CPT Codes	Description
19105	Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma
22520	Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic
22521	lumbar
22522	each additional thoracic or lumbar vertebral body
22857	Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single interspace
22862	Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace
22865	Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace
27096	Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid
27415	Osteochondral allograft, knee, open
27416	Osteochondral autograft(s), knee, open (e.g., mossaicplasty) (includes harvesting of authograft(s))
28446	Open osteochondral autograft, talus (includes obtaining graft(s))
28890	Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, inlcuding ultrasound guidance, involving the plantar fascia
29867	Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)
29868	meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral
34806	Transcatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of pressure data
36515	Therapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion
37788	Penile revascularization, artery, with or without vein graft
37790	Penile venous occlusive procedure
43257	Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease
50250	Ablation, open, one or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound, if performed
50592	Ablation, one or more renal tumor(s), percutaneous, unilateral, radiofrequency
50593	Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy
61870	Craniectomy for implantation of neurostimulator electrodes, cerebellar; cortical
61875	subcortical
64565	Percutaneous implantation of neurostimulator electrodes; neuromuscular
64580	Incision for implantation of neurostimulator electrodes; neuromuscular
72291	Radiological supervision and interpretation, percutaneous vertebroplasty or vertebral augmentation including cavity creation, per vertebral body; under fluoroscopic guidance
72292	under CT guidance
73542	Radiological examination, sacroiliac joint arthrography, radiological supervision and interpretation
76390	Magnetic resonance spectroscopy
77082	Dual-energy x-ray absorptiometry (DXA), bone density study, one or more sites; vertebral fracture assessment
78351	Bone density (bone mineral content) study, one or more sites; dual photon absorptiometry, one or more sites
83695	Lipoprotein (a)
83700	Lipoprotein, blood; electrophoretic separation and quantitation
83701	high resolution fractionation and quantitation of lipoproteins      including lipoprotein subclasses when performed (e.g.,      electrophoresis, ultracentrifugation)
83704	quantitation of lipoprotein particle numbers and lipoprotein      particle subclasses (e.g., nuclear magnetic resonance      spectroscopy)
83993	Calprotectin, fecal
86141	C-reactive protein; high sensitivity (HSCRP)
86343	Leukocyte histamine release test (LHR)
86490	Skin test; coccidioidomycosis
86510	histoplasmosis
87900	Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics
88380	Microdissection (i.e., sample preparation of microscopically indentified target); laser capture
88381	manual
89290	Biopsy, oocyte polar body or embryo blastomere, microtechnique (for preimplantation genetic diagnosis); less than or equal to 5 embryos
89291	greater than 5 embryos
89329	Sperm evaluation; hamster penetration test
90649	Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18 (quadrivalent), 3 dose schedule, for intramuscular use does not meet payment determination criteria when administered to females younger than age 11 and older than age 26
90736	Zoster (shingles) vaccine, live, for subcutaneous injection does not meet payment determination criteria when administered to persons younger than age 60
90880	Hypnotherapy
92512	Nasal function studies (eg, rhinomanometry)
92548	Computerized dynamic posturography
93025	Microvolt T-wave alternans for assessment of ventricular arrhythmias
93278	Signal-averaged electrocardiography (SAECG), with or without ECG
93660	Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention
93740	Temperature gradient studies
93760	Thermogram; cephalic
93762	peripheral
93982	Noninvasive physiologic study of implanted wireless pressure sensor in aneurysmal sac following endovascular repair, complete study including recording, analysis of pressure and waveform tracings, interpretation and report
94400	Breathing response to CO2 (CO2 response curve)
95012	Nitric oxide expired gas determination
95961	Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of physician attendance
95962	each additional hour of physician attendance
95965	Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (e.g., epileptic cerebral cortex localization)
