{
"description": "The Level II HCPCS codes, which are established by CMS's Alpha-Numeric Editorial Panel, primarily represent items and supplies and non-physician services not covered by the American Medical Association's Current Procedural Terminology-4 (CPT-4) codes; Medicare, Medicaid, and private health insurers use HCPCS procedure and modifier codes for claims processing. Level II alphanumeric procedure and modifier codes comprise the A to V range.",
"_filename": "CodeSystem-hcpcs.json",
"package_name": "fhir.tx.support.r4",
"date": "2024-12-24",
"publisher": "U.S. Centers for Medicare & Medicaid Services (CMS)",
"property": [ {
"code": "seqnum",
"type": "string",
"description": "Code to identify record type"
} ],
"name": "HCPCSLevelII",
"type": null,
"experimental": "false",
"resourceType": "CodeSystem",
"title": "Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes",
"package_version": "0.28.0",
"status": "active",
"id": "92d0fc83-fe09-4b0f-a135-9047e5949e8c",
"kind": null,
"url": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"concept": [ {
"code": "A1",
"display": "Dressing for one wound",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for one wound"
} ]
}, {
"code": "A2",
"display": "Dressing for two wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for two wounds"
} ]
}, {
"code": "A3",
"display": "Dressing for three wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for three wounds"
} ]
}, {
"code": "A4",
"display": "Dressing for four wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for four wounds"
} ]
}, {
"code": "A5",
"display": "Dressing for five wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for five wounds"
} ]
}, {
"code": "A6",
"display": "Dressing for six wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for six wounds"
} ]
}, {
"code": "A7",
"display": "Dressing for seven wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for seven wounds"
} ]
}, {
"code": "A8",
"display": "Dressing for eight wounds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for eight wounds"
} ]
}, {
"code": "A9",
"display": "Dressing for 9 or more wound",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dressing for nine or more wounds"
} ]
}, {
"code": "AA",
"display": "Anesthesia perf by anesgst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anesthesia services performed personally by anesthesiologist"
} ]
}, {
"code": "AB",
"display": "Aud svs w/o order evry 12mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Audiology service furnished personally by an audiologist without a"
} ]
}, {
"code": "AB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physician/npp order for non-acute hearing assessment unrelated to"
} ]
}, {
"code": "AB",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "disequilibrium, or hearing aids, or examinations for the purpose of"
} ]
}, {
"code": "AB",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "prescribing, fitting, or changing hearing aids; service may be performed once"
} ]
}, {
"code": "AB",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "every 12 months, per beneficiary"
} ]
}, {
"code": "AD",
"display": "Md supervision, >4 anes proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical supervision by a physician: more than four concurrent anesthesia"
} ]
}, {
"code": "AD",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedures"
} ]
}, {
"code": "AE",
"display": "Registered dietician",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Registered dietician"
} ]
}, {
"code": "AF",
"display": "Specialty physician",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty physician"
} ]
}, {
"code": "AG",
"display": "Primary physician",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Primary physician"
} ]
}, {
"code": "AH",
"display": "Clinical psychologist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical psychologist"
} ]
}, {
"code": "AI",
"display": "Principal physician of rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Principal physician of record"
} ]
}, {
"code": "AJ",
"display": "Clinical social worker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical social worker"
} ]
}, {
"code": "AK",
"display": "Non participating physician",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non participating physician"
} ]
}, {
"code": "AM",
"display": "Physician, team member svc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician, team member service"
} ]
}, {
"code": "AO",
"display": "Prov declined alt pmt method",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alternate payment method declined by provider of service"
} ]
}, {
"code": "AP",
"display": "No dtmn of refractive state",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Determination of refractive state was not performed in the course of diagnostic"
} ]
}, {
"code": "AP",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ophthalmological examination"
} ]
}, {
"code": "AQ",
"display": "Physician service hpsa area",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician providing a service in an unlisted health professional shortage area"
} ]
}, {
"code": "AQ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(hpsa)"
} ]
}, {
"code": "AR",
"display": "Physician scarcity area",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician provider services in a physician scarcity area"
} ]
}, {
"code": "AS",
"display": "Assistant at surgery service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician assistant, nurse practitioner, or clinical nurse specialist services"
} ]
}, {
"code": "AS",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for assistant at surgery"
} ]
}, {
"code": "AT",
"display": "Acute treatment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acute treatment (this modifier should be used when reporting service 98940,"
} ]
}, {
"code": "AT",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "98941, 98942)"
} ]
}, {
"code": "AU",
"display": "Uro, ostomy or trach item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item furnished in conjunction with a urological, ostomy, or tracheostomy supply"
} ]
}, {
"code": "AV",
"display": "Item w prosthetic/orthotic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item furnished in conjunction with a prosthetic device, prosthetic or orthotic"
} ]
}, {
"code": "AW",
"display": "Item w a surgical dressing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item furnished in conjunction with a surgical dressing"
} ]
}, {
"code": "AX",
"display": "Item w dialysis services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item furnished in conjunction with dialysis services"
} ]
}, {
"code": "AY",
"display": "Item/service not for esrd tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item or service furnished to an esrd patient that is not for the treatment of"
} ]
}, {
"code": "AY",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "esrd"
} ]
}, {
"code": "AZ",
"display": "Physician serv in dent hpsa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician providing a service in a dental health professional shortage area for"
} ]
}, {
"code": "AZ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the purpose of an electronic health record incentive payment"
} ]
}, {
"code": "BA",
"display": "Item w pen services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item furnished in conjunction with parenteral enteral nutrition (pen) services"
} ]
}, {
"code": "BL",
"display": "Spec acquisition blood prods",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special acquisition of blood and blood products"
} ]
}, {
"code": "BO",
"display": "Nutrition oral admin no tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orally administered nutrition, not by feeding tube"
} ]
}, {
"code": "BP",
"display": "Bene electd to purchase item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The beneficiary has been informed of the purchase and rental options and has"
} ]
}, {
"code": "BP",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elected to purchase the item"
} ]
}, {
"code": "BR",
"display": "Bene elected to rent item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The beneficiary has been informed of the purchase and rental options and has"
} ]
}, {
"code": "BR",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elected to rent the item"
} ]
}, {
"code": "BU",
"display": "Bene undecided on purch/rent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The beneficiary has been informed of the purchase and rental options and after"
} ]
}, {
"code": "BU",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "30 days has not informed the supplier of his/her decision"
} ]
}, {
"code": "CA",
"display": "Procedure payable inpatient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procedure payable only in the inpatient setting when performed emergently on an"
} ]
}, {
"code": "CA",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outpatient who expires prior to admission"
} ]
}, {
"code": "CB",
"display": "Esrd bene part a snf-sep pay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service ordered by a renal dialysis facility (rdf) physician as part of the"
} ]
}, {
"code": "CB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "esrd beneficiary's dialysis benefit, is not part of the composite rate, and is"
} ]
}, {
"code": "CB",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "separately reimbursable"
} ]
}, {
"code": "CC",
"display": "Procedure code change",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procedure code change (use 'cc' when the procedure code submitted was changed"
} ]
}, {
"code": "CC",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "either for administrative reasons or because an incorrect code was filed)"
} ]
}, {
"code": "CD",
"display": "Amcc test for esrd or mcp md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amcc test has been ordered by an esrd facility or mcp physician that is part of"
} ]
}, {
"code": "CD",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the composite rate and is not separately billable"
} ]
}, {
"code": "CE",
"display": "Med neces amcc tst sep reimb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amcc test has been ordered by an esrd facility or mcp physician that is a"
} ]
}, {
"code": "CE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "composite rate test but is beyond the normal frequency covered under the rate"
} ]
}, {
"code": "CE",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and is separately reimbursable based on medical necessity"
} ]
}, {
"code": "CF",
"display": "Amcc tst not composite rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amcc test has been ordered by an esrd facility or mcp physician that is not"
} ]
}, {
"code": "CF",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "part of the composite rate and is separately billable"
} ]
}, {
"code": "CG",
"display": "Policy criteria applied",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Policy criteria applied"
} ]
}, {
"code": "CH",
"display": "0 percent impaired, ltd, res",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "0 percent impaired, limited or restricted"
} ]
}, {
"code": "CI",
"display": "1 to <20 percent impaired",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 1 percent but less than 20 percent impaired, limited or restricted"
} ]
}, {
"code": "CJ",
"display": "20 to <40 percent impaired",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 20 percent but less than 40 percent impaired, limited or restricted"
} ]
}, {
"code": "CK",
"display": "40 to <60 percent impaired",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 40 percent but less than 60 percent impaired, limited or restricted"
} ]
}, {
"code": "CL",
"display": "60 to <80 percent impaired",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 60 percent but less than 80 percent impaired, limited or restricted"
} ]
}, {
"code": "CM",
"display": "80 to <100 percent impaired",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 80 percent but less than 100 percent impaired, limited or restricted"
} ]
}, {
"code": "CN",
"display": "100 percent impaired, ltd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "100 percent impaired, limited or restricted"
} ]
}, {
"code": "CO",
"display": "Outpatient ot service by ota",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Outpatient occupational therapy services furnished in whole or in part by an"
} ]
}, {
"code": "CO",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "occupational therapy assistant"
} ]
}, {
"code": "CP",
"display": "C-apc adjunctive service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjunctive service related to a procedure assigned to a comprehensive"
} ]
}, {
"code": "CP",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ambulatory payment classification (c-apc) procedure, but reported on a"
} ]
}, {
"code": "CP",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "different claim"
} ]
}, {
"code": "CQ",
"display": "Outpatient pt service by pta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Outpatient physical therapy services furnished in whole or in part by a"
} ]
}, {
"code": "CQ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physical therapist assistant"
} ]
}, {
"code": "CR",
"display": "Catastrophe/disaster related",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catastrophe/disaster related"
} ]
}, {
"code": "CS",
"display": "Cost share waiver covid-19",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cost-sharing waived for specified covid-19 testing-related services that result"
} ]
}, {
"code": "CS",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in and order for or administration of a covid-19 test and/or used for"
} ]
}, {
"code": "CS",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cost-sharing waived preventive services furnished via telehealth in rural"
} ]
}, {
"code": "CS",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "health clinics and federally qualified health centers during the covid-19"
} ]
}, {
"code": "CS",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "public health emergency"
} ]
}, {
"code": "CT",
"display": "Ct does not meet nema standa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Computed tomography services furnished using equipment that does not meet each"
} ]
}, {
"code": "CT",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of the attributes of the national electrical manufacturers association (nema)"
} ]
}, {
"code": "CT",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "xr-29-2013 standard"
} ]
}, {
"code": "DA",
"display": "Oral health assess, not dent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral health assessment by a licensed health professional other than a dentist"
} ]
}, {
"code": "E1",
"display": "Upper left eyelid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper left, eyelid"
} ]
}, {
"code": "E2",
"display": "Lower left eyelid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower left, eyelid"
} ]
}, {
"code": "E3",
"display": "Upper right eyelid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper right, eyelid"
} ]
}, {
"code": "E4",
"display": "Lower right eyelid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower right, eyelid"
} ]
}, {
"code": "EA",
"display": "Esa, anemia, chemo-induced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Erythropoietic stimulating agent (esa) administered to treat anemia due to"
} ]
}, {
"code": "EA",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-cancer chemotherapy"
} ]
}, {
"code": "EB",
"display": "Esa, anemia, radio-induced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Erythropoietic stimulating agent (esa) administered to treat anemia due to"
} ]
}, {
"code": "EB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-cancer radiotherapy"
} ]
}, {
"code": "EC",
"display": "Esa, anemia, non-chemo/radio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Erythropoietic stimulating agent (esa) administered to treat anemia not due to"
} ]
}, {
"code": "EC",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-cancer radiotherapy or anti-cancer chemotherapy"
} ]
}, {
"code": "ED",
"display": "Hct>39% or hgb>13g>=3 cycle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl)"
} ]
}, {
"code": "ED",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for 3 or more consecutive billing cycles immediately prior to and including the"
} ]
}, {
"code": "ED",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "current cycle"
} ]
}, {
"code": "EE",
"display": "Hct>39% or hgb>13g<3 cycle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded"
} ]
}, {
"code": "EE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and"
} ]
}, {
"code": "EE",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including the current cycle"
} ]
}, {
"code": "EJ",
"display": "Subsequent claim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Subsequent claims for a defined course of therapy, e.g., epo, sodium"
} ]
}, {
"code": "EJ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hyaluronate, infliximab"
} ]
}, {
"code": "EM",
"display": "Emer reserve supply (esrd)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency reserve supply (for esrd benefit only)"
} ]
}, {
"code": "EP",
"display": "Medicaid epsdt program svc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service provided as part of medicaid early periodic screening diagnosis and"
} ]
}, {
"code": "EP",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment (epsdt) program"
} ]
}, {
"code": "ER",
"display": "Off-campus ed service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Items and services furnished by a provider-based, off-campus emergency"
} ]
}, {
"code": "ER",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department"
} ]
}, {
"code": "ET",
"display": "Emergency services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency services"
} ]
}, {
"code": "EX",
"display": "Expatriate beneficiary",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Expatriate beneficiary"
} ]
}, {
"code": "EY",
"display": "No md order for item/service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No physician or other licensed health care provider order for this item or"
} ]
}, {
"code": "EY",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "service"
} ]
}, {
"code": "F1",
"display": "Left hand, second digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left hand, second digit"
} ]
}, {
"code": "F2",
"display": "Left hand, third digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left hand, third digit"
} ]
}, {
"code": "F3",
"display": "Left hand, fourth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left hand, fourth digit"
} ]
}, {
"code": "F4",
"display": "Left hand, fifth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left hand, fifth digit"
} ]
}, {
"code": "F5",
"display": "Right hand, thumb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right hand, thumb"
} ]
}, {
"code": "F6",
"display": "Right hand, second digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right hand, second digit"
} ]
}, {
"code": "F7",
"display": "Right hand, third digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right hand, third digit"
} ]
}, {
"code": "F8",
"display": "Right hand, fourth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right hand, fourth digit"
} ]
}, {
"code": "F9",
"display": "Right hand, fifth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right hand, fifth digit"
} ]
}, {
"code": "FA",
"display": "Left hand, thumb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left hand, thumb"
} ]
}, {
"code": "FB",
"display": "Item provided without cost",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item provided without cost to provider, supplier or practitioner, or full"
} ]
}, {
"code": "FB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "credit received for replaced device (examples, but not limited to, covered"
} ]
}, {
"code": "FB",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "under warranty, replaced due to defect, free samples)"
} ]
}, {
"code": "FC",
"display": "Part credit, replaced device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial credit received for replaced device"
} ]
}, {
"code": "FP",
"display": "Svc part of family plan pgm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service provided as part of family planning program"
} ]
}, {
"code": "FQ",
"display": "Audio-only service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The service was furnished using audio-only communication technology"
} ]
}, {
"code": "FR",
"display": "Two-way a/v dir supervision",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The supervising practitioner was present through two-way, audio/video"
} ]
}, {
"code": "FR",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "communication technology"
} ]
}, {
"code": "FS",
"display": "Split or shared e/m visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Split (or shared) evaluation and management visit"
} ]
}, {
"code": "FT",
"display": "Separate, unrelated e/m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unrelated evaluation and management (e/m) visit on the same day as another e/m"
} ]
}, {
"code": "FT",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "visit or during a global procedure (preoperative, postoperative period, or on"
} ]
}, {
"code": "FT",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the same day as the procedure, as applicable). (report when an e/m visit is"
} ]
}, {
"code": "FT",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "furnished within the global period but is unrelated, or when one or more"
} ]
}, {
"code": "FT",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "additional e/m visits furnished on the same day are unrelated)"
} ]
}, {
"code": "FX",
"display": "X-ray taken using film",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "X-ray taken using film"
} ]
}, {
"code": "FY",
"display": "Computed radiography x-ray",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "X-ray taken using computed radiography technology/cassette-based imaging"
} ]
}, {
"code": "G0",
"display": "Telestroke",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an"
} ]
}, {
"code": "G0",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "acute stroke"
} ]
}, {
"code": "G1",
"display": "Urr reading of less than 60",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent urr reading of less than 60"
} ]
}, {
"code": "G2",
"display": "Urr reading of 60 to 64.9",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent urr reading of 60 to 64.9"
} ]
}, {
"code": "G3",
"display": "Urr reading of 65 to 69.9",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent urr reading of 65 to 69.9"
} ]
}, {
"code": "G4",
"display": "Urr reading of 70 to 74.9",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent urr reading of 70 to 74.9"
} ]
}, {
"code": "G5",
"display": "Urr reading of 75 or greater",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent urr reading of 75 or greater"
} ]
}, {
"code": "G6",
"display": "Esrd patient <6 dialysis/mth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esrd patient for whom less than six dialysis sessions have been provided in a"
} ]
}, {
"code": "G6",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "month"
} ]
}, {
"code": "G7",
"display": "Payment limits do not apply",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pregnancy resulted from rape or incest or pregnancy certified by physician as"
} ]
}, {
"code": "G7",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "life threatening"
} ]
}, {
"code": "G8",
"display": "Monitored anesthesia care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitored anesthesia care (mac) for deep complex, complicated, or markedly"
} ]
}, {
"code": "G8",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "invasive surgical procedure"
} ]
}, {
"code": "G9",
"display": "Mac for at risk patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitored anesthesia care for patient who has history of severe"
} ]
}, {
"code": "G9",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cardio-pulmonary condition"
} ]
}, {
"code": "GA",
"display": "Liability waiver ind case",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Waiver of liability statement issued as required by payer policy, individual"
} ]
}, {
"code": "GA",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "case"
} ]
}, {
"code": "GB",
"display": "Claim resubmitted",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Claim being re-submitted for payment because it is no longer covered under a"
} ]
}, {
"code": "GB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "global payment demonstration"
} ]
}, {
"code": "GC",
"display": "Resident/teaching phys serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This service has been performed in part by a resident under the direction of a"
} ]
}, {
"code": "GC",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "teaching physician"
} ]
}, {
"code": "GD",
"display": "Unit of service > mue value",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Units of service exceeds medically unlikely edit value and represents"
} ]
}, {
"code": "GD",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reasonable and necessary services"
} ]
}, {
"code": "GE",
"display": "Resident prim care exception",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This service has been performed by a resident without the presence of a"
} ]
}, {
"code": "GE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "teaching physician under the primary care exception"
} ]
}, {
"code": "GF",
"display": "Nonphysician serv c a hosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-physician (e.g. nurse practitioner (np), certified registered nurse"
} ]
}, {
"code": "GF",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anesthetist (crna), certified registered nurse (crn), clinical nurse specialist"
} ]
}, {
"code": "GF",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(cns), physician assistant (pa)) services in a critical access hospital"
} ]
}, {
"code": "GG",
"display": "Payment screen mam + diagmam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Performance and payment of a screening mammogram and diagnostic mammogram on"
} ]
}, {
"code": "GG",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the same patient, same day"
} ]
}, {
"code": "GH",
"display": "Diag mammo to screening mamo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic mammogram converted from screening mammogram on same day"
} ]
}, {
"code": "GJ",
"display": "Opt out provider of er srvc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "\"opt out\" physician or practitioner emergency or urgent service"
} ]
}, {
"code": "GK",
"display": "Actual item/service ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reasonable and necessary item/service associated with a ga or gz modifier"
} ]
}, {
"code": "GL",
"display": "Upgraded item, no charge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medically unnecessary upgrade provided instead of non-upgraded item, no charge,"
} ]
}, {
"code": "GL",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "no advance beneficiary notice (abn)"
} ]
}, {
"code": "GM",
"display": "Multiple transports",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multiple patients on one ambulance trip"
} ]
}, {
"code": "GN",
"display": "Op speech language service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services delivered under an outpatient speech language pathology plan of care"
} ]
}, {
"code": "GO",
"display": "Op occupational therapy serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services delivered under an outpatient occupational therapy plan of care"
} ]
}, {
"code": "GP",
"display": "Op pt services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services delivered under an outpatient physical therapy plan of care"
} ]
}, {
"code": "GQ",
"display": "Telehealth store and forward",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Via asynchronous telecommunications system"
} ]
}, {
"code": "GR",
"display": "Service by va resident",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This service was performed in whole or in part by a resident in a department of"
} ]
}, {
"code": "GR",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "veterans affairs medical center or clinic, supervised in accordance with va"
} ]
}, {
"code": "GR",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "policy"
} ]
}, {
"code": "GS",
"display": "Epo/darbepoietin reduced 25%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dosage of erythropoietin stimulating agent has been reduced and maintained in"
} ]
}, {
"code": "GS",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "response to hematocrit or hemoglobin level"
} ]
}, {
"code": "GT",
"display": "Interactivetelecommunication",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Via interactive audio and video telecommunication systems"
} ]
}, {
"code": "GU",
"display": "Liability waiver rout notice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Waiver of liability statement issued as required by payer policy, routine notice"
} ]
}, {
"code": "GV",
"display": "Attending phys not hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Attending physician not employed or paid under arrangement by the patient's"
} ]
}, {
"code": "GV",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospice provider"
} ]
}, {
"code": "GW",
"display": "Service unrelated to term co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service not related to the hospice patient's terminal condition"
} ]
}, {
"code": "GX",
"display": "Voluntary liability notice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Notice of liability issued, voluntary under payer policy"
} ]
}, {
"code": "GY",
"display": "Statutorily excluded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item or service statutorily excluded, does not meet the definition of any"
} ]
}, {
"code": "GY",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare benefit or, for non-medicare insurers, is not a contract benefit"
} ]
}, {
"code": "GZ",
"display": "Not reasonable and necessary",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item or service expected to be denied as not reasonable and necessary"
} ]
}, {
"code": "H9",
"display": "Court-ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Court-ordered"
} ]
}, {
"code": "HA",
"display": "Child/adolescent program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Child/adolescent program"
} ]
}, {
"code": "HB",
"display": "Adult program non-geriatric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult program, non geriatric"
} ]
}, {
"code": "HC",
"display": "Adult program geriatric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult program, geriatric"
} ]
}, {
"code": "HD",
"display": "Pregnant/parenting program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pregnant/parenting women's program"
} ]
}, {
"code": "HE",
"display": "Mental health program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health program"
} ]
}, {
"code": "HF",
"display": "Substance abuse program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Substance abuse program"
} ]
}, {
"code": "HG",
"display": "Opioid addiction tx program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Opioid addiction treatment program"
} ]
}, {
"code": "HH",
"display": "Mental hlth/substance abs pr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integrated mental health/substance abuse program"
} ]
}, {
"code": "HI",
"display": "Men hlth intel/dev disab pgm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integrated mental health and intellectual disability/developmental disabilities"
} ]
}, {
"code": "HI",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program"
} ]
}, {
"code": "HJ",
"display": "Employee assistance program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Employee assistance program"
} ]
}, {
"code": "HK",
"display": "Spec hgh rsk mntl hlth pop p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialized mental health programs for high-risk populations"
} ]
}, {
"code": "HL",
"display": "Intern",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intern"
} ]
}, {
"code": "HM",
"display": "Less than bachelor degree lv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Less than bachelor degree level"
} ]
}, {
"code": "HN",
"display": "Bachelors degree level",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bachelors degree level"
} ]
}, {
"code": "HO",
"display": "Masters degree level",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Masters degree level"
} ]
}, {
"code": "HP",
"display": "Doctoral level",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Doctoral level"
} ]
}, {
"code": "HQ",
"display": "Group setting",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group setting"
} ]
}, {
"code": "HR",
"display": "Family/couple w client prsnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Family/couple with client present"
} ]
}, {
"code": "HS",
"display": "Family/couple w/o client prs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Family/couple without client present"
} ]
}, {
"code": "HT",
"display": "Multi-disciplinary team",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multi-disciplinary team"
} ]
}, {
"code": "HU",
"display": "Child welfare agency funded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Funded by child welfare agency"
} ]
}, {
"code": "HV",
"display": "Funded state addiction agncy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Funded state addictions agency"
} ]
}, {
"code": "HW",
"display": "State mntl hlth agncy funded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Funded by state mental health agency"
} ]
}, {
"code": "HX",
"display": "County/local agency funded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Funded by county/local agency"
} ]
}, {
"code": "HY",
"display": "Funded by juvenile justice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Funded by juvenile justice agency"
} ]
}, {
"code": "HZ",
"display": "Criminal justice agncy fund",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Funded by criminal justice agency"
} ]
}, {
"code": "J1",
"display": "Cap no-pay for prescript num",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Competitive acquisition program no-pay submission for a prescription number"
} ]
}, {
"code": "J2",
"display": "Cap restock of emerg drugs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Competitive acquisition program, restocking of emergency drugs after emergency"
} ]
}, {
"code": "J2",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administration"
} ]
}, {
"code": "J3",
"display": "Cap drug unavail thru cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Competitive acquisition program (cap), drug not available through cap as"
} ]
}, {
"code": "J3",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "written, reimbursed under average sales price methodology"
} ]
}, {
"code": "J4",
"display": "Dmepos comp bid furn by hosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program that is furnished by"
} ]
}, {
"code": "J4",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "a hospital upon discharge"
} ]
}, {
"code": "J5",
"display": "Dmepos comp bid fur by pt/ot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Off-the-shelf orthotic subject to dmepos competitive bidding program that is"
} ]
}, {
"code": "J5",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "furnished as part of a physical therapist or occupational therapist"
} ]
}, {
"code": "J5",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "professional service"
} ]
}, {
"code": "JA",
"display": "Administered intravenously",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administered intravenously"
} ]
}, {
"code": "JB",
"display": "Administered subcutaneously",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administered subcutaneously"
} ]
}, {
"code": "JC",
"display": "Skin substitute graft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin substitute used as a graft"
} ]
}, {
"code": "JD",
"display": "Skin sub not used as a graft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin substitute not used as a graft"
} ]
}, {
"code": "JE",
"display": "Administered via dialysate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administered via dialysate"
} ]
}, {
"code": "JF",
"display": "Compounded drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compounded drug"
} ]
}, {
"code": "JG",
"display": "340b acquired drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug or biological acquired with 340b drug pricing program discount, reported"
} ]
}, {
"code": "JG",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for informational purposes"
} ]
}, {
"code": "JK",
"display": "Drug supply 1 month or less",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One month supply or less of drug or biological"
} ]
}, {
"code": "JL",
"display": "Drug 3 month supply",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Three month supply of drug or biological"
} ]
}, {
"code": "JW",
"display": "Discarded drug not administe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug amount discarded/not administered to any patient"
} ]
}, {
"code": "JZ",
"display": "Zero drug wasted",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zero drug amount discarded/not administered to any patient"
} ]
}, {
"code": "K0",
"display": "Lwr ext prost functnl lvl 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity prosthesis functional level 0 - does not have the ability or"
} ]
}, {
"code": "K0",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "potential to ambulate or transfer safely with or without assistance and a"
} ]
}, {
"code": "K0",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prosthesis does not enhance their quality of life or mobility."
} ]
}, {
"code": "K1",
"display": "Lwr ext prost functnl lvl 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity prosthesis functional level 1 - has the ability or potential to"
} ]
}, {
"code": "K1",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use a prosthesis for transfers or ambulation on level surfaces at fixed"
} ]
}, {
"code": "K1",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cadence. typical of the limited and unlimited household ambulator."
} ]
}, {
"code": "K2",
"display": "Lwr ext prost functnl lvl 2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity prosthesis functional level 2 - has the ability or potential"
} ]
}, {
"code": "K2",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for ambulation with the ability to traverse low level environmental barriers"
} ]
}, {
"code": "K2",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "such as curbs, stairs or uneven surfaces. typical of the limited community"
} ]
}, {
"code": "K2",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "ambulator."
} ]
}, {
"code": "K3",
"display": "Lwr ext prost functnl lvl 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity prosthesis functional level 3 - has the ability or potential"
} ]
}, {
"code": "K3",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for ambulation with variable cadence. typical of the community ambulator who"
} ]
}, {
"code": "K3",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "has the ability to transverse most environmental barriers and may have"
} ]
}, {
"code": "K3",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "vocational, therapeutic, or exercise activity that demands prosthetic"
} ]
}, {
"code": "K3",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "utilization beyond simple locomotion."
} ]
}, {
"code": "K4",
"display": "Lwr ext prost functnl lvl 4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity prosthesis functional level 4 - has the ability or potential"
} ]
}, {
"code": "K4",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting"
} ]
}, {
"code": "K4",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "high impact, stress, or energy levels, typical of the prosthetic demands of the"
} ]
}, {
"code": "K4",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "child, active adult, or athlete."
