J0697 INJECTION, STERILE CEFUROXIME SODIUM, PER 750 MG J0698 INJECTION, CEFOTAXIME SODIUM, PER GM J0702 INJECTION, BETAMETHASONE ACETATE AND BETAMETHASONE SODIUM PHOSPHATE, PER 3 MG J0704 INJECTION, BETAMETHASONE SODIUM PHOSPHATE, PER 4 MG J0710 INJECTION, CEPHAPIRIN SODIUM, UP TO 1 GM J0713 INJECTION, CEFTAZIDIME, PER 500 MG J0715 INJECTION, CEFTIZOXIME SODIUM, PER 500 MG J0720 INJECTION, CHLORAMPHENICOL SODIUM SUCCINATE, UP TO 1 GM J0725 INJECTION, CHORIONIC GONADOTROPIN, PER 1,000 USP UNITS J0730 INJECTION, CHLORPHENIRAMINE MALEATE, PER 10 MG J0735 INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG J0740 INJECTION, CIDOFOVIR, 375 MG J0743 INJECTION, CILASTATIN SODIUM; IMIPENEM, PER 250 MG J0745 INJECTION, CODEINE PHOSPHATE, PER 30 MG J0760 INJECTION, COLCHICINE, PER 1MG J0770 INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG J0780 INJECTION, PROCHLORPERAZINE, UP TO 10 MG J0800 INJECTION, CORTICOTROPIN, UP TO 40 UNITS J0810 INJECTION, CORTISONE, UP TO 50 MG J0835 INJECTION, COSYNTROPIN, PER 0.25 MG J0850 INJECTION, CYTOMEGALOVIRUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN), PER VIAL J0895 INJECTION, DEFEROXAMINE MESYLATE, 500 MG J0900 INJECTION, TESTOSTERONE ENANTHATE AND ESTRADIOL VALERATE, UP TO 1 CC J0945 INJECTION, BROMPHENIRAMINE MALEATE, PER 10 MG J0970 INJECTION, ESTRADIOL VALERATE, UP TO 40 MG J1000 INJECTION, DEPO-ESTRADIOL CYPIONATE, UP TO 5 MG J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 20 MG J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG J1050 INJECTION, MEDROXYPROGESTERONE ACETATE, 100 MG J1055 INJECTION, MEDROXYPROGESTERONE ACETATE FOR CONTRACEPTIVE USE, 150 MG J1060 INJECTION, TESTOSTERONE CYPIONATE AND ESTRADIOL CYPIONATE, UP TO 1 ML J1070 INJECTION, TESTOSTERONE CYPIONATE, UP TO 100 MG J1080 INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 200 MG J1090 INJECTION, TESTOSTERONE CYPIONATE, 1 CC, 50 MG J1095 INJECTION, DEXAMETHASONE ACETATE, PER 8 MG J1100 INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG J1110 INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG J1120 INJECTION, ACETAZOLAMIDE SODIUM, UP TO 500 MG J1160 INJECTION, DIGOXIN, UP TO 0.5 MG J1165 INJECTION, PHENYTOIN SODIUM, PER 50 MG J1170 INJECTION, HYDROMORPHONE, UP TO 4 MG J1180 INJECTION, DYPHYLLINE, UP TO 500 MG J1190 INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG J1200 INJECTION, DIPHENHYDRAMINE HCL, UP TO 50 MG J1205 INJECTION, CHLOROTHIAZIDE SODIUM, PER 500 MG J1212 INJECTION, DMSO, DIMETHYL SULFOXIDE, 50%, 50 ML J1230 INJECTION, METHADONE HCL, UP TO 10 MG J1240 INJECTION, DIMENHYDRINATE, UP TO 50 MG J1245 INJECTION, DIPYRIDAMOLE, PER 10 MG J1250 INJECTION, DOBUTAMINE HYDROCHLORIDE, PER 250 MG J1260 INJECTION, DOLASETRON MESYLATE, 10 MG J1320 INJECTION, AMITRIPTYLINE HCL, UP TO 20 MG J1325 INJECTION, EPOPROSTENOL, 0.5 MG J1327 INJECTION, EPTIFIBATIDE, 5 MG J1330 INJECTION, ERGONOVINE MALEATE, UP TO 0.2 MG J1362 INJECTION, ERYTHROMYCIN GLUCEPTATE, PER 250 MG
