| | | |
|---|
 |  | (FDG) PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers - 220.6.14 | |
| | (FDG) PET for Colorectal Cancer - 220.6.4 | |
| | 24-Hour Ambulatory Esophageal pH Monitoring - 100.3 | |
| | 3D Interpretation and Reporting of Imaging Studies [L30729, rev. 1] | |
| | Abarelix for the Treatment of Prostate Cancer - 110.19 | |
| | Ablative Therapy [L30312, rev. 12] | |
| | Abortion - 140.1 | |
| | Acupuncture - 30.3 | |
| | Acupuncture for Fibromyalgia - 30.3.1 | |
| | Acupuncture for Osteoarthritis - 30.3.2 | |
| | Adult Liver Transplantation - 260.1 | |
| | Air-Fluidized Bed - 280.8 | |
| | Allergy Testing and Allergy Immunotherapy [L30471, rev. ] | |
| | Alpha-fetoprotein (AFP) - 190.25 | |
| | Ambulatory Blood Pressure Monitoring - 20.19 | |
| | Ambulatory EEG Monitoring - 160.22 | |
| | Anesthesia in Cardiac Pacemaker Surgery - 10.6 | |
| | Ankle-Foot/Knee-Ankle-Foot Orthosis [L142, rev. AFO0013] | |
| | Anti-Cancer Chemotherapy for Colorectal Cancer - 110.17 | |
| | Anti-Inhibitor Coagulant Complex (AICC) - 110.3 | |
| | Antigens Prepared for Sublingual Administration - 110.9 | |
| | Apheresis (Therapeutic Pheresis) - 110.14 | |
| | Application of Bioengineered Skin Substitutes [L30135, rev. R5] | |
| | Application of Bioengineered Skin Substitutes: Ulcers of the Lower Extremities [L21279, rev. R12] | |
| | Aprepitant for Chemotherapy-Induced Emesis - 110.18 | |
| | Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee - 150.9 | |
| | Artificial Hearts and Related Devices - 20.9 | |
| | Assessing Patient's Suitability for Electrical Nerve Stimulation Therapy - 160.7.1 | |
| | Autogenous Epidural Blood Graft - 10.5 | |
| | Automatic External Defibrillators [L13577, rev. AED005] | |
| | B-type Natriuretic Peptide (BNP) Testing [L31193, rev. ] | |
| | Bariatric Surgery for Treatment of Morbid Obesity - 100.1 | |
| | Biofeedback [L31070, rev. ] | |
| | Biofeedback Therapy - 30.1 | |
| | Biofeedback Therapy for the Treatment of Urinary Incontinence - 30.1.1 | |
| | Bisphosphonate Drug Therapy [L30139, rev. R5] | |
| | Bladder Stimulators (Pacemakers) - 230.16 | |
| | Blepharoplasty, Blepharoptosis and Brow Lift [L29973, rev. 5] | |
| | Blood-Derived Products for Chronic Non-Healing Wounds - 270.3 | |
| | Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors - 110.20 | |
| | Blood Counts - 190.15 | |
| | Blood Glucose Testing - 190.20 | |
| | Blood Platelet Transfusions - 110.8 | |
| | Blood Transfusions - 110.7 | |
| | Bone Mass Measurement [L31620, rev. ] | |
| | Bone (Mineral) Density Studies - 150.3 | |
| | Botulinum Toxin Type A & Type B [L28555, rev. 11] | |
| | Brachytherapy [L30320, rev. ] | |
| | Breast Reconstruction Following Mastectomy - 140.2 | |
| | Canes and Crutches [L11485, rev. C&C006] | |
| | Capsule Endoscopy [L30141, rev. ] | |
| | Carcinoembryonic Antigen (CEA) - 190.26 | |
| | Cardiac Catheterization and Coronary Angiography [L30719, rev. ] | |
| | Cardiac Catheterization Performed in Other than a Hospital Setting - 20.25 | |
| | Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB) - 20.16 | |
| | Cardiac Pacemaker Evaluation Services - 20.8.1 | |
| | Cardiac Pacemakers - 20.8 | |
| | Cardiac Rehabilitation Programs - 20.10 | |
| | Cardiointegram (CIG) as an Alternative to Stress Test or Thallium Stress Test - 20.27 | |
| | Cardiovascular Stress Testing [L28563, rev. R5] | |
| | Carotid Body Resection/Carotid Body Denervation - 20.18 | |
| | Carotid Sinus Nerve Stimulator - 160.6 | |
| | Cataract Surgery and Complex Cataract Surgery [L30159, rev. ] | |
| | CATEGORY III CPT CODES | |
| | Cavernous Nerves by Electrical Stimulation with Penile Plethysmography - 160.26 | |
| | Cellular Therapy - 30.8 | |
| | Certain Drugs Distributed by the National Cancer Institute - 110.2 | |
