechanical chest wall oscillation to facilitate lung function, per session01/01/201412/31/2016?95782Polysomnography; Pt < 6 Yrs, Sleep Staging With 4 Or More Additional Parameters Of Sleep01/01/201307/31/2016?95783Polysomnography; Pt < 6 Yrs, Sleep Staging With 4 Or More Additional Parameters Of Sleep, W Cpap Or Bi-Level Ventilation01/01/201307/31/2016?95951Monit/Lateraliz Seiz EEG & Video 2407/01/200611/30/2017?95970Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple or complex brain, spinal cord, or peripheral (ie, cranial nerve, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/transmitter, without reprogramming10/01/201603/31/2018?95974Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, with or without nerve interface testing, first hour10/01/201606/30/2018?95975Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, each additional 30 minutes after first hour (List separately in addition to code for primary procedure)10/01/201606/30/2018?95976Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional01/01/201912/31/2019?95977Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with complex cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional01/01/201912/31/2019?95978Electronic Analysis Implanted Neurostimulator Pulse Generator System, Complex Deep Brain System, W Programming; First Hr07/01/201012/31/2018?95979Electronic Analysis Implanted Neurostim Pulse Generator System, Complex Deep Brain System, W Programming; Ea Addl 30 Min07/01/201012/31/2018?95983Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, first 15 minutes face-to-face time with physician or other qualified health care professional01/01/201912/31/2019?95984Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)01/01/201912/31/2019?96040Medical Genetics and Genetic Counseling Services, Each 30 Minutes Face-To-Face with Patient/Family01/01/200712/31/2015?96118Neuropsychological testing, per hr psychologist/physician time, patient time and interpretation/report time01/01/200612/31/2018?96119Neuropsych testing, qualified health care professional interp&report,admin by technician, per hr tech time, face-to-face01/01/200612/31/2018?96120Neuropsychological testing, administered by a computer, w qualified health care professional interpretation and report01/01/200608/31/2015?97607Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management colle01/01/201512/31/2018?97608Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management colle01/01/201512/31/2018?0002UOncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring acquisition, algorithm reported as likelihood of adenomatous polyps07/01/201709/30/2017?0008MOncology (breast), mRNA analysis of 58 genes using hybrid capture, on formalin-fixed paraffin-embedded (FFPE) tissue, prognostic algorithm reported as a risk score09/01/201712/31/2017?0042TCerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time10/01/201710/31/2020?0051TImplantation of a total replacement heart system (artificial heart) with recipient cardiectomy07/01/201212/31/2017?0052TReplacement/repair of thoracic unit of a total replacement heart system (artificial heart)07/01/201212/31/2016?0053TReplacement/repair of implantable component(s)of total replacement heart system (artificial heart) excl thoracic unit07/01/201212/31/2016?0058TCryopreservation; Reproductive Tissue, Ovarian01/01/200912/31/2019?0081UOncology (uveal melanoma), mRNA, gene-expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping genes), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, algorithm reported as risk of metastasis06/01/201912/31/2019?0124UFetal congenital abnormalities, biochemical assays of 3 analytes (free beta-hCG, PAPP-A, AFP), time-resolved fluorescence immunoassay, maternal dried-blood spot, algorithm reported as risk scores for fetal trisomies 13/18 and 2110/01/201906/30/2020?0169TStereotactic placement of infusion catheter(s) in the brain for delivery of therapeutic agent(s), including computerized stereotactic planning and burr hole(s).02/01/201612/31/2016?0171TInsertion of posterior spinous process distraction device, lumbar, single level04/01/200711/30/2015?0172TInsertion of posterior spinous process distraction device, lumbar, each additional level04/01/200711/30/2015?0180T64 Lead ECG w Interpretatation and Report Only01/01/201212/31/2017?0188TRemote real-time interactive videoconferenced critical care, evaluation and management of the critically ill or critical07/01/200812/31/2018?0189TRemote real-time interactive videoconferenced critical care, evaluation and management of the critically ill or critical07/01/200812/31/2018?0205TIntravascular