| Outpatient Visits - New Patients |
99202 |
Office / Outpatient Visit - New Patient - Straightforward Medical Decision Making, 15-29 min |
B |
510 / 761 |
|
|
Outpatient Visits - New Patients
|
99203 |
Office / Outpatient Visit - New Patient - Low Medical Decision Making, 30-44 min |
B |
510 / 761 |
|
|
| Outpatient Visits - New Patients |
99204 |
Office / Outpatient Visit - New Patient - New Moderate Medical Decision Making, 45-59 min |
B |
510 / 761
|
|
|
Outpatient Visits - New Patients
|
99205
|
Office / Outpatient Visit - New Patient - High Medical Decision Making, 60-74 min
|
B
|
510 / 761
|
|
|
Outpatient Visits - Established Patients
|
99211
|
Office / Outpatient Visit - Established Patient - May not require phys/QHP
|
B
|
510 / 761
|
|
|
Outpatient Visits - Established Patients
|
99212
|
Office / Outpatient Visit - Established Patient - Straigthforward Medical Decision Making, 10-19 min
|
B
|
510 / 761
|
|
|
Outpatient Visits - Established Patients
|
99213
|
Office / Outpatient Visit - Established Patient - Low Medical Decision Making, 20-29 min
|
B
|
510 / 761
|
|
|
Outpatient Visits - Established Patients
|
99214
|
Office / Outpatient Visit - Established Patient - Moderate Medical Decision Making, 30-39 min
|
B
|
510 / 761
|
|
|
Outpatient Visits - Established Patients
|
99215
|
Office / Outpatient Visit - Established Patient - High Medical Decision Making, 40-54 min
|
B
|
510 / 761
|
|
|
| Outpatient Visits |
G0463
|
Hospital OP Clinic Visit - MEDICARE ONLY (for Hospital Outpatient Departments)
|
J2
|
510 / 761
|
$ 126.08
|
$ 25.22
|
| Application of Cellular and/or Tissue Based Products (Skin Substitutes) |
15271
|
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15272
|
Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (HIGH)
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15273
|
Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children (HIGH)
|
T
|
510 / 761
|
$ 3,421.82
|
$ 684.37
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15274
|
Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (HIGH)
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15275
|
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area (HIGH)
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15276
|
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (HIGH)
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15277
|
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children (HIGH)
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
15278
|
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (HIGH)
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5271
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area - (LOW, MEDICARE ONLY)
|
T
|
510 / 761
|
$ 599.02
|
$ 119.81 |
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5272
|
Application of low cost skin substitute graft )
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5273
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area - (LOW, MEDICARE ONLY)
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5274
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof - (LOW, MEDICARE ONLY)
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5275
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area - (LOW, MEDICARE ONLY)
|
T
|
510 / 761
|
$ 599.02
|
$ 119.81
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5276
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof - (LOW, MEDICARE ONLY)
|
N
|
510 / 761
|
|
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5277
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children - (LOW, MEDICARE ONLY)
|
T
|
510 / 761
|
$ 599.02
|
$ 119.81
|
Application of Cellular and/or Tissue Based Products (Skin Substitutes)
|
C5278
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof - (LOW, MEDICARE ONLY)
|
N
|
510 / 761
|
|
|
| Skin Substitutes (Product) |
A2001
|
Innovamatrix ac, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2002 | Mirragen adv wnd mat per sq | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2007 | Restrata, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2008 | Theragenesis, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2009 | Symphony, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2010
|
Apis, per square centimeter | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2011 | Supra sdrm, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2012 | Suprathel, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2013 | Innovamatrix fs, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2015 | Phoenix wnd mtrx, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2016 | Permeaderm b, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2018 | Permeaderm c, per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2019
|
Kerecis marigen shld sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
A2021
| Neomatrix per sq cm | N
|
636
|
|
|
Skin Substitutes (Product)
|
Q4101 | Apligraf | N
|
636
|
|
|
Skin Substitutes (Product)
|
Q4102
| Oasis wound matrix | N
|
636
|
|
|
Skin Substitutes (Product)
|
Q4104 | Integra bmwd | N
|
636
|
|
|
Skin Substitutes (Product)
| Q4105
| Integra drt or omnigraft
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4106
| Dermagraft
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4107
