Most searched codes in this range
Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes coders and billers look up most; search demand is one input to which pages are indexed and which the hub lists first.
| Code | Short descriptor | Medicare amount | Searches / month |
|---|---|---|---|
| U0001 | 2019-ncov diagnostic p | $35.92 | 1,000 |
| M1120 | Oc ni pt selfdc | — | 880 |
| M1151 | Pt w/ hx trnsplt or lvad | — | 880 |
| M1152 | Pt w/ hx trnsplt or lvad | — | 880 |
| H0015 | Alcohol and/or drug services | — | 720 |
| H1000 | Prenatal care atrisk assessm | — | 720 |
| H0028 | Alcohol and/or drug preventi | — | 590 |
| H0035 | Mh partial hosp tx under 24h | — | 590 |
| M1165 | Pt use hspc dur meas pd | — | 590 |
| M1216 | No spiro doc no res doc | — | 590 |
Codes in this range
The table lists the 6 codes in this range whose reference pages are indexed; the other 1213 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure the page leads with.
| Code | Descriptor | Medicare amount | Basis | MUE (setting) | OPPS SI |
|---|---|---|---|---|---|
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | $36.85 | OPPS rate | 1 (hospital outpatient) | S |
| M0224 | Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring | $450.50 | OPPS rate | 1 (hospital outpatient) | S |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | — | none in these files | 2 (practitioner) | B |
| R0075 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen | — | none in these files | 2 (practitioner) | B |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | $35.92 | CLFS | 2 (practitioner) | A |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $51.31 | CLFS | 2 (practitioner) | A |
Show the other 1213 codes (pages not in search results)
- B4034 Enter feed supkit syr by day
- B4035 Enteral feed supp pump per d
- B4036 Enteral feed sup kit grav by
- B4081 Enteral ng tubing w/ stylet
- B4082 Enteral ng tubing w/o stylet
- B4083 Enteral stomach tube levine
- B4087 Gastro/jejuno tube, std
- B4088 Gastro/jejuno tube, low-pro
- B4100 Food thickener oral
- B4102 Ef adult fluids and electro
- B4103 Ef ped fluid and electrolyte
- B4104 Additive for enteral formula
- B4105 Enzyme cartridge enteral nut
- B4148 Enteral feed elastomer daily
- B4149 Ef blenderized foods
- B4150 Ef complet w/intact nutrient
- B4152 Ef calorie dense>/=1.5kcal
- B4153 Ef hydrolyzed/amino acids
- B4154 Ef spec metabolic noninherit
- B4155 Ef incomplete/modular
- B4157 Ef special metabolic inherit
- B4158 Ef ped complete intact nut
- B4159 Ef ped complete soy based
- B4160 Ef ped caloric dense>/=0.7kc
- B4161 Ef ped hydrolyzed/amino acid
- B4162 Ef ped specmetabolic inherit
- B4164 Parenteral 50% dextrose solu
- B4168 Parenteral sol amino acid 3.
- B4172 Parenteral sol amino acid 5.
- B4176 Parenteral sol amino acid 7-
- B4178 Parenteral sol amino acid >
- B4180 Parenteral sol carb > 50%
- B4185 Pn soln NOS 10 grams lipids
- B4187 Omegaven, 10 grams lipids
- B4189 Parenteral sol amino acid &
- B4193 Parenteral sol 52-73 gm prot
- B4197 Parenteral sol 74-100 gm pro
- B4199 Parenteral sol > 100gm prote
- B4216 Parenteral nutrition additiv
- B4220 Parenteral supply kit premix
- B4222 Parenteral supply kit homemi
- B4224 Parenteral administration ki
- B5000 Parenteral sol renal-amirosy
- B5100 Parenteral solution hepatic
- B5200 Parenteral sol hepatic fream
- B9002 Enter nutr inf pump any type
- B9004 Parenteral infus pump portab
- B9006 Parenteral infus pump statio
- B9998 Enteral supp not otherwise c
- B9999 Parenteral supp not othrws c
- H0001 Alcohol and/or drug assess
- H0002 Alcohol and/or drug screenin
- H0003 Alcohol and/or drug screenin
- H0004 Alcohol and/or drug services
- H0005 Alcohol and/or drug services
- H0006 Alcohol and/or drug services
- H0007 Alcohol and/or drug services
- H0008 Alcohol and/or drug services
- H0009 Alcohol and/or drug services
- H0010 Alcohol and/or drug services
- H0011 Alcohol and/or drug services
- H0012 Alcohol and/or drug services
- H0013 Alcohol and/or drug services
- H0014 Alcohol and/or drug services
- H0015 Alcohol and/or drug services
- H0016 Alcohol and/or drug services
- H0017 Alcohol and/or drug services
- H0018 Alcohol and/or drug services
- H0019 Alcohol and/or drug services
- H0020 Alcohol and/or drug services
- H0021 Alcohol and/or drug training
- H0022 Alcohol and/or drug interven
- H0023 Alcohol and/or drug outreach
- H0024 Alcohol and/or drug preventi
- H0025 Alcohol and/or drug preventi
- H0026 Alcohol and/or drug preventi
- H0027 Alcohol and/or drug preventi
- H0028 Alcohol and/or drug preventi
- H0029 Alcohol and/or drug preventi
- H0030 Alcohol and/or drug hotline
- H0031 Mh health assess by non-md
- H0032 Mh svc plan dev by non-md
- H0033 Oral med adm direct observe
- H0034 Med trng & support per 15min
- H0035 Mh partial hosp tx under 24h
- H0036 Comm psy face-face per 15min
- H0037 Comm psy sup tx pgm per diem
- H0038 Self-help/peer svc per 15min
- H0039 Asser com tx face-face/15min
- H0040 Assert comm tx pgm per diem
- H0041 Fos c chld non-ther per diem
- H0042 Fos c chld non-ther per mon
- H0043 Supported housing, per diem
- H0044 Supported housing, per month
- H0045 Respite not-in-home per diem
- H0046 Mental health service, NOS
- H0047 Alcohol/drug abuse svc NOS
- H0048 Spec coll non-blood:a/d test
- H0049 Alcohol/drug screening
- H0050 Alcohol/drug service 15 min
- H0051 Traditional healing service
- H0052 Mmip mental health and care
- H0053 Ht mental health and care
- H1000 Prenatal care atrisk assessm