95966	for evoked magnetic fields, single modality (e.g., sensory,      motor, language, or visual cortex
95967	for evoked magnetic fields, each additional modality (e.g., sensory, motor, language, or visual cortex localization)
95980	Electronic analysis of implanted neurostimulator pulse generator system (e.g., rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; intraoperative, with programming
95981	subsequent, without programming
95982	subsequent, with reprogramming
96000	Comprehensive computer-based motion analysis by video-taping and 3D kinematics
96001	with dynamic plantar pressure measurements during walking
96002	Dynamic surface electromyography, during walking or other functional activities, 1 - 12 muscles
96003	Dynamic fine wire electromyography, during walking or other functional activities, 1 muscle
96004	Physician review & interpretation of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report
99174	Ocular photoscreening with interpretation and report, bilateral

 

HCPCS Codes	Description
A4670	Automatic blood pressure monitor
A6000	Noncontact wound warming wound cover for use with the noncontact wound-warming device and warming card
A9277	Transmitter; external, for use with interstitial continuous glucose monitoring system
A9278	Receiver (monitor); external, for use with interstitial continuous glucose monitoring system
E0231	Noncontact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover
E0232	Warming card for use with the noncontact wound warming device and noncontact wound warming cover
E0830	Ambulatory traction device, all types, each
G0166	External counterpulsaton, per treatment session
G0259	Injection procedure for sacroiliac joint; arthrography
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
G0281	Electrical stimulation,(unattended),to one or more areas, for chronic stage III & stage IV pressure ulcers, arterial ulcers, diabetic ulcers, & venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care
G0282	Electrical stimulation, (unattended), to one or more areas, for wound care other than described in G0281
G0283	Electrical stimulation, (unattended), to one or more areas, for indication(s) other than wound care, as part of a therapy plan of care
G0295	Electromagnetic therapy, to one or more areas, for wound care other than described in G0329, or for other uses
G0329	Electromagnetic therapy, to one or more areas for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days on conventional care as part of a therapy plan of care
J3530	Nasal vaccine inhalation
J3570	Laetrile, amygdalin, vitamin B-17
M0075	Cellular therapy
M0076	Prolotherapy
M0100	Intragastric hypothermia using gastric freezing
S2080	Laser-assisted uvuolopalatoplasty (LAUP)
S2344	Nasal/sinus endoscopy, surgical; with enlargement of sinus ostium opening using inflatable device (i.e., balloon sinuplasty)
S2404	Repair, myelomeningocele in the fetus, procedure performed in utero
S3650	Saliva test, hormone level; during menopause
S3652	to assess preterm labor risk
S3854	Gene expression profiling panel for use in the management of breast cancer treatment
S3890	DNA analysis, fecal, for colorectal cancer screening
S3902	Ballistocardiogram
S3904	Masters two step
S8040	Topographic brain mapping
S8049	Intraoperative radiation therapy (single administration)
S8080	Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical
S9025	Omnicardiogram/cardiointegram

 

CPT Procedure Codes	Description
0016T	Destruction of localized lesion of choroid (eg, choroidal neovascularization), transpupillary thermotherapy
0017T	Destruction of macular drusen, photocoagulation
0019T	Extracorporeal shock wave involving musculoskeletal system, not otherwise specified, low energy
0028T	Dual energy x-ray absorptiometry (DEXA) body composition study, one or more sites
0031T	Speculoscopy
0032T	with directed sampling
0060T	Electrical impedance scan of breast, bilateral (risk assessment device for breast cancer)
0061T	Destruction/reduction of malignant breast tumor including breast carcinoma cells in the margins, microwave phased array thermotherapy, disposable catheter with combined temperature monitoring probe and microwave sensor, externally applied microwave energy, including interstitial placement of sensor
0062T	Percutaneous intradiscal  annuloplasty, any method except electrothermal, unilateral or bilateral including fluoroscopic guidance; single level
0063T	one or more additional levels
0066T	Computed tomographic (CT) colonography (i.e., virtual colonoscopy); screening
0068T	Acoustic heart sound recording and computer analysis; with interpretation and report
0069T	acoustic heart sound recording and computer analysis only
0070T	interpretation and computer analysis only
0084T	Insertion of temporary prostatic urethral stent
