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Bundled Services

These procedure codes will not be considered for separate reimbursement when submitted on outpatient claims. These codes will not be considered for separate reimbursement if they are the only services billed for a date of service or if they are billed with other services for the same date of service.

     CPT Codes      Code description
74713 Mri fetal ea addl gestation
74742 X-ray fallopian tube
75565 Card mri veloc flow mapping
75774 Artery x-ray each vessel
75894 X-rays transcath therapy
75901 Remove cva device obstruct
75902 Remove cva lumen obstruct
75970 Vascular biopsy
75984 Xray control catheter change
75989 Abscess drainage under x-ray
76125 Cine/video x-rays add-on
76376 3d render w/intrp postproces
76377 3d render w/intrp postproces
76802 Ob us < 14 wks addl fetus
76810 Ob us >= 14 wks addl fetus
76812 Ob us detailed addl fetus
76814 Ob us nuchal meas add-on
76932 Echo guide for heart biopsy
76937 Us guide vascular access
76940 Us guide tissue ablation
76941 Echo guide for transfusion
76942 Echo guide for biopsy
76945 Echo guide villus sampling
76946 Echo guide for amniocentesis
76948 Echo guide ova aspiration
76965 Echo guidance radiotherapy
76979 Us trgt dyn mbubb ea addl
76983 Use ea addl target lesion
76998 Us guide intraop
77001 Fluoroguide for vein device
77002 Needle localization by xray
77003 Fluoroguide for spine inject
77011 Ct scan for localization
77012 Ct scan for needle biopsy
77013 Ct guide for tissue ablation
77014 Ct scan for therapy guide
77021 Mri guidance ndl plmt rs&i
77022 Mri gdn parnchyma tiss abltj
77293 Respirator motion mgmt simul
77387 Guidance for radj tx dlvr
77417 Radiology port images(s)
77435 Sbrt management
77790 Radiation handling
78020 Thyroid met uptake
78434 Aqmbf pet rest & rx stress
78496 Heart first pass add-on
78730 Urinary bladder retention
78835 Rp quan meas single area
85396 Clotting assay whole blood
86849 Immunology procedure
87999 Microbiology procedure
88141 Cytopath c/v interpret
88177 Cytp fna eval ea addl
88185 Flowcytometry/tc add-on
88311 Decalcify tissue
88314 Histochemical stains add-on
88332 Path consult intraop addl
88334 Intraop cyto path consult 2
88341 Immunohisto antb addl slide
88350 Immunofluor antb addl stain
88364 Insitu hybridization (fish)
88369 M/phmtrc alysishquant/semiq
88371 Protein western blot tissue
88372 Protein analysis w/probe
88373 M/phmtrc alys ishquant/semiq
88380 Microdissection laser
88381 Microdissection manual
88387 Tiss exam molecular study
88388 Tiss ex molecul study add-on
90296 Diphtheria antitoxin
90472 Immunization admin each add
90474 Immune admin oral/nasal addl
90476 Adenovirus vaccine type 4
90632 Hepa vaccine adult im
90633 Hepa vacc ped/adol 2 dose im
90634 Hepa vacc ped/adol 3 dose
90636 Hep a/hep b vacc adult im
90647 Hib prp-omp vacc 3 dose im
90648 Hib prp-t vaccine 4 dose im
90680 Rv5 vacc 3 dose live oral
90690 Typhoid vaccine oral
90691 Typhoid vaccine im
90696 Dtap-ipv vaccine 4-6 yrs im
90698 Dtap-ipv/hib vaccine im
90700 Dtap vaccine < 7 yrs im
90702 Dt vaccine under 7 yrs im
90707 Mmr vaccine sc
90710 Mmrv vaccine sc
90713 Poliovirus ipv sc/im
90714 Td vacc no presv 7 yrs+ im
90715 Tdap vaccine 7 yrs/> im
90717 Yellow fever vaccine subq
90749 Vaccine toxoid
90785 Psytx complex interactive
90833 Psytx w pt w e/m 30 min
90836 Psytx w pt w e/m 45 min
90838 Psytx w pt w e/m 60 min
90840 Psytx crisis ea addl 30 min
90885 Psy evaluation of records
90887 Consultation with family
90889 Preparation of report
90940 Hemodialysis access study
91013 Esophgl motil w/stim/perfus
92071 Contact lens fitting for tx
92072 Fit contac lens for management
92100 Serial tonometry exam(s)
92504 Ear microscopy examination
92531 Spontaneous nystagmus study
92532 Positional nystagmus test
92533 Caloric vestibular test
92534 Optokinetic nystagmus test
92547 Supplemental electrical test
92621 Auditory function + 15 min
92627 Eval aud funcj ea addl 15
92921 Prq cardiac angio addl art
92925 Prq card angio/athrect addl
92929 Prq card stent w/angio addl
92934 Prq card stent/ath/angio
92938 Prq revasc byp graft addl
92944 Prq card revasc chronic addl
92973 Prq coronary mech thrombect
92974 Cath place cardio brachytx
92978 Endoluminl ivus oct c 1st
92979 Endoluminl ivus oct c ea
92998 Pul art balloon repr percut
93286 Peri-px eval pm/ldls pm ip
93287 Peri-px device eval & prgr
93314 Echo transesophageal
93317 Echo transesophageal
93320 Doppler echo exam heart
93321 Doppler echo exam heart
93325 Doppler color flow add-on
93355 Echo transesophageal (tee)
93356 Myocrd strain img spckl trck
93462 L hrt cath trnsptl puncture
93463 Drug admin & hemodynmic meas
93464 Exercise w/hemodynamic meas
93561 Cardiac output measurement
93562 Card output measure subsq
93563 Inject congenital card cath
93564 Inject hrt congntl art/grft
93565 Inject l ventr/atrial angio
93566 Inject r ventr/atrial angio
93567 Inject suprvlv aortography
93568 Inject pulm art hrt cath
93571 Heart flow reserve measure
93572 Heart flow reserve measure
93592 Perq transcath closure each
93609 Map tachycardia add-on
93613 Electrophys map 3d add-on
93621 Electrophysiology evaluation
93622 Electrophysiology evaluation
93623 Stimulation pacing heart
93631 Heart pacing mapping
93640 Evaluation heart device
93641 Electrophysiology evaluation
