Unified Medical Language System® (UMLS®)
2012AA HCPCS Version of Current Procedural Terminology (CPT) Source Information
Counts
| 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. | 10280 |
| HPI | HCPCS Pricing Indicator Code - used to identify the appropriate methodology for developing unique pricing amounts under Part B. | 10069 |
| HAC | HCPCS action code - code denoting the change made to a procedure or modifier code within the HCPCS system. | 10067 |
| HAD | HCPCS Action Effective Date - effective date of action to a procedure or modifier code. | 10067 |
| HAQ | HCPCS Anesthesia Base Unit Quantity - base unit represents the level of intensity for anesthesia procedure services that reflects all activities except time. | 10067 |
| HCC | HCPCS Coverage Code - code denoting Medicare coverage status. There are two subelements separated by "=". | 10067 |
| HCD | HCPCS Code Added Date - year the HCPCS code was added to the HCFA Common Procedure Coding System. | 10067 |
| HMP | HCPCS Multiple Pricing Indicator Code - code used to identify instances where a procedure could be priced. | 10032 |
| 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. | 10021 |
| HPD | HCPCS ASC payment group effective date - date the procedure is assigned to the ASC payment group. | 4042 |
| HPG | HCPCS ASC payment group code which represents the dollar amount of the facility charge payable by Medicare for the procedure. | 4042 |
| HLC | HCPCS Lab Certification Code - code used to classify laboratory procedures according to the specialty certification categories listed by CMS(formerly HCFA). | 1523 |
| HMR | HCPCS Medicare Carriers Manual reference section number - number identifying a section of the Medicare Carriers Manual. | 872 |
| HIR | HCPCS Coverage Issues Manual Reference Section Number - number identifying the Reference Section of the Coverage Issues Manual. | 779 |
| HTD | HCPCS Termination Date - last date for which a procedure or code may be used by Medicare Providers. | 376 |
| 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). | 254 |
| HSN | HCPCS Statute Number identifying statute reference for coverage or noncoverage of procedure or service. | 193 |
| HPN | HCPCS processing note number identifying the processing note contained in Appendix A of the HCPCS Manual. | 79 |
| 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 Metathesaurus Documentation for a complete list of attribute names.
- See Section 2.5 of the UMLS Reference Manual for more information on attributes in the UMLS Metathesaurus.
Sample Data
HTS
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0198920 | A0849221 | L0491499 | S0789771 | SCUI | 01620 | HTS | 7=Anesthesia | ANESTHESIA FOR ALL CLOSED PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCLAVICULAR JOINT, ACROMIOCLAVICULAR JOINT, AND SHOULDER JOINT |
| C0199150 | A0849357 | L0503508 | S0789968 | SCUI | 01710 | HTS | 7=Anesthesia | ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, FASCIA, AND BURSAE OF UPPER ARM AND ELBOW; NOT OTHERWISE SPECIFIED |
| C0370360 | A2410315 | L2340111 | S2774938 | SCUI | 01832 | HTS | 7=Anesthesia | ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC/ENDOSCOPIC PROCEDURES ON DISTAL RADIUS, DISTAL ULNA, WRIST, OR HAND JOINTS; TOTAL WRIST REPLACEMENT |
| C0370380 | A1075713 | L0452912 | S1018232 | SCUI | 11300 | HTS | 2=Surgery | SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESION DIAMETER 0.5 CM OR LESS |
| C0519748 | A1099947 | L0711533 | S1042592 | SCUI | 11719 | HTS | 2=Surgery | TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER |
| C0370547 | A11003091 | L0570816 | S7051003 | SCUI | 15837 | HTS | 2=Surgery | EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); FOREARM OR HAND |
| C0191910 | A1061355 | L0231869 | S1003295 | SCUI | 19328 | HTS | 2=Surgery | REMOVAL OF INTACT MAMMARY IMPLANT |
| C0370644 | A0850123 | L0511940 | S0790783 | SCUI | 20662 | HTS | 2=Surgery | APPLICATION OF HALO, INCLUDING REMOVAL; PELVIC |
| C0918062 | A1948496 | L1774484 | S2073309 | SCUI | 21199 | HTS | 2=Surgery | OSTEOTOMY, MANDIBLE, SEGMENTAL; WITH GENIOGLOSSUS ADVANCEMENT |
| C0370762 | A0887340 | L0694234 | S0828557 | SCUI | 21440 | HTS | 2=Surgery | CLOSED TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE PROCEDURE) |
| C0185788 | A0963853 | L0487326 | S0906777 | SCUI | 21510 | HTS | 2=Surgery | INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), THORAX |
| C0186447 | A1075576 | L0487335 | S1018021 | SCUI | 23172 | HTS | 2=Surgery | SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SCAPULA |
| C0187024 | A1099815 | L0503596 | S1042428 | SCUI | 24605 | HTS | 2=Surgery | TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA |
| C0187033 | A0887413 | L0546062 | S0828634 | SCUI | 25535 | HTS | 2=Surgery | CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION |
| C0371062 | A0888326 | L0545403 | S0829920 | SCUI | 26499 | HTS | 2=Surgery | CORRECTION CLAW FINGER, OTHER METHODS |
| C0187494 | A2059632 | L1886561 | S2210867 | SCUI | 26510 | HTS | 2=Surgery | CROSS INTRINSIC TRANSFER, EACH TENDON |
| C0519776 | A1413522 | L0698916 | S1460457 | SCUI | 26553 | HTS | 2=Surgery | TRANSFER, TOE-TO-HAND WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN GREAT TOE, SINGLE |
| C0186106 | A1413431 | L1218693 | S1460332 | SCUI | 27001 | HTS | 2=Surgery | TENOTOMY, ADDUCTOR OF HIP, OPEN |
| C0371117 | A1099825 | L0569221 | S1042438 | SCUI | 27176 | HTS | 2=Surgery | TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY SINGLE OR MULTIPLE PINNING, IN SITU |
HPI
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0370342 | A0849309 | L0503476 | S0789879 | SCUI | 01486 | HPI | 12=Price established using national anesthesia base units | ANESTHESIA FOR OPEN PROCEDURES ON BONES OF LOWER LEG, ANKLE, AND FOOT; TOTAL ANKLE REPLACEMENT |
| C0395122 | A1062140 | L0231467 | S1004148 | SCUI | 15824 | HPI | 13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) | RHYTIDECTOMY; FOREHEAD |
| C0191921 | A1061993 | L0231883 | S1003976 | SCUI | 19380 | HPI | 11=Price established using national RVU's | REVISION OF RECONSTRUCTED BREAST |
| C0188192 | A0874368 | L0227091 | S0814785 | SCUI | 20955 | HPI | 11=Price established using national RVU's | BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; FIBULA |
| C0185613 | A1037941 | L0223993 | S0979689 | SCUI | 21261 | HPI | 11=Price established using national RVU's | PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; COMBINED INTRA- AND EXTRACRANIAL APPROACH |
| C0186996 | A0887323 | L0546035 | S0828540 | SCUI | 24505 | HPI | 11=Price established using national RVU's | CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION |
| C0370993 | A1413649 | L0515219 | S1460585 | SCUI | 25447 | HPI | 11=Price established using national RVU's | ARTHROPLASTY, INTERPOSITION, INTERCARPAL OR CARPOMETACARPAL JOINTS |
| C0371031 | A1414001 | L1219256 | S1460977 | SCUI | 26145 | HPI | 11=Price established using national RVU's | SYNOVECTOMY, TENDON SHEATH, RADICAL (TENOSYNOVECTOMY), FLEXOR TENDON, PALM AND/OR FINGER, EACH TENDON |
| C0371057 | A1413987 | L1219242 | S1460963 | SCUI | 26477 | HPI | 11=Price established using national RVU's | SHORTENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON |
| C0371147 | A1109789 | L0583438 | S1052049 | SCUI | 27299 | HPI | 13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) | UNLISTED PROCEDURE, PELVIS OR HIP JOINT |
| C0371282 | A0925237 | L0499662 | S0866964 | SCUI | 28103 | HPI | 11=Price established using national RVU's | EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ALLOGRAFT |
| C0371284 | A2231725 | L1886240 | S2383929 | SCUI | 28106 | HPI | 11=Price established using national RVU's | EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CALCANEUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT) |
| C0371290 | A1413979 | L1219235 | S1460955 | SCUI | 28160 | HPI | 11=Price established using national RVU's | HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISION, TOE, PROXIMAL END OF PHALANX, EACH |