| Graftjacket
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4108
| Integra matrix
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4110
| Primatrix
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4111
| Gammagraft
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4115
| Alloskin
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4117
| Hyalomatrix
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4121
| Theraskin
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4122
| Dermacell, awm, porous sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4123
| Alloskin
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4124
| Oasis tri-layer wound matrix
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4127
| Talymed
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4128
| Flexhd/allopatchhd/sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4132
| Grafix core, grafixpl core
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4133
| Grafix stravix prime pl sqcm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4136
| Ezderm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4141
| Alloskin ac, 1 cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4147
| Architect ecm px fx 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4148
| Neox neox rt or clarix cord
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4151
| Amnioband, guardian 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4152
| Dermapure 1 square cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4153
| Dermavest, plurivest sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4154
| Biovance 1 square cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4156
| Neox 100 or clarix 100
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4158
| Kerecis omega3, per sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4161
| Bio-connekt per square cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4163
| Woundex, bioskin, per sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4164
| Helicoll, per square cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4166
| Cytal, per square centimeter
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4173
| Palingen or palingen xplus
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4175
| Miroderm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4179
| Flowerderm, per sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4186
| Epifix 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4187
| Epicord 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4191
| Restorigin 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4193
| Coll-e-derm 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4200
| Skin te 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4203
| Derma-gide, 1 sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4222
| Progenamatrix, per sq cm
| N | 636
|
|
|
Skin Substitutes (Product)
| Q4238
| Derm-maxx, per sq cm
| N | 636
|
|
|
| Biopsy |
11102
|
Tangential biopsy of skin (e.g., shave, scoop, saucerize, curette) single lesion
|
T
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Biopsy
|
11103
|
Tangential biopsy of skin each separate/additional lesion
|
N
|
510 / 761
|
|
|
Biopsy
|
11104
|
Punch biopsy of skin (including simple closure, when performed) single lesion
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
Biopsy
|
11105
|
Punch biopsy of skin each separate/additional lesion
|
N
|
510 / 761
|
|
|
Biopsy
|
11106
|
Incisional biopsy of skin (e.g., wedge) (including simple closure, when performed) single lesion
|
T
|
510 / 761
|
$ 599.02
|
$ 119.81
|
Biopsy
|
11107
|
Incisional biopsy of skin each separate/additional lesion
|
N
|
510 / 761
|
|
|
| Burn |
16020
|
Dressing an/or debmt partial thn burn, initial or subsequent, small
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Burn
|
16025
|
Dressing an/or debmt partial thn burn, initial or subsequent, med
|
T
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Burn
|
16030
|
Dressing an/or debmt partial thn burn, initial or subsequent, lg
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
| Chemical Cauterization |
17250
|
Chemical cauterization of granulation tissue (proud flesh) - - not to be used with excision codes for same lesion
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
| Debridement |
97597
|
Debridement, Open Wound first 20 sq cm or less
|
T
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Debridement
|
97598
|
Debridement, Open Wound each additional 20 sq cm, or part thereof
|
N
|
510 / 761
|
|
|
Debridement
|
11042
|
Debridement: Subcutaneous tissue - first 20 sq cm or less
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
Debridement
|
11043
|
Debridement: Muscle / Fascia - first 20 sq cm or less
|
T
|
510 / 761
|
$ 599.02
|
$ 119.81
|
Debridement
|
11044
|
Debridement: Bone - first 20 sq cm or less
|
J1
|
510 / 761
|
$ 1,546.35
|
$ 309.27
|
Debridement
|
11045
|
Debridement, Subcutaneous tissue, Each Addt'l 20 sq cm or Part Thereof
|
N
|
510 / 761
|
|
|
Debridement
|
11046
|
Debridement, Muscle/Fascia, Each Addt'l 20 sq cm or Part Thereof
|
N
|
510 / 761
|
|
|
Debridement
|
11047
|
Debridement, Bone, Each Addt'l 20 sq cm or Part Thereof
|
N
|
510 / 761
|
|
|
| Debridement (Non Selective) and NPWT |