} ]
}, {
"code": "KA",
"display": "Wheelchair add-on option/acc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Add on option/accessory for wheelchair"
} ]
}, {
"code": "KB",
"display": ">4 modifiers on claim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim"
} ]
}, {
"code": "KC",
"display": "Repl special pwr wc intrface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement of special power wheelchair interface"
} ]
}, {
"code": "KD",
"display": "Drug/biological dme infused",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug or biological infused through dme"
} ]
}, {
"code": "KE",
"display": "Bid under round 1 dmepos cb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bid under round one of the dmepos competitive bidding program for use with"
} ]
}, {
"code": "KE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-competitive bid base equipment"
} ]
}, {
"code": "KF",
"display": "Fda class iii device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item designated by fda as class iii device"
} ]
}, {
"code": "KG",
"display": "Dmepos comp bid prgm no 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program number 1"
} ]
}, {
"code": "KH",
"display": "Dmepos ini clm, pur/1 mo rnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item, initial claim, purchase or first month rental"
} ]
}, {
"code": "KI",
"display": "Dmepos 2nd or 3rd mo rental",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item, second or third month rental"
} ]
}, {
"code": "KJ",
"display": "Dmepos pen pmp or 4-15mo rnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months"
} ]
}, {
"code": "KJ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "four to fifteen"
} ]
}, {
"code": "KK",
"display": "Dmepos comp bid prgm no 2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program number 2"
} ]
}, {
"code": "KL",
"display": "Dmepos mailorder comp bid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item delivered via mail"
} ]
}, {
"code": "KM",
"display": "Rplc facial prosth new imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement of facial prosthesis including new impression/moulage"
} ]
}, {
"code": "KN",
"display": "Rplc facial prosth old mod",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement of facial prosthesis using previous master model"
} ]
}, {
"code": "KO",
"display": "Single drug unit dose form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Single drug unit dose formulation"
} ]
}, {
"code": "KP",
"display": "First drug of multi drug u d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "First drug of a multiple drug unit dose formulation"
} ]
}, {
"code": "KQ",
"display": "2nd/subsqnt drg multi drg ud",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Second or subsequent drug of a multiple drug unit dose formulation"
} ]
}, {
"code": "KR",
"display": "Rental item partial month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rental item, billing for partial month"
} ]
}, {
"code": "KS",
"display": "Glucose monitor supply",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glucose monitor supply for diabetic beneficiary not treated with insulin"
} ]
}, {
"code": "KT",
"display": "Item from noncontract supply",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beneficiary resides in a competitive bidding area and travels outside that"
} ]
}, {
"code": "KT",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "competitive bidding area and receives a competitive bid item"
} ]
}, {
"code": "KU",
"display": "Dmepos comp bid prgm no 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program number 3"
} ]
}, {
"code": "KV",
"display": "Dmepos item, profession serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program that is furnished as"
} ]
}, {
"code": "KV",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "part of a professional service"
} ]
}, {
"code": "KW",
"display": "Dmepos comp bid prgm no 4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program number 4"
} ]
}, {
"code": "KX",
"display": "Documentation on file",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Requirements specified in the medical policy have been met"
} ]
}, {
"code": "KY",
"display": "Dmepos comp bid prgm no 5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dmepos item subject to dmepos competitive bidding program number 5"
} ]
}, {
"code": "KZ",
"display": "New cov not implement by m+c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "New coverage not implemented by managed care"
} ]
}, {
"code": "L1",
"display": "Separately payable lab test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Provider attestation that the hospital laboratory test(s) is not packaged under"
} ]
}, {
"code": "L1",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the hospital opps"
} ]
}, {
"code": "LC",
"display": "Lft circum coronary artery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left circumflex coronary artery"
} ]
}, {
"code": "LD",
"display": "Left ant des coronary artery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left anterior descending coronary artery"
} ]
}, {
"code": "LL",
"display": "Lease/rental (appld to pur)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lease/rental (use the 'll' modifier when dme equipment rental is to be applied"
} ]
}, {
"code": "LL",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "against the purchase price)"
} ]
}, {
"code": "LM",
"display": "Left main coronary artery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left main coronary artery"
} ]
}, {
"code": "LR",
"display": "Laboratory round trip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laboratory round trip"
} ]
}, {
"code": "LS",
"display": "Fda-monitored iol implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fda-monitored intraocular lens implant"
} ]
}, {
"code": "LT",
"display": "Left side",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left side (used to identify procedures performed on the left side of the body)"
} ]
}, {
"code": "LU",
"display": "Fractionated payment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fractionated payment"
} ]
}, {
"code": "M2",
"display": "Medicare secondary payer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicare secondary payer (msp)"
} ]
}, {
"code": "MA",
"display": "Emer med cond susp/confirm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ordering professional is not required to consult a clinical decision support"
} ]
}, {
"code": "MA",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism due to service being rendered to a patient with a suspected or"
} ]
}, {
"code": "MA",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "confirmed emergency medical condition"
} ]
}, {
"code": "MB",
"display": "Auc hardship, insuf internet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ordering professional is not required to consult a clinical decision support"
} ]
}, {
"code": "MB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism due to the significant hardship exception of insufficient internet"
} ]
}, {
"code": "MB",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "access"
} ]
}, {
"code": "MC",
"display": "Auc hardship, vendor issues",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ordering professional is not required to consult a clinical decision support"
} ]
}, {
"code": "MC",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism due to the significant hardship exception of electronic health record"
} ]
}, {
"code": "MC",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or clinical decision support mechanism vendor issues"
} ]
}, {
"code": "MD",
"display": "Auc hardship, extreme circ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ordering professional is not required to consult a clinical decision support"
} ]
}, {
"code": "MD",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism due to the significant hardship exception of extreme and"
} ]
}, {
"code": "MD",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "uncontrollable circumstances"
} ]
}, {
"code": "ME",
"display": "Order adheres to auc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The order for this service adheres to appropriate use criteria in the clinical"
} ]
}, {
"code": "ME",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "decision support mechanism consulted by the ordering professional"
} ]
}, {
"code": "MF",
"display": "Order does not adhere to auc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The order for this service does not adhere to the appropriate use criteria in"
} ]
}, {
"code": "MF",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the clinical decision support mechanism consulted by the ordering professional"
} ]
}, {
"code": "MG",
"display": "Auc not applicable to order",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The order for this service does not have applicable appropriate use criteria in"
} ]
}, {
"code": "MG",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the qualified clinical decision support mechanism consulted by the ordering"
} ]
}, {
"code": "MG",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "professional"
} ]
}, {
"code": "MH",
"display": "Auc consult not provided",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unknown if ordering professional consulted a clinical decision support"
} ]
}, {
"code": "MH",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism for this service, related information was not provided to the"
} ]
}, {
"code": "MH",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "furnishing professional or provider"
} ]
}, {
"code": "MS",
"display": "6-mo maint/svc fee parts/lbr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Six month maintenance and servicing fee for reasonable and necessary parts and"
} ]
}, {
"code": "MS",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "labor which are not covered under any manufacturer or supplier warranty"
} ]
}, {
"code": "N1",
"display": "Group 1 oxygen cov crit met",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group 1 oxygen coverage criteria met"
} ]
}, {
"code": "N2",
"display": "Group 2 oxygen cov crit met",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group 2 oxygen coverage criteria met"
} ]
}, {
"code": "N3",
"display": "Group 3 oxygen cov crit met",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group 3 oxygen coverage criteria met"
} ]
}, {
"code": "NB",
"display": "Drug specific nebulizer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nebulizer system, any type, fda-cleared for use with specific drug"
} ]
}, {
"code": "NR",
"display": "New when rented",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "New when rented (use the 'nr' modifier when dme which was new at the time of"
} ]
}, {
"code": "NR",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rental is subsequently purchased)"
} ]
}, {
"code": "NU",
"display": "New equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "New equipment"
} ]
}, {
"code": "P1",
"display": "Normal healthy patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A normal healthy patient"
} ]
}, {
"code": "P2",
"display": "Patient w/mild syst disease",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A patient with mild systemic disease"
} ]
}, {
"code": "P3",
"display": "Patient w/severe sys disease",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A patient with severe systemic disease"
} ]
}, {
"code": "P4",
"display": "Pt w/sev sys dis threat life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A patient with severe systemic disease that is a constant threat to life"
} ]
}, {
"code": "P5",
"display": "Pt not expect surv w/o oper",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A moribund patient who is not expected to survive without the operation"
} ]
}, {
"code": "P6",
"display": "Brain-dead pt organs removed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A declared brain-dead patient whose organs are being removed for donor purposes"
} ]
}, {
"code": "PA",
"display": "Surgery, wrong body part",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical or other invasive procedure on wrong body part"
} ]
}, {
"code": "PB",
"display": "Surgery, wrong patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical or other invasive procedure on wrong patient"
} ]
}, {
"code": "PC",
"display": "Wrong surgery on patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrong surgery or other invasive procedure on patient"
} ]
}, {
"code": "PD",
"display": "Inp admit w/in 3 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic or related non diagnostic item or service provided in a wholly owned"
} ]
}, {
"code": "PD",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or operated entity to a patient who is admitted as an inpatient within 3 days"
} ]
}, {
"code": "PI",
"display": "Pet tumor init tx strat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positron emission tomography (pet) or pet/computed tomography (ct) to inform"
} ]
}, {
"code": "PI",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the initial treatment strategy of tumors that are biopsy proven or strongly"
} ]
}, {
"code": "PI",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "suspected of being cancerous based on other diagnostic testing"
} ]
}, {
"code": "PL",
"display": "Progressive addition lenses",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Progressive addition lenses"
} ]
}, {
"code": "PM",
"display": "Post mortem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Post mortem"
} ]
}, {
"code": "PN",
"display": "Non-excepted off-campus svc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-excepted service provided at an off-campus, outpatient, provider-based"
} ]
}, {
"code": "PN",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department of a hospital"
} ]
}, {
"code": "PO",
"display": "Excepted off-campus service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Excepted service provided at an off-campus, outpatient, provider-based"
} ]
}, {
"code": "PO",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department of a hospital"
} ]
}, {
"code": "PS",
"display": "Pet tumor subsq tx strategy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positron emission tomography (pet) or pet/computed tomography (ct) to inform"
} ]
}, {
"code": "PS",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the subsequent treatment strategy of cancerous tumors when the beneficiary's"
} ]
}, {
"code": "PS",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treating physician determines that the pet study is needed to inform subsequent"
} ]
}, {
"code": "PS",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "anti-tumor strategy"
} ]
}, {
"code": "PT",
"display": "Clrctal screen to diagn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening test; converted to diagnostic test or other"
} ]
}, {
"code": "PT",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "Q0",
"display": "Invest clinical research",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Investigational clinical service provided in a clinical research study that is"
} ]
}, {
"code": "Q0",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in an approved clinical research study"
} ]
}, {
"code": "Q1",
"display": "Routine clinical research",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Routine clinical service provided in a clinical research study that is in an"
} ]
}, {
"code": "Q1",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "approved clinical research study"
} ]
}, {
"code": "Q2",
"display": "Demo procedure, service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Demonstration procedure/service"
} ]
}, {
"code": "Q3",
"display": "Live donor surgery/services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Live kidney donor surgery and related services"
} ]
}, {
"code": "Q4",
"display": "Svc exempt - ordrg/rfrng md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service for ordering/referring physician qualifies as a service exemption"
} ]
}, {
"code": "Q5",
"display": "Recip bill arr subs md or pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service furnished under a reciprocal billing arrangement by a substitute"
} ]
}, {
"code": "Q5",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physician or by a substitute physical therapist furnishing outpatient physical"
} ]
}, {
"code": "Q5",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy services in a health professional shortage area, a medically"
} ]
}, {
"code": "Q5",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "underserved area, or a rural area"
} ]
}, {
"code": "Q6",
"display": "Fee/time comp subst md or pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service furnished under a fee-for-time compensation arrangement by a substitute"
} ]
}, {
"code": "Q6",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physician or by a substitute physical therapist furnishing outpatient physical"
} ]
}, {
"code": "Q6",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy services in a health professional shortage area, a medically"
} ]
}, {
"code": "Q6",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "underserved area, or a rural area"
} ]
}, {
"code": "Q7",
"display": "One class a finding",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One class a finding"
} ]
}, {
"code": "Q8",
"display": "Two class b findings",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two class b findings"
} ]
}, {
"code": "Q9",
"display": "1 class b & 2 class c fndngs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One class b and two class c findings"
} ]
}, {
"code": "QA",
"display": "Avg sta day/night o2 < 1 lpm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed amounts of stationary oxygen for daytime use while at rest and"
} ]
}, {
"code": "QA",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nighttime use differ and the average of the two amounts is less than 1 liter"
} ]
}, {
"code": "QA",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "per minute (lpm)"
} ]
}, {
"code": "QB",
"display": "Avg day/nite o2 > 4 lpm/port",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed amounts of stationary oxygen for daytime use while at rest and"
} ]
}, {
"code": "QB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nighttime use differ and the average of the two amounts exceeds 4 liters per"
} ]
}, {
"code": "QB",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "minute (lpm) and portable oxygen is prescribed"
} ]
}, {
"code": "QC",
"display": "Single channel monitoring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Single channel monitoring"
} ]
}, {
"code": "QD",
"display": "Rcrdg/strg in sld st memory",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Recording and storage in solid state memory by a digital recorder"
} ]
}, {
"code": "QE",
"display": "Stationary o2 @ rest <1 lpm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed amount of stationary oxygen while at rest is less than 1 liter per"
} ]
}, {
"code": "QE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minute (lpm)"
} ]
}, {
"code": "QF",
"display": "Station o2 @ rest >4lpm/port",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed amount of stationary oxygen while at rest exceeds 4 liters per"
} ]
}, {
"code": "QF",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minute (lpm) and portable oxygen is prescribed"
} ]
}, {
"code": "QG",
"display": "Station o2 @ rest > 4 lpm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed amount of stationary oxygen while at rest is greater than 4 liters"
} ]
}, {
"code": "QG",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per minute (lpm)"
} ]
}, {
"code": "QH",
"display": "Oxygen cnsrvg dvc w del sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen conserving device is being used with an oxygen delivery system"
} ]
}, {
"code": "QJ",
"display": "Patient in state/locl custod",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services/items provided to a prisoner or patient in state or local custody,"
} ]
}, {
"code": "QJ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "however the state or local government, as applicable, meets the requirements in"
} ]
}, {
"code": "QJ",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "42 cfr 411.4 (b)"
} ]
}, {
"code": "QK",
"display": "Med dir 2-4 cncrnt anes proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical direction of two, three, or four concurrent anesthesia procedures"
} ]
}, {
"code": "QK",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "involving qualified individuals"
} ]
}, {
"code": "QL",
"display": "Patient died after amb call",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient pronounced dead after ambulance called"
} ]
}, {
"code": "QM",
"display": "Ambulance arr by provider",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service provided under arrangement by a provider of services"
} ]
}, {
"code": "QN",
"display": "Ambulance furn by provider",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service furnished directly by a provider of services"
} ]
}, {
"code": "QP",
"display": "Individually ordered lab tst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation is on file showing that the laboratory test(s) was ordered"
} ]
}, {
"code": "QP",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "individually or ordered as a cpt-recognized panel other than automated profile"
} ]
}, {
"code": "QP",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "codes 80002-80019, g0058, g0059, and g0060."
} ]
}, {
"code": "QQ",
"display": "Qualified cdsm consulted",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ordering professional consulted a qualified clinical decision support mechanism"
} ]
}, {
"code": "QQ",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for this service and the related data was provided to the furnishing"
} ]
}, {
"code": "QQ",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "professional"
} ]
}, {
"code": "QR",
"display": "Avg sta day/night o2 > 4 lpm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed amounts of stationary oxygen for daytime use while at rest and"
} ]
}, {
"code": "QR",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nighttime use differ and the average of the two amounts is greater than 4"
} ]
}, {
"code": "QR",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "liters per minute (lpm)"
} ]
}, {
"code": "QS",
"display": "Monitored anesthesia care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitored anesthesia care service"
} ]
}, {
"code": "QT",
"display": "Rcrdg/strg tape analog recdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Recording and storage on tape by an analog tape recorder"
} ]
}, {
"code": "QW",
"display": "Clia waived test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clia waived test"
} ]
}, {
"code": "QX",
"display": "Crna svc w/ md med direction",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crna service: with medical direction by a physician"
} ]
}, {
"code": "QY",
"display": "Medically directed crna",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical direction of one certified registered nurse anesthetist (crna) by an"
} ]
}, {
"code": "QY",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anesthesiologist"
} ]
}, {
"code": "QZ",
"display": "Crna svc w/o med dir by md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crna service: without medical direction by a physician"
} ]
}, {
"code": "RA",
"display": "Replacement of dme item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement of a dme, orthotic or prosthetic item"
} ]
}, {
"code": "RB",
"display": "Replacement part, dme item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement of a part of a dme, orthotic or prosthetic item furnished as part"
} ]
}, {
"code": "RB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of a repair"
} ]
}, {
"code": "RC",
"display": "Right coronary artery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right coronary artery"
} ]
}, {
"code": "RD",
"display": "Drug admin not incident-to",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug provided to beneficiary, but not administered \"incident-to\""
} ]
}, {
"code": "RE",
"display": "Furnish full compliance rems",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Furnished in full compliance with fda-mandated risk evaluation and mitigation"
} ]
}, {
"code": "RE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "strategy (rems)"
} ]
}, {
"code": "RI",
"display": "Ramus intermedius cor artery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ramus intermedius coronary artery"
} ]
}, {
"code": "RR",
"display": "Rental (dme)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rental (use the 'rr' modifier when dme is to be rented)"
} ]
}, {
"code": "RT",
"display": "Right side",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right side (used to identify procedures performed on the right side of the body)"
} ]
}, {
"code": "SA",
"display": "Nurse practitioner w physici",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nurse practitioner rendering service in collaboration with a physician"
} ]
}, {
"code": "SB",
"display": "Nurse midwife",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nurse midwife"
} ]
}, {
"code": "SC",
"display": "Medically necessary serv/sup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medically necessary service or supply"
} ]
}, {
"code": "SD",
"display": "Serv by home infusion rn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided by registered nurse with specialized, highly technical home"
} ]
}, {
"code": "SD",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion training"
} ]
}, {
"code": "SE",
"display": "State/fed funded program/ser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "State and/or federally-funded programs/services"
} ]
}, {
"code": "SF",
"display": "2nd opinion ordered by pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Second opinion ordered by a professional review organization (pro) per section"
} ]
}, {
"code": "SF",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)"
} ]
}, {
"code": "SG",
"display": "Asc facility service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulatory surgical center (asc) facility service"
} ]
}, {
"code": "SH",
"display": "2nd concurrent infusion ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Second concurrently administered infusion therapy"
} ]
}, {
"code": "SJ",
"display": "3rd concurrent infusion ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Third or more concurrently administered infusion therapy"
} ]
}, {
"code": "SK",
"display": "High risk population",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Member of high risk population (use only with codes for immunization)"
} ]
}, {
"code": "SL",
"display": "State supplied vaccine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "State supplied vaccine"
} ]
}, {
"code": "SM",
"display": "Second opinion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Second surgical opinion"
} ]
}, {
"code": "SN",
"display": "Third opinion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Third surgical opinion"
} ]
}, {
"code": "SQ",
"display": "Item ordered by home health",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Item ordered by home health"
} ]
}, {
"code": "SS",
"display": "Hit in infusion suite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion services provided in the infusion suite of the iv therapy provider"
} ]
}, {
"code": "ST",
"display": "Related to trauma or injury",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Related to trauma or injury"
} ]
}, {
"code": "SU",
"display": "Performed in phys office",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procedure performed in physician's office (to denote use of facility and"
} ]
}, {
"code": "SU",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equipment)"
} ]
}, {
"code": "SV",
"display": "Drugs delivered not used",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmaceuticals delivered to patient's home but not utilized"
} ]
}, {
"code": "SW",
"display": "Serv by cert diab educator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided by a certified diabetic educator"
} ]
}, {
"code": "SY",
"display": "Contact w/high-risk pop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Persons who are in close contact with member of high-risk population (use only"
} ]
}, {
"code": "SY",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with codes for immunization)"
} ]
}, {
"code": "SZ",
"display": "Habilitative services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitative services"
} ]
}, {
"code": "T1",
"display": "Left foot, second digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left foot, second digit"
} ]
}, {
"code": "T2",
"display": "Left foot, third digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left foot, third digit"
} ]
}, {
"code": "T3",
"display": "Left foot, fourth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left foot, fourth digit"
} ]
}, {
"code": "T4",
"display": "Left foot, fifth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left foot, fifth digit"
} ]
}, {
"code": "T5",
"display": "Right foot, great toe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right foot, great toe"
} ]
}, {
"code": "T6",
"display": "Right foot, second digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right foot, second digit"
} ]
}, {
"code": "T7",
"display": "Right foot, third digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right foot, third digit"
} ]
}, {
"code": "T8",
"display": "Right foot, fourth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right foot, fourth digit"
} ]
}, {
"code": "T9",
"display": "Right foot, fifth digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right foot, fifth digit"
} ]
}, {
"code": "TA",
"display": "Left foot, great toe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left foot, great toe"
} ]
}, {
"code": "TB",
"display": "340b drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug or biological acquired with 340b drug pricing program discount, reported"
} ]
}, {
"code": "TB",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for informational purposes"
} ]
}, {
"code": "TC",
"display": "Technical component",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technical component; under certain circumstances, a charge may be made for the"
} ]
}, {
"code": "TC",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "technical component alone; under those circumstances the technical component"
} ]
}, {
"code": "TC",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "charge is identified by adding modifier 'tc' to the usual procedure number;"
} ]
}, {
"code": "TC",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "technical component charges are institutional charges and not billed separately"
} ]
}, {
"code": "TC",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "by physicians; however, portable x-ray suppliers only bill for technical"
} ]
}, {
"code": "TC",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "component and should utilize modifier tc; the charge data from portable x-ray"
} ]
}, {
"code": "TC",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "suppliers will then be used to build customary and prevailing profiles"
} ]
}, {
"code": "TD",
"display": "Rn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rn"
} ]
}, {
"code": "TE",
"display": "Lpn/lvn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lpn/lvn"
} ]
}, {
"code": "TF",
"display": "Intermediate level of care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intermediate level of care"
} ]
}, {
"code": "TG",
"display": "Complex/high tech level care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complex/high tech level of care"
} ]
}, {
"code": "TH",
"display": "Ob tx/srvcs prenatl/postpart",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Obstetrical treatment/services, prenatal or postpartum"
} ]
}, {
"code": "TJ",
"display": "Child/adolescent program gp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Program group, child and/or adolescent"
} ]
}, {
"code": "TK",
"display": "Extra patient or passenger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extra patient or passenger, non-ambulance"
} ]
}, {
"code": "TL",
"display": "Early intervention ifsp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Early intervention/individualized family service plan (ifsp)"
} ]
}, {
"code": "TM",
"display": "Individualized ed prgrm(iep)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individualized education program (iep)"
} ]
}, {
"code": "TN",
"display": "Rural/out of service area",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rural/outside providers' customary service area"
} ]
}, {
"code": "TP",
"display": "Med transprt unloaded vehicl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical transport, unloaded vehicle"
} ]
}, {
"code": "TQ",
"display": "Bls by volunteer amb providr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Basic life support transport by a volunteer ambulance provider"
} ]
}, {
"code": "TR",
"display": "School-based iep out of dist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "School-based individualized education program (iep) services provided outside"
} ]
}, {
"code": "TR",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the public school district responsible for the student"
} ]
}, {
"code": "TS",
"display": "Follow-up service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up service"
} ]
}, {
"code": "TT",
"display": "Additional patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individualized service provided to more than one patient in same setting"
} ]
}, {
"code": "TU",
"display": "Overtime payment rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special payment rate, overtime"
} ]
}, {
"code": "TV",
"display": "Holiday/weekend payment rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special payment rates, holidays/weekends"
} ]
}, {
"code": "TW",
"display": "Back-up equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back-up equipment"
} ]
}, {
"code": "U1",
"display": "M/caid care lev 1 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 1, as defined by each state"
} ]
}, {
"code": "U2",
"display": "M/caid care lev 2 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 2, as defined by each state"
} ]
}, {
"code": "U3",
"display": "M/caid care lev 3 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 3, as defined by each state"
} ]
}, {
"code": "U4",
"display": "M/caid care lev 4 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 4, as defined by each state"
} ]
}, {
"code": "U5",
"display": "M/caid care lev 5 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 5, as defined by each state"
} ]
}, {
"code": "U6",
"display": "M/caid care lev 6 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 6, as defined by each state"
} ]
}, {
"code": "U7",
"display": "M/caid care lev 7 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 7, as defined by each state"
} ]
}, {
"code": "U8",
"display": "M/caid care lev 8 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 8, as defined by each state"
} ]
}, {
"code": "U9",
"display": "M/caid care lev 9 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 9, as defined by each state"
} ]
}, {
"code": "UA",
"display": "M/caid care lev 10 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 10, as defined by each state"
} ]
}, {
"code": "UB",
"display": "M/caid care lev 11 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 11, as defined by each state"
} ]
}, {
"code": "UC",
"display": "M/caid care lev 12 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 12, as defined by each state"
} ]
}, {
"code": "UD",
"display": "M/caid care lev 13 state def",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid level of care 13, as defined by each state"
} ]
}, {
"code": "UE",
"display": "Used durable med equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Used durable medical equipment"
} ]
}, {
"code": "UF",
"display": "Services provided, morning",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided in the morning"
} ]
}, {
"code": "UG",
"display": "Services provided, afternoon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided in the afternoon"
} ]
}, {
"code": "UH",
"display": "Services provided, evening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided in the evening"
} ]
}, {
"code": "UJ",
"display": "Services provided, night",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided at night"
} ]
}, {
"code": "UK",
"display": "Svc on behalf client-collat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided on behalf of the client to someone other than the client"
} ]
}, {
"code": "UK",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(collateral relationship)"
} ]
}, {
"code": "UN",
"display": "Two patients served",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two patients served"
} ]
}, {
"code": "UP",
"display": "Three patients served",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Three patients served"
} ]
}, {
"code": "UQ",
"display": "Four patients served",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Four patients served"
} ]
}, {
"code": "UR",
"display": "Five patients served",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Five patients served"
} ]
}, {
"code": "US",
"display": "Six or more patients served",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Six or more patients served"
} ]
}, {
"code": "V1",
"display": "Demonstration modifier 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Demonstration modifier 1"
} ]
}, {
"code": "V2",
"display": "Demonstration modifier 2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Demonstration modifier 2"
} ]
}, {
"code": "V3",
"display": "Demonstration modifier 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Demonstration modifier 3"
} ]
}, {
"code": "V4",
"display": "Demonstration modifier 4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Demonstration modifier 4"
} ]
}, {
"code": "V5",
"display": "Vascular catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vascular catheter (alone or with any other vascular access)"
} ]
}, {
"code": "V6",
"display": "Arteriovenous graft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arteriovenous graft (or other vascular access not including a vascular catheter)"
} ]
}, {
"code": "V7",
"display": "Arteriovenous fistula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arteriovenous fistula only (in use with two needles)"
} ]
}, {
"code": "V8",
"display": "Infection present",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infection present"
} ]
}, {
"code": "V9",
"display": "No infection present",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No infection present"
} ]
}, {
"code": "VM",
"display": "Mdpp virtual make-up session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicare diabetes prevention program (mdpp) virtual make-up session"
} ]
}, {
"code": "VP",
"display": "Aphakic patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aphakic patient"
} ]
}, {
"code": "X1",
"display": "Continuous/broad services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous/broad services: for reporting services by clinicians, who provide"
} ]
}, {
"code": "X1",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the principal care for a patient, with no planned endpoint of the relationship;"
} ]
}, {
"code": "X1",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services in this category represent comprehensive care, dealing with the entire"
} ]
}, {
"code": "X1",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "scope of patient problems, either directly or in a care coordination role;"
} ]
}, {
"code": "X1",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "reporting clinician service examples include, but are not limited to: primary"
} ]
}, {
"code": "X1",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "care, and clinicians providing comprehensive care to patients in addition to"
} ]
}, {
"code": "X1",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "specialty care"
} ]
}, {
"code": "X2",
"display": "Continuous/focused services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous/focused services: for reporting services by clinicians whose"
} ]
}, {
"code": "X2",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "expertise is needed for the ongoing management of a chronic disease or a"
} ]
}, {
"code": "X2",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "condition that needs to be managed and followed with no planned endpoint to the"
} ]
}, {
"code": "X2",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "relationship; reporting clinician service examples include but are not limited"
} ]
}, {
"code": "X2",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "to: a rheumatologist taking care of the patient's rheumatoid arthritis"
} ]
}, {
"code": "X2",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "longitudinally but not providing general primary care services"
} ]
}, {
"code": "X3",
"display": "Episodic/broad services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Episodic/broad services: for reporting services by clinicians who have broad"
} ]
}, {
"code": "X3",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "responsibility for the comprehensive needs of the patient that is limited to a"
} ]
}, {
"code": "X3",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "defined period and circumstance such as a hospitalization; reporting clinician"
} ]
}, {
"code": "X3",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "service examples include but are not limited to the hospitalist's services"
} ]
}, {
"code": "X3",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "rendered providing comprehensive and general care to a patient while admitted"
} ]
}, {
"code": "X3",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "to the hospital"
} ]
}, {
"code": "X4",
"display": "Episodic/focused services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Episodic/focused services: for reporting services by clinicians who provide"
} ]
}, {
"code": "X4",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "focused care on particular types of treatment limited to a defined period and"
} ]
}, {
"code": "X4",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "circumstance; the patient has a problem, acute or chronic, that will be treated"
} ]
}, {
"code": "X4",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with surgery, radiation, or some other type of generally time-limited"
} ]
}, {
"code": "X4",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "intervention; reporting clinician service examples include but are not limited"
} ]
}, {
"code": "X4",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "to, the orthopedic surgeon performing a knee replacement and seeing the patient"
} ]
}, {
"code": "X4",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "through the postoperative period"
} ]
}, {
"code": "X5",
"display": "Svc req by another clinician",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic services requested by another clinician: for reporting services by a"
} ]
}, {
"code": "X5",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clinician who furnishes care to the patient only as requested by another"
} ]
}, {
"code": "X5",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "clinician or subsequent and related services requested by another clinician;"
} ]
}, {
"code": "X5",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "this modifier is reported for patient relationships that may not be adequately"
} ]
}, {
"code": "X5",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "captured by the above alternative categories; reporting clinician service"
} ]
}, {
"code": "X5",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "examples include but are not limited to, the radiologist's interpretation of an"
} ]
}, {
"code": "X5",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "imaging study requested by another clinician"
} ]
}, {
"code": "XE",
"display": "Separate encounter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Separate encounter, a service that is distinct because it occurred during a"
} ]
}, {
"code": "XE",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "separate encounter"
} ]
}, {
"code": "XP",
"display": "Separate practitioner",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Separate practitioner, a service that is distinct because it was performed by a"
} ]
}, {
"code": "XP",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "different practitioner"
} ]
}, {
"code": "XS",
"display": "Separate organ/structure",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Separate structure, a service that is distinct because it was performed on a"
} ]
}, {
"code": "XS",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "separate organ/structure"
} ]
}, {
"code": "XU",
"display": "Unusual separate service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unusual non-overlapping service, the use of a service that is distinct because"
} ]
}, {
"code": "XU",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "it does not overlap usual components of the main service"
} ]
}, {
"code": "ZA",
"display": "Novartis/sandoz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Novartis/sandoz"
} ]
}, {
"code": "ZB",
"display": "Pfizer/hospira",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pfizer/hospira"
} ]
}, {
"code": "ZC",
"display": "Merck/samsung bioepis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Merck/samsung bioepis"
} ]
}, {
"code": "A0021",
"display": "Outside state ambulance serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, outside state per mile, transport (medicaid only)"
} ]
}, {
"code": "A0080",
"display": "Noninterest escort in non er",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation, per mile - vehicle provided by volunteer"
} ]
}, {
"code": "A0080",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(individual or organization), with no vested interest"
} ]
}, {
"code": "A0090",
"display": "Interest escort in non er",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation, per mile - vehicle provided by individual (family"
} ]
}, {
"code": "A0090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "member, self, neighbor) with vested interest"
} ]
}, {
"code": "A0100",
"display": "Nonemergency transport taxi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; taxi"
} ]
}, {
"code": "A0110",
"display": "Nonemergency transport bus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation and bus, intra or inter state carrier"
} ]
}, {
"code": "A0120",
"display": "Noner transport mini-bus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: mini-bus, mountain area transports, or other"
} ]
}, {
"code": "A0120",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transportation systems"
} ]
}, {
"code": "A0130",
"display": "Noner transport wheelch van",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: wheelchair van"
} ]
}, {
"code": "A0140",
"display": "Nonemergency transport air",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation and air travel (private or commercial) intra or"
} ]
}, {
"code": "A0140",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inter state"
} ]
}, {
"code": "A0160",
"display": "Noner transport case worker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: per mile - case worker or social worker"
} ]
}, {
"code": "A0170",
"display": "Transport parking fees/tolls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transportation ancillary: parking fees, tolls, other"
} ]
}, {
"code": "A0180",
"display": "Noner transport lodgng recip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: ancillary: lodging-recipient"
} ]
}, {
"code": "A0190",
"display": "Noner transport meals recip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: ancillary: meals-recipient"
} ]
}, {
"code": "A0200",
"display": "Noner transport lodgng escrt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: ancillary: lodging escort"
} ]
}, {
"code": "A0210",
"display": "Noner transport meals escort",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation: ancillary: meals-escort"
} ]
}, {
"code": "A0225",
"display": "Neonatal emergency transport",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, neonatal transport, base rate, emergency transport, one way"
} ]
}, {
"code": "A0380",
"display": "Basic life support mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bls mileage (per mile)"
} ]
}, {
"code": "A0382",
"display": "Basic support routine suppls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bls routine disposable supplies"
} ]
}, {
"code": "A0384",
"display": "Bls defibrillation supplies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bls specialized service disposable supplies; defibrillation (used by als"
} ]
}, {
"code": "A0384",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ambulances and bls ambulances in jurisdictions where defibrillation is"
} ]
}, {
"code": "A0384",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "permitted in bls ambulances)"
} ]
}, {
"code": "A0390",
"display": "Advanced life support mileag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Als mileage (per mile)"
} ]
}, {
"code": "A0392",
"display": "Als defibrillation supplies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Als specialized service disposable supplies; defibrillation (to be used only in"
} ]
}, {
"code": "A0392",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "jurisdictions where defibrillation cannot be performed in bls ambulances)"
} ]
}, {
"code": "A0394",
"display": "Als iv drug therapy supplies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Als specialized service disposable supplies; iv drug therapy"
} ]
}, {
"code": "A0396",
"display": "Als esophageal intub suppls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Als specialized service disposable supplies; esophageal intubation"
} ]
}, {
"code": "A0398",
"display": "Als routine disposble suppls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Als routine disposable supplies"
} ]
}, {
"code": "A0420",
"display": "Ambulance waiting 1/2 hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance waiting time (als or bls), one half (1/2) hour increments"
} ]
}, {
"code": "A0422",
"display": "Ambulance 02 life sustaining",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation"
} ]
}, {
"code": "A0424",
"display": "Extra ambulance attendant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged);"
} ]
}, {
"code": "A0424",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(requires medical review)"
} ]
}, {
"code": "A0425",
"display": "Ground mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ground mileage, per statute mile"
} ]
}, {
"code": "A0426",
"display": "Als 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, advanced life support, non-emergency transport, level 1 (als"
} ]
}, {
"code": "A0426",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1)"
} ]
}, {
"code": "A0427",
"display": "Als1-emergency",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 -"
} ]
}, {
"code": "A0427",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "emergency)"
} ]
}, {
"code": "A0428",
"display": "Bls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, basic life support, non-emergency transport, (bls)"
} ]
}, {
"code": "A0429",
"display": "Bls-emergency",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, basic life support, emergency transport (bls-emergency)"
} ]
}, {
"code": "A0430",
"display": "Fixed wing air transport",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, conventional air services, transport, one way (fixed wing)"
} ]
}, {
"code": "A0431",
"display": "Rotary wing air transport",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, conventional air services, transport, one way (rotary wing)"
} ]
}, {
"code": "A0432",
"display": "Pi volunteer ambulance co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Paramedic intercept (pi), rural area, transport furnished by a volunteer"
} ]
}, {
"code": "A0432",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ambulance company which is prohibited by state law from billing third party"
} ]
}, {
"code": "A0432",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "payers"
} ]
}, {
"code": "A0433",
"display": "Als 2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advanced life support, level 2 (als 2)"
} ]
}, {
"code": "A0434",
"display": "Specialty care transport",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty care transport (sct)"
} ]
}, {
"code": "A0435",
"display": "Fixed wing air mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fixed wing air mileage, per statute mile"
} ]
}, {
"code": "A0436",
"display": "Rotary wing air mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rotary wing air mileage, per statute mile"
} ]
}, {
"code": "A0888",
"display": "Noncovered ambulance mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest"
} ]
}, {
"code": "A0888",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate facility)"
} ]
}, {
"code": "A0998",
"display": "Ambulance response/treatment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance response and treatment, no transport"
} ]
}, {
"code": "A0999",
"display": "Unlisted ambulance service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unlisted ambulance service"
} ]
}, {
"code": "A2001",
"display": "Innovamatrix ac, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Innovamatrix ac, per square centimeter"
} ]
}, {
"code": "A2002",
"display": "Mirragen adv wnd mat per sq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mirragen advanced wound matrix, per square centimeter"
} ]
}, {
"code": "A2004",
"display": "Xcellistem, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xcellistem, 1 mg"
} ]
}, {
"code": "A2005",
"display": "Microlyte matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microlyte matrix, per square centimeter"
} ]
}, {
"code": "A2006",
"display": "Novosorb synpath per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Novosorb synpath dermal matrix, per square centimeter"
} ]
}, {
"code": "A2007",
"display": "Restrata, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Restrata, per square centimeter"
} ]
}, {
"code": "A2008",
"display": "Theragenesis, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Theragenesis, per square centimeter"
} ]
}, {
"code": "A2009",
"display": "Symphony, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Symphony, per square centimeter"
} ]
}, {
"code": "A2010",
"display": "Apis, per square centimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Apis, per square centimeter"
} ]
}, {
"code": "A2011",
"display": "Supra sdrm, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supra sdrm, per square centimeter"
} ]
}, {
"code": "A2012",
"display": "Suprathel, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suprathel, per square centimeter"
} ]
}, {
"code": "A2013",
"display": "Innovamatrix fs, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Innovamatrix fs, per square centimeter"
} ]
}, {
"code": "A2014",
"display": "Omeza collag per 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Omeza collagen matrix, per 100 mg"
} ]
}, {
"code": "A2015",
"display": "Phoenix wnd mtrx, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Phoenix wound matrix, per square centimeter"
} ]
}, {
"code": "A2016",
"display": "Permeaderm b, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Permeaderm b, per square centimeter"
} ]
}, {
"code": "A2017",
"display": "Permeaderm glove, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Permeaderm glove, each"
} ]
}, {
"code": "A2018",
"display": "Permeaderm c, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Permeaderm c, per square centimeter"
} ]
}, {
"code": "A2019",
"display": "Kerecis marigen shld sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Kerecis omega3 marigen shield, per square centimeter"
} ]
}, {
"code": "A2020",
"display": "Ac5 wound system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ac5 advanced wound system (ac5)"
} ]
}, {
"code": "A2021",
"display": "Neomatrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neomatrix, per square centimeter"
} ]
}, {
"code": "A2022",
"display": "Innovabrn/innovamatx xl sqcm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Innovaburn or innovamatrix xl, per square centimeter"
} ]
}, {
"code": "A2023",
"display": "Innovamatrix pd, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Innovamatrix pd, 1 mg"
} ]
}, {
"code": "A2024",
"display": "Resolve or xenopatch sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Resolve matrix or xenopatch, per square centimeter"
} ]
}, {
"code": "A2025",
"display": "Miro3d per cubic cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miro3d, per cubic centimeter"
} ]
}, {
"code": "A2026",
"display": "Restrata minimatrix, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Restrata minimatrix, 5 mg"
} ]
}, {
"code": "A2027",
"display": "Matriderm per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Matriderm, per square centimeter"
} ]
}, {
"code": "A2028",
"display": "Micromatrix flex per mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Micromatrix flex, per mg"
} ]
}, {
"code": "A2029",
"display": "Mirotract matrix sheet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mirotract wound matrix sheet, per cubic centimeter"
} ]
}, {
"code": "A4100",
"display": "Skin sub fda clrd as dev nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin substitute, fda cleared as a device, not otherwise specified"
} ]
}, {
"code": "A4206",
"display": "1 cc sterile syringe&needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe with needle, sterile, 1 cc or less, each"
} ]
}, {
"code": "A4207",
"display": "2 cc sterile syringe&needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe with needle, sterile 2 cc, each"
} ]
}, {
"code": "A4208",
"display": "3 cc sterile syringe&needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe with needle, sterile 3 cc, each"
} ]
}, {
"code": "A4209",
"display": "5+ cc sterile syringe&needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe with needle, sterile 5 cc or greater, each"
} ]
}, {
"code": "A4210",
"display": "Nonneedle injection device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Needle-free injection device, each"
} ]
}, {
"code": "A4211",
"display": "Supp for self-adm injections",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for self-administered injections"
} ]
}, {
"code": "A4212",
"display": "Non coring needle or stylet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-coring needle or stylet with or without catheter"
} ]
}, {
"code": "A4213",
"display": "20+ cc syringe only",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe, sterile, 20 cc or greater, each"
} ]
}, {
"code": "A4215",
"display": "Sterile needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Needle, sterile, any size, each"
} ]
}, {
"code": "A4216",
"display": "Sterile water/saline, 10 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sterile water, saline and/or dextrose, diluent/flush, 10 ml"
} ]
}, {
"code": "A4217",
"display": "Sterile water/saline, 500 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sterile water/saline, 500 ml"
} ]
}, {
"code": "A4218",
"display": "Sterile saline or water",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sterile saline or water, metered dose dispenser, 10 ml"
} ]
}, {
"code": "A4220",
"display": "Infusion pump refill kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Refill kit for implantable infusion pump"
} ]
}, {
"code": "A4221",
"display": "Supp non-insulin inf cath/wk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for maintenance of non-insulin drug infusion catheter, per week (list"
} ]
}, {
"code": "A4221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "drugs separately)"
} ]
}, {
"code": "A4222",
"display": "Infusion supplies with pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion supplies for external drug infusion pump, per cassette or bag (list"
} ]
}, {
"code": "A4222",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "drugs separately)"
} ]
}, {
"code": "A4223",
"display": "Infusion supplies w/o pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion supplies not used with external infusion pump, per cassette or bag"
} ]
}, {
"code": "A4223",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(list drugs separately)"
} ]
}, {
"code": "A4224",
"display": "Supply insulin inf cath/wk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for maintenance of insulin infusion catheter, per week"
} ]
}, {
"code": "A4225",
"display": "Sup/ext insulin inf pump syr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for external insulin infusion pump, syringe type cartridge, sterile,"
} ]
}, {
"code": "A4225",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "A4226",
"display": "Weekly supply maint cgs pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for maintenance of insulin infusion pump with dosage rate adjustment"
} ]
}, {
"code": "A4226",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "using therapeutic continuous glucose sensing, per week"
} ]
}, {
"code": "A4230",
"display": "Infus insulin pump non needl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion set for external insulin pump, non needle cannula type"
} ]
}, {
"code": "A4231",
"display": "Infusion insulin pump needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion set for external insulin pump, needle type"
} ]
}, {
"code": "A4232",
"display": "Syringe w/needle insulin 3cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe with needle for external insulin pump, sterile, 3 cc"
} ]
}, {
"code": "A4233",
"display": "Alkalin batt for glucose mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery, alkaline (other than j cell), for use with medically"
} ]
}, {
"code": "A4233",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "necessary home blood glucose monitor owned by patient, each"
} ]
}, {
"code": "A4234",
"display": "J-cell batt for glucose mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery, alkaline, j cell, for use with medically necessary home"
} ]
}, {
"code": "A4234",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "blood glucose monitor owned by patient, each"
} ]
}, {
"code": "A4235",
"display": "Lithium batt for glucose mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery, lithium, for use with medically necessary home blood"
} ]
}, {
"code": "A4235",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "glucose monitor owned by patient, each"
} ]
}, {
"code": "A4236",
"display": "Silvr oxide batt glucose mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery, silver oxide, for use with medically necessary home blood"
} ]
}, {
"code": "A4236",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "glucose monitor owned by patient, each"
} ]
}, {
"code": "A4238",
"display": "Adju cgm supply allowance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supply allowance for adjunctive, non-implanted continuous glucose monitor"
} ]
}, {
"code": "A4238",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
} ]
}, {
"code": "A4239",
"display": "Non-adju cgm supply allow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supply allowance for non-adjunctive, non-implanted continuous glucose monitor"
} ]
}, {
"code": "A4239",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
} ]
}, {
"code": "A4244",
"display": "Alcohol or peroxide per pint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol or peroxide, per pint"
} ]
}, {
"code": "A4245",
"display": "Alcohol wipes per box",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol wipes, per box"
} ]
}, {
"code": "A4246",
"display": "Betadine/phisohex solution",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Betadine or phisohex solution, per pint"
} ]
}, {
"code": "A4247",
"display": "Betadine/iodine swabs/wipes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Betadine or iodine swabs/wipes, per box"
} ]
}, {
"code": "A4248",
"display": "Chlorhexidine antisept",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chlorhexidine containing antiseptic, 1 ml"
} ]
}, {
"code": "A4250",
"display": "Urine reagent strips/tablets",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urine test or reagent strips or tablets (100 tablets or strips)"
} ]
}, {
"code": "A4252",
"display": "Blood ketone test or strip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood ketone test or reagent strip, each"
} ]
}, {
"code": "A4253",
"display": "Blood glucose/reagent strips",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood glucose test or reagent strips for home blood glucose monitor, per 50"
} ]
}, {
"code": "A4253",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "strips"
} ]
}, {
"code": "A4255",
"display": "Glucose monitor platforms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platforms for home blood glucose monitor, 50 per box"
} ]
}, {
"code": "A4256",
"display": "Calibrator solution/chips",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Normal, low and high calibrator solution / chips"
} ]
}, {
"code": "A4257",
"display": "Replace lensshield cartridge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement lens shield cartridge for use with laser skin piercing device, each"
} ]
}, {
"code": "A4258",
"display": "Lancet device each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spring-powered device for lancet, each"
} ]
}, {
"code": "A4259",
"display": "Lancets per box",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lancets, per box of 100"
} ]
}, {
"code": "A4261",
"display": "Cervical cap contraceptive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical cap for contraceptive use"
} ]
}, {
"code": "A4262",
"display": "Temporary tear duct plug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Temporary, absorbable lacrimal duct implant, each"
} ]
}, {
"code": "A4263",
"display": "Permanent tear duct plug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Permanent, long term, non-dissolvable lacrimal duct implant, each"
} ]
}, {
"code": "A4264",
"display": "Intratubal occlusion device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Permanent implantable contraceptive intratubal occlusion device(s) and delivery"
} ]
}, {
"code": "A4264",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "A4265",
"display": "Paraffin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Paraffin, per pound"
} ]
}, {
"code": "A4266",
"display": "Diaphragm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diaphragm for contraceptive use"
} ]
}, {
"code": "A4267",
"display": "Male condom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive supply, condom, male, each"
} ]
}, {
"code": "A4268",
"display": "Female condom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive supply, condom, female, each"
} ]
}, {
"code": "A4269",
"display": "Spermicide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive supply, spermicide (e.g., foam, gel), each"
} ]
}, {
"code": "A4270",
"display": "Disposable endoscope sheath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable endoscope sheath, each"
} ]
}, {
"code": "A4271",
"display": "Home lancing/test cartridges",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integrated lancing and blood sample testing cartridges for home blood glucose"
} ]
}, {
"code": "A4271",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitor, per 50 tests"
} ]
}, {
"code": "A4280",
"display": "Brst prsths adhsv attchmnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive skin support attachment for use with external breast prosthesis, each"
} ]
}, {
"code": "A4281",
"display": "Replacement breastpump tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tubing for breast pump, replacement"
} ]
}, {
"code": "A4282",
"display": "Replacement breastpump adpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adapter for breast pump, replacement"
} ]
}, {
"code": "A4283",
"display": "Replacement breastpump cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cap for breast pump bottle, replacement"
} ]
}, {
"code": "A4284",
"display": "Replcmnt breast pump shield",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast shield and splash protector for use with breast pump, replacement"
} ]
}, {
"code": "A4285",
"display": "Replcmnt breast pump bottle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Polycarbonate bottle for use with breast pump, replacement"
} ]
}, {
"code": "A4286",
"display": "Replcmnt breastpump lok ring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Locking ring for breast pump, replacement"
} ]
}, {
"code": "A4287",
"display": "Disp col sto bag breast milk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable collection and storage bag for breast milk, any size, any type, each"
} ]
}, {
"code": "A4290",
"display": "Sacral nerve stim test lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sacral nerve stimulation test lead, each"
} ]
}, {
"code": "A4300",
"display": "Cath impl vasc access portal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or"
} ]
}, {
"code": "A4300",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "peritoneal, etc.) external access"
} ]
}, {
"code": "A4301",
"display": "Implantable access syst perc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable access total catheter, port/reservoir (e.g., venous, arterial,"
} ]
}, {
"code": "A4301",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "epidural, subarachnoid, peritoneal, etc.)"