- H1001 Antepartum management
- H1002 Carecoordination prenatal
- H1003 Prenatal at risk education
- H1004 Follow up home visit/prental
- H1005 Prenatalcare enhanced srv pk
- H1010 Nonmed family planning ed
- H1011 Family assessment
- H2000 Comp multidisipln evaluation
- H2001 Rehabilitation program 1/2 d
- H2010 Comprehensive med svc 15 min
- H2011 Crisis interven svc, 15 min
- H2012 Behav hlth day treat, per hr
- H2013 Psych hlth fac svc, per diem
- H2014 Skills train and dev, 15 min
- H2015 Comp comm supp svc, 15 min
- H2016 Comp comm supp svc, per diem
- H2017 Psysoc rehab svc, per 15 min
- H2018 Psysoc rehab svc, per diem
- H2019 Ther behav svc, per 15 min
- H2020 Ther behav svc, per diem
- H2021 Com wrap-around sv, 15 min
- H2022 Com wrap-around sv, per diem
- H2023 Supported employ, per 15 min
- H2024 Supported employ, per diem
- H2025 Supp maint employ, 15 min
- H2026 Supp maint employ, per diem
- H2027 Psychoed svc, per 15 min
- H2028 Sex offend tx svc, 15 min
- H2029 Sex offend tx svc, per diem
- H2030 Mh clubhouse svc, per 15 min
- H2031 Mh clubhouse svc, per diem
- H2032 Activity therapy, per 15 min
- H2033 Multisys ther/juvenile 15min
- H2034 A/d halfway house, per diem
- H2035 A/d tx program, per hour
- H2036 A/d tx program, per diem
- H2037 Dev delay prev dp ch, 15 min
- H2038 Skill train and dev/diem
- H2040 Coord specialty care, month
- H2041 Coord special care encounter
- M0001 Advancing cancer care mvp
- M0002 Opt care kidney hlth mvp
- M0004 Qual care neurologic cnd mvp
- M0005 Value in primary care mvp
- M0010 Eom meos payment
- M0075 Cellular therapy
- M0076 Prolotherapy
- M0100 Intragastric hypothermia
- M0231 Inf tocilizumab-bavi 1st dos
- M0232 Inf tocilizumab-bavi 2nd dos
- M0233 Intra inf, toci, first dose
- M0234 Intra inf, toci, second dos
- M0235 Intrav inf, mon anti, fir do
- M0236 Intrav inf, mon anti, sec do
- M0237 Intrav inf, toci, first dose
- M0238 Intrav inf, toci, second dos
- M0249 Adm tocilizu COVID-19 1st
- M0250 Adm tocilizu COVID-19 2nd
- M0300 Iv chelationtherapy
- M0301 Fabric wrapping of aneurysm
- M1003 Tb scr 12 mo pri fst bio dz
- M1004 Doc med rsn no srn tb
- M1005 Tb scr no perf
- M1006 Dz not ases, no rsn
- M1007 >=50% total pt outpt ra enct
- M1008 <50% total pt outpt ra encts
- M1009 Dc eoc doc med rec
- M1010 Dc eoc doc med rec
- M1011 Dc eoc doc med rec
- M1012 Dc eoc doc med rec
- M1013 Dc eoc doc med rec
- M1014 Dc epi care doc medrec
- M1016 Pt dx meop or sur steri
- M1018 Pt dx hst cr pt sk lg cr scr
- M1019 Adl pt mj dep ds rs 12 phq<5
- M1020 Adl pt mj dep ds no rs 12 mo
- M1021 Pt uc in pp
- M1027 Img head (CT or MRI) obtnd
- M1028 Doc of pt prm hda dx and otr
- M1029 Doc sysm rsn img hd
- M1032 Adt tkng pharmthry for oud
- M1034 Adt 180 dys pharmthry oud
- M1035 Adt pd out mat pr 180 dys tx
- M1036 Adt no 180 dys pharmthry oud
- M1037 Pt dx lum sp reg cacr
- M1038 Pt dx lum sp reg fract
- M1039 Pt dx lum sp reg inf
- M1040 Pt dx lum idi or cong scol
- M1041 Pt cr ft inf lm or pt id sl
- M1043 Fs no odi 9-15mo
- M1045 Fs oks 9-15mo >= 37 >= 71
- M1046 Fs oks 9-15mo < 37 < 71
- M1049 Fs wth scr no odi pre and p
- M1051 Pt w/cancer scoliosis
- M1052 Lg pn not meas w/ vas 1yr po
- M1054 Pt uc in pp
- M1055 Aspirin used
- M1056 Presc antico med in pp
- M1057 Aspirin not used, no rsn
- M1058 Pt prm nurs hm res in pp
- M1059 Pt no prm nurs hm res in pp
- M1060 Pt died in pp
- M1067 Hspc pt prv time meam per
- M1068 Pt not ambulatory
- M1069 Pt scr ft fall rsk
- M1070 Pt not scrn fut fall no rsn
- M1106 Start eoc doc med rec
- M1107 Docu dx degen neuro
- M1108 Oc ni pt home prog
- M1109 Oc ni pt dc
- M1110 Oc not p pt selfdc
- M1111 Start eoc doc med rec
- M1112 Docu dx degen neuro
- M1113 Oc ni pt home prog
- M1114 Oc ni pt dc
- M1115 Oc ni pt selfdc
- M1116 Start eoc doc med rec
- M1117 Docu dx degen neuro
- M1118 Oc ni pt home prog
- M1119 Oc ni pt dc
- M1120 Oc ni pt selfdc
- M1121 Start eoc doc med rec
- M1122 Docu dx degen neuro
- M1123 Oc ni pt home prog
- M1124 Oc ni pt dc 1-2 vis
- M1125 Oc ni pt selfdc 1-2 vis
- M1126 Start eoc doc med rec
- M1127 Docu dx degen neuro
- M1128 Oc ni pt home prog
- M1129 Oc ni pt dc
- M1130 Oc ni pt selfdc
- M1131 Docu dx degen neuro
- M1132 Oc ni pt home prog
- M1133 Oc ni pt dc
- M1134 Oc ni pt selfdc
- M1135 Start eoc doc med rec
- M1141 Fs no oks
- M1142 Emerge cases
- M1143 Ni rehab med chiro
- M1146 Ongoing care not ind
- M1147 Care not poss med rsn
- M1148 Pt self dschg
- M1149 No neck fs prom incap
- M1150 Lvef <=40% or mod/sev l vsf
- M1151 Pt w/ hx trnsplt or lvad
- M1152 Pt w/ hx trnsplt or lvad
- M1153 Pt w/ dx osteo doe
- M1159 Hospc serv dur meas pd
- M1160 Pt anphx due to mengb bef 13
- M1161 Pt anphx due to dtp bef 13
- M1162 Pt enceph due to dtp bef 13
- M1163 Pt anphx due to HPV bef 13
- M1164 Pt w/ dementia any time
- M1165 Pt use hspc dur meas pd
- M1166 Path rpt tis spec wle/reexc
- M1167 Hspc dur meas pd
- M1168 Pt recd flu vax 7/1-6/30
- M1169 Doc med rsn no flu vax
- M1170 Pt w/o flu vax 7/1-6/30
- M1171 Pt recd 1 td/tdap 9yrs prior
- M1172 Doc med rsn no td/tdap
- M1173 Pt no rec td/tdap 9yrs prior
- M1174 Pt w/ 2 hzv 10/2017 - mp
- M1175 Doc med rsn no hzv
- M1176 No 2 hzv 10/2017-meas pd
- M1177 Pt recd pcv on/aft 19
- M1178 Doc med rsn no pcv
- M1179 No pcv recd
- M1180 Pt imm ckpt inhib therapy
- M1181 Gr 2 or> dia or gr2 or> col
- M1182 Not elg pre ex ibd/uc/crohn
- M1183 Doc imm ckpt inhib hld
- M1184 Doc med rsn no cst/ist rx
- M1185 Imm ckpt inhib not hld no rx
- M1186 Pt w/ rx for hspc/plltv care