J1364 INJECTION, ERYTHROMYCIN LACTOBIONATE, PER 500 MG J1380 INJECTION, ESTRADIOL VALERATE, UP TO 10 MG J1390 INJECTION, ESTRADIOL VALERATE, UP TO 20 MG J1410 INJECTION, ESTROGEN CONJUGATED, PER 25 MG J1435 INJECTION, ESTRONE, PER 1 MG J1436 INJECTION, ETIDRONATE DISODIUM, PER 300 MG J1438 INJECTION, ETANERCEPT, 25 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) J1440 INJECTION, FILGRASTIM (G-CSF), 300 MCG J1441 INJECTION, FILGRASTIM (G-CSF), 480 MCG J1450 INJECTION FLUCONAZOLE, 200 MG J1452 INJECTION, FOMIVIRSEN SODIUM, INTRAOCULAR, 1.65 MG J1455 INJECTION, FOSCARNET SODIUM, PER 1000 MG J1460 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC J1470 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 2 CC J1480 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 3 CC J1490 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 4 CC J1500 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 5 CC J1510 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 6 CC J1520 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 7 CC J1530 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 8 CC J1540 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 9 CC J1550 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 10 CC J1560 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, OVER 10 CC J1561 INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 500 MG J1562 INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 5 GMS J1563 INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, 1G J1565 INJECTION, RESPIRATORY SYNCYTIAL VIRUS IMMUNE GLOBULIN, INTRAVENOUS, 50 MG J1570 INJECTION, GANCICLOVIR SODIUM, 500 MG J1580 INJECTION, GARAMYCIN, GENTAMICIN, UP TO 80 MG J1600 INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG J1610 INJECTION, GLUCAGON HYDROCHLORIDE, PER 1 MG J1620 INJECTION, GONADORELIN HYDROCHLORIDE, PER 100 MCG J1625 INJECTION, GRANISETRON HYDROCHLORIDE, PER 1 MG J1626 INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG J1630 INJECTION, HALOPERIDOL, UP TO 5 MG J1631 INJECTION, HALOPERIDOL DECANOATE, PER 50 MG J1642 INJECTION, HEPARIN SODIUM, (HEPARIN LOCK FLUSH), PER 10 UNITS J1644 INJECTION, HEPARIN SODIUM, PER 1000 UNITS J1645 INJECTION, DALTEPARIN SODIUM, PER 2500 IU J1650 INJECTION, ENOXAPARIN SODIUM, 10 MG J1670 INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS J1690 INJECTION, PREDNISOLONE TEBUTATE, UP TO 20 MG J1700 INJECTION, HYDROCORTISONE ACETATE, UP TO 25 MG J1710 INJECTION, HYDROCORTISONE SODIUM PHOSPHATE, UP TO 50 MG J1720 INJECTION, HYDROCORTISONE SODIUM SUCCINATE, UP TO 100 