93644 Electrophysiology evaluation
93655 Ablate arrhythmia add on
93657 Tx l/r atrial fib addl
93662 Intracardiac ecg (ice)
93770 Measure venous pressure
94645 Cbt each addl hour
94729 Co/membane diffuse capacity
94760 Measure blood oxygen level
94761 Measure blood oxygen level
94781 Cars/bd tst inft-12mo +30min
95079 Ingest challenge addl 60 min
95829 Surgery electrocorticogram
95873 Guide nerv destr elec stim
95874 Guide nerv destr needle emg
95885 Musc tst done w/nerv tst lim
95886 Musc test done w/n test comp
95887 Musc tst done w/n tst nonext
95940 Ionm in operating room 15 min
95941 Ionm remote/>1 pt or per hr
95955 Eeg during surgery
95957 Eeg digital analysis
95962 Electrode stim brain add-on
95967 Meg evoked each addl
95980 Io anal gast n-stim init
95984 Alys brn npgt prgrmg addl 15
96020 Functional brain mapping
96113 Devel tst phys/qhp ea addl
96121 Nubhvl xm phy/qhp ea addl hr
96131 Psycl tst eval phys/qhp ea
96133 Nrpsyc tst eval phys/qhp ea
96137 Psycl/nrpsyc tst phy/qhp ea
96139 Psycl/nrpsyc tst tech ea
96159 Hlth bhv ivntj indiv ea addl
96165 Hlth bhv ivntj grp ea addl
96168 Hlth bhv ivntj fam ea addl
96368 Ther/diag concurrent inf
96376 Tx/pro/dx inj same drug adon
96570 Photodynmc tx 30 min add-on
96571 Photodynamic tx addl 15 min
96902 Trichogram
96904 Whole body photography
96932 Rcm celulr subcelulr img skn
96934 Rcm celulr subcelulr img skn
96935 Rcm celulr subcelulr img skn
96936 Rcm celulr subcelulr img skn
97598 Rmvl devital tis addl 20cm/<
97811 Acupunct w/o stimul addl 15m
97814 Acupunct w/stimul addl 15m
99078 Group health education
99091 Collj & interpj data ea 30 d
99151 Mod sed same phys/qhp <5 yrs
99152 Mod sed same phys/qhp 5/>yrs
99153 Mod sed same phys/qhp ea
99155 Mod sed oth phys/qhp <5 yrs
99156 Mod sed oth phys/qhp 5/>yrs
99157 Mod sed other phys/qhp ea
99175 Induction of vomiting
99292 Critical care addl 30 min
99354 Prolng svc o/p 1st hour
99355 Prolng svc o/p ea addl 30
99358 Prolong service w/o contact
99359 Prolong serv w/o contact add
99366 Team conf w/pat by hc prof
99367 Team conf w/o pat by phys
99368 Team conf w/o pat by hc pro
99439 Chrnc care mgmt svc ea addl
99464 Attendance at delivery
99466 Ped crit care transport
99467 Ped crit care transport addl
99489 Cplx chrnc care ea addl 30
99494 1st/sbsq psyc collab care
99498 Advncd care plan addl 30 min
A4206 1 cc sterile syringe&needle
A4207 2 cc sterile syringe&needle
A4208 3 cc sterile syringe&needle
A4209 5+ cc sterile syringe&needle
A4211 Supp for self-adm injections
A4212 Non coring needle or stylet
A4213 20+ cc syringe only
A4215 Sterile needle
A4216 Sterile water/saline, 10 ml
A4217 Sterile water/saline, 500 ml
A4218 Sterile saline or water
A4220 Infusion pump refill kit
A4221 Supp non-insulin inf cath/wk
A4222 Infusion supplies with pump
A4223 Infusion supplies w/o pump
A4224 Supply insulin inf cath/wk
A4225 Sup/ext insulin inf pump syr
A4230 Infus insulin pump non needl
A4231 Infusion insulin pump needle
A4244 Alcohol or peroxide per pint
A4245 Alcohol wipes per box
A4246 Betadine/phisohex solution
A4247 Betadine/iodine swabs/wipes
A4248 Chlorhexidine antisept
A4253 Blood glucose/reagent strips
A4255 Glucose monitor platforms
A4256 Calibrator solution/chips
A4258 Lancet device each
A4259 Lancets per box
A4262 Temporary tear duct plug
A4263 Permanent tear duct plug
A4265 Paraffin
A4270 Disposable endoscope sheath
A4280 Brst prsths adhsv attchmnt
A4290 Sacral nerve stim test lead
A4300 Cath impl vasc access portal
A4301 Implantable access syst perc
A4305 Drug delivery system >=50 ml
A4306 Drug delivery system <=50 ml
A4310 Insert tray w/o bag/cath
A4311 Catheter w/o bag 2-way latex
A4312 Cath w/o bag 2-way silicone
A4313 Catheter w/bag 3-way
A4314 Cath w/drainage 2-way latex
A4315 Cath w/drainage 2-way silcne
A4316 Cath w/drainage 3-way
A4320 Irrigation tray
A4321 Cath therapeutic irrig agent
A4322 Irrigation syringe
A4326 Male external catheter
A4327 Fem urinary collect dev cup
A4328 Fem urinary collect pouch
A4330 Stool collection pouch
A4331 Extension drainage tubing
A4332 Lube sterile packet
A4333 Urinary cath anchor device
A4334 Urinary cath leg strap
A4335 Incontinence supply
A4336 Urethral insert
A4337 Incontinent rectal insert
A4338 Indwelling catheter latex
A4340 Indwelling catheter special
A4344 Cath indw foley 2 way silicn
A4346 Cath indw foley 3 way
A4349 Disposable male external cat
A4351 Straight tip urine catheter
A4352 Coude tip urinary catheter
A4353 Intermittent urinary cath
A4354 Cath insertion tray w/bag
A4355 Bladder irrigation tubing
A4356 Ext ureth clmp or compr dvc
A4357 Bedside drainage bag
A4358 Urinary leg or abdomen bag
A4360 Disposable ext urethral dev
A4361 Ostomy face plate
A4362 Solid skin barrier
A4364 Adhesive, liquid or equal
A4366 Ostomy vent
A4367 Ostomy belt
A4368 Ostomy filter
A4369 Skin barrier liquid per oz
A4371 Skin barrier powder per oz
A4372 Skin barrier solid 4x4 equiv
A4373 Skin barrier with flange
A4375 Drainable plastic pch w fcpl
A4376 Drainable rubber pch w fcplt
A4377 Drainable plstic pch w/o fp
A4378 Drainable rubber pch w/o fp
A4379 Urinary plastic pouch w fcpl
A4380 Urinary rubber pouch w fcplt
A4381 Urinary plastic pouch w/o fp
A4382 Urinary hvy plstc pch w/o fp
A4383 Urinary rubber pouch w/o fp
A4384 Ostomy faceplt/silicone ring
A4385 Ost skn barrier sld ext wear
A4387 Ost clsd pouch w att st barr
