United States National Library of Medicine National Institutes of Health

2009AA HCPCS Version of Current Procedural Terminology (CPT) Source Information

Counts

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Attribute Name Description Count (MRSAT.RRF)
HTS HCPCS Type of Service Code - carrier assigned HCFA Type of Service which describes the particular kind(s) of service represented by the procedure code. 9934
HPI HCPCS Pricing Indicator Code - used to identify the appropriate methodology for developing unique pricing amounts under Part B. 9704
HAC HCPCS action code - code denoting the change made to a procedure or modifier code within the HCPCS system. 9701
HAD HCPCS Action Effective Date - effective date of action to a procedure or modifier code. 9701
HAQ HCPCS Anesthesia Base Unit Quantity - base unit represents the level of intensity for anesthesia procedure services that reflects all activities except time. 9701
HCC HCPCS Coverage Code - code denoting Medicare coverage status. There are two subelements separated by "=". 9701
HCD HCPCS Code Added Date - year the HCPCS code was added to the HCFA Common Procedure Coding System. 9701
HBT HCPCS Berenson-Eggers Type of Service Code - BETOS for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services. 9666
HMP HCPCS Multiple Pricing Indicator Code - code used to identify instances where a procedure could be priced. 9666
HPD HCPCS ACD payment group effective date - date the procedure is assigned to the ASC payment group. 3908
HPG HCPCS ASC payment group code which represents the dollar amount of the facility charge payable by Medicare for the procedure. 3908
HLC HCPCS Lab Certification Code - code used to classify laboratory procedures according to the specialty certification categories listed by CMS(formerly HCFA). 1499
HMR HCPCS Medicare Carriers Manual reference section number - number identifying a section of the Medicare Carriers Manual. 918
HIR HCPCS Coverage Issues Manual Reference Section Number - number identifying the Reference Section of the Coverage Issues Manual. 806
HTD HCPCS Termination Date - last date for which a procedure or code may be used by Medicare Providers. 381
HXR HCPCS Cross reference code - an explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code (or range of codes). 261
HSN HCPCS Statute Number identifying statute reference for coverage or noncoverage of procedure or service. 199
HPN HCPCS processing note number identifying the processing note contained in Appendix A of the HCPCS Manual. 70
CPF CPT Full Description - complete text of the CPT full description, in cases where the CPT term in the "STR" field of MRCON has been trimmed from its original form. 31

Notes

  • Attributes included every discrete piece of information about a concept, an atom, or a relationship that is not part of the basic Metathesaurus concept structure or distributed in one of the relationship files.
  • Attribute Names (ATN) are based on source documentation or NLMs understanding of the source.
  • Sample attribute values (ATV) are provided for each ATN in the source.
  • Sample data highlight examples of ATNs and Attribute Values (ATV) in MRSAT.RRF.
  • See Appendix B.2 for a complete list of attribute names.
  • See UMLS Documentation Section 2.7.1.3.5 for more information on MRSAT.RRF.

Sample Data

HTS

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0199063 A0849333 L0241322 S0789925 SCUI 01120 HTS 7=Anesthesia ANESTHESIA FOR PROCEDURES ON BONY PELVIS
C0199092 A0849219 L0499323 S0789769 SCUI 01200 HTS 7=Anesthesia ANESTHESIA FOR ALL CLOSED PROCEDURES INVOLVING HIP JOINT
C0370427 A2410892 L2339506 S2775481 SCUI 11626 HTS 2=Surgery EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
C0191415 A1099829 L0231278 S1042444 SCUI 12020 HTS 2=Surgery TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE
C1619742 A11002507 L6138815 S7049619 SCUI 15335 HTS 2=Surgery ACELLULAR DERMAL ALLOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN
C0191850 A1947126 L1774860 S2071712 SCUI 19101 HTS 2=Surgery BIOPSY OF BREAST; OPEN, INCISIONAL
C0370645 A0850122 L0511937 S0790782 SCUI 20663 HTS 2=Surgery APPLICATION OF HALO, INCLUDING REMOVAL; FEMORAL
C0370653 A0874372 L0511029 S0814790 SCUI 20902 HTS 2=Surgery BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE
C0185590 A0964193 L0223960 S0907251 SCUI 21116 HTS 2=Surgery INJECTION PROCEDURE FOR TEMPOROMANDIBULAR JOINT ARTHROGRAPHY