} ]
}, {
"code": "A4305",
"display": "Drug delivery system >=50 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable drug delivery system, flow rate of 50 ml or greater per hour"
} ]
}, {
"code": "A4306",
"display": "Drug delivery system <=50 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable drug delivery system, flow rate of less than 50 ml per hour"
} ]
}, {
"code": "A4310",
"display": "Insert tray w/o bag/cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray without drainage bag and without catheter (accessories only)"
} ]
}, {
"code": "A4311",
"display": "Catheter w/o bag 2-way latex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray without drainage bag with indwelling catheter, foley type,"
} ]
}, {
"code": "A4311",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "two-way latex with coating (teflon, silicone, silicone elastomer or"
} ]
}, {
"code": "A4311",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hydrophilic, etc.)"
} ]
}, {
"code": "A4312",
"display": "Cath w/o bag 2-way silicone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray without drainage bag with indwelling catheter, foley type,"
} ]
}, {
"code": "A4312",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "two-way, all silicone"
} ]
}, {
"code": "A4313",
"display": "Catheter w/bag 3-way",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray without drainage bag with indwelling catheter, foley type,"
} ]
}, {
"code": "A4313",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three-way, for continuous irrigation"
} ]
}, {
"code": "A4314",
"display": "Cath w/drainage 2-way latex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray with drainage bag with indwelling catheter, foley type, two-way"
} ]
}, {
"code": "A4314",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)"
} ]
}, {
"code": "A4315",
"display": "Cath w/drainage 2-way silcne",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray with drainage bag with indwelling catheter, foley type, two-way,"
} ]
}, {
"code": "A4315",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all silicone"
} ]
}, {
"code": "A4316",
"display": "Cath w/drainage 3-way",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray with drainage bag with indwelling catheter, foley type,"
} ]
}, {
"code": "A4316",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three-way, for continuous irrigation"
} ]
}, {
"code": "A4320",
"display": "Irrigation tray",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation tray with bulb or piston syringe, any purpose"
} ]
}, {
"code": "A4321",
"display": "Cath therapeutic irrig agent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic agent for urinary catheter irrigation"
} ]
}, {
"code": "A4322",
"display": "Irrigation syringe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation syringe, bulb or piston, each"
} ]
}, {
"code": "A4326",
"display": "Male external catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Male external catheter with integral collection chamber, any type, each"
} ]
}, {
"code": "A4327",
"display": "Fem urinary collect dev cup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Female external urinary collection device; meatal cup, each"
} ]
}, {
"code": "A4328",
"display": "Fem urinary collect pouch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Female external urinary collection device; pouch, each"
} ]
}, {
"code": "A4330",
"display": "Stool collection pouch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Perianal fecal collection pouch with adhesive, each"
} ]
}, {
"code": "A4331",
"display": "Extension drainage tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extension drainage tubing, any type, any length, with connector/adaptor, for"
} ]
}, {
"code": "A4331",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use with urinary leg bag or urostomy pouch, each"
} ]
}, {
"code": "A4332",
"display": "Lube sterile packet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lubricant, individual sterile packet, each"
} ]
}, {
"code": "A4333",
"display": "Urinary cath anchor device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinary catheter anchoring device, adhesive skin attachment, each"
} ]
}, {
"code": "A4334",
"display": "Urinary cath leg strap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinary catheter anchoring device, leg strap, each"
} ]
}, {
"code": "A4335",
"display": "Incontinence supply",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence supply; miscellaneous"
} ]
}, {
"code": "A4336",
"display": "Urethral insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence supply, urethral insert, any type, each"
} ]
}, {
"code": "A4337",
"display": "Incontinent rectal insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence supply, rectal insert, any type, each"
} ]
}, {
"code": "A4338",
"display": "Indwelling catheter latex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indwelling catheter; foley type, two-way latex with coating (teflon, silicone,"
} ]
}, {
"code": "A4338",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "silicone elastomer, or hydrophilic, etc.), each"
} ]
}, {
"code": "A4340",
"display": "Indwelling catheter special",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each"
} ]
}, {
"code": "A4341",
"display": "Iduc valve pat inst repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indwelling intraurethral drainage device with valve, patient inserted,"
} ]
}, {
"code": "A4341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "A4342",
"display": "Iduc valve sply repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Accessories for patient inserted indwelling intraurethral drainage device with"
} ]
}, {
"code": "A4342",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "valve, replacement only, each"
} ]
}, {
"code": "A4344",
"display": "Cath indw foley 2 way silicn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indwelling catheter, foley type, two-way, all silicone or polyurethane, each"
} ]
}, {
"code": "A4346",
"display": "Cath indw foley 3 way",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indwelling catheter; foley type, three way for continuous irrigation, each"
} ]
}, {
"code": "A4349",
"display": "Disposable male external cat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Male external catheter, with or without adhesive, disposable, each"
} ]
}, {
"code": "A4351",
"display": "Straight tip urine catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intermittent urinary catheter; straight tip, with or without coating (teflon,"
} ]
}, {
"code": "A4351",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "silicone, silicone elastomer, or hydrophilic, etc.), each"
} ]
}, {
"code": "A4352",
"display": "Coude tip urinary catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intermittent urinary catheter; coude (curved) tip, with or without coating"
} ]
}, {
"code": "A4352",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each"
} ]
}, {
"code": "A4353",
"display": "Intermittent urinary cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intermittent urinary catheter, with insertion supplies"
} ]
}, {
"code": "A4354",
"display": "Cath insertion tray w/bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion tray with drainage bag but without catheter"
} ]
}, {
"code": "A4355",
"display": "Bladder irrigation tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation tubing set for continuous bladder irrigation through a three-way"
} ]
}, {
"code": "A4355",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "indwelling foley catheter, each"
} ]
}, {
"code": "A4356",
"display": "Ext ureth clmp or compr dvc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External urethral clamp or compression device (not to be used for catheter"
} ]
}, {
"code": "A4356",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clamp), each"
} ]
}, {
"code": "A4357",
"display": "Bedside drainage bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bedside drainage bag, day or night, with or without anti-reflux device, with or"
} ]
}, {
"code": "A4357",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without tube, each"
} ]
}, {
"code": "A4358",
"display": "Urinary leg or abdomen bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps,"
} ]
}, {
"code": "A4358",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "A4360",
"display": "Disposable ext urethral dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable external urethral clamp or compression device, with pad and/or"
} ]
}, {
"code": "A4360",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pouch, each"
} ]
}, {
"code": "A4361",
"display": "Ostomy face plate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy faceplate, each"
} ]
}, {
"code": "A4362",
"display": "Solid skin barrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin barrier; solid, 4 x 4 or equivalent; each"
} ]
}, {
"code": "A4363",
"display": "Ostomy clamp, replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy clamp, any type, replacement only, each"
} ]
}, {
"code": "A4364",
"display": "Adhesive, liquid or equal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive, liquid or equal, any type, per oz"
} ]
}, {
"code": "A4366",
"display": "Ostomy vent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy vent, any type, each"
} ]
}, {
"code": "A4367",
"display": "Ostomy belt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy belt, each"
} ]
}, {
"code": "A4368",
"display": "Ostomy filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy filter, any type, each"
} ]
}, {
"code": "A4369",
"display": "Skin barrier liquid per oz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, liquid (spray, brush, etc.), per oz"
} ]
}, {
"code": "A4371",
"display": "Skin barrier powder per oz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, powder, per oz"
} ]
}, {
"code": "A4372",
"display": "Skin barrier solid 4x4 equiv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in"
} ]
}, {
"code": "A4372",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity, each"
} ]
}, {
"code": "A4373",
"display": "Skin barrier with flange",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in"
} ]
}, {
"code": "A4373",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity, any size, each"
} ]
}, {
"code": "A4375",
"display": "Drainable plastic pch w fcpl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with faceplate attached, plastic, each"
} ]
}, {
"code": "A4376",
"display": "Drainable rubber pch w fcplt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with faceplate attached, rubber, each"
} ]
}, {
"code": "A4377",
"display": "Drainable plstic pch w/o fp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, for use on faceplate, plastic, each"
} ]
}, {
"code": "A4378",
"display": "Drainable rubber pch w/o fp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, for use on faceplate, rubber, each"
} ]
}, {
"code": "A4379",
"display": "Urinary plastic pouch w fcpl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with faceplate attached, plastic, each"
} ]
}, {
"code": "A4380",
"display": "Urinary rubber pouch w fcplt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with faceplate attached, rubber, each"
} ]
}, {
"code": "A4381",
"display": "Urinary plastic pouch w/o fp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, for use on faceplate, plastic, each"
} ]
}, {
"code": "A4382",
"display": "Urinary hvy plstc pch w/o fp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, for use on faceplate, heavy plastic, each"
} ]
}, {
"code": "A4383",
"display": "Urinary rubber pouch w/o fp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, for use on faceplate, rubber, each"
} ]
}, {
"code": "A4384",
"display": "Ostomy faceplt/silicone ring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy faceplate equivalent, silicone ring, each"
} ]
}, {
"code": "A4385",
"display": "Ost skn barrier sld ext wear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in"
} ]
}, {
"code": "A4385",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity, each"
} ]
}, {
"code": "A4387",
"display": "Ost clsd pouch w att st barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece),"
} ]
}, {
"code": "A4387",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "A4388",
"display": "Drainable pch w ex wear barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each"
} ]
}, {
"code": "A4389",
"display": "Drainable pch w st wear barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with barrier attached, with built-in convexity (1"
} ]
}, {
"code": "A4389",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "piece), each"
} ]
}, {
"code": "A4390",
"display": "Drainable pch ex wear convex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with extended wear barrier attached, with built-in"
} ]
}, {
"code": "A4390",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity (1 piece), each"
} ]
}, {
"code": "A4391",
"display": "Urinary pouch w ex wear barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each"
} ]
}, {
"code": "A4392",
"display": "Urinary pouch w st wear barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with standard wear barrier attached, with built-in"
} ]
}, {
"code": "A4392",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity (1 piece), each"
} ]
}, {
"code": "A4393",
"display": "Urine pch w ex wear bar conv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in"
} ]
}, {
"code": "A4393",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity (1 piece), each"
} ]
}, {
"code": "A4394",
"display": "Ostomy pouch liq deodorant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid"
} ]
}, {
"code": "A4394",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ounce"
} ]
}, {
"code": "A4395",
"display": "Ostomy pouch solid deodorant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy deodorant for use in ostomy pouch, solid, per tablet"
} ]
}, {
"code": "A4396",
"display": "Peristomal hernia supprt blt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy belt with peristomal hernia support"
} ]
}, {
"code": "A4397",
"display": "Irrigation supply sleeve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation supply; sleeve, each"
} ]
}, {
"code": "A4398",
"display": "Ostomy irrigation bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy irrigation supply; bag, each"
} ]
}, {
"code": "A4399",
"display": "Ostomy irrig cone/cath w brs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy irrigation supply; cone/catheter, with or without brush"
} ]
}, {
"code": "A4400",
"display": "Ostomy irrigation set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy irrigation set"
} ]
}, {
"code": "A4402",
"display": "Lubricant per ounce",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lubricant, per ounce"
} ]
}, {
"code": "A4404",
"display": "Ostomy ring each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy ring, each"
} ]
}, {
"code": "A4405",
"display": "Nonpectin based ostomy paste",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, non-pectin based, paste, per ounce"
} ]
}, {
"code": "A4406",
"display": "Pectin based ostomy paste",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, pectin-based, paste, per ounce"
} ]
}, {
"code": "A4407",
"display": "Ext wear ost skn barr <=4sq\"",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible, or accordion), extended"
} ]
}, {
"code": "A4407",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wear, with built-in convexity, 4 x 4 inches or smaller, each"
} ]
}, {
"code": "A4408",
"display": "Ext wear ost skn barr >4sq\"",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear,"
} ]
}, {
"code": "A4408",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with built-in convexity, larger than 4 x 4 inches, each"
} ]
}, {
"code": "A4409",
"display": "Ost skn barr convex <=4 sq i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear,"
} ]
}, {
"code": "A4409",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without built-in convexity, 4 x 4 inches or smaller, each"
} ]
}, {
"code": "A4410",
"display": "Ost skn barr extnd >4 sq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear,"
} ]
}, {
"code": "A4410",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without built-in convexity, larger than 4 x 4 inches, each"
} ]
}, {
"code": "A4411",
"display": "Ost skn barr extnd =4sq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in"
} ]
}, {
"code": "A4411",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity, each"
} ]
}, {
"code": "A4412",
"display": "Ost pouch drain high output",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece"
} ]
}, {
"code": "A4412",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system), without filter, each"
} ]
}, {
"code": "A4413",
"display": "2 pc drainable ost pouch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece"
} ]
}, {
"code": "A4413",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system), with filter, each"
} ]
}, {
"code": "A4414",
"display": "Ost sknbar w/o conv<=4 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), without"
} ]
}, {
"code": "A4414",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "built-in convexity, 4 x 4 inches or smaller, each"
} ]
}, {
"code": "A4415",
"display": "Ost skn barr w/o conv >4 sqi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy skin barrier, with flange (solid, flexible or accordion), without"
} ]
}, {
"code": "A4415",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "built-in convexity, larger than 4 x 4 inches, each"
} ]
}, {
"code": "A4416",
"display": "Ost pch clsd w barrier/filtr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed, with barrier attached, with filter (1 piece), each"
} ]
}, {
"code": "A4417",
"display": "Ost pch w bar/bltinconv/fltr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed, with barrier attached, with built-in convexity, with"
} ]
}, {
"code": "A4417",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "filter (1 piece), each"
} ]
}, {
"code": "A4418",
"display": "Ost pch clsd w/o bar w filtr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; without barrier attached, with filter (1 piece), each"
} ]
}, {
"code": "A4419",
"display": "Ost pch for bar w flange/flt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; for use on barrier with non-locking flange, with filter"
} ]
}, {
"code": "A4419",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(2 piece), each"
} ]
}, {
"code": "A4420",
"display": "Ost pch clsd for bar w lk fl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each"
} ]
}, {
"code": "A4421",
"display": "Ostomy supply misc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy supply; miscellaneous"
} ]
}, {
"code": "A4422",
"display": "Ost pouch absorbent material",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to"
} ]
}, {
"code": "A4422",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thicken liquid stomal output, each"
} ]
}, {
"code": "A4423",
"display": "Ost pch for bar w lk fl/fltr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; for use on barrier with locking flange, with filter (2"
} ]
}, {
"code": "A4423",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "piece), each"
} ]
}, {
"code": "A4424",
"display": "Ost pch drain w bar & filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each"
} ]
}, {
"code": "A4425",
"display": "Ost pch drain for barrier fl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable; for use on barrier with non-locking flange, with"
} ]
}, {
"code": "A4425",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "filter (2 piece system), each"
} ]
}, {
"code": "A4426",
"display": "Ost pch drain 2 piece system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable; for use on barrier with locking flange (2 piece"
} ]
}, {
"code": "A4426",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system), each"
} ]
}, {
"code": "A4427",
"display": "Ost pch drain/barr lk flng/f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2"
} ]
}, {
"code": "A4427",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "piece system), each"
} ]
}, {
"code": "A4428",
"display": "Urine ost pouch w faucet/tap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type"
} ]
}, {
"code": "A4428",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tap with valve (1 piece), each"
} ]
}, {
"code": "A4429",
"display": "Urine ost pouch w bltinconv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with barrier attached, with built-in convexity, with"
} ]
}, {
"code": "A4429",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "faucet-type tap with valve (1 piece), each"
} ]
}, {
"code": "A4430",
"display": "Ost urine pch w b/bltin conv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in"
} ]
}, {
"code": "A4430",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity, with faucet-type tap with valve (1 piece), each"
} ]
}, {
"code": "A4431",
"display": "Ost pch urine w barrier/tapv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve"
} ]
}, {
"code": "A4431",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(1 piece), each"
} ]
}, {
"code": "A4432",
"display": "Os pch urine w bar/fange/tap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; for use on barrier with non-locking flange, with"
} ]
}, {
"code": "A4432",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "faucet-type tap with valve (2 piece), each"
} ]
}, {
"code": "A4433",
"display": "Urine ost pch bar w lock fln",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each"
} ]
}, {
"code": "A4434",
"display": "Ost pch urine w lock flng/ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type"
} ]
}, {
"code": "A4434",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tap with valve (2 piece), each"
} ]
}, {
"code": "A4435",
"display": "1pc ost pch drain hgh output",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, high output, with extended wear barrier (one-piece"
} ]
}, {
"code": "A4435",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system), with or without filter, each"
} ]
}, {
"code": "A4436",
"display": "Irr supply sleev reus per mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation supply; sleeve, reusable, per month"
} ]
}, {
"code": "A4437",
"display": "Irr supply sleev disp per mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation supply; sleeve, disposable, per month"
} ]
}, {
"code": "A4438",
"display": "Adhesive clip ext ens contr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive clip applied to the skin to secure external electrical nerve"
} ]
}, {
"code": "A4438",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stimulator controller, each"
} ]
}, {
"code": "A4450",
"display": "Non-waterproof tape",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tape, non-waterproof, per 18 square inches"
} ]
}, {
"code": "A4452",
"display": "Waterproof tape",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tape, waterproof, per 18 square inches"
} ]
}, {
"code": "A4453",
"display": "Rec cath man pump enema repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rectal catheter for use with the manual pump-operated enema system, replacement"
} ]
}, {
"code": "A4453",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only"
} ]
}, {
"code": "A4455",
"display": "Adhesive remover per ounce",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive remover or solvent (for tape, cement or other adhesive), per ounce"
} ]
}, {
"code": "A4456",
"display": "Adhesive remover, wipes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive remover, wipes, any type, each"
} ]
}, {
"code": "A4457",
"display": "Enema tube any type repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enema tube, with or without adapter, any type, replacement only, each"
} ]
}, {
"code": "A4458",
"display": "Reusable enema bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enema bag with tubing, reusable"
} ]
}, {
"code": "A4459",
"display": "Manual pump enema, reusable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual pump-operated enema system, includes balloon, catheter and all"
} ]
}, {
"code": "A4459",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories, reusable, any type"
} ]
}, {
"code": "A4461",
"display": "Surgicl dress hold non-reuse",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical dressing holder, non-reusable, each"
} ]
}, {
"code": "A4463",
"display": "Surgical dress holder reuse",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical dressing holder, reusable, each"
} ]
}, {
"code": "A4465",
"display": "Non-elastic extremity binder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-elastic binder for extremity"
} ]
}, {
"code": "A4466",
"display": "Elastic garment/covering",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Garment, belt, sleeve or other covering, elastic or similar stretchable"
} ]
}, {
"code": "A4466",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, any type, each"
} ]
}, {
"code": "A4467",
"display": "Belt strap sleev grmnt cover",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Belt, strap, sleeve, garment, or covering, any type"
} ]
}, {
"code": "A4468",
"display": "Exsuff belt incl all sup acc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exsufflation belt, includes all supplies and accessories"
} ]
}, {
"code": "A4470",
"display": "Gravlee jet washer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gravlee jet washer"
} ]
}, {
"code": "A4480",
"display": "Vabra aspirator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vabra aspirator"
} ]
}, {
"code": "A4481",
"display": "Tracheostoma filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostoma filter, any type, any size, each"
} ]
}, {
"code": "A4483",
"display": "Moisture exchanger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Moisture exchanger, disposable, for use with invasive mechanical ventilation"
} ]
}, {
"code": "A4490",
"display": "Above knee surgical stocking",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical stockings above knee length, each"
} ]
}, {
"code": "A4495",
"display": "Thigh length surg stocking",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical stockings thigh length, each"
} ]
}, {
"code": "A4500",
"display": "Below knee surgical stocking",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical stockings below knee length, each"
} ]
}, {
"code": "A4510",
"display": "Full length surg stocking",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical stockings full length, each"
} ]
}, {
"code": "A4520",
"display": "Incontinence garment anytype",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence garment, any type, (e.g., brief, diaper), each"
} ]
}, {
"code": "A4540",
"display": "Trans elec nerv periph nerv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves"
} ]
}, {
"code": "A4540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of the upper arm"
} ]
}, {
"code": "A4541",
"display": "Monthly supp use with e0733",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monthly supplies for use of device coded at e0733"
} ]
}, {
"code": "A4542",
"display": "Supp ext up limb tremor stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies and accessories for external upper limb tremor stimulator of the"
} ]
}, {
"code": "A4542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "peripheral nerves of the wrist"
} ]
}, {
"code": "A4543",
"display": "Supply trans elec nerve stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for transcutaneous electrical nerve stimulator, for nerves in the"
} ]
}, {
"code": "A4543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "auricular region, per month"
} ]
}, {
"code": "A4544",
"display": "Electro nerve stimulator rls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrode for external lower extremity nerve stimulator for restless legs"
} ]
}, {
"code": "A4544",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "syndrome"
} ]
}, {
"code": "A4545",
"display": "Suppl accessor tibial stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel"
} ]
}, {
"code": "A4545",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pads, electrodes, etc.), needed for one month"
} ]
}, {
"code": "A4550",
"display": "Surgical trays",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical trays"
} ]
}, {
"code": "A4553",
"display": "Nondisp underpads, all sizes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-disposable underpads, all sizes"
} ]
}, {
"code": "A4554",
"display": "Disposable underpads",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable underpads, all sizes"
} ]
}, {
"code": "A4555",
"display": "Ca tx e-stim electr/transduc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrode/transducer for use with electrical stimulation device used for cancer"
} ]
}, {
"code": "A4555",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment, replacement only"
} ]
}, {
"code": "A4556",
"display": "Electrodes, pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrodes, (e.g., apnea monitor), per pair"
} ]
}, {
"code": "A4557",
"display": "Lead wires, pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead wires, (e.g., apnea monitor), per pair"
} ]
}, {
"code": "A4558",
"display": "Conductive gel or paste",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per"
} ]
}, {
"code": "A4558",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "oz"
} ]
}, {
"code": "A4559",
"display": "Coupling gel or paste",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coupling gel or paste, for use with ultrasound device, per oz"
} ]
}, {
"code": "A4560",
"display": "Nmes disposable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neuromuscular electrical stimulator (nmes), disposable, replacement only"
} ]
}, {
"code": "A4561",
"display": "Pessary reusable rub anytype",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pessary, reusable, rubber, any type"
} ]
}, {
"code": "A4562",
"display": "Pessary reusable nonrubber",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pessary, reusable, non rubber, any type"
} ]
}, {
"code": "A4563",
"display": "Vag inser rectal control sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rectal control system for vaginal insertion, for long term use, includes pump"
} ]
}, {
"code": "A4563",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and all supplies and accessories, any type each"
} ]
}, {
"code": "A4564",
"display": "Pessary, disposable any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pessary, disposable, any type"
} ]
}, {
"code": "A4565",
"display": "Slings",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Slings"
} ]
}, {
"code": "A4566",
"display": "Should sling/vest/abrestrain",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder sling or vest design, abduction restrainer, with or without swathe"
} ]
}, {
"code": "A4566",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "A4570",
"display": "Splint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Splint"
} ]
}, {
"code": "A4575",
"display": "Hyperbaric o2 chamber disps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Topical hyperbaric oxygen chamber, disposable"
} ]
}, {
"code": "A4580",
"display": "Cast supplies (plaster)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies (e.g., plaster)"
} ]
}, {
"code": "A4590",
"display": "Special casting material",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special casting material (e.g., fiberglass)"
} ]
}, {
"code": "A4593",
"display": "Neuromod sti sys adj rehab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neuromodulation stimulator system, adjunct to rehabilitation therapy regime,"
} ]
}, {
"code": "A4593",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "controller"
} ]
}, {
"code": "A4594",
"display": "Neuromod adj rehab mouthpie",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neuromodulation stimulator system, adjunct to rehabilitation therapy regime,"
} ]
}, {
"code": "A4594",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mouthpiece each"
} ]
}, {
"code": "A4595",
"display": "Tens suppl 2 lead per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)"
} ]
}, {
"code": "A4596",
"display": "Ces system monthly supp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cranial electrotherapy stimulation (ces) system supplies and accessories, per"
} ]
}, {
"code": "A4596",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "month"
} ]
}, {
"code": "A4600",
"display": "Sleeve, inter limb comp dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sleeve for intermittent limb compression device, replacement only, each"
} ]
}, {
"code": "A4601",
"display": "Lith ion non prosth recharge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lithium ion battery, rechargeable, for non-prosthetic use, replacement"
} ]
}, {
"code": "A4602",
"display": "Replace lithium battery 1.5v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for external infusion pump owned by patient, lithium, 1.5"
} ]
}, {
"code": "A4602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "volt, each"
} ]
}, {
"code": "A4604",
"display": "Tubing with heating element",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tubing with integrated heating element for use with positive airway pressure"
} ]
}, {
"code": "A4604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "A4605",
"display": "Trach suction cath close sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheal suction catheter, closed system, each"
} ]
}, {
"code": "A4606",
"display": "Oxygen probe used w oximeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen probe for use with oximeter device, replacement"
} ]
}, {
"code": "A4608",
"display": "Transtracheal oxygen cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transtracheal oxygen catheter, each"
} ]
}, {
"code": "A4611",
"display": "Heavy duty battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery, heavy duty; replacement for patient owned ventilator"
} ]
}, {
"code": "A4612",
"display": "Battery cables",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery cables; replacement for patient-owned ventilator"
} ]
}, {
"code": "A4613",
"display": "Battery charger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery charger; replacement for patient-owned ventilator"
} ]
}, {
"code": "A4614",
"display": "Hand-held pefr meter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peak expiratory flow rate meter, hand held"
} ]
}, {
"code": "A4615",
"display": "Cannula nasal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cannula, nasal"
} ]
}, {
"code": "A4616",
"display": "Tubing (oxygen) per foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tubing (oxygen), per foot"
} ]
}, {
"code": "A4617",
"display": "Mouth piece",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mouth piece"
} ]
}, {
"code": "A4618",
"display": "Breathing circuits",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breathing circuits"
} ]
}, {
"code": "A4619",
"display": "Face tent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Face tent"
} ]
}, {
"code": "A4620",
"display": "Variable concentration mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Variable concentration mask"
} ]
}, {
"code": "A4623",
"display": "Tracheostomy inner cannula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy, inner cannula"
} ]
}, {
"code": "A4624",
"display": "Tracheal suction tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheal suction catheter, any type other than closed system, each"
} ]
}, {
"code": "A4625",
"display": "Trach care kit for new trach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy care kit for new tracheostomy"
} ]
}, {
"code": "A4626",
"display": "Tracheostomy cleaning brush",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy cleaning brush, each"
} ]
}, {
"code": "A4627",
"display": "Spacer bag/reservoir",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spacer, bag or reservoir, with or without mask, for use with metered dose"
} ]
}, {
"code": "A4627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inhaler"
} ]
}, {
"code": "A4628",
"display": "Oropharyngeal suction cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral and/or oropharyngeal suction catheter, each"
} ]
}, {
"code": "A4629",
"display": "Tracheostomy care kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy care kit for established tracheostomy"
} ]
}, {
"code": "A4630",
"display": "Repl bat t.e.n.s. own by pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement batteries, medically necessary, transcutaneous electrical"
} ]
}, {
"code": "A4630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stimulator, owned by patient"
} ]
}, {
"code": "A4633",
"display": "Uvl replacement bulb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement bulb/lamp for ultraviolet light therapy system, each"
} ]
}, {
"code": "A4634",
"display": "Replacement bulb th lightbox",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement bulb for therapeutic light box, tabletop model"
} ]
}, {
"code": "A4635",
"display": "Underarm crutch pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Underarm pad, crutch, replacement, each"
} ]
}, {
"code": "A4636",
"display": "Handgrip for cane etc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement, handgrip, cane, crutch, or walker, each"
} ]
}, {
"code": "A4637",
"display": "Repl tip cane/crutch/walker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement, tip, cane, crutch, walker, each."