MG J1730 INJECTION, DIAZOXIDE, UP TO 300 MG J1739 INJECTION, HYDROXYPROGESTERONE CAPROATE 125 MG/ML J1741 INJECTION, HYDROXYPROGESTERONE CAPROATE, 250 MG/ML J1742 INJECTION, IBUTILIDE FUMARATE, 1 MG J1745 INJECTION INFLIXIMAB, 10 MG J1750 INJECTION, IRON DEXTRAN, 50 MG J1760 INJECTION, IRON DEXTRAN, 2 CC J1770 INJECTION, IRON DEXTRAN, 5 CC J1780 INJECTION, IRON DEXTRAN, 10 CC J1785 INJECTION, IMIGLUCERASE, PER UNIT
- Page 1 and 2:
Medicare Data Utilities Appendices
- Page 3 and 4:
Appendix C BETOS Table The Berenson
- Page 5 and 6:
Appendix D Carrier Claim Payment De
- Page 7 and 8:
Appendix G CMS Provider Specialty T
- Page 9 and 10:
8O = Clinical social worker (1991)
- Page 11 and 12:
75 = Other medical care (GPPP) (not
- Page 13 and 14:
Appendix I Line Place of Service Ta
- Page 15 and 16:
0406 = (C) MAMMOGRAPHY WITH NO HCPC
- Page 17 and 18:
46XB = (C) MULTIPLE COIN VALU CODES
- Page 19 and 20:
5500 = (U) FULL DAYS/SNF-HOSP FULL
- Page 21 and 22:
6911 = (C) REV CODE 274 ON OUTPAT A
- Page 23 and 24:
94X5 = (C) BLOOD/MSP CODE/COMPUTED
- Page 25 and 26:
Appendix L State Table The followin
- Page 27 and 28:
Appendix M Identification of variab
- Page 29 and 30:
48 Thyroid disorders 49 Diabetes me
- Page 31 and 32:
159 Urinary tract infections 160 Ca
- Page 33 and 34:
Appendix O Agency for Healthcare Re
- Page 35 and 36:
102 Ureteral catheterization 103 Ne
- Page 37 and 38:
216 Respiratory intubation and mech
- Page 39 and 40:
0064 AMEBIC LUNG ABSCESS 0065 AMEBI
- Page 41 and 42:
01136 TB OF BRONCHUS-OTH TEST 0114
- Page 43 and 44:
01326 TUBRCLOMA BRAIN-OTH TEST 0133
- Page 45 and 46:
01576 TB OF BONE NEC-OTH TEST 0158
- Page 47 and 48:
01726 TB PERIPH LYMPH-OTH TEST 0173
- Page 49 and 50:
026 RAT-BITE FEVER* 0260 SPIRILLARY
- Page 51 and 52:
04181 MYCOPLASMA 04182 BACILLUS FRA
- Page 53 and 54:
05579 MEASLES COMPLICATION NEC 0558
- Page 55 and 56:
0771 EPIDEM KERATOCONJUNCTIV 0772 P
- Page 57 and 58:
0907 LATE CONGEN SYPH NOS 0909 CONG
- Page 59 and 60:
09889 GONOCOCCAL INF SITE NEC 099 O
- Page 61 and 62:
1160 BLASTOMYCOSIS 1161 PARACOCCIDI
- Page 63 and 64:
1330 SCABIES 1338 ACARIASIS NEC 133
- Page 65 and 66:
151 MALIGNANT NEO STOMACH* 1510 MAL
- Page 67 and 68:
1712 MAL NEO SOFT TISSUE ARM 1713 M
- Page 69 and 70:
1902 MAL NEO LACRIMAL GLAND 1903 MA
- Page 71 and 72:
20083 MIXED LYMPHOSARC ABDOM 20084
- Page 73 and 74:
20225 SEZARY'S DISEASE INGUIN 20226
- Page 75 and 76:
20610 CHR MONO LEUK W/O RMSION 2061
- Page 77 and 78:
218 UTERINE LEIOMYOMA* 2180 SUBMUCO
- Page 79 and 80:
234 CA IN SITU NEC/NOS* 2340 CA IN
- Page 81 and 82:
2469 DISORDER OF THYROID NOS 250 DI
- Page 83 and 84:
2592 CARCINOID SYNDROME 2593 ECTOPI
- Page 85 and 86:
2766 FLUID OVERLOAD 2767 HYPERPOTAS
- Page 87 and 88:
2882 GENETIC ANOMALY LEUKOCYT 2883