0086T	Left ventricular filling pressure indirect measurement by computerized calibration of the arerial waveform response to Valsalva maneuver
0089T	Actigraphy testing, recording, analysis and interpretation (minimum of three-day recording)
0090T	Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than decompression) cervical; single interspace
0092T	each additional interspace
0093T	Removal of total disc arthroplasty, anterior approach, cervical; single interspace
0095T	each additional interspace (list separately in addition to code for primary procedure)
0096T	Revision of total disc arthroplasty, anterior approach, cervical; single interspace
0098T	each additional interspace (list separately in addition to code      for primary procedure)
0100T	Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy
0101T	Extracorporeal shock wave involving musculoskeletal system, not otherwise specified; high energy
0102T	Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, involving lateral humeral epicondyle
0103T	Holotranscobalamin quantitative
0104T	Inert gas rebreathing for cardiac output measurement; during rest
0105T	during exercise
0111T	Long-chain (C20-22) omega-3 fatty acids in red blood cell (RBC) membranes
0123T	Fistulization of sclera for glaucoma, through ciliary body
0124T	Conjunctival incision with posterior juxtascleral placement of pharmacological agent
0126T	Common carotid intima-media thickness (IMT) study for evaluation of atherosclerotic burden or coronary heart disease risk factor assessment
0137T	Biopsy, prostate, needle, saturation sampling for prostate mapping
0140T	Exhaled breath condensate pH
0144T	Computed tomography, heart, without contrast material, including image post processing and quantitative evaluation of coronary calcium
0145T	Computed tomography, heart, with contrast material(s)  including noncontrast images, if performed, cardiac gating and 3D image postprocessing; cardiac structure and morphology
0147T	computed tomographic angiography of coronary arteries      (including native and anomalous coronary arteries, coronary      bypass grafts), with quantitative evaluation of coronary calcium
0149T	cardiac structure and morphology and computed tomographic      angiography of coronary arteries (including native and      anomalous coronary arteries, coronary bypass grafts), with      quantitative evaluation of coronary calcium
0150T	cardiac structure and morphology in congenital heart disease
0155T	Laparoscopy, surgical; implantation or replacement of gastric stimulation electrodes, lesser curvature (i.e., morbid obesity)
0156T	Laparoscopy, surgical; revision or removal of gastric stimulation electrodes, lesser curvature (i.e., morbid obesity)
0157T	Laparotomy, implantation or replacement of gastric stimulation electrodes, lesser curvature (i.e., morbid obesity)
0158T	Laparotomy, revision or removal of gastric stimulation electrodes, lesser curvature (i.e., morbid obesity)
0159T	Computer-aided detection, including computer algorithm analysis of MRI image data for lesion detection/characterization, pharmacokinetic analysis with further physician review for interpretation, breast MRI
0160T	Therapeutic repetitive transcranial magnetic stimulation treatment planning
0161T	Therapeutic repetitive transcranial magnetic stimulation treatment delivery and management, per session
0163T	Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, each additional interspace
0164T	Removal of total disc arthroplasty, anterior approach, lumbar, each additional interspace
0165T	Revision of total disc arthroplasty, anterior approach, lumbar, each additional interspace
0168T	Rhinophototherapy, intranasal application of ultraviolet and visible light, bilateral
0170T	Repair of anorectal fistula with plug (eg, porcine small intestine submucosa (SIS))
0171T	Insertion of posterior spinous process distraction device (including necessary removal of bone or ligament for insertion and imaging guidance), lumbar; single level
0172T	each additional level
0176T	Transluminal dilation of aqueous outflow canal; without retention of device or stent
0177T	with retention of device or stent
0178T	Electrocardiogram, 64 leads or greater, with graphic presentation and analysis; with interpretation and report
0179T	tracing and graphics only, without interpretation and report
0180T	interpretation and report only
0181T	Corneal hysteresis determination, by air impulse stimulation, bilateral, with interpretation and report
0182T	High dose rate electronic brachytherapy, per fraction
0183T	Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day
0186T	Suprachoroidal delivery of pharmacological agent (does not include supply of medication)
0187T	Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report