| | Cervical Traction Devices [L15300, rev. CTD007] | |
| | Challenge Ingestion Food Testing - 110.12 | |
| | Chelation Therapy for Treatment of Atherosclerosis - 20.21 | |
| | Chemical Aversion Therapy for Treatment of Alcoholism - 130.3 | |
| | Chemotherapy Drugs and their Adjuncts [L28576, rev. X] | |
| | Chest X-Ray Policy [L19850, rev. R9] | |
| | Chiropractic Services [L30328 , rev. R10] | |
| | Closed-Loop Blood Glucose Control Device (CBGCD) - 40.3 | |
| | Cochlear Implantation - 50.3 | |
| | Cochleostomy with Neurovascular Transplant for Meniere's Disease - 50.7 | |
| | Cold Therapy [L11567, rev. COLD003] | |
| | Collagen Crosslinks, any Method - 190.19 | |
| | Collagen Meniscus Implant - 150.12 | |
| | Colonic Irrigation - 100.7 | |
| | Colonoscopy and Sigmoidoscopy-Diagnostic [L30304, rev. R6] | |
| | Colorectal Cancer Screening Tests - 210.3 | |
| | Commodes [L11486, rev. COM008] | |
| | Computed Coronary Tomography Angiography [L30288, rev. R7] | |
| | Computed Tomography - 220.1 | |
| | Computer Enhanced Perimetry - 80.9 | |
| | Computerized Corneal Topography [L31064, rev. N/A] | |
| | Computerized Tomography (CAT Scans) [L28544, rev. R5] | |
| | Consultation Services Rendered by a Podiatrist in a Skilled Nursing Facility - 70.2 | |
| | Consultations with a Beneficiary's Family and Associates - 70.1 | |
| | Continuous Positive Airway Pressure (CPAP) Therapy For Obstructive Sleep Apnea (OSA) - 240.4 | |
| | Corneal Pachymetry [L30485, rev. ] | |
| | Corset Used as Hernia Support - 280.11 | |
| | Cosmetic and Reconstructive Surgery [L30733, rev. ] | |
| | Counseling to Prevent Tobacco Use - 210.4.1 | |
| | Cranial Stereotactic Radiosurgery (SRS) and Cranial Stereotactic Radiotherapy (SRT) [L30318, rev. X] | |
| | Cryosurgery of Prostate - 230.9 | |
| | CT Colonography [L26199, rev. R1] | |
| | CT Colonography (Virtual Colonoscopy [VC]) [L30300, rev. ] | |
| | Cytogenetic Studies [L30487, rev. ] | |
| | Cytogenetic Studies - 190.3 | |
| | Cytotoxic Food Tests - 110.13 | |
| | Deep Brain Stimulation for Essential Tremor and Parkinson's Disease - 160.24 | |
| | Dental Examination Prior to Kidney Transplantation - 260.6 | |
| | Dental Services | |
| | Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) - 250.5 | |
| | Diabetes Outpatient Self-Management Training - 40.1 | |
| | Diagnosis and Treatment of Impotence - 230.4 | |
| | Diagnostic Breath Analyses - 100.5 | |
| | Diagnostic Endocardial Electrical Stimulation (Pacing) - 20.12 | |
| | Diagnostic Pap Smears - 190.2 | |
| | Diagnostic PAP Tests [L31080, rev. N/A] | |
| | Dialysis Shunt Maintenance [L20052, rev. ] | |
| | Diathermy Treatment - 150.5 | |
| | Digital Subtraction Angiography - 220.9 | |
| | Digoxin Therapeutic Drug Assay - 190.24 | |
| | Dimethyl Sulfoxide (DMSO) - 230.12 | |
| | Displacement Cardiography - 20.24 | |
| | Drugs and Biologics (Non-chemotherapy) [L32013, rev. ] | |
| | Durable Medical Equipment Reference List - 280.1 | |
| | Electrical Aversion Therapy for Treatment of Alcoholism - 130.4 | |
| | Electrical Continence Aid - 230.15 | |
| | Electrical Nerve Stimulators - 160.7 | |
| | Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds - 270.1 | |
| | Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring) [L29584, rev. ] | |
| | Electrocardiographic (EKG) Services - 20.15 | |
| | Electroconvulsive Therapy (ECT) [L30493, rev. ] | |
| | Electroencephalographic (EEG) Monitoring During Surgical Procedures Involving the Cerebral Vasculature - 160.8 | |
| | Electromagnetic Navigation Bronchoscopy (ENB) [L30510, rev. ] | |
| | Electron Microscope - 190.4 | |
| | Electronecephalographic (EEG) Monitoring During Open-Heart Surgery - 160.9 | |
| | Electronic Speech Aids - 50.2 | |