HPI

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0198862 A1946939 L1774636 S2071526 SCUI 00145 HPI 12=Price established using national anesthesia base units ANESTHESIA FOR PROCEDURES ON EYE; VITREORETINAL SURGERY
C0370255 A1946932 L1774629 S2071518 SCUI 00215 HPI 12=Price established using national anesthesia base units ANESTHESIA FOR INTRACRANIAL PROCEDURES; CRANIOPLASTY OR ELEVATION OF DEPRESSED SKULL FRACTURE, EXTRADURAL (SIMPLE OR COMPOUND)
C1144597 A11002306 L6139346 S7050978 SCUI 00326 HPI 12=Price established using national anesthesia base units ANESTHESIA FOR ALL PROCEDURES ON THE LARYNX AND TRACHEA IN CHILDREN YOUNGER THAN 1 YEAR OF AGE
C0370262 A1752242 L1501602 S1800645 SCUI 00404 HPI 12=Price established using national anesthesia base units ANESTHESIA FOR PROCEDURES ON THE INTEGUMENTARY SYSTEM ON THE EXTREMITIES, ANTERIOR TRUNK AND PERINEUM; RADICAL OR MODIFIED RADICAL PROCEDURES ON BREAST
C0199083 A0849301 L0503643 S0789869 SCUI 01212 HPI 12=Price established using national anesthesia base units ANESTHESIA FOR OPEN PROCEDURES INVOLVING HIP JOINT; HIP DISARTICULATION
C0370400 A2410871 L2339456 S2775460 SCUI 11422 HPI 11=Price established using national RVU's EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM
C0370419 A2410896 L2339466 S2775485 SCUI 11603 HPI 11=Price established using national RVU's EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM
C0370454 A0964583 L0535814 S0907684 SCUI 11975 HPI 00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.) INSERTION, IMPLANTABLE CONTRACEPTIVE CAPSULES
C0370507 A0936671 L0573979 S0878431 SCUI 14350 HPI 11=Price established using national RVU's FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION OF RECIPIENT SITE

HAC

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0198938 A1946936 L1774643 S2071523 SCUI 00530 HAC N=No maintenance for this code ANESTHESIA FOR PERMANENT TRANSVENOUS PACEMAKER INSERTION
C0199070 A0849299 L0241329 S0789867 SCUI 01180 HAC N=No maintenance for this code ANESTHESIA FOR OBTURATOR NEURECTOMY; EXTRAPELVIC
C0370386 A1075711 L0451695 S1018230 SCUI 11307 HAC N=No maintenance for this code SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 1.1 TO 2.0 CM
C0370425 A2410890 L2339473 S2775479 SCUI 11623 HAC N=No maintenance for this code EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM
C0370468 A1075928 L0451806 S1018477 SCUI 12017 HAC N=No maintenance for this code SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 20.1 CM TO 30.0 CM
C0370495 A1061692 L0451995 S1003655 SCUI 13150 HAC N=No maintenance for this code REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.0 CM OR LESS
C0191666 A1077435 L0231570 S1020405 SCUI 15877 HAC N=No maintenance for this code SUCTION ASSISTED LIPECTOMY; TRUNK
C0370594 A2231576 L1885594 S2383780 SCUI 17284 HAC N=No maintenance for this code DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; LESION DIAMETER 3.1 TO 4.0 CM
C0187446 A1061798 L0502131 S1003772 SCUI 20808 HAC N=No maintenance for this code REPLANTATION, HAND (INCLUDES HAND THROUGH METACARPOPHALANGEAL JOINTS), COMPLETE AMPUTATION

HAD

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0520257 A1947504 L1775382 S2072172 SCUI 57 HAD 19970101 DECISION FOR SURGERY. AN EVALUATION AND MANAGEMENT SERVICE THAT RESULTED IN THE INITIAL DECISION TO PERFORM THE SURGERY, MAY BE IDENTIFIED BY ADDING THE MODIFIER -57 TO THE APPROPRIATE LEVEL OF E/M SERVICE, OR THE SEPARATE FIVE DIGIT MODIFIER 09957 MAY BE USED.
C0198871 A0849363 L0488234 S0789974 SCUI 00162 HAD 20000101 ANESTHESIA FOR PROCEDURES ON NOSE AND ACCESSORY SINUSES; RADICAL SURGERY
C1314012 A3862753 L3154585 S3678690 SCUI 00529 HAD 20040101 ANESTHESIA FOR CLOSED CHEST PROCEDURES; MEDIASTINOSCOPY AND DIAGNOSTIC THORACOSCOPY UTILIZING ONE LUNG VENTILATION
C0918046 A1946930 L1774395 S2071516 SCUI 00537 HAD 20010101 ANESTHESIA FOR CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING RADIOFREQUENCY ABLATION
C0185220 A0911435 L0223482 S0852886 SCUI 11044 HAD 19990101 DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, MUSCLE, AND BONE
C0370403 A2410874 L2339502 S2775463 SCUI 11426 HAD 20030101 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM
C0973254 A2232756 L1886308 S2385065 SCUI 11983 HAD 20020101 REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
C0370492 A1061698 L0466277 S1003661 SCUI 13121 HAD 19840101 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM
C0370526 A0911490 L0513898 S0852945 SCUI 15610 HAD 19990101 DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT SCALP, ARMS, OR LEGS

