 | | | | |
 | DME MAC |
| |
|  | | Ankle-Foot/Knee-Ankle-Foot Orthosis [L142, rev. AFO0013] |  |
|  | | Automatic External Defibrillators [L13577, rev. AED005] |  |
|  | | Canes and Crutches [L11485, rev. C&C006] |  |
|  | | Cervical Traction Devices [L15300, rev. CTD007] |  |
|  | | Cold Therapy [L11567, rev. COLD003] |  |
|  | | Commodes [L11486, rev. COM008] |  |
|  | | Enteral Nutrition [L11568, rev. ENT010] |  |
|  | | External Breast Prostheses [L11569, rev. EBP009] |  |
|  | | External Infusion Pumps [L11570, rev. EIP020] |  |
|  | | Eye Prostheses [L194, rev. EYE003] |  |
|  | | Facial Prostheses [L11571, rev. FACE005] |  |
|  | | Glucose Monitors [L196, rev. GM013] |  |
|  | | Heating Pads and Hear Lamps [L28484, rev. ] |  |
|  | | High Frequency Chest Wall Oscillation Devices [L12739, rev. HFCWO004] |  |
|  | | Hospital Beds And Accessories [L11572, rev. HBED010] |  |
|  | | Immunosuppressive Drugs [L68, rev. IMNO018] |  |
|  | | Infrared Heating Pad Systems [L12743, rev. IHS003] |  |
|  | | Intrapulmonary Percussive Ventilation System [L11573, rev. IPV003] |  |
|  | | Intravenous Immune Globulin [L27261, rev. 001] |  |
|  | | Knee Orthoses [L27058, rev. 1] |  |
|  | | Lower Limb Prostheses [L11453, rev. LLP013] |  |
|  | | Manual Wheelchair Bases [L11454, rev. WCA007] |  |
|  | | Mechanical In-exsufflation Devices [L12744, rev. MIX002] |  |
|  | | Nebulizers [L11488, rev. NEB0011] |  |
|  | | Negative Pressure Wound Therapy Pumps [L11489, rev. NPWT008] |  |
|  | | Oral Anticancer Drugs [L11574, rev. OCAN006] |  |
|  | | Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) [L11575, rev. OEMT008] |  |
|  | | Oral Appliances for Obstructive Sleep Apnea [L28606, rev. ] |  |
|  | | Orthopedic Footwear [L11456, rev. ORFW006] |  |
|  | | Osteogenesis Stimulators [L11490, rev. OSTG010] |  |
|  | | Ostomy Supplies [L11491, rev. OSTY015] |  |
|  | | Oxygen and Oxygen Equipment [L11457, rev. OXY008] |  |
|  | | Parenteral Nutrition [L11576, rev. PEN006] |  |
|  | | Patient Lifts [L11577, rev. PTLT003] |  |
|  | | Pneumatic Compression Devices [L11492, rev. PCD006] |  |
|  | | Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea [L171, rev. CPAP010] |  |
|  | | Power Mobility Devices [L23598, rev. PMD-D 003] |  |
|  | | Pressure Reducing Support Surfaces - Group 1 [L11578, rev. SPSRA008] |  |
|  | | Pressure Reducing Support Surfaces - Group 2 [L11579, rev. SPSRB009] |  |
|  | | Pressure Reducing Support Surfaces - Group 3 [L11580, rev. SPSRC006] |  |
|  | | Refractive Lenses [L51, rev. LENS009] |  |
|  | | Respiratory Assist Devices [L11493, rev. RAD010] |  |
|  | | Seat Lift Mechanisms [L96, rev. SLM005] |  |
|  | | Speech Generating Devices [L108, rev. 07] |  |
|  | | Spinal Orthoses: TLSO and LSO [L11459, rev. TLSO009] |  |
|  | | Suction Pumps [L11494, rev. SUCP009] |  |
|  | | Surgical Dressings [L11460, rev. SURG013] |  |
|  | | Therapeutic Shoes for Persons with Diabetes [L157, rev. TSD009] |  |
|  | | Tracheostomy Care Supplies [L166, rev. TRCH004] |  |
|  | | Transcutaneous Electrical Nerve Stimulators (TENS) [L11495, rev. TENS006] |  |
|  | | Urological Supplies [L11581, rev. URO013] |  |
|  | | Walkers [L11461, rev. WALK009] |  |
|  | | Wheelchair Options/Accessories [L11462, rev. WCOO12] |  |
|  | | Wheelchair Seating [L15670 , rev. WCS010] |  |
 | HHH MAC |
| |
|  | | Hospice--Determinng Terminal Status [L32015, rev. ] |  |
|  | | Physicial Therapy- Home Health [L32016, rev. ] |  |
 | MedicareBlue |
| |
|  | | CATEGORY III CPT CODES |  |
|  | | Dental Services |  |
|  | | Exhaled Nitric Oxide |  |
 | NCD |
| |
|  | | (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 |  |
|  | | Abarelix for the Treatment of Prostate Cancer - 110.19 |  |
|  | | 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 |  |
|  | | Alpha-fetoprotein (AFP) - 190.25 |  |
|  | | Ambulatory Blood Pressure Monitoring - 20.19 |  |
|  | | Ambulatory EEG Monitoring - 160.22 |  |
|  | | Anesthesia in Cardiac Pacemaker Surgery - 10.6 |  |
|  | | 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 |  |
|  | | 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 |  |
