Medicine and Surgery Section - Wisconsin.gov
Medicine and Surgery Section - Wisconsin.gov
Medicine and Surgery Section - Wisconsin.gov
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<strong>Medicine</strong> Services (Continued)<br />
Appendix 1<br />
(Continued)<br />
Service CPT Procedure Code(s)<br />
Allowable<br />
Modifier(s)<br />
Pulmonary 94010<br />
94014-94016<br />
TC, 26<br />
94060-94621<br />
94640-94668<br />
TC, 26<br />
94680-94750<br />
94760<br />
TC, 26<br />
94770-94772, 94799 TC, 26<br />
Allergy <strong>and</strong> Clinical Immunology 95004-95199<br />
Neurology <strong>and</strong> Neuromuscular Procedures 95805-95829<br />
95830-95857<br />
TC, 26<br />
95858-95962 TC, 26<br />
95965-95967<br />
95970-95991<br />
26<br />
95999<br />
96000-96004<br />
TC, 26<br />
Central Nervous System<br />
Assessments/Tests<br />
96100-96117<br />
Chemotherapy Administration 96400-96542, 96549<br />
Photodynamic Therapy 96567-96571<br />
Special Dermatological Procedures 96900, 96910-96999<br />
Physicial <strong>Medicine</strong> <strong>and</strong> Rehabilitation 97001-97004, 97010-97542<br />
Osteopathic Manipulative Treatment 98925-98929<br />
Special Services Procedures <strong>and</strong> Reports 99000-99001<br />
99070<br />
Other Services Procedures 99170, 99173, 99183-99199<br />
Category II Codes<br />
Refer to the physician fee schedule for Category II Performance Measurement CPT codes. Category II codes consist of four<br />
numbers followed by the letter “F.”<br />
Category III Codes<br />
Refer to the physician fee schedule for Category III Emerging Technology CPT codes. Category III codes consist of four<br />
numbers followed by the letter “T.”<br />
Physician Services H<strong>and</strong>book — <strong>Medicine</strong> <strong>and</strong> <strong>Surgery</strong> December 2005 71<br />
Appendix