- M1187 Pt w/ ESRD
- M1188 Pt w/ ckd stg 5
- M1189 Doc khe pef w/efgr/uacr
- M1190 Doc khe not pef w/efgr/uacr
- M1191 Hspc svc any time in meas pd
- M1192 Pt w/ dx sq cell ca of esoph
- M1193 Rpts w/ imp/con mmr/msi
- M1194 Med rsn no imp/con mmr/msi
- M1195 Rpt wo imp/con mmr/msi
- M1196 Ixv nrs vrs iqa >=4
- M1197 Isa reduced >=3 fr ixv
- M1198 Isa not red 3pts /no assess
- M1199 Pt rec'g rrt
- M1200 Ace-i/arb rx
- M1201 Med rsn no ace-i/arb rx
- M1202 Pt rsn no ace-i/arb rx
- M1203 No rsn ace-i/arb rx
- M1204 Ixv nrs vrs iqa >=4
- M1205 Isa reduced >=3
- M1206 Isa not red 3pts/no assess
- M1207 Pt scrn sdoh
- M1208 Pt no scrn sdoh
- M1209 >=2 same hi-rsk med w/o diag
- M1210 >=2 same meds tbl4 not ord
- M1211 Gsa level>9.0%
- M1212 Missing gsa not perf
- M1213 No hx spiro prs spiro>=70%
- M1214 Spiro results wth obs doc
- M1215 Med rsn for no doc spiro
- M1216 No spiro doc no res doc
- M1217 Sys rsn no doc spiro
- M1218 Pt copd symptoms
- M1220 Dre wth interp rtnopthy
- M1221 Dre w/o rtnopthy
- M1222 Glaucoma pln of care not doc
- M1223 Glaucoma plan of care doc
- M1224 Iop dec <20% from base
- M1225 Iop dec>=20% from base
- M1226 Iop not doc
- M1227 Eb therapy prescribed
- M1228 Pt + hcv aby +vir w/ rx 3 mo
- M1229 Pt w/ +hcv +vir ref win 1 mo
- M1230 Pt hcv rctv aby no f/u tst
- M1231 Pt hcv tst no reactive res
- M1232 Pt hcv tst reactive result
- M1233 Pt no hcv aby or result
- M1234 Pt hcv rctv aby f/u neg
- M1235 Doc pt hcv aby RNA tst
- M1236 Baseline mrs > 2
- M1237 Pt rsn no scrn
- M1238 Doc 2nd recom hzv 2-6 mo int
- M1239 Pt no resp heard
- M1240 Pt no resp best int
- M1241 Pt no resp seen as person
- M1242 Pt no resp imprt to me
- M1243 Pt othr thn true heard
- M1244 Pt othr thn true best int
- M1245 Pt othr thn true person
- M1246 Pt othr thn true imprt to me
- M1247 Pt resp true best int
- M1248 Pt resp true seen as person
- M1249 Pt resp true imprt to me
- M1250 Pt resp true heard
- M1251 Pts proxy cmplt hu surv
- M1252 Pts no cmplt hu survey
- M1253 Pts hu surv no amb plltv
- M1254 Pts deceased prior hu surv
- M1255 Pts w/ othr rsn vst,+prg tst
- M1256 Prior history of known cvd
- M1257 Cvd risk assess not perf
- M1258 Cvd risk assess perf
- M1259 Pt stat doc <= 1 yr dialysis
- M1260 Pt not doc <= 1 yr dialysis
- M1261 Pts on wtlist bef dialysis
- M1262 Pts transplt bef dialysis
- M1263 Pts hosp dialysis dt
- M1265 CMS 2728 completed
- M1266 Pts admit snf
- M1267 Pt no act kid transplt wtlst
- M1268 Pt ac stat kid trnsplt wtlst
- M1269 Rec'd ESRD mcp lst day of mo
- M1270 Pts no kid transplt wtlst
- M1271 Pts dem any time/dur mo
- M1272 Pts kid transplt wtlst
- M1273 Pts snf 1 yr dialysis
- M1274 Pts snf exl mo
- M1275 Pts hosp exl
- M1276 Calc bmi out nrm param nof/u
- M1277 Colorectal ca screen doc rev
- M1278 Pre-htn or htn doc, f/u indc
- M1279 Pre-htn/htn, no f/u, not gvn
- M1280 Bilat mast/hx bi /unilat mas
- M1281 Bp scrn no perf at interval
- M1282 Pt scrn tbco id as non user
- M1283 Pt scrn tbco and id as user
- M1284 Pt 66+ snp or ltc pos > 90d
- M1285 Scrn mam perf rslts not doc
- M1286 Bmi doc onl fup not cmpltd
- M1287 Calc bmi blw low param f/u
- M1288 Doc rsn no hbp scrn or f/u
- M1289 No pt tbco cess interv rng
- M1290 Pt not eli d/t act dig htn
- M1291 Pt 66+ frailty and med dem
- M1292 Pt 66+ frail inpt adv ill
- M1293 Calc bmi abv up param f/u
- M1294 Bp scrn perf rec interval
- M1295 Pt hx tot col or colon ca
- M1296 Calc bmi norm parameters
- M1297 Bmi not doc medrsn ptref
- M1298 Doc pt preg dur msrmt pd
- M1299 Flu immunize order/admin
- M1300 Flu imm no admin doc rea
- M1301 Pt recv tbco cess interv
- M1302 Scrn mam perf rslts doc
- M1303 Hospc serv dur meas pd
- M1304 No pneum vax admin 19+
- M1305 Pneum vax admin 19+
- M1306 Pt anphx due to pneum
- M1307 Doc pt pal or hospice
- M1308 Flu immunize no admin
- M1309 Pall serv during meas
- M1310 Pt scr tob & cess int
- M1311 Aphlx to vax bef enc
- M1312 No pt tbco scrn rng
- M1313 No tob scr/cess int
- M1314 Bmi not calculated
- M1315 Crc no doc no rsn
- M1316 Tobacco non-user
- M1317 Pts counsl cpt opt out
- M1318 Pts no csp doc contact
- M1319 Pts csp doc contact
- M1320 Pts scrn + hrsn
- M1321 Pts no 7wk inj,no iop,iop>25
- M1322 Pts 7wk inj, scrn iop =<25
- M1323 Pts 7wk inj, scrn iop >25
- M1324 Pts intravitreal/pci
- M1325 Doc med rsn not seen
- M1326 Pts dx hypotony
- M1327 Pts no eval ini xm no 8 wks
- M1328 Pts dx acute vitreous hem
- M1329 Pts act pvd 2 wks 8 wks
- M1330 Doc pts rsn no f/u xm
- M1331 Pts eval ini xm 8 wks
- M1332 Pts no eval ini xm no 2 wks
- M1333 Acute vitreous hemorrhage
- M1334 Pts act pvd 2 wks 2 wks
- M1335 Doc pts rsn no f/u xm
- M1336 Pts eval ini xm 2 wks
- M1337 Acute pvd
- M1338 Pt f/u 30-180 dys no + imprv
- M1339 Pts f/u 30-180 dys + improv
- M1340 Indx whodas 2.0 or sds
- M1341 Pt no f/u 30-180 dys
- M1342 Pts died perf per
- M1343 Pt pam lvl 4 base or srt lin
- M1344 No bsln/2nd pam score 4-12mo
- M1345 Pt bsln pam, 2nd scr 4-12 mo
- M1346 No pam inc 6 pts 4-12 mo
- M1347 Pt pam incr 3 pt 4-12 mo
- M1348 Pam incr 6 pt 4-12 mo
- M1349 No pam inc 3 pts 4-12 mo
- M1350 Pt w/ suic saf pln init rev
- M1351 Pt cmplt suicd saf pln 120dy
- M1352 Suicd c-ssrs assessment, equ
- M1353 Pts no cmplt suicd saf pln
- M1354 Pt no suicd saf pln 120dy
- M1355 Suicd based cln eval
- M1356 Pt died dur meas pd
- M1357 Pt w/red suic idea 120 days
- M1358 Pts no <suicd idea 120 dys
- M1359 Indx suicd idea, no 0 scr
- M1360 Suicd c-ssrs assessment
- M1361 Suicd based cln eval