|  | | Bariatric Surgery for Treatment of Morbid Obesity - 100.1 |  |
|  | | Biofeedback Therapy - 30.1 |  |
|  | | Biofeedback Therapy for the Treatment of Urinary Incontinence - 30.1.1 |  |
|  | | Bladder Stimulators (Pacemakers) - 230.16 |  |
|  | | 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 (Mineral) Density Studies - 150.3 |  |
|  | | Breast Reconstruction Following Mastectomy - 140.2 |  |
|  | | Carcinoembryonic Antigen (CEA) - 190.26 |  |
|  | | 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 |  |
|  | | Carotid Body Resection/Carotid Body Denervation - 20.18 |  |
|  | | Carotid Sinus Nerve Stimulator - 160.6 |  |
|  | | Cavernous Nerves by Electrical Stimulation with Penile Plethysmography - 160.26 |  |
|  | | Cellular Therapy - 30.8 |  |
|  | | Certain Drugs Distributed by the National Cancer Institute - 110.2 |  |
|  | | Challenge Ingestion Food Testing - 110.12 |  |
|  | | Chelation Therapy for Treatment of Atherosclerosis - 20.21 |  |
|  | | Chemical Aversion Therapy for Treatment of Alcoholism - 130.3 |  |
|  | | Closed-Loop Blood Glucose Control Device (CBGCD) - 40.3 |  |
|  | | Cochlear Implantation - 50.3 |  |
|  | | Cochleostomy with Neurovascular Transplant for Meniere's Disease - 50.7 |  |
|  | | Collagen Crosslinks, any Method - 190.19 |  |
|  | | Collagen Meniscus Implant - 150.12 |  |
|  | | Colonic Irrigation - 100.7 |  |
|  | | Colorectal Cancer Screening Tests - 210.3 |  |
|  | | Computed Tomography - 220.1 |  |
|  | | Computer Enhanced Perimetry - 80.9 |  |
|  | | 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 |  |
|  | | Corset Used as Hernia Support - 280.11 |  |
|  | | Counseling to Prevent Tobacco Use - 210.4.1 |  |
|  | | Cryosurgery of Prostate - 230.9 |  |
|  | | 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 |  |
|  | | 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 |  |
|  | | Diathermy Treatment - 150.5 |  |
|  | | Digital Subtraction Angiography - 220.9 |  |
|  | | Digoxin Therapeutic Drug Assay - 190.24 |  |
|  | | Dimethyl Sulfoxide (DMSO) - 230.12 |  |
|  | | Displacement Cardiography - 20.24 |  |
|  | | 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) Services - 20.15 |  |
|  | | Electroencephalographic (EEG) Monitoring During Surgical Procedures Involving the Cerebral Vasculature - 160.8 |  |
|  | | 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 |  |
|  | | Endoscopy - 100.2 |  |
|  | | Endothelial Cell Photography - 80.8 |  |
|  | | Enteral and Parenteral Nutritional Therapy - 180.2 |  |
|  | | 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 |  |
|  | | External Counterpulsation (ECP) for Severe Angina - 20.20 |  |
|  | | Extracorporeal Immunoadsorption (ECI) Using Protein A Columns - 20.5 |  |
|  | | Extracorporeal Photopheresis - 110.4 |  |
|  | | Extracranial-Intracranial (EC-IC) Arterial Bypass Surgery - 20.2 |  |
|  | | Fabric Wrapping of Abdominal Aneurysms - 20.23 |  |
|  | | Fecal Occult Blood Test (FOBT) - 190.34 |  |
|  | | Fluidized Therapy Dry Heat for Certain Musculoskeletal Disorders - 150.8 |  |
|  | | 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 |  |
|  | | Glycated Hemoglobin/Glycated Protein - 190.21 |  |
|  | | Granulocyte Transfusions - 110.5 |  |
|  | | Gravlee Jet Washer - 230.5 |  |
|  | | Hair Analysis - 190.6 |  |
|  | | 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 |  |
|  | | Hemodialysis for Treatment of Schizophrenia - 130.8 |  |
|  | | Hemorheograph - 250.2 |  |
|  | | Hepatitis Panel/Acute Hepatitis Panel - 190.33 |  |
|  | | 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 |  |
|  | | Hospital and Skilled Nursing Facility Admission Diagnostic Procedures - 70.5 |  |
|  | | Hospital Beds - 280.7 |  |
|  | | Human Chorionic Gonadotropin (hCG) - 190.27 |  |
|  | | Human Immunodeficiency Virus (HIV) Testing (Diagnosis) - 190.14 |  |
|  | | Human Immunodeficiency Virus (HIV) Testing (Prognosis Including Monitoring) - 190.13 |  |
|  | | Human Tumor Stem Cell Drug Sensitivity Assays - 190.7 |  |
|  | | Hydrophilic Contact Lens For Corneal Bandage - 80.1 |  |