CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

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

17004 Destroy premal lesions 15/> *

17110 Destruct b9 lesion 1-14

23600 Treat humerus fracture

29240 Strapping of shoulder

29260 Strapping of elbow or wrist *

29280 Strapping of hand or finger *

29520 Strapping of hip *

29530 Strapping of knee

31231 Nasal endoscopy dx

31505 Diagnostic laryngoscopy *

31579 Diagnostic laryngoscopy

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

62252 Csf shunt reprogram *

64566 Neuroeltrd stim post tibial *

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

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

Date Printed: 02/15/2013 @ 9:51 AM Page 1 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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

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

Date Printed: 02/15/2013 @ 9:51 AM Page 2 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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 spine

72080 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

Date Printed: 02/15/2013 @ 9:51 AM Page 3 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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 ankle

73610 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

Date Printed: 02/15/2013 @ 9:51 AM Page 4 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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 *

76881 Us xtr non-vasc complete *

76882 Us xtr non-vasc lmtd *

76970 Ultrasound exam follow-up

76977 Us bone density measure

77072 X-rays for bone age

77073 X-rays bone length studies

77074 X-rays bone survey limited

77075 X-rays bone survey complete

77076 X-rays bone survey infant

77077 Joint survey single view

77078 Ct bone density axial

77079 Ct bone density peripheral

77080 Dxa bone density axial

Date Printed: 02/15/2013 @ 9:51 AM Page 5 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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 Brachytx isodose calc interm

77331 Special radiation dosimetry

77336 Radiation physics consult

77338 Design mlc device for imrt *

77370 Radiation physics consult

77401 Radiation treatment delivery

77520 Proton trmt simple w/o comp

77600 Hyperthermia treatment

77605 Hyperthermia treatment

77610 Hyperthermia 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 typing abo

86901 Blood typing rh (d)

86904 Blood typing patient serum

86905 Blood typing rbc antigens

86906 Blood typing rh phenotype

86930 Frozen blood prep

86970 RBC pretreatment

86977 Rbc pretreatment serum

88104 Cytopath fl nongyn smears

Date Printed: 02/15/2013 @ 9:51 AM Page 6 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

88106 Cytopath fl nongyn filter

88107 Cytopath fl nongyn sm/fltr

88108 Cytopath concentrate tech

88112 Cytopath cell enhance tech

88120 Cytp urne 3-5 probes ea spec *

88160 Cytopath smear other source

88161 Cytopath smear other source

88162 Cytopath smear other source

88172 Cytp dx eval fna 1st ea site

88173 Cytopath eval fna report

88182 Cell marker study

88184 Flowcytometry/ tc 1 marker

88185 Flowcytometry/tc add-on

88189 Flowcytometry/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 Immunohistochemistry

88346 Immunofluorescent study

88347 Immunofluorescent study

88348 Electron microscopy

88358 Analysis tumor

88360 Tumor immunohistochem/manual

88361 Tumor immunohistochem/comput

88365 Insitu hybridization (fish)

88368 Insitu hybridization manual

88385 Eval molecul probes 51-250 *

Date Printed: 02/15/2013 @ 9:51 AM Page 7 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

88386 Eval molecul probes 251-500 *

89049 Chct for mal hyperthermia

89220 Sputum specimen collection

89230 Collect sweat for test

89240 Pathology lab procedure

90472 Immunization admin each add

90474 Immune admin oral/nasal addl

90801 Psy dx interview

90802 Intac psy dx interview

90804 Psytx office 20-30 min

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

90806 Psytx off 45-50 min

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

90808 Psytx office 75-80 min

90809 Psytx off 75-80 w/e&m

90810 Intac psytx off 20-30 min

90811 Intac psytx 20-30 w/e&m

90812 Intac psytx off 45-50 min

90845 Psychoanalysis

90846 Family psytx w/o patient

90847 Family psytx w/patient

90853 Group psychotherapy

90857 Intac group psytx

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)

92133 Cmptr ophth img optic nerve *

92134 Cptr ophth dx img post segmt *

92136 Ophthalmic biometry

92225 Special eye exam initial

Date Printed: 02/15/2013 @ 9:51 AM Page 8 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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 Laryngeal function studies

92541 Spontaneous nystagmus test

92542 Positional nystagmus test

92546 Sinusoidal rotational test

92548 Posturography

92550 Tympanometry & reflex thresh *

92552 Pure tone audiometry air

92553 Audiometry air & bone

92555 Speech threshold audiometry

92556 Speech audiometry complete

92557 Comprehensive hearing test

92567 Tympanometry

92570 Acoustic immitance testing *

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

93270 Remote 30 day ecg rev/report

93271 Ecg/monitoring and analysis

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

Date Printed: 02/15/2013 @ 9:51 AM Page 9 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

93284 Icd device progr eval mult

93285 Ilr device eval progr

93288 Pm device eval in person

93289 Icd device interrogate

93290 Icm device eval

93291 Ilr 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

93701 Bioimpedance cv analysis *

93786 Ambulatory BP recording

93788 Ambulatory BP analysis

93797 Cardiac rehab

93798 Cardiac rehab/monitor

93875 Extracranial study

93880 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 Lower extremity study

93926 Lower 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

Date Printed: 02/15/2013 @ 9:51 AM Page 10 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

94690 Exhaled air analysis

95115 Immunotherapy one injection

95117 Immunotherapy injections

95147 Antigen therapy services

95165 Antigen therapy services

95250 Glucose monitoring cont

95800 Slp stdy unattended *

95803 Actigraphy testing

95805 Multiple sleep latency test

95806 Sleep study unatt&resp efft

95807 Sleep study attended

95808 Polysomnography 1-3

95810 Polysomnography 4 or more *

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 test

95950 Ambulatory eeg monitoring

95953 EEG monitoring/computer

95970 Analyze neurostim no prog

95972 Analyze neurostim complex

95974 Cranial neurostim complex

95978 Analyze neurostim brain/1h

96000 Motion analysis video/3d

96101 Psycho testing by psych/phys

96111 Developmental test extend

96116 Neurobehavioral status exam

96118 Neuropsych tst by psych/phys

96119 Neuropsych testing by tec

96150 Assess hlth/behave init

Date Printed: 02/15/2013 @ 9:51 AM Page 11 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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 new

99204 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

C1300 HYPERBARIC Oxygen *

Date Printed: 02/15/2013 @ 9:51 AM Page 12 of 13
CY 2011 

HCPCS 

Code CY 2011 Short Descriptor

Overlap 

Bypass Codes Additions

 ADDENDUM N.—FINAL CY 2013 BYPASS CODES FOR CREATING 

“PSEUDO” SINGLE PROCEDURE CLAIMS FOR CALCULATING 

GEOMETRIC MEAN COSTS FOR CY 2013 OPPS

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

G0239 Oth resp proc, group *

G0248 Demonstrate use home inr mon

G0249 Provide INR 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

G0396 Alcohol/subs interv 15-30mn *

G0397 Alcohol/subs interv >30 min *

G0399 Home sleep test/type 3 Porta *

G0402 Initial preventive exam

G0404 EKG tracing for initial prev 

G0416 Sat biopsy prostate 1-20 spc

G0424 Pulmonary rehab w exer

G0436 Tobacco-use counsel 3-10 min *

G9141 Influenza A H1N1,admin w cou

M0064 Visit for drug monitoring

Q0091 Obtaining screen pap smear

Date Printed: 02/15/2013 @ 9:51 AM Page 13 of 13