CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass 

Codes Additions

93701 Bioimpedance cv analysis *

62252 Csf shunt reprogram *

C1300 HYPERBARIC Oxygen *

95810 Polysomnography 4 or more *

29260 Strapping of elbow or wrist *

29280 Strapping of hand or finger *

29520 Strapping of hip *

G0239 Oth resp proc, group *

92133 Cmptr ophth img optic nerve *

92134 Cptr ophth dx img post segmt *

95800 Slp stdy unattended *

76881 Us xtr non-vasc complete *

76882 Us xtr non-vasc lmtd *

G0397 Alcohol/subs interv >30 min *

G0396 Alcohol/subs interv 15-30mn *

G0399 Home sleep test/type 3 Porta *

31505 Diagnostic laryngoscopy *

17004 Destroy premal lesions 15/> *

64566 Neuroeltrd stim post tibial *

92570 Acoustic immitance testing *

77338 Design mlc device for imrt *

92550 Tympanometry & reflex thresh *

88120 Cytp urne 3-5 probes ea spec *

G0436 Tobacco-use counsel 3-10 min *

88386 Eval molecul probes 251-500 *

88385 Eval molecul probes 51-250 *

77079 Ct bone density peripheral

88107 Cytopath fl nongyn sm/fltr

93875 Extracranial study

77083 Radiographic absorptiometry

96150 Assess hlth/behave init

96151 Assess hlth/behave subseq

90846 Family psytx w/o patient

90847 Family psytx w/patient

90853 Group psychotherapy

90857 Intac group psytx

90802 Intac psy dx interview

 ADDENDUM N.—PROPOSED CY 2013 BYPASS CODES 

FOR CREATING “PSEUDO” SINGLE PROCEDURE CLAIMS 

FOR CALCULATING GEOMETRIC MEAN COSTS FOR 

PROPOSED CY 2013 OPPS
90811 Intac psytx 20-30 w/e&m

90810 Intac psytx off 20-30 min

96153 Intervene hlth/behave group

96152 Intervene hlth/behave indiv

90801 Psy dx interview

90845 Psychoanalysis

90805 Psytx off 20-30 min w/e&m

90806 Psytx off 45-50 min

90807 Psytx off 45-50 min w/e&m

90809 Psytx off 75-80 w/e&m

90804 Psytx office 20-30 min

90808 Psytx office 75-80 min

71010 Chest x-ray

71015 Chest x-ray

71020 Chest x-ray

94660 Pos airway pressure cpap

96111 Developmental test extend

M0064 Visit for drug monitoring

90862 Medication management

74150 Ct abdomen w/o dye *

72128 Ct chest spine w/o dye *

70450 Ct head/brain w/o dye *

73700 Ct lower extremity w/o dye *

72131 Ct lumbar spine w/o dye *

70486 Ct maxillofacial w/o dye *

72125 Ct neck spine w/o dye *

70480 Ct orbit/ear/fossa w/o dye *

72192 Ct pelvis w/o dye *

70490 Ct soft tissue neck w/o dye *

71250 Ct thorax w/o dye *

73200 Ct upper extremity w/o dye *

76705 Echo exam of abdomen *

90812 Intac psytx off 45-50 min

70336 Magnetic image jaw joint *

70544 Mr angiography head w/o dye *

70547 Mr angiography neck w/o dye *

70551 Mri brain w/o dye *

72146 Mri chest spine w/o dye *

71550 Mri chest w/o dye *

73721 Mri jnt of lwr extre w/o dye *

73221 Mri joint upr extrem w/o dye *

73718 Mri lower extremity w/o dye *

72148 Mri lumbar spine w/o dye *

72141 Mri neck spine w/o dye *
73218 Mri upper extremity w/o dye *

76770 Us exam abdo back wall comp *

76775 Us exam abdo back wall lim *

76700 Us exam abdom complete *

76856 Us exam pelvic complete *

76857 Us exam pelvic limited *

76870 Us exam scrotum *

96116 Neurobehavioral status exam

96119 Neuropsych testing by tec

96118 Neuropsych tst by psych/phys

96101 Psycho testing by psych/phys

76776 Us exam k transpl w/doppler *

93788 Ambulatory BP analysis

93786 Ambulatory BP recording

95950 Ambulatory eeg monitoring

95978 Analyze neurostim brain/1h

95970 Analyze neurostim no prog

92585 Auditor evoke potent compre

93797 Cardiac rehab

93798 Cardiac rehab/monitor

98940 Chiropractic manipulation

98941 Chiropractic manipulation

98942 Chiropractic manipulation

74230 Cine/vid x-ray throat/esoph

74220 Contrast x-ray esophagus

74210 Contrst x-ray exam of throat

74246 Contrst x-ray uppr gi tract

74247 Contrst x-ray uppr gi tract

74249 Contrst x-ray uppr gi tract

93990 Doppler flow testing