A4388 Drainable pch w ex wear barr
A4389 Drainable pch w st wear barr
A4390 Drainable pch ex wear convex
A4391 Urinary pouch w ex wear barr
A4392 Urinary pouch w st wear barr
A4393 Urine pch w ex wear bar conv
A4394 Ostomy pouch liq deodorant
A4395 Ostomy pouch solid deodorant
A4396 Peristomal hernia supprt blt
A4397 Irrigation supply sleeve
A4398 Ostomy irrigation bag
A4399 Ostomy irrig cone/cath w brs
A4400 Ostomy irrigation set
A4402 Lubricant per ounce
A4404 Ostomy ring each
A4405 Nonpectin based ostomy paste
A4406 Pectin based ostomy paste
A4407 Ext wear ost skn barr <=4sq"
A4408 Ext wear ost skn barr >4sq"
A4409 Ost skn barr convex <=4 sq i
A4410 Ost skn barr extnd >4 sq
A4411 Ost skn barr extnd =4sq
A4412 Ost pouch drain high output
A4413 2 pc drainable ost pouch
A4414 Ost sknbar w/o conv<=4 sq in
A4415 Ost skn barr w/o conv >4 sqi
A4416 Ost pch clsd w barrier/filtr
A4417 Ost pch w bar/bltinconv/fltr
A4418 Ost pch clsd w/o bar w filtr
A4419 Ost pch for bar w flange/flt
A4420 Ost pch clsd for bar w lk fl
A4421 Ostomy supply misc
A4422 Ost pouch absorbent material
A4423 Ost pch for bar w lk fl/fltr
A4424 Ost pch drain w bar & filter
A4425 Ost pch drain for barrier fl
A4426 Ost pch drain 2 piece system
A4427 Ost pch drain/barr lk flng/f
A4428 Urine ost pouch w faucet/tap
A4429 Urine ost pouch w bltinconv
A4430 Ost urine pch w b/bltin conv
A4431 Ost pch urine w barrier/tapv
A4432 Os pch urine w bar/fange/tap
A4433 Urine ost pch bar w lock fln
A4434 Ost pch urine w lock flng/ft
A4435 1pc ost pch drain hgh output
A4450 Non-waterproof tape
A4452 Waterproof tape
A4455 Adhesive remover per ounce
A4456 Adhesive remover, wipes
A4458 Reusable enema bag
A4459 Manual pump enema, reusable
A4461 Surgicl dress hold non-reuse
A4463 Surgical dress holder reuse
A4465 Non-elastic extremity binder
A4470 Gravlee jet washer
A4480 Vabra aspirator
A4481 Tracheostoma filter
A4483 Moisture exchanger
A4556 Electrodes, pair
A4557 Lead wires, pair
A4558 Conductive gel or paste
A4559 Coupling gel or paste
A4561 Pessary rubber, any type
A4562 Pessary, non rubber,any type
A4565 Slings
A4595 Tens suppl 2 lead per month
A4602 Replace lithium battery 1.5v
A4604 Tubing with heating element
A4605 Trach suction cath close sys
A4606 Oxygen probe used w oximeter
A4608 Transtracheal oxygen cath
A4614 Hand-held pefr meter
A4615 Cannula nasal
A4616 Tubing (oxygen) per foot
A4617 Mouth piece
A4618 Breathing circuits
A4619 Face tent
A4620 Variable concentration mask
A4623 Tracheostomy inner cannula
A4624 Tracheal suction tube
A4625 Trach care kit for new trach
A4626 Tracheostomy cleaning brush
A4628 Oropharyngeal suction cath
A4629 Tracheostomy care kit
A4634 Replacement bulb th lightbox
A4641 Radiopharm dx agent noc
A4642 In111 satumomab
A4648 Implantable tissue marker
A4649 Surgical supplies
A4650 Implant radiation dosimeter
A4651 Calibrated microcap tube
A4652 Microcapillary tube sealant
A4653 Pd catheter anchor belt
A4657 Syringe w/wo needle
A4660 Sphyg/bp app w cuff and stet
A4663 Dialysis blood pressure cuff
A4680 Activated carbon filter, ea
A4690 Dialyzer, each
A4706 Bicarbonate conc sol per gal
A4707 Bicarbonate conc pow per pac
A4708 Acetate conc sol per gallon
A4709 Acid conc sol per gallon
A4714 Treated water per gallon
A4719 "y set" tubing
A4720 Dialysat sol fld vol > 249cc
A4721 Dialysat sol fld vol > 999cc
A4722 Dialys sol fld vol > 1999cc
A4723 Dialys sol fld vol > 2999cc
A4724 Dialys sol fld vol > 3999cc
A4725 Dialys sol fld vol > 4999cc
A4726 Dialys sol fld vol > 5999cc
A4730 Fistula cannulation set, ea
A4736 Topical anesthetic, per gram
A4737 Inj anesthetic per 10 ml
A4740 Shunt accessory
A4750 Art or venous blood tubing
A4755 Comb art/venous blood tubing
A4760 Dialysate sol test kit, each
A4765 Dialysate conc pow per pack
A4766 Dialysate conc sol add 10 ml
A4770 Blood collection tube/vacuum
A4771 Serum clotting time tube
A4772 Blood glucose test strips
A4773 Occult blood test strips
A4774 Ammonia test strips
A4802 Protamine sulfate per 50 mg
A4860 Disposable catheter tips
A4870 Plumb/elec wk hm hemo equip
A4890 Repair/maint cont hemo equip
A4911 Drain bag/bottle
A4913 Misc dialysis supplies noc
A4918 Venous pressure clamp
A4927 Non-sterile gloves
A4928 Surgical mask
A4929 Tourniquet for dialysis, ea
A4930 Sterile, gloves per pair
A4931 Reusable oral thermometer
A4932 Reusable rectal thermometer
A5051 Pouch clsd w barr attached
A5052 Clsd ostomy pouch w/o barr
A5053 Clsd ostomy pouch faceplate
A5054 Clsd ostomy pouch w/flange
A5055 Stoma cap
A5056 1 pc ost pouch w filter
A5057 1 pc ost pou w built-in conv
A5061 Pouch drainable w barrier at
A5062 Drnble ostomy pouch w/o barr
A5063 Drain ostomy pouch w/flange
A5071 Urinary pouch w/barrier
A5072 Urinary pouch w/o barrier
A5073 Urinary pouch on barr w/flng
A5081 Stoma plug or seal, any type
A5082 Continent stoma catheter
A5083 Stoma absorptive cover
A5093 Ostomy accessory convex inse
A5102 Bedside drain btl w/wo tube
A5105 Urinary suspensory
A5112 Urinary leg bag
A5120 Skin barrier, wipe or swab
A5121 Solid skin barrier 6x6
A5122 Solid skin barrier 8x8
A5126 Disk/foam pad +or- adhesive
A5131 Appliance cleaner
A5200 Percutaneous catheter anchor
A5510 Compression form shoe insert
A6010 Collagen based wound filler
A6011 Collagen gel/paste wound fil
A6021 Collagen dressing <=16 sq in
A6022 Collagen drsg>16<=48 sq in
A6023 Collagen dressing >48 sq in
