CY 2010 HCPCS

Code CY 2010 Short Descriptor Overlap By pass Codes 11056 Trim skin lesions 2 to 4 11057 Trim skin lesions over 4 11300 Shave skin lesion 11301 Shave skin lesion 11719 Trim nail(s) 11720 Debride nail 1-5 11721 Debride nail 6 or more 11954 Therapy

for contour defects 17000 Destruct premalg lesion 17003 Destruct premalg les 2-14 17110 Destruct b9 lesion 1-14 23600 Treat humerus fracture 29240 Strapping of shoulder 29530 Strapping of knee 31231 Nasal endoscopy dx 31579 Diagnostic lary ngoscopy 51741 Electro-uroflowmetry first 51798 Us urine capacity measure 53661 Dilation of urethra 54240 Penis study 56820 Exam of vulva w/scope 57150 Treat vagina infection 57180 Treat vaginal bleeding 57452 Exam of cervix w/scope 57454 Bx/curett of cervix w/scope 67820 Revise eyelashes 69210 Remove impacted ear wax 69220 Clean out mastoid cavity 70030 X-ray

eye for foreign body 70100 X-ray

exam of jaw 70110 X-ray

exam of jaw 70120 X-ray

exam of mastoids 70130 X-ray

exam of mastoids 70140 X-ray

exam of facial bones 70150 X-ray

exam of facial bones 70160 X-ray

exam of nasal bones 70200 X-ray

exam of eye sockets 70210 X-ray

exam of sinuses 70220 X-ray

exam of sinuses **ADDENDUM N.—FINAL CY 2012 BYPASS CODES FOR CREATING “PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING MEDIAN COSTS FOR CY**  **2012 OPPS**70240 X-ray exam pituitary

saddle 70250 X-ray

exam of skull 70260 X-ray

exam of skull 70320 Full mouth x-ray of teeth 70328 X-ray

exam of jaw joint 70330 X-ray

exam of jaw joints 70336 Magnetic image jaw joint * 70355 Panoramic x-ray of jaws 70360 X-ray

exam of neck 70370 Throat x-ray & fluoroscopy 70371 Speech evaluation complex 70450 Ct head/brain w/o dye * 70480 Ct orbit/ear/fossa w/o dye * 70486 Ct maxillofacial w/o dye * 70490 Ct soft tissue neck w/o dye * 70544 Mr angiography head w/o dye * 70547 Mr angiography neck w/o dye * 70551 Mri brain w/o dye * 71010 Chest x-ray 71015 Chest x-ray 71020 Chest x-ray 71021 Chest x-ray 71022 Chest x-ray 71023 Chest x-ray and fluoroscopy 71030 Chest x-ray 71034 Chest x-ray and fluoroscopy 71035 Chest x-ray 71100 X-ray

exam of ribs 71101 X-ray

exam of ribs/chest 71110 X-ray

exam of ribs 71111 X-ray

exam of ribs/chest 71120 X-ray

exam of breastbone 71130 X-ray

exam of breastbone 71250 Ct thorax w/o dye * 71550 Mri chest w/o dye * 72010 X-ray

exam of spine 72020 X-ray

exam of spine 72040 X-ray

exam of neck spine 72050 X-ray

exam of neck spine 72052 X-ray

exam of neck spine 72069 X-ray

exam of trunk spine 72070 X-ray

exam of thoracic spine 72072 X-ray

exam of thoracic spine 72074 X-ray

exam of thoracic spine72080 X-ray exam of trunk spine 72090 X-ray

exam of trunk spine 72100 X-ray

exam of lower spine 72110 X-ray

exam of lower spine 72114 X-ray

exam of lower spine 72120 X-ray

exam of lower spine 72125 Ct neck spine w/o dye * 72128 Ct chest spine w/o dye * 72131 Ct lumbar spine w/o dye * 72141 Mri neck spine w/o dye * 72146 Mri chest spine w/o dye * 72148 Mri lumbar spine w/o dye * 72170 X-ray