93225 Ecg monit/reprt up to 48 hrs

93226 Ecg monit/reprt up to 48 hrs

76516 Echo exam of eye

76519 Echo exam of eye

76513 Echo exam of eye water bath

95812 Eeg 41-60 minutes

95819 Eeg awake and asleep

95816 Eeg awake and drowsy

95822 Eeg coma or sleep only

95953 EEG monitoring/computer

95813 Eeg over 1 hour

93005 Electrocardiogram tracing

92275 Electroretinography

93880 Extracranial study
93882 Extracranial study

93965 Extremity study

93970 Extremity study

93971 Extremity study

92240 Icg angiography

90474 Immune admin oral/nasal addl

90472 Immunization admin each add

95115 Immunotherapy one injection

G9141 Influenza A H1N1,admin w cou

93886 Intracranial study

93888 Intracranial study

93925 Lower extremity study

93926 Lower extremity study

93924 Lwr xtr vasc stdy bilat

96000 Motion analysis video/3d

95900 Motor nerve conduction test

95805 Multiple sleep latency test

95872 Muscle test one fiber

76801 Ob us < 14 wks single fetus

76805 Ob us >/= 14 wks sngl fetus

76811 Ob us detailed sngl fetus

76816 Ob us follow-up per fetus

76512 Ophth us b w/non-quant a

76511 Ophth us quant a only

92136 Ophthalmic biometry

98925 Osteopathic manipulation

98926 Osteopathic manipulation

98927 Osteopathic manipulation

98928 Osteopathic manipulation

98929 Osteopathic manipulation

96913 Photochemotherapy uv-a or b

96912 Photochemotherapy with UV-A

96910 Photochemotherapy with UV-B

95808 Polysomnography 1-3

77520 Proton trmt simple w/o comp

77401 Radiation treatment delivery

93270 Remote 30 day ecg rev/report

67820 Revise eyelashes

G0340 Robt lin-radsurg fractx 2-5

95807 Sleep study attended

95806 Sleep study unatt&resp efft

95925 Somatosensory testing

95926 Somatosensory testing

92020 Special eye evaluation
92225 Special eye exam initial

29530 Strapping of knee

29240 Strapping of shoulder

76830 Transvaginal us non-ob

76817 Transvaginal us obstetric

76970 Ultrasound exam follow-up

96900 Ultraviolet light therapy

93930 Upper extremity study

93931 Upper extremity study

93923 Upr/lxtr art stdy 3+ lvls

76645 Us exam breast(s)

76536 Us exam of head and neck

93975 Vascular study

93976 Vascular study

93979 Vascular study

G0365 Vessel mapping hemo access

95930 Visual evoked potential test

92081 Visual field examination(s)

92083 Visual field examination(s)

96371 Sc ther infusion reset pump

96366 Ther/proph/diag iv inf addon

95921 Autonomic nerv function test

93922 Upr/l xtremity art 2 levels

92250 Eye exam with photos

92285 Eye photography

92060 Special eye evaluation

92226 Special eye exam subsequent

92082 Visual field examination(s)

92230 Eye exam with photos

92286 Internal eye photography

77600 Hyperthermia treatment

77605 Hyperthermia treatment

77610 Hyperthermia treatment

93978 Vascular study

95972 Analyze neurostim complex

95147 Antigen therapy services

95165 Antigen therapy services

95974 Cranial neurostim complex

95869 Muscle test thor paraspinal

G0424 Pulmonary rehab w exer

96417 Chemo iv infus each addl seq

96415 Chemo iv infusion addl hr

92025 Corneal topography

77078 Ct bone density axial
77080 Dxa bone density axial

77081 Dxa bone density/peripheral

G0390 Trauma Respons w/hosp criti

G0389 Ultrasound exam AAA screen

95803 Actigraphy testing

G0404 EKG tracing for initial prev 

96361 Hydrate iv infusion add-on

93289 Icd device interrogate

93282 Icd device prog eval 1 sngl

93283 Icd device progr eval dual

93284 Icd device progr eval mult

93299 Icm/ilr remote tech serv

93285 Ilr device eval progr

93291 Ilr device interrogate

93288 Pm device eval in person

93280 Pm device progr eval dual

93281 Pm device progr eval multi

93279 Pm device progr eval sngl

93293 Pm phone r-strip device eval

93296 Pm/icd remote tech serv

93229 Remote 30 day ecg tech supp