A6024 Collagen dsg wound filler
A6025 Silicone gel sheet, each
A6154 Wound pouch each
A6196 Alginate dressing <=16 sq in
A6197 Alginate drsg >16 <=48 sq in
A6198 Alginate dressing > 48 sq in
A6199 Alginate drsg wound filler
A6203 Composite drsg <= 16 sq in
A6204 Composite drsg >16<=48 sq in
A6205 Composite drsg > 48 sq in
A6206 Contact layer <= 16 sq in
A6207 Contact layer >16<= 48 sq in
A6208 Contact layer > 48 sq in
A6209 Foam drsg <=16 sq in w/o bdr
A6210 Foam drg >16<=48 sq in w/o b
A6211 Foam drg > 48 sq in w/o brdr
A6212 Foam drg <=16 sq in w/border
A6213 Foam drg >16<=48 sq in w/bdr
A6214 Foam drg > 48 sq in w/border
A6215 Foam dressing wound filler
A6216 Non-sterile gauze<=16 sq in
A6217 Non-sterile gauze>16<=48 sq
A6218 Non-sterile gauze > 48 sq in
A6219 Gauze <= 16 sq in w/border
A6220 Gauze >16 <=48 sq in w/bordr
A6221 Gauze > 48 sq in w/border
A6222 Gauze <=16 in no w/sal w/o b
A6223 Gauze >16<=48 no w/sal w/o b
A6224 Gauze > 48 in no w/sal w/o b
A6228 Gauze <= 16 sq in water/sal
A6229 Gauze >16<=48 sq in watr/sal
A6230 Gauze > 48 sq in water/salne
A6231 Hydrogel dsg<=16 sq in
A6232 Hydrogel dsg>16<=48 sq in
A6233 Hydrogel dressing >48 sq in
A6234 Hydrocolld drg <=16 w/o bdr
A6235 Hydrocolld drg >16<=48 w/o b
A6236 Hydrocolld drg > 48 in w/o b
A6237 Hydrocolld drg <=16 in w/bdr
A6238 Hydrocolld drg >16<=48 w/bdr
A6239 Hydrocolld drg > 48 in w/bdr
A6240 Hydrocolld drg filler paste
A6241 Hydrocolloid drg filler dry
A6242 Hydrogel drg <=16 in w/o bdr
A6243 Hydrogel drg >16<=48 w/o bdr
A6244 Hydrogel drg >48 in w/o bdr
A6245 Hydrogel drg <= 16 in w/bdr
A6246 Hydrogel drg >16<=48 in w/b
A6247 Hydrogel drg > 48 sq in w/b
A6248 Hydrogel drsg gel filler
A6250 Skin seal protect moisturizr
A6251 Absorpt drg <=16 sq in w/o b
A6252 Absorpt drg >16 <=48 w/o bdr
A6253 Absorpt drg > 48 sq in w/o b
A6254 Absorpt drg <=16 sq in w/bdr
A6255 Absorpt drg >16<=48 in w/bdr
A6256 Absorpt drg > 48 sq in w/bdr
A6257 Transparent film <= 16 sq in
A6258 Transparent film >16<=48 in
A6259 Transparent film > 48 sq in
A6260 Wound cleanser any type/size
A6261 Wound filler gel/paste /oz
A6262 Wound filler dry form / gram
A6266 Impreg gauze no h20/sal/yard
A6402 Sterile gauze <= 16 sq in
A6403 Sterile gauze>16 <= 48 sq in
A6404 Sterile gauze > 48 sq in
A6407 Packing strips, non-impreg
A6410 Sterile eye pad
A6411 Non-sterile eye pad
A6412 Occlusive eye patch
A6441 Pad band w>=3" <5"/yd
A6442 Conform band n/s w<3"/yd
A6443 Conform band n/s w>=3"<5"/yd
A6444 Conform band n/s w>=5"/yd
A6445 Conform band s w <3"/yd
A6446 Conform band s w>=3" <5"/yd
A6447 Conform band s w >=5"/yd
A6448 Lt compres band <3"/yd
A6449 Lt compres band >=3" <5"/yd
A6450 Lt compres band >=5"/yd
A6451 Mod compres band w>=3"<5"/yd
A6452 High compres band w>=3"<5"yd
A6453 Self-adher band w <3"/yd
A6454 Self-adher band w>=3" <5"/yd
A6455 Self-adher band >=5"/yd
A6456 Zinc paste band w >=3"<5"/yd
A6457 Tubular dressing
A6460 Synthetic drsg <= 16 sq in
A6461 Synthetic drsg >16<=48 sq in
A6501 Compres burngarment bodysuit
A6502 Compres burngarment chinstrp
A6503 Compres burngarment facehood
A6504 Cmprsburngarment glove-wrist
A6505 Cmprsburngarment glove-elbow
A6506 Cmprsburngrmnt glove-axilla
A6507 Cmprs burngarment foot-knee
A6508 Cmprs burngarment foot-thigh
A6509 Compres burn garment jacket
A6510 Compres burn garment leotard
A6511 Compres burn garment panty
A6512 Compres burn garment, noc
A6531 Compression stocking bk30-40
A6532 Compression stocking bk40-50
A6545 Grad comp non-elastic bk
A6550 Neg pres wound ther drsg set
A7025 Replace chest compress vest
A7040 One way chest drain valve
A7041 Water seal drain container
A7047 Resp suction oral interface
A7048 Vacuum drain bottle/tube kit
A7501 Tracheostoma valve w diaphra
A7502 Replacement diaphragm/fplate
A7503 Hmes filter holder or cap
A7504 Tracheostoma hmes filter
A7505 Hmes or trach valve housing
A7506 Hmes/trachvalve adhesivedisk
A7507 Integrated filter & holder
A7508 Housing & integrated adhesiv
A7509 Heat & moisture exchange sys
A7520 Trach/laryn tube non-cuffed
A7521 Trach/laryn tube cuffed
A7522 Trach/laryn tube stainless
A7523 Tracheostomy shower protect
A7524 Tracheostoma stent/stud/bttn
A7525 Tracheostomy mask
A7526 Tracheostomy tube collar
A7527 Trach/laryn tube plug/stop
A9284 Non-electronic spirometer
A9500 Tc99m sestamibi
A9501 Technetium tc-99m teboroxime
A9502 Tc99m tetrofosmin
A9503 Tc99m medronate
A9504 Tc99m apcitide
A9505 Tl201 thallium
A9507 In111 capromab
A9508 I131 iodobenguate, dx
A9509 Iodine i-123 sod iodide mil
A9510 Tc99m disofenin
A9512 Tc99m pertechnetate
A9515 Choline c-11
A9516 Iodine i-123 sod iodide mic
A9520 Tc99 tilmanocept diag 0.5mci
A9521 Tc99m exametazime
A9524 I131 serum albumin, dx
A9526 Nitrogen n-13 ammonia
A9528 Iodine i-131 iodide cap, dx
A9529 I131 iodide sol, dx
A9531 I131 max 100uci
A9532 I125 serum albumin, dx
A9536 Tc99m depreotide
A9537 Tc99m mebrofenin
A9538 Tc99m pyrophosphate
A9539 Tc99m pentetate
A9540 Tc99m maa
A9541 Tc99m sulfur colloid
A9542 In111 ibritumomab, dx
A9546 Co57/58
A9547 In111 oxyquinoline
A9548 In111 pentetate
A9550 Tc99m gluceptate
A9551 Tc99m succimer
A9552 F18 fdg
A9553 Cr51 chromate
A9554 I125 iothalamate, dx
A9555 Rb82 rubidium
A9556 Ga67 gallium
A9557 Tc99m bicisate
A9558 Xe133 xenon 10mci
A9559 Co57 cyano
A9560 Tc99m labeled rbc
A9561 Tc99m oxidronate
A9562 Tc99m mertiatide