HAQ

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0199007 A1752260 L1501760 S1800663 SCUI 00810 HAQ 005 ANESTHESIA FOR LOWER INTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED DISTAL TO DUODENUM
C0199070 A0849299 L0241329 S0789867 SCUI 01180 HAQ 003 ANESTHESIA FOR OBTURATOR NEURECTOMY; EXTRAPELVIC
C0199098 A0849375 L0503502 S0789990 SCUI 01430 HAQ 003 ANESTHESIA FOR PROCEDURES ON VEINS OF KNEE AND POPLITEAL AREA; NOT OTHERWISE SPECIFIED
C1619777 A9064644 L5620057 S6503901 SCUI 01965 HAQ 004 ANESTHESIA FOR INCOMPLETE OR MISSED ABORTION PROCEDURES
C1619779 A11002307 L6139087 S7050556 SCUI 15157 HAQ 0 TISSUE CULTURED EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS AND CHILDREN, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
C1608991 A11002696 L6138839 S7050554 SCUI 15361 HAQ 0 TISSUE CULTURED ALLOGENEIC DERMAL SUBSTITUTE, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS AND CHILDREN, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
C0370521 A0937474 L0561251 S0879403 SCUI 15570 HAQ 0 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; TRUNK
C0191758 A1077433 L0231684 S1020404 SCUI 15879 HAQ 0 SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY
C0370604 A1040164 L0516302 S0982487 SCUI 19000 HAQ 0 PUNCTURE ASPIRATION OF CYST OF BREAST

HCC

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0520251 A0993179 L0872612 S0937352 SCUI 51 HCC D=Special coverage instructions apply MULTIPLE PROCEDURES
C0198848 A0849278 L0503684 S0789844 SCUI 00218 HCC C=Carrier judgment ANESTHESIA FOR INTRACRANIAL PROCEDURES; PROCEDURES IN SITTING POSITION
C0370469 A1075931 L0452712 S1018480 SCUI 12018 HCC C=Carrier judgment SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; OVER 30.0 CM
C0370524 A0937471 L0561249 S0879400 SCUI 15576 HCC C=Carrier judgment FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS, LIPS, OR INTRAORAL
C0191768 A0925298 L0231694 S0867070 SCUI 15951 HCC D=Special coverage instructions apply EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY
C0973256 A3861403 L3154941 S3676568 SCUI 20551 HCC C=Carrier judgment INJECTION(S); SINGLE TENDON ORIGIN/INSERTION
C0519758 A0850120 L0646046 S0790780 SCUI 20664 HCC C=Carrier judgment APPLICATION OF HALO, INCLUDING REMOVAL, CRANIAL, 6 OR MORE PINS PLACED, FOR THIN SKULL OSTEOLOGY (EG, PEDIATRIC PATIENTS, HYDROCEPHALUS, OSTEOGENESIS IMPERFECTA), REQUIRING GENERAL ANESTHESIA
C0370669 A1061294 L0743329 S1003224 SCUI 21029 HCC C=Carrier judgment REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BONE (EG, FIBROUS DYSPLASIA)
C0370706 A1061144 L0495384 S1003044 SCUI 21159 HCC C=Carrier judgment RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTRACRANIAL) WITH FOREHEAD ADVANCEMENT (EG, MONO BLOC), REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS); WITHOUT LEFORT I

HCD

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0370255 A1946932 L1774629 S2071518 SCUI 00215 HCD 19940101 ANESTHESIA FOR INTRACRANIAL PROCEDURES; CRANIOPLASTY OR ELEVATION OF DEPRESSED SKULL FRACTURE, EXTRADURAL (SIMPLE OR COMPOUND)
C0191339 A0911429 L0231179 S0852882 SCUI 11042 HCD 19840101 DEBRIDEMENT; SKIN, AND SUBCUTANEOUS TISSUE
C0370489 A1061699 L0453883 S1003662 SCUI 13100 HCD 19840101 REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM
C0812473 A1751708 L1500492 S1800141 SCUI 13122 HCD 20000101 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
C0370725 A1061154 L0548490 S1003055 SCUI 21246 HCD 19880101 RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; COMPLETE
C0370761 A1016797 L0714179 S0960271 SCUI 21436 HCD 19930101 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED, MULTIPLE SURGICAL APPROACHES, INTERNAL FIXATION, WITH BONE GRAFTING (INCLUDES OBTAINING GRAFT)
C0370848 A0963834 L0487308 S0906750 SCUI 23030 HCD 19840101 INCISION AND DRAINAGE, SHOULDER AREA; DEEP ABSCESS OR HEMATOMA
C0186731 A1017267 L0646700 S0960871 SCUI 24420 HCD 19840101 OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENING) (EXCLUDING 64876)
C0187754 A1037894 L0566366 S0979635 SCUI 26727 HCD 19840101 PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, WITH MANIPULATION, EACH

