CY 2011

HCPCS Code CY 2011 Short Descriptor Overlap By pass Codes Additions 93701 Bioimpedance cv analy sis * 62252 Csf shunt reprogram * C1300 HYPERBARI C Oxygen * 95810 Poly somnography 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/ty pe 3 Porta * 31505 Diagnostic lary

ngoscopy * 17004 Destroy

premal lesions 15/> * 64566 Neuroeltrd stim post tibial * 92570 Acoustic immitance testing * 77338 Design mlc device for imrt * 92550 Ty

mpanometry

& reflex thresh * 88120 Cy

tp 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 Cy

topath fl nongy

n sm/fltr 93875 Extracranial study 77083 Radiographic absorptiometry 96150 Assess hlth/behave init 96151 Assess hlth/behave subseq 90846 Family

psy tx w/o patient 90847 Family

psy tx w/patient 90853 Group psychotherapy 90857 Intac group psy

tx 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 psy tx 20-30 w/e&m 90810 Intac psy

tx off 20-30 min 96153 Intervene hlth/behave group 96152 Intervene hlth/behave indiv 90801 Psy

dx interview 90845 Psychoanaly sis 90805 Psy

tx off 20-30 min w/e&m 90806 Psy

tx off 45-50 min 90807 Psy

tx off 45-50 min w/e&m 90809 Psy

tx off 75-80 w/e&m 90804 Psy

tx office 20-30 min 90808 Psy

tx 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 psy

tx 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/phy s 96101 Psycho testing by psych/phy s 76776 Us exam k transpl w/doppler * 93788 Ambulatory

BP analy sis 93786 Ambulatory

BP recording 95950 Ambulatory

eeg monitoring 95978 Analy

ze neurostim brain/1h 95970 Analy

ze 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 study93882 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 In fluenza A H1N1,admin w cou 93886 Intracranial study 93888 Intracranial study 93925 Lo wer extremity study 93926 Lo wer extremity study 93924 Lwr xtr vasc stdy bilat 96000 Motion analy sis 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 Poly somnography 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 evaluation92225 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 Hy

perthermia treatment 77605 Hy

perthermia treatment 77610 Hy

perthermia treatment 93978 Vascular study 95972 Analy

ze 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

axial77080 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 Il r device eval progr 93291 Il r 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 analy sis 95117 Immunotherapy

injections 96411 Chemo iv push addl drug 77084 Magnetic image bone marrow 57454 Bx/curett of cervix w/scope 31579 Diagnostic lary

ngoscopy 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 I

NR test mater/equip 92002 Eye exam new patient G0175 OPPS Service,sched team conf 92012 Eye exam established pat G0402 In itial preventive exam 92553 Audiometry

air & bone 86890 Autologous blood process 86900 Blood ty

ping abo 86905 Blood ty

ping rbc antigens 86901 Blood ty

ping rh (d) 86906 Blood ty

ping rh phenoty

pe 85097 Bone marrow interpretation 77327 Brachy

tx isodose calc interm 93017 Cardiovascular stress test 88182 Cell marker study 71021 Chest x-ray71022 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 Cy

topath cell enhance tech 88173 Cy

topath eval fna report 88106 Cy

topath fl nongy

n filter 88104 Cy

topath fl nongy

n smears 88160 Cy

topath smear other source 88161 Cy

topath smear other source 88348 Electron microscopy 94690 Exhaled air analy sis 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 In situ hy

bridization (fish) 80502 Lab pathology

consultation 92520 Lary

ngeal function studies 88321 Microslide consultation 88323 Microslide consultation 88331 Path consult intraop 1 bloc 88329 Path consult introp 94015 Patient recorded spirometry 92542 Positional ny stagmus test 92548 Posturography 92552 Pure tone audiometry air 77336 Radiation phy sics consult 77370 Radiation phy sics consult 77300 Radiation therapy dose plan 77301 Radiotherapy

dose plan imrt 86870 RBC antibody

identification 86850 RBC antibody

screen86970 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 ny stagmus 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 Ty

mpanometry 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 hand73650 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 spine72080 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 Cy

topath 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 Analy sis tumor 86904 Blood ty

ping patient serum 88108 Cy

topath concentrate tech 88311 Decalcify

tissue 72010 X-ray

exam of spine 89049 Chct for mal hy

perthermia 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 Cy

tp 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-ray s bone length studies 77075 X-ray s bone survey complete 77076 X-ray s bone survey infant 77074 X-ray s bone survey limited 77072 X-ray s for bone age 93290 Icm device eval 96402 Chemo hormon antineopl sq/im 88184 Flowcy

tometry / tc 1 marker 88189 Flowcy

tometry /read 16 & > 88185 Flowcy

tometry /tc add-on88368 In situ hy bridization manual 76510 Ophth us b & quant a 88360 Tumor immunohistochem/manual