| | Electrosleep Therapy - 30.4 | |
| | Electrotherapy for Treatment of Facial Nerve Paralysis (Bell's Palsy) - 160.15 | |
| | Endoscopic Treatment of GERD [L30473, rev. ] | |
| | Endoscopy - 100.2 | |
| | Endothelial Cell Photography - 80.8 | |
| | Enteral and Parenteral Nutritional Therapy - 180.2 | |
| | Enteral Nutrition [L11568, rev. ENT010] | |
| | Epidural and Transforaminal Epidural Injections [L30481, rev. ] | |
| | Erythropoiesis Stimulating Agents Epotein alfa (EPO), Darbepotein alfa (DPA) [L31074, rev. N/A] | |
| | Erythropoiesis Stimulating Agents (ESAs) [L26383, rev. R4] | |
| | Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions - 110.21 | |
| | Esophageal Manometry - 100.4 | |
| | Ethylenediamine-Tetra-Acetic (EDTA) Chelation Therapy for Treatment of Atherosclerosis - 20.22 | |
| | Evoked Response Tests - 160.10 | |
| | Exhaled Nitric Oxide | |
| | External Breast Prostheses [L11569, rev. EBP009] | |
| | External Counterpulsation (ECP) for Severe Angina - 20.20 | |
| | External Infusion Pumps [L11570, rev. EIP020] | |
| | Extracorporeal Immunoadsorption (ECI) Using Protein A Columns - 20.5 | |
| | Extracorporeal Photopheresis - 110.4 | |
| | Extracranial-Intracranial (EC-IC) Arterial Bypass Surgery - 20.2 | |
| | Eye Prostheses [L194, rev. EYE003] | |
| | Fabric Wrapping of Abdominal Aneurysms - 20.23 | |
| | Facial Prostheses [L11571, rev. FACE005] | |
| | Fecal Occult Blood Test (FOBT) - 190.34 | |
| | Flow Cytometry [L30161, rev. ] | |
| | Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders - 150.8 | |
| | Fluorescein or Indocyanine Green Angiography [L30727, rev. R1] | |
| | Food Allergy Testing and Treatment - 110.11 | |
| | Gamma Glutamyl Transferase (GGT) - 190.32 | |
| | Gastric Balloon for Treatment of Obesity - 100.11 | |
| | Gastric Freezing - 100.6 | |
| | Gastrophotography - 100.12 | |
| | Glucose Monitors [L196, rev. GM013] | |
| | Glycated Hemoglobin/Glycated Protein - 190.21 | |
| | Granulocyte Transfusions - 110.5 | |
| | Gravlee Jet Washer - 230.5 | |
| | Hair Analysis - 190.6 | |
| | Health and Behavior Assessment/Intervention [L30514, rev. ] | |
| | Heart Transplants - 260.9 | |
| | Heartsbreath Test for Heart Transplant Rejection - 260.10 | |
| | Heat Treatment, including the Use of Diathermy and Ultrasound for Pulmonary Conditions - 240.3 | |
| | Heating Pads and Hear Lamps [L28484, rev. ] | |
| | Heavy Metal Testing [L31067, rev. ] | |
| | Helicobacter Pylori Testing [L30163, rev. X] | |
| | Hemodialysis for Treatment of Schizophrenia - 130.8 | |
| | Hemophilia Clotting Factors [L31078, rev. ] | |
| | Hemorheograph - 250.2 | |
| | Hepatitis Panel/Acute Hepatitis Panel - 190.33 | |
| | High Frequency Chest Wall Oscillation Devices [L12739, rev. HFCWO004] | |
| | HIS Bundle Study - 20.13 | |
| | Histocompatibility Testing - 190.1 | |
| | Home Blood Glucose Monitors - 40.2 | |
| | Home Health Nurses' Visits to Patients Requiring Heparin Injection - 290.2 | |
| | Home Health Visits to a Blind Diabetic - 290.1 | |
| | Home Oxygen Use to Treat Cluster Headache - 240.2.2 | |
| | Home Prothrombin Time INR Monitoring for Anticoagulation Management - 190.11 | |
| | Home Use of Oxygen - 240.2 | |
| | Home Use of Oxygen in Approved Clinical Trials - 240.2.1 | |
| | Hospice--Determinng Terminal Status [L32015, rev. ] | |
| | Hospital and Skilled Nursing Facility Admission Diagnostic Procedures - 70.5 | |
| | Hospital Beds - 280.7 | |
| | Hospital Beds And Accessories [L11572, rev. HBED010] | |
| | Human Chorionic Gonadotropin (hCG) - 190.27 | |
| | Human Granulocyte / Macrophage Colony Stimulating Factors [L30306, rev. R6] | |
| | Human Immunodeficiency Virus (HIV) Testing (Diagnosis) - 190.14 | |
| | Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring) - 190.13 | |