- M1362 Pt died dur meas pd
- M1363 Pts no f/u 120 dys
- M1364 Ascvd risk >=20pct
- M1365 Hosp+pall care spec code 17
- M1366 Focus on women's health mvp
- M1367 Qual care ent disorder mvp
- M1368 Prev trt inf d/o HIV/hep mvp
- M1369 Qualcare mental hlth/sud mvp
- M1370 Rehab support msk care mvp
- M1371 Mst rec gsa<7
- M1372 Mst rec gsa >=7 and<8
- M1373 Mst rec gsa >=8 and <=9
- M1374 Ra dx enc 90 days dur per pd
- M1375 Ra dx enc 90 days dur per pd
- M1376 Ra dx enc 90 days dur per pd
- M1377 Fu colscop 10 yr doc w/ disc
- M1378 Med rsn no 10 yr fu colscope
- M1379 10 yr fu no rec rsn not giv
- M1380 2 rx in perf pd any com meds
- M1381 Pt sec strk wthin 5 days
- M1382 Enc dur perf pd pos 11
- M1383 Acute pvd
- M1384 Pt died dur perf pd
- M1385 Pt rsn not seen 2nd pam
- M1386 Exc sx melmn or mlnm is
- M1387 Pt died dur perf pd
- M1388 Pt doc exm rec melmn
- M1390 Pt no doc exm for rec
- M1391 All pt dx w/ rec mlnm
- M1392 Pt rsn no exm or lst to fu
- M1393 Pr no dx rec mlnm
- M1394 Stg i-iii br ca
- M1395 Init chemo w/def dur ec grp
- M1396 Pt ther clin trial
- M1397 Pt w/ recur/prog
- M1398 Bslne and fu promis doc
- M1399 Pt lve prac
- M1400 Pt died dur perf pd
- M1401 Stg i-iii br ca
- M1402 Init chemo w/def dur ec grp
- M1403 Bslne and fu promis doc
- M1404 Pt ther clin trial
- M1405 Pt w/ recur/prog
- M1406 Pt lve prac
- M1407 Pt died dur perf pd
- M1408 Gmln brca bef dx ca
- M1409 Recd gmln brca1/brca2 couns
- M1410 No gmln brca1/brca2 couns
- M1411 1st ln ici no chemo
- M1412 Met nsclc w/ egfr alk oth ab
- M1413 Pos pdl1 bef init ici tx
- M1414 Med rsn no pdl1 bef 1st ther
- M1415 No pos pdl1 bef ici ther
- M1416 Pt rec hosp
- M1417 Pt up to date cov
- M1418 Med rsn not up to date cov
- M1419 Pt not up to date cov
- M1420 Complete ophthalmologic mvp
- M1421 Dermatological care mvp
- M1422 Gastroenterology care mvp
- M1423 Opt care urologic cnd mvp
- M1424 Pulmonology care mvp
- M1425 Surgical care mvp
- M1426 Telehealth enc
- M1427 Doc med rsn bone scn
- M1428 Bilateral absence of eyes
- M1429 Retinopathy in od, os, ou
- M1430 Ret exm ou no retinopthy doc
- M1431 Telehealth enc
- M1432 Telehealth enc
- M1433 Oral chemo wthn 30 days enc
- M1434 Orl chemo wthn 30 d post enc
- M1435 Oral chemo in perf pd
- M1436 Telehealth enc
- M1437 Telehealth enc
- M1438 Lst knwn well <=210 min
- M1439 Sig ocu cond imp surg out
- M1440 Telehealth enc
- M1441 Init dx slp apn = 1st enc
- M1442 Telehealth enc
- M1443 Telehealth enc
- M1444 Del < 39 weeks gest
- M1445 Pp care visit by 12 weeks
- M1446 Pt died bef end meas pd
- M1447 Pt dx bd bef end meas pd
- M1448 Pt dx pd bef end meas pd
- M1449 Pt dx scz/pys bef end msr pd
- M1450 Pt hos/pal care dur id/pf pd
- M1451 Pt dx ppd dur id/pf pd
- M1452 Pt dx dementia ever
- M1453 Preop vis acu > 20/40
- M1454 New cied
- M1455 Rep/rev cied
- M1456 Pt had htx
- M1457 Dx asth dur crnt/prv perf pd
- M1458 Pt died bef end meas pd
- M1459 Pt hosp/pal care dur perf pd
- M1460 Dx copd, cf, or arf
- M1461 Pt dx chron hepc
- M1462 Pt clin ind hd image
- M1463 2 f/u wthn 180 day rx atmp
- M1464 No record of f/u by 180 days
- M1465 F/u > 180 days after rx
- M1466 Pt disc/lam proc same day
- M1467 Pt dx lynch syn
- M1468 Hep b vaccine received
- M1469 Hx of hep b, or pos bld test
- M1470 Hep b vac not rec'd med rsn
- M1471 Ffs hep b not covered
- M1472 Hep b vaccine not received
- M1473 Pt func cap not allow impr
- M1474 Pt dx dementia
- M1475 Pt dx huntington
- M1476 Pt dx cog imp or ad
- M1477 Dx delirium
- M1478 Psychoactive sub abuse
- M1479 Pt func cap not allow impr
- M1480 Pt func cap not allow impr
- M1481 Pt in hosp/pal care who died
- M1482 Pos quan hep c or qual RNA
- M1483 Neg quan hep c or qual RNA
- M1484 No rpt hcv RNA perf med rsn
- M1485 Neg viro resp hep c/qual RNA
- M1486 Pt admitted to snf dur eval
- M1487 Pt adm to hospice dur eval
- M1488 Dx dementia in msr timeframe
- M1489 Pt status doc
- M1490 Pt status not doc
- M1491 Rec'd ESRD mcp dur perf pd
- M1492 No reported fall
- M1493 No fall doc med rsn
- M1494 Fall rep since last visit
- M1495 Fall w/ poc, no fall
- M1496 No doc of fall or poc
- M1497 No doc fall med rsn
- M1498 Diagnostic radiology mvp
- M1499 Interventional radiology mvp
- M1500 Neuropsychology mvp
- M1501 Pathology mvp
- M1502 Podiatry mvp
- M1503 Vascular surgery mvp
- R0076 Transport portable EKG
- S0012 Butorphanol tartrate, nasal
- S0014 Tacrine hydrochloride, 10 mg
- S0021 Injection, cefoperazone sod
- S0023 Injection, cimetidine hydroc
- S0034 Injection, ofloxacin, 400 mg
- S0040 Injection, ticarcillin disod
- S0078 Injection, fosphenytoin sodi
- S0081 Injection, piperacillin sodi
- S0088 Imatinib 100 mg
- S0090 Sildenafil citrate, 25 mg
- S0091 Granisetron 1mg
- S0092 Hydromorphone 250 mg
- S0093 Morphine 500 mg
- S0104 Zidovudine, oral, 100 mg
- S0106 Bupropion hcl sr 60 tablets
- S0108 Mercaptopurine 50 mg
- S0109 Methadone oral 5mg
- S0117 Tretinoin topical 5 g
- S0119 Ondansetron 4 mg
- S0122 Inj menotropins 75 iu
- S0126 Inj follitropin alfa 75 iu
- S0128 Inj follitropin beta 75 iu
- S0132 Inj ganirelix acetat 250 mcg
- S0136 Clozapine, 25 mg
- S0137 Didanosine, 25 mg
- S0138 Finasteride, 5 mg
- S0139 Minoxidil, 10 mg
- S0140 Saquinavir, 200 mg
- S0142 Colistimethate inh sol mg
- S0145 Peg interferon alfa-2a/180
- S0148 Peg interferon alfa-2b/10
- S0155 Epoprostenol dilutant
- S0156 Exemestane, 25 mg
- S0157 Becaplermin gel 1%, 0.5 gm
- S0160 Dextroamphetamine
- S0169 Calcitrol
- S0170 Anastrozole 1 mg
- S0172 Chlorambucil 2 mg
- S0174 Dolasetron 50 mg