HBT

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0199037 A1946950 L1774639 S2071538 SCUI 00922 HBT P0=Anesthesia ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); SEMINAL VESICLES
C0199087 A11003651 L6138831 S7051019 SCUI 01230 HBT P0=Anesthesia ANESTHESIA FOR OPEN PROCEDURES INVOLVING UPPER TWO-THIRDS OF FEMUR; NOT OTHERWISE SPECIFIED
C0199099 A0849322 L0503501 S0789914 SCUI 01440 HBT P0=Anesthesia ANESTHESIA FOR PROCEDURES ON ARTERIES OF KNEE AND POPLITEAL AREA; NOT OTHERWISE SPECIFIED
C0370346 A2410309 L2339902 S2774932 SCUI 01634 HBT P0=Anesthesia ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCLAVICULAR JOINT, ACROMIOCLAVICULAR JOINT, AND SHOULDER JOINT; SHOULDER DISARTICULATION
C0370356 A2410302 L2340119 S2774925 SCUI 01742 HBT P0=Anesthesia ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW; OSTEOTOMY OF HUMERUS
C0199166 A0849240 L0499319 S0789792 SCUI 01810 HBT P0=Anesthesia ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSAE OF FOREARM, WRIST, AND HAND
C0191340 A0911433 L0231180 S0852884 SCUI 11040 HBT P6A=Minor procedures - skin DEBRIDEMENT; SKIN, PARTIAL THICKNESS
C0370394 A2410877 L2339451 S2775466 SCUI 11402 HBT P5A=Ambulatory procedures - skin EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM
C0370413 A0925186 L0548528 S0866911 SCUI 11463 HBT P6A=Minor procedures - skin EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR

HMP

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0370251 A0849282 L0503560 S0789849 SCUI 00170 HMP A=Not applicable as HCPCS priced under one methodology ANESTHESIA FOR INTRAORAL PROCEDURES, INCLUDING BIOPSY; NOT OTHERWISE SPECIFIED
C0370262 A1752242 L1501602 S1800645 SCUI 00404 HMP A=Not applicable as HCPCS priced under one methodology ANESTHESIA FOR PROCEDURES ON THE INTEGUMENTARY SYSTEM ON THE EXTREMITIES, ANTERIOR TRUNK AND PERINEUM; RADICAL OR MODIFIED RADICAL PROCEDURES ON BREAST
C0199048 A1946956 L0241307 S2071547 SCUI 00908 HMP A=Not applicable as HCPCS priced under one methodology ANESTHESIA FOR; PERINEAL PROSTATECTOMY
C0519100 A1946947 L1774576 S2071535 SCUI 00934 HMP A=Not applicable as HCPCS priced under one methodology ANESTHESIA FOR PROCEDURES ON MALE GENITALIA (INCLUDING OPEN URETHRAL PROCEDURES); RADICAL AMPUTATION OF PENIS WITH BILATERAL INGUINAL LYMPHADENECTOMY
C0198915 A0849242 L0499314 S0789794 SCUI 01610 HMP A=Not applicable as HCPCS priced under one methodology ANESTHESIA FOR ALL PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSAE OF SHOULDER AND AXILLA
C0199153 A2410303 L2340121 S2774926 SCUI 01756 HMP A=Not applicable as HCPCS priced under one methodology ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW; RADICAL PROCEDURES
C0370581 A2231587 L1885588 S2383791 SCUI 17263 HMP A=Not applicable as HCPCS priced under one methodology DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 2.1 TO 3.0 CM
C0370669 A1061294 L0743329 S1003224 SCUI 21029 HMP A=Not applicable as HCPCS priced under one methodology REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BONE (EG, FIBROUS DYSPLASIA)
C0370804 A1017284 L0512053 S0960894 SCUI 22212 HMP A=Not applicable as HCPCS priced under one methodology OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL SEGMENT; THORACIC

HPD

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0370397 A2410880 L2339496 S2775469 SCUI 11406 HPD 19900312 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM
C0370491 A1061697 L0453880 S1003660 SCUI 13120 HPD 19920130 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 1.1 CM TO 2.5 CM
C0370507 A0936671 L0573979 S0878431 SCUI 14350 HPD 19870720 FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION OF RECIPIENT SITE
C0370531 A0993216 L0572824 S0937399 SCUI 15734 HPD 19900312 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK
C0191653 A1413882 L1219130 S1460842 SCUI 15946 HPD 19900312 EXCISION, ISCHIAL PRESSURE ULCER, WITH OSTECTOMY, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN GRAFT CLOSURE
C0185598 A1017261 L0223971 S0960867 SCUI 21209 HPD 19920130 OSTEOPLASTY, FACIAL BONES; REDUCTION
C0370723 A0949064 L0734988 S0890667 SCUI 21235 HPD 19920130 GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE OR EAR (INCLUDES OBTAINING GRAFT)
C0185751 A0887353 L0529562 S0828571 SCUI 21320 HPD 19900312 CLOSED TREATMENT OF NASAL BONE FRACTURE; WITH STABILIZATION
C0370869 A1017285 L0545379 S0960895 SCUI 23480 HPD 19920130 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION

HPG

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0519742 A0911421 L0730156 S0852869 SCUI 11010 HPG YY DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) AND/OR DISLOCATION(S); SKIN AND SUBCUTANEOUS TISSUES
C0370432 A2410885 L2339483 S2775474 SCUI 11644 HPG YY EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 3.1 TO 4.0 CM
C0370461 A1075935 L0451803 S1018484 SCUI 12006 HPG YY SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM
C1609026 A11002883 L6138757 S7050987 SCUI 15115 HPG YY EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN
C0370721 A0949055 L0718715 S0890659 SCUI 21210 HPG YY GRAFT, BONE; NASAL, MAXILLARY OR MALAR AREAS (INCLUDES OBTAINING GRAFT)
C0186447 A1075576 L0487335 S1018021 SCUI 23172 HPG YY SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SCAPULA
C0370865 A1061835 L0525728 S1003815 SCUI 23440 HPG YY RESECTION OR TRANSPLANTATION OF LONG TENDON OF BICEPS
C0186486 A1413782 L0529606 S1460727 SCUI 24140 HPG YY PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), HUMERUS
C0186788 A0936832 L0495376 S0878622 SCUI 24331 HPG YY FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE ADVANCEMENT); WITH EXTENSOR ADVANCEMENT

HLC

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0202376 A0683944 L0013085 S0628047 SCUI 80166 HLC 340=Toxicology DOXEPIN
C0519827 A1099389 L0076829 S1041955 SCUI 80201 HLC 340=Toxicology TOPIRAMATE
C0373514 A1098891 L0583878 S1041394 SCUI 80440 HLC 330=Endocrinology THYROTROPIN RELEASING HORMONE (TRH) STIMULATION PANEL; FOR HYPERPROLACTINEMIA
C0373520 A1110068 L0511043 S1052325 SCUI 81003 HLC 320=Urinalysis URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY
C0373526 A1109814 L0603840 S1052078 SCUI 81099 HLC 320=Urinalysis UNLISTED URINALYSIS PROCEDURE
C0373529 A0847634 L0488629 S0787871 SCUI 82010 HLC 310=Routine chemistry ACETONE OR OTHER KETONE BODIES, SERUM; QUANTITATIVE
C0373534 A0848612 L0498709 S0788960 SCUI 82055 HLC 340=Toxicology ALCOHOL (ETHANOL); ANY SPECIMEN EXCEPT BREATH
C0202310 A0848683 L0499239 S0789068 SCUI 82101 HLC 340=Toxicology ALKALOIDS, URINE, QUANTITATIVE
C0373540 A1413231 L1218501 S1460126 SCUI 82128 HLC 310=Routine chemistry AMINO ACIDS; MULTIPLE, QUALITATIVE, EACH SPECIMEN

HMR

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0520259 A0912178 L0816871 S0853802 SCUI 59 HMR 4630 DISTINCT PROCEDURAL SERVICE
C0370446 A1098190 L0453284 S1040580 SCUI 11920 HMR 2329 TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR DEFECTS OF SKIN, INCLUDING MICROPIGMENTATION; 6.0 SQ CM OR LESS
C0370545 A0886627 L0541913 S0827561 SCUI 15793 HMR 2329 CHEMICAL PEEL, NONFACIAL; DERMAL
C0189644 A1413725 L1218990 S1460672 SCUI 36860 HMR 2230.5 EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITHOUT BALLOON CATHETER
C0015238 A0925087 L0015238 S0866808 SCUI 41822 HMR 2136 EXCISION OF FIBROUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES
C0372464 A1008638 L0598748 S0952240 SCUI 54250 HMR 2055 NOCTURNAL PENILE TUMESCENCE AND/OR RIGIDITY TEST
C0162650 A0888281 L0511096 S0829862 SCUI 59012 HMR 2005.1 CORDOCENTESIS (INTRAUTERINE), ANY METHOD
C0372633 A0955789 L0659479 S0898924 SCUI 59100 HMR 2005.1 HYSTEROTOMY, ABDOMINAL (EG, FOR HYDATIDIFORM MOLE, ABORTION)
C0195633 A1077610 L0566850 S1020612 SCUI 59135 HMR 2005.1 SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY REQUIRING TOTAL HYSTERECTOMY