catheter-based coronary vessel or graft spectroscopy (eg, infrared) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation, and report, each vessel (List separately in addition to code for primary procedure)10/01/201712/31/2017?0206TComputerized database analysis of multiple cycles of digitized cardiac electrical data from two or more ECG leads, including transmission to a remote center, application of multiple nonlinear mathematical transformations, with coronary artery obstruction severity assessment10/01/201712/31/2019?0208TPure tone audiometry (threshold), automated (includes use of computer-assisted device); air only01/01/201012/31/2015?0209TPure tone audiometry (threshold), automated (includes use of computer-assisted device); air and bone01/01/201012/31/2015?0210TSpeech audiometry threshold, automated (includes use of computer-assisted device);01/01/201012/31/2015?0211TSpeech audiometry threshold, automated (includes use of computer-assisted device); with speech recognition01/01/201012/31/2015?0212TComprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated (includes use of01/01/201012/31/2015?0223TAcoustic cardiography, including automated analysis of combined acoustic and electrical intervals; single, with interp07/01/201006/30/2015?0224TAcoustic cardiography, including automated analysis of combined acoustic and electrical intervals; multiple, AV or W del07/01/201006/30/2015?0225TAcoustic cardiography, including automated analysis of combined acoustic and electrical intervals; multiple, serial tren07/01/201006/30/2010?0228TInjection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, cervical or thoracic;06/01/201509/30/2015?0230TInjection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, lumbar or sacral; sing06/01/201509/30/2015?0282TPercutaneous Or Open Implantation Of Neurostimulator Electrode Array(s), Subcutaneous; For Trial01/01/201212/31/2016?0284TRevision Or Removal Of Pulse Generator Or Electrodes Including Addition Of New Electrodes, When Performed01/01/201212/31/2016?0293TInsertion of left atrial hemodynamic monitor; complete system, includes implanted communication module and pressure sensor lead in left atrium including transseptal access, radiological supervision and interpretation, and associated injection procedures, when performed10/01/201712/31/2017?0294TInsertion of left atrial hemodynamic monitor; pressure sensor lead at time of insertion of pacing cardioverter-defibrillator pulse generator including radiological supervision and interpretation and associated injection procedures, when performed (List separately in addition to code for primary procedure)10/01/201712/31/2017?0295TExternal electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, rev01/01/201204/30/2019?0296TExternal electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; recording (includes connection and initial recording)01/01/201204/30/2019?0297TExternal electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; scanning analysis with report01/01/201204/30/2019?0298TExternal electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; review and interpretation01/01/201204/30/2019?0309TArthrodesis, Pre-Sacral Interbody Technique, W Posterior Instrumentation, Lumbar, L4-L5 Interspace01/01/201312/31/2017?0310TMotor Function Mapping Using Non-Invasive Navigated Transcranial Magnetic Stimulation (Ntms), Upper And Lower Extremity01/01/201302/28/2017?0311TNon-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report01/01/201312/31/2015?0318TImplantation Of Catheter-Delivered Prosthetic Aortic Heart Valve, Open Thoracic Approach01/01/201312/31/2013?0319TInsertion Or Replacement Of Subcutaneous Implantable Defibrillator System With Subcutaneous Electrode01/01/201312/31/2014?0320TInsertion Of Subcutaneous Defibrillator Electrode01/01/201312/31/2014?0321TInsertion Of Subcutaneous Implantable Defibrillator Pulse Generator Only With Existing Subcutaneous Electrode01/01/201312/31/2014?0322TRemoval Of Subcutaneous Implantable Defibrillator Pulse Generator Only01/01/201312/31/2014?0323TRemoval Of Subcutaneous Implantable Defibrillator Pulse Generator With Replacement Of Generator Only01/01/201312/31/2014?0324TRemoval Of Subcutaneous Defibrillator Electrode01/01/201312/31/2014?0325TRepositioning Of Subcutaneous Implantable Defibrillator Electrode And/Or Pulse Generator01/01/201312/31/2014?0326TElectrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator01/01/201312/31/2014?0327TInterrogation Device Eval (In Person) W Analysis, Review And Report; Implantable Subcutaneous Lead Defibrillator System01/01/201312/31/2014?0328TProgramming