ADDENDUM N.?FINAL CY 2012 BYPASS CODES FOR CREATING 

?PSEUDO? SINGLE PROCEDURE CLAIMS FOR CALCULATING MEDIAN COSTS FOR CY 2012 OPPS

CY 2010 HCPCS CodeCY 2010 Short DescriptorOverlap Bypass CodesAdditions

11056Trim skin lesions 2 to 4

11057Trim skin lesions over 4

11300Shave skin lesion

11301Shave skin lesion

11719Trim nail(s)

11720Debride nail 1-5

11721Debride nail 6 or more

11954Therapy for contour defects

17000Destruct premalg lesion

17003Destruct premalg les 2-14

17110Destruct b9 lesion 1-14*

23600Treat humerus fracture

29240Strapping of shoulder*

29530Strapping of knee

31231Nasal endoscopy dx

31579Diagnostic laryngoscopy

51741Electro-uroflowmetry first*

51798Us urine capacity measure

53661Dilation of urethra

54240Penis study

56820Exam of vulva w/scope

57150Treat vagina infection

57180Treat vaginal bleeding*

57452Exam of cervix w/scope

57454Bx/curett of cervix w/scope

67820Revise eyelashes

69210Remove impacted ear wax

69220Clean out mastoid cavity

70030X-ray eye for foreign body

70100X-ray exam of jaw

70110X-ray exam of jaw

70120X-ray exam of mastoids

70130X-ray exam of mastoids

70140X-ray exam of facial bones

70150X-ray exam of facial bones

70160X-ray exam of nasal bones

70200X-ray exam of eye sockets

70210X-ray exam of sinuses

70220X-ray exam of sinuses

70240X-ray exam pituitary saddle

70250X-ray exam of skull

70260X-ray exam of skull

70320Full mouth x-ray of teeth

70328X-ray exam of jaw joint

70330X-ray exam of jaw joints

70336Magnetic image jaw joint*

70355Panoramic x-ray of jaws

70360X-ray exam of neck

70370Throat x-ray & fluoroscopy

70371Speech evaluation complex

70450Ct head/brain w/o dye*

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

70486Ct maxillofacial w/o dye*

70490Ct soft tissue neck w/o dye*

70544Mr angiography head w/o dye*

70547Mr angiography neck w/o dye*

70551Mri brain w/o dye*

71010Chest x-ray

71015Chest x-ray

71020Chest x-ray

71021Chest x-ray

71022Chest x-ray

71023Chest x-ray and fluoroscopy
71030Chest x-ray

71034Chest x-ray and fluoroscopy

71035Chest x-ray

71100X-ray exam of ribs

71101X-ray exam of ribs/chest

71110X-ray exam of ribs

71111X-ray exam of ribs/chest

71120X-ray exam of breastbone

71130X-ray exam of breastbone

71250Ct thorax w/o dye*

71550Mri chest w/o dye**

72010X-ray exam of spine

72020X-ray exam of spine

72040X-ray exam of neck spine

72050X-ray exam of neck spine

72052X-ray exam of neck spine

72069X-ray exam of trunk spine

72070X-ray exam of thoracic spine

72072X-ray exam of thoracic spine

72074X-ray exam of thoracic spine

72080X-ray exam of trunk spine

72090X-ray exam of trunk spine

72100X-ray exam of lower spine

72110X-ray exam of lower spine

72114X-ray exam of lower spine

72120X-ray exam of lower spine

72125Ct neck spine w/o dye*

72128Ct chest spine w/o dye*

72131Ct lumbar spine w/o dye*

72141Mri neck spine w/o dye*

72146Mri chest spine w/o dye*

72148Mri lumbar spine w/o dye*

72170X-ray exam of pelvis

72190X-ray exam of pelvis

72192Ct pelvis w/o dye*

72202X-ray exam sacroiliac joints

72220X-ray exam of tailbone

73000X-ray exam of collar bone

73010X-ray exam of shoulder blade

73020X-ray exam of shoulder

73030X-ray exam of shoulder

73050X-ray exam of shoulders

73060X-ray exam of humerus

73070X-ray exam of elbow

73080X-ray exam of elbow

73090X-ray exam of forearm

73100X-ray exam of wrist

73110X-ray exam of wrist

73120X-ray exam of hand

73130X-ray exam of hand

73140X-ray exam of finger(s)

