Medicare Data Utilities Appendices

E1635 COMPACT (PORTABLE) TRAVEL HEMODIALYZER SYSTEM
E1636 SORBENT CARTRIDGES, PER CASE
E1640 REPLACEMENT COMPONENTS FOR HEMODIALYSIS AND/OR PERITONEAL DIALYSIS MACHINES
THAT ARE OWNED OR BEING PURCHASED BY THE PATIENT
E1699 DIALYSIS EQUIPMENT, UNSPECIFIED, BY REPORT
E1700 JAW MOTION REHABILITATION SYSTEM
E1701 REPLACEMENT CUSHIONS FOR JAW MOTION REHABILITATION SYSTEM, PKG. OF 6
E1702 REPLACEMENT MEASURING SCALES FOR JAW MOTION REHABILITATION SYSTEM, PKG. OF 200
E1800 DYNAMIC ADJUSTABLE ELBOW EXTENSION/FLEXION DEVICE, OR EQUAL
E1805 DYNAMIC ADJUSTABLE WRIST EXTENSION/FLEXION DEVICE, OR EQUAL
E1810 DYNAMIC ADJUSTABLE KNEE EXTENSION/FLEXION DEVICE, OR EQUAL
E1815 DYNAMIC ADJUSTABLE ANKLE EXTENSION/FLEXION DEVICE, OR EQUAL
E1820 SOFT INTERFACE MATERIAL, DYNAMIC ADJUSTABLE EXTENSION/FLEXION DEVICE
E1825 DYNAMIC ADJUSTABLE FINGER EXTENSION/FLEXION DEVICE, OR EQUAL
E1830 DYNAMIC ADJUSTABLE TOE EXTENSION/FLEXION DEVICE, OR EQUAL
E1900 SYNTHESIZED SPEECH AUGMENTATIVE COMMUNICATION DEVICE WITH DYNAMIC DISPLAY
G0001 ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN(S)
G0002 OFFICE PROCEDURE, INSERTION OF TEMPORARY INDWELLING CATHETER, FOLEY TYPE
(SEPARATE PROCEDURE)
G0004 PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRE-SYMPTOM MEMORY LOOP
AND 24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD; INCLUDES TRANSMISSION,
PHYSICIAN REVIEW AND INTERPRETATION
G0005 PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRE-SYMPTOM MEMORY LOOP
AND 24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD; RECORDING (INCLUDES
HOOK-UP, RECORDING AND DISCONNECTION)
G0006 PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRE-SYMPTOM MEMORY LOOP
AND 24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD; 24 HOUR ATTENDED
MONITORING, RECEIPT OF TRANSMISSIONS, AND ANALYSIS
G0007 PATIENT DEMAND SINGLE OR MULTIPLE EVENT RECORDING WITH PRE-SYMPTON MEMORY LOOP
AND 24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD; PHYSICIAN REVIEW AND
INTERPRETATION ONLY
G0008 ADMINISTRATION OF INFLUENZA VIRUS VACCINE
G0009 ADMINISTRATION OF PNEUMOCOCCAL VACCINE
G0010 ADMINISTRATION OF HEPATITIS B VACCINE
G0015 POST-SYMPTOM TELEPHONIC TRANSMISSION OF ELECTROCARDIOGRAM RHYTHM STRIP(S) AND
24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD; TRACING ONLY
G0016 POST-SYMPTOM TELEPHONIC TRANSMISSION OF ELECTROCARDIOGRAM RHYTHM STRIPS(S) AND
24 HOUR ATTENDED MONITORING, PER 30 DAY PERIOD; PHYSICIAN REVIEW AND
INTERPRETATION ONLY
G0025 COLLAGEN SKIN TEST KIT
G0026 FECAL LEUCOCYTE EXAMINATION
G0027 SEMEN ANALYSIS; PRESENCE AND/OR MOTILITY OF SPERM EXCLUDING HUHNER
G0030 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING PREVIOUS PET, G0030-G0047); SINGLE
STUDY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0031 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING PREVIOUS PET, G0030-G0047);
MULTIPLE STUDIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0032 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING REST SPECT, 78464); SINGLE STUDY,
REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0033 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING REST SPECT, 78464); MULTIPLE
STUDIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0034 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS SPECT, 78465); SINGLE
STUDY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0035 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING STRESS SPECT, 78465); MULTIPLE
STUDIES, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0036 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING CORONARY ANGIOGRAPHY,
93510-93529); SINGLE STUDY, REST OR STRESS (EXERCISE AND/OR PHARMACOLOGIC)
G0037 PET MYOCARDIAL PERFUSION IMAGING, (FOLLOWING CORONARY ANGIOGRAPHY,