} ]
}, {
"code": "A4638",
"display": "Repl batt pulse gen sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for patient-owned ear pulse generator, each"
} ]
}, {
"code": "A4639",
"display": "Infrared ht sys replcmnt pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement pad for infrared heating pad system, each"
} ]
}, {
"code": "A4640",
"display": "Alternating pressure pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement pad for use with medically necessary alternating pressure pad owned"
} ]
}, {
"code": "A4640",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "by patient"
} ]
}, {
"code": "A4641",
"display": "Radiopharm dx agent noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiopharmaceutical, diagnostic, not otherwise classified"
} ]
}, {
"code": "A4642",
"display": "In111 satumomab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6"
} ]
}, {
"code": "A4642",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A4648",
"display": "Implantable tissue marker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tissue marker, implantable, any type, each"
} ]
}, {
"code": "A4649",
"display": "Surgical supplies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical supply; miscellaneous"
} ]
}, {
"code": "A4650",
"display": "Implant radiation dosimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable radiation dosimeter, each"
} ]
}, {
"code": "A4651",
"display": "Calibrated microcap tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Calibrated microcapillary tube, each"
} ]
}, {
"code": "A4652",
"display": "Microcapillary tube sealant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microcapillary tube sealant"
} ]
}, {
"code": "A4653",
"display": "Pd catheter anchor belt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peritoneal dialysis catheter anchoring device, belt, each"
} ]
}, {
"code": "A4657",
"display": "Syringe w/wo needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Syringe, with or without needle, each"
} ]
}, {
"code": "A4660",
"display": "Sphyg/bp app w cuff and stet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphygmomanometer/blood pressure apparatus with cuff and stethoscope"
} ]
}, {
"code": "A4663",
"display": "Dialysis blood pressure cuff",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure cuff only"
} ]
}, {
"code": "A4670",
"display": "Automatic bp monitor, dial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Automatic blood pressure monitor"
} ]
}, {
"code": "A4671",
"display": "Disposable cycler set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable cycler set used with cycler dialysis machine, each"
} ]
}, {
"code": "A4672",
"display": "Drainage ext line, dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drainage extension line, sterile, for dialysis, each"
} ]
}, {
"code": "A4673",
"display": "Ext line w easy lock connect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extension line with easy lock connectors, used with dialysis"
} ]
}, {
"code": "A4674",
"display": "Chem/antisept solution, 8oz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per"
} ]
}, {
"code": "A4674",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "8 oz"
} ]
}, {
"code": "A4680",
"display": "Activated carbon filter, ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Activated carbon filter for hemodialysis, each"
} ]
}, {
"code": "A4690",
"display": "Dialyzer, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each"
} ]
}, {
"code": "A4706",
"display": "Bicarbonate conc sol per gal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bicarbonate concentrate, solution, for hemodialysis, per gallon"
} ]
}, {
"code": "A4707",
"display": "Bicarbonate conc pow per pac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bicarbonate concentrate, powder, for hemodialysis, per packet"
} ]
}, {
"code": "A4708",
"display": "Acetate conc sol per gallon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acetate concentrate solution, for hemodialysis, per gallon"
} ]
}, {
"code": "A4709",
"display": "Acid conc sol per gallon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acid concentrate, solution, for hemodialysis, per gallon"
} ]
}, {
"code": "A4714",
"display": "Treated water per gallon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Treated water (deionized, distilled, or reverse osmosis) for peritoneal"
} ]
}, {
"code": "A4714",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dialysis, per gallon"
} ]
}, {
"code": "A4719",
"display": "\"y set\" tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "\"y set\" tubing for peritoneal dialysis"
} ]
}, {
"code": "A4720",
"display": "Dialysat sol fld vol > 249cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4720",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "249 cc, but less than or equal to 999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4721",
"display": "Dialysat sol fld vol > 999cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4721",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "999 cc but less than or equal to 1999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4722",
"display": "Dialys sol fld vol > 1999cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4722",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1999 cc but less than or equal to 2999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4723",
"display": "Dialys sol fld vol > 2999cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4723",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2999 cc but less than or equal to 3999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4724",
"display": "Dialys sol fld vol > 3999cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4724",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "3999 cc but less than or equal to 4999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4725",
"display": "Dialys sol fld vol > 4999cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4725",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4999 cc but less than or equal to 5999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4726",
"display": "Dialys sol fld vol > 5999cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, any concentration of dextrose, fluid volume greater than"
} ]
}, {
"code": "A4726",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "5999 cc, for peritoneal dialysis"
} ]
}, {
"code": "A4728",
"display": "Dialysate solution, non-dex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution, non-dextrose containing, 500 ml"
} ]
}, {
"code": "A4730",
"display": "Fistula cannulation set, ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fistula cannulation set for hemodialysis, each"
} ]
}, {
"code": "A4736",
"display": "Topical anesthetic, per gram",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Topical anesthetic, for dialysis, per gram"
} ]
}, {
"code": "A4737",
"display": "Inj anesthetic per 10 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injectable anesthetic, for dialysis, per 10 ml"
} ]
}, {
"code": "A4740",
"display": "Shunt accessory",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shunt accessory, for hemodialysis, any type, each"
} ]
}, {
"code": "A4750",
"display": "Art or venous blood tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood tubing, arterial or venous, for hemodialysis, each"
} ]
}, {
"code": "A4755",
"display": "Comb art/venous blood tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood tubing, arterial and venous combined, for hemodialysis, each"
} ]
}, {
"code": "A4760",
"display": "Dialysate sol test kit, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate solution test kit, for peritoneal dialysis, any type, each"
} ]
}, {
"code": "A4765",
"display": "Dialysate conc pow per pack",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate concentrate, powder, additive for peritoneal dialysis, per packet"
} ]
}, {
"code": "A4766",
"display": "Dialysate conc sol add 10 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml"
} ]
}, {
"code": "A4770",
"display": "Blood collection tube/vacuum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood collection tube, vacuum, for dialysis, per 50"
} ]
}, {
"code": "A4771",
"display": "Serum clotting time tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Serum clotting time tube, for dialysis, per 50"
} ]
}, {
"code": "A4772",
"display": "Blood glucose test strips",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood glucose test strips, for dialysis, per 50"
} ]
}, {
"code": "A4773",
"display": "Occult blood test strips",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Occult blood test strips, for dialysis, per 50"
} ]
}, {
"code": "A4774",
"display": "Ammonia test strips",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ammonia test strips, for dialysis, per 50"
} ]
}, {
"code": "A4802",
"display": "Protamine sulfate per 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Protamine sulfate, for hemodialysis, per 50 mg"
} ]
}, {
"code": "A4860",
"display": "Disposable catheter tips",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable catheter tips for peritoneal dialysis, per 10"
} ]
}, {
"code": "A4870",
"display": "Plumb/elec wk hm hemo equip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plumbing and/or electrical work for home hemodialysis equipment"
} ]
}, {
"code": "A4890",
"display": "Repair/maint cont hemo equip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contracts, repair and maintenance, for hemodialysis equipment"
} ]
}, {
"code": "A4911",
"display": "Drain bag/bottle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drain bag/bottle, for dialysis, each"
} ]
}, {
"code": "A4913",
"display": "Misc dialysis supplies noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous dialysis supplies, not otherwise specified"
} ]
}, {
"code": "A4918",
"display": "Venous pressure clamp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Venous pressure clamp, for hemodialysis, each"
} ]
}, {
"code": "A4927",
"display": "Non-sterile gloves",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gloves, non-sterile, per 100"
} ]
}, {
"code": "A4928",
"display": "Surgical mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical mask, per 20"
} ]
}, {
"code": "A4929",
"display": "Tourniquet for dialysis, ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tourniquet for dialysis, each"
} ]
}, {
"code": "A4930",
"display": "Sterile, gloves per pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gloves, sterile, per pair"
} ]
}, {
"code": "A4931",
"display": "Reusable oral thermometer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral thermometer, reusable, any type, each"
} ]
}, {
"code": "A4932",
"display": "Reusable rectal thermometer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rectal thermometer, reusable, any type, each"
} ]
}, {
"code": "A5051",
"display": "Pouch clsd w barr attached",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; with barrier attached (1 piece), each"
} ]
}, {
"code": "A5052",
"display": "Clsd ostomy pouch w/o barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; without barrier attached (1 piece), each"
} ]
}, {
"code": "A5053",
"display": "Clsd ostomy pouch faceplate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; for use on faceplate, each"
} ]
}, {
"code": "A5054",
"display": "Clsd ostomy pouch w/flange",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, closed; for use on barrier with flange (2 piece), each"
} ]
}, {
"code": "A5055",
"display": "Stoma cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stoma cap"
} ]
}, {
"code": "A5056",
"display": "1 pc ost pouch w filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1"
} ]
}, {
"code": "A5056",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "piece), each"
} ]
}, {
"code": "A5057",
"display": "1 pc ost pou w built-in conv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable, with extended wear barrier attached, with built in"
} ]
}, {
"code": "A5057",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "convexity, with filter, (1 piece), each"
} ]
}, {
"code": "A5061",
"display": "Pouch drainable w barrier at",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable; with barrier attached, (1 piece), each"
} ]
}, {
"code": "A5062",
"display": "Drnble ostomy pouch w/o barr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable; without barrier attached (1 piece), each"
} ]
}, {
"code": "A5063",
"display": "Drain ostomy pouch w/flange",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each"
} ]
}, {
"code": "A5071",
"display": "Urinary pouch w/barrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; with barrier attached (1 piece), each"
} ]
}, {
"code": "A5072",
"display": "Urinary pouch w/o barrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; without barrier attached (1 piece), each"
} ]
}, {
"code": "A5073",
"display": "Urinary pouch on barr w/flng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy pouch, urinary; for use on barrier with flange (2 piece), each"
} ]
}, {
"code": "A5081",
"display": "Stoma plug or seal, any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stoma plug or seal, any type"
} ]
}, {
"code": "A5082",
"display": "Continent stoma catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continent device; catheter for continent stoma"
} ]
}, {
"code": "A5083",
"display": "Stoma absorptive cover",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continent device, stoma absorptive cover for continent stoma"
} ]
}, {
"code": "A5093",
"display": "Ostomy accessory convex inse",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ostomy accessory; convex insert"
} ]
}, {
"code": "A5102",
"display": "Bedside drain btl w/wo tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bedside drainage bottle with or without tubing, rigid or expandable, each"
} ]
}, {
"code": "A5105",
"display": "Urinary suspensory",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinary suspensory with leg bag, with or without tube, each"
} ]
}, {
"code": "A5112",
"display": "Urinary leg bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps,"
} ]
}, {
"code": "A5112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "A5113",
"display": "Latex leg strap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg strap; latex, replacement only, per set"
} ]
}, {
"code": "A5114",
"display": "Foam/fabric leg strap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg strap; foam or fabric, replacement only, per set"
} ]
}, {
"code": "A5120",
"display": "Skin barrier, wipe or swab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin barrier, wipes or swabs, each"
} ]
}, {
"code": "A5121",
"display": "Solid skin barrier 6x6",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin barrier; solid, 6 x 6 or equivalent, each"
} ]
}, {
"code": "A5122",
"display": "Solid skin barrier 8x8",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin barrier; solid, 8 x 8 or equivalent, each"
} ]
}, {
"code": "A5126",
"display": "Disk/foam pad +or- adhesive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive or non-adhesive; disk or foam pad"
} ]
}, {
"code": "A5131",
"display": "Appliance cleaner",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Appliance cleaner, incontinence and ostomy appliances, per 16 oz."
} ]
}, {
"code": "A5200",
"display": "Percutaneous catheter anchor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous catheter/tube anchoring device, adhesive skin attachment"
} ]
}, {
"code": "A5500",
"display": "Diab shoe for density insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, fitting (including follow-up), custom preparation and"
} ]
}, {
"code": "A5500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "supply of off-the-shelf depth-inlay shoe manufactured to accommodate"
} ]
}, {
"code": "A5500",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "multi-density insert(s), per shoe"
} ]
}, {
"code": "A5501",
"display": "Diabetic custom molded shoe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, fitting (including follow-up), custom preparation and"
} ]
}, {
"code": "A5501",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per"
} ]
}, {
"code": "A5501",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "shoe"
} ]
}, {
"code": "A5503",
"display": "Diabetic shoe w/roller/rockr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, modification (including fitting) of off-the-shelf"
} ]
}, {
"code": "A5503",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per"
} ]
}, {
"code": "A5503",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "shoe"
} ]
}, {
"code": "A5504",
"display": "Diabetic shoe with wedge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, modification (including fitting) of off-the-shelf"
} ]
}, {
"code": "A5504",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "depth-inlay shoe or custom-molded shoe with wedge(s), per shoe"
} ]
}, {
"code": "A5505",
"display": "Diab shoe w/metatarsal bar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, modification (including fitting) of off-the-shelf"
} ]
}, {
"code": "A5505",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe"
} ]
}, {
"code": "A5506",
"display": "Diabetic shoe w/off set heel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, modification (including fitting) of off-the-shelf"
} ]
}, {
"code": "A5506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe"
} ]
}, {
"code": "A5507",
"display": "Modification diabetic shoe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, not otherwise specified modification (including fitting) of"
} ]
}, {
"code": "A5507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe"
} ]
}, {
"code": "A5508",
"display": "Diabetic deluxe shoe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or"
} ]
}, {
"code": "A5508",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom-molded shoe, per shoe"
} ]
}, {
"code": "A5510",
"display": "Compression form shoe insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, direct formed, compression molded to patient's foot without"
} ]
}, {
"code": "A5510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "external heat source, multiple-density insert(s) prefabricated, per shoe"
} ]
}, {
"code": "A5512",
"display": "Multi den insert direct form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, multiple density insert, direct formed, molded to foot"
} ]
}, {
"code": "A5512",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after external heat source of 230 degrees fahrenheit or higher, total contact"
} ]
}, {
"code": "A5512",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with patient's foot, including arch, base layer minimum of 1/4 inch material of"
} ]
}, {
"code": "A5512",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher),"
} ]
}, {
"code": "A5512",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "prefabricated, each"
} ]
}, {
"code": "A5513",
"display": "Multi den insert custom mold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, multiple density insert, custom molded from model of"
} ]
}, {
"code": "A5513",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient's foot, total contact with patient's foot, including arch, base layer"
} ]
}, {
"code": "A5513",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "minimum of 3/16 inch material of shore a 35 durometer (or higher), includes"
} ]
}, {
"code": "A5513",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "arch filler and other shaping material, custom fabricated, each"
} ]
}, {
"code": "A5514",
"display": "Mult den insert dir carv/cam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, multiple density insert, made by direct carving with cam"
} ]
}, {
"code": "A5514",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "technology from a rectified cad model created from a digitized scan of the"
} ]
}, {
"code": "A5514",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient, total contact with patient's foot, including arch, base layer minimum"
} ]
}, {
"code": "A5514",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler"
} ]
}, {
"code": "A5514",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and other shaping material, custom fabricated, each"
} ]
}, {
"code": "A6000",
"display": "Wound warming wound cover",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-contact wound warming wound cover for use with the non-contact wound"
} ]
}, {
"code": "A6000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "warming device and warming card"
} ]
}, {
"code": "A6010",
"display": "Collagen based wound filler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen based wound filler, dry form, sterile, per gram of collagen"
} ]
}, {
"code": "A6011",
"display": "Collagen gel/paste wound fil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen based wound filler, gel/paste, per gram of collagen"
} ]
}, {
"code": "A6021",
"display": "Collagen dressing <=16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen dressing, sterile, size 16 sq. in. or less, each"
} ]
}, {
"code": "A6022",
"display": "Collagen drsg>16<=48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to"
} ]
}, {
"code": "A6022",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "48 sq. in., each"
} ]
}, {
"code": "A6023",
"display": "Collagen dressing >48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen dressing, sterile, size more than 48 sq. in., each"
} ]
}, {
"code": "A6024",
"display": "Collagen dsg wound filler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen dressing wound filler, sterile, per 6 inches"
} ]
}, {
"code": "A6025",
"display": "Silicone gel sheet, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel,"
} ]
}, {
"code": "A6025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other), each"
} ]
}, {
"code": "A6154",
"display": "Wound pouch each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound pouch, each"
} ]
}, {
"code": "A6196",
"display": "Alginate dressing <=16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq."
} ]
}, {
"code": "A6196",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in. or less, each dressing"
} ]
}, {
"code": "A6197",
"display": "Alginate drsg >16 <=48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more"
} ]
}, {
"code": "A6197",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than 16 sq. in. but less than or equal to 48 sq. in., each dressing"
} ]
}, {
"code": "A6198",
"display": "Alginate dressing > 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more"
} ]
}, {
"code": "A6198",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than 48 sq. in., each dressing"
} ]
}, {
"code": "A6199",
"display": "Alginate drsg wound filler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches"
} ]
}, {
"code": "A6203",
"display": "Composite drsg <= 16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Composite dressing, sterile, pad size 16 sq. in. or less, with any size"
} ]
}, {
"code": "A6203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6204",
"display": "Composite drsg >16<=48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Composite dressing, sterile, pad size more than 16 sq. in. but less than or"
} ]
}, {
"code": "A6204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 48 sq. in., with any size adhesive border, each dressing"
} ]
}, {
"code": "A6205",
"display": "Composite drsg > 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Composite dressing, sterile, pad size more than 48 sq. in., with any size"
} ]
}, {
"code": "A6205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6206",
"display": "Contact layer <= 16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact layer, sterile, 16 sq. in. or less, each dressing"
} ]
}, {
"code": "A6207",
"display": "Contact layer >16<= 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq."
} ]
}, {
"code": "A6207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in., each dressing"
} ]
}, {
"code": "A6208",
"display": "Contact layer > 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact layer, sterile, more than 48 sq. in., each dressing"
} ]
}, {
"code": "A6209",
"display": "Foam drsg <=16 sq in w/o bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without"
} ]
}, {
"code": "A6209",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6210",
"display": "Foam drg >16<=48 sq in w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less"
} ]
}, {
"code": "A6210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6211",
"display": "Foam drg > 48 sq in w/o brdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without"
} ]
}, {
"code": "A6211",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6212",
"display": "Foam drg <=16 sq in w/border",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size"
} ]
}, {
"code": "A6212",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6213",
"display": "Foam drg >16<=48 sq in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less"
} ]
}, {
"code": "A6213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than or equal to 48 sq. in., with any size adhesive border, each dressing"
} ]
}, {
"code": "A6214",
"display": "Foam drg > 48 sq in w/border",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any"
} ]
}, {
"code": "A6214",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size adhesive border, each dressing"
} ]
}, {
"code": "A6215",
"display": "Foam dressing wound filler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foam dressing, wound filler, sterile, per gram"
} ]
}, {
"code": "A6216",
"display": "Non-sterile gauze<=16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without"
} ]
}, {
"code": "A6216",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6217",
"display": "Non-sterile gauze>16<=48 sq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less"
} ]
}, {
"code": "A6217",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6218",
"display": "Non-sterile gauze > 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without"
} ]
}, {
"code": "A6218",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6219",
"display": "Gauze <= 16 sq in w/border",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size"
} ]
}, {
"code": "A6219",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6220",
"display": "Gauze >16 <=48 sq in w/bordr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or"
} ]
}, {
"code": "A6220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 48 sq. in., with any size adhesive border, each dressing"
} ]
}, {
"code": "A6221",
"display": "Gauze > 48 sq in w/border",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size"
} ]
}, {
"code": "A6221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6222",
"display": "Gauze <=16 in no w/sal w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile,"
} ]
}, {
"code": "A6222",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pad size 16 sq. in. or less, without adhesive border, each dressing"
} ]
}, {
"code": "A6223",
"display": "Gauze >16<=48 no w/sal w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile,"
} ]
}, {
"code": "A6223",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pad size more than 16 sq. in., but less than or equal to 48 sq. in., without"
} ]
}, {
"code": "A6223",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6224",
"display": "Gauze > 48 in no w/sal w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile,"
} ]
}, {
"code": "A6224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pad size more than 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6228",
"display": "Gauze <= 16 sq in water/sal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or"
} ]
}, {
"code": "A6228",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less, without adhesive border, each dressing"
} ]
}, {
"code": "A6229",
"display": "Gauze >16<=48 sq in watr/sal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq."
} ]
}, {
"code": "A6229",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6230",
"display": "Gauze > 48 sq in water/salne",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq."
} ]
}, {
"code": "A6230",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in., without adhesive border, each dressing"
} ]
}, {
"code": "A6231",
"display": "Hydrogel dsg<=16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16"
} ]
}, {
"code": "A6231",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sq. in. or less, each dressing"
} ]
}, {
"code": "A6232",
"display": "Hydrogel dsg>16<=48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size"
} ]
}, {
"code": "A6232",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing"
} ]
}, {
"code": "A6233",
"display": "Hydrogel dressing >48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more"
} ]
}, {
"code": "A6233",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than 48 sq. in., each dressing"
} ]
}, {
"code": "A6234",
"display": "Hydrocolld drg <=16 w/o bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less,"
} ]
}, {
"code": "A6234",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without adhesive border, each dressing"
} ]
}, {
"code": "A6235",
"display": "Hydrocolld drg >16<=48 w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but"
} ]
}, {
"code": "A6235",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6236",
"display": "Hydrocolld drg > 48 in w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in.,"
} ]
}, {
"code": "A6236",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without adhesive border, each dressing"
} ]
}, {
"code": "A6237",
"display": "Hydrocolld drg <=16 in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with"
} ]
}, {
"code": "A6237",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any size adhesive border, each dressing"
} ]
}, {
"code": "A6238",
"display": "Hydrocolld drg >16<=48 w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but"
} ]
}, {
"code": "A6238",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less than or equal to 48 sq. in., with any size adhesive border, each dressing"
} ]
}, {
"code": "A6239",
"display": "Hydrocolld drg > 48 in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in.,"
} ]
}, {
"code": "A6239",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with any size adhesive border, each dressing"
} ]
}, {
"code": "A6240",
"display": "Hydrocolld drg filler paste",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound filler, paste, sterile, per ounce"
} ]
}, {
"code": "A6241",
"display": "Hydrocolloid drg filler dry",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocolloid dressing, wound filler, dry form, sterile, per gram"
} ]
}, {
"code": "A6242",
"display": "Hydrogel drg <=16 in w/o bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without"
} ]
}, {
"code": "A6242",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6243",
"display": "Hydrogel drg >16<=48 w/o bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less"
} ]
}, {
"code": "A6243",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6244",
"display": "Hydrogel drg >48 in w/o bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without"
} ]
}, {
"code": "A6244",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6245",
"display": "Hydrogel drg <= 16 in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any"
} ]
}, {
"code": "A6245",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size adhesive border, each dressing"
} ]
}, {
"code": "A6246",
"display": "Hydrogel drg >16<=48 in w/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less"
} ]
}, {
"code": "A6246",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than or equal to 48 sq. in., with any size adhesive border, each dressing"
} ]
}, {
"code": "A6247",
"display": "Hydrogel drg > 48 sq in w/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with"
} ]
}, {
"code": "A6247",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any size adhesive border, each dressing"
} ]
}, {
"code": "A6248",
"display": "Hydrogel drsg gel filler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrogel dressing, wound filler, gel, per fluid ounce"
} ]
}, {
"code": "A6250",
"display": "Skin seal protect moisturizr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin sealants, protectants, moisturizers, ointments, any type, any size"
} ]
}, {
"code": "A6251",
"display": "Absorpt drg <=16 sq in w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or"
} ]
}, {
"code": "A6251",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less, without adhesive border, each dressing"
} ]
}, {
"code": "A6252",
"display": "Absorpt drg >16 <=48 w/o bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq."
} ]
}, {
"code": "A6252",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in. but less than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6253",
"display": "Absorpt drg > 48 sq in w/o b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq."
} ]
}, {
"code": "A6253",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in., without adhesive border, each dressing"
} ]
}, {
"code": "A6254",
"display": "Absorpt drg <=16 sq in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or"
} ]
}, {
"code": "A6254",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less, with any size adhesive border, each dressing"
} ]
}, {
"code": "A6255",
"display": "Absorpt drg >16<=48 in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq."
} ]
}, {
"code": "A6255",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in. but less than or equal to 48 sq. in., with any size adhesive border, each"
} ]
}, {
"code": "A6255",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "dressing"
} ]
}, {
"code": "A6256",
"display": "Absorpt drg > 48 sq in w/bdr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq."