73200Ct upper extremity w/o dye*

73218Mri upper extremity w/o dye*

73221Mri joint upr extrem w/o dye*

73510X-ray exam of hip

73520X-ray exam of hips

73540X-ray exam of pelvis & hips

73550X-ray exam of thigh

73560X-ray exam of knee 1 or 2

73562X-ray exam of knee 3

73564X-ray exam knee 4 or more

73565X-ray exam of knees

73590X-ray exam of lower leg

73600X-ray exam of ankle

73610X-ray exam of ankle

73620X-ray exam of foot
73630X-ray exam of foot

73650X-ray exam of heel

73660X-ray exam of toe(s)

73700Ct lower extremity w/o dye*

73718Mri lower extremity w/o dye*

73721Mri jnt of lwr extre w/o dye*

74000X-ray exam of abdomen

74010X-ray exam of abdomen

74020X-ray exam of abdomen

74022X-ray exam series abdomen

74150Ct abdomen w/o dye*

74210Contrst x-ray exam of throat

74220Contrast x-ray esophagus

74230Cine/vid x-ray throat/esoph

74246Contrst x-ray uppr gi tract

74247Contrst x-ray uppr gi tract

74249Contrst x-ray uppr gi tract

76100X-ray exam of body section

76510Ophth us b & quant a

76511Ophth us quant a only

76512Ophth us b w/non-quant a

76513Echo exam of eye water bath

76514Echo exam of eye thickness

76516Echo exam of eye

76519Echo exam of eye

76536Us exam of head and neck

76645Us exam breast(s)

76700Us exam abdom complete*

76705Echo exam of abdomen*

76770Us exam abdo back wall comp*

76775Us exam abdo back wall lim*

76776Us exam k transpl w/doppler*

76801Ob us < 14 wks single fetus

76805Ob us >/= 14 wks sngl fetus

76811Ob us detailed sngl fetus

76816Ob us follow-up per fetus

76817Transvaginal us obstetric

76830Transvaginal us non-ob

76856Us exam pelvic complete*

76857Us exam pelvic limited*

76870Us exam scrotum*

76880"Us exam, extremity"

76970Ultrasound exam follow-up

76977Us bone density measure

77072X-rays for bone age

77073X-rays bone length studies

77074X-rays bone survey limited

77075X-rays bone survey complete

77076X-rays bone survey infant

77077Joint survey single view

77078Ct bone density axial

77079Ct bone density peripheral

77080Dxa bone density axial

77081Dxa bone density/peripheral

77082Dxa bone density vert fx

77083Radiographic absorptiometry

77084Magnetic image bone marrow

77300Radiation therapy dose plan

77301Radiotherapy dose plan imrt

77305Teletx isodose plan simple

77310Teletx isodose plan intermed

77315Teletx isodose plan complex

77327Brachytx isodose calc interm

77331Special radiation dosimetry

77336Radiation physics consult

77370Radiation physics consult
77401Radiation treatment delivery

77520Proton trmt simple w/o comp*

77600Hyperthermia treatment

77605Hyperthermia treatment

77610Hyperthermia treatment

80500Lab pathology consultation

80502Lab pathology consultation

85097Bone marrow interpretation

86510Histoplasmosis skin test

86850RBC antibody screen

86870RBC antibody identification

86880Coombs test direct

86885Coombs test indirect qual

86886Coombs test indirect titer

86890Autologous blood process

86900Blood typing abo

86901Blood typing rh (d)

86903"Blood typing, antigen screen"