Device Evaluation (In Person) With Iterative Adjustment; Implantable Subcutaneous Lead Defibrillator System01/01/201312/31/2014?0329TMonitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report07/01/200309/30/2017?0337TEndothelial function assessment, using peripheral vascular response to reactive hyperemia, non-invasive (eg, brachial artery ultrasound, peripheral artery tonometry), unilater01/01/201412/31/2015?0357TCryopreservation; immature oocyte(s)01/01/201512/31/2016?0359TBehavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and caregiver(s), includes administration of standardized and non-standardized tests, detailed behavioral history, patient observation and caregiver interview, interpretation of test results, discussion of findings and recommendations with the primary guardian(s)/caregiver(s), and preparation of report06/01/201603/31/2017?0360TObservational behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by one technician; first 30 minutes of technician time, face-to-face with the patient06/01/201603/31/2017?0361TObservational behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by one technician; each additional 30 minutes of technician time, face-to-face with the patient06/01/201603/31/2017?0362TExposure behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by physician or other qualified health care professional with the assistance of one or more technicians; first 30 minutes of technician(s) time, face-to-face with the patient06/01/201603/31/2017?0363TExposure behavioral follow-up assessment, includes physician or other qualified health care professional direction with interpretation and report, administered by physician or other qualified health care professional with the assistance of one or more technicians; each additional 30 minutes of technician(s) time, face-to-face with the patient06/01/201603/31/2017?0364TAdaptive behavior treatment by protocol, administered by technician, face-to-face with one patient; first 30 minutes of technician time06/01/201603/31/2017?0365TAdaptive behavior treatment by protocol, administered by technician, face-to-face with one patient; each additional 30 minutes of technician time06/01/201603/31/2017?0366TGroup adaptive behavior treatment by protocol, administered by technician, face-to-face with two or more patients; first 30 minutes of technician time10/01/201712/31/2018?0367TGroup adaptive behavior treatment by protocol, administered by technician, face-to-face with two or more patients; each additional 30 minutes of technician time06/01/201603/31/2017?0368TAdaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face-to-face time06/01/201603/31/2017?0369TAdaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of patient face-to-face time06/01/201603/31/2017?0370TFamily adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)06/01/201603/31/2017?0371TMultiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)06/01/201603/31/2017?0372TAdaptive behavior treatment social skills group, administered by physician or other qualified health care professional face-to-face with multiple patients06/01/201603/31/2017?0373TExposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); first 60 minutes of technicians' time, face-to-face with patient06/01/201603/31/2017?0374TExposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians' time face-to-face with patient (List separately in addition to code for primary procedure)06/01/201603/31/2017?0375TTotal disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompres01/01/201511/30/2015?0376TInsertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; each additional device insertion (List separately in addition to code for primary procedure)10/01/201706/30/2020?0377TAnoscopy with directed submucosal injection of bulking agent for fecal incontinence01/01/201502/28/2017?0378TVisual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to01/01/201509/30/2017?0379TVisual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to01/01/201509/30/2017?0380TComputer-aided animation and analysis of time series retinal images for the monitoring of disease progression, unilateral or bilateral, with interpretation and report10/01/201712/31/2019?0381TExternal heart rate and 3-axis accelerometer data recording up to 14 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing nocturn01/01/201509/30/2017?0382TExternal heart rate and 3-axis accelerometer data recording up to 14 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing nocturn01/01/201509/30/2017?0383TExternal heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate to monitor motion analysis for