| C0371301 | A1413906 | L1219159 | S1460871 | SCUI | 28288 | HPI | 11=Price established using national RVU's | OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY, METATARSAL HEAD, EACH METATARSAL HEAD |
| C0188771 | A1061180 | L0227795 | S1003092 | SCUI | 28340 | HPI | 11=Price established using national RVU's | RECONSTRUCTION, TOE, MACRODACTYLY; SOFT TISSUE RESECTION |
| C0188673 | A1413645 | L0227678 | S1460582 | SCUI | 28725 | HPI | 11=Price established using national RVU's | ARTHRODESIS; SUBTALAR |
| C0343138 | A1109751 | L0537917 | S1052009 | SCUI | 29799 | HPI | 13=Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion) | UNLISTED PROCEDURE, CASTING OR STRAPPING |
| C0371354 | A1413850 | L1219095 | S1460806 | SCUI | 29848 | HPI | 11=Price established using national RVU's | ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT |
| C0371374 | A0925249 | L0570938 | S0866983 | SCUI | 30120 | HPI | 11=Price established using national RVU's | EXCISION OR SURGICAL PLANING OF SKIN OF NOSE FOR RHINOPHYMA |
HAC
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0520246 | A1075873 | L0805727 | S1018419 | SCUI | 25 | HAC | N=No maintenance for this code | SIGNIFICANT, SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF THE PROCEDURE OR OTHER SERVICE |
| C0370401 | A2410872 | L2339469 | S2775461 | SCUI | 11423 | HAC | N=No maintenance for this code | EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM |
| C0370512 | A11003653 | L6139206 | S7050460 | SCUI | 15120 | HAC | N=No maintenance for this code | SPLIT-THICKNESS 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 (EXCEPT 15050) |
| C0370538 | A1040148 | L0462642 | S0982471 | SCUI | 15776 | HAC | N=No maintenance for this code | PUNCH GRAFT FOR HAIR TRANSPLANT; MORE THAN 15 PUNCH GRAFTS |
| C0370581 | A2231587 | L1885588 | S2383791 | SCUI | 17263 | HAC | N=No maintenance for this code | DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER 2.1 TO 3.0 CM |
| C0370694 | A1061213 | L0713746 | S1003137 | SCUI | 21138 | HAC | N=No maintenance for this code | REDUCTION FOREHEAD; CONTOURING AND APPLICATION OF PROSTHETIC MATERIAL OR BONE GRAFT (INCLUDES OBTAINING AUTOGRAFT) |
| C0370720 | A1061158 | L0529137 | S1003059 | SCUI | 21196 | HAC | N=No maintenance for this code | RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITH INTERNAL RIGID FIXATION |
| C0370742 | A1016794 | L0512017 | S0960268 | SCUI | 21344 | HAC | N=No maintenance for this code | OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING POSTERIOR WALL) FRONTAL SINUS FRACTURE, VIA CORONAL OR MULTIPLE APPROACHES |
| C0185849 | A1017241 | L0224269 | S0960846 | SCUI | 21620 | HAC | N=No maintenance for this code | OSTECTOMY OF STERNUM, PARTIAL |
| C0370822 | A0850931 | L0725109 | S0791691 | SCUI | 22590 | HAC | N=No maintenance for this code | ARTHRODESIS, POSTERIOR TECHNIQUE, CRANIOCERVICAL (OCCIPUT-C2) |
| C0489910 | A0887384 | L0503616 | S0828605 | SCUI | 23655 | HAC | N=No maintenance for this code | CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; REQUIRING ANESTHESIA |
| C0370981 | A0936830 | L0540894 | S0878611 | SCUI | 25316 | HAC | N=No maintenance for this code | FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL PALSY, VOLKMANN CONTRACTURE), FOREARM AND/OR WRIST; WITH TENDON(S) TRANSFER |
| C0191428 | A1061649 | L0566368 | S1003607 | SCUI | 26560 | HAC | N=No maintenance for this code | REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS |
| C0186158 | A0925308 | L0224637 | S0867091 | SCUI | 27062 | HAC | N=No maintenance for this code | EXCISION; TROCHANTERIC BURSA OR CALCIFICATION |
| C0371139 | A1016820 | L0562350 | S0960300 | SCUI | 27253 | HAC | N=No maintenance for this code | OPEN TREATMENT OF HIP DISLOCATION, TRAUMATIC, WITHOUT INTERNAL FIXATION |
| C0188687 | A1413229 | L1218500 | S1460125 | SCUI | 27654 | HAC | N=No maintenance for this code | REPAIR, SECONDARY, ACHILLES TENDON, WITH OR WITHOUT GRAFT |
| C0188493 | A1413513 | L1218783 | S1460434 | SCUI | 27888 | HAC | N=No maintenance for this code | AMPUTATION, ANKLE, THROUGH MALLEOLI OF TIBIA AND FIBULA (EG, SYME, PIROGOFF TYPE PROCEDURES), WITH PLASTIC CLOSURE AND RESECTION OF NERVES |
| C0371300 | A1414030 | L1219283 | S1461004 | SCUI | 28280 | HAC | N=No maintenance for this code | SYNDACTYLIZATION, TOES (EG, WEBBING OR KELIKIAN TYPE PROCEDURE) |
| C0185901 | A0850107 | L0224328 | S0790768 | SCUI | 29035 | HAC | N=No maintenance for this code | APPLICATION OF BODY CAST, SHOULDER TO HIPS |
HAD
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0370370 | A0963816 | L0547573 | S0906729 | SCUI | 10140 | HAD | 19930101 | INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION |
| C0370387 | A1075712 | L0452436 | S1018231 | SCUI | 11308 | HAD | 19930101 | SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER OVER 2.0 CM |
| C0370449 | A1751548 | L0456389 | S1799983 | SCUI | 11950 | HAD | 19930101 | SUBCUTANEOUS INJECTION OF FILLING MATERIAL (EG, COLLAGEN); 1 CC OR LESS |
| C0973253 | A2060247 | L1886310 | S2211691 | SCUI | 11982 | HAD | 20020101 | REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT |
| C0191602 | A0937857 | L0468101 | S0879817 | SCUI | 15260 | HAD | 20060101 | FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS |
| C0370622 | A0874582 | L0486488 | S0815066 | SCUI | 19369 | HAD | 19960101 | BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP (TRAM), DOUBLE PEDICLE, INCLUDING CLOSURE OF DONOR SITE |
| C0370673 | A0963784 | L0555069 | S0906702 | SCUI | 21076 | HAD | 19960101 | IMPRESSION AND CUSTOM PREPARATION; SURGICAL OBTURATOR PROSTHESIS |
| C0370687 | A0850126 | L0511927 | S0790786 | SCUI | 21110 | HAD | 19840101 | APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CONDITIONS OTHER THAN FRACTURE OR DISLOCATION, INCLUDES REMOVAL |
| C0370795 | A1037082 | L0529859 | S0978664 | SCUI | 22100 | HAD | 19920130 | PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; CERVICAL |
| C0370866 | A0885320 | L0505646 | S0825690 | SCUI | 23450 | HAD | 19950101 | CAPSULORRHAPHY, ANTERIOR; PUTTI-PLATT PROCEDURE OR MAGNUSON TYPE OPERATION |
| C0370871 | A1414132 | L1219363 | S1461098 | SCUI | 23491 | HAD | 19990101 | PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE; PROXIMAL HUMERUS |
| C0186492 | A0851054 | L0225050 | S0791834 | SCUI | 24100 | HAD | 19950101 | ARTHROTOMY, ELBOW; WITH SYNOVIAL BIOPSY ONLY |
| C0370948 | A1413215 | L1218484 | S1460108 | SCUI | 25035 | HAD | 19990101 | INCISION, DEEP, BONE CORTEX, FOREARM AND/OR WRIST (EG, OSTEOMYELITIS OR BONE ABSCESS) |
| C0370951 | A1413754 | L1219014 | S1460701 | SCUI | 25066 | HAD | 19990101 | BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; DEEP (SUBFASCIAL OR INTRAMUSCULAR) |
| C0370961 | A0925230 | L0499664 | S0866957 | SCUI | 25126 | HAD | 19840101 | EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS); WITH ALLOGRAFT |
| C0371105 | A1413898 | L1219150 | S1460862 | SCUI | 27091 | HAD | 19990101 | REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING TOTAL HIP PROSTHESIS, METHYLMETHACRYLATE WITH OR WITHOUT INSERTION OF SPACER |
| C0371129 | A1016776 | L0483516 | S0960247 | SCUI | 27227 | HAD | 19930101 | OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANTERIOR OR POSTERIOR (ONE) COLUMN, OR A FRACTURE RUNNING TRANSVERSELY ACROSS THE ACETABULUM, WITH INTERNAL FIXATION |
| C0188121 | A1413744 | L1219010 | S1460693 | SCUI | 27395 | HAD | 19990101 | LENGTHENING OF HAMSTRING TENDON; MULTIPLE TENDONS, BILATERAL |
| C0188088 | A1017262 | L0226961 | S0960868 | SCUI | 27468 | HAD | 19840101 | OSTEOPLASTY, FEMUR; COMBINED, LENGTHENING AND SHORTENING WITH FEMORAL SEGMENT TRANSFER |
HAQ
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0199042 | A0849395 | L0503547 | S0790016 | SCUI | 00940 | HAQ | 003 | ANESTHESIA FOR VAGINAL PROCEDURES (INCLUDING BIOPSY OF LABIA, VAGINA, CERVIX OR ENDOMETRIUM); NOT OTHERWISE SPECIFIED |