97602
|
Removal of devitalized tissue from wound(s); non-selective debridement, without anesthesia (e.g., wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, & instruction(s) for ongoing care, per session
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Debridement (Non Selective) and NPWT
|
97605
|
Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Debridement (Non Selective) and NPWT
|
97606
|
Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters
|
Q1
|
510 / 761
|
$ 380.32
|
$ 76.07
|
Debridement (Non Selective) and NPWT
|
97607
|
Negative Pressure Wound Therapy (disposable) < 50 sq cm
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
Debridement (Non Selective) and NPWT
|
97608
|
Negative Pressure Wound Therapy (disposable) > 50 sq cm
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
| Hyperbaric Oxygen Therapy |
G0277
|
Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval - per 30 min (Medicare hospital outpatient only)
|
S
|
413
|
$ 73.64
|
$ 14.73
|
Hyperbaric Oxygen Therapy
|
99183
|
Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session - per session
|
B
|
413
|
|
|
| HBOT Related Procedures |
96372
|
Therapeutic, prophylactic or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
|
Q1
|
510 / 761
|
$ 67.19
|
$ 13.44
|
HBOT Related Procedures
|
82962
|
Glucose, blood by glucose monitoring device(s) - - Glucometer (reimbursement dependent upon state reimbursement)
|
Q4
|
300
|
|
|
HBOT Related Procedures
|
69209
|
Removal impacted cerumen requiring lavage/irrigation, unilateral
|
Q1
|
510 / 761
|
$ 58.34
|
$ 11.67
|
HBOT Related Procedures
|
69210
|
Removal impacted cerumen requiring instrumentation, unilateral
|
Q1
|
510 / 761
|
$ 58.34
|
$ 11.67
|
| Incision and Drainage |
10060
|
Incision & drainage of abscess (carbuncle, suppurative hidradenitis, cyst, cutaneous or subcutaneous abscess, furuncle, or paronychia): simple / single
|
T
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Incision and Drainage
|
10061
|
Incision & drainage of abscess: complicated / multiple
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
| Nails |
11719
|
Trimming of nondystrophic nails, any number
|
Q1
|
510 / 761
|
$ 58.34
|
$ 11.67
|
Nails
|
11720
|
Debridement of nail(s) by any method(s): 1 - 5 nails
|
Q1
|
510 / 761
|
$ 58.34
|
$ 11.67
|
Nails
|
11721
|
Debridement of nail(s) by any method(s): 6 or more nails
|
Q1
|
510 / 761
|
$ 58.34
|
$ 11.67
|
Nails
|
11730
|
Avulsion of nail plate, partial or complete, simple: 1 nail plate
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Nails
|
11732
|
Avulsion of nail plate; each additional nail plate (list separately in addition to code for primary procedure)
|
N
|
510 / 761
|
|
|
Nails
|
11750
|
Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
| Paring or Cutting |
11055
|
Paring or cutting of benign hyperkeratotic lesion (Corn or callus): 1 lesion
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Paring or Cutting
|
11056
|
Paring or cutting of benign hyperkeratotic lesion: 2 - 4 lesions
|
Q1
|
510 / 761
|
$ 190.94
|
$ 38.19
|
Paring or Cutting
|
11057
|
Paring or cutting of benign hyperkeratotic lesion: more than 4 lesions
|
T
|
510 / 761
|
$ 190.94
|
$ 38.19
|
| Strapping / Compression Bandages |
29445
|
Application of rigid total contact leg cast
|
T
|
510 / 761
|
$ 256.15
|
$ 51.23
|
Strapping / Compression Bandages
|
29580
|
Application of unna boot
|
T
|
510 / 761
|
$ 150.29
|
$ 30.06
|
Strapping / Compression Bandages
|
29580-50
|
Application of Bilateral unna boot
|
T
|
510 / 761
|
$ 225.44
|
$ 45.09
|
Strapping / Compression Bandages
|
29581
|
Application of multi-layer venous wound compression system, below knee
|
T
|
510 / 761
|
$ 150.29
|
$ 30.06
|
Strapping / Compression Bandages
|
29581-50
|
Application of Bilateral multi-layer venous wound compression system, below knee
|
T
|
510 / 761
|
$ 225.44
|
$ 45.09
|
| Veins and Related Diagnostic Tests |
36478
|
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated
|
J1
|
510 / 761
|
$ 3,040.18
|
$ 608.04
|
Veins and Related Diagnostic Tests
|
36479
|
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent vein(s) veinstreated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)
|
N
|
510 / 761
|
|
|
Veins and Related Diagnostic Tests
|
36465
|
Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg, great saphenous vein, accessory saphenous vein)
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Veins and Related Diagnostic Tests
|
36466
|
Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg, great saphenous vein, accessory saphenous vein), same leg
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Veins and Related Diagnostic Tests
|
93970
|
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study
|
S
|
761 / 921 402
|
$ 233.71
|
$ 46.75
|
Veins and Related Diagnostic Tests
|
93971
|
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study
|
S
|
761 / 921 402
|
$ 104.87
|
$ 20.98
|
| Venous/Arterial Studies (Extremities) |
93922
|
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at 1-2 levels)
|
Q1
|
921
|
$ 121.84
|
$ 24.37
|
Venous/Arterial Studies (Extremities)
|
93922-52
|
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at 1-2 levels); report modifier 52 for a unilateral study when recording 1-2 levels.