- Page 89 and 90:
29552 LATENT SCHIZOPHREN-CHR 29553
- Page 91 and 92:
2990 INFANTILE AUTISM* 29900 INFANT
- Page 93 and 94:
30403 OPIOID DEPENDENCE-REMISS 3041
- Page 95 and 96:
30721 TRANSIENT TIC, CHILDHOOD 3072
- Page 97 and 98:
3150 SPECIFIC READING DIS* 31500 RE
- Page 99 and 100:
33510 SPINAL MUSCL ATROPHY NOS 3351
- Page 101 and 102:
34600 CLSC MIGRNE WO NTRC MGRN 3460
- Page 103 and 104:
3594 TOXIC MYOPATHY 3595 MYOPATHY I
- Page 105 and 106:
3625 DEGENERATION OF MACULA* 36250
- Page 107 and 108:
36459 IRIS ATROPHY NEC 3646 ANTERIO
- Page 109 and 110:
36731 ANISOMETROPIA 36732 ANISEIKON
- Page 111 and 112:
37005 MYCOTIC CORNEAL ULCER 37006 P
- Page 113 and 114:
37230 CONJUNCTIVITIS NOS 37231 ROSA
- Page 115 and 116:
3752 EPIPHORA* 37520 EPIPHORA NOS 3
- Page 117 and 118:
37775 CORTICAL BLINDNESS 3779 OPTIC
- Page 119 and 120:
37953 VISUAL DEPRIVATN NYSTAGM 3795
- Page 121 and 122:
38421 CENT PERF TYMPANIC MEMB 38422
- Page 123 and 124:
38900 CONDUCT HEARING LOSS NOS 3890
- Page 125 and 126:
41020 AMI INFEROLATERAL,UNSPEC 4102
- Page 127 and 128:
426 CONDUCTION DISORDERS* 4260 ATRI
- Page 129 and 130:
438 LATE EFF CEREBROVASC DIS* 4380
- Page 131 and 132:
4518 THROMBOPHLEBITIS NEC* 45181 IL
- Page 133 and 134:
4741 T & A HYPERTROPHY* 47410 HYPER
- Page 135 and 136:
4951 BAGASSOSIS 4952 BIRD-FANCIERS'
- Page 137 and 138:
5226 CHR APICAL PERIODONTITIS 5227
- Page 139 and 140:
53089 OTHER DSRDERS ESOPHAGUS 5309
- Page 141 and 142:
535 GASTRITIS AND DUODENITIS* 5350
- Page 143 and 144:
5539 HERNIA NOS 555 REGIONAL ENTERI
- Page 145 and 146:
572 SEQUELA OF CHR LIVER DIS* 5720
- Page 147 and 148:
5838 NEPHRITIS NOS W OTH LES* 58381
- Page 149 and 150:
5997 HEMATURIA 5998 URINARY TRACT D
- Page 151 and 152:
6168 FEMALE GEN INFLAM NEC 6169 FEM
- Page 153 and 154:
6281 INFERTIL-PITUITARY ORIG 6282 I
- Page 155 and 156:
63622 ILLEG AB W PEL DAMG-COMP 6363
- Page 157 and 158:
64120 PREM SEPAR PLACEN-UNSPEC 6412
- Page 159 and 160:
64613 EDEMA IN PREG-ANTEPARTUM 6461
- Page 161 and 162:
64821 ANEMIA-DELIVERED 64822 ANEMIA
- Page 163 and 164:
65270 PROLAPSED ARM-UNSPEC 65271 PR
- Page 165 and 166:
65501 FETAL CNS MALFORM-DELIV 65503
- Page 167 and 168:
65901 FAIL MECH INDUCT-DELIVER 6590
- Page 169 and 170:
66221 PROLONG 2ND STAGE-DELIV 66223
- Page 171 and 172:
66584 OB TRAUMA NEC-POSTPARTUM 6659
- Page 173 and 174:
670 MAJOR PUERPERAL INFECT* 67000 M
- Page 175 and 176:
67494 PUERP COMPL NOS-POSTPART 675
- Page 177 and 178:
6825 CELLULITIS OF BUTTOCK 6826 CEL
- Page 179 and 180:
7038 DISEASES OF NAIL NEC 7039 DISE
- Page 181 and 182:
71145 BACT ARTHRITIS-PELVIS 71146 B
- Page 183 and 184:
71298 CRY ARTHROP NOS-OTH SITE 7129
- Page 185 and 186:
71635 CLIMACT ARTHRITIS-PELVIS 7163
- Page 187 and 188:
71830 RECUR DISLOCAT-UNSPEC 71831 R
- Page 189 and 190:
71951 JT STIFFNESS NEC-SHLDER 71952
- Page 191 and 192:
724 BACK DISORDER NEC & NOS* 7240 S
- Page 193 and 194:
72886 NECROTIZING FASCIITIS 72889 M
- Page 195 and 196:
7330 OSTEOPOROSIS* 73300 OSTEOPOROS
- Page 197 and 198:
7379 CURVATURE OF SPINE NOS 738 OTH
- Page 199 and 200:
74405 ANOMALIES OF INNER EAR 74409
- Page 201 and 202:
74904 BILAT CLEFT PALATE-INC 7491 C
- Page 203 and 204:
75433 CONG HIP SUBLUX, BILAT 75435
- Page 205 and 206:
75681 ABSENCE OF MUSCLE/TENDON 7568
- Page 207 and 208:
7641 LT-FOR-DATES W FETAL MAL* 7641
- Page 209 and 210:
7732 NB HEMOLYT DIS-ISOIM NEC 7733
- Page 211 and 212:
7826 PALLOR & FLUSHING* 78261 PALLO
- Page 213 and 214:
78900 ABDMNAL PAIN UNSPCF SITE 7890
- Page 215 and 216:
7951 ABN PAP SMEAR-OTH SITE 7952 AB
- Page 217 and 218:
80090 OP SKL VLT FX/BR INJ NEC 8009
- Page 219 and 220:
80230 MANDIBLE FX NOS-OPEN 80231 FX
- Page 221 and 222:
80405 CL SKUL/OTH FX-DEEP COMA 8040
- Page 223 and 224:
8060 CLOS CERV FX W CORD INJ* 80600
- Page 225 and 226:
81011 FX CLAVIC, STERN END-OPN 8101
- Page 227 and 228:
8141 FRACTURE CARPAL BONE-OPN* 8141
- Page 229 and 230:
82391 FX FIBULA NOS-OPEN 82392 FX T
- Page 231 and 232:
836 DISLOCATION OF KNEE* 8360 TEAR
- Page 233 and 234:
84213 SPRAIN INTERPHALANGEAL 84219
- Page 235 and 236:
85155 OPN CEREBE CONT-DEEP COM 8515
- Page 237 and 238:
8540 BRAIN INJURY NEC* 85400 BRAIN
- Page 239 and 240:
86412 LIVER LACERAT, MINOR-OPN 8641
- Page 241 and 242:
87333 OPEN WND NAS SINUS-COMPL 8733
- Page 243 and 244:
8821 OPN WOUND HAND-COMPLICAT 8822
- Page 245 and 246:
90242 INJURY RENAL VEIN 90249 INJUR
- Page 247 and 248:
9117 FOREIGN BODY TRUNK-INFEC 9118
- Page 249 and 250:
92320 CONTUSION OF HAND(S) 92321 CO
- Page 251 and 252:
94111 1ST DEG BURN EAR 94112 1ST DE
- Page 253 and 254:
94311 1ST DEG BURN FOREARM 94312 1S
- Page 255 and 256:
9451 1ST DEGREE BURN LEG* 94510 1ST
- Page 257 and 258:
94888 80-89% BDY BRN/80-89% 3D 9489
- Page 259 and 260:
9590 FACE AND NECK INJURY NOS* 9590
- Page 261 and 262:
9697 POISON-PSYCHOSTIMULANTS 9698 P
- Page 263 and 264:
9840 TX EFF INORG LEAD COMPND 9841
- Page 265 and 266:
99580 ADULT MALTREATMENT NOS 99581
- Page 267 and 268:
9994 ANAPHYLACTIC SHOCK-SERUM 9995
- Page 269 and 270:
E8147 MV COLL W PEDEST-PEDEST E8148
- Page 271 and 272:
E8250 MV N-TRAFF ACC NEC-DRIV E8251
- Page 273 and 274:
E8378 WATERCRAFT EXPL-PERS NEC E837
- Page 275 and 276:
E8551 ACC POISN-CNS DEPRES NEC E855
- Page 277 and 278:
E8714 POSTENDOSCOPY FORGN BODY E871
- Page 279 and 280:
E893 CLOTHING FIRE ACCIDENT* E8930
- Page 281 and 282:
E9203 KNIFE/SWORD/DAGGER ACC E9204
- Page 283 and 284:
E935 ADV EFF ANALGESICS* E9350 ADV
- Page 285 and 286:
E9473 ADV EFF ALCOHOL DETER E9474 A
- Page 287 and 288:
E9682 ASSAULT-STRIKING W OBJ E9683
- Page 289 and 290:
V0261 HEPATITIS B CARRIER V0262 HEP
- Page 291 and 292:
V1062 HX OF MYELOID LEUKEMIA V1063
- Page 293 and 294:
V169 FAMILY HX-MALIGNANCY NOS V17 F
- Page 295 and 296:
V291 NB OBSRV SUSPCT NEURLGCL V292
- Page 297 and 298:
V440 TRACHEOSTOMY STATUS V441 GASTR
- Page 299 and 300:
V533 ADJUST CARDIAC PACEMAKER* V533
- Page 301 and 302:
V6289 PSYCHOLOGICAL STRESS NEC V629
- Page 303 and 304:
V738 SCREEN VRAL CHLM DIS NEC* V738
- Page 305 and 306:
Appendix Q International Classifica
- Page 307 and 308:
0405 GASSERIAN GANGLIONECTOMY 0406
- Page 309 and 310:
0752 PINEAL GLAND INCISION 0753 PAR
- Page 311 and 312:
098 NASO-LACRIMAL FISTULIZAT* 0981
- Page 313 and 314:
1274 CIL BODY DIMINUTION NOS 1279 G
- Page 315 and 316:
161 REMOVE PENETRAT FB EYE 162 ORBI
- Page 317 and 318:
2098 IMP/REP MCHAN COCHL PROS 2099
- Page 319 and 320:
2499 DENTAL OPERATION NEC 25 OPERAT
- Page 321 and 322:
2991 PHARYNGEAL DILATION 2992 DIVIS
- Page 323 and 324:
3423 CHEST WALL BIOPSY 3424 PLEURAL
- Page 325 and 326:
3631 OPEN CHEST TRANS REVASC 3632 O
- Page 327 and 328:
385 VARICOSE LIGAT & STRIP* 3850 VA
- Page 329 and 330:
406 THORACIC DUCT OPERATIONS* 4061
- Page 331 and 332:
4400 VAGOTOMY NOS 4401 TRUNCAL VAGO
- Page 333 and 334:
4624 DELAY OPENING ILEOSTOMY 463 OT
- Page 335 and 336:
4939 OTHER DESTRUC ANUS LES 494 HEM
- Page 337 and 338:
5196 PERC EXTRAC COM DUC CALC 5198
- Page 339 and 340:
5495 PERITONEAL INCISION 5496 INJEC
- Page 341 and 342:
5749 TU DESTRUC BLADD LES NEC 575 B
- Page 343 and 344:
6091 PERCUT PROSTATIC ASPIRAT 6092
- Page 345 and 346:
6525 OTH LAP LOC EXC DEST OVA 6529
- Page 347 and 348:
686 RADICAL ABD HYSTERECTOMY 687 RA
- Page 349 and 350:
7254 TOT BREECH EXTRAC NEC 726 FORC
- Page 351 and 352:
7699 FACIAL BONE/JNT OP NEC 77 INCI
- Page 353 and 354:
7802 BONE GRAFT TO HUMERUS 7803 BON
- Page 355 and 356:
7909 CLOSED FX REDUCTION NEC 791 CL
- Page 357 and 358:
8019 OTHER ARTHROTOMY NEC 802 ARTHR
- Page 359 and 360:
8151 TOTAL HIP REPLACEMENT 8152 PAR
- Page 361 and 362:
8339 EXC LES SOFT TISSUE NEC 834 OT
- Page 363 and 364:
8541 UNILAT SIMPLE MASTECTOMY 8542
- Page 365 and 366:
8729 SPINAL X-RAY NEC 873 THORAX SO
- Page 367 and 368:
8862 CONTR PHLEBOGRAM-PULMON 8863 T
- Page 369 and 370:
901 MICRO EXAM-ENDOCRINE* 9011 BACT
- Page 371 and 372:
9151 BACT SMEAR-MUSCULOSKEL 9152 CU
- Page 373 and 374:
934 SKELETAL & OTH TRACTION* 9341 S
- Page 375 and 376:
9507 DARK ADAPTATION STUDY 9509 EYE
- Page 377 and 378:
9723 REPLACE TRACH TUBE 9724 REPLAC
- Page 379 and 380:
9927 IONTOPHORESIS 9928 IMMUNOTHERA
- Page 381 and 382:
Appendix R Diagnostic Related Group
- Page 383 and 384:
104 MDC 05P CARDIAC VALVE & OTH MAJ
- Page 385 and 386:
218 MDC 08P LOWER EXTREM & HUMER PR