| C0199105 | A2410312 | L2340123 | S2774935 | SCUI | 01400 | HAQ | 004 | ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON KNEE JOINT; NOT OTHERWISE SPECIFIED |
| C0337350 | A0925175 | L0231558 | S0866901 | SCUI | 11770 | HAQ | 0 | EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE |
| C0191401 | A1061768 | L0571077 | S1003733 | SCUI | 11970 | HAQ | 0 | REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT PROSTHESIS |
| C0185202 | A3862464 | L3154686 | S3678411 | SCUI | 20240 | HAQ | 0 | BIOPSY, BONE, OPEN; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS, TROCHANTER OF FEMUR) |
| C0370819 | A11002316 | L0505582 | S7049782 | SCUI | 22556 | HAQ | 0 | ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); THORACIC |
| C0370934 | A1037878 | L0550490 | S0979619 | SCUI | 24582 | HAQ | 0 | PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH MANIPULATION |
| C0370957 | A1060629 | L0515051 | S1002417 | SCUI | 25115 | HAQ | 0 | RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNGUS, TBC, OR OTHER GRANULOMAS, RHEUMATOID ARTHRITIS); FLEXORS |
| C0186390 | A1017302 | L0224911 | S0960918 | SCUI | 25350 | HAQ | 0 | OSTEOTOMY, RADIUS; DISTAL THIRD |
| C0187476 | A2232769 | L1886364 | S2385078 | SCUI | 26428 | HAQ | 0 | REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH FINGER |
| C0187572 | A1413841 | L1219088 | S1460798 | SCUI | 26516 | HAQ | 0 | CAPSULODESIS, METACARPOPHALANGEAL JOINT; SINGLE DIGIT |
| C2587216 | A1017317 | L0226638 | S0960931 | SCUI | 27709 | HAQ | 0 | OSTEOTOMY; TIBIA AND FIBULA |
| C0187740 | A0850117 | L0226540 | S0790777 | SCUI | 29130 | HAQ | 0 | APPLICATION OF FINGER SPLINT; STATIC |
| C0371345 | A0851010 | L0726002 | S0791786 | SCUI | 29805 | HAQ | 0 | ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE) |
| C0189182 | A1008162 | L0770733 | S0951637 | SCUI | 31235 | HAQ | 0 | NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH SPHENOID SINUSOSCOPY (VIA PUNCTURE OF SPHENOIDAL FACE OR CANNULATION OF OSTIUM) |
| C0337339 | A1099525 | L0228501 | S1042119 | SCUI | 31610 | HAQ | 0 | TRACHEOSTOMY, FENESTRATION PROCEDURE WITH SKIN FLAPS |
| C0189428 | A1099517 | L0574352 | S1042111 | SCUI | 31613 | HAQ | 0 | TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP ROTATION |
| C0371609 | A0849944 | L0711786 | S0790572 | SCUI | 33800 | HAQ | 0 | AORTIC SUSPENSION (AORTOPEXY) FOR TRACHEAL DECOMPRESSION (EG, FOR TRACHEOMALACIA) (SEPARATE PROCEDURE) |
| C0918078 | A1948478 | L1774646 | S2073292 | SCUI | 34831 | HAQ | 0 | OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIATED ARTERIAL TRAUMA, FOLLOWING UNSUCCESSFUL ENDOVASCULAR REPAIR; AORTO-BI-ILIAC PROSTHESIS |
HCC
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0918261 | A9063918 | L1775129 | S6502570 | SCUI | 27 | HCC | C=Carrier judgment | MULTIPLE OUTPATIENT HOSPITAL E/M ENCOUNTERS ON THE SAME DATE |
| C0520258 | A1077003 | L0821288 | S1019832 | SCUI | 58 | HCC | C=Carrier judgment | STAGED OR RELATED PROCEDURE OR SERVICE BY THE SAME PHYSICIAN DURING THE POSTOPERATIVE PERIOD |
| C0199029 | A1946955 | L0241288 | S2071546 | SCUI | 00902 | HCC | C=Carrier judgment | ANESTHESIA FOR; ANORECTAL PROCEDURE |
| C0370347 | A2410306 | L2339901 | S2774929 | SCUI | 01636 | HCC | C=Carrier judgment | ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON HUMERAL HEAD AND NECK, STERNOCLAVICULAR JOINT, ACROMIOCLAVICULAR JOINT, AND SHOULDER JOINT; INTERTHORACOSCAPULAR (FOREQUARTER) AMPUTATION |
| C0199139 | A0849378 | L0503509 | S0789993 | SCUI | 01780 | HCC | C=Carrier judgment | ANESTHESIA FOR PROCEDURES ON VEINS OF UPPER ARM AND ELBOW; NOT OTHERWISE SPECIFIED |
| C0370364 | A0849298 | L0503679 | S0789866 | SCUI | 01922 | HCC | C=Carrier judgment | ANESTHESIA FOR NON-INVASIVE IMAGING OR RADIATION THERAPY |
| C0370397 | A2410880 | L2339496 | S2775469 | SCUI | 11406 | HCC | C=Carrier judgment | EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM |
| C0370413 | A0925186 | L0548528 | S0866911 | SCUI | 11463 | HCC | C=Carrier judgment | EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR |
| C0197214 | A0874068 | L0239014 | S0814390 | SCUI | 15820 | HCC | D=Special coverage instructions apply | BLEPHAROPLASTY, LOWER EYELID |
| C0370707 | A1061143 | L0495383 | S1003043 | SCUI | 21160 | HCC | C=Carrier judgment | RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTRACRANIAL) WITH FOREHEAD ADVANCEMENT (EG, MONO BLOC), REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS); WITH LEFORT I |
| C0339020 | A0992080 | L0770815 | S0935710 | SCUI | 21280 | HCC | C=Carrier judgment | MEDIAL CANTHOPEXY (SEPARATE PROCEDURE) |
| C0370740 | A1037907 | L0511761 | S0979650 | SCUI | 21340 | HCC | C=Carrier judgment | PERCUTANEOUS TREATMENT OF NASOETHMOID COMPLEX FRACTURE, WITH SPLINT, WIRE OR HEADCAP FIXATION, INCLUDING REPAIR OF CANTHAL LIGAMENTS AND/OR THE NASOLACRIMAL APPARATUS |
| C1314018 | A11002701 | L3154634 | S7049799 | SCUI | 22533 | HCC | C=Carrier judgment | ARTHRODESIS, LATERAL EXTRACAVITARY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); LUMBAR |
| C0519765 | A1413785 | L0529610 | S1460730 | SCUI | 23182 | HCC | C=Carrier judgment | PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), SCAPULA |
| C0186618 | A2412068 | L2339912 | S2776564 | SCUI | 23410 | HCC | C=Carrier judgment | REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE |
| C0186790 | A1413635 | L1218907 | S1460576 | SCUI | 24800 | HCC | C=Carrier judgment | ARTHRODESIS, ELBOW JOINT; LOCAL |
| C0370992 | A2232773 | L1886355 | S2385082 | SCUI | 25440 | HCC | C=Carrier judgment | REPAIR OF NONUNION, SCAPHOID CARPAL (NAVICULAR) BONE, WITH OR WITHOUT RADIAL STYLOIDECTOMY (INCLUDES OBTAINING GRAFT AND NECESSARY FIXATION) |
| C0188048 | A2232538 | L1886722 | S2384794 | SCUI | 27140 | HCC | C=Carrier judgment | OSTEOTOMY AND TRANSFER OF GREATER TROCHANTER OF FEMUR (SEPARATE PROCEDURE) |
| C0187878 | A0851056 | L0226704 | S0791845 | SCUI | 27330 | HCC | C=Carrier judgment | ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY |
HCD
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0520261 | A1077602 | L0886143 | S1020604 | SCUI | 66 | HCD | 19840101 | SURGICAL TEAM |
| C0198834 | A0849248 | L0241092 | S0789805 | SCUI | 01130 | HCD | 19890101 | ANESTHESIA FOR BODY CAST APPLICATION OR REVISION |
| C0370340 | A0849356 | L0488940 | S0789967 | SCUI | 01472 | HCD | 19890101 | ANESTHESIA FOR PROCEDURES ON NERVES, MUSCLES, TENDONS, AND FASCIA OF LOWER LEG, ANKLE, AND FOOT; REPAIR OF RUPTURED ACHILLES TENDON, WITH OR WITHOUT GRAFT |
| C0199153 | A2410303 | L2340121 | S2774926 | SCUI | 01756 | HCD | 19890101 | ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES OF THE ELBOW; RADICAL PROCEDURES |
| C0519745 | A1037049 | L0743348 | S0978596 | SCUI | 11055 | HCD | 19980101 | PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); SINGLE LESION |
| C0191496 | A0949063 | L0559017 | S0890666 | SCUI | 15770 | HCD | 19840101 | GRAFT; DERMA-FAT-FASCIA |
| C0395122 | A1062140 | L0231467 | S1004148 | SCUI | 15824 | HCD | 19820101 | RHYTIDECTOMY; FOREHEAD |
| C0191907 | A0963646 | L0531155 | S0906483 | SCUI | 19340 | HCD | 19840101 | IMMEDIATE INSERTION OF BREAST PROSTHESIS FOLLOWING MASTOPEXY, MASTECTOMY OR IN RECONSTRUCTION |
| C0370644 | A0850123 | L0511940 | S0790783 | SCUI | 20662 | HCD | 19850101 | APPLICATION OF HALO, INCLUDING REMOVAL; PELVIC |
| C0370800 | A1037089 | L0528885 | S0978671 | SCUI | 22112 | HCD | 19840101 | PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; THORACIC |
| C0370863 | A0993213 | L0511032 | S0937395 | SCUI | 23397 | HCD | 19840101 | MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; MULTIPLE |
| C0519767 | A1061731 | L0720074 | S1003693 | SCUI | 24341 | HCD | 19970101 | REPAIR, TENDON OR MUSCLE, UPPER ARM OR ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR SECONDARY (EXCLUDES ROTATOR CUFF) |
| C0371019 | A1413216 | L1218485 | S1460109 | SCUI | 26034 | HCD | 19840101 | INCISION, BONE CORTEX, HAND OR FINGER (EG, OSTEOMYELITIS OR BONE ABSCESS) |