the purposes of diagnosing noctur01/01/201509/30/2017?0384TExternal heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate to monitor motion analysis for the purposes of diagnosing noctur01/01/201509/30/2017?0385TExternal heart rate and 3-axis accelerometer data recording more than 30 days to assess changes in heart rate to monitor motion analysis for the purposes of diagnosing nocturn01/01/201509/30/2017?0386TExternal heart rate and 3-axis accelerometer data recording more than 30 days to assess changes in heart rate to monitor motion analysis for the purposes of diagnosing nocturn01/01/201509/30/2017?0387TTranscatheter insertion or replacement of permanent leadless pacemaker, ventricular01/01/201511/30/2015?0388TTranscatheter removal of permanent leadless pacemaker, ventricular01/01/201511/30/2015?0389TProgramming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values01/01/201511/30/2015?0390TPeri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure or test with analysis, review and report, leadle01/01/201511/30/2015?0391TInterrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, leadless pacemaker system01/01/201511/30/2015?0392TLaparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band)07/01/201505/31/2016?0393TRemoval of esophageal sphincter augmentation device07/01/201505/31/2016?0394THigh dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed01/01/201612/31/2017?0395THigh dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed01/01/201612/31/2017?0431TRemoval and replacement of neurostimulator system for treatment of central sleep apnea, pulse generator only01/01/201609/30/2017?0438TTransperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance10/01/201712/31/2017?0441TAblation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve10/01/201705/31/2018?0443TReal time spectral analysis of prostate tissue by fluorescence spectroscopy10/01/201609/30/2017?0444TInitial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral10/01/201609/30/2017?0445TSubsequent placement of a drug-eluting ocular insert under one or more eyelids, including re-training, and removal of existing insert, unilateral or bilateral10/01/201609/30/2017?0451TInsertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; complete system (counterpulsation device, vascular graft, implantable vascular hemostatic seal, mechano-electrical skin interface and subcutaneous electrodes)01/01/201704/30/2020?0452TInsertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; aortic counterpulsation device and vascular hemostatic seal01/01/201704/30/2020?0453TInsertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; mechano-electrical skin interface01/01/201704/30/2020?0454TInsertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; subcutaneous electrode01/01/201704/30/2020?0462TProgramming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable aortic counterpulsation ventricular assist system, per day01/01/201704/30/2020?0463TInterrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable aortic counterpulsation ventricular assist system, per day01/01/201704/30/2020?A4467Belt, strap, sleeve, garment, or covering, any type01/01/201703/31/2019?A4660Sphygmomanometer/blood pressure apparatus with cuff and stethoscope12/01/201509/30/2016?A4663Blood pressure cuff only12/01/201509/30/2016?A4670Automatic blood pressure monitor12/01/201509/30/2016?A7025High Frequency Chest Wall Oscillation System Vest, Replacement For Use09/01/200310/31/2017?A7026High Frequency Chest Wall Oscillation System Hose, Replacement For Use09/01/200310/31/2017?C1821Interspinous implant10/01/200911/30/2015?C1888Catheter, Ablation, Non-Cardiac, Endovascular (Implantable)03/01/201010/31/2015?C2614Probe, Percutaneous Lumbar Discectomy03/01/201011/30/2019?C9036Injection, patisiran, 0.1 mg01/01/201909/30/2019?C9038Injection, mogamulizumab-kpkc, 1 mg01/01/201909/30/2019?C9040Injection, fremanezumab-vfrm, 1mg04/01/201909/30/2019?C9042Injection, bendamustine hcl (belrapzo), 1 mg04/01/201906/30/2019?C9044Injection, cemiplimab-rwlc, 1 mg04/01/201909/30/2019?C9045Injection, moxetumomab pasudotox-tdfk, 0.01 mg04/01/201909/30/2019?C9049Injection, tagraxofusp-erzs, 10 mcg07/01/201909/30/2019?C9050Injection, emapalumab-lzsg, 1 mg07/01/201909/30/2019?C9052Injection, ravulizumab-cwvz, 10 mg07/01/201909/30/2019?C9055Injection, brexanolone, 1mg01/01/202009/30/2020?C9061Injection, teprotumumab-trbw, 10 mg07/01/202009/30/2020?C9063Injection, eptinezumab-jjmr, 1 mg07/01/202009/30/2020?C9407Iodine i-131 iobenguane, diagnostic, 1 millicurie01/01/201912/31/2019?C9408Iodine i-131 iobenguane, therapeutic, 1 