A9566 Tc99m fanolesomab
A9567 Technetium tc-99m aerosol
A9568 Technetium tc99m arcitumomab
A9569 Technetium tc-99m auto wbc
A9570 Indium in-111 auto wbc
A9571 Indium in-111 auto platelet
A9572 Indium in-111 pentetreotide
A9575 Inj gadoterate meglumi 0.1ml
A9576 Inj prohance multipack
A9577 Inj multihance
A9578 Inj multihance multipack
A9579 Gad-base mr contrast nos,1ml
A9580 Sodium fluoride f-18
A9581 Gadoxetate disodium inj
A9582 Iodine i-123 iobenguane
A9583 Gadofosveset trisodium inj
A9584 Iodine i-123 ioflupane
A9585 Gadobutrol injection
A9586 Florbetapir f18
A9587 Gallium ga-68
A9588 Fluciclovine f-18
A9589 Insti hexaminolevulinate hcl
A9597 Pet, dx, for tumor id, noc
A9598 Pet dx for non-tumor id, noc
A9698 Non-rad contrast materialnoc
A9699 Radiopharm rx agent noc
A9700 Echocardiography contrast
C1713 Anchor/screw bn/bn,tis/bn
C1714 Cath, trans atherectomy, dir
C1715 Brachytherapy needle
C1721 Aicd, dual chamber
C1722 Aicd, single chamber
C1724 Cath, trans atherec,rotation
C1725 Cath, translumin non-laser
C1726 Cath, bal dil, non-vascular
C1727 Cath, bal tis dis, non-vas
C1728 Cath, brachytx seed adm
C1729 Cath, drainage
C1730 Cath, ep, 19 or few elect
C1731 Cath, ep, 20 or more elec
C1732 Cath, ep, diag/abl, 3d/vect
C1733 Cath, ep, other than cool-tip
C1749 Endo, colon, retro imaging
C1750 Cath, hemodialysis,long-term
C1751 Cath, inf, per/cent/midline
C1752 Cath,hemodialysis,short-term
C1753 Cath, intravas ultrasound
C1754 Catheter, intradiscal
C1755 Catheter, intraspinal
C1756 Cath, pacing, transesoph
C1757 Cath, thrombectomy/embolect
C1758 Catheter, ureteral
C1759 Cath, intra echocardiography
C1760 Closure dev, vasc
C1762 Conn tiss, human(inc fascia)
C1763 Conn tiss, non-human
C1764 Event recorder, cardiac
C1765 Adhesion barrier
C1766 Intro/sheath,strble,non-peel
C1767 Generator, neuro non-recharg
C1768 Graft, vascular
C1769 Guide wire
C1770 Imaging coil, mr, insertable
C1771 Rep dev, urinary, w/sling
C1772 Infusion pump, programmable
C1773 Ret dev, insertable
C1776 Joint device (implantable)
C1777 Lead, aicd, endo single coil
C1778 Lead, neurostimulator
C1779 Lead, pmkr, transvenous vdd
C1780 Lens, intraocular (new tech)
C1781 Mesh (implantable)
C1782 Morcellator
C1783 Ocular imp, aqueous drain de
C1784 Ocular dev, intraop, det ret
C1785 Pmkr, dual, rate-resp
C1786 Pmkr, single, rate-resp
C1787 Patient progr, neurostim
C1788 Port, indwelling, imp
C1789 Prosthesis, breast, imp
C1813 Prosthesis, penile, inflatab
C1814 Retinal tamp, silicone oil
C1815 Pros, urinary sph, imp
C1816 Receiver/transmitter, neuro
C1817 Septal defect imp sys
C1818 Integrated keratoprosthesis
C1819 Tissue localization-excision
C1820 Generator neuro rechg bat sy
C1821 Interspinous implant
C1822 Gen, neuro, hf, rechg bat
C1830 Power bone marrow bx needle
C1840 Telescopic intraocular lens
C1841 Retinal prosth int/ext comp
C1849 Skin substitute, synthetic
C1874 Stent, coated/cov w/del sys
C1875 Stent, coated/cov w/o del sy
C1876 Stent, non-coa/non-cov w/del
C1877 Stent, non-coat/cov w/o del
C1878 Matrl for vocal cord
C1880 Vena cava filter
C1881 Dialysis access system
C1882 Aicd, other than sing/dual
C1883 Adapt/ext, pacing/neuro lead
C1884 Embolization protect syst
C1885 Cath, translumin angio laser
C1886 Catheter, ablation
C1887 Catheter, guiding
C1888 Endovas non-cardiac abl cath
C1889 Implant/insert device, noc
C1891 Infusion pump,non-prog, perm
C1892 Intro/sheath,fixed,peel-away
C1893 Intro/sheath, fixed,non-peel
C1894 Intro/sheath, non-laser
C1895 Lead, aicd, endo dual coil
C1896 Lead, aicd, non sing/dual
C1897 Lead, neurostim test kit
C1898 Lead, pmkr, other than trans
C1899 Lead, pmkr/aicd combination
C1900 Lead, coronary venous
C2613 Lung bx plug w/del sys
C2614 Probe, perc lumb disc
C2615 Sealant, pulmonary, liquid
C2617 Stent, non-cor, tem w/o del
C2618 Probe/needle, cryo
C2619 Pmkr, dual, non rate-resp
C2620 Pmkr, single, non rate-resp
C2621 Pmkr, other than sing/dual
C2622 Prosthesis, penile, non-inf
C2623 Cath, translumin, drug-coat
C2624 Wireless pressure sensor
C2625 Stent, non-cor, tem w/del sy
C2626 Infusion pump, non-prog,temp
C2627 Cath, suprapubic/cystoscopic
C2628 Catheter, occlusion
C2629 Intro/sheath, laser
C2630 Cath, ep, cool-tip
C2631 Rep dev, urinary, w/o sling
C5272 Low cost skin substitute app
C5274 Low cost skin substitute app
C5276 Low cost skin substitute app
C5278 Low cost skin substitute app
C8937 Cad breast mri
C9113 Inj pantoprazole sodium, via
C9254 Injection, lacosamide
C9285 Patch, lidocaine/tetracaine
C9290 Inj, bupivacaine liposome
C9352 Neuragen nerve guide, per cm
C9353 Neurawrap nerve protector,cm
C9354 Veritas collagen matrix, cm2
C9355 Neuromatrix nerve cuff, cm
C9356 Tenoglide tendon prot, cm2
C9358 Surgimend, fetal
C9359 Implnt,bon void filler-putty
C9360 Surgimend, neonatal
C9361 Neuromend nerve wrap
C9362 Implnt,bon void filler-strip
C9363 Integra meshed bil wound mat
C9364 Porcine implant, permacol
C9601 Perc drug-el cor stent bran
C9603 Perc d-e cor stent ather br
C9605 Perc d-e cor revasc t cabg b
C9608 Perc d-e cor revasc chro add
C9726 Rxt breast appl place/remov
C9738 Blue light cysto imag agent
C9753 Intraosseous destruct add'l
C9756 Fluorescence lymph map w/icg
C9759 Transcath intraop microinf
C9768 Endo us-guide hep porto grad
C9776 Fluo bile duct imaging w/icg
C9777 Esophag mucosal integ add-on
C9898 Inpnt stay radiolabeled item