| C0187433 | A1414020 | L1219275 | S1460996 | SCUI | 26565 | HCD | 19840101 | OSTEOTOMY; METACARPAL, EACH |
| C0371109 | A1061997 | L0499657 | S1003980 | SCUI | 27138 | HCD | 19870101 | REVISION OF TOTAL HIP ARTHROPLASTY; FEMORAL COMPONENT ONLY, WITH OR WITHOUT ALLOGRAFT |
| C0371165 | A1413219 | L1218488 | S1460112 | SCUI | 27360 | HCD | 19840101 | PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE, FEMUR, PROXIMAL TIBIA AND/OR FIBULA (EG, OSTEOMYELITIS OR BONE ABSCESS) |
| C0371179 | A1017289 | L0573236 | S0960899 | SCUI | 27448 | HCD | 19840101 | OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITHOUT FIXATION |
| C0188387 | A0887405 | L0546056 | S0828626 | SCUI | 27530 | HCD | 19840101 | CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITHOUT MANIPULATION |
| C0407951 | A0850917 | L0227866 | S0791669 | SCUI | 28755 | HCD | 19840101 | ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT |
HMP
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0198983 | A0849371 | L0241242 | S0789986 | SCUI | 00730 | HMP | A=Not applicable as HCPCS priced under one methodology | ANESTHESIA FOR PROCEDURES ON UPPER POSTERIOR ABDOMINAL WALL |
| C0199160 | A0849373 | L0503669 | S0789988 | SCUI | 01852 | HMP | A=Not applicable as HCPCS priced under one methodology | ANESTHESIA FOR PROCEDURES ON VEINS OF FOREARM, WRIST, AND HAND; PHLEBORRHAPHY |
| C0973248 | A2410288 | L2339955 | S2774911 | SCUI | 01968 | HMP | A=Not applicable as HCPCS priced under one methodology | ANESTHESIA FOR CESAREAN DELIVERY FOLLOWING NEURAXIAL LABOR ANALGESIA/ANESTHESIA (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE PERFORMED) |
| C0185350 | A0851182 | L0223658 | S0792051 | SCUI | 20615 | HMP | A=Not applicable as HCPCS priced under one methodology | ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYST |
| C0188676 | A1061795 | L0227684 | S1003768 | SCUI | 20838 | HMP | A=Not applicable as HCPCS priced under one methodology | REPLANTATION, FOOT, COMPLETE AMPUTATION |
| C0185668 | A1061156 | L0753396 | S1003057 | SCUI | 21244 | HMP | A=Not applicable as HCPCS priced under one methodology | RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSOSTEAL BONE PLATE (EG, MANDIBULAR STAPLE BONE PLATE) |
| C0370783 | A0925046 | L0541212 | S0866762 | SCUI | 21615 | HMP | A=Not applicable as HCPCS priced under one methodology | EXCISION FIRST AND/OR CERVICAL RIB |
| C0185848 | A1077127 | L0224268 | S1019966 | SCUI | 21627 | HMP | A=Not applicable as HCPCS priced under one methodology | STERNAL DEBRIDEMENT |
| C1314016 | A3862836 | L3154934 | S3678771 | SCUI | 21685 | HMP | A=Not applicable as HCPCS priced under one methodology | HYOID MYOTOMY AND SUSPENSION |
| C0186408 | A0873877 | L0224935 | S0814178 | SCUI | 23065 | HMP | A=Not applicable as HCPCS priced under one methodology | BIOPSY, SOFT TISSUE OF SHOULDER AREA; SUPERFICIAL |
| C0520303 | A0935868 | L0812590 | S0877502 | SCUI | 26123 | HMP | A=Not applicable as HCPCS priced under one methodology | FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAFT) |
| C0187689 | A1414014 | L1219269 | S1460990 | SCUI | 26492 | HMP | A=Not applicable as HCPCS priced under one methodology | OPPONENSPLASTY; TENDON TRANSFER WITH GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON |
| C0187578 | A1413653 | L1218914 | S1460590 | SCUI | 26536 | HMP | A=Not applicable as HCPCS priced under one methodology | ARTHROPLASTY, INTERPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT |
| C0371107 | A1061996 | L0499656 | S1003979 | SCUI | 27134 | HMP | A=Not applicable as HCPCS priced under one methodology | REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT |
| C0371231 | A1099617 | L0705587 | S1042228 | SCUI | 27690 | HMP | A=Not applicable as HCPCS priced under one methodology | TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); SUPERFICIAL (EG, ANTERIOR TIBIAL EXTENSORS INTO MIDFOOT) |
| C0188567 | A0849059 | L0227529 | S0789586 | SCUI | 28810 | HMP | A=Not applicable as HCPCS priced under one methodology | AMPUTATION, METATARSAL, WITH TOE, SINGLE |
| C0186604 | A0850983 | L0515298 | S0791762 | SCUI | 29838 | HMP | A=Not applicable as HCPCS priced under one methodology | ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, EXTENSIVE |
| C0371377 | A9064643 | L5621787 | S6503900 | SCUI | 30130 | HMP | A=Not applicable as HCPCS priced under one methodology | EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD |
| C0189297 | A0981088 | L0573612 | S0924221 | SCUI | 31579 | HMP | A=Not applicable as HCPCS priced under one methodology | LARYNGOSCOPY, FLEXIBLE OR RIGID FIBEROPTIC, WITH STROBOSCOPY |
HBT
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0489907 | A0849339 | L0503552 | S0789932 | SCUI | 00124 | HBT | P0=Anesthesia | ANESTHESIA FOR PROCEDURES ON EXTERNAL, MIDDLE, AND INNER EAR INCLUDING BIOPSY; OTOSCOPY |
| C0370295 | A0849347 | L0486304 | S0789948 | SCUI | 00802 | HBT | P0=Anesthesia | ANESTHESIA FOR PROCEDURES ON LOWER ANTERIOR ABDOMINAL WALL; PANNICULECTOMY |
| C0199107 | A2410311 | L2340103 | S2774934 | SCUI | 01404 | HBT | P0=Anesthesia | ANESTHESIA FOR OPEN OR SURGICAL ARTHROSCOPIC PROCEDURES ON KNEE JOINT; DISARTICULATION AT KNEE |
| C0191401 | A1061768 | L0571077 | S1003733 | SCUI | 11970 | HBT | P1G=Major procedure - Other | REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT PROSTHESIS |
| C0370557 | A9064578 | L5618784 | S6503787 | SCUI | 16025 | HBT | P6A=Minor procedures - skin | DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; MEDIUM (EG, WHOLE FACE OR WHOLE EXTREMITY, OR 5% TO 10% TOTAL BODY SURFACE AREA) |
| C0370611 | A11003101 | L0548495 | S0935182 | SCUI | 19303 | HBT | P1A=Major procedure - breast | MASTECTOMY, SIMPLE, COMPLETE |
| C0370693 | A1061216 | L0551767 | S1003139 | SCUI | 21137 | HBT | P3D=Major procedure - orthopedic - other | REDUCTION FOREHEAD; CONTOURING ONLY |
| C0370885 | A1016780 | L0492698 | S0960251 | SCUI | 23660 | HBT | P5B=Ambulatory procedures - musculoskeletal | OPEN TREATMENT OF ACUTE SHOULDER DISLOCATION |
| C0370928 | A0887321 | L0545986 | S0828538 | SCUI | 24565 | HBT | P5B=Ambulatory procedures - musculoskeletal | CLOSED TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL; WITH MANIPULATION |
| C0370993 | A1413649 | L0515219 | S1460585 | SCUI | 25447 | HBT | P3D=Major procedure - orthopedic - other | ARTHROPLASTY, INTERPOSITION, INTERCARPAL OR CARPOMETACARPAL JOINTS |
| C0187727 | A0887288 | L0537693 | S0828499 | SCUI | 25622 | HBT | P6B=Minor procedures - musculoskeletal | CLOSED TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE; WITHOUT MANIPULATION |
| C0371017 | A1413811 | L1219055 | S1460762 | SCUI | 26025 | HBT | P5B=Ambulatory procedures - musculoskeletal | DRAINAGE OF PALMAR BURSA; SINGLE, BURSA |
| C0187234 | A11002706 | L6138622 | S7050998 | SCUI | 26170 | HBT | P5B=Ambulatory procedures - musculoskeletal | EXCISION OF TENDON, PALM, FLEXOR OR EXTENSOR, SINGLE, EACH TENDON |
| C0371048 | A1413957 | L1219216 | S1460934 | SCUI | 26433 | HBT | P5B=Ambulatory procedures - musculoskeletal | REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITHOUT GRAFT (EG, MALLET FINGER) |
| C0186173 | A0851060 | L0224653 | S0791848 | SCUI | 27052 | HBT | P3D=Major procedure - orthopedic - other | ARTHROTOMY, WITH BIOPSY; HIP JOINT |
| C0371138 | A0887318 | L0503599 | S0828535 | SCUI | 27250 | HBT | P6B=Minor procedures - musculoskeletal | CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; WITHOUT ANESTHESIA |
| C0188147 | A0850957 | L0227032 | S0791732 | SCUI | 27441 | HBT | P3C=Major procedure - orthopedic - Knee replacement | ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH DEBRIDEMENT AND PARTIAL SYNOVECTOMY |
| C0188393 | A0887368 | L0546011 | S0828586 | SCUI | 27780 | HBT | P6B=Minor procedures - musculoskeletal | CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITHOUT MANIPULATION |
| C0371282 | A0925237 | L0499662 | S0866964 | SCUI | 28103 | HBT | P5B=Ambulatory procedures - musculoskeletal | EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ALLOGRAFT |