} ]
}, {
"code": "A6256",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in., with any size adhesive border, each dressing"
} ]
}, {
"code": "A6257",
"display": "Transparent film <= 16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transparent film, sterile, 16 sq. in. or less, each dressing"
} ]
}, {
"code": "A6258",
"display": "Transparent film >16<=48 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transparent film, sterile, more than 16 sq. in. but less than or equal to 48"
} ]
}, {
"code": "A6258",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sq. in., each dressing"
} ]
}, {
"code": "A6259",
"display": "Transparent film > 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transparent film, sterile, more than 48 sq. in., each dressing"
} ]
}, {
"code": "A6260",
"display": "Wound cleanser any type/size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound cleansers, any type, any size"
} ]
}, {
"code": "A6261",
"display": "Wound filler gel/paste /oz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound filler, gel/paste, per fluid ounce, not otherwise specified"
} ]
}, {
"code": "A6262",
"display": "Wound filler dry form / gram",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound filler, dry form, per gram, not otherwise specified"
} ]
}, {
"code": "A6266",
"display": "Impreg gauze no h20/sal/yard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, impregnated, other than water, normal saline, or zinc paste, sterile,"
} ]
}, {
"code": "A6266",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any width, per linear yard"
} ]
}, {
"code": "A6402",
"display": "Sterile gauze <= 16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive"
} ]
}, {
"code": "A6402",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "border, each dressing"
} ]
}, {
"code": "A6403",
"display": "Sterile gauze>16 <= 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or"
} ]
}, {
"code": "A6403",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6404",
"display": "Sterile gauze > 48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without"
} ]
}, {
"code": "A6404",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adhesive border, each dressing"
} ]
}, {
"code": "A6407",
"display": "Packing strips, non-impreg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear"
} ]
}, {
"code": "A6407",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "yard"
} ]
}, {
"code": "A6410",
"display": "Sterile eye pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eye pad, sterile, each"
} ]
}, {
"code": "A6411",
"display": "Non-sterile eye pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eye pad, non-sterile, each"
} ]
}, {
"code": "A6412",
"display": "Occlusive eye patch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eye patch, occlusive, each"
} ]
}, {
"code": "A6413",
"display": "Adhesive bandage, first-aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive bandage, first-aid type, any size, each"
} ]
}, {
"code": "A6441",
"display": "Pad band w>=3\" <5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Padding bandage, non-elastic, non-woven/non-knitted, width greater than or"
} ]
}, {
"code": "A6441",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6442",
"display": "Conform band n/s w<3\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than"
} ]
}, {
"code": "A6442",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three inches, per yard"
} ]
}, {
"code": "A6443",
"display": "Conform band n/s w>=3\"<5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than"
} ]
}, {
"code": "A6443",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or equal to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6444",
"display": "Conform band n/s w>=5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than"
} ]
}, {
"code": "A6444",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or equal to 5 inches, per yard"
} ]
}, {
"code": "A6445",
"display": "Conform band s w <3\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conforming bandage, non-elastic, knitted/woven, sterile, width less than three"
} ]
}, {
"code": "A6445",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches, per yard"
} ]
}, {
"code": "A6446",
"display": "Conform band s w>=3\" <5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or"
} ]
}, {
"code": "A6446",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6447",
"display": "Conform band s w >=5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or"
} ]
}, {
"code": "A6447",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to five inches, per yard"
} ]
}, {
"code": "A6448",
"display": "Lt compres band <3\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Light compression bandage, elastic, knitted/woven, width less than three"
} ]
}, {
"code": "A6448",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches, per yard"
} ]
}, {
"code": "A6449",
"display": "Lt compres band >=3\" <5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Light compression bandage, elastic, knitted/woven, width greater than or equal"
} ]
}, {
"code": "A6449",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6450",
"display": "Lt compres band >=5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Light compression bandage, elastic, knitted/woven, width greater than or equal"
} ]
}, {
"code": "A6450",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to five inches, per yard"
} ]
}, {
"code": "A6451",
"display": "Mod compres band w>=3\"<5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25"
} ]
}, {
"code": "A6451",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to"
} ]
}, {
"code": "A6451",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "three inches and less than five inches, per yard"
} ]
}, {
"code": "A6452",
"display": "High compres band w>=3\"<5\"yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High compression bandage, elastic, knitted/woven, load resistance greater than"
} ]
}, {
"code": "A6452",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or"
} ]
}, {
"code": "A6452",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "equal to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6453",
"display": "Self-adher band w <3\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self-adherent bandage, elastic, non-knitted/non-woven, width less than three"
} ]
}, {
"code": "A6453",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches, per yard"
} ]
}, {
"code": "A6454",
"display": "Self-adher band w>=3\" <5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or"
} ]
}, {
"code": "A6454",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6455",
"display": "Self-adher band >=5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or"
} ]
}, {
"code": "A6455",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to five inches, per yard"
} ]
}, {
"code": "A6456",
"display": "Zinc paste band w >=3\"<5\"/yd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than"
} ]
}, {
"code": "A6456",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or equal to three inches and less than five inches, per yard"
} ]
}, {
"code": "A6457",
"display": "Tubular dressing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tubular dressing with or without elastic, any width, per linear yard"
} ]
}, {
"code": "A6460",
"display": "Synthetic drsg <= 16 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less,"
} ]
}, {
"code": "A6460",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without adhesive border, each dressing"
} ]
}, {
"code": "A6461",
"display": "Synthetic drsg >16<=48 sq in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but"
} ]
}, {
"code": "A6461",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less than or equal to 48 sq. in., without adhesive border, each dressing"
} ]
}, {
"code": "A6501",
"display": "Compres burngarment bodysuit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, bodysuit (head to foot), custom fabricated"
} ]
}, {
"code": "A6502",
"display": "Compres burngarment chinstrp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, chin strap, custom fabricated"
} ]
}, {
"code": "A6503",
"display": "Compres burngarment facehood",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, facial hood, custom fabricated"
} ]
}, {
"code": "A6504",
"display": "Cmprsburngarment glove-wrist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, glove to wrist, custom fabricated"
} ]
}, {
"code": "A6505",
"display": "Cmprsburngarment glove-elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, glove to elbow, custom fabricated"
} ]
}, {
"code": "A6506",
"display": "Cmprsburngrmnt glove-axilla",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, glove to axilla, custom fabricated"
} ]
}, {
"code": "A6507",
"display": "Cmprs burngarment foot-knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, foot to knee length, custom fabricated"
} ]
}, {
"code": "A6508",
"display": "Cmprs burngarment foot-thigh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, foot to thigh length, custom fabricated"
} ]
}, {
"code": "A6509",
"display": "Compres burn garment jacket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, upper trunk to waist including arm openings (vest),"
} ]
}, {
"code": "A6509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "A6510",
"display": "Compres burn garment leotard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, trunk, including arms down to leg openings (leotard),"
} ]
}, {
"code": "A6510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "A6511",
"display": "Compres burn garment panty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, lower trunk including leg openings (panty), custom"
} ]
}, {
"code": "A6511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "A6512",
"display": "Compres burn garment, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn garment, not otherwise classified"
} ]
}, {
"code": "A6513",
"display": "Compress burn mask face/neck",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression burn mask, face and/or neck, plastic or equal, custom fabricated"
} ]
}, {
"code": "A6520",
"display": "G com garmnt glove nghttime",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, glove, padded, for nighttime use, each"
} ]
}, {
"code": "A6521",
"display": "G com garmnt glove nght cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, glove, padded, for nighttime use, custom, each"
} ]
}, {
"code": "A6522",
"display": "G com garment arm nighttime",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, arm, padded, for nighttime use, each"
} ]
}, {
"code": "A6523",
"display": "G com garment arm nght custm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, arm, padded, for nighttime use, custom, each"
} ]
}, {
"code": "A6524",
"display": "G com garmnt lwr leg/ft nght",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, lower leg and foot, padded, for nighttime use,"
} ]
}, {
"code": "A6524",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "A6525",
"display": "G com garm lwrleg/ft ngt cus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, lower leg and foot, padded, for nighttime use,"
} ]
}, {
"code": "A6525",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom, each"
} ]
}, {
"code": "A6526",
"display": "G com garmt full leg/ft nght",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, full leg and foot, padded, for nighttime use, each"
} ]
}, {
"code": "A6527",
"display": "G garmt full leg/ft nght cus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, full leg and foot, padded, for nighttime use,"
} ]
}, {
"code": "A6527",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom, each"
} ]
}, {
"code": "A6528",
"display": "G com garment bra nighttime",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, bra, for nighttime use, each"
} ]
}, {
"code": "A6529",
"display": "G com garmt bra night custm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, bra, for nighttime use, custom, each"
} ]
}, {
"code": "A6530",
"display": "Compression stocking bk18-30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 18-30 mmhg, each"
} ]
}, {
"code": "A6531",
"display": "Compress stking bk30-40 surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical"
} ]
}, {
"code": "A6531",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, each"
} ]
}, {
"code": "A6532",
"display": "Compress stking bk40-50 surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical"
} ]
}, {
"code": "A6532",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, each"
} ]
}, {
"code": "A6533",
"display": "Gc stocking thighlngth 18-30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, thigh length, 18-30 mmhg, each"
} ]
}, {
"code": "A6534",
"display": "Gc stocking thighlngth 30-40",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, thigh length, 30-40 mmhg, each"
} ]
}, {
"code": "A6535",
"display": "Gc stocking thighlngth 40+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, thigh length, 40 mmhg or greater, each"
} ]
}, {
"code": "A6536",
"display": "Gc stocking full lngth 18-30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, full length/chap style, 18-30 mmhg, each"
} ]
}, {
"code": "A6537",
"display": "Gc stocking full lngth 30-40",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, full length/chap style, 30-40 mmhg, each"
} ]
}, {
"code": "A6538",
"display": "Gc stocking full lngth 40+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, full length/chap style, 40 mmhg or greater, each"
} ]
}, {
"code": "A6539",
"display": "Gc stocking waistlngth 18-30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, waist length, 18-30 mmhg, each"
} ]
}, {
"code": "A6540",
"display": "Gc stocking waistlngth 30-40",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, waist length, 30-40 mmhg, each"
} ]
}, {
"code": "A6541",
"display": "Gc stocking waistlngth 40+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, waist length, 40 mmhg or greater, each"
} ]
}, {
"code": "A6544",
"display": "Gc stocking garter belt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, garter belt"
} ]
}, {
"code": "A6545",
"display": "Grad com non-elastic bk surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a"
} ]
}, {
"code": "A6545",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgical dressing, each"
} ]
}, {
"code": "A6549",
"display": "G compression garment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, not otherwise specified"
} ]
}, {
"code": "A6550",
"display": "Neg pres wound ther drsg set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound care set, for negative pressure wound therapy electrical pump, includes"
} ]
}, {
"code": "A6550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all supplies and accessories"
} ]
}, {
"code": "A6552",
"display": "Grad com stocking bk 30-40",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 30-40 mmhg, each"
} ]
}, {
"code": "A6553",
"display": "G com stcking bk 30-40 custm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 30-40 mmhg, custom, each"
} ]
}, {
"code": "A6554",
"display": "Grad com stocking bk 40+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 40 mmhg or greater, each"
} ]
}, {
"code": "A6555",
"display": "G com stcking bk 40+ custm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 40 mmhg or greater, custom, each"
} ]
}, {
"code": "A6556",
"display": "G com stcking thgh18-30 cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, thigh length, 18-30 mmhg, custom, each"
} ]
}, {
"code": "A6557",
"display": "G com stcking thgh30-40 cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, thigh length, 30-40 mmhg, custom, each"
} ]
}, {
"code": "A6558",
"display": "G com stcking thgh 40+ cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each"
} ]
}, {
"code": "A6559",
"display": "G stckng full/chap18-30 cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each"
} ]
}, {
"code": "A6560",
"display": "G stckng full/chap30-40 cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each"
} ]
}, {
"code": "A6561",
"display": "G stockng full/chap 40+ cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, full length/chap style, 40 mmhg or greater,"
} ]
}, {
"code": "A6561",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom, each"
} ]
}, {
"code": "A6562",
"display": "G com stckng waist18-30 cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, waist length, 18-30 mmhg, custom, each"
} ]
}, {
"code": "A6563",
"display": "G com stckng waist30-40 cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, waist length, 30-40 mmhg, custom, each"
} ]
}, {
"code": "A6564",
"display": "G com stckng waist 40+ cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, waist length, 40 mmhg or greater, custom, each"
} ]
}, {
"code": "A6565",
"display": "Grad comp gauntlet custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression gauntlet, custom, each"
} ]
}, {
"code": "A6566",
"display": "Grad com garment neck/head",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, neck/head, each"
} ]
}, {
"code": "A6567",
"display": "G com garment neck/head cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, neck/head, custom, each"
} ]
}, {
"code": "A6568",
"display": "G com garment torso/shldr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, torso and shoulder, each"
} ]
}, {
"code": "A6569",
"display": "G com garmnt torso/shdr cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, torso/shoulder, custom, each"
} ]
}, {
"code": "A6570",
"display": "Grad com garment genital",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, genital region, each"
} ]
}, {
"code": "A6571",
"display": "G com garment genital custm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, genital region, custom, each"
} ]
}, {
"code": "A6572",
"display": "Grad com garment toe caps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, toe caps, each"
} ]
}, {
"code": "A6573",
"display": "Grad com garmnt toe cap cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression garment, toe caps, custom, each"
} ]
}, {
"code": "A6574",
"display": "Custom gradient sleev/glov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression arm sleeve and glove combination, custom, each"
} ]
}, {
"code": "A6575",
"display": "Gradient comp sleev/glov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression arm sleeve and glove combination, each"
} ]
}, {
"code": "A6576",
"display": "Custom grad com sleeve med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression arm sleeve, custom, medium weight, each"
} ]
}, {
"code": "A6577",
"display": "Custom grad cm sleeve heavy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression arm sleeve, custom, heavy weight, each"
} ]
}, {
"code": "A6578",
"display": "Gradient comp sleeve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression arm sleeve, each"
} ]
}, {
"code": "A6579",
"display": "Custom grad com glove med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression glove, custom, medium weight, each"
} ]
}, {
"code": "A6580",
"display": "Custom grad com glove heavy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression glove, custom, heavy weight, each"
} ]
}, {
"code": "A6581",
"display": "Gradient comp glove",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression glove, each"
} ]
}, {
"code": "A6582",
"display": "Gradient comp gauntlet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression gauntlet, each"
} ]
}, {
"code": "A6583",
"display": "Grad com wrap w straps bk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression wrap with adjustable straps, below knee, 30-50 mmhg, each"
} ]
}, {
"code": "A6584",
"display": "Grad com wrap w straps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression wrap with adjustable straps, not otherwise specified"
} ]
}, {
"code": "A6585",
"display": "Grad com wrap w straps ak",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure wrap with adjustable straps, above knee, each"
} ]
}, {
"code": "A6586",
"display": "Grad com wrap w straps leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure wrap with adjustable straps, full leg, each"
} ]
}, {
"code": "A6587",
"display": "Grad com wrap w straps foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure wrap with adjustable straps, foot, each"
} ]
}, {
"code": "A6588",
"display": "Grad com wrap w straps arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure wrap with adjustable straps, arm, each"
} ]
}, {
"code": "A6589",
"display": "Grad com wrap w straps bra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure wrap with adjustable straps, bra, each"
} ]
}, {
"code": "A6590",
"display": "Urinary cath disp suc pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External urinary catheters; disposable, with wicking material, for use with"
} ]
}, {
"code": "A6590",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "suction pump, per month"
} ]
}, {
"code": "A6591",
"display": "Urinary cath suc pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External urinary catheter; non-disposable, for use with suction pump, per month"
} ]
}, {
"code": "A6593",
"display": "Grad com accessory gmt_wrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Accessory for gradient compression garment or wrap with adjustable straps,"
} ]
}, {
"code": "A6593",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not-otherwise specified"
} ]
}, {
"code": "A6594",
"display": "G comp bandge liner lwr extr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, bandage liner, lower extremity, any size"
} ]
}, {
"code": "A6594",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or length, each"
} ]
}, {
"code": "A6595",
"display": "G comp bandge liner upr extr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, bandage liner, upper extremity, any size"
} ]
}, {
"code": "A6595",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or length, each"
} ]
}, {
"code": "A6596",
"display": "G comp bandge conform gauze",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, conforming gauze, per linear yard, any"
} ]
}, {
"code": "A6596",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "width, each"
} ]
}, {
"code": "A6597",
"display": "G comp bandage long stretch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandage roll, elastic long stretch, linear yard, any"
} ]
}, {
"code": "A6597",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "width, each"
} ]
}, {
"code": "A6598",
"display": "G comp bandage med stretch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandage roll, elastic medium stretch, per linear yard, any"
} ]
}, {
"code": "A6598",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "width, each"
} ]
}, {
"code": "A6599",
"display": "G comp bandage short stretch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandage roll, inelastic short stretch, per linear yard,"
} ]
}, {
"code": "A6599",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any width, each"
} ]
}, {
"code": "A6600",
"display": "G com bandge hgh dn foam sht",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, high density foam sheet, per 250 square"
} ]
}, {
"code": "A6600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "centimeters, each"
} ]
}, {
"code": "A6601",
"display": "G com bandge hgh dn foam pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, high density foam pad, any size or"
} ]
}, {
"code": "A6601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shape, each"
} ]
}, {
"code": "A6602",
"display": "G com bandge hgh dn foamroll",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, high density foam roll for bandage, per"
} ]
}, {
"code": "A6602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "linear yard, any width, each"
} ]
}, {
"code": "A6603",
"display": "G com bandge low dn foamchnl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, low density channel foam sheet, per 250"
} ]
}, {
"code": "A6603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "square centimeters, each"
} ]
}, {
"code": "A6604",
"display": "G com bandge low dn foam flt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, low density flat foam sheet, per 250"
} ]
}, {
"code": "A6604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "square centimeters, each"
} ]
}, {
"code": "A6605",
"display": "G com bandage padded foam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, padded foam, per linear yard, any width,"
} ]
}, {
"code": "A6605",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "A6606",
"display": "G com bandage padded textile",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, padded textile, per linear yard, any"
} ]
}, {
"code": "A6606",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "width, each"
} ]
}, {
"code": "A6607",
"display": "G com bandage tub protct lyr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, tubular protective absorption layer, per"
} ]
}, {
"code": "A6607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "linear yard, any width, each"
} ]
}, {
"code": "A6608",
"display": "G com bandage tub protct pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, tubular protective absorption padded"
} ]
}, {
"code": "A6608",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "layer, per linear yard, any width, each"
} ]
}, {
"code": "A6609",
"display": "G compression bandaging",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression bandaging supply, not otherwise specified"
} ]
}, {
"code": "A6610",
"display": "G com stcking bk 18-30 custm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient compression stocking, below knee, 18-30 mmhg, custom, each"
} ]
}, {
"code": "A7000",
"display": "Disposable canister for pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Canister, disposable, used with suction pump, each"
} ]
}, {
"code": "A7001",
"display": "Nondisposable pump canister",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Canister, non-disposable, used with suction pump, each"
} ]
}, {
"code": "A7002",
"display": "Tubing used w suction pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tubing, used with suction pump, each"
} ]
}, {
"code": "A7003",
"display": "Nebulizer administration set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration set, with small volume nonfiltered pneumatic nebulizer,"
} ]
}, {
"code": "A7003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disposable"
} ]
}, {
"code": "A7004",
"display": "Disposable nebulizer sml vol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Small volume nonfiltered pneumatic nebulizer, disposable"
} ]
}, {
"code": "A7005",
"display": "Nondisposable nebulizer set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration set, with small volume nonfiltered pneumatic nebulizer,"
} ]
}, {
"code": "A7005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-disposable"
} ]
}, {
"code": "A7006",
"display": "Filtered nebulizer admin set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration set, with small volume filtered pneumatic nebulizer"
} ]
}, {
"code": "A7007",
"display": "Lg vol nebulizer disposable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Large volume nebulizer, disposable, unfilled, used with aerosol compressor"
} ]
}, {
"code": "A7008",
"display": "Disposable nebulizer prefill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Large volume nebulizer, disposable, prefilled, used with aerosol compressor"
} ]
}, {
"code": "A7009",
"display": "Nebulizer reservoir bottle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer"
} ]
}, {
"code": "A7010",
"display": "Disposable corrugated tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Corrugated tubing, disposable, used with large volume nebulizer, 100 feet"
} ]
}, {
"code": "A7011",
"display": "Nondispos corrugated tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet"
} ]
}, {
"code": "A7012",
"display": "Nebulizer water collec devic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water collection device, used with large volume nebulizer"
} ]
}, {
"code": "A7013",
"display": "Disposable compressor filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter, disposable, used with aerosol compressor or ultrasonic generator"
} ]
}, {
"code": "A7014",
"display": "Compressor nondispos filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter, nondisposable, used with aerosol compressor or ultrasonic generator"
} ]
}, {
"code": "A7015",
"display": "Aerosol mask used w nebulize",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aerosol mask, used with dme nebulizer"
} ]
}, {
"code": "A7016",
"display": "Nebulizer dome & mouthpiece",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dome and mouthpiece, used with small volume ultrasonic nebulizer"
} ]
}, {
"code": "A7017",
"display": "Nebulizer not used w oxygen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with"
} ]
}, {
"code": "A7017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "oxygen"
} ]
}, {
"code": "A7018",
"display": "Water distilled w/nebulizer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water, distilled, used with large volume nebulizer, 1000 ml"
} ]
}, {
"code": "A7020",
"display": "Interface, cough stim device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interface for cough stimulating device, includes all components, replacement"
} ]
}, {
"code": "A7020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only"
} ]
}, {
"code": "A7021",
"display": "Suppl and access lung expan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies and accessories for lung expansion airway clearance, continuous high"
} ]
}, {
"code": "A7021",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frequency oscillation, and nebulization device (e.g., handset, nebulizer kit,"
} ]
}, {
"code": "A7021",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "biofilter)"
} ]
}, {
"code": "A7023",
"display": "Mech allergen parti barrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical"
} ]
}, {
"code": "A7025",
"display": "Replace chest compress vest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High frequency chest wall oscillation system vest, replacement for use with"
} ]
}, {
"code": "A7025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient owned equipment, each"
} ]
}, {
"code": "A7026",
"display": "Replace chst cmprss sys hose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High frequency chest wall oscillation system hose, replacement for use with"
} ]
}, {
"code": "A7026",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient owned equipment, each"
} ]
}, {
"code": "A7027",
"display": "Combination oral/nasal mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Combination oral/nasal mask, used with continuous positive airway pressure"
} ]
}, {
"code": "A7027",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, each"
} ]
}, {
"code": "A7028",
"display": "Repl oral cushion combo mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral cushion for combination oral/nasal mask, replacement only, each"
} ]
}, {
"code": "A7029",
"display": "Repl nasal pillow comb mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal pillows for combination oral/nasal mask, replacement only, pair"
} ]
}, {
"code": "A7030",
"display": "Cpap full face mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Full face mask used with positive airway pressure device, each"
} ]
}, {
"code": "A7031",
"display": "Replacement facemask interfa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Face mask interface, replacement for full face mask, each"
} ]
}, {
"code": "A7032",
"display": "Replacement nasal cushion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cushion for use on nasal mask interface, replacement only, each"
} ]
}, {
"code": "A7033",
"display": "Replacement nasal pillows",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pillow for use on nasal cannula type interface, replacement only, pair"
} ]
}, {
"code": "A7034",
"display": "Nasal application device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal interface (mask or cannula type) used with positive airway pressure"
} ]
}, {
"code": "A7034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, with or without head strap"
} ]
}, {
"code": "A7035",
"display": "Pos airway press headgear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Headgear used with positive airway pressure device"
} ]
}, {
"code": "A7036",
"display": "Pos airway press chinstrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chinstrap used with positive airway pressure device"
} ]
}, {
"code": "A7037",
"display": "Pos airway pressure tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tubing used with positive airway pressure device"
} ]
}, {
"code": "A7038",
"display": "Pos airway pressure filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter, disposable, used with positive airway pressure device"
} ]
}, {
"code": "A7039",
"display": "Filter, non disposable w pap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter, non disposable, used with positive airway pressure device"
} ]
}, {
"code": "A7040",
"display": "One way chest drain valve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One way chest drain valve"
} ]
}, {
"code": "A7041",
"display": "Water seal drain container",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water seal drainage container and tubing for use with implanted chest tube"
} ]
}, {
"code": "A7042",
"display": "Implanted pleural catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implanted pleural catheter, each"
} ]
}, {
"code": "A7043",
"display": "Vacuum drainagebottle/tubing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vacuum drainage bottle and tubing for use with implanted catheter"
} ]
}, {
"code": "A7044",
"display": "Pap oral interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral interface used with positive airway pressure device, each"
} ]
}, {
"code": "A7045",
"display": "Repl exhalation port for pap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exhalation port with or without swivel used with accessories for positive"
} ]
}, {
"code": "A7045",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "airway devices, replacement only"
} ]
}, {
"code": "A7046",
"display": "Repl water chamber, pap dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water chamber for humidifier, used with positive airway pressure device,"
} ]
}, {
"code": "A7046",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement, each"
} ]
}, {
"code": "A7047",
"display": "Resp suction oral interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral interface used with respiratory suction pump, each"
} ]
}, {
"code": "A7048",
"display": "Vacuum drain bottle/tube kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vacuum drainage collection unit and tubing kit, including all supplies needed"
} ]
}, {
"code": "A7048",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for collection unit change, for use with implanted catheter, each"
} ]
}, {
"code": "A7049",
"display": "Epap nasal valve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Expiratory positive airway pressure intranasal resistance valve"
} ]
}, {
"code": "A7501",
"display": "Tracheostoma valve w diaphra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostoma valve, including diaphragm, each"
} ]
}, {
"code": "A7502",
"display": "Replacement diaphragm/fplate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement diaphragm/faceplate for tracheostoma valve, each"
} ]
}, {
"code": "A7503",
"display": "Hmes filter holder or cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter holder or filter cap, reusable, for use in a tracheostoma heat and"
} ]
}, {
"code": "A7503",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "moisture exchange system, each"
} ]
}, {
"code": "A7504",
"display": "Tracheostoma hmes filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter for use in a tracheostoma heat and moisture exchange system, each"
} ]
}, {
"code": "A7505",
"display": "Hmes or trach valve housing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Housing, reusable without adhesive, for use in a heat and moisture exchange"
} ]
}, {
"code": "A7505",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system and/or with a tracheostoma valve, each"
} ]
}, {
"code": "A7506",
"display": "Hmes/trachvalve adhesivedisk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesive disc for use in a heat and moisture exchange system and/or with"
} ]
}, {
"code": "A7506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tracheostoma valve, any type each"
} ]
}, {
"code": "A7507",
"display": "Integrated filter & holder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter holder and integrated filter without adhesive, for use in a tracheostoma"
} ]
}, {
"code": "A7507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "heat and moisture exchange system, each"
} ]
}, {
"code": "A7508",
"display": "Housing & integrated adhesiv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Housing and integrated adhesive, for use in a tracheostoma heat and moisture"
} ]
}, {
"code": "A7508",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "exchange system and/or with a tracheostoma valve, each"
} ]
}, {
"code": "A7509",
"display": "Heat & moisture exchange sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter holder and integrated filter housing, and adhesive, for use as a"
} ]
}, {
"code": "A7509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tracheostoma heat and moisture exchange system, each"
} ]
}, {
"code": "A7520",
"display": "Trach/laryn tube non-cuffed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone"
} ]
}, {
"code": "A7520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or equal, each"
} ]
}, {
"code": "A7521",
"display": "Trach/laryn tube cuffed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or"
} ]
}, {
"code": "A7521",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal, each"
} ]
}, {
"code": "A7522",
"display": "Trach/laryn tube stainless",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and"
} ]
}, {
"code": "A7522",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reusable), each"
} ]
}, {
"code": "A7523",
"display": "Tracheostomy shower protect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy shower protector, each"
} ]
}, {
"code": "A7524",
"display": "Tracheostoma stent/stud/bttn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostoma stent/stud/button, each"
} ]
}, {
"code": "A7525",
"display": "Tracheostomy mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy mask, each"
} ]
}, {
"code": "A7526",
"display": "Tracheostomy tube collar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy tube collar/holder, each"
} ]
}, {
"code": "A7527",
"display": "Trach/laryn tube plug/stop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy/laryngectomy tube plug/stop, each"
} ]
}, {
"code": "A8000",
"display": "Soft protect helmet prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Helmet, protective, soft, prefabricated, includes all components and accessories"
} ]
}, {
"code": "A8001",
"display": "Hard protect helmet prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Helmet, protective, hard, prefabricated, includes all components and accessories"
} ]
}, {
"code": "A8002",
"display": "Soft protect helmet custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Helmet, protective, soft, custom fabricated, includes all components and"
} ]
}, {
"code": "A8002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories"
} ]
}, {
"code": "A8003",
"display": "Hard protect helmet custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Helmet, protective, hard, custom fabricated, includes all components and"
} ]
}, {
"code": "A8003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories"
} ]
}, {
"code": "A8004",
"display": "Repl soft interface, helmet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Soft interface for helmet, replacement only"
} ]
}, {
"code": "A9150",
"display": "Misc/exper non-prescript dru",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-prescription drugs"
} ]
}, {
"code": "A9152",
"display": "Single vitamin nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Single vitamin/mineral/trace element, oral, per dose, not otherwise specified"
} ]
}, {
"code": "A9153",
"display": "Multi-vitamin nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multiple vitamins, with or without minerals and trace elements, oral, per dose,"
} ]
}, {
"code": "A9153",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not otherwise specified"
} ]
}, {
"code": "A9155",
"display": "Artificial saliva",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artificial saliva, 30 ml"
} ]
}, {
"code": "A9156",
"display": "Oral mucoadhesive per 1 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml"
} ]
}, {
"code": "A9180",
"display": "Lice treatment, topical",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediculosis (lice infestation) treatment, topical, for administration by"
} ]
}, {
"code": "A9180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient/caretaker"
} ]
}, {
"code": "A9268",
"display": "Programmer orally ingest cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Programmer for transient, orally ingested capsule"
} ]
}, {
"code": "A9269",
"display": "Programable ingest capsule",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Programable, transient, orally ingested capsule, for use with external"
} ]
}, {
"code": "A9269",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "programmer, per month"
} ]
}, {
"code": "A9270",
"display": "Non-covered item or service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-covered item or service"
} ]
}, {
"code": "A9272",
"display": "Disp wound suct, drsg/access",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound suction, disposable, includes dressing, all accessories and components,"
} ]
}, {
"code": "A9272",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any type, each"
} ]
}, {
"code": "A9273",
"display": "Hot/cold botle/cap/col/wrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type"
} ]
}, {
"code": "A9274",
"display": "Ext amb insulin delivery sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External ambulatory insulin delivery system, disposable, each, includes all"
} ]
}, {
"code": "A9274",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "supplies and accessories"
} ]
}, {
"code": "A9275",
"display": "Disp home glucose monitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home glucose disposable monitor, includes test strips"
} ]
}, {
"code": "A9276",
"display": "Disposable sensor, cgm sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable"
} ]
}, {
"code": "A9276",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medical equipment interstitial continuous glucose monitoring system, one unit ="
} ]
}, {
"code": "A9276",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "1 day supply"
} ]
}, {
"code": "A9277",
"display": "External transmitter, cgm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transmitter; external, for use with non-durable medical equipment interstitial"
} ]
}, {
"code": "A9277",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "continuous glucose monitoring system"
} ]
}, {
"code": "A9278",
"display": "External receiver, cgm sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receiver (monitor); external, for use with non-durable medical equipment"
} ]
}, {
"code": "A9278",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interstitial continuous glucose monitoring system"
} ]
}, {
"code": "A9279",
"display": "Monitoring feature/devicenoc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitoring feature/device, stand-alone or integrated, any type, includes all"
} ]
}, {
"code": "A9279",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories, components and electronics, not otherwise classified"
} ]
}, {
"code": "A9280",
"display": "Alert device, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alert or alarm device, not otherwise classified"
} ]
}, {
"code": "A9281",
"display": "Reaching/grabbing device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reaching/grabbing device, any type, any length, each"
} ]
}, {
"code": "A9282",
"display": "Wig any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wig, any type, each"
} ]
}, {
"code": "A9283",
"display": "Foot press off load supp dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot pressure off loading/supportive device, any type, each"
} ]
}, {
"code": "A9284",
"display": "Non-electronic spirometer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spirometer, non-electronic, includes all accessories"
} ]
}, {
"code": "A9285",
"display": "Inversion eversion cor devic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Inversion/eversion correction device"
} ]
}, {
"code": "A9286",
"display": "Any hygienic item, device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hygienic item or device, disposable or non-disposable, any type, each"
} ]
}, {
"code": "A9291",
"display": "Pres dig cog behav thera fda",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescription digital cognitive and/or behavioral therapy, fda cleared, per"
} ]
}, {
"code": "A9291",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "course of treatment"
} ]
}, {
"code": "A9292",
"display": "Pres dig visual therapy fda",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescription digital visual therapy, software-only, fda cleared, per course of"
} ]
}, {
"code": "A9292",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment"
} ]
}, {
"code": "A9293",
"display": "Fertility cycl tracking soft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fertility cycle (contraception & conception) tracking software application, fda"
} ]
}, {
"code": "A9293",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cleared, per month, includes accessories (e.g., thermometer)"
} ]
}, {
"code": "A9300",
"display": "Exercise equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exercise equipment"
} ]
}, {
"code": "A9500",
"display": "Tc99m sestamibi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m sestamibi, diagnostic, per study dose"
} ]
}, {
"code": "A9501",
"display": "Technetium tc-99m teboroxime",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m teboroxime, diagnostic, per study dose"
} ]
}, {
"code": "A9502",
"display": "Tc99m tetrofosmin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m tetrofosmin, diagnostic, per study dose"
} ]
}, {
"code": "A9503",
"display": "Tc99m medronate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries"
} ]
}, {
"code": "A9504",
"display": "Tc99m apcitide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries"
} ]
}, {
"code": "A9505",
"display": "Tl201 thallium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thallium tl-201 thallous chloride, diagnostic, per millicurie"
} ]
}, {
"code": "A9506",
"display": "Tc-99m graphite crucible",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol,"
} ]
}, {
"code": "A9506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "one crucible"
} ]
}, {
"code": "A9507",
"display": "In111 capromab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10"
} ]
}, {
"code": "A9507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9508",
"display": "I131 iodobenguate, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie"
} ]
}, {
"code": "A9509",
"display": "Iodine i-123 sod iodide mil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-123 sodium iodide, diagnostic, per millicurie"
} ]
}, {
"code": "A9510",
"display": "Tc99m disofenin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries"
} ]
}, {
"code": "A9512",
"display": "Tc99m pertechnetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m pertechnetate, diagnostic, per millicurie"
} ]
}, {
"code": "A9513",
"display": "Lutetium lu 177 dotatat ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lutetium lu 177, dotatate, therapeutic, 1 millicurie"
} ]
}, {
"code": "A9515",
"display": "Choline c-11",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Choline c-11, diagnostic, per study dose up to 20 millicuries"
} ]
}, {
"code": "A9516",
"display": "Iodine i-123 sod iodide mic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999"
} ]
}, {
"code": "A9516",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microcuries"
} ]
}, {
"code": "A9517",
"display": "I131 iodide cap, rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie"
} ]
}, {
"code": "A9520",
"display": "Tc99 tilmanocept diag 0.5mci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries"
} ]
}, {
"code": "A9521",
"display": "Tc99m exametazime",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries"
} ]
}, {
"code": "A9524",
"display": "I131 serum albumin, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries"
} ]
}, {
"code": "A9526",
"display": "Nitrogen n-13 ammonia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries"
} ]
}, {
"code": "A9527",
"display": "Iodine i-125 sodium iodide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-125, sodium iodide solution, therapeutic, per millicurie"
} ]
}, {
"code": "A9528",
"display": "Iodine i-131 iodide cap, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie"
} ]
}, {
"code": "A9529",
"display": "I131 iodide sol, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 sodium iodide solution, diagnostic, per millicurie"
} ]
}, {
"code": "A9530",
"display": "I131 iodide sol, rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 sodium iodide solution, therapeutic, per millicurie"
} ]
}, {
"code": "A9531",
"display": "I131 max 100uci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)"
} ]
}, {
"code": "A9532",
"display": "I125 serum albumin, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-125 serum albumin, diagnostic, per 5 microcuries"
} ]
}, {
"code": "A9536",
"display": "Tc99m depreotide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries"
} ]
}, {
"code": "A9537",
"display": "Tc99m mebrofenin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries"
} ]
}, {
"code": "A9538",
"display": "Tc99m pyrophosphate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25"