96370 Sc ther infusion addl hr

93306 Tte w/doppler complete

96375 Tx/pro/dx inj new drug addon

96367 Tx/proph/dg addl seq iv inf

93292 Wcd device interrogate

96423 Chemo ia infuse each addl hr

G0008 Admin influenza virus vac

93271 Ecg/monitoring and analysis

95117 Immunotherapy injections

96411 Chemo iv push addl drug

77084 Magnetic image bone marrow

57454 Bx/curett of cervix w/scope

31579 Diagnostic laryngoscopy

53661 Dilation of urethra

51741 Electro-uroflowmetry first

56820 Exam of vulva w/scope

G0166 Extrnl counterpulse, per tx

31231 Nasal endoscopy dx

Q0091 Obtaining screen pap smear

54240 Penis study

11057 Trim skin lesions over 4

11719 Trim nail(s)

G0127 Trim nail(s)
69220 Clean out mastoid cavity

11720 Debride nail 1-5

11721 Debride nail 6 or more

17110 Destruct b9 lesion 1-14

17003 Destruct premalg les 2-14

17000 Destruct premalg lesion

96920 Laser tx skin < 250 sq cm

96921 Laser tx skin 250-500 sq cm

11300 Shave skin lesion

11301 Shave skin lesion

11954 Therapy for contour defects

57150 Treat vagina infection

57180 Treat vaginal bleeding

11056 Trim skin lesions 2 to 4

57452 Exam of cervix w/scope

23600 Treat humerus fracture

G0101 CA screen;pelvic/breast exam

92014 Eye exam & treatment

92004 Eye exam new patient

99212 Office/outpatient visit est

99213 Office/outpatient visit est

99214 Office/outpatient visit est

99201 Office/outpatient visit new

99202 Office/outpatient visit new

99203 Office/outpatient visit new

99204 Office/outpatient visit new

G0248 Demonstrate use home inr mon

95250 Glucose monitoring cont

G0249 Provide INR test mater/equip

92002 Eye exam new patient

G0175 OPPS Service,sched team conf

92012 Eye exam established pat

G0402 Initial preventive exam

92553 Audiometry air & bone

86890 Autologous blood process

86900 Blood typing abo

86905 Blood typing rbc antigens

86901 Blood typing rh (d)

86906 Blood typing rh phenotype

85097 Bone marrow interpretation

77327 Brachytx isodose calc interm

93017 Cardiovascular stress test

88182 Cell marker study

71021 Chest x-ray
71022 Chest x-ray

71030 Chest x-ray

71035 Chest x-ray

71023 Chest x-ray and fluoroscopy

71034 Chest x-ray and fluoroscopy

92603 Cochlear implt f/up exam 7 >

92557 Comprehensive hearing test

88325 Comprehensive review of data

92582 Conditioning play audiometry

86880 Coombs test direct

86885 Coombs test indirect qual

86886 Coombs test indirect titer

88112 Cytopath cell enhance tech

88173 Cytopath eval fna report

88106 Cytopath fl nongyn filter

88104 Cytopath fl nongyn smears

88160 Cytopath smear other source

88161 Cytopath smear other source

88348 Electron microscopy

94690 Exhaled air analysis

86930 Frozen blood prep

70320 Full mouth x-ray of teeth

88314 Histochemical stains add-on

86510 Histoplasmosis skin test

88346 Immunofluorescent study

88347 Immunofluorescent study

88342 Immunohistochemistry

88365 Insitu hybridization (fish)

80502 Lab pathology consultation

92520 Laryngeal function studies

88321 Microslide consultation

88323 Microslide consultation

88331 Path consult intraop 1 bloc

88329 Path consult introp

94015 Patient recorded spirometry

92542 Positional nystagmus test

92548 Posturography

92552 Pure tone audiometry air

77336 Radiation physics consult

77370 Radiation physics consult

77300 Radiation therapy dose plan

77301 Radiotherapy dose plan imrt

86870 RBC antibody identification

86850 RBC antibody screen
86970 RBC pretreatment

69210 Remove impacted ear wax

92604 Reprogram cochlear implt 7 >

G0130 Single energy x-ray study

92546 Sinusoidal rotational test

77331 Special radiation dosimetry

88312 Special stains group 1

88313 Special stains group 2

92556 Speech audiometry complete

70371 Speech evaluation complex

92555 Speech threshold audiometry