HPD
(return to top)| 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 |
| C0370469 | A1075931 | L0452712 | S1018480 | SCUI | 12018 | HPD | 19870720 | SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; OVER 30.0 CM |
| C0370503 | A0848165 | L0457492 | S0788453 | SCUI | 14040 | HPD | 19920130 | ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS |
| C0191771 | A1413884 | L1219132 | S1460844 | SCUI | 15958 | HPD | 19900312 | EXCISION, TROCHANTERIC PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN GRAFT CLOSURE; WITH OSTECTOMY |
| C0370653 | A0874372 | L0511029 | S0814790 | SCUI | 20902 | HPD | 19870720 | BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE |
| C0370755 | A0887357 | L0545897 | S0828575 | SCUI | 21421 | HPD | 19920130 | CLOSED TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE), WITH INTERDENTAL WIRE FIXATION OR FIXATION OF DENTURE OR SPLINT |
| C0489909 | A0887385 | L0503617 | S0828606 | SCUI | 23650 | HPD | 19920130 | CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; WITHOUT ANESTHESIA |
| C0370904 | A0925220 | L0499667 | S0866947 | SCUI | 24126 | HPD | 19900312 | EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR OLECRANON PROCESS; WITH ALLOGRAFT |
| C0370956 | A0925280 | L0570886 | S0867028 | SCUI | 25110 | HPD | 19870720 | EXCISION, LESION OF TENDON SHEATH, FOREARM AND/OR WRIST |
| C0187423 | A0850949 | L0226162 | S0791715 | SCUI | 25445 | HPD | 19920130 | ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIUM |
| C0187566 | A1414017 | L1219272 | S1460993 | SCUI | 26471 | HPD | 19870720 | TENODESIS; OF PROXIMAL INTERPHALANGEAL JOINT, EACH JOINT |
| C0371059 | A1413998 | L1219254 | S1460975 | SCUI | 26479 | HPD | 19920130 | SHORTENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON |
| C0187584 | A1061465 | L0226344 | S1003415 | SCUI | 26548 | HPD | 19920130 | REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, INTERPHALANGEAL JOINT |
| C0188147 | A0850957 | L0227032 | S0791732 | SCUI | 27441 | HPD | 19920130 | ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH DEBRIDEMENT AND PARTIAL SYNOVECTOMY |
| C0371193 | A0887304 | L0545878 | S0828517 | SCUI | 27510 | HPD | 19920130 | CLOSED TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, WITH MANIPULATION |
| C0188538 | A1017247 | L0792247 | S0960852 | SCUI | 28112 | HPD | 19870720 | OSTECTOMY, COMPLETE EXCISION; OTHER METATARSAL HEAD (SECOND, THIRD OR FOURTH) |
| C0188455 | A1413961 | L1219219 | S1460938 | SCUI | 28250 | HPD | 19900312 | DIVISION OF PLANTAR FASCIA AND MUSCLE (EG, STEINDLER STRIPPING) (SEPARATE PROCEDURE) |
| C0371303 | A1413805 | L0532384 | S1460756 | SCUI | 28292 | HPD | 19900312 | CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; KELLER, MCBRIDE, OR MAYO TYPE PROCEDURE |
| C0371313 | A0887283 | L0533963 | S0828494 | SCUI | 28405 | HPD | 19900312 | CLOSED TREATMENT OF CALCANEAL FRACTURE; WITH MANIPULATION |
HPG
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0197214 | A0874068 | L0239014 | S0814390 | SCUI | 15820 | HPG | YY | BLEPHAROPLASTY, LOWER EYELID |
| C0197216 | A0874071 | L0239016 | S0814392 | SCUI | 15822 | HPG | YY | BLEPHAROPLASTY, UPPER EYELID |
| C0370551 | A1413885 | L1219133 | S1460845 | SCUI | 15936 | HPG | YY | EXCISION, SACRAL PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN GRAFT CLOSURE |
| C0370553 | A0925273 | L0830015 | S0867021 | SCUI | 15941 | HPG | YY | EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY (ISCHIECTOMY) |
| C0370606 | A0991587 | L0487392 | S0935188 | SCUI | 19020 | HPG | YY | MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP |
| C0191910 | A1061355 | L0231869 | S1003295 | SCUI | 19328 | HPG | YY | REMOVAL OF INTACT MAMMARY IMPLANT |
| C0370619 | A0874581 | L0531210 | S0815064 | SCUI | 19366 | HPG | YY | BREAST RECONSTRUCTION WITH OTHER TECHNIQUE |
| C0370752 | A1752834 | L0528558 | S1801202 | SCUI | 21400 | HPG | YY | CLOSED TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITHOUT MANIPULATION |
| C0370788 | A1016872 | L0566375 | S0960364 | SCUI | 21805 | HPG | YY | OPEN TREATMENT OF RIB FRACTURE WITHOUT FIXATION, EACH |
| C0186979 | A0887276 | L0491509 | S0828487 | SCUI | 23540 | HPG | YY | CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLOCATION; WITHOUT MANIPULATION |
| C0186584 | A0963738 | L0225164 | S0906641 | SCUI | 24164 | HPG | YY | IMPLANT REMOVAL; RADIAL HEAD |
| C0186791 | A1413626 | L1218899 | S1460567 | SCUI | 24802 | HPG | YY | ARTHRODESIS, ELBOW JOINT; WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING GRAFT) |
| C0187165 | A0851062 | L0225837 | S0791856 | SCUI | 25100 | HPG | YY | ARTHROTOMY, WRIST JOINT; WITH BIOPSY |
| C0187035 | A0887373 | L0546058 | S0828591 | SCUI | 25565 | HPG | YY | CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION |
| C0371041 | A1413993 | L1219248 | S1460969 | SCUI | 26410 | HPG | YY | REPAIR, EXTENSOR TENDON, HAND, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON |
| C0371059 | A1413998 | L1219254 | S1460975 | SCUI | 26479 | HPG | YY | SHORTENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON |
| C0187575 | A1413658 | L1218917 | S1460593 | SCUI | 26530 | HPG | YY | ARTHROPLASTY, METACARPOPHALANGEAL JOINT; EACH JOINT |
| C0489914 | A0887345 | L0503614 | S0828563 | SCUI | 26705 | HPG | YY | CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION; REQUIRING ANESTHESIA |
| C0371145 | A0887366 | L0503524 | S0828584 | SCUI | 27265 | HPG | YY | CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; WITHOUT ANESTHESIA |
HLC
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0200385 | A1016539 | L0242940 | S0959961 | SCUI | 80055 | HLC | 530=Antibody detection (nontransfusion) | OBSTETRIC PANEL |
| C0373529 | A0847634 | L0488629 | S0787871 | SCUI | 82010 | HLC | 310=Routine chemistry | ACETONE OR OTHER KETONE BODIES, SERUM; QUANTITATIVE |
| C0373533 | A0848596 | L0691557 | S0788945 | SCUI | 82044 | HLC | 310=Routine chemistry | ALBUMIN; URINE, MICROALBUMIN, SEMIQUANTITATIVE (EG, REAGENT STRIP ASSAY) |
| C0695051 | A1413233 | L1218502 | S1460127 | SCUI | 82127 | HLC | 310=Routine chemistry | AMINO ACIDS; SINGLE, QUALITATIVE, EACH SPECIMEN |
| C0201930 | A0885366 | L0744857 | S0825745 | SCUI | 82374 | HLC | 310=Routine chemistry | CARBON DIOXIDE (BICARBONATE) |
| C0201956 | A0664519 | L0008852 | S0609355 | SCUI | 82507 | HLC | 310=Routine chemistry | CITRATE |
| C0302272 | A0665593 | L0010286 | S0611028 | SCUI | 82540 | HLC | 310=Routine chemistry | CREATINE |
| C0373603 | A0924840 | L0570103 | S0866546 | SCUI | 82671 | HLC | 330=Endocrinology | ESTROGENS; FRACTIONATED |
| C0373608 | A0948170 | L0456800 | S0889630 | SCUI | 82776 | HLC | 310=Routine chemistry | GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE; SCREEN |
| C0373615 | A0954139 | L0644207 | S0896108 | SCUI | 82820 | HLC | 310=Routine chemistry | HEMOGLOBIN-OXYGEN AFFINITY (PO2 FOR 50% HEMOGLOBIN SATURATION WITH OXYGEN) |
| C0344438 | A0948729 | L0579350 | S0890285 | SCUI | 82946 | HLC | 310=Routine chemistry | GLUCAGON TOLERANCE TEST |
| C0202022 | A0948932 | L0840888 | S0890529 | SCUI | 83001 | HLC | 330=Endocrinology | GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH) |
| C0373640 | A0954153 | L0582731 | S0896124 | SCUI | 83055 | HLC | 310=Routine chemistry | HEMOGLOBIN; SULFHEMOGLOBIN, QUALITATIVE |
| C0373657 | A0720830 | L0021918 | S0665374 | SCUI | 83528 | HLC | 310=Routine chemistry | INTRINSIC FACTOR |
| C0236402 | A0978625 | L0463709 | S0921692 | SCUI | 83586 | HLC | 330=Endocrinology | KETOSTEROIDS, 17- (17-KS); TOTAL |
| C0524167 | A0728479 | L0023175 | S0673261 | SCUI | 83655 | HLC | 340=Toxicology | LEAD |
| C0202118 | A0981457 | L0694769 | S0924793 | SCUI | 83670 | HLC | 310=Routine chemistry | LEUCINE AMINOPEPTIDASE (LAP) |
| C0373671 | A9063132 | L0528405 | S0925132 | SCUI | 83700 | HLC | 310=Routine chemistry | LIPOPROTEIN, BLOOD; ELECTROPHORETIC SEPARATION AND QUANTITATION |
