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 17004Destroy premal lesions 15/> * 17110Destruct 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 57180Treat vaginal bleeding 57452 Exam of cervix w/scope 57454 Bx/curett of cervix w/scope 62252Csf shunt reprogram * 64566Neuroeltrd stim post tibial * 67820 Revise eyelashes 69210 Remove impacted ear wax 69220 Clean out mastoid cavity 70030X-ray eye for foreign body 70100X-ray exam of jaw 70110X-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

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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

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 70320 Full mouth x-ray of teeth 70328 X-ray exam of jaw joint 70330X-ray exam of jaw joints 70336 Magnetic image jaw joint * 70355 Panoramic x-ray of jaws 70360X-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 71100X-ray exam of ribs 71101 X-ray exam of ribs/chest 71110X-ray exam of ribs

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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 71120X-ray exam of breastbone 71130X-ray exam of breastbone 71250 Ct 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 72052 X-ray exam of neck spine 72069 X-ray exam of trunk spine 72070X-ray exam of thoracic spine 72072 X-ray exam of thoracic spine 72074 X-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 72114 X-ray exam of lower spine 72120X-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 * 72170X-ray exam of pelvis 72190X-ray exam of pelvis 72192 Ct pelvis w/o dye * 72202 X-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

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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

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) 73200 Ct upper extremity w/o dye * 73218 Mri upper extremity w/o dye * 73221 Mri 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 73562 X-ray exam of knee 3 73564 X-ray exam knee 4 or more 73565 X-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) 73700 Ct lower extremity w/o dye * 73718 Mri lower extremity w/o dye * 73721 Mri jnt of lwr extre w/o dye * 74000X-ray exam of abdomen 74010X-ray exam of abdomen 74020X-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

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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 76100X-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 * 76882Us 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

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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 77338Design mlc device for imrt * 77370 Radiation physics consult 77401 Radiation treatment delivery 77520Proton 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

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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 88120Cytp 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 88189Flowcytometry/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 88329Path 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 *

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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

88386Eval 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 * 92134Cptr ophth dx img post segmt * 92136 Ophthalmic biometry 92225 Special eye exam initial

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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 92550Tympanometry & 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 92570Acoustic 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 93229Remote 30 day ecg tech supp 93270 Remote 30 day ecg rev/report 93271 Ecg/monitoring and analysis 93278 ECG/signal-averaged 93279Pm device progr eval sngl 93280Pm device progr eval dual 93281 Pm device progr eval multi 93282Icd device prog eval 1 sngl 93283 Icd device progr eval dual

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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

93284Icd device progr eval mult 93285 Ilr device eval progr 93288Pm device eval in person 93289Icd device interrogate 93290Icm device eval 93291 Ilr device interrogate 93292Wcd device interrogate 93293 Pm phone r-strip device eval 93296 Pm/icd remote tech serv 93299Icm/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 94660Pos airway pressure cpap

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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 95810Polysomnography 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

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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 96366Ther/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 99202Office/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 C1300HYPERBARIC Oxygen *

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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

G0008Admin influenza virus vac G0101CA screen;pelvic/breast exam G0127Trim nail(s) G0130Single energy x-ray study G0166Extrnl counterpulse, per tx G0175OPPS Service,sched team conf G0239Oth resp proc, group * 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 G0396Alcohol/subs interv 15-30mn * G0397Alcohol/subs interv >30 min * G0399Home sleep test/type 3 Porta * G0402Initial preventive exam G0404EKG tracing for initial prev G0416Sat biopsy prostate 1-20 spc G0424Pulmonary rehab w exer G0436Tobacco-use counsel 3-10 min * G9141Influenza A H1N1,admin w cou M0064Visit for drug monitoring Q0091Obtaining screen pap smear

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