CY 2011

HCPCS Code CY 2011 Short Descriptor Overlap Bypass Codes Additions 93701 Bioimpedance cv analysis * 62252Csf shunt reprogram * C1300HYPERBARIC Oxygen * 95810Polysomnography 4 or more * 29260 Strapping of elbow or wrist * 29280 Strapping of hand or finger * 29520 Strapping of hip * G0239Oth resp proc, group * 92133 Cmptr ophth img optic nerve * 92134Cptr ophth dx img post segmt * 95800 Slp stdy unattended * 76881 Us xtr non-vasc complete * 76882Us xtr non-vasc lmtd * G0397Alcohol/subs interv >30 min * G0396Alcohol/subs interv 15-30mn * G0399Home sleep test/type 3 Porta * 31505 Diagnostic laryngoscopy * 17004Destroy premal lesions 15/> * 64566Neuroeltrd stim post tibial * 92570Acoustic immitance testing * 77338Design mlc device for imrt * 92550Tympanometry & reflex thresh * 88120Cytp urne 3-5 probes ea spec * G0436Tobacco-use counsel 3-10 min * 88386Eval 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 OPPS90811 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 94660Pos airway pressure cpap 96111 Developmental test extend M0064Visit 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 * 71550Mri 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 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 G9141Influenza 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 77520Proton trmt simple w/o comp 77401 Radiation treatment delivery 93270 Remote 30 day ecg rev/report 67820 Revise eyelashes G0340Robt 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 G0365Vessel mapping hemo access 95930 Visual evoked potential test 92081 Visual field examination(s) 92083 Visual field examination(s) 96371 Sc ther infusion reset pump 96366Ther/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 G0424Pulmonary 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 G0390Trauma Respons w/hosp criti G0389Ultrasound exam AAA screen 95803 Actigraphy testing G0404EKG tracing for initial prev 96361 Hydrate iv infusion add-on 93289Icd device interrogate 93282Icd device prog eval 1 sngl 93283 Icd device progr eval dual 93284Icd device progr eval mult 93299Icm/ilr remote tech serv 93285 Ilr device eval progr 93291 Ilr device interrogate 93288Pm device eval in person 93280Pm device progr eval dual 93281 Pm device progr eval multi 93279Pm device progr eval sngl 93293 Pm phone r-strip device eval 93296 Pm/icd remote tech serv 93229Remote 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 93292Wcd device interrogate 96423 Chemo ia infuse each addl hr G0008Admin 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 G0166Extrnl counterpulse, per tx 31231 Nasal endoscopy dx Q0091Obtaining screen pap smear 54240 Penis study 11057 Trim skin lesions over 4 11719 Trim nail(s) G0127Trim nail(s)69220 Clean out mastoid cavity

11720 Debride nail 1-5 11721 Debride nail 6 or more 17110Destruct 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 57180Treat vaginal bleeding 11056 Trim skin lesions 2 to 4 57452 Exam of cervix w/scope 23600 Treat humerus fracture G0101CA 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 99202Office/outpatient visit new 99203 Office/outpatient visit new 99204 Office/outpatient visit new G0248Demonstrate use home inr mon 95250 Glucose monitoring cont G0249Provide INR test mater/equip 92002 Eye exam new patient G0175OPPS Service,sched team conf 92012 Eye exam established pat G0402Initial 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-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 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 88329Path 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 screen86970 RBC pretreatment

69210 Remove impacted ear wax 92604 Reprogram cochlear implt 7 > G0130Single 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 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 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 G0416Sat 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 93290Icm device eval 96402 Chemo hormon antineopl sq/im 88184 Flowcytometry/ tc 1 marker 88189Flowcytometry/read 16 & > 88185 Flowcytometry/tc add-on88368 Insitu hybridization manual

76510 Ophth us b & quant a 88360 Tumor immunohistochem/manual