92541 Spontaneous nystagmus test

89220 Sputum specimen collection

77315 Teletx isodose plan complex

77305 Teletx isodose plan simple

70370 Throat x-ray & fluoroscopy

88302 Tissue exam by pathologist

88304 Tissue exam by pathologist

88305 Tissue exam by pathologist

88307 Tissue exam by pathologist

92567 Tympanometry

76977 Us bone density measure

51798 Us urine capacity measure

73564 X-ray exam knee 4 or more

74000 X-ray exam of abdomen

74010 X-ray exam of abdomen

74020 X-ray exam of abdomen

73600 X-ray exam of ankle

73610 X-ray exam of ankle

76100 X-ray exam of body section

71120 X-ray exam of breastbone

71130 X-ray exam of breastbone

73000 X-ray exam of collar bone

73070 X-ray exam of elbow

73080 X-ray exam of elbow

70200 X-ray exam of eye sockets

70140 X-ray exam of facial bones

70150 X-ray exam of facial bones

73140 X-ray exam of finger(s)

73620 X-ray exam of foot

73630 X-ray exam of foot

73090 X-ray exam of forearm

73120 X-ray exam of hand

73130 X-ray exam of hand
73650 X-ray exam of heel

73510 X-ray exam of hip

73060 X-ray exam of humerus

70100 X-ray exam of jaw

70110 X-ray exam of jaw

70328 X-ray exam of jaw joint

70330 X-ray exam of jaw joints

73560 X-ray exam of knee 1 or 2

73562 X-ray exam of knee 3

73565 X-ray exam of knees

73590 X-ray exam of lower leg

72100 X-ray exam of lower spine

72110 X-ray exam of lower spine

72114 X-ray exam of lower spine

70120 X-ray exam of mastoids

70130 X-ray exam of mastoids

70160 X-ray exam of nasal bones

70360 X-ray exam of neck

72040 X-ray exam of neck spine

72050 X-ray exam of neck spine

72052 X-ray exam of neck spine

72170 X-ray exam of pelvis

72190 X-ray exam of pelvis

73540 X-ray exam of pelvis & hips

71100 X-ray exam of ribs

71110 X-ray exam of ribs

71101 X-ray exam of ribs/chest

71111 X-ray exam of ribs/chest

73020 X-ray exam of shoulder

73030 X-ray exam of shoulder

73010 X-ray exam of shoulder blade

73050 X-ray exam of shoulders

70210 X-ray exam of sinuses

70220 X-ray exam of sinuses

70250 X-ray exam of skull

70260 X-ray exam of skull

72020 X-ray exam of spine

72220 X-ray exam of tailbone

73550 X-ray exam of thigh

72070 X-ray exam of thoracic spine

72072 X-ray exam of thoracic spine

72074 X-ray exam of thoracic spine

73660 X-ray exam of toe(s)

72069 X-ray exam of trunk spine
72080 X-ray exam of trunk spine

72090 X-ray exam of trunk spine

73100 X-ray exam of wrist

73110 X-ray exam of wrist

70240 X-ray exam pituitary saddle

72202 X-ray exam sacroiliac joints

74022 X-ray exam series abdomen

70030 X-ray eye for foreign body

93278 ECG/signal-averaged

86977 Rbc pretreatment serum

77310 Teletx isodose plan intermed

88162 Cytopath smear other source

88361 Tumor immunohistochem/comput

70355 Panoramic x-ray of jaws

73520 X-ray exam of hips

72120 X-ray exam of lower spine

80500 Lab pathology consultation

88300 Surgical path gross

89230 Collect sweat for test

88358 Analysis tumor

86904 Blood typing patient serum

88108 Cytopath concentrate tech

88311 Decalcify tissue

72010 X-ray exam of spine

89049 Chct for mal hyperthermia

92626 Eval aud rehab status

99407 Behav chng smoking > 10 min

99406 Behav chng smoking 3-10 min

G0416 Sat biopsy prostate 1-20 spc

88172 Cytp dx eval fna 1st ea site

89240 Pathology lab procedure

76514 Echo exam of eye thickness

77082 Dxa bone density vert fx

77077 Joint survey single view

77073 X-rays bone length studies

77075 X-rays bone survey complete

77076 X-rays bone survey infant

77074 X-rays bone survey limited

77072 X-rays for bone age

93290 Icm device eval

96402 Chemo hormon antineopl sq/im

88184 Flowcytometry/ tc 1 marker

88189 Flowcytometry/read 16 & >

88185 Flowcytometry/tc add-on
88368 Insitu hybridization manual

76510 Ophth us b & quant a

88360 Tumor immunohistochem/manual