- S0175 Flutamide 125 mg
- S0176 Hydroxyurea 500 mg
- S0177 Levamisole 50 mg
- S0178 Lomustine 10 mg
- S0179 Megestrol 20 mg
- S0182 Procarbazine, oral
- S0183 Prochlorperazine 5 mg
- S0187 Tamoxifen 10 mg
- S0190 Mifepristone, oral, 200 mg
- S0191 Misoprostol, oral, 200 mcg
- S0194 Vitamin suppl 100 caps
- S0197 Prenatal vitamins 30 day
- S0199 Med abortion inc all ex drug
- S0201 Partial hospitalization serv
- S0207 Paramedicintercep nonhospals
- S0208 Paramed intrcept nonvol
- S0209 Wc van mileage per mi
- S0215 Nonemerg transp mileage
- S0220 Medical conference by physic
- S0221 Medical conference, 60 min
- S0250 Comp geriatr assmt team
- S0255 Hospice refer visit nonmd
- S0257 End of life counseling
- S0260 H&p for surgery
- S0265 Genetic counsel 15 mins
- S0270 Home std case rate 30 days
- S0271 Home hospice case 30 days
- S0272 Home episodic case 30 days
- S0273 Md home visit outside cap
- S0274 Nurse practr visit outs cap
- S0280 Medical home, initial plan
- S0281 Medical home, maintenance
- S0285 Cnslt before screen colonosc
- S0302 Completed epsdt
- S0310 Hospitalist visit
- S0311 Comp mgmt care coord adv ill
- S0315 Disease management program
- S0316 Follow-up/reassessment
- S0317 Disease mgmt per diem
- S0320 Rn telephone calls to dmp
- S0340 Lifestyle mod 1st stage
- S0341 Lifestyle mod 2 or 3 stage
- S0342 Lifestyle mod 4th stage
- S0353 Cancer treatmentplan initial
- S0354 Cancer treatment plan change
- S0390 Rout foot care per visit
- S0395 Impression casting ft
- S0400 Global eswl kidney
- S0500 Dispos cont lens
- S0504 Singl prscrp lens
- S0506 Bifoc prscp lens
- S0508 Trifoc prscrp lens
- S0510 Non-prscrp lens
- S0512 Daily cont lens
- S0514 Color cont lens
- S0515 Scleral lens liquid bandage
- S0516 Safety frames
- S0518 Sunglass frames
- S0580 Polycarb lens
- S0581 Nonstnd lens
- S0590 Misc integral lens serv
- S0592 Comp cont lens eval
- S0595 New lenses in pts old frame
- S0596 Phakic IOL refractive error
- S0601 Screening proctoscopy
- S0610 Annual gynecological examina
- S0612 Annual gynecological examina
- S0613 Ann breast exam
- S0618 Audiometry for hearing aid
- S0620 Routine ophthalmological exa
- S0621 Routine ophthalmological exa
- S0622 Phys exam for college
- S0630 Removal of sutures
- S0800 Laser in situ keratomileusis
- S0810 Photorefractive keratectomy
- S0812 Phototherap keratect
- S1001 Deluxe item
- S1002 Custom item
- S1015 Iv tubing extension set
- S1016 Non-PVC intravenous administ
- S1030 Gluc monitor purchase
- S1031 Gluc monitor rental
- S1034 Art pancreas system
- S1035 Art pancreas inv disp sensor
- S1036 Art pancreas ext transmitter
- S1037 Art pancreas ext receiver
- S1040 Cranial remolding orthosis
- S1091 Stent non-coronary propel
- S2053 Transplantation of small int
- S2054 Transplantation of multivisc
- S2055 Harvesting of donor multivis
- S2060 Lobar lung transplantation
- S2061 Donor lobectomy (lung)
- S2065 Simult panc kidn trans
- S2066 Breast gap flap reconst
- S2067 Breast "stacked" diep/gap
- S2068 Breast diep or siea flap
- S2070 Cysto laser tx ureteral calc
- S2079 Lap esophagomyotomy
- S2080 Laup
- S2083 Adjustment gastric band
- S2095 Transcath emboliz microspher
- S2102 Islet cell tissue transplant
- S2103 Adrenal tissue transplant
- S2107 Adoptive immunotherapy
- S2112 Knee arthroscp harv
- S2115 Periacetabular osteotomy
- S2117 Arthroereisis, subtalar
- S2118 Total hip resurfacing
- S2120 Low density lipoprotein(ldl)
- S2140 Cord blood harvesting
- S2142 Cord blood-derived stem-cell
- S2150 Bmt harv/transpl 28d pkg
- S2152 Solid organ transpl pkg
- S2202 Echosclerotherapy
- S2205 Minimally invasive direct co
- S2206 Minimally invasive direct co
- S2207 Minimally invasive direct co
- S2208 Minimally invasive direct co
- S2209 Minimally invasive direct co
- S2225 Myringotomy laser-assist
- S2230 Implant semi-imp hear
- S2235 Implant auditory brain imp
- S2260 Induced abortion 17-24 weeks
- S2265 Induced abortion 25-28 wks
- S2266 Induced abortion 29-31 wks
- S2267 Induced abortion 32 or more
- S2300 Arthroscopy, shoulder, surgi
- S2325 Hip core decompression
- S2340 Chemodenervation of abductor
- S2341 Chemodenerv adduct vocal
- S2342 Nasal endoscop po debrid
- S2348 Decompress disc rf lumbar
- S2350 Diskectomy, anterior, with d
- S2351 Diskectomy, anterior, with d
- S2400 Fetal surg congen hernia
- S2401 Fetal surg urin trac obstr
- S2402 Fetal surg cong cyst malf
- S2403 Fetal surg pulmon sequest
- S2404 Fetal surg myelomeningo
- S2405 Fetal surg sacrococ teratoma
- S2409 Fetal surg NOC
- S2411 Fetoscop laser ther ttts
- S2900 Robotic surgical system
- S3000 Bilat dil retinal exam
- S3005 Eval self-assess depression
- S3600 Stat lab
- S3601 Stat lab home/nf
- S3620 Newborn metabolic screening
- S3630 Eosinophil blood count
- S3645 HIV-1 antibody testing of or
- S3650 Saliva test, hormone level;
- S3652 Saliva test, hormone level;
- S3655 Antisperm antibodies test
- S3708 Gastrointestinal fat absorpt
- S3722 Dose optimization auc - 5fu
- S3800 Genetic testing ALS
- S3840 DNA analysis ret-oncogene
- S3841 Gene test retinoblastoma
- S3842 Gene test hippel-lindau
- S3844 DNA analysis deafness
- S3845 Gene test alpha-thalassemia
- S3846 Gene test beta-thalassemia
- S3849 Gene test niemann-pick
- S3850 Gene test sickle cell
- S3852 DNA analysis apoe alzheimer
- S3853 Gene test myo musclr dyst
- S3854 Gene profile panel breast
- S3861 Genetic test brugada
- S3865 Comp genet test hyp cardiomy
- S3866 Spec gene test hyp cardiomy
- S3870 Cgh test developmental delay