millicurie01/01/201912/31/2019?C9727Insertion of implants into the soft palate:min of three implants03/01/201011/30/2019?E0483High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each09/01/200310/31/2017?E0617External defibrillator with integrated electrocardiogram analysis01/01/200908/31/2020?E0628Separate seat lift mechanism for use with patient owned furniture - electric10/01/200712/31/2016?E0675Pneumatic compression device, high pressure, rapid inflation/deflation cycle10/01/201512/31/2018?E0676Intermittent limb compression device (includes all accessories), not otherwise specified04/01/201412/31/2018?E0988Manual Wheelchair Accessory, Lever-Activated, Wheel Drive, Pair07/01/201306/30/2020?E1012Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each01/01/201606/30/2020?E1800Dynamic adjustable elbow extension/flexion device, includes soft interface material03/01/201006/30/2018?E1801SPS elbow device w/ or w/o range of motion adjustment, includes all components & accessories03/01/201006/30/2018?E1802Dynamic Adjustable Forearm Pronation/Supination Device, Inc Soft Inter03/01/201006/30/2018?E1805Dynamic adjustable wrist extension/flexion device, includes soft interface material03/01/201006/30/2018?E1806SPS wrist device w/ or w/o range of motion adjustment, includes all components & accessories03/01/201006/30/2018?E1810Dynamic adjustable knee extension/flexion device, includes soft interface material03/01/201006/30/2018?E1811SPS knee device w/ or w/o range of motion adjustment, includes all components and accessories03/01/201006/30/2018?E1812Dynamic knee, extension/flexion device with active resistance control03/01/201006/30/2018?E1818SPS forearm pronation/supination device w/ or w/o range of motion adjustment, includes all components & accessories03/01/201006/30/2018?E1820Replacement soft interface material, dynamic adjustable extension/flexion device03/01/201006/30/2018?E1821Replacement soft interface material/cuffs for bi-directional static progressive stretch device03/01/201006/30/2018?E1825Dynamic adjustable finger extension/flexion device, includes soft interface material03/01/201006/30/2018?E2359Power Wheelchair Accessory, Group 34 Sealed Lead Acid Battery, Each (E.G. Gel Cell, Absorbed Glassmat)01/01/201208/31/2019?E2500Speech generating device, digitized speech, using pre-recorded messages, 8 min. or less01/01/200603/31/2019?E2502Speech generating device, digitized speech, using pre-recorded messages, 8-20 min.01/01/200603/31/2019?E2504Speech generating device, digitized speech, using pre-recorded messages, 20-40 min.01/01/200603/31/2019?E2506Speech generating device, digitized speech, using pre-recorded messages, over 40 min.01/01/200603/31/2019?E2508Speech generating device, synthesized speech, requiring message formulation by spelling01/01/200603/31/2019?E2510Speech generating device, synthesized speech, permitting multiple methods01/01/200603/31/2019?E2511Speech generating software program, for personal computer or personal digital assistant01/01/200603/31/2019?E2512Accessory for speech generating device, mounting system01/01/200603/31/2019?E2622Adj skin pro w/c cus wd<22in07/01/201306/30/2020?E2623Adj skin pro wc cus wd>=22in07/01/201306/30/2020?E2624Adj skin pro/pos cus<22in07/01/201306/30/2020?E2625Adj skin pro/pos wc cus>=2207/01/201306/30/2020?G0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minut10/01/200803/31/2017?G0238Therapeutic procedures to improve respiratory function , other than described by G0237, one on one, face to face, per10/01/200803/31/2017?G0239Therapeutic procedures to improve respiratory function , other than services described by G0237, two or more (includes m10/01/200803/31/2017?G0276Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (PILD) or placebo-control, performed in an approved coverage with evidence development (C01/01/201502/29/2020?G0302Pre-operative pulmonary surgery services for preparation for lvrs, complete10/01/200812/31/2015?G0303Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 1510/01/200812/31/2015?G0304Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days10/01/200812/31/2015?G0305Post-discharge pulmonary surgery services after lvrs, minimum of 6 days10/01/200812/31/2015?G0341Percutaneous islet celltrans09/01/200312/31/2019?G0342Laparoscopy islet cell trans09/01/200312/31/2019?G0343Laparotomy islet cell transp09/01/200312/31/2019?G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens10/01/201503/31/2016?G0424Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day01/01/201003/31/2017?G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)01/01/201702/27/2017?G9708Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy01/01/201705/31/2018?J0220Aglucosidase