HIR

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0191647 A0925260 L0231550 S0867007 SCUI 15920 HIR 35-31 EXCISION, COCCYGEAL PRESSURE ULCER, WITH COCCYGECTOMY; WITH PRIMARY SUTURE
C0370616 A0991440 L0518031 S0934997 SCUI 19325 HIR 35-61 MAMMAPLASTY, AUGMENTATION; WITH PROSTHETIC IMPLANT
C0405379 A1008543 L0231895 S0952131 SCUI 19350 HIR 35-47 NIPPLE/AREOLA RECONSTRUCTION
C0405405 A0874579 L0231919 S0815062 SCUI 19364 HIR 35-47 BREAST RECONSTRUCTION WITH FREE FLAP
C0370620 A0874583 L0486489 S0815067 SCUI 19367 HIR 35-47 BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP (TRAM), SINGLE PEDICLE, INCLUDING CLOSURE OF DONOR SITE
C0191921 A1061993 L0231883 S1003976 SCUI 19380 HIR 35-47 REVISION OF RECONSTRUCTED BREAST
C0370630 A0873859 L0746342 S0814155 SCUI 20220 HIR 50-44 BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS)
C0370634 A0873880 L0526517 S0814183 SCUI 20251 HIR 50-44 BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL
C0371495 A0964570 L0567561 S0907671 SCUI 33207 HIR 65-6 INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); VENTRICULAR

HTD

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0973246 A9063384 L1885824 S2774907 SCUI 01964 HTD 20051231 ANESTHESIA FOR ABORTION PROCEDURES
C0918057 A9063297 L1774290 S2071583 SCUI 15343 HTD 20051231 APPLICATION OF BILAMINATE SKIN SUBSTITUTE/NEODERMIS; EACH ADDITIONAL 25 SQ CM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
C0191450 A9063183 L0468104 S1017366 SCUI 15811 HTD 20051231 SALABRASION; OVER 20 SQ CM
C0370555 A9063115 L0503631 S0854374 SCUI 16015 HTD 20051231 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR SUBSEQUENT; UNDER ANESTHESIA, MEDIUM OR LARGE, OR WITH MAJOR DEBRIDEMENT
C0024887 A11003100 L0024887 S0935183 SCUI 19182 HTD 20061231 MASTECTOMY, SUBCUTANEOUS
C0371065 A11003662 L1219278 S1460999 SCUI 26504 HTD 20061231 RECONSTRUCTION OF TENDON PULLEY, EACH TENDON; WITH TENDON PROSTHESIS (SEPARATE PROCEDURE)
C0196660 A11002708 L0238251 S1461051 SCUI 28030 HTD 20061231 NEURECTOMY, INTRINSIC MUSCULATURE OF FOOT
C0189332 A9063204 L0228489 S1042430 SCUI 31586 HTD 20051231 TREATMENT OF CLOSED LARYNGEAL FRACTURE; WITH CLOSED MANIPULATIVE REDUCTION
C0189374 A11002321 L0774727 S0826279 SCUI 31700 HTD 20061231 CATHETERIZATION, TRANSGLOTTIC (SEPARATE PROCEDURE)

HXR

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0370601 A0888883 L0491148 S0830651 SCUI 17340 HXR 17360 CRYOTHERAPY (CO2 SLUSH, LIQUID N2) FOR ACNE
C0370644 A0850123 L0511940 S0790783 SCUI 20662 HXR 20661 APPLICATION OF HALO, INCLUDING REMOVAL; PELVIC
C0370796 A1037085 L0529862 S0978667 SCUI 22101 HXR 22100 PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; THORACIC
C0370849 A1413679 L1218937 S1460613 SCUI 23040 HXR 23100 ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY
C0186408 A0873877 L0224935 S0814178 SCUI 23065 HXR 22010 BIOPSY, SOFT TISSUE OF SHOULDER AREA; SUPERFICIAL
C0186440 A1075571 L0487329 S1018016 SCUI 23170 HXR 23172 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), CLAVICLE
C0186447 A1075576 L0487335 S1018021 SCUI 23172 HXR 23170 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SCAPULA
C0370898 A0851052 L0515322 S0791832 SCUI 24101 HXR 24000 ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY
C0370949 A0851057 L0515338 S0791846 SCUI 25040 HXR 25100 ARTHROTOMY, RADIOCARPAL OR MIDCARPAL JOINT, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY

HSN

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0812450 A0964550 L0810475 S0907649 SCUI 58300 HSN 1862a1A INSERTION OF INTRAUTERINE DEVICE (IUD)
C1610099 A9064378 L5623028 S6503466 SCUI 61640 HSN 1861a1a BALLOON DILATATION OF INTRACRANIAL VASOSPASM, PERCUTANEOUS; INITIAL VESSEL
C1609546 A9064377 L5620359 S6503465 SCUI 61641 HSN 1861a1a BALLOON DILATATION OF INTRACRANIAL VASOSPASM, PERCUTANEOUS; EACH ADDITIONAL VESSEL IN SAME VASCULAR FAMILY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
C1608995 A9064376 L5620358 S6503464 SCUI 61642 HSN 1861a1a BALLOON DILATATION OF INTRACRANIAL VASOSPASM, PERCUTANEOUS; EACH ADDITIONAL VESSEL IN DIFFERENT VASCULAR FAMILY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
C0198023 A0923529 L0390496 S0864808 SCUI 69090 HSN 1862a1A EAR PIERCING
C0373126 A0963770 L0529477 S0906683 SCUI 69710 HSN 1862.A7 IMPLANTATION OR REPLACEMENT OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL BONE
C1740480 A11003134 L5302264 S6058260 SCUI 76076 HSN 1861RRI DUAL ENERGY X-RAY ABSORPTIOMETRY (DXA), BONE DENSITY STUDY, ONE OR MORE SITES; APPENDICULAR SKELETON (PERIPHERAL) (EG, RADIUS, WRIST, HEEL)
C0519824 A0924110 L0824908 S0865629 SCUI 80051 HSN 1833(h) ELECTROLYTE PANEL
C0519827 A1099389 L0076829 S1041955 SCUI 80201 HSN 1833(h) TOPIRAMATE

HPN

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0520266 A0851229 L0729987 S0792094 SCUI 80 HPN 0069=FOR ASSISTANT SURGEON SERVICES MODIFIERS 80, 81, 82, AK, AL, AM, AN, AS, AU, AV, AW, AY, QB, QU SEE MCM SECTION 15044. ASSISTANT SURGEON
C0520267 A0992530 L0729980 S0936572 SCUI 81 HPN 0069=FOR ASSISTANT SURGEON SERVICES MODIFIERS 80, 81, 82, AK, AL, AM, AN, AS, AU, AV, AW, AY, QB, QU SEE MCM SECTION 15044. MINIMUM ASSISTANT SURGEON
C0520268 A0851230 L0729966 S0792095 SCUI 82 HPN 0069=FOR ASSISTANT SURGEON SERVICES MODIFIERS 80, 81, 82, AK, AL, AM, AN, AS, AU, AV, AW, AY, QB, QU SEE MCM SECTION 15044. ASSISTANT SURGEON (WHEN QUALIFIED RESIDENT SURGEON NOT AVAILABLE)
C0812593 A1749664 L1504158 S1797363 SCUI 91 HPN 0077=CR#259, AB-97-23 DATED 12-97 IMPLEMENTATION OF 1998 CLINICAL DIAGNOSTIC LABORATORY FEE SCHEDULE AND MAPPING FOR 1998 LABORATORY CODING CHANGES. REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST
C0812476 A1752109 L1501278 S1800508 SCUI 20979 HPN 0089=REFER TO AB-99-52 SUSPENDING NON-COVERAGE PER CIM 35-98. LOW INTENSITY ULTRASOUND STIMULATION TO AID BONE HEALING, NONINVASIVE (NONOPERATIVE)
C0519107 A1061366 L0711378 S1003307 SCUI 32491 HPN 0062=CPT 32491 - PAYMENT RESTRICTED TO CERTAIN BENEFICIARIES ENROLLED IN THE HCFA/NHLBI STUDY. REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; EXCISION-PLICATION OF EMPHYSEMATOUS LUNG(S) (BULLOUS OR NON-BULLOUS) FOR LUNG VOLUME REDUCTION, STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITH OR WITHOUT ANY PLEURAL PROCEDURE
C0812480 A1949149 L1505808 S2074071 SCUI 33140 HPN 0080=SEE CR#855, TRANSMITTAL NO. AB-99-22, DATED APRIL 1999. TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; (SEPARATE PROCEDURE)
C1548758 A2410519 L2340646 S2775136 SCUI 36415 HPN 0040=SEE MEDICARE INTERMEDIARY MANUAL 3628.E FOR PAYMENT GUIDELINES (P9610, P9615, G0001). COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE
C1504253 A7185339 L5302446 S6057919 SCUI 37216 HPN 0141=SEE NATIONAL COVERAGE DETERMINATION MANUAL FOR TRANSCATHETER STENT PLACEMENT. TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, PERCUTANEOUS; WITHOUT DISTAL EMBOLIC PROTECTION