exam of pelvis 72190 X-ray

exam of pelvis 72192 Ct pelvis w/o dye * 72202 X-ray

exam sacroiliac joints 72220 X-ray

exam of tailbone 73000 X-ray

exam of collar bone 73010 X-ray

exam of shoulder blade 73020 X-ray

exam of shoulder 73030 X-ray

exam of shoulder 73050 X-ray

exam of shoulders 73060 X-ray

exam of humerus 73070 X-ray

exam of elbow 73080 X-ray

exam of elbow 73090 X-ray

exam of forearm 73100 X-ray

exam of wrist 73110 X-ray

exam of wrist 73120 X-ray

exam of hand 73130 X-ray

exam of hand 73140 X-ray

exam of finger(s) 73200 Ct upper extremity w/o dye * 73218 Mri upper extremity w/o dye * 73221 Mri joint upr extrem w/o dye * 73510 X-ray

exam of hip 73520 X-ray

exam of hips 73540 X-ray

exam of pelvis & hips 73550 X-ray

exam of thigh 73560 X-ray

exam of knee 1 or 2 73562 X-ray

exam of knee 3 73564 X-ray

exam knee 4 or more 73565 X-ray

exam of knees 73590 X-ray

exam of lower leg 73600 X-ray

exam of ankle73610 X-ray exam of ankle 73620 X-ray

exam of foot 73630 X-ray

exam of foot 73650 X-ray

exam of heel 73660 X-ray

exam of toe(s) 73700 Ct lower extremity w/o dye * 73718 Mri lower extremity w/o dye * 73721 Mri jnt of lwr extre w/o dye * 74000 X-ray

exam of abdomen 74010 X-ray

exam of abdomen 74020 X-ray

exam of abdomen 74022 X-ray

exam series abdomen 74150 Ct abdomen w/o dye * 74210 Contrst x-ray exam of throat 74220 Contrast x-ray esophagus 74230 Cine/vid x-ray throat/esoph 74246 Contrst x-ray uppr gi tract 74247 Contrst x-ray uppr gi tract 74249 Contrst x-ray uppr gi tract 76100 X-ray

exam of body

section 76510 Ophth us b & quant a 76511 Ophth us quant a only 76512 Ophth us b w/non-quant a 76513 Echo exam of eye water bath 76514 Echo exam of eye thickness 76516 Echo exam of eye 76519 Echo exam of eye 76536 Us exam of head and neck 76645 Us exam breast(s) 76700 Us exam abdom complete * 76705 Echo exam of abdomen * 76770 Us exam abdo back wall comp * 76775 Us exam abdo back wall lim * 76776 Us exam k transpl w/doppler * 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 76817 Transvaginal us obstetric 76830 Transvaginal us non-ob 76856 Us exam pelvic complete * 76857 Us exam pelvic limited * 76870 Us exam scrotum * 76880 Us exam, extremity76970 Ultrasound exam follow-up

76977 Us bone density measure 77072 X-ray s for bone age 77073 X-ray s bone length studies 77074 X-ray s bone survey limited 77075 X-ray s bone survey complete 77076 X-ray s bone survey infant 77077 Joint survey single view 77078 Ct bone density axial 77079 Ct bone density peripheral 77080 Dxa bone density axial 77081 Dxa bone density /peripheral 77082 Dxa bone density vert fx 77083 Radiographic absorptiometry 77084 Magnetic image bone marrow 77300 Radiation therapy dose plan 77301 Radiotherapy dose plan imrt 77305 Teletx isodose plan simple 77310 Teletx isodose plan intermed 77315 Teletx isodose plan complex 77327 Brachy

tx isodose calc interm 77331 Special radiation dosimetry 77336 Radiation phy sics consult 77370 Radiation phy sics consult 77401 Radiation treatment delivery 77520 Proton trmt simple w/o comp 77600 Hy

perthermia treatment 77605 Hy

perthermia treatment 77610 Hy

perthermia treatment 80500 Lab pathology consultation 80502 Lab pathology consultation 85097 Bone marrow interpretation 86510 Histoplasmosis skin test 86850 RBC antibody screen 86870 RBC antibody identification 86880 Coombs test direct 86885 Coombs test indirect qual 86886 Coombs test indirect titer 86890 Autologous blood process 86900 Blood ty

ping abo 86901 Blood ty

ping rh (d) 86903 Blood ty

ping, antigen screen 86904 Blood ty

ping patient serum 86905 Blood ty

ping rbc antigens86906 Blood ty ping rh phenoty

pe 86930 Frozen blood prep 86970 RBC pretreatment 86977 Rbc pretreatment serum 88104 Cy

