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Medicare Data Utilities Appendices

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G0115 NETT PULM-REHAB; PSYCHOLOGICAL TESTING<br />

G0116 NETT PULM-REHAB; PSYCHOSOCIAL COUNSELLING<br />

G0120 COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0105, SCREENING COLONOSCOPY,<br />

BARIUM ENEMA.<br />

G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR<br />

HIGH RISK<br />

G0122 COLORECTAL CANCER SCREENING; BARIUM ENEMA<br />

G0123 SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED<br />

IN PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREPARATION, SCREENING BY<br />

CYTOTECHNOLOGIST UNDER PHYSICIAN SUPERVISION<br />

G0124 SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED<br />

IN PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREPARATION, REQUIRING<br />

INTERPRETATION BY PHYSICIAN<br />

G0125 PET LUNG IMAGING OF SOLITARY PULMONARY NODULES, USING<br />

2-(FLUORINE-18)-FLUORO-2-DEOXY-D-GLUCOSE (FDG), FOLLOWING CT (71250/71260 OR<br />

71270)<br />

G0126 PET LUNG IMAGING OF SOLITARY PULMONARY NODULES, USING<br />

2-(FLUORINE-18)-FLUORO-2-DEOXY-D-GLUCOSE (FDG), FOLLOWING CT (71250/71260 OR<br />

71270); INITIAL STAGING OF PATHOLOGICALLY DIAGNOSED NON-SMALL CELL LUNG CANCER<br />

G0127 TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER<br />

G0128 DIRECT (FACE-TO-FACE WITH PATIENT) SKILLED NURSING SERVICES OF A REGISTERED<br />

NURSE PROVIDED IN A COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY, EACH 10<br />

MINUTES BEYOND THE FIRST 5 MINUTES<br />

G0129 OCCUPATIONAL THERAPY REQUIRING THE SKILLS OF A QUALIFIED OCCUPATIONAL<br />

THERAPIST, FURNISHED AS A COMPONENT OF A PARTIAL HOSPITALIZATION TREATMENT<br />

PROGRAM, PER DAY<br />

G0130 SINGLE ENERGY X-RAY ABSORPTIOMETRY (SEXA) BONE DENSITY STUDY, ONE OR MORE<br />

SITES; APPENDICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL)<br />

G0131 COMPUTERIZED TOMOGRAPHY BONE MINERAL DENSITY STUDY, ONE OR MORE SITES; AXIAL<br />

SKELETON (EG, HIPS, PELVIS, SPINE)<br />

G0132 COMPUTERIZED TOMOGRAPHY BONE MINERAL DENSITY STUDY, ONE OR MORE SITES;<br />

APPENDICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL)<br />

G0133 ULTRA-SOUND BONE MINERAL STUDY, ONE OR MORE SITES, APPENDICULAR SKELETON<br />

(PERIPHERAL) (EG, RADIUS, WRIST, HEEL)<br />

G0141 SCREENING CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL, PERFORMED BY AUTOMATED<br />

SYSTEM, WITH MANUAL RESCREENING, REQUIRING INTERPRETATION BY PHYSICIAN<br />

G0143 SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED<br />

IN PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREPARATION, WITH MANUAL SCREENING<br />

AND RESCREENING BY CYTOTECHNOLOGIST UNDER PHYSICIAN SUPERVISION<br />

G0144 SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED<br />

IN PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREPARATION, WITH MANUAL SCREENING<br />

AND COMPUTER-ASSISTED RESCREENING BY CYTOTECHNOLOGIST UNDER PHYSICIAN<br />

SUPERVISION<br />

G0145 SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), COLLECTED<br />

IN PRESERVATIVE FLUID, AUTOMATED THIN LAYER PREPARATION, WITH MANUAL SCREENING<br />

AND COMPUTER-ASSISTED RESCREENING USING CELL SELECTION AND REVIEW UNDER<br />

PHYSICIAN SUPERVISION<br />

G0147 SCREENING CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL, PERFORMED BY AUTOMATED<br />

SYSTEM UNDER PHYSICIAN SUPERVISION<br />

G0148 SCREENING CYTOPATHOLOGY SMEARS, CERVICAL OR VAGINAL, PERFORMED BY AUTOMATED<br />

SYSTEM WITH MANUAL RESCREENING<br />

G0151 SERVICES OF PHYSICAL THERAPIST IN HOME HEALTH SETTING, EACH 15 MINUTES<br />

G0152 SERVICES OF OCCUPATIONAL THERAPIST IN HOME HEALTH SETTING, EACH 15 MINUTES<br />

G0153 SERVICES OF SPEECH AND LANGUAGE PATHOLOGIST IN HOME HEALTH SETTING, EACH 15<br />

MINUTES<br />

G0154 SERVICES OF SKILLED NURSE IN HOME HEALTH SETTING, EACH 15 MINUTES<br />

G0155 SERVICES OF CLINICAL SOCIAL WORKER IN HOME HEALTH SETTING, EACH 15 MINUTES

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