CPF

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CUI METAUI LUI SUI STYPE CODE ATN ATV STR
C0520242 A1039525 L0829008 S0981742 SCUI 21 CPF PROLONGED EVALUATION AND MANAGEMENT SERVICES: WHEN THE FACE-TO-FACE OR FLOOR/UNIT SERVICE(S) PROVIDED IS PROLONGED OR OTHERWISE GREATER THAN THAT USUALLY REQUIRED FOR THE HIGHEST LEVEL OF EVALUATION AND MANAGEMENT SERVICE WITHIN A GIVEN CATEGORY, IT MAY BE IDENTIFIED BY ADDING MODIFIER -21 TO THE EVALUATION AND MANAGEMENT CODE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09921. A REPORT MAY ALSO BE APPROPRIATE. PROLONGED EVALUATION AND MANAGEMENT SERVICES
C0520243 A1109846 L0881300 S1052097 SCUI 22 CPF UNUSUAL PROCEDURAL SERVICES: WHEN THE SERVICE(S) PROVIDED IS GREATER THAN THAT USUALLY REQUIRED FOR THE LISTED PROCEDURE, IT MAY BE IDENTIFIED BY ADDING MODIFIER -22 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09922. A REPORT MAY ALSO BE APPROPRIATE. UNUSUAL PROCEDURAL SERVICES
C0520244 A1109845 L0699698 S1052096 SCUI 23 CPF UNUSUAL ANESTHESIA: OCCASIONALLY, A PROCEDURE, WHICH USUALLY REQUIRES EITHER NO ANESTHESIA OR LOCAL ANESTHESIA, BECAUSE OF UNUSUAL CIRCUMSTANCES MUST BE DONE UNDER GENERAL ANESTHESIA. THIS CIRCUMSTANCE MAY BE REPORTED BY ADDING THE MODIFIER -23 TO THE PROCEDURE CODE OF THE BASIC SERVICE OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09923. UNUSUAL ANESTHESIA
C0520245 A1109815 L0654253 S1052079 SCUI 24 CPF UNRELATED EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN DURING A POSTOPERATIVE PERIOD: THE PHYSICIAN MAY NEED TO INDICATE THAT AN EVALUATION AND MANAGEMENT SERVICE WAS PERFORMED DURING A POSTOPERATIVE PERIOD FOR A REASON(S) UNRELATED TO THE ORIGINAL PROCEDURE. THIS CIRCUMSTANCE MAY BE REPORTED BY ADDING THE MODIFIER -24 TO THE APPROPRIATE LEVEL OF E/M SERVICE, OR THE SEPARATE FIVE DIGIT MODIFIER 09924 MAY BE USED. UNRELATED EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN DURING A POSTOPERATIVE PERIOD
C0520247 A1039505 L0793115 S0981696 SCUI 26 CPF PROFESSIONAL COMPONENT: CERTAIN PROCEDURES ARE A COMBINATION OF A PHYSICIAN COMPONENT AND A TECHNICAL COMPONENT. WHEN THE PHYSICIAN COMPONENT IS REPORTED SEPARATELY, THE SERVICE MAY BE IDENTIFIED BY ADDING THE MODIFIER -26 TO THE USUAL PROCEDURE NUMBER OR THE SERVICE MAY BE REPORTED BY USE OF THE FIVE DIGIT MODIFIER CODE 09926. PROFESSIONAL COMPONENT
C0520248 A0991451 L0868971 S0935036 SCUI 32 CPF MANDATED SERVICES: SERVICES RELATED TO MANDATED CONSULTATION AND/OR RELATED SERVICES (EG, PRO, THIRD PARTY PAYER, GOVERNMENTAL, LEGISLATIVE OR REGULATORY REQUIREMENT) MAY BE IDENTIFIED BY ADDING THE MODIFIER '-32' TO THE BASIC PROCEDURE OR THE SERVICE MAY BE REPORTED BY USE OF THE FIVE DIGIT MODIFIER 09932. MANDATED SERVICES
C0520250 A0873771 L0745426 S0814035 SCUI 50 CPF BILATERAL PROCEDURE: UNLESS OTHERWISE IDENTIFIED IN THE LISTINGS, BILATERAL PROCEDURES THAT ARE PERFORMED AT THE SAME OPERATIVE SESSION SHOULD BE IDENTIFIED BY ADDING THE MODIFIER -50 TO THE APPROPRIATE FIVE DIGIT CODE OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09950 BILATERAL PROCEDURE
C0520254 A1077568 L0771987 S1020579 SCUI 54 CPF SURGICAL CARE ONLY: WHEN ONE PHYSICIAN PERFORMS A SURGICAL PROCEDURE AND ANOTHER PROVIDES PREOPERATIVE AND/OR POSTOPERATIVE MANAGEMENT, SURGICAL SERVICES MAY BE IDENTIFIED BY ADDING THE MODIFIER -54 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09954. SURGICAL CARE ONLY
C0520255 A1039130 L0868952 S0981256 SCUI 55 CPF POSTOPERATIVE MANAGEMENT ONLY: WHEN ONE PHYSICIAN PERFORMS THE POSTOPERATIVE MANAGEMENT AND ANOTHER PHYSICIAN HAS PERFORMED THE SURGICAL PROCEDURE, THE POSTOPERATIVE COMPONENT MAY BE IDENTIFIED BY ADDING THE MODIFIER -55 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09955. POSTOPERATIVE MANAGEMENT ONLY

Last reviewed: 10 April 2009
Last updated: 10 April 2009
First published: 10 April 2009
Metadata| Permanence level: Permanence Not Guaranteed