D9110 Tx dental pain minor proc
D9230 Analgesia
D9248 Sedation (non-iv)
E0445 Oximeter non-invasive
E0487 Electronic spirometer
E0603 Electric breast pump
E0616 Cardiac event recorder
E0746 Electromyograph biofeedback
E0749 Elec osteogen stim implanted
E0782 Non-programble infusion pump
E0783 Programmable infusion pump
E0785 Replacement impl pump cathet
E0786 Implantable pump replacement
E0830 Ambulatory traction device
G0102 Prostate ca screening; dre
G0177 Opps/php; train & educ serv
G0259 Inject for sacroiliac joint
G0268 Removal of impacted wax md
G0269 Occlusive device in vein art
G0278 Iliac art angio,cardiac cath
G0288 Recon, cta for surg plan
G0289 Arthro, loose body + chondro
G0378 Hospital observation per hr
G0453 Cont intraop neuro monitor
G0500 Mod sedat endo service >5yrs
G0501 Resource-inten svc during ov
G0506 Comp asses care plan ccm svc
G0513 Prolong prev svcs, first 30m
G0514 Prolong prev svcs, addl 30m
G2088 Off base opioid tx, add30
G2212 Prolong outpt/office vis
G2213 Initiat med assist tx in er
G9143 Warfarin respon genetic test
J0120 Tetracyclin injection
J0122 Inj., eravacycline, 1 mg
J0130 Abciximab injection
J0131 Acetaminophen injection
J0132 Acetylcysteine injection
J0133 Acyclovir injection
J0153 Adenosine inj 1mg
J0171 Adrenalin epinephrine inject
J0278 Amikacin sulfate injection
J0280 Aminophyllin 250 mg inj
J0282 Amiodarone hcl
J0285 Amphotericin b
J0290 Ampicillin 500 mg inj
J0295 Ampicillin sulbactam 1.5 gm
J0330 Succinycholine chloride inj
J0348 Anidulafungin injection
J0360 Hydralazine hcl injection
J0400 Aripiprazole injection
J0456 Azithromycin
J0461 Atropine sulfate injection
J0470 Dimecaprol injection
J0476 Baclofen intrathecal trial
J0500 Dicyclomine injection
J0515 Inj benztropine mesylate
J0567 Inj., cerliponase alfa 1 mg
J0583 Bivalirudin
J0592 Buprenorphine hydrochloride
J0593 Inj., lanadelumab-flyo, 1 mg
J0595 Butorphanol tartrate 1 mg
J0606 Inj, etelcalcetide, 0.1 mg
J0610 Calcium gluconate injection
J0620 Calcium glycer & lact/10 ml
J0636 Inj calcitriol per 0.1 mcg
J0637 Caspofungin acetate
J0640 Leucovorin calcium injection
J0670 Inj mepivacaine hcl/10 ml
J0690 Cefazolin sodium injection
J0692 Cefepime hcl for injection
J0694 Cefoxitin sodium injection
J0696 Ceftriaxone sodium injection
J0697 Sterile cefuroxime injection
J0698 Cefotaxime sodium injection
J0702 Betamethasone acet&sod phosp
J0706 Caffeine citrate injection
J0713 Inj ceftazidime per 500 mg
J0715 Ceftizoxime sodium / 500 mg
J0720 Chloramphenicol sodium injec
J0725 Chorionic gonadotropin/1000u
J0735 Clonidine hydrochloride
J0743 Cilastatin sodium injection
J0744 Ciprofloxacin iv
J0770 Colistimethate sodium inj
J0780 Prochlorperazine injection
J0800 Corticotropin injection
J0834 Inj., cosyntropin, 0.25 mg
J0878 Daptomycin injection
J0887 Epoetin beta esrd use
J0895 Deferoxamine mesylate inj
J0945 Brompheniramine maleate inj
J1000 Depo-estradiol cypionate inj
J1020 Methylprednisolone 20 mg inj
J1030 Methylprednisolone 40 mg inj
J1040 Methylprednisolone 80 mg inj
J1050 Medroxyprogesterone acetate
J1071 Inj testosterone cypionate
J1094 Inj dexamethasone acetate
J1097 Phenylep ketorolac opth soln
J1100 Dexamethasone sodium phos
J1110 Inj dihydroergotamine mesylt
J1120 Acetazolamid sodium injectio
J1130 Inj diclofenac sodium 0.5mg
J1160 Digoxin injection
J1165 Phenytoin sodium injection
J1170 Hydromorphone injection
J1200 Diphenhydramine hcl injectio
J1205 Chlorothiazide sodium inj
J1230 Methadone injection
J1240 Dimenhydrinate injection
J1245 Dipyridamole injection
J1250 Inj dobutamine hcl/250 mg
J1260 Dolasetron mesylate
J1265 Dopamine injection
J1267 Doripenem injection
J1270 Injection, doxercalciferol
J1320 Amitriptyline injection
J1325 Epoprostenol injection
J1327 Eptifibatide injection
J1335 Ertapenem injection
J1380 Estradiol valerate 10 mg inj
J1428 Inj, eteplirsen, 10 mg
J1450 Fluconazole
J1570 Ganciclovir sodium injection
J1580 Garamycin gentamicin inj
J1599 Ivig non-lyophilized, nos
J1626 Granisetron hcl injection
J1627 Inj, granisetron, xr, 0.1 mg
J1630 Haloperidol injection
J1631 Haloperidol decanoate inj
J1642 Inj heparin sodium per 10 u
J1644 Inj heparin sodium per 1000u
J1645 Dalteparin sodium
J1650 Inj enoxaparin sodium
J1652 Fondaparinux sodium
J1655 Tinzaparin sodium injection
J1700 Hydrocortisone acetate inj
J1710 Hydrocortisone sodium ph inj
J1720 Hydrocortisone sodium succ i
J1741 Ibuprofen injection
J1743 Idursulfase injection
J1756 Iron sucrose injection
J1790 Droperidol injection
J1800 Propranolol injection
J1815 Insulin injection
J1817 Insulin for insulin pump use
J1840 Kanamycin sulfate 500 mg inj
J1885 Ketorolac tromethamine inj
J1890 Cephalothin sodium injection
J1940 Furosemide injection
J1953 Levetiracetam injection
J1956 Levofloxacin injection
J1960 Levorphanol tartrate inj
J1980 Hyoscyamine sulfate inj
J1990 Chlordiazepoxide injection
J2001 Lidocaine injection
J2010 Lincomycin injection
J2020 Linezolid injection
J2060 Lorazepam injection
J2150 Mannitol injection
J2170 Mecasermin injection
J2175 Meperidine hydrochl /100 mg
J2180 Meperidine/promethazine inj
J2185 Meropenem
J2210 Methylergonovin maleate inj
J2212 Methylnaltrexone injection
J2250 Inj midazolam hydrochloride
J2260 Inj milrinone lactate / 5 mg
J2270 Morphine sulfate injection
J2274 Inj morphine pf epid ithc
J2280 Inj, moxifloxacin 100 mg
J2300 Inj nalbuphine hydrochloride