} ]
}, {
"code": "A9538",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9539",
"display": "Tc99m pentetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries"
} ]
}, {
"code": "A9540",
"display": "Tc99m maa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10"
} ]
}, {
"code": "A9540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9541",
"display": "Tc99m sulfur colloid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20"
} ]
}, {
"code": "A9541",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9542",
"display": "In111 ibritumomab, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5"
} ]
}, {
"code": "A9542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9543",
"display": "Y90 ibritumomab, rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40"
} ]
}, {
"code": "A9543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9544",
"display": "I131 tositumomab, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 tositumomab, diagnostic, per study dose"
} ]
}, {
"code": "A9545",
"display": "I131 tositumomab, rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 tositumomab, therapeutic, per treatment dose"
} ]
}, {
"code": "A9546",
"display": "Co57/58",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie"
} ]
}, {
"code": "A9547",
"display": "In111 oxyquinoline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie"
} ]
}, {
"code": "A9548",
"display": "In111 pentetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 pentetate, diagnostic, per 0.5 millicurie"
} ]
}, {
"code": "A9550",
"display": "Tc99m gluceptate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25"
} ]
}, {
"code": "A9550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicurie"
} ]
}, {
"code": "A9551",
"display": "Tc99m succimer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries"
} ]
}, {
"code": "A9552",
"display": "F18 fdg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries"
} ]
}, {
"code": "A9553",
"display": "Cr51 chromate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250"
} ]
}, {
"code": "A9553",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microcuries"
} ]
}, {
"code": "A9554",
"display": "I125 iothalamate, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10"
} ]
}, {
"code": "A9554",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microcuries"
} ]
}, {
"code": "A9555",
"display": "Rb82 rubidium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries"
} ]
}, {
"code": "A9556",
"display": "Ga67 gallium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-67 citrate, diagnostic, per millicurie"
} ]
}, {
"code": "A9557",
"display": "Tc99m bicisate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries"
} ]
}, {
"code": "A9558",
"display": "Xe133 xenon 10mci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xenon xe-133 gas, diagnostic, per 10 millicuries"
} ]
}, {
"code": "A9559",
"display": "Co57 cyano",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1"
} ]
}, {
"code": "A9559",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microcurie"
} ]
}, {
"code": "A9560",
"display": "Tc99m labeled rbc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30"
} ]
}, {
"code": "A9560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9561",
"display": "Tc99m oxidronate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries"
} ]
}, {
"code": "A9562",
"display": "Tc99m mertiatide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries"
} ]
}, {
"code": "A9563",
"display": "P32 na phosphate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sodium phosphate p-32, therapeutic, per millicurie"
} ]
}, {
"code": "A9564",
"display": "P32 chromic phosphate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chromic phosphate p-32 suspension, therapeutic, per millicurie"
} ]
}, {
"code": "A9566",
"display": "Tc99m fanolesomab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries"
} ]
}, {
"code": "A9567",
"display": "Technetium tc-99m aerosol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75"
} ]
}, {
"code": "A9567",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9568",
"display": "Technetium tc99m arcitumomab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries"
} ]
}, {
"code": "A9569",
"display": "Technetium tc-99m auto wbc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic,"
} ]
}, {
"code": "A9569",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per study dose"
} ]
}, {
"code": "A9570",
"display": "Indium in-111 auto wbc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 labeled autologous white blood cells, diagnostic, per study dose"
} ]
}, {
"code": "A9571",
"display": "Indium in-111 auto platelet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 labeled autologous platelets, diagnostic, per study dose"
} ]
}, {
"code": "A9572",
"display": "Indium in-111 pentetreotide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries"
} ]
}, {
"code": "A9573",
"display": "Inj, gadopiclenol, 1 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadopiclenol, 1 ml"
} ]
}, {
"code": "A9575",
"display": "Inj gadoterate meglumi 0.1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadoterate meglumine, 0.1 ml"
} ]
}, {
"code": "A9576",
"display": "Inj prohance multipack",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadoteridol, (prohance multipack), per ml"
} ]
}, {
"code": "A9577",
"display": "Inj multihance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadobenate dimeglumine (multihance), per ml"
} ]
}, {
"code": "A9578",
"display": "Inj multihance multipack",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadobenate dimeglumine (multihance multipack), per ml"
} ]
}, {
"code": "A9579",
"display": "Gad-base mr contrast nos,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadolinium-based magnetic resonance contrast agent, not otherwise"
} ]
}, {
"code": "A9579",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified (nos), per ml"
} ]
}, {
"code": "A9580",
"display": "Sodium fluoride f-18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries"
} ]
}, {
"code": "A9581",
"display": "Gadoxetate disodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadoxetate disodium, 1 ml"
} ]
}, {
"code": "A9582",
"display": "Iodine i-123 iobenguane",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries"
} ]
}, {
"code": "A9583",
"display": "Gadofosveset trisodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadofosveset trisodium, 1 ml"
} ]
}, {
"code": "A9584",
"display": "Iodine i-123 ioflupane",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries"
} ]
}, {
"code": "A9585",
"display": "Gadobutrol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gadobutrol, 0.1 ml"
} ]
}, {
"code": "A9586",
"display": "Florbetapir f18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Florbetapir f18, diagnostic, per study dose, up to 10 millicuries"
} ]
}, {
"code": "A9587",
"display": "Gallium ga-68",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-68, dotatate, diagnostic, 0.1 millicurie"
} ]
}, {
"code": "A9588",
"display": "Fluciclovine f-18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluciclovine f-18, diagnostic, 1 millicurie"
} ]
}, {
"code": "A9589",
"display": "Insti hexaminolevulinate hcl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Instillation, hexaminolevulinate hydrochloride, 100 mg"
} ]
}, {
"code": "A9590",
"display": "Iodine i-131 iobenguane 1mci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131, iobenguane, 1 millicurie"
} ]
}, {
"code": "A9591",
"display": "Fluoroestradiol f 18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluoroestradiol f 18, diagnostic, 1 millicurie"
} ]
}, {
"code": "A9592",
"display": "Copper cu 64 dotatate diag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Copper cu-64, dotatate, diagnostic, 1 millicurie"
} ]
}, {
"code": "A9593",
"display": "Gallium ga-68 psma-11 ucsf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie"
} ]
}, {
"code": "A9594",
"display": "Gallium ga-68 psma-11, ucla",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie"
} ]
}, {
"code": "A9595",
"display": "Piflu f-18, dia 1 millicurie",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Piflufolastat f-18, diagnostic, 1 millicurie"
} ]
}, {
"code": "A9596",
"display": "Gallium illuccix 1 millicure",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie"
} ]
}, {
"code": "A9597",
"display": "Pet, dx, for tumor id, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positron emission tomography radiopharmaceutical, diagnostic, for tumor"
} ]
}, {
"code": "A9597",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "identification, not otherwise classified"
} ]
}, {
"code": "A9598",
"display": "Pet dx for non-tumor id, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor"
} ]
}, {
"code": "A9598",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "identification, not otherwise classified"
} ]
}, {
"code": "A9599",
"display": "Radioph dx b amyloid pet nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography"
} ]
}, {
"code": "A9599",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(pet) imaging, per study dose, not otherwise specified"
} ]
}, {
"code": "A9600",
"display": "Sr89 strontium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Strontium sr-89 chloride, therapeutic, per millicurie"
} ]
}, {
"code": "A9601",
"display": "Flortaucipir inj 1 millicuri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flortaucipir f 18 injection, diagnostic, 1 millicurie"
} ]
}, {
"code": "A9602",
"display": "Fluorodopa f-18 diag per mci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluorodopa f-18, diagnostic, per millicurie"
} ]
}, {
"code": "A9603",
"display": "Inj, pafolacianine, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pafolacianine, 0.1 mg"
} ]
}, {
"code": "A9604",
"display": "Sm 153 lexidronam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150"
} ]
}, {
"code": "A9604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "millicuries"
} ]
}, {
"code": "A9606",
"display": "Radium ra223 dichloride ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radium ra-223 dichloride, therapeutic, per microcurie"
} ]
}, {
"code": "A9607",
"display": "Lutetium lu 177 vipivotide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie"
} ]
}, {
"code": "A9608",
"display": "Flotufolastat f18 diag 1 mci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flotufolastat f 18, diagnostic, 1 millicurie"
} ]
}, {
"code": "A9609",
"display": "F18 fdg, 15 millicuries",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fludeoxyglucose f18 up to 15 millicuries"
} ]
}, {
"code": "A9610",
"display": "Xe129 xenon, diagnostic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xenon xe-129 hyperpolarized gas, diagnostic, per study dose"
} ]
}, {
"code": "A9615",
"display": "Inj, pegulicianine, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegulicianine, 1 mg"
} ]
}, {
"code": "A9697",
"display": "Inj, magtrace per study dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose"
} ]
}, {
"code": "A9698",
"display": "Non-rad contrast materialnoc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-radioactive contrast imaging material, not otherwise classified, per study"
} ]
}, {
"code": "A9699",
"display": "Radiopharm rx agent noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiopharmaceutical, therapeutic, not otherwise classified"
} ]
}, {
"code": "A9700",
"display": "Echocardiography contrast",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supply of injectable contrast material for use in echocardiography, per study"
} ]
}, {
"code": "A9800",
"display": "Gallium locametz 1 millicuri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie"
} ]
}, {
"code": "A9900",
"display": "Supply/accessory/service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous dme supply, accessory, and/or service component of another hcpcs"
} ]
}, {
"code": "A9900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "code"
} ]
}, {
"code": "A9901",
"display": "Delivery/set up/dispensing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dme delivery, set up, and/or dispensing service component of another hcpcs code"
} ]
}, {
"code": "A9999",
"display": "Dme supply or accessory, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous dme supply or accessory, not otherwise specified"
} ]
}, {
"code": "B4034",
"display": "Enter feed supkit syr by day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral feeding supply kit; syringe fed, per day, includes but not limited to"
} ]
}, {
"code": "B4034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feeding/flushing syringe, administration set tubing, dressings, tape"
} ]
}, {
"code": "B4035",
"display": "Enteral feed supp pump per d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral feeding supply kit; pump fed, per day, includes but not limited to"
} ]
}, {
"code": "B4035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feeding/flushing syringe, administration set tubing, dressings, tape"
} ]
}, {
"code": "B4036",
"display": "Enteral feed sup kit grav by",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral feeding supply kit; gravity fed, per day, includes but not limited to"
} ]
}, {
"code": "B4036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feeding/flushing syringe, administration set tubing, dressings, tape"
} ]
}, {
"code": "B4081",
"display": "Enteral ng tubing w/ stylet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasogastric tubing with stylet"
} ]
}, {
"code": "B4082",
"display": "Enteral ng tubing w/o stylet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasogastric tubing without stylet"
} ]
}, {
"code": "B4083",
"display": "Enteral stomach tube levine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stomach tube - levine type"
} ]
}, {
"code": "B4087",
"display": "Gastro/jejuno tube, std",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastrostomy/jejunostomy tube, standard, any material, any type, each"
} ]
}, {
"code": "B4088",
"display": "Gastro/jejuno tube, low-pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastrostomy/jejunostomy tube, low-profile, any material, any type, each"
} ]
}, {
"code": "B4100",
"display": "Food thickener oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Food thickener, administered orally, per ounce"
} ]
}, {
"code": "B4102",
"display": "Ef adult fluids and electro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for adults, used to replace fluids and electrolytes (e.g.,"
} ]
}, {
"code": "B4102",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clear liquids), 500 ml = 1 unit"
} ]
}, {
"code": "B4103",
"display": "Ef ped fluid and electrolyte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g.,"
} ]
}, {
"code": "B4103",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clear liquids), 500 ml = 1 unit"
} ]
}, {
"code": "B4104",
"display": "Additive for enteral formula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Additive for enteral formula (e.g., fiber)"
} ]
}, {
"code": "B4105",
"display": "Enzyme cartridge enteral nut",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In-line cartridge containing digestive enzyme(s) for enteral feeding, each"
} ]
}, {
"code": "B4148",
"display": "Enteral feed elastomer daily",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral feeding supply kit; elastomeric control fed, per day, includes but not"
} ]
}, {
"code": "B4148",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "limited to feeding/flushing syringe, administration set tubing, dressings, tape"
} ]
}, {
"code": "B4149",
"display": "Ef blenderized foods",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, manufactured blenderized natural foods with intact nutrients,"
} ]
}, {
"code": "B4149",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes proteins, fats, carbohydrates, vitamins and minerals, may include"
} ]
}, {
"code": "B4149",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4150",
"display": "Ef complet w/intact nutrient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, nutritionally complete with intact nutrients, includes"
} ]
}, {
"code": "B4150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "proteins, fats, carbohydrates, vitamins and minerals, may include fiber,"
} ]
}, {
"code": "B4150",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "administered through an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4152",
"display": "Ef calorie dense>/=1.5kcal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, nutritionally complete, calorically dense (equal to or greater"
} ]
}, {
"code": "B4152",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than 1.5 kcal/ml) with intact nutrients, includes proteins, fats,"
} ]
}, {
"code": "B4152",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "carbohydrates, vitamins and minerals, may include fiber, administered through"
} ]
}, {
"code": "B4152",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4153",
"display": "Ef hydrolyzed/amino acids",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and"
} ]
}, {
"code": "B4153",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "peptide chain), includes fats, carbohydrates, vitamins and minerals, may"
} ]
}, {
"code": "B4153",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "include fiber, administered through an enteral feeding tube, 100 calories = 1"
} ]
}, {
"code": "B4153",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "unit"
} ]
}, {
"code": "B4154",
"display": "Ef spec metabolic noninherit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, nutritionally complete, for special metabolic needs, excludes"
} ]
}, {
"code": "B4154",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inherited disease of metabolism, includes altered composition of proteins,"
} ]
}, {
"code": "B4154",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fats, carbohydrates, vitamins and/or minerals, may include fiber, administered"
} ]
}, {
"code": "B4154",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "through an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4155",
"display": "Ef incomplete/modular",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, nutritionally incomplete/modular nutrients, includes specific"
} ]
}, {
"code": "B4155",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g.,"
} ]
}, {
"code": "B4155",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "glutamine, arginine), fat (e.g., medium chain triglycerides) or combination,"
} ]
}, {
"code": "B4155",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "administered through an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4157",
"display": "Ef special metabolic inherit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, nutritionally complete, for special metabolic needs for"
} ]
}, {
"code": "B4157",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inherited disease of metabolism, includes proteins, fats, carbohydrates,"
} ]
}, {
"code": "B4157",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "vitamins and minerals, may include fiber, administered through an enteral"
} ]
}, {
"code": "B4157",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4158",
"display": "Ef ped complete intact nut",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for pediatrics, nutritionally complete with intact nutrients,"
} ]
}, {
"code": "B4158",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes proteins, fats, carbohydrates, vitamins and minerals, may include"
} ]
}, {
"code": "B4158",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fiber and/or iron, administered through an enteral feeding tube, 100 calories ="
} ]
}, {
"code": "B4158",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "1 unit"
} ]
}, {
"code": "B4159",
"display": "Ef ped complete soy based",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for pediatrics, nutritionally complete soy based with intact"
} ]
}, {
"code": "B4159",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may"
} ]
}, {
"code": "B4159",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "include fiber and/or iron, administered through an enteral feeding tube, 100"
} ]
}, {
"code": "B4159",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "calories = 1 unit"
} ]
}, {
"code": "B4160",
"display": "Ef ped caloric dense>/=0.7kc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for pediatrics, nutritionally complete calorically dense"
} ]
}, {
"code": "B4160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(equal to or greater than 0.7 kcal/ml) with intact nutrients, includes"
} ]
}, {
"code": "B4160",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "proteins, fats, carbohydrates, vitamins and minerals, may include fiber,"
} ]
}, {
"code": "B4160",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "administered through an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4161",
"display": "Ef ped hydrolyzed/amino acid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain"
} ]
}, {
"code": "B4161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "proteins, includes fats, carbohydrates, vitamins and minerals, may include"
} ]
}, {
"code": "B4161",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fiber, administered through an enteral feeding tube, 100 calories = 1 unit"
} ]
}, {
"code": "B4162",
"display": "Ef ped specmetabolic inherit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral formula, for pediatrics, special metabolic needs for inherited disease"
} ]
}, {
"code": "B4162",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals,"
} ]
}, {
"code": "B4162",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "may include fiber, administered through an enteral feeding tube, 100 calories ="
} ]
}, {
"code": "B4162",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "1 unit"
} ]
}, {
"code": "B4164",
"display": "Parenteral 50% dextrose solu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml ="
} ]
}, {
"code": "B4164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1 unit) - home mix"
} ]
}, {
"code": "B4168",
"display": "Parenteral sol amino acid 3.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix"
} ]
}, {
"code": "B4172",
"display": "Parenteral sol amino acid 5.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) -"
} ]
}, {
"code": "B4172",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "home mix"
} ]
}, {
"code": "B4176",
"display": "Parenteral sol amino acid 7-",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) -"
} ]
}, {
"code": "B4176",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "home mix"
} ]
}, {
"code": "B4178",
"display": "Parenteral sol amino acid >",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit)"
} ]
}, {
"code": "B4178",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "- home mix"
} ]
}, {
"code": "B4180",
"display": "Parenteral sol carb > 50%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500"
} ]
}, {
"code": "B4180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ml = 1 unit) - home mix"
} ]
}, {
"code": "B4185",
"display": "Pn soln nos 10 grams lipids",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution, not otherwise specified, 10 grams lipids"
} ]
}, {
"code": "B4187",
"display": "Omegaven, 10 grams lipids",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Omegaven, 10 grams lipids"
} ]
}, {
"code": "B4189",
"display": "Parenteral sol amino acid &",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B4189",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements, and vitamins, including preparation, any"
} ]
}, {
"code": "B4189",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "strength, 10 to 51 grams of protein - premix"
} ]
}, {
"code": "B4193",
"display": "Parenteral sol 52-73 gm prot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B4193",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements, and vitamins, including preparation, any"
} ]
}, {
"code": "B4193",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "strength, 52 to 73 grams of protein - premix"
} ]
}, {
"code": "B4197",
"display": "Parenteral sol 74-100 gm pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B4197",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements and vitamins, including preparation, any strength,"
} ]
}, {
"code": "B4197",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "74 to 100 grams of protein - premix"
} ]
}, {
"code": "B4199",
"display": "Parenteral sol > 100gm prote",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution; compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B4199",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements and vitamins, including preparation, any strength,"
} ]
}, {
"code": "B4199",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "over 100 grams of protein - premix"
} ]
}, {
"code": "B4216",
"display": "Parenteral nutrition additiv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition; additives (vitamins, trace elements, heparin,"
} ]
}, {
"code": "B4216",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes), home mix, per day"
} ]
}, {
"code": "B4220",
"display": "Parenteral supply kit premix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition supply kit; premix, per day"
} ]
}, {
"code": "B4222",
"display": "Parenteral supply kit homemi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition supply kit; home mix, per day"
} ]
}, {
"code": "B4224",
"display": "Parenteral administration ki",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition administration kit, per day"
} ]
}, {
"code": "B5000",
"display": "Parenteral sol renal-amirosy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B5000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements, and vitamins, including preparation, any"
} ]
}, {
"code": "B5000",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "strength, renal-aminosyn-rf, nephramine, renamine-premix"
} ]
}, {
"code": "B5100",
"display": "Parenteral solution hepatic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B5100",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements, and vitamins, including preparation, any"
} ]
}, {
"code": "B5100",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "strength, hepatic, hepatamine-premix"
} ]
}, {
"code": "B5200",
"display": "Parenteral sol hepatic fream",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition solution compounded amino acid and carbohydrates with"
} ]
}, {
"code": "B5200",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrolytes, trace elements, and vitamins, including preparation, any"
} ]
}, {
"code": "B5200",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "strength, stress-branch chain amino acids-freamine-hbc-premix"
} ]
}, {
"code": "B9000",
"display": "Enter infusion pump w/o alrm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral nutrition infusion pump - without alarm"
} ]
}, {
"code": "B9002",
"display": "Enter nutr inf pump any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enteral nutrition infusion pump, any type"
} ]
}, {
"code": "B9004",
"display": "Parenteral infus pump portab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition infusion pump, portable"
} ]
}, {
"code": "B9006",
"display": "Parenteral infus pump statio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral nutrition infusion pump, stationary"
} ]
}, {
"code": "B9998",
"display": "Enteral supp not otherwise c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noc for enteral supplies"
} ]
}, {
"code": "B9999",
"display": "Parenteral supp not othrws c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noc for parenteral supplies"
} ]
}, {
"code": "C1052",
"display": "Hemostatic agent, gi, topic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemostatic agent, gastrointestinal, topical"
} ]
}, {
"code": "C1062",
"display": "Intravertebral fx aug impl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravertebral body fracture augmentation with implant (e.g., metal, polymer)"
} ]
}, {
"code": "C1300",
"display": "Hyperbaric oxygen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"
} ]
}, {
"code": "C1600",
"display": "Cath, bladed, vasc prep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal intravascular lesion preparation device, bladed,"
} ]
}, {
"code": "C1600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sheathed (insertable)"
} ]
}, {
"code": "C1601",
"display": "Endo, single, pulmonary",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device"
} ]
}, {
"code": "C1601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(insertable)"
} ]
}, {
"code": "C1602",
"display": "Orth/matrx/bn fill drug-elut",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic/device/drug matrix/absorbable bone void filler,"
} ]
}, {
"code": "C1602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antimicrobial-eluting (implantable)"
} ]
}, {
"code": "C1603",
"display": "Ret dev, laser, ivc filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Retrieval device, insertable, laser (used to retrieve intravascular inferior"
} ]
}, {
"code": "C1603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vena cava filter)"
} ]
}, {
"code": "C1604",
"display": "Grft, trnsmurl/trnsvens byps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Graft, transmural transvenous arterial bypass (implantable), with all delivery"
} ]
}, {
"code": "C1604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system components"
} ]
}, {
"code": "C1605",
"display": "Pmkr, dual, leadless",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker, leadless, dual chamber (right atrial and right ventricular"
} ]
}, {
"code": "C1605",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "implantable components), rate-responsive, including all necessary components"
} ]
}, {
"code": "C1605",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "for implantation"
} ]
}, {
"code": "C1606",
"display": "Adapter, us to endoscope",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper"
} ]
}, {
"code": "C1606",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "gastrointestinal endoscope"
} ]
}, {
"code": "C1713",
"display": "Anchor/screw bn/bn,tis/bn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)"
} ]
}, {
"code": "C1714",
"display": "Cath, trans atherectomy, dir",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal atherectomy, directional"
} ]
}, {
"code": "C1715",
"display": "Brachytherapy needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy needle"
} ]
}, {
"code": "C1716",
"display": "Brachytx, non-str, gold-198",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, gold-198, per source"
} ]
}, {
"code": "C1717",
"display": "Brachytx, non-str,hdr ir-192",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, high dose rate iridium-192, per source"
} ]
}, {
"code": "C1719",
"display": "Brachytx, ns, non-hdrir-192",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source"
} ]
}, {
"code": "C1721",
"display": "Aicd, dual chamber",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardioverter-defibrillator, dual chamber (implantable)"
} ]
}, {
"code": "C1722",
"display": "Aicd, single chamber",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardioverter-defibrillator, single chamber (implantable)"
} ]
}, {
"code": "C1724",
"display": "Cath, trans atherec,rotation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal atherectomy, rotational"
} ]
}, {
"code": "C1725",
"display": "Cath, translumin non-laser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal angioplasty, non-laser (may include guidance,"
} ]
}, {
"code": "C1725",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion/perfusion capability)"
} ]
}, {
"code": "C1726",
"display": "Cath, bal dil, non-vascular",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, balloon dilatation, non-vascular"
} ]
}, {
"code": "C1727",
"display": "Cath, bal tis dis, non-vas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, balloon tissue dissector, non-vascular (insertable)"
} ]
}, {
"code": "C1728",
"display": "Cath, brachytx seed adm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, brachytherapy seed administration"
} ]
}, {
"code": "C1729",
"display": "Cath, drainage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, drainage"
} ]
}, {
"code": "C1730",
"display": "Cath, ep, 19 or few elect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer"
} ]
}, {
"code": "C1730",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrodes)"
} ]
}, {
"code": "C1731",
"display": "Cath, ep, 20 or more elec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more"
} ]
}, {
"code": "C1731",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrodes)"
} ]
}, {
"code": "C1732",
"display": "Cath, ep, diag/abl, 3d/vect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping"
} ]
}, {
"code": "C1733",
"display": "Cath, ep, othr than cool-tip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector"
} ]
}, {
"code": "C1733",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mapping, other than cool-tip"
} ]
}, {
"code": "C1734",
"display": "Orth/devic/drug bn/bn,tis/bn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone"
} ]
}, {
"code": "C1734",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(implantable)"
} ]
}, {
"code": "C1735",
"display": "Cath renal denerv radiofreq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter(s), intravascular for renal denervation, radiofrequency, including all"
} ]
}, {
"code": "C1735",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single use system components"
} ]
}, {
"code": "C1736",
"display": "Cath renal denerv ultrasnd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter(s), intravascular for renal denervation, ultrasound, including all"
} ]
}, {
"code": "C1736",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single use system components"
} ]
}, {
"code": "C1737",
"display": "Si&pelvis fusn&fixn dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Joint fusion and fixation device(s), sacroiliac and pelvis, including all"
} ]
}, {
"code": "C1737",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system components (implantable)"
} ]
}, {
"code": "C1738",
"display": "Power endo us-guid bx dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered, single-use (i.e. disposable) endoscopic ultrasound-guided biopsy device"
} ]
}, {
"code": "C1739",
"display": "Tissue marker, detectable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tissue marker, imaging and non-imaging device (implantable)"
} ]
}, {
"code": "C1747",
"display": "Endo, single, urinary tract",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination"
} ]
}, {
"code": "C1747",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device (insertable)"
} ]
}, {
"code": "C1748",
"display": "Endoscope, single, ugi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device"
} ]
}, {
"code": "C1748",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(insertable)"
} ]
}, {
"code": "C1749",
"display": "Endo, colon, retro imaging",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscope, retrograde imaging/illumination colonoscope device (implantable)"
} ]
}, {
"code": "C1750",
"display": "Cath, hemodialysis,long-term",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, hemodialysis/peritoneal, long-term"
} ]
}, {
"code": "C1751",
"display": "Cath, inf, per/cent/midline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, infusion, inserted peripherally, centrally or midline (other than"
} ]
}, {
"code": "C1751",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hemodialysis)"
} ]
}, {
"code": "C1752",
"display": "Cath,hemodialysis,short-term",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, hemodialysis/peritoneal, short-term"
} ]
}, {
"code": "C1753",
"display": "Cath, intravas ultrasound",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, intravascular ultrasound"
} ]
}, {
"code": "C1754",
"display": "Catheter, intradiscal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, intradiscal"
} ]
}, {
"code": "C1755",
"display": "Catheter, intraspinal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, intraspinal"
} ]
}, {
"code": "C1756",
"display": "Cath, pacing, transesoph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, pacing, transesophageal"
} ]
}, {
"code": "C1757",
"display": "Cath, thrombectomy/embolect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, thrombectomy/embolectomy"
} ]
}, {
"code": "C1758",
"display": "Catheter, ureteral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, ureteral"
} ]
}, {
"code": "C1759",
"display": "Cath, intra echocardiography",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, intracardiac echocardiography"
} ]
}, {
"code": "C1760",
"display": "Closure dev, vasc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Closure device, vascular (implantable/insertable)"
} ]
}, {
"code": "C1761",
"display": "Cath, trans intra litho/coro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal intravascular lithotripsy, coronary"
} ]
}, {
"code": "C1762",
"display": "Conn tiss, human(inc fascia)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Connective tissue, human (includes fascia lata)"
} ]
}, {
"code": "C1763",
"display": "Conn tiss, non-human",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Connective tissue, non-human (includes synthetic)"
} ]
}, {
"code": "C1764",
"display": "Event recorder, cardiac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Event recorder, cardiac (implantable)"
} ]
}, {
"code": "C1765",
"display": "Adhesion barrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adhesion barrier"
} ]
}, {
"code": "C1766",
"display": "Intro/sheath,strble,non-peel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other"
} ]
}, {
"code": "C1766",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than peel-away"
} ]
}, {
"code": "C1767",
"display": "Generator, neuro non-recharg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), non-rechargeable"
} ]
}, {
"code": "C1768",
"display": "Graft, vascular",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Graft, vascular"
} ]
}, {
"code": "C1769",
"display": "Guide wire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Guide wire"
} ]
}, {
"code": "C1770",
"display": "Imaging coil, mr, insertable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imaging coil, magnetic resonance (insertable)"
} ]
}, {
"code": "C1771",
"display": "Rep dev, urinary, w/sling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair device, urinary, incontinence, with sling graft"
} ]
}, {
"code": "C1772",
"display": "Infusion pump, programmable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion pump, programmable (implantable)"
} ]
}, {
"code": "C1773",
"display": "Ret dev, insertable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Retrieval device, insertable (used to retrieve fractured medical devices)"
} ]
}, {
"code": "C1776",
"display": "Joint device (implantable)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Joint device (implantable)"
} ]
}, {
"code": "C1777",
"display": "Lead, aicd, endo single coil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, cardioverter-defibrillator, endocardial single coil (implantable)"
} ]
}, {
"code": "C1778",
"display": "Lead, neurostimulator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, neurostimulator (implantable)"
} ]
}, {
"code": "C1779",
"display": "Lead, pmkr, transvenous vdd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, pacemaker, transvenous vdd single pass"
} ]
}, {
"code": "C1780",
"display": "Lens, intraocular (new tech)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lens, intraocular (new technology)"
} ]
}, {
"code": "C1781",
"display": "Mesh (implantable)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mesh (implantable)"
} ]
}, {
"code": "C1782",
"display": "Morcellator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Morcellator"
} ]
}, {
"code": "C1783",
"display": "Ocular imp, aqueous drain de",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ocular implant, aqueous drainage assist device"
} ]
}, {
"code": "C1784",
"display": "Ocular dev, intraop, det ret",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ocular device, intraoperative, detached retina"
} ]
}, {
"code": "C1785",
"display": "Pmkr, dual, rate-resp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker, dual chamber, rate-responsive (implantable)"
} ]
}, {
"code": "C1786",
"display": "Pmkr, single, rate-resp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker, single chamber, rate-responsive (implantable)"
} ]
}, {
"code": "C1787",
"display": "Patient progr, neurostim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient programmer, neurostimulator"
} ]
}, {
"code": "C1788",
"display": "Port, indwelling, imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Port, indwelling (implantable)"
} ]
}, {
"code": "C1789",
"display": "Prosthesis, breast, imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthesis, breast (implantable)"
} ]
}, {
"code": "C1813",
"display": "Prosthesis, penile, inflatab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthesis, penile, inflatable"
} ]
}, {
"code": "C1814",
"display": "Retinal tamp, silicone oil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Retinal tamponade device, silicone oil"
} ]
}, {
"code": "C1815",
"display": "Pros, urinary sph, imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthesis, urinary sphincter (implantable)"
} ]
}, {
"code": "C1816",
"display": "Receiver/transmitter, neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receiver and/or transmitter, neurostimulator (implantable)"
} ]
}, {
"code": "C1817",
"display": "Septal defect imp sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Septal defect implant system, intracardiac"
} ]
}, {
"code": "C1818",
"display": "Integrated keratoprosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integrated keratoprosthesis"
} ]
}, {
"code": "C1819",
"display": "Tissue localization-excision",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical tissue localization and excision device (implantable)"
} ]
}, {
"code": "C1820",
"display": "Generator neuro rechg bat sy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), with rechargeable battery and"
} ]
}, {
"code": "C1820",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "charging system"
} ]
}, {
"code": "C1821",
"display": "Interspinous implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interspinous process distraction device (implantable)"
} ]
}, {
"code": "C1822",
"display": "Gen, neuro, hf, rechg bat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), high frequency, with rechargeable"
} ]
}, {
"code": "C1822",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "battery and charging system"
} ]
}, {
"code": "C1823",
"display": "Gen, neuro, trans sen/stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), non-rechargeable, with transvenous"
} ]
}, {
"code": "C1823",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sensing and stimulation leads"
} ]
}, {
"code": "C1824",
"display": "Generator, ccm, implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, cardiac contractility modulation (implantable)"
} ]
}, {
"code": "C1825",
"display": "Gen, neuro, carot sinus baro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), non-rechargeable with carotid sinus"
} ]
}, {
"code": "C1825",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "baroreceptor stimulation lead(s)"
} ]
}, {
"code": "C1826",
"display": "Gen, neuro, clo loop, rechg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), includes closed feedback loop leads"
} ]
}, {
"code": "C1826",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and all implantable components, with rechargeable battery and charging system"
} ]
}, {
"code": "C1827",
"display": "Gen, neuro, imp led, ex cntr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Generator, neurostimulator (implantable), non-rechargeable, with implantable"
} ]
}, {
"code": "C1827",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stimulation lead and external paired stimulation controller"
} ]
}, {
"code": "C1830",
"display": "Power bone marrow bx needle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered bone marrow biopsy needle"
} ]
}, {
"code": "C1831",
"display": "Personalized interbody cage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interbody cage, anterior, lateral or posterior, personalized (implantable)"
} ]
}, {
"code": "C1832",
"display": "Auto cell process sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Autograft suspension, including cell processing and application, and all system"
} ]
}, {
"code": "C1832",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "components"
} ]
}, {
"code": "C1833",
"display": "Cardiac monitor sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitor, cardiac, including intracardiac lead and all system components"
} ]
}, {
"code": "C1833",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(implantable)"
} ]
}, {
"code": "C1834",
"display": "Pressure sensor system, im",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pressure sensor system, includes all components (e.g., introducer, sensor),"
} ]
}, {
"code": "C1834",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intramuscular (implantable), excludes mobile (wireless) software application"
} ]
}, {
"code": "C1839",
"display": "Iris prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iris prosthesis"
} ]
}, {
"code": "C1840",
"display": "Telescopic intraocular lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lens, intraocular (telescopic)"
} ]
}, {
"code": "C1841",
"display": "Retinal prosth int/ext comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Retinal prosthesis, includes all internal and external components"
} ]
}, {
"code": "C1842",
"display": "Retinal prosth, add-on",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Retinal prosthesis, includes all internal and external components; add-on to"
} ]
}, {
"code": "C1842",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "c1841"
} ]
}, {
"code": "C1849",
"display": "Skin substitute, synthetic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin substitute, synthetic, resorbable, per square centimeter"
} ]
}, {
"code": "C1874",
"display": "Stent, coated/cov w/del sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, coated/covered, with delivery system"
} ]
}, {
"code": "C1875",
"display": "Stent, coated/cov w/o del sy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, coated/covered, without delivery system"
} ]
}, {
"code": "C1876",
"display": "Stent, non-coa/non-cov w/del",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, non-coated/non-covered, with delivery system"
} ]
}, {
"code": "C1877",
"display": "Stent, non-coat/cov w/o del",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, non-coated/non-covered, without delivery system"
} ]
}, {
"code": "C1878",
"display": "Matrl for vocal cord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Material for vocal cord medialization, synthetic (implantable)"
} ]
}, {
"code": "C1880",
"display": "Vena cava filter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vena cava filter"
} ]
}, {
"code": "C1881",
"display": "Dialysis access system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis access system (implantable)"
} ]
}, {
"code": "C1882",
"display": "Aicd, other than sing/dual",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardioverter-defibrillator, other than single or dual chamber (implantable)"
} ]
}, {
"code": "C1883",
"display": "Adapt/ext, pacing/neuro lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adapter/extension, pacing lead or neurostimulator lead (implantable)"
} ]
}, {
"code": "C1884",
"display": "Embolization protect syst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Embolization protective system"
} ]
}, {
"code": "C1885",
"display": "Cath, translumin angio laser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal angioplasty, laser"
} ]
}, {
"code": "C1886",
"display": "Catheter, ablation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, extravascular tissue ablation, any modality (insertable)"
} ]
}, {
"code": "C1887",
"display": "Catheter, guiding",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, guiding (may include infusion/perfusion capability)"
} ]
}, {
"code": "C1888",
"display": "Endovas non-cardiac abl cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, ablation, non-cardiac, endovascular (implantable)"
} ]
}, {
"code": "C1889",
"display": "Implant/insert device, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable/insertable device, not otherwise classified"
} ]
}, {
"code": "C1890",
"display": "No device w/dev-intensive px",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No implantable/insertable device used with device-intensive procedures"
} ]
}, {
"code": "C1891",
"display": "Infusion pump,non-prog, perm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion pump, non-programmable, permanent (implantable)"
} ]
}, {
"code": "C1892",
"display": "Intro/sheath,fixed,peel-away",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve,"
} ]
}, {
"code": "C1892",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "peel-away"
} ]
}, {
"code": "C1893",
"display": "Intro/sheath, fixed,non-peel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve,"
} ]
}, {
"code": "C1893",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other than peel-away"
} ]
}, {
"code": "C1894",
"display": "Intro/sheath, non-laser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Introducer/sheath, other than guiding, other than intracardiac"
} ]
}, {
"code": "C1894",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrophysiological, non-laser"
} ]
}, {
"code": "C1895",
"display": "Lead, aicd, endo dual coil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, cardioverter-defibrillator, endocardial dual coil (implantable)"
} ]
}, {
"code": "C1896",
"display": "Lead, aicd, non sing/dual",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, cardioverter-defibrillator, other than endocardial single or dual coil"