86904Blood typing patient serum

86905Blood typing rbc antigens

86906Blood typing rh phenotype

86930Frozen blood prep

86970RBC pretreatment

86977Rbc pretreatment serum

88104Cytopath fl nongyn smears

88106Cytopath fl nongyn filter

88107Cytopath fl nongyn sm/fltr

88108Cytopath concentrate tech

88112Cytopath cell enhance tech

88160Cytopath smear other source

88161Cytopath smear other source

88162Cytopath smear other source

88172Cytp dx eval fna 1st ea site

88173Cytopath eval fna report

88182Cell marker study

88184Flowcytometry/ tc 1 marker

88185Flowcytometry/tc add-on

88189Flowcytometry/read 16 & >*

88300Surgical path gross

88302Tissue exam by pathologist

88304Tissue exam by pathologist

88305Tissue exam by pathologist

88307Tissue exam by pathologist

88311Decalcify tissue

88312Special stains group 1

88313Special stains group 2

88314Histochemical stains add-on

88321Microslide consultation

88323Microslide consultation

88325Comprehensive review of data

88329Path consult introp*

88331Path consult intraop 1 bloc

88342Immunohistochemistry

88346Immunofluorescent study

88347Immunofluorescent study

88348Electron microscopy

88358Analysis tumor

88360Tumor immunohistochem/manual

88361Tumor immunohistochem/comput

88365Insitu hybridization (fish)

88368Insitu hybridization manual

89049Chct for mal hyperthermia

89220Sputum specimen collection*

89230Collect sweat for test

89240Pathology lab procedure

90472Immunization admin each add
90474Immune admin oral/nasal addl

90801Psy dx interview

90802Intac psy dx interview

90804Psytx office 20-30 min

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

90806Psytx off 45-50 min

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

90808Psytx office 75-80 min

90809Psytx off 75-80 w/e&m

90810Intac psytx off 20-30 min

90811Intac psytx 20-30 w/e&m

90812Intac psytx off 45-50 min

90845Psychoanalysis

90846Family psytx w/o patient

90847Family psytx w/patient

90853Group psychotherapy

90857Intac group psytx

90862Medication management

92002Eye exam new patient

92004Eye exam new patient

92012Eye exam established pat

92014Eye exam & treatment

92020Special eye evaluation

92025Corneal topography

92060Special eye evaluation

92081Visual field examination(s)

92082Visual field examination(s)

92083Visual field examination(s)

92135Ophth dx imaging post seg

92136Ophthalmic biometry

92225Special eye exam initial

92226Special eye exam subsequent

92230Eye exam with photos

92240Icg angiography

92250Eye exam with photos

92275Electroretinography

92285Eye photography

92286Internal eye photography

92520Laryngeal function studies

92541Spontaneous nystagmus test

92542Positional nystagmus test

92546Sinusoidal rotational test

92548Posturography

92552Pure tone audiometry air

92553Audiometry air & bone

92555Speech threshold audiometry

92556Speech audiometry complete

92557Comprehensive hearing test

92567Tympanometry

92582Conditioning play audiometry

92585Auditor evoke potent compre

92603Cochlear implt f/up exam 7 >

92604Reprogram cochlear implt 7 >

92626Eval aud rehab status

93005Electrocardiogram tracing

93017Cardiovascular stress test

93225Ecg monit/reprt up to 48 hrs

93226Ecg monit/reprt up to 48 hrs

93229Remote 30 day ecg tech supp*

93231"Ecg monitor/record, 24 hrs"

93232"ECG monitor/report, 24 hrs"

93236"ECG monitor/report, 24 hrs"