topath fl nongy

n smears 88106 Cy

topath fl nongy

n filter 88107 Cy

topath fl nongy

n sm/fltr 88108 Cy

topath concentrate tech 88112 Cy

topath cell enhance tech 88160 Cy

topath smear other source 88161 Cy

topath smear other source 88162 Cy

topath smear other source 88172 Cy

tp dx eval fna 1st ea site 88173 Cy

topath eval fna report 88182 Cell marker study 88184 Flowcy

tometry / tc 1 marker 88185 Flowcy

tometry /tc add-on 88189 Flowcy

tometry /read 16 & > 88300 Surgical path gross 88302 Tissue exam by pathologist 88304 Tissue exam by pathologist 88305 Tissue exam by pathologist 88307 Tissue exam by pathologist 88311 Decalcify

tissue 88312 Special stains group 1 88313 Special stains group 2 88314 Histochemical stains add-on 88321 Microslide consultation 88323 Microslide consultation 88325 Comprehensive review of data 88329 Path consult introp 88331 Path consult intraop 1 bloc 88342 Im munohistochemistry 88346 Im munofluorescent study 88347 Im munofluorescent study 88348 Electron microscopy 88358 Analy sis tumor 88360 Tumor immunohistochem/manual 88361 Tumor immunohistochem/comput 88365 In situ hy

bridization (fish) 88368 In situ hy

bridization manual 89049 Chct for mal hy perthermia 89220 Sputum specimen collection 89230 Collect sweat for test89240 Pathology lab procedure 90472 Im munization admin each add 90474 Im mune admin oral/nasal addl 90801 Psy

dx interview 90802 Intac psy

dx interview 90804 Psy

tx office 20-30 min 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 90808 Psy

tx office 75-80 min 90809 Psy

tx off 75-80 w/e&m 90810 Intac psy

tx off 20-30 min 90811 Intac psy

tx 20-30 w/e&m 90812 Intac psy

tx off 45-50 min 90845 Psychoanaly sis 90846 Family

psy tx w/o patient 90847 Family

psy tx w/patient 90853 Group psychotherapy 90857 Intac group psy tx 90862 Medication management 92002 Eye exam new patient 92004 Eye exam new patient 92012 Eye exam established pat 92014 Eye exam & treatment 92020 Special eye evaluation 92025 Corneal topography 92060 Special eye evaluation 92081 Visual field examination(s) 92082 Visual field examination(s) 92083 Visual field examination(s) 92135 Ophth dx imaging post seg 92136 Ophthalmic biometry 92225 Special eye exam initial 92226 Special eye exam subsequent 92230 Eye exam with photos 92240 Icg angiography 92250 Eye exam with photos 92275 Electroretinography 92285 Eye photography 92286 Internal eye photography 92520 Lary

ngeal function studies 92541 Spontaneous ny stagmus test 92542 Positional ny stagmus test 92546 Sinusoidal rotational test92548 Posturography

92552 Pure tone audiometry air 92553 Audiometry air & bone 92555 Speech threshold audiometry 92556 Speech audiometry complete 92557 Comprehensive hearing test 92567 Ty

mpanometry 92582 Conditioning play audiometry 92585 Auditor evoke potent compre 92603 Cochlear implt f/up exam 7 > 92604 Reprogram cochlear implt 7 > 92626 Eval aud rehab status 93005 Electrocardiogram tracing 93017 Cardiovascular stress test 93225 Ecg monit/reprt up to 48 hrs 93226 Ecg monit/reprt up to 48 hrs 93229 Remote 30 day ecg tech supp 93231 Ecg monitor/record, 24 hrs 93232 ECG monitor/report, 24 hrs 93236 ECG monitor/report, 24 hrs 93270 Remote 30 day ecg rev/report 93271 Ecg/monitoring and analy sis 93278 ECG/signal-averaged 93279 Pm device progr eval sngl 93280 Pm device progr eval dual 93281 Pm device progr eval multi 93282 Icd device prog eval 1 sngl 93283 Icd device progr eval dual 93284 Icd device progr eval mult 93285 Il r device eval progr 93288 Pm device eval in person 93289 Icd device interrogate 93290 Icm device eval 93291 Il r device interrogate 93292 Wcd device interrogate 93293 Pm phone r-strip device eval 93296 Pm/icd remote tech serv 93299 Icm/ilr remote tech serv 93306 Tte w/doppler complete 93786 Ambulatory BP recording 93788 Ambulatory BP analy sis 93797 Cardiac rehab 93798 Cardiac rehab/monitor 93875 Extracranial study93880 Extracranial study