- Page 387 and 388: 332 MDC 11M OTHER KIDNEY & URINARY
- Page 389 and 390: 446 MDC 21M TRAUMATIC INJURY AGE 0-
- Page 391 and 392: Appendix S Alpha-Numeric HCPCS Code
- Page 393 and 394: A0425 GROUND MILEAGE, PER STATUTE M
- Page 395 and 396: A4356 EXTERNAL URETHRAL CLAMP OR CO
- Page 397 and 398: A4636 REPLACEMENT, HANDGRIP, CANE,
- Page 399 and 400: A6021 COLLAGEN DRESSING, PAD SIZE 1
- Page 401 and 402: EACH DRESSING A6259 TRANSPARENT FIL
- Page 403 and 404: HOMEMIX B4178 PARENTERAL NUTRITION
- Page 405 and 406: C1047 CATHETER, DIAGNOSTIC, NAVI-ST
- Page 407 and 408: C1134 PACEMAKER, DUAL CHAMBER, SIGM
- Page 409 and 410: SOMNOPLASTY COAGULATING ELECTRODE C
- Page 411 and 412: C1812 ANCHOR, OBL 2.0MM MINI TAC AC
- Page 413 and 414: C2104 CATHETER, ELECTROPHYSIOLOGY,
- Page 415 and 416: C4607 LEAD, PACEMAKER, FINELINE II
- Page 417 and 418: C5601 VASCULAR CLOSURE DEVICE, VASC
- Page 419 and 420: C8513 LEAD, NEUROSTIMULATION, PISCE
- Page 421 and 422: E0147 HEAVY DUTY, MULTIPLE BREAKING
- Page 423 and 424: E0424 STATIONARY COMPRESSED GASEOUS
- Page 425 and 426: E0757 IMPLANTABLE NEUROSTIMULATOR R
- Page 427 and 428: AWAY DETACHABLE FOOTRESTS E1100 SEM
- Page 429 and 430: E1635 COMPACT (PORTABLE) TRAVEL HEM
- Page 431 and 432: PATIENT'S CARE, INTEGRATION OF NEW
- Page 433 and 434: G0115 NETT PULM-REHAB; PSYCHOLOGICA
- Page 435 and 436: INVOLVED IN THE PATIENT’S CARE, I
- Page 437: J0200 INJECTION, ALATROFLOXACIN MES
- Page 441 and 442: J2512 INJECTION, PENTAGASTRIN, PER
- Page 443 and 444: J7320 HYLAN G-F 20, 16 MG, FOR INTR
- Page 445 and 446: J9000 DOXORUBICIN HCL, 10 MG J9001
- Page 447 and 448: K0034 HEEL LOOP,EACH K0035 HEEL LOO
- Page 449 and 450: K0171 ADMINISTRATION SET, SMALL VOL
- Page 451 and 452: K0462 TEMPORARY REPLACEMENT FOR PAT
- Page 453 and 454: L0340 TLSO, ANTERIOR-POSTERIOR-LATE
- Page 455 and 456: CUSTOM FABRICATED L1686 HIP ORTHOSI
- Page 457 and 458: CUSTOM-FABRICATED L2112 ANKLE FOOT
- Page 459 and 460: L2780 ADDITION TO LOWER EXTREMITY O
- Page 461 and 462: L3640 TRANSFER OF AN ORTHOSIS FROM
- Page 463 and 464: RECLINING, PREFABRICATED, INCLUDES
- Page 465 and 466: SYSTEM, PYLON, NO COVER, SACH FOOT,
- Page 467 and 468: L5697 ADDITION TO LOWER EXTREMITY,
- Page 469 and 470: L6100 BELOW ELBOW, MOLDED SOCKET, F
- Page 471 and 472: L6765 TERMINAL DEVICE, HOOK, DORRAN
- Page 473 and 474: L8020 BREAST PROSTHESIS, MASTECTOMY
- Page 475 and 476: P2029 CONGO RED, BLOOD P2031 HAIR A
- Page 477 and 478: Q0172 CHLORPROMAZINE HYDROCHLORIDE,
- Page 479 and 480: Q9936 INJECTION OF EPO, PER 1000 UN
- Page 481 and 482: S2371 EACH ADDITIONAL INTERSPACE (L
- Page 483 and 484: S9310 NURSING SERVICES AND ALL NECE
- Page 485 and 486: V2212 SPHEROCYLINDER, BIFOCAL, PLUS
- Page 487: V5130 BINAURAL, IN THE EAR V5140 BI