93270Remote 30 day ecg rev/report

93271Ecg/monitoring and analysis

93278ECG/signal-averaged

93279Pm device progr eval sngl
93280Pm device progr eval dual

93281Pm device progr eval multi

93282Icd device prog eval 1 sngl

93283Icd device progr eval dual

93284Icd device progr eval mult

93285Ilr device eval progr

93288Pm device eval in person

93289Icd device interrogate

93290Icm device eval

93291Ilr device interrogate

93292Wcd device interrogate

93293Pm phone r-strip device eval

93296Pm/icd remote tech serv

93299Icm/ilr remote tech serv*

93306Tte w/doppler complete

93786Ambulatory BP recording

93788Ambulatory BP analysis

93797Cardiac rehab

93798Cardiac rehab/monitor

93875Extracranial study

93880Extracranial study

93882Extracranial study

93886Intracranial study

93888Intracranial study

93922Upr/l xtremity art 2 levels

93923Upr/lxtr art stdy 3+ lvls

93924Lwr xtr vasc stdy bilat

93925Lower extremity study

93926Lower extremity study

93930Upper extremity study

93931Upper extremity study

93965Extremity study

93970Extremity study

93971Extremity study

93975Vascular study

93976Vascular study

93978Vascular study

93979Vascular study

93990Doppler flow testing

94015Patient recorded spirometry

94660Pos airway pressure cpap*

94690Exhaled air analysis

95115Immunotherapy one injection

95117Immunotherapy injections

95147Antigen therapy services*

95165Antigen therapy services

95250Glucose monitoring cont

95803Actigraphy testing*

95805Multiple sleep latency test

95806Sleep study unatt&resp efft

95807Sleep study attended

95808Polysomnography 1-3

95812Eeg 41-60 minutes

95813Eeg over 1 hour

95816Eeg awake and drowsy

95819Eeg awake and asleep

95822Eeg coma or sleep only

95869Muscle test thor paraspinal

95872Muscle test one fiber

95900Motor nerve conduction test

95921Autonomic nerv function test

95925Somatosensory testing

95926Somatosensory testing

95930Visual evoked potential test

95950Ambulatory eeg monitoring

95953EEG monitoring/computer
95970Analyze neurostim no prog

95972Analyze neurostim complex

95974Cranial neurostim complex

95978Analyze neurostim brain/1h

96000Motion analysis video/3d

96101Psycho testing by psych/phys

96111Developmental test extend

96116Neurobehavioral status exam

96118Neuropsych tst by psych/phys

96119Neuropsych testing by tec

96150Assess hlth/behave init

96151Assess hlth/behave subseq

96152Intervene hlth/behave indiv

96153Intervene hlth/behave group

96361Hydrate iv infusion add-on

96366Ther/proph/diag iv inf addon

96367Tx/proph/dg addl seq iv inf

96370Sc ther infusion addl hr

96371Sc ther infusion reset pump

96375Tx/pro/dx inj new drug addon

96402Chemo hormon antineopl sq/im

96411Chemo iv push addl drug

96415Chemo iv infusion addl hr

96417Chemo iv infus each addl seq

96423Chemo ia infuse each addl hr

96900Ultraviolet light therapy

96910Photochemotherapy with UV-B

96912Photochemotherapy with UV-A

96913Photochemotherapy uv-a or b

96920Laser tx skin < 250 sq cm

96921Laser tx skin 250-500 sq cm*

98925Osteopathic manipulation

98926Osteopathic manipulation

98927Osteopathic manipulation

98928Osteopathic manipulation*

98929Osteopathic manipulation*

98940Chiropractic manipulation

98941Chiropractic manipulation

98942Chiropractic manipulation

99201Office/outpatient visit new*

99202Office/outpatient visit new*

99203Office/outpatient visit new

99204Office/outpatient visit new

99212Office/outpatient visit est

99213Office/outpatient visit est

99214Office/outpatient visit est

99406Behav chng smoking 3-10 min

99407Behav chng smoking > 10 min

G0008Admin influenza virus vac

G0101CA screen;pelvic/breast exam

G0127Trim nail(s)

G0130Single energy x-ray study

G0166"Extrnl counterpulse, per tx"

G0175"OPPS Service,sched team conf"

G0248Demonstrate use home inr mon

G0249Provide INR test mater/equip

G0340Robt lin-radsurg fractx 2-5

G0365Vessel mapping hemo access

G0389Ultrasound exam AAA screen

G0390Trauma Respons w/hosp criti

G0402Initial preventive exam

G0404EKG tracing for initial prev

G0416Sat biopsy prostate 1-20 spc*

G0424Pulmonary rehab w exer*

G9141"Influenza A H1N1,admin w cou"*

M0064Visit for drug monitoring
Q0091Obtaining screen pap smear