J2310 Inj naloxone hydrochloride
J2320 Nandrolone decanoate 50 mg
J2354 Octreotide inj, non-depot
J2355 Oprelvekin injection
J2360 Orphenadrine injection
J2370 Phenylephrine hcl injection
J2400 Chloroprocaine hcl injection
J2405 Ondansetron hcl injection
J2410 Oxymorphone hcl injection
J2430 Pamidronate disodium /30 mg
J2440 Papaverin hcl injection
J2469 Palonosetron hcl
J2501 Paricalcitol
J2503 Pegaptanib sodium injection
J2510 Penicillin g procaine inj
J2540 Penicillin g potassium inj
J2543 Piperacillin/tazobactam
J2550 Promethazine hcl injection
J2590 Oxytocin injection
J2650 Prednisolone acetate inj
J2675 Inj progesterone per 50 mg
J2680 Fluphenazine decanoate 25 mg
J2690 Procainamide hcl injection
J2700 Oxacillin sodium injeciton
J2704 Inj, propofol, 10 mg
J2710 Neostigmine methylslfte inj
J2720 Inj protamine sulfate/10 mg
J2730 Pralidoxime chloride inj
J2765 Metoclopramide hcl injection
J2780 Ranitidine hydrochloride inj
J2785 Regadenoson injection
J2787 Riboflavin 5'phos opth<=3ml
J2788 Rho d immune globulin 50 mcg
J2790 Rho d immune globulin inj
J2791 Rhophylac injection
J2795 Ropivacaine hcl injection
J2800 Methocarbamol injection
J2805 Sincalide injection
J2810 Inj theophylline per 40 mg
J2916 Na ferric gluconate complex
J2920 Methylprednisolone injection
J2930 Methylprednisolone injection
J2950 Promazine hcl injection
J3000 Streptomycin injection
J3010 Fentanyl citrate injection
J3030 Sumatriptan succinate / 6 mg
J3070 Pentazocine injection
J3105 Terbutaline sulfate inj
J3121 Inj testostero enanthate 1mg
J3230 Chlorpromazine hcl injection
J3250 Trimethobenzamide hcl inj
J3260 Tobramycin sulfate injection
J3265 Injection torsemide 10 mg/ml
J3300 Triamcinolone a inj prs-free
J3301 Triamcinolone acet inj nos
J3302 Triamcinolone diacetate inj
J3303 Triamcinolone hexacetonl inj
J3310 Perphenazine injeciton
J3360 Diazepam injection
J3364 Urokinase 5000 iu injection
J3370 Vancomycin hcl injection
J3397 Inj., vestronidase alfa-vjbk
J3410 Hydroxyzine hcl injection
J3411 Thiamine hcl 100 mg
J3415 Pyridoxine hcl 100 mg
J3420 Vitamin b12 injection
J3430 Vitamin k phytonadione inj
J3465 Injection, voriconazole
J3470 Hyaluronidase injection
J3471 Ovine, up to 999 usp units
J3472 Ovine, 1000 usp units
J3473 Hyaluronidase recombinant
J3475 Inj magnesium sulfate
J3480 Inj potassium chloride
J3485 Zidovudine
J3486 Ziprasidone mesylate
J3489 Zoledronic acid 1mg
J3490 Drugs unclassified injection
J3530 Nasal vaccine inhalation
J3590 Unclassified biologics
J7030 Normal saline solution infus
J7040 Normal saline solution infus
J7042 5% dextrose/normal saline
J7050 Normal saline solution infus
J7060 5% dextrose/water
J7070 D5w infusion
J7100 Dextran 40 infusion
J7110 Dextran 75 infusion
J7120 Ringers lactate infusion
J7121 5% dextrose in lac ringers
J7131 Hypertonic saline sol
J7177 Inj., fibryga, 1 mg
J7196 Antithrombin recombinant
J7315 Ophthalmic mitomycin
J7321 Hyalgan supartz visco-3 dose
J7332 Inj., triluron, 1 mg
J7500 Azathioprine oral 50mg
J7502 Cyclosporine oral 100 mg
J7503 Tacrol envarsus ex rel oral
J7505 Monoclonal antibodies
J7507 Tacrolimus imme rel oral 1mg
J7508 Tacrol astagraf ex rel oral
J7509 Methylprednisolone oral
J7510 Prednisolone oral per 5 mg
J7512 Prednisone ir or dr oral 1mg
J7515 Cyclosporine oral 25 mg
J7516 Cyclosporin parenteral 250mg
J7517 Mycophenolate mofetil oral
J7518 Mycophenolic acid
J7520 Sirolimus, oral
J7527 Oral everolimus
J7599 Immunosuppressive drug noc
J7665 Mannitol for inhaler
J7674 Methacholine chloride, neb
J7799 Non-inhalation drug for dme
J7999 Compounded drug, noc
J8501 Oral aprepitant
J8510 Oral busulfan
J8520 Capecitabine, oral, 150 mg
J8521 Capecitabine, oral, 500 mg
J8530 Cyclophosphamide oral 25 mg
J8540 Oral dexamethasone
J8597 Antiemetic drug oral nos
J8600 Melphalan oral 2 mg
J8610 Methotrexate oral 2.5 mg
J8700 Temozolomide
J8705 Topotecan oral
J9000 Doxorubicin hcl injection
J9030 Bcg live intravesical 1mg
J9040 Bleomycin sulfate injection
J9045 Carboplatin injection
J9060 Cisplatin 10 mg injection
J9098 Cytarabine liposome inj
J9100 Cytarabine hcl 100 mg inj
J9130 Dacarbazine 100 mg inj
J9171 Docetaxel injection
J9175 Elliotts b solution per ml
J9178 Inj, epirubicin hcl, 2 mg
J9181 Etoposide injection
J9185 Fludarabine phosphate inj
J9190 Fluorouracil injection
J9200 Floxuridine injection
J9201 In gemcitabine hcl nos 200mg
J9206 Irinotecan injection
J9208 Ifosfamide injection
J9209 Mesna injection
J9211 Idarubicin hcl injection
J9213 Interferon alfa-2a inj
J9218 Leuprolide acetate injeciton
J9250 Methotrexate sodium inj
J9260 Methotrexate sodium inj
J9263 Oxaliplatin
J9267 Paclitaxel injection
J9351 Topotecan injection
J9360 Vinblastine sulfate inj
J9370 Vincristine sulfate 1 mg inj
J9390 Vinorelbine tartrate inj
J9999 Chemotherapy drug
L8600 Implant breast silicone/eq
L8603 Collagen imp urinary 2.5 ml
L8604 Dextranomer/hyaluronic acid
L8605 Inj bulking agent anal canal
L8606 Synthetic implnt urinary 1ml
L8607 Inj vocal cord bulking agent
L8608 Arg ii ext com/sup/acc misc
L8609 Artificial cornea
L8610 Ocular implant
L8612 Aqueous shunt prosthesis
L8613 Ossicular implant
L8614 Cochlear device
L8630 Metacarpophalangeal implant
L8631 Mcp joint repl 2 pc or more
L8641 Metatarsal joint implant
L8642 Hallux implant
L8658 Interphalangeal joint spacer
L8659 Interphalangeal joint repl
L8670 Vascular graft, synthetic