alfa injection01/01/200806/30/2019?J0585J0585- Injection, onabotulinumtoxina, 1 unit01/01/201212/31/2018?J0586J0586- Injection, abobotulinumtoxina, 5 units01/01/201212/31/2018?J0587J0587- Injection, rimabotulinumtoxinb, 100 units01/01/201212/31/2018?J0588J0588- Injection, incobotulinumtoxin a, 1 unit01/01/201212/31/2018?J0882Darbepoetin alfa, esrd use09/01/200307/31/2019?J0886Epoetin alfa, esrd09/01/200307/31/2019?J0887Injection, epoetin beta, 1 microgram (for ESRD on dialysis)01/01/201507/31/2019?J0897Injection, denosumab, 1 mg01/01/201203/01/2020?J1833Injection, isavuconazonium, 1 mg01/01/201602/28/2019?J2350Injection, ocrelizumab, 1 mg01/01/201806/30/2019?J7313Injection, fluocinolone acetonide, intravitreal implant, 0.01 mg01/01/201602/28/2017?J7316Injection, ocriplasmin 0.125 mg01/01/201403/31/2017?J7325Synvisc or Synvisc-One08/01/201412/31/2017?K0606Automatic external defibrillator, with integrated electrocardiogram analysis, garment type01/01/200908/31/2020?K0899Power mobility device, not coded by DME PDAC or does not meet criteria01/01/200706/30/2020?L5930Addition, endoskeletal system, high activity knee control frame02/01/201402/01/2014?L6026Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s01/01/201512/31/2019?L8605Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies08/01/201503/31/2016?L8621Zinc air battery for use w/ cochlear implant device, replacement, each05/01/201006/30/2017?L8622Alkaline battery for use w/ cochlear implant device, any size, replacement05/01/201006/30/2017?M0300IV chelation therapy (chemical endarterectomy)12/01/201411/30/2017?Q0479Power module combo vad, rep03/01/201112/31/2016?Q0480Driver pneumatic vad, rep05/01/201012/31/2016?Q0481Microprcsr cu elec vad, rep05/01/201012/31/2016?Q0482Microprcsr cu combo vad, rep05/01/201012/31/2016?Q0483Monitor elec vad, rep05/01/201012/31/2016?Q0484Monitor elec or comb vad rep05/01/201012/31/2016?Q0485Monitor cable elec vad, rep05/01/201012/31/2016?Q0486Mon cable elec/pneum vad rep05/01/201012/31/2016?Q0487Leads any type vad, rep only05/01/201012/31/2016?Q0488Pwr pack base elec vad, rep05/01/201012/31/2016?Q0489Pwr pck base combo vad, rep05/01/201012/31/2016?Q0490EMR pwr source elec vad, rep05/01/201012/31/2016?Q0491EMR pwr source combo vad rep05/01/201012/31/2016?Q0506Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only01/01/201703/31/2018?Q2040Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion01/01/201812/31/2018?Q4081Epoetin alfa, 100 units ESRD01/01/200707/31/2019?Q4110Skin substitute, Primatrix, per square centimeter09/01/201105/31/2018?Q4114Integra flowable wound matrix, injectable, 1 cc07/01/200905/31/2018?Q4117Hyalomatrix03/01/201105/31/2018?Q4118Matristem micromatrix03/01/201105/31/2018?Q4119Matristem wound matrix03/01/201112/31/2016?Q4120Matristem burn matrix03/01/201112/31/2016?Q4123Alloskin rt, per square centimeter01/01/201205/31/2018?Q4125Arthroflex, per square centimeter01/01/201205/31/2018?Q4127Talymed, per square centimeter01/01/201205/31/2018?Q4129Unite biomatrix, per square centimeter01/01/201212/31/2016?Q4130Strattice tm, per square centimeter01/01/201205/31/2018?Q4134hMatrix01/01/201305/31/2018?Q4135Mediskin01/01/201305/31/2018?Q4136EZderm01/01/201305/31/2018?Q4166Cytal, per square centimeter01/01/201705/31/2018?Q4167Truskin, per square centimeter01/01/201705/31/2018?Q4168Amnioband, 1 mg01/01/201705/31/2018?Q4169Artacent wound, per square centimeter01/01/201705/31/2018?Q4170Cygnus, per square centimeter01/01/201705/31/2018?Q4171Interfyl, 1 mg01/01/201705/31/2018?Q4172Puraply or puraply am, per square centimeter01/01/201705/31/2018?Q4173Palingen or palingen xplus, per square centimeter01/01/201705/31/2018?Q4174Palingen or promatrx, 0.36 mg per 0.25 cc01/01/201705/31/2018?Q4175Miroderm, per square centimeter01/01/201705/31/2018?Q5105Injection, epoetin alfa, biosimilar, (Retacrit) (for esrd on dialysis), 100 units07/01/201807/31/2019?Q5108Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg10/01/201805/01/2019?Q5110Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram10/01/201805/01/2019?Q5111Injection, Pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg01/01/201905/01/2019?S1040Cranial Remodeling Orthosis, Rigid W/Soft Interface Material08/01/201403/31/2017?S8032Low-dose Computed Tomography For Lung Cancer Screening01/01/201509/30/2016YesS9472Cardiac rehabilitation program, non-physician provider, per diem10/01/200805/31/2015?S9473Pulmonary Rehabilitation Pro05/01/201010/31/2017? ................
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