|
Q1
|
921
|
$ 60.92
|
$ 12.19
|
Venous/Arterial Studies (Extremities)
|
93923
|
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more level(s), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia);
|
S
|
921
|
$ 148.98
|
$ 29.80
|
| Additional Procedure Codes |
10080
|
Incision and drainage of pilonidal cyst; simple
|
T
|
510 / 761
|
$ 671.05
|
$ 134.21
|
Additional Procedure Codes
|
10081
|
Incision and drainage of pilonidal cyst; complicated
|
T
|
510 / 761
|
$ 671.05
|
$ 134.21
|
Additional Procedure Codes
|
10120
|
Incision and removal or foreign body, subcutaneous tissues; simple
|
T
|
510 / 761
|
$ 380.32
|
$ 76.07
|
Additional Procedure Codes
|
10121
|
Incision and removal or foreign body, subcutaneous tissues; complicated
|
J1
|
510 / 761
|
$ 1,546.35
|
$ 309.27
|
Additional Procedure Codes
|
10140
|
Incision and drainage of hematoma, seroma or fluid collection
|
J1
|
510 / 761
|
$ 1,546.35
|
$ 309.27
|
Additional Procedure Codes
|
10160
|
Puncture aspiration of abscess, hematoma, bulla, or cyst
|
T
|
510 / 761
|
$ 380.02
|
$ 76.07
|
Additional Procedure Codes
|
10180
|
Incision and drainage, complex, post-op wound infection
|
J1
|
510 / 761
|
$ 2,710.16
|
$ 542.04
|
Additional Procedure Codes
|
15110
|
Epidermal autograft, trunk, arms, legs; first 100 sq cm or less
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Additional Procedure Codes
|
15111
|
Epidermal autograft, trunk, arms, legs; each additional 100 sq cm or less or part thereof
|
N
|
510 / 761
|
|
|
Additional Procedure Codes
|
15115
|
Epidermal autograft, face scalp, eyelids, mouth, neck, ears, orbits, gentialia, hands, feet, and/or multiple digits; first 100 sq cm or less
|
T
|
510 / 761
|
$ 1,739.33
|
$ 347.87
|
Additional Procedure Codes
|
15116
|
Epidermal autograft, face scalp, eyelids, mouth, neck, ears, orbits, gentialia, hands, feet, and/or multiple digits; each additional 100 sq cm or part thereof
|
N
|
510 / 761
|
|
|
Additional Procedure Codes
| 0598T
| Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; first anatomic site (eg, lower extremity)
| T | 510 / 761
| $ 299.37
| $ 59.88
|
Additional Procedure Codes
| 0599T
| Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; each additional anatomic site (eg, upper extremity) (List separately in addition to code for primary procedure)
| N | 510 / 761
|
|
|
Additional Procedure Codes
| 97610
| Low frequency non-thermal ultrasound
| Q1
| 510 / 761
| $190.75
| $38.15
|