L8679 Imp neurosti pls gn any type
L8682 Implt neurostim radiofq rec
L8690 Aud osseo dev, int/ext comp
L8699 Prosthetic implant nos
L9900 O&p supply/accessory/service
P9615 Urine specimen collect mult
Q0092 Set up port xray equipment
Q0161 Chlorpromazine hcl 5mg oral
Q0162 Ondansetron oral
Q0163 Diphenhydramine hcl 50mg
Q0164 Prochlorperazine maleate 5mg
Q0166 Granisetron hcl 1 mg oral
Q0167 Dronabinol 2.5mg oral
Q0169 Promethazine hcl 12.5mg oral
Q0173 Trimethobenzamide hcl 250mg
Q0175 Perphenazine 4mg oral
Q0177 Hydroxyzine pamoate 25mg
Q0180 Dolasetron mesylate oral
Q0181 Unspecified oral anti-emetic
Q2004 Bladder calculi irrig sol
Q2009 Fosphenytoin inj pe
Q3031 Collagen skin test
Q4081 Epoetin alfa, 100 units esrd
Q4100 Skin substitute, nos
Q4101 Apligraf
Q4102 Oasis wound matrix
Q4103 Oasis burn matrix
Q4104 Integra bmwd
Q4105 Integra drt or omnigraft
Q4106 Dermagraft
Q4107 Graftjacket
Q4108 Integra matrix
Q4110 Primatrix
Q4111 Gammagraft
Q4112 Cymetra injectable
Q4113 Graftjacket xpress
Q4114 Integra flowable wound matri
Q4115 Alloskin
Q4116 Alloderm
Q4117 Hyalomatrix
Q4118 Matristem micromatrix
Q4121 Theraskin
Q4122 Dermacell, awm, porous sq cm
Q4123 Alloskin
Q4124 Oasis tri-layer wound matrix
Q4125 Arthroflex
Q4126 Memoderm/derma/tranz/integup
Q4127 Talymed
Q4128 Flexhd/allopatchhd/matrixhd
Q4130 Strattice tm
Q4132 Grafix core, grafixpl core
Q4133 Grafix stravix prime pl sqcm
Q4134 Hmatrix
Q4135 Mediskin
Q4136 Ezderm
Q4137 Amnioexcel biodexcel 1sq cm
Q4138 Biodfence dryflex, 1cm
Q4139 Amnio or biodmatrix, inj 1cc
Q4140 Biodfence 1cm
Q4141 Alloskin ac, 1 cm
Q4142 Xcm biologic tiss matrix 1cm
Q4143 Repriza, 1cm
Q4145 Epifix, inj, 1mg
Q4146 Tensix, 1cm
Q4147 Architect ecm px fx 1 sq cm
Q4148 Neox neox rt or clarix cord
Q4149 Excellagen, 0.1 cc
Q4150 Allowrap ds or dry 1 sq cm
Q4151 Amnioband, guardian 1 sq cm
Q4152 Dermapure 1 square cm
Q4153 Dermavest, plurivest sq cm
Q4154 Biovance 1 square cm
Q4155 Neoxflo or clarixflo 1 mg
Q4156 Neox 100 or clarix 100
Q4157 Revitalon 1 square cm
Q4158 Kerecis omega3, per sq cm
Q4159 Affinity1 square cm
Q4160 Nushield 1 square cm
Q4161 Bio-connekt per square cm
Q4162 Wndex flw, bioskn flw, 0.5cc
Q4163 Woundex, bioskin, per sq cm
Q4164 Helicoll, per square cm
Q4165 Keramatrix, kerasorb sq cm
Q4166 Cytal, per square centimeter
Q4167 Truskin, per sq centimeter
Q4168 Amnioband, 1 mg
Q4169 Artacent wound, per sq cm
Q4170 Cygnus, per sq cm
Q4171 Interfyl, 1 mg
Q4173 Palingen or palingen xplus
Q4174 Palingen or promatrx
Q4175 Miroderm
Q4176 Neopatch or therion, 1 sq cm
Q4177 Floweramnioflo, 0.1 cc
Q4178 Floweramniopatch, per sq cm
Q4179 Flowerderm, per sq cm
Q4180 Revita, per sq cm
Q4181 Amnio wound, per square cm
Q4182 Transcyte, per sq centimeter
Q4183 Surgigraft, 1 sq cm
Q4184 Cellesta or duo per sq cm
Q4185 Cellesta flowab amnion 0.5cc
Q4186 Epifix 1 sq cm
Q4187 Epicord 1 sq cm
Q4188 Amnioarmor 1 sq cm
Q4189 Artacent ac, 1 mg
Q4190 Artacent ac 1 sq cm
Q4191 Restorigin 1 sq cm
Q4192 Restorigin, 1 cc
Q4193 Coll-e-derm 1 sq cm
Q4194 Novachor 1 sq cm
Q4195 Puraply 1 sq cm
Q4196 Puraply am 1 sq cm
Q4197 Puraply xt 1 sq cm
Q4198 Genesis amnio membrane 1sqcm
Q4200 Skin te 1 sq cm
Q4201 Matrion 1 sq cm
Q4202 Keroxx (2.5g/cc), 1cc
Q4203 Derma-gide, 1 sq cm
Q4204 Xwrap 1 sq cm
Q4205 Membrane graft or wrap sq cm
Q4206 Fluid flow or fluid gf 1 cc
Q4208 Novafix per sq cm
Q4209 Surgraft per sq cm
Q4210 Axolotl graf dualgraf sq cm
Q4211 Amnion bio or axobio sq cm
Q4212 Allogen, per cc
Q4213 Ascent, 0.5 mg
Q4214 Cellesta cord per sq cm
Q4215 Axolotl ambient, cryo 0.1 mg
Q4216 Artacent cord per sq cm
Q4217 Woundfix biowound plus xplus
Q4218 Surgicord per sq cm
Q4219 Surgigraft dual per sq cm
Q4220 Bellacell hd, surederm sq cm
Q4221 Amniowrap2 per sq cm
Q4222 Progenamatrix, per sq cm
Q4226 Myown harv prep proc sq cm
Q4227 Amniocore per sq cm
Q4228 Bionextpatch, per sq cm
Q4229 Cogenex amnio memb per sq cm
Q4230 Cogenex flow amnion 0.5 cc
Q4231 Corplex p, per cc
Q4232 Corplex, per sq cm
Q4233 Surfactor /nudyn per 0.5 cc
Q4234 Xcellerate, per sq cm
Q4235 Amniorepair or altiply sq cm
Q4236 Carepatch per sq cm
Q4237 Cryo-cord, per sq cm
Q4238 Derm-maxx, per sq cm
Q4239 Amnio-maxx or lite per sq cm
Q4240 Corecyte topical only 0.5 cc
Q4241 Polycyte, topical only 0.5cc
Q4242 Amniocyte plus, per 0.5 cc
Q4244 Procenta, per 200 mg
Q4245 Amniotext, per cc
Q4246 Coretext or protext, per cc
Q4247 Amniotext patch, per sq cm
Q4248 Dermacyte amn mem allo sq cm
Q4249 Amniply, per sq cm
Q4250 Amnioamp-mp per sq cm
Q4254 Novafix dl per sq cm
Q4255 Reguard, topical use per sq
Q9950 Inj sulf hexa lipid microsph
Q9951 Locm >= 400 mg/ml iodine,1ml
Q9953 Inj fe-based mr contrast,1ml
Q9954 Oral mr contrast, 100 ml
Q9955 Inj perflexane lip micros,ml
Q9956 Inj octafluoropropane mic,ml
Q9957 Inj perflutren lip micros,ml
Q9958 Hocm <=149 mg/ml iodine, 1ml
Q9959 Hocm 150-199mg/ml iodine,1ml
Q9960 Hocm 200-249mg/ml iodine,1ml
Q9961 Hocm 250-299mg/ml iodine,1ml
Q9962 Hocm 300-349mg/ml iodine,1ml
Q9963 Hocm 350-399mg/ml iodine,1ml
Q9964 Hocm>= 400mg/ml iodine, 1ml
Q9965 Locm 100-199mg/ml iodine,1ml
Q9966 Locm 200-299mg/ml iodine,1ml
Q9967 Locm 300-399mg/ml iodine,1ml
Q9982 Flutemetamol f18 diagnostic
Q9983 Florbetaben f18 diagnostic
V2630 Anter chamber intraocul lens
V2631 Iris support intraoclr lens
V2632 Post chmbr intraocular lens
V2790 Amniotic membrane