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Medicare Data Utilities Appendices

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Q9936 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 36<br />

Q9937 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 37<br />

Q9938 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 38<br />

Q9939 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 39<br />

Q9940 INJECTION OF EPO, PER 1000 UNITS, AT PATIENT HCT OF 40 OR ABOVE<br />

R0070 TRANSPORTATION OF PORTABLE X-RAY EQUIPMENT AND PERSONNEL TO HOME OR NURSING<br />

HOME, PER TRIP TO FACILITY OR LOCATION, ONE PATIENT SEEN<br />

R0075 TRANSPORTATION OF PORTABLE X-RAY EQUIPMENT AND PERSONNEL TO HOME OR NURSING<br />

HOME, PER TRIP TO FACILITY OR LOCATION, MORE THAN ONE PATIENT SEEN, PER PATIENT<br />

R0076 TRANSPORTATION OF PORTABLE EKG TO FACILITY OR LOCATION, PER PATIENT<br />

S0009 INJECTION, BUTORPHANOL TARTRATE, 1 MG<br />

S0010 INJECTION, SOMATREM, 5 MG<br />

S0011 INJECTION, SOMATROPIN, 5 MG<br />

S0012 BUTORPHANOL TARTRATE, NASAL SPRAY, 25 MG<br />

S0014 TACRINE HYDROCHLORIDE, 10 MG<br />

S0016 INJECTION, AMIKACIN SULFATE, 500 MG<br />

S0017 INJECTION, AMINOCAPROIC ACID, 5 GRAMS<br />

S0020 INJECTION, BUPIVICAINE HYDROCHLORIDE, 30 ML<br />

S0021 INJECTION, CEFOPERAZONE SODIUM, 1 GRAM<br />

S0023 INJECTION, CIMETIDINE HYDROCHLORIDE, 300 MG<br />

S0024 INJECTION, CIPROFLOXACIN, 200 MG<br />

S0028 INJECTION, FAMOTIDINE, 20 MG<br />

S0029 INJECTION, FLUCONAZOLE, 400 MG<br />

S0030 INJECTION, METRONIDAZOLE, 500 MG<br />

S0032 INJECTION, NAFCILLIN SODIUM, 2 GRAMS<br />

S0034 INJECTION, OFLOXACIN, 400 MG<br />

S0039 INJECTION, SULFAMETHOXAZOLE AND TRIMETHOPRIM, 10 ML<br />

S0040 INJECTION, TICARCILLIN DISODIUM AND CLAVULANATE POTASSIUM, 3.1 GRAMS<br />

S0071 INJECTION, ACYCLOVIR SODIUM, 50 MG<br />

S0072 INJECTION, AMIKACIN SULFATE, 100 MG<br />

S0073 INJECTION, AZTREONAM, 500 MG<br />

S0074 INJECTION, CEFOTETAN DISODIUM, 500 MG<br />

S0077 INJECTION, CLINDAMYCIN PHOSPHATE, 300 MG<br />

S0078 INJECTION, FOSPHENYTOIN SODIUM, 750 MG<br />

S0080 INJECTION, PENTAMIDINE ISETHIONATE, 300 MG<br />

S0081 INJECTION, PIPERACILLIN SODIUM, 500 MG<br />

S0085 INJECTION, GATIFLOXACIN, 200 MG<br />

S0086 INJECTION, VERTEPORFIN, 15 MG<br />

S0090 SILDENAFIL CITRATE, 25 MG<br />

S0096 INJECTION, ITRACONAZOLE, 200 MG<br />

S0097 INJECTION, IBUTILIDE FUMARATE, 1 MG<br />

S0098 INJECTION, SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE, 62.5 MG<br />

S0156 EXEMESTANE, 25 MG<br />

S0157 BECAPLERMIN GEL 0.01%, 0.5 GM<br />

S0220 MEDICAL CONFERENCE BY A PHYSICIAN WITH INTERDISCIPLINARY TEAM OF HEALTH<br />

PROFESSIONALS OR REPRESENTATIVES OF COMMUNITY AGENCIES TO COORDINATE ACTIVITIES<br />

OF PATIENT CARE (PATIENT IS PRESENT); APPROXIMATELY 30 MINUTES<br />

S0221 MEDICAL CONFERENCE BY A PHYSICIAN WITH INTERDISCIPLINARY TEAM OF HEALTH<br />

PROFESSIONALS OR REPRESENTATIVES OF COMMUNITY AGENCIES TO COORDINATE ACTIVITIES<br />

OF PATIENT CARE (PATIENT IS PRESENT); APPROXIMATELY 60 MINUTES<br />

S0601 SCREENING PROCTOSCOPY<br />

S0605 DIGITAL RECTAL EXAMINATION, ANNUAL<br />

S0610 ANNUAL GYNECOLOGICAL EXAMINATION, NEW PATIENT<br />

S0612 ANNUAL GYNECOLOGICAL EXAMINATION, ESTABLISHED PATIENT<br />

S0620 ROUTINE OPHTHALMOLOGICAL EXAMINATION INCLUDING REFRACTION; NEW PATIENT<br />

S0621 ROUTINE OPHTHALMOLOGICAL EXAMINATION INCLUDING REFRACTION; ESTABLISHED PATIENT<br />

S0630 REMOVAL OF SUTURES; BY A PHYSICIAN OTHER THAN THE PHYSICIAN WHO ORIGINALLY

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