- S3900 Surface emg
- S3902 Ballistocardiogram
- S3904 Masters two step
- S4005 Interim labor facility globa
- S4011 Ivf package
- S4013 Compl gift case rate
- S4014 Compl zift case rate
- S4015 Complete ivf NOS case rate
- S4016 Frozen ivf case rate
- S4017 Ivf canc a stim case rate
- S4018 F emb trns canc case rate
- S4020 Ivf canc b4 aspir case rate
- S4021 Ivf canc aftr aspr case rate
- S4022 Asst oocyte fert case rate
- S4023 Incompl donor egg case rate
- S4024 Air polymer foam per study
- S4025 Donor serv ivf case rate
- S4026 Procure donor sperm
- S4027 Store prev froz embryos
- S4028 Microsurg epi sperm asp
- S4030 Sperm procure init visit
- S4031 Sperm procure subs visit
- S4035 Stimulated iui case rate
- S4037 Cryo embryo transf case rate
- S4040 Monit store cryo embryo 30 d
- S4042 Ovulation mgmt per cycle
- S4981 Insert levonorgestrel ius
- S4989 Contracept iud
- S4990 Nicotine patch legend
- S4991 Nicotine patch nonlegend
- S4993 Contraceptive pills for bc
- S4995 Smoking cessation gum
- S5000 Prescription drug, generic
- S5001 Prescription drug,brand name
- S5010 5% dextrose and 0.45% saline
- S5012 5% dextrose with potassium
- S5013 5%dextrose/0.45%saline1000ml
- S5014 D5w/0.45ns w kcl and mgs04
- S5035 Hit routine device maint
- S5036 Hit device repair
- S5100 Adult daycare services 15min
- S5101 Adult day care per half day
- S5102 Adult day care per diem
- S5105 Centerbased day care perdiem
- S5108 Homecare train pt 15 min
- S5109 Homecare train pt session
- S5110 Family homecare training 15m
- S5111 Family homecare train/sessio
- S5115 Nonfamily homecare train/15m
- S5116 Nonfamily hc train/session
- S5120 Chore services per 15 min
- S5121 Chore services per diem
- S5125 Attendant care service /15m
- S5126 Attendant care service /diem
- S5130 Homaker service NOS per 15m
- S5131 Homemaker service NOS /diem
- S5135 Adult companioncare per 15m
- S5136 Adult companioncare per diem
- S5140 Adult foster care per diem
- S5141 Adult foster care per month
- S5145 Child fostercare th per diem
- S5146 Ther fostercare child /month
- S5150 Unskilled respite care /15m
- S5151 Unskilled respitecare /diem
- S5160 Emer response sys instal&tst
- S5161 Emer rspns sys serv permonth
- S5162 Emer rspns system purchase
- S5165 Home modifications per serv
- S5170 Homedelivered prepared meal
- S5175 Laundry serv,ext,prof,/order
- S5180 Hh respiratory thrpy in eval
- S5181 Hh respiratory thrpy NOS/day
- S5185 Med reminder serv per month
- S5190 Wellness assessment by nonph
- S5199 Personal care item NOS each
- S5497 Hit cath care NOC
- S5498 Hit simple cath care
- S5501 Hit complex cath care
- S5502 Hit interim cath care
- S5517 Hit declotting kit
- S5518 Hit cath repair kit
- S5520 Hit picc insert kit
- S5521 Hit midline cath insert kit
- S5522 Hit picc insert no supp
- S5523 Hip midline cath insert kit
- S5550 Insulin rapid 5 u
- S5551 Insulin most rapid 5 u
- S5552 Insulin intermed 5 u
- S5553 Insulin long acting 5 u
- S5560 Insulin reuse pen 1.5 ml
- S5561 Insulin reuse pen 3 ml
- S5565 Insulin cartridge 150 u
- S5566 Insulin cartridge 300 u
- S5570 Insulin dispos pen 1.5 ml
- S5571 Insulin dispos pen 3 ml
- S8030 Tantalum ring application
- S8035 Magnetic source imaging
- S8037 Mrcp
- S8040 Topographic brain mapping
- S8042 MRI low field
- S8055 Us guidance fetal reduct
- S8080 Scintimammography
- S8085 Fluorine-18 fluorodeoxygluco
- S8092 Electron beam computed tomog
- S8096 Portable peak flow meter
- S8097 Asthma kit
- S8100 Spacer without mask
- S8101 Spacer with mask
- S8110 Peak expiratory flow rate (p
- S8120 O2 contents gas cubic ft
- S8121 O2 contents liquid lb
- S8130 Interferential stim 2 chan
- S8131 Interferential stim 4 chan
- S8185 Flutter device
- S8186 Swivel adaptor
- S8189 Trach supply NOC
- S8210 Mucus trap
- S8265 Haberman feeder
- S8270 Enuresis alarm
- S8301 Infect control supplies NOS
- S8415 Supplies for home delivery
- S8420 Custom gradient sleev/glov
- S8421 Ready gradient sleev/glov
- S8422 Custom grad sleeve med
- S8423 Custom grad sleeve heavy
- S8424 Ready gradient sleeve
- S8425 Custom grad glove med
- S8426 Custom grad glove heavy
- S8427 Ready gradient glove
- S8428 Ready gradient gauntlet
- S8429 Gradient pressure wrap
- S8430 Padding for comprssn bdg
- S8431 Compression bandage
- S8450 Splint digit
- S8451 Splint wrist or ankle
- S8452 Splint elbow
- S8460 Camisole post-mast
- S8490 100 insulin syringes
- S8930 Auricular electrostimulation
- S8940 Hippotherapy per session
- S8948 Low-level laser trmt 15 min
- S8950 Complex lymphedema therapy,
- S8990 Pt or manip for maint
- S8999 Resuscitation bag
- S9001 Home uterine monitor with or
- S9002 Intra-vag motion sens biofk
- S9007 Ultrafiltration monitor
- S9024 Paranasal sinus ultrasound
- S9025 Omnicardiogram/cardiointegra
- S9034 Eswl for gallstones
- S9055 Procuren or other growth fac
- S9056 Coma stimulation per diem
- S9061 Medical supplies and equipme
- S9083 Urgent care center global
- S9088 Services provided in urgent
- S9090 Vertebral axial decompressio
- S9097 Home visit wound care
- S9098 Home phototherapy visit
- S9110 Telemonitoring/home per mnth
- S9117 Back school visit
- S9122 Home health aide or certifie
- S9123 Nursing care in home rn
- S9124 Nursing care, in the home; b
- S9125 Respite care, in the home, p
- S9126 Hospice care, in the home, p
- S9127 Social work visit, in the ho
- S9128 Speech therapy, in the home,
- S9129 Occupational therapy, in the
- S9131 Pt in the home per diem