| C0428257 | A0992179 | L0595683 | S0935844 | SCUI | 83825 | HLC | 340=Toxicology | MERCURY, QUANTITATIVE |
HMR
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0520253 | A0912130 | L0814084 | S0853748 | SCUI | 53 | HMR | 5243 | DISCONTINUED PROCEDURE |
| C0191752 | A11003478 | L0570817 | S7051004 | SCUI | 15834 | HMR | 2329 | EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); HIP |
| C0189046 | A1062117 | L0498414 | S1004115 | SCUI | 30410 | HMR | 2329 | RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL AND ALAR CARTILAGES, AND/OR ELEVATION OF NASAL TIP |
| C0371381 | A1062120 | L0754506 | S1004118 | SCUI | 30435 | HMR | 2329 | RHINOPLASTY, SECONDARY; INTERMEDIATE REVISION (BONY WORK WITH OSTEOTOMIES) |
| C0371914 | A0911627 | L0558595 | S0853156 | SCUI | 41850 | HMR | 2136 | DESTRUCTION OF LESION (EXCEPT EXCISION), DENTOALVEOLAR STRUCTURES |
| C0371915 | A1037940 | L0580094 | S0979686 | SCUI | 41870 | HMR | 2136 | PERIODONTAL MUCOSAL GRAFTING |
| C0372601 | A0851068 | L6193209 | S0791865 | SCUI | 58321 | HMR | 2005.1 | ARTIFICIAL INSEMINATION; INTRA-CERVICAL |
| C0002627 | A2233171 | L0011920 | S2385534 | SCUI | 59000 | HMR | 2005.1 | AMNIOCENTESIS; DIAGNOSTIC |
| C0008509 | A0886870 | L0511088 | S0827957 | SCUI | 59015 | HMR | 2005.1 | CHORIONIC VILLUS SAMPLING, ANY METHOD |
| C0372628 | A0936253 | L0551855 | S0877929 | SCUI | 59020 | HMR | 2005.1 | FETAL CONTRACTION STRESS TEST |
| C0195662 | A0980975 | L0236927 | S0924135 | SCUI | 59150 | HMR | 2005.1 | LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITHOUT SALPINGECTOMY AND/OR OOPHORECTOMY |
| C0195637 | A1413922 | L0236891 | S1460888 | SCUI | 59160 | HMR | 2005.1 | CURETTAGE, POSTPARTUM |
| C0372638 | A0964539 | L0778620 | S0907636 | SCUI | 59200 | HMR | 2005.1 | INSERTION OF CERVICAL DILATOR (EG, LAMINARIA, PROSTAGLANDIN) (SEPARATE PROCEDURE) |
| C0404381 | A0911496 | L0807877 | S0852953 | SCUI | 59414 | HMR | 2005.1 | DELIVERY OF PLACENTA (SEPARATE PROCEDURE) |
| C0195652 | A1110232 | L0236917 | S1052496 | SCUI | 59870 | HMR | 2005.1 | UTERINE EVACUATION AND CURETTAGE FOR HYDATIDIFORM MOLE |
| C0373335 | A11003515 | L6139219 | S7050636 | SCUI | 76705 | HMR | 2070 | ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT, FOLLOW-UP) |
| C0373344 | A7185569 | L5302613 | S6058255 | SCUI | 76828 | HMR | 2005.1 | DOPPLER ECHOCARDIOGRAPHY, FETAL, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY; FOLLOW-UP OR REPEAT STUDY |
| C0373801 | A0954134 | L0743960 | S0896093 | SCUI | 85460 | HMR | 2005.1 | HEMOGLOBIN OR RBCS, FETAL, FOR FETOMATERNAL HEMORRHAGE; DIFFERENTIAL LYSIS (KLEIHAUER-BETKE) |
| C0519834 | A0849506 | L0706483 | S0790169 | SCUI | 86148 | HMR | 5114.1 | ANTI-PHOSPHATIDYLSERINE (PHOSPHOLIPID) ANTIBODY |
HIR
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0198860 | A0849343 | L0503663 | S0789936 | SCUI | 00142 | HIR | 35-44 | ANESTHESIA FOR PROCEDURES ON EYE; LENS SURGERY |
| C0191643 | A0925293 | L0231546 | S0867063 | SCUI | 15931 | HIR | 35-31 | EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE |
| C0191769 | A0925299 | L0231695 | S0867071 | SCUI | 15952 | HIR | 35-31 | EXCISION, TROCHANTERIC PRESSURE ULCER, WITH SKIN FLAP CLOSURE |
| C0370619 | A0874581 | L0531210 | S0815064 | SCUI | 19366 | HIR | 35-47 | BREAST RECONSTRUCTION WITH OTHER TECHNIQUE |
| C0370773 | A0887402 | L0545864 | S0828623 | SCUI | 21485 | HIR | 35-2 | CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; COMPLICATED (EG, RECURRENT REQUIRING INTERMAXILLARY FIXATION OR SPLINTING), INITIAL OR SUBSEQUENT |
| C0371512 | A1061379 | L0565353 | S1003326 | SCUI | 33237 | HIR | 65-6 | REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; DUAL LEAD SYSTEM |
| C0371702 | A11002520 | L6138957 | S7050538 | SCUI | 35301 | HIR | 35-32 | THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; CAROTID, VERTEBRAL, SUBCLAVIAN, BY NECK INCISION |
| C0190534 | A11003486 | L6138459 | S7050743 | SCUI | 35506 | HIR | 35-37 | BYPASS GRAFT, WITH VEIN; CAROTID-SUBCLAVIAN OR SUBCLAVIAN-CAROTID |
| C0190769 | A0874926 | L0518833 | S0815499 | SCUI | 35516 | HIR | 35-32 | BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-AXILLARY |
| C0371760 | A1099751 | L0514745 | S1042359 | SCUI | 35694 | HIR | 35-37 | TRANSPOSITION AND/OR REIMPLANTATION; SUBCLAVIAN TO CAROTID ARTERY |
| C0189642 | A0964543 | L0721265 | S0907640 | SCUI | 36260 | HIR | 60-14 | INSERTION OF IMPLANTABLE INTRA-ARTERIAL INFUSION PUMP (EG, FOR CHEMOTHERAPY OF LIVER) |
| C0371974 | A0924786 | L0526584 | S0866495 | SCUI | 43202 | HIR | 35-59 | ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE |
| C0371975 | A0924787 | L0569869 | S0866497 | SCUI | 43204 | HIR | 35-73 | ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INJECTION SCLEROSIS OF ESOPHAGEAL VARICES |
| C0371983 | A1109918 | L0512067 | S1052176 | SCUI | 43243 | HIR | 35-59 | UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH INJECTION SCLEROSIS OF ESOPHAGEAL AND/OR GASTRIC VARICES |
| C0371985 | A2233113 | L1886155 | S2385466 | SCUI | 43245 | HIR | 35-59 | UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH DILATION OF GASTRIC OUTLET FOR OBSTRUCTION (EG, BALLOON, GUIDE WIRE, BOUGIE) |
| C0371987 | A1109920 | L0512061 | S1052178 | SCUI | 43247 | HIR | 35-59 | UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH REMOVAL OF FOREIGN BODY |
| C0371991 | A1109922 | L0512068 | S1052180 | SCUI | 43251 | HIR | 35-59 | UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM AND/OR JEJUNUM AS APPROPRIATE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE |
| C0193507 | A0924399 | L0745488 | S0865967 | SCUI | 43263 | HIR | 35-59 | ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH PRESSURE MEASUREMENT OF SPHINCTER OF ODDI (PANCREATIC DUCT OR COMMON BILE DUCT) |
| C0193508 | A2231704 | L1886303 | S2383905 | SCUI | 43264 | HIR | 35-59 | ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC RETROGRADE REMOVAL OF CALCULUS/CALCULI FROM BILIARY AND/OR PANCREATIC DUCTS |
HTD
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0194812 | A16023087 | L0838689 | S1042382 | SCUI | 52612 | HTD | 20081231 | TRANSURETHRAL RESECTION OF PROSTATE; FIRST STAGE OF TWO-STAGE RESECTION (PARTIAL RESECTION) |
| C0973309 | A16023924 | L1886604 | S2385400 | SCUI | 53853 | HTD | 20081231 | TRANSURETHRAL DESTRUCTION OF PROSTATE TISSUE; BY WATER-INDUCED THERMOTHERAPY |
| C0373390 | A16022346 | L0455279 | S1003218 | SCUI | 77781 | HTD | 20081231 | REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 1-4 SOURCE POSITIONS OR CATHETERS |
| C0373392 | A16022591 | L0461231 | S1003220 | SCUI | 77783 | HTD | 20081231 | REMOTE AFTERLOADING HIGH INTENSITY BRACHYTHERAPY; 9-12 SOURCE POSITIONS OR CATHETERS |
| C1611207 | A16022862 | L6138893 | S7049745 | SCUI | 90761 | HTD | 20081231 | INTRAVENOUS INFUSION, HYDRATION; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) |
| C1609000 | A16022863 | L5620371 | S6502298 | SCUI | 90768 | HTD | 20081231 | INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); CONCURRENT INFUSION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) |
| C1964067 | A16023674 | L6776545 | S8013003 | SCUI | 90770 | HTD | 20081231 | SUBCUTANEOUS INFUSION FOR THERAPY OR PROPHYLAXIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) |
| C1964069 | A16024220 | L6776559 | S8013099 | SCUI | 90776 | HTD | 20081231 | THERAPEUTIC, PROPHYLACTIC OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL SEQUENTIAL INTRAVENOUS PUSH OF THE SAME SUBSTANCE/DRUG PROVIDED IN A FACILITY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) |
| C0374164 | A16023965 | L6138619 | S7050982 | SCUI | 90918 | HTD | 20081231 | END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR PATIENTS YOUNGER THAN TWO YEARS OF AGE TO INCLUDE MONITORING FOR THE ADEQUACY OF NUTRITION, ASSESSMENT OF GROWTH AND DEVELOPMENT, AND COUNSELING OF PARENTS |
| C0374167 | A16024222 | L6139265 | S7050981 | SCUI | 90921 | HTD | 20081231 | END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES PER FULL MONTH; FOR PATIENTS TWENTY YEARS OF AGE AND OLDER |