} ]
}, {
"code": "C1896",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(implantable)"
} ]
}, {
"code": "C1897",
"display": "Lead, neurostim test kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, neurostimulator test kit (implantable)"
} ]
}, {
"code": "C1898",
"display": "Lead, pmkr, other than trans",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, pacemaker, other than transvenous vdd single pass"
} ]
}, {
"code": "C1899",
"display": "Lead, pmkr/aicd combination",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, pacemaker/cardioverter-defibrillator combination (implantable)"
} ]
}, {
"code": "C1900",
"display": "Lead, coronary venous",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lead, left ventricular coronary venous system"
} ]
}, {
"code": "C1982",
"display": "Cath, pressure,valve-occlu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, pressure-generating, one-way valve, intermittently occlusive"
} ]
}, {
"code": "C2596",
"display": "Probe, robotic, water-jet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Probe, image-guided, robotic, waterjet ablation"
} ]
}, {
"code": "C2613",
"display": "Lung bx plug w/del sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lung biopsy plug with delivery system"
} ]
}, {
"code": "C2614",
"display": "Probe, perc lumb disc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Probe, percutaneous lumbar discectomy"
} ]
}, {
"code": "C2615",
"display": "Sealant, pulmonary, liquid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sealant, pulmonary, liquid"
} ]
}, {
"code": "C2616",
"display": "Brachytx, non-str,yttrium-90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, yttrium-90, per source"
} ]
}, {
"code": "C2617",
"display": "Stent, non-cor, tem w/o del",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, non-coronary, temporary, without delivery system"
} ]
}, {
"code": "C2618",
"display": "Probe/needle, cryo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Probe/needle, cryoablation"
} ]
}, {
"code": "C2619",
"display": "Pmkr, dual, non rate-resp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker, dual chamber, non rate-responsive (implantable)"
} ]
}, {
"code": "C2620",
"display": "Pmkr, single, non rate-resp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker, single chamber, non rate-responsive (implantable)"
} ]
}, {
"code": "C2621",
"display": "Pmkr, other than sing/dual",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker, other than single or dual chamber (implantable)"
} ]
}, {
"code": "C2622",
"display": "Prosthesis, penile, non-inf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthesis, penile, non-inflatable"
} ]
}, {
"code": "C2623",
"display": "Cath, translumin, drug-coat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal angioplasty, drug-coated, non-laser"
} ]
}, {
"code": "C2624",
"display": "Wireless pressure sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable wireless pulmonary artery pressure sensor with delivery catheter,"
} ]
}, {
"code": "C2624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including all system components"
} ]
}, {
"code": "C2625",
"display": "Stent, non-cor, tem w/del sy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, non-coronary, temporary, with delivery system"
} ]
}, {
"code": "C2626",
"display": "Infusion pump, non-prog,temp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion pump, non-programmable, temporary (implantable)"
} ]
}, {
"code": "C2627",
"display": "Cath, suprapubic/cystoscopic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, suprapubic/cystoscopic"
} ]
}, {
"code": "C2628",
"display": "Catheter, occlusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, occlusion"
} ]
}, {
"code": "C2629",
"display": "Intro/sheath, laser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Introducer/sheath, other than guiding, other than intracardiac"
} ]
}, {
"code": "C2629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrophysiological, laser"
} ]
}, {
"code": "C2630",
"display": "Cath, ep, cool-tip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector"
} ]
}, {
"code": "C2630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mapping, cool-tip"
} ]
}, {
"code": "C2631",
"display": "Rep dev, urinary, w/o sling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair device, urinary, incontinence, without sling graft"
} ]
}, {
"code": "C2634",
"display": "Brachytx, non-str, ha, i-125",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, high activity, iodine-125, greater than"
} ]
}, {
"code": "C2634",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1.01 mci (nist), per source"
} ]
}, {
"code": "C2635",
"display": "Brachytx, non-str, ha, p-103",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, high activity, palladium-103, greater than"
} ]
}, {
"code": "C2635",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.2 mci (nist), per source"
} ]
}, {
"code": "C2636",
"display": "Brachy linear, non-str,p-103",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy linear source, non-stranded, palladium-103, per 1 mm"
} ]
}, {
"code": "C2637",
"display": "Brachy,non-str,ytterbium-169",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, ytterbium-169, per source"
} ]
}, {
"code": "C2638",
"display": "Brachytx, stranded, i-125",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, stranded, iodine-125, per source"
} ]
}, {
"code": "C2639",
"display": "Brachytx, non-stranded,i-125",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, iodine-125, per source"
} ]
}, {
"code": "C2640",
"display": "Brachytx, stranded, p-103",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, stranded, palladium-103, per source"
} ]
}, {
"code": "C2641",
"display": "Brachytx, non-stranded,p-103",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, palladium-103, per source"
} ]
}, {
"code": "C2642",
"display": "Brachytx, stranded, c-131",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, stranded, cesium-131, per source"
} ]
}, {
"code": "C2643",
"display": "Brachytx, non-stranded,c-131",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, cesium-131, per source"
} ]
}, {
"code": "C2644",
"display": "Brachytx cesium-131 chloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, cesium-131 chloride solution, per millicurie"
} ]
}, {
"code": "C2645",
"display": "Brachytx planar, p-103",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy planar source, palladium-103, per square millimeter"
} ]
}, {
"code": "C2698",
"display": "Brachytx, stranded, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, stranded, not otherwise specified, per source"
} ]
}, {
"code": "C2699",
"display": "Brachytx, non-stranded, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brachytherapy source, non-stranded, not otherwise specified, per source"
} ]
}, {
"code": "C5271",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound"
} ]
}, {
"code": "C5271",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
} ]
}, {
"code": "C5272",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound"
} ]
}, {
"code": "C5272",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or"
} ]
}, {
"code": "C5272",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "part thereof (list separately in addition to code for primary procedure)"
} ]
}, {
"code": "C5273",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound"
} ]
}, {
"code": "C5273",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface"
} ]
}, {
"code": "C5273",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "area, or 1% of body area of infants and children"
} ]
}, {
"code": "C5274",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to trunk, arms, legs, total wound"
} ]
}, {
"code": "C5274",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surface area greater than or equal to 100 sq cm; each additional 100 sq cm"
} ]
}, {
"code": "C5274",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "wound surface area, or part thereof, or each additional 1% of body area of"
} ]
}, {
"code": "C5274",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "infants and children, or part thereof (list separately in addition to code for"
} ]
}, {
"code": "C5274",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "primary procedure)"
} ]
}, {
"code": "C5275",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth,"
} ]
}, {
"code": "C5275",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound"
} ]
}, {
"code": "C5275",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
} ]
}, {
"code": "C5276",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth,"
} ]
}, {
"code": "C5276",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound"
} ]
}, {
"code": "C5276",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or"
} ]
}, {
"code": "C5276",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "part thereof (list separately in addition to code for primary procedure)"
} ]
}, {
"code": "C5277",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth,"
} ]
}, {
"code": "C5277",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound"
} ]
}, {
"code": "C5277",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface"
} ]
}, {
"code": "C5277",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "area, or 1% of body area of infants and children"
} ]
}, {
"code": "C5278",
"display": "Low cost skin substitute app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of low cost skin substitute graft to face, scalp, eyelids, mouth,"
} ]
}, {
"code": "C5278",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound"
} ]
}, {
"code": "C5278",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surface area greater than or equal to 100 sq cm; each additional 100 sq cm"
} ]
}, {
"code": "C5278",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "wound surface area, or part thereof, or each additional 1% of body area of"
} ]
}, {
"code": "C5278",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "infants and children, or part thereof (list separately in addition to code for"
} ]
}, {
"code": "C5278",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "primary procedure)"
} ]
}, {
"code": "C7500",
"display": "Deb bone 20 cm2 w/drug dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle"
} ]
}, {
"code": "C7500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or fascia, if performed, first 20 sq cm or less with manual preparation and"
} ]
}, {
"code": "C7500",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "insertion of deep (e.g., subfacial) drug-delivery device(s)"
} ]
}, {
"code": "C7501",
"display": "Perc bx breast lesions stero",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous breast biopsies using stereotactic guidance, with placement of"
} ]
}, {
"code": "C7501",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "breast localization device(s) (e.g., clip, metallic pellet), when performed,"
} ]
}, {
"code": "C7501",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and imaging of the biopsy specimen, when performed, all lesions unilateral and"
} ]
}, {
"code": "C7501",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "bilateral (for single lesion biopsy, use appropriate code)"
} ]
}, {
"code": "C7502",
"display": "Perc bx breast lesions mr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous breast biopsies using magnetic resonance guidance, with placement"
} ]
}, {
"code": "C7502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of breast localization device(s) (e.g., clip, metallic pellet), when performed,"
} ]
}, {
"code": "C7502",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and imaging of the biopsy specimen, when performed, all lesions unilateral or"
} ]
}, {
"code": "C7502",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "bilateral (for single lesion biopsy, use appropriate code)"
} ]
}, {
"code": "C7503",
"display": "Open exc cerv node(s) w/ id",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Open biopsy or excision of deep cervical node(s) with intraoperative"
} ]
}, {
"code": "C7503",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "identification (e.g., mapping) of sentinel lymph node(s) including injection of"
} ]
}, {
"code": "C7503",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "non-radioactive dye when performed"
} ]
}, {
"code": "C7504",
"display": "Perq cvt&ls inj vert bodies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous vertebroplasties (bone biopsies included when performed), first"
} ]
}, {
"code": "C7504",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cervicothoracic and any additional cervicothoracic or lumbosacral vertebral"
} ]
}, {
"code": "C7504",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "bodies, unilateral or bilateral injection, inclusive of all imaging guidance"
} ]
}, {
"code": "C7505",
"display": "Perq ls&cvt inj vert bodies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous vertebroplasties (bone biopsies included when performed), first"
} ]
}, {
"code": "C7505",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies,"
} ]
}, {
"code": "C7505",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "unilateral or bilateral injection, inclusive of all imaging guidance"
} ]
}, {
"code": "C7506",
"display": "Fusion of finger joints",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthrodesis, interphalangeal joints, with or without internal fixation"
} ]
}, {
"code": "C7507",
"display": "Perq thor&lumb vert aug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous vertebral augmentations, first thoracic and any additional"
} ]
}, {
"code": "C7507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thoracic or lumbar vertebral bodies, including cavity creations (fracture"
} ]
}, {
"code": "C7507",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reductions and bone biopsies included when performed) using mechanical device"
} ]
}, {
"code": "C7507",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all"
} ]
}, {
"code": "C7507",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "imaging guidance"
} ]
}, {
"code": "C7508",
"display": "Perq lumb&thor vert aug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous vertebral augmentations, first lumbar and any additional thoracic"
} ]
}, {
"code": "C7508",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or lumbar vertebral bodies, including cavity creations (fracture reductions and"
} ]
}, {
"code": "C7508",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "bone biopsies included when performed) using mechanical device (e.g.,"
} ]
}, {
"code": "C7508",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging"
} ]
}, {
"code": "C7508",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "guidance"
} ]
}, {
"code": "C7509",
"display": "Dx bronch w/ navigation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when"
} ]
}, {
"code": "C7509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performed, with computer-assisted image-guided navigation, including"
} ]
}, {
"code": "C7509",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fluoroscopic guidance when performed"
} ]
}, {
"code": "C7510",
"display": "Bronch/lavag w/ navigation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with"
} ]
}, {
"code": "C7510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "computer-assisted image-guided navigation, including fluoroscopic guidance when"
} ]
}, {
"code": "C7510",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "performed"
} ]
}, {
"code": "C7511",
"display": "Bronch/bpsy(s) w/ navigation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bronchoscopy, rigid or flexible, with single or multiple bronchial or"
} ]
}, {
"code": "C7511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "endobronchial biopsy(ies), single or multiple sites, with computer-assisted"
} ]
}, {
"code": "C7511",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "image-guided navigation, including fluoroscopic guidance when performed"
} ]
}, {
"code": "C7512",
"display": "Bronch/bpsy(s) w/ ebus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bronchoscopy, rigid or flexible, with single or multiple bronchial or"
} ]
}, {
"code": "C7512",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "endobronchial biopsy(ies), single or multiple sites, with transendoscopic"
} ]
}, {
"code": "C7512",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic"
} ]
}, {
"code": "C7512",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intervention(s) for peripheral lesion(s), including fluoroscopic guidance when"
} ]
}, {
"code": "C7512",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "performed"
} ]
}, {
"code": "C7513",
"display": "Cath/angio dialcir w/aplasty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "angiography of the dialysis circuit, including all direct puncture(s) and"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheter placement(s), injection(s) of contrast, all necessary imaging from the"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "arterial anastomosis and adjacent artery through entire venous outflow"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "including the inferior or superior vena cava, fluoroscopic guidance, with"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "transluminal balloon angioplasty of central dialysis segment, performed through"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "dialysis circuit, including all required imaging, radiological supervision and"
} ]
}, {
"code": "C7513",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "interpretation, image documentation and report"
} ]
}, {
"code": "C7514",
"display": "Cath/angio dial cir w/stents",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "angiography of the dialysis circuit, including all direct puncture(s) and"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheter placement(s), injection(s) of contrast, all necessary imaging from the"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "arterial anastomosis and adjacent artery through entire venous outflow"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "including the inferior or superior vena cava, fluoroscopic guidance, with all"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "angioplasty in the central dialysis segment, and transcatheter placement of"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "intravascular stent(s), central dialysis segment, performed through dialysis"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "circuit, including all required imaging, radiological supervision and"
} ]
}, {
"code": "C7514",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "interpretation, image documentation and report"
} ]
}, {
"code": "C7515",
"display": "Cath/angio dial cir w/embol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "angiography of the dialysis circuit, including all direct puncture(s) and"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheter placement(s), injection(s) of contrast, all necessary imaging from the"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "arterial anastomosis and adjacent artery through entire venous outflow"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "including the inferior or superior vena cava, fluoroscopic guidance, with"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "dialysis circuit permanent endovascular embolization or occlusion of main"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "circuit or any accessory veins, including all required imaging, radiological"
} ]
}, {
"code": "C7515",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "supervision and interpretation, image documentation and report"
} ]
}, {
"code": "C7516",
"display": "Cor angio w/ ivus or oct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7516",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, with endoluminal imaging"
} ]
}, {
"code": "C7516",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of initial coronary vessel or graft using intravascular ultrasound (ivus) or"
} ]
}, {
"code": "C7516",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "optical coherence tomography (oct) during diagnostic evaluation and/or"
} ]
}, {
"code": "C7516",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "therapeutic intervention including imaging supervision, interpretation and"
} ]
}, {
"code": "C7516",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "report"
} ]
}, {
"code": "C7517",
"display": "Cor angio w/ilic/fem angio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7517",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, with iliac and/or"
} ]
}, {
"code": "C7517",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "femoral artery angiography, non-selective, bilateral or ipsilateral to catheter"
} ]
}, {
"code": "C7517",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "insertion, performed at the same time as cardiac catheterization and/or"
} ]
}, {
"code": "C7517",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "coronary angiography, includes positioning or placement of the catheter in the"
} ]
}, {
"code": "C7517",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "distal aorta or ipsilateral femoral or iliac artery, injection of dye,"
} ]
}, {
"code": "C7517",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "production of permanent images, and radiologic supervision and interpretation"
} ]
}, {
"code": "C7518",
"display": "Cor/gft angio w/ ivus or oct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with catheter placement(s) in bypass graft(s) (internal"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mammary, free arterial, venous grafts) including intraprocedural injection(s)"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "for bypass graft angiography with endoluminal imaging of initial coronary"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "vessel or graft using intravascular ultrasound (ivus) or optical coherence"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "tomography (oct) during diagnostic evaluation and/or therapeutic intervention"
} ]
}, {
"code": "C7518",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "including imaging, supervision, interpretation and report"
} ]
}, {
"code": "C7519",
"display": "Cor/gft angio w/ flow resrv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7519",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7519",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with catheter placement(s) in bypass graft(s) (internal"
} ]
}, {
"code": "C7519",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mammary, free arterial, venous grafts) including intraprocedural injection(s)"
} ]
}, {
"code": "C7519",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "for bypass graft angiography with intravascular doppler velocity and/or"
} ]
}, {
"code": "C7519",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "pressure derived coronary flow reserve measurement (initial coronary vessel or"
} ]
}, {
"code": "C7519",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "graft) during coronary angiography including pharmacologically induced stress"
} ]
}, {
"code": "C7520",
"display": "Cor/gft angio w/ilic/fem ang",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with catheter placement(s) in bypass graft(s) (internal"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mammary, free arterial, venous grafts) includes intraprocedural injection(s)"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "for bypass graft angiography with iliac and/or femoral artery angiography,"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "non-selective, bilateral or ipsilateral to catheter insertion, performed at the"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "same time as cardiac catheterization and/or coronary angiography, includes"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "positioning or placement of the catheter in the distal aorta or ipsilateral"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "femoral or iliac artery, injection of dye, production of permanent images, and"
} ]
}, {
"code": "C7520",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "radiologic supervision and interpretation"
} ]
}, {
"code": "C7521",
"display": "R hrt angio w/ ivus or oct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7521",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography with right heart"
} ]
}, {
"code": "C7521",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheterization with endoluminal imaging of initial coronary vessel or graft"
} ]
}, {
"code": "C7521",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "using intravascular ultrasound (ivus) or optical coherence tomography (oct)"
} ]
}, {
"code": "C7521",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "during diagnostic evaluation and/or therapeutic intervention including imaging"
} ]
}, {
"code": "C7521",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "supervision, interpretation and report"
} ]
}, {
"code": "C7522",
"display": "R hrt angio w/flow resrv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7522",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7522",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation with right heart catheterization, with intravascular doppler"
} ]
}, {
"code": "C7522",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "velocity and/or pressure derived coronary flow reserve measurement (initial"
} ]
}, {
"code": "C7522",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "coronary vessel or graft) during coronary angiography including"
} ]
}, {
"code": "C7522",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "pharmacologically induced stress"
} ]
}, {
"code": "C7523",
"display": "L hrt angio w/ ivus or oct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with left heart catheterization including intraprocedural"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "injection(s) for left ventriculography, when performed, with endoluminal"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "imaging of initial coronary vessel or graft using intravascular ultrasound"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "(ivus) or optical coherence tomography (oct) during diagnostic evaluation"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "and/or therapeutic intervention including imaging supervision, interpretation"
} ]
}, {
"code": "C7523",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "and report"
} ]
}, {
"code": "C7524",
"display": "L hrt angio w/flow resrv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7524",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7524",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with left heart catheterization including intraprocedural"
} ]
}, {
"code": "C7524",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "injection(s) for left ventriculography, when performed, with intravascular"
} ]
}, {
"code": "C7524",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "doppler velocity and/or pressure derived coronary flow reserve measurement"
} ]
}, {
"code": "C7524",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "(initial coronary vessel or graft) during coronary angiography including"
} ]
}, {
"code": "C7524",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "pharmacologically induced stress"
} ]
}, {
"code": "C7525",
"display": "L hrt gft ang w/ ivus or oct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with left heart catheterization including intraprocedural"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "injection(s) for left ventriculography, when performed, catheter placement(s)"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "graft angiography with endoluminal imaging of initial coronary vessel or graft"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "using intravascular ultrasound (ivus) or optical coherence tomography (oct)"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "during diagnostic evaluation and/or therapeutic intervention including imaging"
} ]
}, {
"code": "C7525",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "supervision, interpretation and report"
} ]
}, {
"code": "C7526",
"display": "L hrt gft ang w/flow resrv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with left heart catheterization including intraprocedural"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "injection(s) for left ventriculography, when performed, catheter placement(s)"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "graft angiography with intravascular doppler velocity and/or pressure derived"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "coronary flow reserve measurement (initial coronary vessel or graft) during"
} ]
}, {
"code": "C7526",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "coronary angiography including pharmacologically induced stress"
} ]
}, {
"code": "C7527",
"display": "R&l hrt angio w/ ivus or oct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with right and left heart catheterization including"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for left ventriculography, when performed, with"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "endoluminal imaging of initial coronary vessel or graft using intravascular"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "ultrasound (ivus) or optical coherence tomography (oct) during diagnostic"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "evaluation and/or therapeutic intervention including imaging supervision,"
} ]
}, {
"code": "C7527",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "interpretation and report"
} ]
}, {
"code": "C7528",
"display": "R&l hrt angio w/flow resrv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7528",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7528",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with right and left heart catheterization including"
} ]
}, {
"code": "C7528",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for left ventriculography, when performed, with"
} ]
}, {
"code": "C7528",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "intravascular doppler velocity and/or pressure derived coronary flow reserve"
} ]
}, {
"code": "C7528",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "measurement (initial coronary vessel or graft) during coronary angiography"
} ]
}, {
"code": "C7528",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "including pharmacologically induced stress"
} ]
}, {
"code": "C7529",
"display": "R&l hrt gft ang w/flow resrv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(ies) for coronary angiography, including"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation, with right and left heart catheterization including"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for left ventriculography, when performed,"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "catheter placement(s) in bypass graft(s) (internal mammary, free arterial,"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "venous grafts) with bypass graft angiography with intravascular doppler"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "velocity and/or pressure derived coronary flow reserve measurement (initial"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "coronary vessel or graft) during coronary angiography including"
} ]
}, {
"code": "C7529",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "pharmacologically induced stress"
} ]
}, {
"code": "C7530",
"display": "Cath/aplasty dial cir w/stnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "angiography of the dialysis circuit, including all direct puncture(s) and"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheter placement(s), injection(s) of contrast, all necessary imaging from the"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "arterial anastomosis and adjacent artery through entire venous outflow"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "including the inferior or superior vena cava, fluoroscopic guidance, with"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "transluminal balloon angioplasty, peripheral dialysis segment, including all"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "imaging and radiological supervision and interpretation necessary to perform"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "the angioplasty and all angioplasty in the central dialysis segment, with"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "transcatheter placement of intravascular stent(s), central dialysis segment,"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "performed through dialysis circuit, including all imaging, radiological"
} ]
}, {
"code": "C7530",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "supervision and interpretation, documentation and report"
} ]
}, {
"code": "C7531",
"display": "Angio fem/pop w/ us",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, femoral, popliteal"
} ]
}, {
"code": "C7531",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), unilateral, with transluminal angioplasty with intravascular"
} ]
}, {
"code": "C7531",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or"
} ]
}, {
"code": "C7531",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "therapeutic intervention, including radiological supervision and interpretation"
} ]
}, {
"code": "C7532",
"display": "Angio w/ us non-coronary",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transluminal balloon angioplasty (except lower extremity artery(ies) for"
} ]
}, {
"code": "C7532",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit),"
} ]
}, {
"code": "C7532",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "initial artery, open or percutaneous, including all imaging and radiological"
} ]
}, {
"code": "C7532",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "supervision and interpretation necessary to perform the angioplasty within the"
} ]
}, {
"code": "C7532",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "same artery, with intravascular ultrasound (initial noncoronary vessel) during"
} ]
}, {
"code": "C7532",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "diagnostic evaluation and/or therapeutic intervention, including radiological"
} ]
}, {
"code": "C7532",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "supervision and interpretation"
} ]
}, {
"code": "C7533",
"display": "Ptca w/ plcmt brachytx dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal coronary angioplasty, single major coronary artery or"
} ]
}, {
"code": "C7533",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "branch with transcatheter placement of radiation delivery device for subsequent"
} ]
}, {
"code": "C7533",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coronary intravascular brachytherapy"
} ]
}, {
"code": "C7534",
"display": "Fem/pop revasc w/arthr & us",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, femoral, popliteal"
} ]
}, {
"code": "C7534",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), unilateral, with atherectomy, includes angioplasty within the same"
} ]
}, {
"code": "C7534",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "vessel, when performed with intravascular ultrasound (initial noncoronary"
} ]
}, {
"code": "C7534",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "vessel) during diagnostic evaluation and/or therapeutic intervention, including"
} ]
}, {
"code": "C7534",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "radiological supervision and interpretation"
} ]
}, {
"code": "C7535",
"display": "Fem/pop revasc w/stent & us",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, femoral, popliteal"
} ]
}, {
"code": "C7535",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), unilateral, with transluminal stent placement(s), includes"
} ]
}, {
"code": "C7535",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "angioplasty within the same vessel, when performed, with intravascular"
} ]
}, {
"code": "C7535",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or"
} ]
}, {
"code": "C7535",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "therapeutic intervention, including radiological supervision and interpretation"
} ]
}, {
"code": "C7537",
"display": "Insrt atril pm w/l vent lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of new or replacement of permanent pacemaker with atrial transvenous"
} ]
}, {
"code": "C7537",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrode(s), with insertion of pacing electrode, cardiac venous system, for"
} ]
}, {
"code": "C7537",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "left ventricular pacing, at time of insertion of implantable defibrillator or"
} ]
}, {
"code": "C7537",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pacemaker pulse generator (e.g., for upgrade to dual chamber system)"
} ]
}, {
"code": "C7538",
"display": "Insrt vent pm w/l vent lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of new or replacement of permanent pacemaker with ventricular"
} ]
}, {
"code": "C7538",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transvenous electrode(s), with insertion of pacing electrode, cardiac venous"
} ]
}, {
"code": "C7538",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "system, for left ventricular pacing, at time of insertion of implantable"
} ]
}, {
"code": "C7538",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber"
} ]
}, {
"code": "C7538",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "system)"
} ]
}, {
"code": "C7539",
"display": "Insrt a & v pm w/l vent lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of new or replacement of permanent pacemaker with atrial and"
} ]
}, {
"code": "C7539",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular transvenous electrode(s), with insertion of pacing electrode,"
} ]
}, {
"code": "C7539",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cardiac venous system, for left ventricular pacing, at time of insertion of"
} ]
}, {
"code": "C7539",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual"
} ]
}, {
"code": "C7539",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "chamber system)"
} ]
}, {
"code": "C7540",
"display": "Rmv&rplc pm dul w/l vnt lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal of permanent pacemaker pulse generator with replacement of pacemaker"
} ]
}, {
"code": "C7540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pulse generator, dual lead system, with insertion of pacing electrode, cardiac"
} ]
}, {
"code": "C7540",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "venous system, for left ventricular pacing, at time of insertion of implantable"
} ]
}, {
"code": "C7540",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber"
} ]
}, {
"code": "C7540",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "system)"
} ]
}, {
"code": "C7541",
"display": "Ercp w/ pancreatoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including"
} ]
}, {
"code": "C7541",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "collection of specimen(s) by brushing or washing, when performed, with"
} ]
}, {
"code": "C7541",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "endoscopic cannulation of papilla with direct visualization of"
} ]
}, {
"code": "C7541",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pancreatic/common bile ducts(s)"
} ]
}, {
"code": "C7542",
"display": "Ercp w/bx & pancreatoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or"
} ]
}, {
"code": "C7542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multiple, with endoscopic cannulation of papilla with direct visualization of"
} ]
}, {
"code": "C7542",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pancreatic/common bile ducts(s)"
} ]
}, {
"code": "C7543",
"display": "Ercp w/otomy, pancreatoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with"
} ]
}, {
"code": "C7543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct"
} ]
}, {
"code": "C7543",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "visualization of pancreatic/common bile ducts(s)"
} ]
}, {
"code": "C7544",
"display": "Ercp rmv calc pancreatoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with removal of"
} ]
}, {
"code": "C7544",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of"
} ]
}, {
"code": "C7544",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "papilla with direct visualization of pancreatic/common bile ducts(s)"
} ]
}, {
"code": "C7545",
"display": "Exch bil cath w/ rmv calculi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous exchange of biliary drainage catheter (eg, external,"
} ]
}, {
"code": "C7545",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "internal-external, or conversion of internal-external to external only), with"
} ]
}, {
"code": "C7545",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "removal of calculi/debris from biliary duct(s) and/or gallbladder, including"
} ]
}, {
"code": "C7545",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "destruction of calculi by any method (eg, mechanical, electrohydraulic,"
} ]
}, {
"code": "C7545",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "lithotripsy) when performed, including diagnostic cholangiography(ies) when"
} ]
}, {
"code": "C7545",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "performed, imaging guidance (eg, fluoroscopy), and all associated radiological"
} ]
}, {
"code": "C7545",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "supervision and interpretation"
} ]
}, {
"code": "C7546",
"display": "Rep nph/urt cath w/dil stric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal and replacement of externally accessible nephroureteral catheter (eg,"
} ]
}, {
"code": "C7546",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "external/internal stent) requiring fluoroscopic guidance, with ureteral"
} ]
}, {
"code": "C7546",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "stricture balloon dilation, including imaging guidance and all associated"
} ]
}, {
"code": "C7546",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "radiological supervision and interpretation"
} ]
}, {
"code": "C7547",
"display": "Cnvrt neph cath w/ dil stric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Convert nephrostomy catheter to nephroureteral catheter, percutaneous via"
} ]
}, {
"code": "C7547",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pre-existing nephrostomy tract, with ureteral stricture balloon dilation,"
} ]
}, {
"code": "C7547",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including diagnostic nephrostogram and/or ureterogram when performed, imaging"
} ]
}, {
"code": "C7547",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological"
} ]
}, {
"code": "C7547",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "supervision and interpretation"
} ]
}, {
"code": "C7548",
"display": "Exch neph cath w/ dil stric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon"
} ]
}, {
"code": "C7548",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dilation, including diagnostic nephrostogram and/or ureterogram when performed,"
} ]
}, {
"code": "C7548",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated"
} ]
}, {
"code": "C7548",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "radiological supervision and interpretation"
} ]
}, {
"code": "C7549",
"display": "Chge urtr stent w/ dil stric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Change of ureterostomy tube or externally accessible ureteral stent via ileal"
} ]
}, {
"code": "C7549",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "conduit with ureteral stricture balloon dilation, including imaging guidance"
} ]
}, {
"code": "C7549",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(eg, ultrasound and/or fluoroscopy) and all associated radiological supervision"
} ]
}, {
"code": "C7549",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "and interpretation"
} ]
}, {
"code": "C7550",
"display": "Cysto w/ bx(s) w/ blue light",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with"
} ]
}, {
"code": "C7550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fluorescent imaging agent"
} ]
}, {
"code": "C7551",
"display": "Exc neuroma w/ implnt nv end",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Excision of major peripheral nerve neuroma, except sciatic, with implantation"
} ]
}, {
"code": "C7551",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of nerve end into bone or muscle"
} ]
}, {
"code": "C7552",
"display": "R hrt art/grft ang hrt flow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation; with catheter placement(s) in bypass graft(s) (internal"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mammary, free arterial, venous grafts) including intraprocedural injection(s)"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "for bypass graft angiography and right heart catheterization with intravascular"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "doppler velocity and/or pressure derived coronary flow reserve measurement"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "(coronary vessel or graft) during coronary angiography including"
} ]
}, {
"code": "C7552",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "pharmacologically induced stress, initial vessel"
} ]
}, {
"code": "C7553",
"display": "R&i hrt art/vent ang drg ad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation; with right and left heart catheterization including"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for left ventriculography, when performed,"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "catheter placement(s) in bypass graft(s) (internal mammary, free arterial,"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "venous grafts) with bypass graft angiography with pharmacologic agent"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "administration (eg, inhaled nitric oxide, intravenous infusion of"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "nitroprusside, dobutamine, milrinone, or other agent) including assessing"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "hemodynamic measurements before, during, after and repeat pharmacologic agent"
} ]
}, {
"code": "C7553",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "administration, when performed"
} ]
}, {
"code": "C7554",
"display": "Cystureth blu li cyst fl img",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent"
} ]
}, {
"code": "C7554",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "imaging agent"
} ]
}, {
"code": "C7555",
"display": "Rmvl thyrd w/autotran parath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thyroidectomy, total or complete with parathyroid autotransplantation"
} ]
}, {
"code": "C7556",
"display": "Bronch lavage w/ebus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and"
} ]
}, {
"code": "C7556",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic"
} ]
}, {
"code": "C7556",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic"
} ]
}, {
"code": "C7556",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "guidance, when performed"
} ]
}, {
"code": "C7557",
"display": "Cor angio/vent w/ffr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation with left heart catheterization including intraprocedural"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "injection(s) for left ventriculography, when performed and intraprocedural"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "coronary fractional flow reserve (ffr) with 3d functional mapping of"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "color-coded ffr values for the coronary tree, derived from coronary angiogram"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "data, for real-time review and interpretation of possible atherosclerotic"
} ]
}, {
"code": "C7557",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "stenosis(es) intervention"
} ]
}, {
"code": "C7558",
"display": "Cor angio/vent w/drug admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation with right and left heart catheterization including"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for left ventriculography, when performed,"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "catheter placement(s) in bypass graft(s) (internal mammary, free arterial,"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "venous grafts) with bypass graft angiography with pharmacologic agent"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "administration (eg, inhaled nitric oxide, intravenous infusion of"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "nitroprusside, dobutamine, milrinone, or other agent) including assessing"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "hemodynamic measurements before, during, after and repeat pharmacologic agent"
} ]
}, {
"code": "C7558",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "administration, when performed"
} ]
}, {
"code": "C7560",
"display": "Ercp remove forgn body&endo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign"
} ]
}, {
"code": "C7560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation"
} ]
}, {
"code": "C7560",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of papilla with direct visualization of pancreatic/common bile duct(s)"
} ]
}, {
"code": "C7562",
"display": "R&l hrt angio w/ffr & 3d map",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter placement in coronary artery(s) for coronary angiography, including"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for coronary angiography, imaging supervision and"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation; with right and left heart catheterization including"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intraprocedural injection(s) for left ventriculography, when performed with"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "intraprocedural coronary fractional flow reserve (ffr) with 3d functional"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "mapping of color-coded ffr values for the coronary tree, derived from coronary"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "angiogram data, for real-time review and interpretation of possible"