- S9140 Diabetic management program,
- S9141 Diabetic management program,
- S9145 Insulin pump initiation
- S9150 Evaluation by ocularist
- S9152 Speech therapy, re-eval
- S9208 Home mgmt preterm labor
- S9209 Home mgmt pprom
- S9211 Home mgmt gest hypertension
- S9212 Hm postpar hyper per diem
- S9213 Hm preeclamp per diem
- S9214 Hm gest dm per diem
- S9325 Hit pain mgmt per diem
- S9326 Hit cont pain per diem
- S9327 Hit int pain per diem
- S9328 Hit pain imp pump diem
- S9329 Hit chemo per diem
- S9330 Hit cont chem diem
- S9331 Hit intermit chemo diem
- S9335 Ht hemodialysis diem
- S9336 Hit cont anticoag diem
- S9338 Hit immunotherapy diem
- S9339 Hit periton dialysis diem
- S9340 Hit enteral per diem
- S9341 Hit enteral grav diem
- S9342 Hit enteral pump diem
- S9343 Hit enteral bolus nurs
- S9345 Hit anti-hemophil diem
- S9346 Hit alpha-1-proteinas diem
- S9347 Hit longterm infusion diem
- S9348 Hit sympathomim diem
- S9349 Hit tocolysis diem
- S9351 Hit cont antiemetic diem
- S9353 Hit cont insulin diem
- S9355 Hit chelation diem
- S9357 Hit enzyme replace diem
- S9359 Hit anti-tnf per diem
- S9361 Hit diuretic infus diem
- S9363 Hit anti-spasmotic diem
- S9364 Hit tpn total diem
- S9365 Hit tpn 1 liter diem
- S9366 Hit tpn 2 liter diem
- S9367 Hit tpn 3 liter diem
- S9368 Hit tpn over 3l diem
- S9370 Ht inj antiemetic diem
- S9372 Ht inj anticoag diem
- S9373 Hit hydra total diem
- S9374 Hit hydra 1 liter diem
- S9375 Hit hydra 2 liter diem
- S9376 Hit hydra 3 liter diem
- S9377 Hit hydra over 3l diem
- S9379 Hit NOC per diem
- S9381 Hit high risk/escort
- S9401 Anticoag clinic per session
- S9430 Pharmacy comp/disp serv
- S9432 Med food non inborn err meta
- S9433 Medical food oral 100% nutr
- S9434 Mod solid food suppl
- S9435 Medical foods for inborn err
- S9436 Lamaze class
- S9437 Childbirth refresher class
- S9438 Cesarean birth class
- S9439 Vbac class
- S9441 Asthma education
- S9442 Birthing class
- S9443 Lactation class
- S9444 Parenting class
- S9445 Pt education NOC individ
- S9446 Pt education NOC group
- S9447 Infant safety class
- S9449 Weight mgmt class
- S9451 Exercise class
- S9452 Nutrition class
- S9453 Smoking cessation class
- S9454 Stress mgmt class
- S9455 Diabetic management program,
- S9460 Diabetic management program,
- S9465 Diabetic management program,
- S9470 Nutritional counseling, diet
- S9472 Cardiac rehabilitation progr
- S9473 Pulmonary rehabilitation pro
- S9474 Enterostomal therapy by a re
- S9475 Ambulatory setting substance
- S9476 Vestibular rehab per diem
- S9480 Intensive outpatient psychia
- S9482 Family stabilization 15 min
- S9484 Crisis intervention per hour
- S9485 Crisis intervention mental h
- S9490 Hit corticosteroid/diem
- S9494 Hit antibiotic total diem
- S9497 Hit antibiotic q3h diem
- S9500 Hit antibiotic q24h diem
- S9501 Hit antibiotic q12h diem
- S9502 Hit antibiotic q8h diem
- S9503 Hit antibiotic q6h diem
- S9504 Hit antibiotic q4h diem
- S9529 Venipuncture home/snf
- S9537 Ht hem horm inj diem
- S9538 Hit blood products diem
- S9542 Ht inj NOC per diem
- S9558 Ht inj growth horm diem
- S9559 Hit inj interferon diem
- S9560 Ht inj hormone diem
- S9562 Ht inj palivizumab/ab diem
- S9563 Ht inj immuno diem
- S9590 Ht irrigation diem
- S9810 Ht pharm per hour
- S9900 Christian sci pract visit
- S9901 Christian sci nurse visit
- S9960 Air ambulanc nonemerg fixed
- S9961 Air ambulan nonemerg rotary
- S9970 Health club membership yr
- S9975 Transplant related per diem
- S9976 Lodging per diem
- S9977 Meals per diem
- S9981 Med record copy admin
- S9982 Med record copy per page
- S9986 Not medically necessary svc
- S9988 Serv part of phase i trial
- S9989 Services outside us
- S9990 Services provided as part of
- S9991 Services provided as part of
- S9992 Transportation costs to and
- S9994 Lodging costs (e.g. hotel ch
- S9996 Meals for clinical trial par
- S9999 Sales tax
- T1000 Private duty/independent nsg
- T1001 Nursing assessment/evaluatn
- T1002 Rn services up to 15 minutes
- T1003 Lpn/lvn services up to 15min
- T1004 Nsg aide service up to 15min
- T1005 Respite care service 15 min
- T1006 Family/couple counseling
- T1007 Treatment plan development
- T1009 Child sitting services
- T1010 Meals when receive services
- T1012 Alcohol/substance abuse skil
- T1013 Sign lang/oral interpreter
- T1014 Telehealth transmit, per min
- T1015 Clinic service
- T1016 Case management
- T1017 Targeted case management
- T1018 School-based iep ser bundled
- T1019 Personal care ser per 15 min
- T1020 Personal care ser per diem
- T1021 Hh aide or cn aide per visit
- T1022 Contracted services per day
- T1023 Program intake assessment
- T1024 Team evaluation & management
- T1025 Ped compr care pkg, per diem
- T1026 Ped compr care pkg, per hour
- T1027 Family training & counseling
- T1028 Home environment assessment
- T1029 Dwelling lead investigation
- T1030 Rn home care per diem
- T1031 Lpn home care per diem
- T1032 Sv doula brth wrk per 15 min
- T1033 Sv doula brth wrk per diem
- T1040 Comm bh clinic svc per diem
- T1041 Comm bh clinic svc per month
- T1502 Medication admin visit
- T1503 Med admin, not oral/inject
- T1505 Elec med comp dev, NOC
- T1999 NOC retail items andsupplies
- T2001 N-et; patient attend/escort
- T2002 N-et; per diem
- T2003 N-et; encounter/trip
- T2004 N-et; commerc carrier pass
- T2005 N-et; stretcher van
- T2007 Non-emer transport wait time
- T2010 Pasrr level i
- T2011 Pasrr level ii
- T2012 Habil ed waiver, per diem
- T2013 Habil ed waiver per hour