| C0374168 | A16023678 | L6139403 | S7050980 | SCUI | 90922 | HTD | 20081231 | END-STAGE RENAL DISEASE (ESRD) RELATED SERVICES (LESS THAN FULL MONTH), PER DAY; FOR PATIENTS YOUNGER THAN TWO YEARS OF AGE |
| C0374188 | A16023389 | L0527735 | S0907945 | SCUI | 91100 | HTD | 20081231 | INTESTINAL BLEEDING TUBE, PASSAGE, POSITIONING AND MONITORING |
| C0812559 | A16023402 | L1501478 | S1800596 | SCUI | 93727 | HTD | 20081231 | ELECTRONIC ANALYSIS OF IMPLANTABLE LOOP RECORDER (ILR) SYSTEM (INCLUDES RETRIEVAL OF RECORDED AND STORED ECG DATA, PHYSICIAN REVIEW AND INTERPRETATION OF RETRIEVED ECG DATA AND REPROGRAMMING) |
| C0374336 | A16022371 | L0491998 | S0865644 | SCUI | 93731 | HTD | 20081231 | ELECTRONIC ANALYSIS OF DUAL-CHAMBER PACEMAKER SYSTEM (INCLUDES EVALUATION OF PROGRAMMABLE PARAMETERS AT REST AND DURING ACTIVITY WHERE APPLICABLE, USING ELECTROCARDIOGRAPHIC RECORDING AND INTERPRETATION OF RECORDINGS AT REST AND DURING EXERCISE, ANALYSIS OF EVENT MARKERS AND DEVICE RESPONSE); WITHOUT REPROGRAMMING |
| C0374338 | A16023404 | L0502023 | S0865642 | SCUI | 93733 | HTD | 20081231 | ELECTRONIC ANALYSIS OF DUAL CHAMBER INTERNAL PACEMAKER SYSTEM (MAY INCLUDE RATE, PULSE AMPLITUDE AND DURATION, CONFIGURATION OF WAVE FORM, AND/OR TESTING OF SENSORY FUNCTION OF PACEMAKER), TELEPHONIC ANALYSIS |
| C0374341 | A16023979 | L0502024 | S0865649 | SCUI | 93736 | HTD | 20081231 | ELECTRONIC ANALYSIS OF SINGLE CHAMBER INTERNAL PACEMAKER SYSTEM (MAY INCLUDE RATE, PULSE AMPLITUDE AND DURATION, CONFIGURATION OF WAVE FORM, AND/OR TESTING OF SENSORY FUNCTION OF PACEMAKER), TELEPHONIC ANALYSIS |
| C0812563 | A16023153 | L1501002 | S1800353 | SCUI | 93744 | HTD | 20081231 | ELECTRONIC ANALYSIS OF PACING CARDIOVERTER-DEFIBRILLATOR (INCLUDES INTERROGATION, EVALUATION OF PULSE GENERATOR STATUS, EVALUATION OF PROGRAMMABLE PARAMETERS AT REST AND DURING ACTIVITY WHERE APPLICABLE, USING ELECTROCARDIOGRAPHIC RECORDING AND INTERPRETATION OF RECORDINGS AT REST AND DURING EXERCISE, ANALYSIS OF EVENT MARKERS AND DEVICE RESPONSE); DUAL CHAMBER, WITH REPROGRAMMING |
| C0202636 | A16023406 | L0245813 | S1041133 | SCUI | 93762 | HTD | 20081231 | THERMOGRAM; PERIPHERAL |
| C1144741 | A16024249 | L5302179 | S6057251 | SCUI | 99293 | HTD | 20081231 | INITIAL INPATIENT PEDIATRIC CRITICAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A CRITICALLY ILL INFANT OR YOUNG CHILD, 29 DAYS THROUGH 24 MONTHS OF AGE |
HXR
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0185335 | A0964161 | L0811476 | S0907212 | SCUI | 20501 | HXR | 20500 | INJECTION OF SINUS TRACT; DIAGNOSTIC (SINOGRAM) |
| C0186440 | A1075571 | L0487329 | S1018016 | SCUI | 23170 | HXR | 23172 | SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), CLAVICLE |
| C0519764 | A1413775 | L0529550 | S1460720 | SCUI | 23180 | HXR | 23182 | PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), CLAVICLE |
| C0186460 | A1413781 | L0529605 | S1460726 | SCUI | 23184 | HXR | 23185 | PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), PROXIMAL HUMERUS |
| C0370927 | A0887322 | L0545987 | S0828539 | SCUI | 24560 | HXR | 24576 | CLOSED TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL; WITHOUT MANIPULATION |
| C0186532 | A1037081 | L0529611 | S0978662 | SCUI | 25150 | HXR | 25151 | PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); ULNA |
| C0186533 | A1037080 | L0529609 | S0978661 | SCUI | 25151 | HXR | 25150 | PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); RADIUS |
| C0187044 | A0887303 | L0545912 | S0828516 | SCUI | 25675 | HXR | 25660 | CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIPULATION |
| C0371010 | A1016806 | L0492591 | S0960281 | SCUI | 25676 | HXR | 25670 | OPEN TREATMENT OF DISTAL RADIOULNAR DISLOCATION, ACUTE OR CHRONIC |
| C0520301 | A1413674 | L1218932 | S1460608 | SCUI | 26070 | HXR | 26100 | ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; CARPOMETACARPAL JOINT |
| C0187180 | A1413665 | L1218923 | S1460599 | SCUI | 26100 | HXR | 26070 | ARTHROTOMY WITH BIOPSY; CARPOMETACARPAL JOINT, EACH |
| C0187395 | A0850914 | L0515145 | S0791664 | SCUI | 26841 | HXR | 26843 | ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION |
| C0187399 | A2231012 | L1886182 | S2383188 | SCUI | 26843 | HXR | 26841 | ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH |
| C0187400 | A2231013 | L1886180 | S2383189 | SCUI | 26844 | HXR | 26842 | ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) |
| C0186096 | A1413687 | L1218943 | S1460621 | SCUI | 27030 | HXR | 27033 | ARTHROTOMY, HIP, WITH DRAINAGE (EG, INFECTION) |
| C0371150 | A1413677 | L1218935 | S1460611 | SCUI | 27310 | HXR | 27331 | ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY (EG, INFECTION) |
| C0188136 | A1413450 | L1218724 | S1460365 | SCUI | 27422 | HXR | 27424 | RECONSTRUCTION OF DISLOCATING PATELLA; WITH EXTENSOR REALIGNMENT AND/OR MUSCLE ADVANCEMENT OR RELEASE (EG, CAMPBELL, GOLDWAITE TYPE PROCEDURE) |
| C0371212 | A1413538 | L1218815 | S1460474 | SCUI | 27610 | HXR | 27620 | ARTHROTOMY, ANKLE, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY |
| C0188422 | A0851051 | L0504591 | S0791827 | SCUI | 27620 | HXR | 27610 | ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY |
HSN
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| C0812450 | A0964550 | L0810475 | S0907649 | SCUI | 58300 | HSN | 1862a1A | INSERTION OF INTRAUTERINE DEVICE (IUD) |
| 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) |
| C0373126 | A0963770 | L0529477 | S0906683 | SCUI | 69710 | HSN | 1862.A7 | IMPLANTATION OR REPLACEMENT OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL BONE |
| C0519824 | A0924110 | L0824908 | S0865629 | SCUI | 80051 | HSN | 1833(h) | ELECTROLYTE PANEL |
| C0519827 | A1099389 | L0076829 | S1041955 | SCUI | 80201 | HSN | 1833(h) | TOPIRAMATE |
| C0519833 | A1099977 | L0882762 | S1042630 | SCUI | 84512 | HSN | 1833(h) | TROPONIN, QUALITATIVE |
| C0519834 | A0849506 | L0706483 | S0790169 | SCUI | 86148 | HSN | 1833(h) | ANTI-PHOSPHATIDYLSERINE (PHOSPHOLIPID) ANTIBODY |
| C0373848 | A2059876 | L1774694 | S2211194 | SCUI | 86704 | HSN | 1833(h) | HEPATITIS B CORE ANTIBODY (HBCAB); TOTAL |
| C0201478 | A0954265 | L0707999 | S0896261 | SCUI | 86706 | HSN | 1833(h) | HEPATITIS B SURFACE ANTIBODY (HBSAB) |
| C0373852 | A0954253 | L0483959 | S0896231 | SCUI | 86709 | HSN | 1833(h) | HEPATITIS A ANTIBODY (HAAB); IGM ANTIBODY |
| C0201487 | A0418594 | L0193643 | S0376279 | SCUI | 86803 | HSN | 1833(h) | HEPATITIS C ANTIBODY |
| C0373853 | A0954283 | L0708372 | S0896300 | SCUI | 86804 | HSN | 1833(h) | HEPATITIS C ANTIBODY; CONFIRMATORY TEST (EG, IMMUNOBLOT) |
| C0519840 | A1947951 | L1774522 | S2072687 | SCUI | 87265 | HSN | 1833(h) | INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; BORDETELLA PERTUSSIS/PARAPERTUSSIS |
| C0519842 | A3861561 | L3154540 | S3677544 | SCUI | 87272 | HSN | 1833(h) | INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; CRYPTOSPORIDIUM |
| C0519846 | A1947959 | L1774543 | S2072693 | SCUI | 87280 | HSN | 1833(h) | INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; RESPIRATORY SYNCYTIAL VIRUS |
| C0519847 | A1946333 | L1774542 | S2070778 | SCUI | 87285 | HSN | 1833(h) | INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; TREPONEMA PALLIDUM |
| C0201288 | A1947957 | L1774534 | S2072691 | SCUI | 87299 | HSN | 1833(h) | INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; NOT OTHERWISE SPECIFIED, EACH ORGANISM |
| C0519856 | A11003524 | L1218746 | S7049647 | SCUI | 87340 | HSN | 1833(h) | INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, QUALITATIVE OR SEMIQUANTITATIVE, MULTIPLE-STEP METHOD; HEPATITIS B SURFACE ANTIGEN (HBSAG) |
HPN
(return to top)| 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) |
| 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 |