93882 Extracranial study 93886 Intracranial study 93888 Intracranial study 93922 Upr/l xtremity art 2 levels 93923 Upr/lxtr art stdy 3+ lvls 93924 Lwr xtr vasc stdy bilat 93925 Lo wer extremity study 93926 Lo wer extremity study 93930 Upper extremity study 93931 Upper extremity study 93965 Extremity

study 93970 Extremity

study 93971 Extremity

study 93975 Vascular study 93976 Vascular study 93978 Vascular study 93979 Vascular study 93990 Doppler flow testing 94015 Patient recorded spirometry 94660 Pos airway pressure cpap 94690 Exhaled air analy sis 95115 Im munotherapy one injection 95117 Im munotherapy injections 95147 Antigen therapy services 95165 Antigen therapy services 95250 Glucose monitoring cont 95803 Actigraphy testing 95805 Multiple sleep latency test 95806 Sleep study unatt&resp efft 95807 Sleep study attended 95808 Poly somnography 1-3 95812 Eeg 41-60 minutes 95813 Eeg over 1 hour 95816 Eeg awake and drowsy 95819 Eeg awake and asleep 95822 Eeg coma or sleep only 95869 Muscle test thor paraspinal 95872 Muscle test one fiber 95900 Motor nerve conduction test 95921 Autonomic nerv function test 95925 Somatosensory testing 95926 Somatosensory testing 95930 Visual evoked potential test95950 Ambulatory eeg monitoring 95953 EEG monitoring/computer 95970 Analy

ze neurostim no prog 95972 Analy

ze neurostim complex 95974 Cranial neurostim complex 95978 Analy

ze neurostim brain/1h 96000 Motion analy sis video/3d 96101 Psycho testing by psych/phy s 96111 Developmental test extend 96116 Neurobehavioral status exam 96118 Neuropsych tst by psych/phy s 96119 Neuropsych testing by tec 96150 Assess hlth/behave init 96151 Assess hlth/behave subseq 96152 Intervene hlth/behave indiv 96153 Intervene hlth/behave group 96361 Hydrate iv infusion add-on 96366 Ther/proph/diag iv inf addon 96367 Tx/proph/dg addl seq iv inf 96370 Sc ther infusion addl hr 96371 Sc ther infusion reset pump 96375 Tx/pro/dx inj new drug addon 96402 Chemo hormon antineopl sq/im 96411 Chemo iv push addl drug 96415 Chemo iv infusion addl hr 96417 Chemo iv infus each addl seq 96423 Chemo ia infuse each addl hr 96900 Ultraviolet light therapy 96910 Photochemotherapy with UV-B 96912 Photochemotherapy with UV-A 96913 Photochemotherapy uv-a or b 96920 Laser tx skin < 250 sq cm 96921 Laser tx skin 250-500 sq cm 98925 Osteopathic manipulation 98926 Osteopathic manipulation 98927 Osteopathic manipulation 98928 Osteopathic manipulation 98929 Osteopathic manipulation 98940 Chiropractic manipulation 98941 Chiropractic manipulation 98942 Chiropractic manipulation 99201 Office/outpatient visit new 99202 Office/outpatient visit new 99203 Office/outpatient visit new99204 Office/outpatient visit new

99212 Office/outpatient visit est 99213 Office/outpatient visit est 99214 Office/outpatient visit est 99406 Behav chng smoking 3-10 min 99407 Behav chng smoking > 10 min G0008 Admin influenza virus vac G0101 CA screen;pelvic/breast exam G0127 Trim nail(s) G0130 Single energy x-ray study G0166 Extrnl counterpulse, per tx G0175 OPPS Service,sched team conf G0248 Demonstrate use home inr mon G0249 Provide I

NR test mater/equip G0340 Robt lin-radsurg fractx 2-5 G0365 Vessel mapping hemo access G0389 Ultrasound exam AAA screen G0390 Trauma Respons w/hosp criti G0402 In itial preventive exam G0404 EKG tracing for initial prev G0416 Sat biopsy prostate 1-20 spc G0424 Pulmonary rehab w exer G9141 In fluenza A H1N1,admin w cou M0064 Visit for drug monitoring Q0091 Obtaining screen pap smearAdditions

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* **ADDENDUM N.—FINAL CY 2012 BYPASS CODES FOR CREATING “PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING MEDIAN COSTS FOR CY** ***

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