- T2014 Habil prevoc waiver, per d
- T2015 Habil prevoc waiver per hr
- T2016 Habil res waiver per diem
- T2017 Habil res waiver 15 min
- T2018 Habil sup empl waiver/diem
- T2019 Habil sup empl waiver 15min
- T2020 Day habil waiver per diem
- T2021 Day habil waiver per 15 min
- T2022 Case management, per month
- T2023 Targeted case mgmt per month
- T2024 Serv asmnt/care plan waiver
- T2025 Waiver service, NOS
- T2026 Special childcare waiver/d
- T2027 Spec childcare waiver 15 min
- T2028 Special supply, NOS waiver
- T2029 Special med equip, noswaiver
- T2030 Assist living waiver/month
- T2031 Assist living waiver/diem
- T2032 Res care, NOS waiver/month
- T2033 Res, NOS waiver per diem
- T2034 Crisis interven waiver/diem
- T2035 Utility services waiver
- T2036 Camp overnite waiver/session
- T2037 Camp day waiver/session
- T2038 Comm trans waiver/service
- T2039 Vehicle mod waiver/service
- T2040 Financial mgt waiver/15min
- T2041 Support broker waiver/15 min
- T2042 Hospice routine home care
- T2043 Hospice continuous home care
- T2044 Hospice respite care
- T2045 Hospice general care
- T2046 Hospice long term care, r&b
- T2047 Hab prevo waiver per 15
- T2048 Bh ltc res r&b, per diem
- T2049 N-et; stretcher van, mileage
- T2050 Financial mgt waiver/diem
- T2051 Support broker waiver/diem
- T2101 Breast milk proc/store/dist
- T4521 Adult size brief/diaper sm
- T4522 Adult size brief/diaper med
- T4523 Adult size brief/diaper lg
- T4524 Adult size brief/diaper xl
- T4525 Adult size pull-on sm
- T4526 Adult size pull-on med
- T4527 Adult size pull-on lg
- T4528 Adult size pull-on xl
- T4529 Ped size brief/diaper sm/med
- T4530 Ped size brief/diaper lg
- T4531 Ped size pull-on sm/med
- T4532 Ped size pull-on lg
- T4533 Youth size brief/diaper
- T4534 Youth size pull-on
- T4535 Disposable liner/shield/pad
- T4536 Reusable pull-on any size
- T4537 Reusable underpad bed size
- T4538 Diaper serv reusable diaper
- T4539 Reuse diaper/brief any size
- T4540 Reusable underpad chair size
- T4541 Large disposable underpad
- T4542 Small disposable underpad
- T4543 Adult disp brief/diap abv xl
- T4544 Adlt disp und/pull on abv xl
- T4545 Incon disposable penile wrap
- T5001 Position seat spec orth need
- T5999 Supply, NOS
How to read this table
The Medicare amount is a national figure from the October 2026 CMS files: for codes on the physician fee schedule it is the non-facility payment at the 2026 conversion factor, for DMEPOS items the national ceiling or, where competitive bidding sets the fees, the highest non-rural state fee, and for laboratory, hospital outpatient and ASC codes the published rate. Each code page shows the full breakdown, every modifier row and the state range. MUE is the Medically Unlikely Edit for the setting that bills the code, named in brackets: the DME supplier MUE for items on the DMEPOS fee schedule, the hospital outpatient MUE for codes with an OPPS payment rate but no national physician fee schedule amount, and the practitioner MUE otherwise; when that setting has no MUE, the next published one is shown. OPPS SI is the status indicator from Addendum B, which tells a hospital whether the code is paid separately, packaged, not payable under the outpatient system or, for status A, paid under another fee schedule or payment system. “None in these files” means none of the physician fee schedule, DMEPOS, lab, OPPS or ASC files lists a national amount; the code page says which payment rules apply. A dash means CMS publishes no value for that code in that file.
Where QuickIntell fits for Other Level II codes
QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.
Frequently asked questions
How many Other Level II codes are there?
The October 2026 HCPCS Level II file has 1,219 active codes in this hub. 14 of them carry a national Medicare amount in a 2026 fee schedule or OPPS/ASC addendum; the highest is M0224 at $450.50 (OPPS rate).
Are Other Level II codes CPT codes?
No. They are HCPCS Level II codes, a letter followed by four digits, maintained by CMS; CPT codes are five-character codes maintained by the AMA. Both are reported in the same procedure-code field on Medicare claims.
How often do Other Level II codes change?
CMS updates the HCPCS Level II file every quarter (January, April, July and October) and publishes the fee schedules, MUE and NCCI tables on the same quarterly cycle; this hub is rebuilt from each release.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- HCPCS Level II alpha-numeric file, October 2026Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
- Medicare PFS national relative value file RVU26D (non-QPP), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
- DMEPOS fee schedule DME26-D, October 2026Version DME26-D (October 2026) · effective 2026-10-01 · file DMEPOS_OCT.csvSHA-256 a2824d58aadf4004…
- NCCI MUE table, practitioner services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_PractitionerServices_Eff_10-01-2026.csvSHA-256 ef038efaf902b7bd…
- NCCI PTP edits, practitioner, v323r0 (four files)Version v323r0 (2026 Q4) · effective 2026-10-01 · file ccipra-v323r0-f1.TXTSHA-256 7793c0b6686c1e22…
- OPPS Addendum B, October 2026Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…
- Medicare Coverage Database, current LCD exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file lcd.csvSHA-256 9aee1bd7f14056b0…
Disclaimer
Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not legal, clinical or billing advice.
Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.