| C0918132 | A1947535 | L1774982 | S2072206 | SCUI | 67221 | HPN | 0115=PHOTODYNAMIC THERAPY (INCLUDES INTRAVENOUS INFUSION) COVERAGE LIMITED TO AGE RELATED MACULAR DEGENERATION (AMD) WITH OCCULT LESIONS WITH NO CLASSIC CHOROIDAL NEOVASCULARIZATION. | DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); PHOTODYNAMIC THERAPY (INCLUDES INTRAVENOUS INFUSION) |
| C0695039 | A2232414 | L1885896 | S2384663 | SCUI | 69990 | HPN | 0092=SEE NPRN FOR THE MEDICARE PHYSICIANS' FEE SCHEDULE FOR 2000, PUBLISHED IN THE FEDERAL REGISTER ON JULY 22, 1999. | MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) |
| C1736899 | A11002741 | L6138829 | S7050444 | SCUI | 77057 | HPN | 0067=BENEFIT PER BALANCED BUDGET ACT OF 1997 SECTION 4101 (76092). | SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW FILM STUDY OF EACH BREAST) |
| C0373423 | A0995232 | L0567928 | S0939503 | SCUI | 78459 | HPN | 0110=SEE TRANSMITTAL AB-02-065. CIM 50-36 WILL GIVE COVERAGE INDICATIONS. 78459 SHOULD BE USED FOR DETERMINATION OF MYOCARDIAL VIABILITY AS A PRIMARY OR INITIAL DIAGNOSTIC STUDY PRIOR TO REVASCULARIZATION. | MYOCARDIAL IMAGING, POSITRON EMISSION TOMOGRAPHY (PET), METABOLIC EVALUATION |
| C0373438 | A0874559 | L0530752 | S0815032 | SCUI | 78609 | HPN | 0148=NCD MANUAL 220.6. | BRAIN IMAGING, POSITRON EMISSION TOMOGRAPHY (PET); PERFUSION EVALUATION |
| C0519829 | A0887885 | L0711477 | S0829347 | SCUI | 82523 | HPN | 0068=CODES 76070, 76075, 78350, 82523 WERE REINSTATED IN 1998. BENEFIT UNDER BALANCED BUDGET ACT OF 1997 SECTION 4106. SEE G0131 AND G0132. | COLLAGEN CROSS LINKS, ANY METHOD |
| C0302187 | A0665685 | L0056541 | S0611161 | SCUI | 82585 | HPN | 0002=THESE CODES (82585, 82595) PERTAIN TO PERFORMING THE ANALYSIS FOR THE ANALYTE AS OPPOSED TO ADMINISTRATION OF THE ANALYTE. | CRYOFIBRINOGEN |
| C0202093 | A1947351 | L1775044 | S2072004 | SCUI | 82595 | HPN | 0002=THESE CODES (82585, 82595) PERTAIN TO PERFORMING THE ANALYSIS FOR THE ANALYTE AS OPPOSED TO ADMINISTRATION OF THE ANALYTE. | CRYOGLOBULIN, QUALITATIVE OR SEMI-QUANTITATIVE (EG, CRYOCRIT) |
| C0373847 | A1413469 | L1218743 | S1460387 | SCUI | 86256 | HPN | 0006=THIS IS NOT A LAB TEST AND IS NOT CERTIFIED. | FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, EACH ANTIBODY |
| C0373870 | A1037111 | L0497339 | S0978691 | SCUI | 86403 | HPN | 0005=THE CERTIFICATION CATEGORY WILL DEPEND ON THE TYPE OF TEST/OR ORGANISM IDENTIFIED AND THERE MUST BE AN IDENTIFIER TO INDICATE THE SPECIFIC TESTING PERFORMED (87082-87085, 89100, 89130, 89132, 86403). | PARTICLE AGGLUTINATION; SCREEN, EACH ANTIBODY |
| C0199756 | A1076066 | L0242149 | S1018628 | SCUI | 86490 | HPN | 0006=THIS IS NOT A LAB TEST AND IS NOT CERTIFIED. | SKIN TEST; COCCIDIOIDOMYCOSIS |
CPF
(return to top)| CUI | METAUI | LUI | SUI | STYPE | CODE | ATN | ATV | STR |
|---|---|---|---|---|---|---|---|---|
| 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 |
| C0520256 | A1039329 | L0868953 | S0981504 | SCUI | 56 | CPF | PREOPERATIVE MANAGEMENT ONLY: WHEN ONE PHYSICIAN PERFORMS THE PREOPERATIVE CARE AND EVALUATION AND ANOTHER PHYSICIAN PERFORMS THE SURGICAL PROCEDURE, THE PREOPERATIVE COMPONENT MAY BE IDENTIFIED BY ADDING THE MODIFIER -56 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09956. | PREOPERATIVE MANAGEMENT ONLY |
| C0520259 | A0912178 | L0816871 | S0853802 | SCUI | 59 | CPF | DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY. MODIFIER -59 IS USED TO IDENTIFY PROCEDURES/SERVICES THAT ARE NOT NORMALLY REPORTED TOGETHER, BUT ARE APPROPRIATE UNDER THE CIRCUMSTANCES. THIS MAY REPRESENT A DIFFERENT SESSION OR PATIENT ENCOUNTER, DIFFERENT PROCEDURE OR SURGERY, DIFFERNET SITE OR ORGAN SYSTEM, SEPARATE INCISION/EXCISION, SEPARATE LESION, OR SEPARATE INJURY (OR AREA OF INJURY IN EXTENSIVE INJURIES) NOT ORDINARILY ENCOUNTERED OR PERFORMED ON THE SAME DAY BY THE SAME PHYSICIAN. HOWEVER, WHAN ANOTHER ALREADY ESTABLISHED MODIFIER IS APPROPRIATE IT SHOULD BE USED RATHER THAN MODIFIER -59. ONLY IF NO MORE DESCRIPTIVE MODIFIER IS AVAILABLE, AND THE USE OF MODIFIER -59 BEST EXPLAINS THE CIRCUMSTANCES, SHOULD MODIFIER -59 BE USED. MODIFIER CODE 09959 MAY BE USED AS AN ALTERNATE TO MODIFIER -59. | DISTINCT PROCEDURAL SERVICE |
| C0520261 | A1077602 | L0886143 | S1020604 | SCUI | 66 | CPF | SURGICAL TEAM: UNDER SOME CIRCUMSTANCES, HIGHLY COMPLEX PROCEDURES (REQUIRING THE CONCOMITANT SERVICES OF SEVERAL PHYSICIANS, OFTEN OF DIFFERENT SPECIALTIES, PLUS OTHER HIGHLY SKILLED, SPECIALLY TRAINED PERSONNEL, VARIOUS TYPES OF COMPLEX EQUIPMENT) ARE CARRIED OUT UNDER THE "SURGICAL TEAM" CONCEPT. SUCH CIRCUMSTANCES MAY BE IDENTIFIED BY EACH PARTICIPATING PHYSICIAN WITH THE ADDITION OF THE MODIFIER -66 TO THE BASIC PROCEDURE NUMBER USED FOR REPORTING SERVICES. MODIFIER CODE 09966 MAY BE USED AS AN ALTERNATIVE TO MODIFIER -66. | SURGICAL TEAM |
| C0520262 | A1061736 | L0879909 | S1003699 | SCUI | 76 | CPF | REPEAT PROCEDURE BY SAME PHYSICIAN: THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS REPEATED SUBSEQUENT TO THE ORIGINAL PROCEDURE OR SERVICE. THIS CIRCUMSTANCE MAY BE REPORTED BY ADDING THE MODIFIER -76 TO THE REPEATED PROCEDURE OR SERVICE OR THE SEPARATE FIVE DIGIT MODIFIER CODE 09976 MAY BE USED. | REPEAT PROCEDURE BY SAME PHYSICIAN |
| C0520263 | A1061735 | L0703336 | S1003698 | SCUI | 77 | CPF | REPEAT PROCEDURE BY ANOTHER PHYSICIAN: THE PHYSICIAN MAY NEED TO INDICATE THAT A BASIC PROCEDURE OR SERVICE PERFORMED BY ANOTHER PHYSICIAN HAD TO BE REPEATED. THIS SITUATION MAY BE REPORTED BY ADDING MODIFIER -77 TO THE REPEATED PROCEDURE/SERVICE OR THE SEPARATE FIVE DIGIT MODIFIER CODE 09977 MAY BE USED. | REPEAT PROCEDURE BY ANOTHER PHYSICIAN |
| C0520264 | A1061960 | L0654259 | S1003937 | SCUI | 78 | CPF | RETURN TO THE OPERATING ROOM FOR A RELATED PROCEDURE DURING THE POSTOPERATIVE PERIOD: THE PHYSICIAN MAY NEED TO INDICATE THAT ANOTHER PROCEDURE WAS PERFORMED DURING THE POSTOPERATIVE PERIOD OF THE INITIAL PROCEDURE. WHEN THIS SUBSEQUENT PROCEDURE IS RELATED TO THE FIRST, AND REQUIRES THE USE OF THE OPERATING ROOM, IT MAY BE REPORTED BY ADDING THE MODIFIER -78 TO THE RELATED PROCEDURE, OR BY USING THE SEPARATE FIVE DIGIT MODIFIER 09978. (FOR REPEAT PROCEDURES ON THE SAME DAY, SEE -76). | RETURN TO THE OPERATING ROOM FOR A RELATED PROCEDURE DURING THE POSTOPERATIVE PERIOD |
| C0520265 | A1109816 | L0821289 | S1052080 | SCUI | 79 | CPF | UNRELATED PROCEDURE OR SERVICE BY THE SAME PHYSICIAN DURING THE POSTOPERATIVE PERIOD: THE PHYSICIAN MAY NEED TO INDICATE THAT THE PERFORMANCE OF A PROCEDURE OR SERVICE DURING THE POSTOPERATIVE PERIOD WAS UNRELATED TO THE ORIGINAL PROCEDURE. THIS CIRCUMSTANCE MAY BE REPORTED BY USING THE MODIFIER -79 OR BY USING THE SEPARATE FIVE DIGIT MODIFIER 09979. (FOR REPEAT PROCEDURES ON THE SAME DAY, SEE -76). | UNRELATED PROCEDURE OR SERVICE BY THE SAME PHYSICIAN DURING THE POSTOPERATIVE PERIOD |
| C0520266 | A0851229 | L0729987 | S0792094 | SCUI | 80 | CPF | ASSISTANT SURGEON: SURGICAL ASSISTANT SERVICES MAY BE IDENTIFIED BY ADDING THE MODIFIER -80 TO THE USUAL PROCEDURE NUMBER(S) OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09980. | ASSISTANT SURGEON |
| C0520267 | A0992530 | L0729980 | S0936572 | SCUI | 81 | CPF | MINIMUM ASSISTANT SURGEON: MINIMUM SURGICAL ASSISTANT SERVICES ARE IDENTIFIED BY ADDING THE MODIFIER -81 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09981. | MINIMUM ASSISTANT SURGEON |
| C0520268 | A0851230 | L0729966 | S0792095 | SCUI | 82 | CPF | ASSISTANT SURGEON (WHEN QUALIFIED RESIDENT SURGEON NOT AVAILABLE): THE UNAVAILABILITY OF A QUALIFIED RESIDENT SURGEON IS A PREREQUISITE FOR USE OF MODIFIER -82 APPENDED TO THE USUAL PROCEDURE CODE NUMBER(S) OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09982. | ASSISTANT SURGEON (WHEN QUALIFIED RESIDENT SURGEON NOT AVAILABLE) |
| C0520269 | A1061228 | L0863678 | S1003166 | SCUI | 90 | CPF | REFERENCE (OUTSIDE) LABORATORY: WHEN LABORATORY PROCEDURES ARE PERFORMED BY A PARTY OTHER THAN THE TREATING OR REPORTING PHYSICIAN, THE PROCEDURE MAY BE IDENTIFIED BY ADDING THE MODIFIER -90 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09990. | REFERENCE (OUTSIDE) LABORATORY |