} ]
}, {
"code": "C7562",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "atherosclerotic stenosis(es) intervention"
} ]
}, {
"code": "C7563",
"display": "Trluml ballo angiop all art",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transluminal balloon angioplasty (except lower extremity artery(ies) for"
} ]
}, {
"code": "C7563",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit),"
} ]
}, {
"code": "C7563",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "open or percutaneous, including all imaging and radiological supervision and"
} ]
}, {
"code": "C7563",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "interpretation necessary to perform the angioplasty within the same artery,"
} ]
}, {
"code": "C7563",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "initial artery and all additional arteries"
} ]
}, {
"code": "C7564",
"display": "Vein mech throm w/intrvas us",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal mechanical thrombectomy, vein(s), including"
} ]
}, {
"code": "C7564",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraprocedural pharmacological thrombolytic injections and fluoroscopic"
} ]
}, {
"code": "C7564",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "guidance with intravascular ultrasound (noncoronary vessel(s)) during"
} ]
}, {
"code": "C7564",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "diagnostic evaluation and/or therapeutic intervention, including radiological"
} ]
}, {
"code": "C7564",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "supervision and interpretation"
} ]
}, {
"code": "C7565",
"display": "Rpr aa hrn < 3 rdc w/ rmvl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral,"
} ]
}, {
"code": "C7565",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic),"
} ]
}, {
"code": "C7565",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recurrent, including implantation of mesh or other prosthesis when performed,"
} ]
}, {
"code": "C7565",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "total length of defect(s) less than 3 cm, reducible with removal of total or"
} ]
}, {
"code": "C7565",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "near total non-infected mesh or other prosthesis at the time of initial or"
} ]
}, {
"code": "C7565",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "recurrent anterior abdominal hernia repair or parastomal hernia repair"
} ]
}, {
"code": "C7900",
"display": "Hopd mntl hlt, 15-29 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service for diagnosis, evaluation, or treatment of a mental health or"
} ]
}, {
"code": "C7900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "substance use disorder, 15-29 minutes, provided remotely by hospital staff who"
} ]
}, {
"code": "C7900",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "are licensed to provide mental health services under applicable state law(s),"
} ]
}, {
"code": "C7900",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "when the patient is in their home, and there is no associated professional"
} ]
}, {
"code": "C7900",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "service"
} ]
}, {
"code": "C7901",
"display": "Hopd mntl hlt, 30-60 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service for diagnosis, evaluation, or treatment of a mental health or substance"
} ]
}, {
"code": "C7901",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use disorder, 30-60 minutes, provided remotely by hospital staff who are"
} ]
}, {
"code": "C7901",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "licensed to provided mental health services under applicable state law(s), when"
} ]
}, {
"code": "C7901",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the patient is in their home, and there is no associated professional service"
} ]
}, {
"code": "C7902",
"display": "Hopd mntl hlt, ea addl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service for diagnosis, evaluation, or treatment of a mental health or substance"
} ]
}, {
"code": "C7902",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use disorder, each additional 15 minutes, provided remotely by hospital staff"
} ]
}, {
"code": "C7902",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "who are licensed to provide mental health services under applicable state"
} ]
}, {
"code": "C7902",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "law(s), when the patient is in their home, and there is no associated"
} ]
}, {
"code": "C7902",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "professional service (list separately in addition to code for primary service)"
} ]
}, {
"code": "C7903",
"display": "Hopd mntl hlt, grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group psychotherapy service for diagnosis, evaluation, or treatment of a mental"
} ]
}, {
"code": "C7903",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health or substance use disorder provided remotely by hospital staff who are"
} ]
}, {
"code": "C7903",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "licensed to provide mental health services under applicable state law(s), when"
} ]
}, {
"code": "C7903",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the patient is in their home, and there is no associated professional service"
} ]
}, {
"code": "C8000",
"display": "Suprt dev, a-v fistula, imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Support device, extravascular, for arteriovenous fistula (implantable)"
} ]
}, {
"code": "C8001",
"display": "3d anat seg imaging preop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "3d anatomical segmentation imaging for preoperative planning, data preparation"
} ]
}, {
"code": "C8001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and transmission, obtained from previous diagnostic computed tomographic or"
} ]
}, {
"code": "C8001",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "magnetic resonance examination of the same anatomy"
} ]
}, {
"code": "C8002",
"display": "Prep skin cell susp, automtd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparation of skin cell suspension autograft, automated, including all"
} ]
}, {
"code": "C8002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "enzymatic processing and device components (do not report with manual"
} ]
}, {
"code": "C8002",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "suspension preparation)"
} ]
}, {
"code": "C8003",
"display": "Imp extar knee shck absrb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantation of medial knee extraarticular implantable shock absorber spanning"
} ]
}, {
"code": "C8003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the knee joint from distal femur to proximal tibia, open, includes"
} ]
}, {
"code": "C8003",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurements, positioning and adjustments, with imaging guidance (e.g.,"
} ]
}, {
"code": "C8003",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "fluoroscopy)"
} ]
}, {
"code": "C8900",
"display": "Mra w/cont, abd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography with contrast, abdomen"
} ]
}, {
"code": "C8901",
"display": "Mra w/o cont, abd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast, abdomen"
} ]
}, {
"code": "C8902",
"display": "Mra w/o fol w/cont, abd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast followed by with contrast,"
} ]
}, {
"code": "C8902",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "abdomen"
} ]
}, {
"code": "C8903",
"display": "Mri w/cont, breast, uni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging with contrast, breast; unilateral"
} ]
}, {
"code": "C8904",
"display": "Mri w/o cont, breast, uni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging without contrast, breast; unilateral"
} ]
}, {
"code": "C8905",
"display": "Mri w/o fol w/cont, brst, un",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging without contrast followed by with contrast, breast;"
} ]
}, {
"code": "C8905",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unilateral"
} ]
}, {
"code": "C8906",
"display": "Mri w/cont, breast, bi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging with contrast, breast; bilateral"
} ]
}, {
"code": "C8907",
"display": "Mri w/o cont, breast, bi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging without contrast, breast; bilateral"
} ]
}, {
"code": "C8908",
"display": "Mri w/o fol w/cont, breast,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging without contrast followed by with contrast, breast;"
} ]
}, {
"code": "C8908",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bilateral"
} ]
}, {
"code": "C8909",
"display": "Mra w/cont, chest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography with contrast, chest (excluding myocardium)"
} ]
}, {
"code": "C8910",
"display": "Mra w/o cont, chest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast, chest (excluding myocardium)"
} ]
}, {
"code": "C8911",
"display": "Mra w/o fol w/cont, chest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast followed by with contrast,"
} ]
}, {
"code": "C8911",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chest (excluding myocardium)"
} ]
}, {
"code": "C8912",
"display": "Mra w/cont, lwr ext",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography with contrast, lower extremity"
} ]
}, {
"code": "C8913",
"display": "Mra w/o cont, lwr ext",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast, lower extremity"
} ]
}, {
"code": "C8914",
"display": "Mra w/o fol w/cont, lwr ext",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast followed by with contrast,"
} ]
}, {
"code": "C8914",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lower extremity"
} ]
}, {
"code": "C8918",
"display": "Mra w/cont, pelvis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography with contrast, pelvis"
} ]
}, {
"code": "C8919",
"display": "Mra w/o cont, pelvis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast, pelvis"
} ]
}, {
"code": "C8920",
"display": "Mra w/o fol w/cont, pelvis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast followed by with contrast,"
} ]
}, {
"code": "C8920",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pelvis"
} ]
}, {
"code": "C8921",
"display": "Tte w or w/o fol w/cont, com",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography with contrast, or without contrast followed by"
} ]
}, {
"code": "C8921",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, for congenital cardiac anomalies; complete"
} ]
}, {
"code": "C8922",
"display": "Tte w or w/o fol w/cont, f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography with contrast, or without contrast followed by"
} ]
}, {
"code": "C8922",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, for congenital cardiac anomalies; follow-up or limited study"
} ]
}, {
"code": "C8923",
"display": "2d tte w or w/o fol w/con,co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography with contrast, or without contrast followed by"
} ]
}, {
"code": "C8923",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, real-time with image documentation (2d), includes m-mode"
} ]
}, {
"code": "C8923",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recording, when performed, complete, without spectral or color doppler"
} ]
}, {
"code": "C8923",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "echocardiography"
} ]
}, {
"code": "C8924",
"display": "2d tte w or w/o fol w/con,fu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography with contrast, or without contrast followed by"
} ]
}, {
"code": "C8924",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, real-time with image documentation (2d), includes m-mode"
} ]
}, {
"code": "C8924",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recording, when performed, follow-up or limited study"
} ]
}, {
"code": "C8925",
"display": "2d tee w or w/o fol w/con,in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transesophageal echocardiography (tee) with contrast, or without contrast"
} ]
}, {
"code": "C8925",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "followed by with contrast, real time with image documentation (2d) (with or"
} ]
}, {
"code": "C8925",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "without m-mode recording); including probe placement, image acquisition,"
} ]
}, {
"code": "C8925",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "interpretation and report"
} ]
}, {
"code": "C8926",
"display": "Tee w or w/o fol w/cont,cong",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transesophageal echocardiography (tee) with contrast, or without contrast"
} ]
}, {
"code": "C8926",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "followed by with contrast, for congenital cardiac anomalies; including probe"
} ]
}, {
"code": "C8926",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "placement, image acquisition, interpretation and report"
} ]
}, {
"code": "C8927",
"display": "Tee w or w/o fol w/cont, mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transesophageal echocardiography (tee) with contrast, or without contrast"
} ]
}, {
"code": "C8927",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "followed by with contrast, for monitoring purposes, including probe placement,"
} ]
}, {
"code": "C8927",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "real time 2-dimensional image acquisition and interpretation leading to ongoing"
} ]
}, {
"code": "C8927",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(continuous) assessment of (dynamically changing) cardiac pumping function and"
} ]
}, {
"code": "C8927",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "to therapeutic measures on an immediate time basis"
} ]
}, {
"code": "C8928",
"display": "Tte w or w/o fol w/con,stres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography with contrast, or without contrast followed by"
} ]
}, {
"code": "C8928",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, real-time with image documentation (2d), includes m-mode"
} ]
}, {
"code": "C8928",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recording, when performed, during rest and cardiovascular stress test using"
} ]
}, {
"code": "C8928",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treadmill, bicycle exercise and/or pharmacologically induced stress, with"
} ]
}, {
"code": "C8928",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "interpretation and report"
} ]
}, {
"code": "C8929",
"display": "Tte w or wo fol wcon,doppler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography with contrast, or without contrast followed by"
} ]
}, {
"code": "C8929",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, real-time with image documentation (2d), includes m-mode"
} ]
}, {
"code": "C8929",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recording, when performed, complete, with spectral doppler echocardiography,"
} ]
}, {
"code": "C8929",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "and with color flow doppler echocardiography"
} ]
}, {
"code": "C8930",
"display": "Tte w or w/o contr, cont ecg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transthoracic echocardiography, with contrast, or without contrast followed by"
} ]
}, {
"code": "C8930",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with contrast, real-time with image documentation (2d), includes m-mode"
} ]
}, {
"code": "C8930",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recording, when performed, during rest and cardiovascular stress test using"
} ]
}, {
"code": "C8930",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treadmill, bicycle exercise and/or pharmacologically induced stress, with"
} ]
}, {
"code": "C8930",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "interpretation and report; including performance of continuous"
} ]
}, {
"code": "C8930",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "electrocardiographic monitoring, with physician supervision"
} ]
}, {
"code": "C8931",
"display": "Mra, w/dye, spinal canal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography with contrast, spinal canal and contents"
} ]
}, {
"code": "C8932",
"display": "Mra, w/o dye, spinal canal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast, spinal canal and contents"
} ]
}, {
"code": "C8933",
"display": "Mra, w/o&w/dye, spinal canal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast followed by with contrast,"
} ]
}, {
"code": "C8933",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "spinal canal and contents"
} ]
}, {
"code": "C8934",
"display": "Mra, w/dye, upper extremity",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography with contrast, upper extremity"
} ]
}, {
"code": "C8935",
"display": "Mra, w/o dye, upper extr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast, upper extremity"
} ]
}, {
"code": "C8936",
"display": "Mra, w/o&w/dye, upper extr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance angiography without contrast followed by with contrast,"
} ]
}, {
"code": "C8936",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "upper extremity"
} ]
}, {
"code": "C8937",
"display": "Cad breast mri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Computer-aided detection, including computer algorithm analysis of breast mri"
} ]
}, {
"code": "C8937",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "image data for lesion detection/characterization, pharmacokinetic analysis,"
} ]
}, {
"code": "C8937",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with further physician review for interpretation (list separately in addition"
} ]
}, {
"code": "C8937",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "to code for primary procedure)"
} ]
}, {
"code": "C8957",
"display": "Prolonged iv inf, req pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion"
} ]
}, {
"code": "C8957",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(more than 8 hours), requiring use of portable or implantable pump"
} ]
}, {
"code": "C9014",
"display": "Injection, cerliponase alfa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cerliponase alfa, 1 mg"
} ]
}, {
"code": "C9015",
"display": "C-1 esterase, haegarda",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, c-1 esterase inhibitor (human), haegarda, 10 units"
} ]
}, {
"code": "C9016",
"display": "Inj, triptorelin ext rel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triptorelin extended release, 3.75 mg"
} ]
}, {
"code": "C9021",
"display": "Injection, obinutuzumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, obinutuzumab, 10 mg"
} ]
}, {
"code": "C9022",
"display": "Injection, elosulfase alfa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elosulfase alfa, 1mg"
} ]
}, {
"code": "C9023",
"display": "Inj testosterone undecanoate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone undecanoate, 1 mg"
} ]
}, {
"code": "C9024",
"display": "Inj, daunorubicin-cytarabine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine"
} ]
}, {
"code": "C9025",
"display": "Injection, ramucirumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ramucirumab, 5 mg"
} ]
}, {
"code": "C9026",
"display": "Injection, vedolizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vedolizumab, 1 mg"
} ]
}, {
"code": "C9027",
"display": "Injection, pembrolizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pembrolizumab, 1 mg"
} ]
}, {
"code": "C9028",
"display": "Inj. inotuzumab ozogamicin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, inotuzumab ozogamicin, 0.1 mg"
} ]
}, {
"code": "C9029",
"display": "Injection, guselkumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, guselkumab, 1 mg"
} ]
}, {
"code": "C9030",
"display": "Inj copanlisib",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, copanlisib, 1 mg"
} ]
}, {
"code": "C9031",
"display": "Lutetium lu 177 dotatate, tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lutetium lu 177, dotatate, therapeutic, 1 mci"
} ]
}, {
"code": "C9032",
"display": "Voretigene neparvovec-rzyl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, voretigene neparvovec-rzyl, 1 billion vector genome"
} ]
}, {
"code": "C9033",
"display": "Inj, akynzeo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosnetupitant 235 mg and palonosetron 0.25 mg"
} ]
}, {
"code": "C9034",
"display": "Injection, dexamethasone 9%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dexamethasone 9%, intraocular, 1 mcg"
} ]
}, {
"code": "C9035",
"display": "Injection, aristada initio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole lauroxil (aristada initio), 1 mg"
} ]
}, {
"code": "C9036",
"display": "Injection, patisiran",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, patisiran, 0.1 mg"
} ]
}, {
"code": "C9037",
"display": "Injection, risperidone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risperidone (perseris), 0.5 mg"
} ]
}, {
"code": "C9038",
"display": "Inj mogamulizumab-kpkc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mogamulizumab-kpkc, 1 mg"
} ]
}, {
"code": "C9039",
"display": "Injection, plazomicin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, plazomicin, 5 mg"
} ]
}, {
"code": "C9040",
"display": "Injection, fremanezumab-vfrm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fremanezumab-vfrm, 1mg"
} ]
}, {
"code": "C9041",
"display": "Inj, coagulation factor xa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, coagulation factor xa (recombinant), inactivated (andexxa), 10 mg"
} ]
}, {
"code": "C9042",
"display": "Inj., belrapzo 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hcl (belrapzo), 1 mg"
} ]
}, {
"code": "C9043",
"display": "Injection, levoleucovorin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levoleucovorin, 1 mg"
} ]
}, {
"code": "C9044",
"display": "Injection, cemiplimab-rwlc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cemiplimab-rwlc, 1 mg"
} ]
}, {
"code": "C9045",
"display": "Moxetumomab pasudotox-tdfk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, moxetumomab pasudotox-tdfk, 0.01 mg"
} ]
}, {
"code": "C9046",
"display": "Cocaine hcl nasal (goprelto)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cocaine hydrochloride nasal solution (goprelto), 1 mg"
} ]
}, {
"code": "C9047",
"display": "Injection, caplacizumab-yhdp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, caplacizumab-yhdp, 1 mg"
} ]
}, {
"code": "C9048",
"display": "Dexamethasone ophth insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexamethasone, lacrimal ophthalmic insert, 0.1 mg"
} ]
}, {
"code": "C9049",
"display": "Injection, tagraxofusp-erzs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tagraxofusp-erzs, 10 mcg"
} ]
}, {
"code": "C9050",
"display": "Injection, emapalumab-lzsg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, emapalumab-lzsg, 1 mg"
} ]
}, {
"code": "C9051",
"display": "Injection, omadacycline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, omadacycline, 1 mg"
} ]
}, {
"code": "C9052",
"display": "Injection, ravulizumab-cwv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ravulizumab-cwvz, 10 mg"
} ]
}, {
"code": "C9053",
"display": "Inj, crizanlizumab-tmca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, crizanlizumab-tmca, 1 mg"
} ]
}, {
"code": "C9054",
"display": "Injection, lefamulin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lefamulin (xenleta), 1 mg"
} ]
}, {
"code": "C9055",
"display": "Inj, brexanolone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, brexanolone, 1mg"
} ]
}, {
"code": "C9056",
"display": "Injection, givosiran",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, givosiran, 0.5 mg"
} ]
}, {
"code": "C9057",
"display": "Inj cetirizine hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cetirizine hydrochloride, 1 mg"
} ]
}, {
"code": "C9058",
"display": "Injection,pegfilgrastim-bmez",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo) 0.5 mg"
} ]
}, {
"code": "C9059",
"display": "Injection, meloxicam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meloxicam, 1 mg"
} ]
}, {
"code": "C9060",
"display": "Fluoroestradiol f18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluoroestradiol f18, diagnostic, 1 mci"
} ]
}, {
"code": "C9061",
"display": "Injection, teprotumumab-trbw",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teprotumumab-trbw, 10 mg"
} ]
}, {
"code": "C9062",
"display": "Daratumumab hyaluronidase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daratumumab 10 mg and hyaluronidase-fihj"
} ]
}, {
"code": "C9063",
"display": "Injection, eptinezumab-jjmr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eptinezumab-jjmr, 1 mg"
} ]
}, {
"code": "C9064",
"display": "Mitomycin pyelocalyceal inst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mitomycin pyelocalyceal instillation, 1 mg"
} ]
}, {
"code": "C9065",
"display": "Romidepsin non-lyophilized",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg"
} ]
}, {
"code": "C9066",
"display": "Sacituzumab govitecan-hziy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sacituzumab govitecan-hziy, 2.5 mg"
} ]
}, {
"code": "C9067",
"display": "Gallium ga-68 dotatoc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gallium ga-68, dotatoc, diagnostic, 0.01 mci"
} ]
}, {
"code": "C9068",
"display": "Copper cu-64, dotatate, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Copper cu-64, dotatate, diagnostic, 1 millicurie"
} ]
}, {
"code": "C9069",
"display": "Belantamab mafodontin-blmf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, belantamab mafodontin-blmf, 0.5 mg"
} ]
}, {
"code": "C9070",
"display": "Injection, tafasitamab-cxix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tafasitamab-cxix, 2 mg"
} ]
}, {
"code": "C9071",
"display": "Injection, viltolarsen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, viltolarsen, 10 mg"
} ]
}, {
"code": "C9072",
"display": "Inj, imm glob asceniv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (asceniv), 500 mg"
} ]
}, {
"code": "C9073",
"display": "Brexucabtagene autoleucel ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive"
} ]
}, {
"code": "C9073",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viable t cells, including leukapheresis and dose preparation procedures, per"
} ]
}, {
"code": "C9073",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapeutic dose"
} ]
}, {
"code": "C9074",
"display": "Injection, lumasiran",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lumasiran, 0.5 mg"
} ]
}, {
"code": "C9075",
"display": "Injection, casimersen, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, casimersen, 10 mg"
} ]
}, {
"code": "C9076",
"display": "Lisocabtagene car pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive"
} ]
}, {
"code": "C9076",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viable t cells, including leukapheresis and dose preparation procedures, per"
} ]
}, {
"code": "C9076",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapeutic dose"
} ]
}, {
"code": "C9077",
"display": "Inj cabotegravir/rilpivirine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cabotegravir and rilpivirine, 2mg/3mg"
} ]
}, {
"code": "C9078",
"display": "Inj, trilaciclib, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trilaciclib, 1 mg"
} ]
}, {
"code": "C9079",
"display": "Inj, evinacumab-dgnb, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, evinacumab-dgnb, 5 mg"
} ]
}, {
"code": "C9080",
"display": "Inj, melphalan flufen, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, melphalan flufenamide hydrochloride, 1 mg"
} ]
}, {
"code": "C9081",
"display": "Idecabtagene car pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Idecabtagene vicleucel, up to 460 million autologous anti-bcma car-positive"
} ]
}, {
"code": "C9081",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viable t cells, including leukapheresis and dose preparation procedures, per"
} ]
}, {
"code": "C9081",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapeutic dose"
} ]
}, {
"code": "C9082",
"display": "Inj dostarlimab-gxly, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dostarlimab-gxly, 100 mg"
} ]
}, {
"code": "C9083",
"display": "Inj, amivantamab-vmjw, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amivantamab-vmjw, 10 mg"
} ]
}, {
"code": "C9084",
"display": "Loncastuximab-lpyl, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, loncastuximab tesirine-lpyl, 0.1 mg"
} ]
}, {
"code": "C9085",
"display": "Inj avalglucosid alfa-ngpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, avalglucosidase alfa-ngpt, 4 mg"
} ]
}, {
"code": "C9086",
"display": "Inj, anifrolumab-fnia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, anifrolumab-fnia, 1 mg"
} ]
}, {
"code": "C9087",
"display": "Inj cyclophosphamd auromedic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide, (auromedics), 10 mg"
} ]
}, {
"code": "C9088",
"display": "Instill, bupivac and meloxic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg"
} ]
}, {
"code": "C9089",
"display": "Bupivacaine implant, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bupivacaine, collagen-matrix implant, 1 mg"
} ]
}, {
"code": "C9090",
"display": "Plasminogen, human-tvmh 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, plasminogen, human-tvmh, 1 mg"
} ]
}, {
"code": "C9091",
"display": "Sirolimus, protein-bound,1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sirolimus protein-bound particles, 1 mg"
} ]
}, {
"code": "C9092",
"display": "Inj., xipere, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide, suprachoroidal (xipere), 1 mg"
} ]
}, {
"code": "C9093",
"display": "Inj., susvimo, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ranibizumab, via sustained release intravitreal implant (susvimo),"
} ]
}, {
"code": "C9093",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "0.1 mg"
} ]
}, {
"code": "C9094",
"display": "Inj, sutimlimab-jome, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Inj, sutimlimab-jome, 10 mg"
} ]
}, {
"code": "C9095",
"display": "Inj, tebentafusp-tebn, 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Inj, tebentafusp-tebn, 1 mcg"
} ]
}, {
"code": "C9096",
"display": "Inj, releuko, 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram"
} ]
}, {
"code": "C9097",
"display": "Inj, faricimab-svoa, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Inj, faricimab-svoa, 0.1 mg"
} ]
}, {
"code": "C9098",
"display": "Ciltacabtagene car pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation"
} ]
}, {
"code": "C9098",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antigen (bcma) directed car-positive t cells, including leukapheresis and dose"
} ]
}, {
"code": "C9098",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preparation procedures, per therapeutic dose"
} ]
}, {
"code": "C9101",
"display": "Inj, oliceridine 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oliceridine, 0.1 mg"
} ]
}, {
"code": "C9113",
"display": "Inj pantoprazole sodium, via",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pantoprazole sodium, per vial"
} ]
}, {
"code": "C9121",
"display": "Injection, argatroban",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban, per 5 mg"
} ]
}, {
"code": "C9122",
"display": "Mometasone furoate (sinuva)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mometasone furoate sinus implant, 10 micrograms (sinuva)"
} ]
}, {
"code": "C9132",
"display": "Kcentra, per i.u.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity"
} ]
}, {
"code": "C9133",
"display": "Factor ix recombinant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor ix (antihemophilic factor, recombinant), rixubis, per i.u."
} ]
}, {
"code": "C9134",
"display": "Factor xiii a-subunit recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u."
} ]
}, {
"code": "C9135",
"display": "Factor ix (alprolix)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor ix (antihemophilic factor, recombinant), alprolix, per i.u."
} ]
}, {
"code": "C9136",
"display": "Factor viii (eloctate)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, fc fusion protein, (recombinant), per i.u."
} ]
}, {
"code": "C9137",
"display": "Adynovate factor viii recom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii (antihemophilic factor, recombinant) pegylated, 1 i.u."
} ]
}, {
"code": "C9138",
"display": "Nuwiq factor viii recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1 i.u."
} ]
}, {
"code": "C9139",
"display": "Idelvion, 1 i.u.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u."
} ]
}, {
"code": "C9140",
"display": "Afstyla factor viii recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u."
} ]
}, {
"code": "C9141",
"display": "Factor viii pegylated-aucl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl"
} ]
}, {
"code": "C9141",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(jivi), 1 i.u."
} ]
}, {
"code": "C9142",
"display": "Inj, alymsys, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg"
} ]
}, {
"code": "C9143",
"display": "Cocaine hcl nasal (numbrino)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cocaine hydrochloride nasal solution (numbrino), 1 mg"
} ]
}, {
"code": "C9144",
"display": "Inj, bupivacaine (posimir)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bupivacaine (posimir), 1 mg"
} ]
}, {
"code": "C9145",
"display": "Inj, aponvie, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aprepitant, (aponvie), 1 mg"
} ]
}, {
"code": "C9146",
"display": "Inj, elahere, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mirvetuximab soravtansine-gynx, 1 mg"
} ]
}, {
"code": "C9147",
"display": "Inj, tremelimumab-actl, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tremelimumab-actl, 1 mg"
} ]
}, {
"code": "C9148",
"display": "Inj, teclistamab-cqyv, 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teclistamab-cqyv, 0.5 mg"
} ]
}, {
"code": "C9149",
"display": "Inj, teplizumab-mzwv, 5 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teplizumab-mzwv, 5 mcg"
} ]
}, {
"code": "C9150",
"display": "Xe129 xenon, diagnostic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xenon xe-129 hyperpolarized gas, diagnostic, per study dose"
} ]
}, {
"code": "C9151",
"display": "Inj, pegcetacoplan 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegcetacoplan, 1 mg"
} ]
}, {
"code": "C9152",
"display": "Inj, abilify asimtufii, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole, (abilify asimtufii), 1 mg"
} ]
}, {
"code": "C9153",
"display": "Inj, amisulpride, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amisulpride, 1 mg"
} ]
}, {
"code": "C9154",
"display": "Inj buprenorph (brixadi) 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine extended-release (brixadi), 1 mg"
} ]
}, {
"code": "C9155",
"display": "Inj epcoritamab-bysp,0.16 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epcoritamab-bysp, 0.16 mg"
} ]
}, {
"code": "C9156",
"display": "Flotufolastat f18, dia 1 mci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flotufolastat f 18, diagnostic, 1 millicurie"
} ]
}, {
"code": "C9157",
"display": "Inj, tofersen, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tofersen, 1 mg"
} ]
}, {
"code": "C9158",
"display": "Inj, uzedy, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risperidone, (uzedy), 1 mg"
} ]
}, {
"code": "C9159",
"display": "Inj, balfaxar, per i.u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, prothrombin complex concentrate (human), balfaxar, per i.u. of"
} ]
}, {
"code": "C9159",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "factor ix activity"
} ]
}, {
"code": "C9160",
"display": "Inj daxibotulinumtoxina-lanm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daxibotulinumtoxina-lanm, 1 unit"
} ]
}, {
"code": "C9161",
"display": "Inj, aflibercept hd, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aflibercept hd, 1 mg"
} ]
}, {
"code": "C9162",
"display": "Inj, avacincaptad peg 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, avacincaptad pegol, 0.1 mg"
} ]
}, {
"code": "C9163",
"display": "Inj talquetamab-tgvs 0.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, talquetamab-tgvs, 0.25 mg"
} ]
}, {
"code": "C9164",
"display": "Cantharidin top, applicator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2"
} ]
}, {
"code": "C9164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg)"
} ]
}, {
"code": "C9165",
"display": "Inj, elranatamab-bcmm, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elranatamab-bcmm, 1 mg"
} ]
}, {
"code": "C9166",
"display": "Injection, secukinumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, secukinumab, intravenous, 1 mg"
} ]
}, {
"code": "C9167",
"display": "Inj, adzynma, 10 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adamts13, recombinant-krhn, 10 iu"
} ]
}, {
"code": "C9168",
"display": "Injection, mirikizumab-mrkz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mirikizumab-mrkz, 1 mg"
} ]
}, {
"code": "C9169",
"display": "Inj, nogapendekin pmln 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram"
} ]
}, {
"code": "C9170",
"display": "Inj, tarlatamab-dlle, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tarlatamab-dlle, 1 mg"
} ]
}, {
"code": "C9171",
"display": "Inj, pegulicianine, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegulicianine, 1 mg"
} ]
}, {
"code": "C9172",
"display": "Inj, beqvez, per tx dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose"
} ]
}, {
"code": "C9173",
"display": "Inj, nypozi, 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram"
} ]
}, {
"code": "C9248",
"display": "Inj, clevidipine butyrate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, clevidipine butyrate, 1 mg"
} ]
}, {
"code": "C9250",
"display": "Artiss fibrin sealant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml"
} ]
}, {
"code": "C9254",
"display": "Injection, lacosamide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lacosamide, 1 mg"
} ]
}, {
"code": "C9257",
"display": "Bevacizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab, 0.25 mg"
} ]
}, {
"code": "C9275",
"display": "Hexaminolevulinate hcl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose"
} ]
}, {
"code": "C9285",
"display": "Patch, lidocaine/tetracaine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lidocaine 70 mg/tetracaine 70 mg, per patch"
} ]
}, {
"code": "C9290",
"display": "Inj, bupivacaine liposome",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bupivacaine liposome, 1 mg"
} ]
}, {
"code": "C9293",
"display": "Injection, glucarpidase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glucarpidase, 10 units"
} ]
}, {
"code": "C9349",
"display": "Puraply, puraply antimic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Puraply, and puraply antimicrobial, any type, per square centimeter"
} ]
}, {
"code": "C9352",
"display": "Neuragen nerve guide, per cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microporous collagen implantable tube (neuragen nerve guide), per centimeter"
} ]
}, {
"code": "C9352",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "length"
} ]
}, {
"code": "C9353",
"display": "Neurawrap nerve protector,cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microporous collagen implantable slit tube (neurawrap nerve protector), per"
} ]
}, {
"code": "C9353",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "centimeter length"
} ]
}, {
"code": "C9354",
"display": "Veritas collagen matrix, cm2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acellular pericardial tissue matrix of non-human origin (veritas), per square"
} ]
}, {
"code": "C9354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "centimeter"
} ]
}, {
"code": "C9355",
"display": "Neuromatrix nerve cuff, cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen nerve cuff (neuromatrix), per 0.5 centimeter length"
} ]
}, {
"code": "C9356",
"display": "Tenoglide tendon prot, cm2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix"
} ]
}, {
"code": "C9356",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(tenoglide tendon protector sheet), per square centimeter"
} ]
}, {
"code": "C9358",
"display": "Surgimend, fetal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermal substitute, native, non-denatured collagen, fetal bovine origin"
} ]
}, {
"code": "C9358",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(surgimend collagen matrix), per 0.5 square centimeters"
} ]
}, {
"code": "C9359",
"display": "Implnt,bon void filler-putty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Porous purified collagen matrix bone void filler (integra mozaik"
} ]
}, {
"code": "C9359",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per"
} ]
}, {
"code": "C9359",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "0.5 cc"
} ]
}, {
"code": "C9360",
"display": "Surgimend, neonatal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermal substitute, native, non-denatured collagen, neonatal bovine origin"
} ]
}, {
"code": "C9360",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(surgimend collagen matrix), per 0.5 square centimeters"
} ]
}, {
"code": "C9361",
"display": "Neuromend nerve wrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter"
} ]
}, {
"code": "C9361",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "length"
} ]
}, {
"code": "C9362",
"display": "Implnt,bon void filler-strip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Porous purified collagen matrix bone void filler (integra mozaik"
} ]
}, {
"code": "C9362",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "osteoconductive scaffold strip), per 0.5 cc"
} ]
}, {
"code": "C9363",
"display": "Integra meshed bil wound mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin substitute, integra meshed bilayer wound matrix, per square centimeter"
} ]
}, {
"code": "C9364",
"display": "Porcine implant, permacol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Porcine implant, permacol, per square centimeter"
} ]
}, {
"code": "C9399",
"display": "Unclassified drugs or biolog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unclassified drugs or biologicals"
} ]
}, {
"code": "C9407",
"display": "Iodine i-131 iobenguane, dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 iobenguane, diagnostic, 1 millicurie"
} ]
}, {
"code": "C9408",
"display": "Iodine i-131 iobenguane, tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iodine i-131 iobenguane, therapeutic, 1 millicurie"
} ]
}, {
"code": "C9441",
"display": "Inj, ferric carboxymaltose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric carboxymaltose, 1 mg"
} ]
}, {
"code": "C9442",
"display": "Injection, belinostat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, belinostat, 10 mg"
} ]
}, {
"code": "C9443",
"display": "Injection, dalbavancin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dalbavancin, 10 mg"
} ]
}, {
"code": "C9444",
"display": "Injection, oritavancin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oritavancin, 10 mg"
} ]
}, {
"code": "C9445",
"display": "C-1 esterase, ruconest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units"
} ]
}, {
"code": "C9446",
"display": "Inj, tedizolid phosphate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tedizolid phosphate, 1 mg"
} ]
}, {
"code": "C9447",
"display": "Inj, phenylephrine ketorolac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenylephrine and ketorolac, 4 ml vial"
} ]
}, {
"code": "C9448",
"display": "Oral netupitant palonosetron",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Netupitant 300 mg and palonosetron 0.5 mg, oral"
} ]
}, {
"code": "C9449",
"display": "Inj, blinatumomab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, blinatumomab, 1 mcg"
} ]
}, {
"code": "C9450",
"display": "Fluocinolone acetonide implt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluocinolone acetonide intravitreal implant, 0.01 mg"
} ]
}, {
"code": "C9451",
"display": "Injection, peramivir",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, peramivir, 1 mg"
} ]
}, {
"code": "C9452",
"display": "Inj, ceftolozane/tazobactam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftolozane 50 mg and tazobactam 25 mg"
} ]
}, {
"code": "C9453",
"display": "Injection, nivolumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nivolumab, 1 mg"
} ]
}, {
"code": "C9454",
"display": "Inj, pasireotide long acting",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pasireotide long acting, 1 mg"
} ]
}, {
"code": "C9455",
"display": "Injection, siltuximab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, siltuximab, 10 mg"
} ]
}, {
"code": "C9456",
"display": "Inj, isavuconazonium sulfate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, isavuconazonium sulfate, 1 mg"
} ]
}, {
"code": "C9457",
"display": "Lumason contrast agent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sulfur hexafluoride lipid microsphere, per ml"
} ]
}, {
"code": "C9458",
"display": "Florbetaben f18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries"
} ]
}, {
"code": "C9459",
"display": "Flutemetamol f18",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries"
} ]
}, {
"code": "C9460",
"display": "Injection, cangrelor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cangrelor, 1 mg"
} ]
}, {
"code": "C9461",
"display": "Choline c 11, diagnostic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Choline c 11, diagnostic, per study dose"
} ]
}, {
"code": "C9462",
"display": "Injection, delafloxacin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, delafloxacin, 1 mg"
} ]
}, {
"code": "C9463",
"display": "Injection, aprepitant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aprepitant, 1 mg"
} ]
}, {
"code": "C9464",
"display": "Injection, rolapitant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rolapitant, 0.5 mg"
} ]
}, {
"code": "C9465",
"display": "Injection, durolane",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, durolane, for intra-articular injection, per dose"
} ]
}, {
"code": "C9466",
"display": "Injection, benralizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, benralizumab, 1 mg"
} ]
}, {
"code": "C9467",
"display": "Inj rituximab hyaluronidase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab and hyaluronidase, 10 mg"
} ]
}, {
"code": "C9468",
"display": "Inj, factor ix, rebinyn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor ix (antihemophilic factor, recombinant), glycopegylated,"
} ]
}, {
"code": "C9468",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rebinyn, 1 i.u."
} ]
}, {
"code": "C9469",
"display": "Inj triamcinolone acetonide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide, preservative-free, extended-release,"
} ]
}, {
"code": "C9469",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microsphere formulation, 1 mg"
} ]
}, {
"code": "C9470",
"display": "Aripiprazole lauroxil im",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole lauroxil, 1 mg"
} ]
}, {
"code": "C9471",
"display": "Hymovis, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg"
} ]
}, {
"code": "C9472",
"display": "Inj talimogene laherparepvec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, talimogene laherparepvec, 1 million plaque forming units (pfu)"
} ]
}, {
"code": "C9473",
"display": "Injection, mepolizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mepolizumab, 1 mg"
} ]
}, {
"code": "C9474",
"display": "Inj, irinotecan liposome",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, irinotecan liposome, 1 mg"
} ]
}, {
"code": "C9475",
"display": "Injection, necitumumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, necitumumab, 1 mg"
} ]
}, {
"code": "C9476",
"display": "Injection, daratumumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daratumumab, 10 mg"
} ]
}, {
"code": "C9477",
"display": "Injection, elotuzumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elotuzumab, 1 mg"
} ]
}, {
"code": "C9478",
"display": "Injection, sebelipase alfa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sebelipase alfa, 1 mg"
} ]
}, {
"code": "C9479",
"display": "Instill, ciprofloxacin otic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Instillation, ciprofloxacin otic suspension, 6 mg"
} ]
}, {
"code": "C9480",
"display": "Injection, trabectedin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trabectedin, 0.1 mg"
} ]
}, {
"code": "C9481",
"display": "Injection, reslizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, reslizumab, 1 mg"
} ]
}, {
"code": "C9482",
"display": "Sotalol hydrochloride iv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sotalol hydrochloride, 1 mg"
} ]
}, {
"code": "C9483",
"display": "Injection, atezolizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, atezolizumab, 10 mg"
} ]
}, {
"code": "C9484",
"display": "Injection, eteplirsen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eteplirsen, 10 mg"
} ]
}, {
"code": "C9485",
"display": "Injection, olaratumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, olaratumab, 10 mg"
} ]
}, {
"code": "C9486",
"display": "Inj, granisetron ext",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, granisetron extended release, 0.1 mg"
} ]
}, {
"code": "C9487",
"display": "Ustekinumab iv inj, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ustekinumab, for intravenous injection, 1 mg"
} ]
}, {
"code": "C9488",
"display": "Conivaptan hcl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, conivaptan hydrochloride, 1 mg"
} ]
}, {
"code": "C9489",
"display": "Injection, nusinersen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nusinersen, 0.1 mg"
} ]
}, {
"code": "C9490",
"display": "Injection, bezlotoxumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bezlotoxumab, 10 mg"
} ]
}, {
"code": "C9491",
"display": "Injection, avelumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, avelumab, 10 mg"
} ]
}, {
"code": "C9492",
"display": "Injection, durvalumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, durvalumab, 10 mg"
} ]
}, {
"code": "C9493",
"display": "Injection, edaravone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, edaravone, 1 mg"
} ]
}, {
"code": "C9494",
"display": "Injection, ocrelizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ocrelizumab, 1 mg"
} ]
}, {
"code": "C9497",
"display": "Loxapine, inhalation powder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Loxapine, inhalation powder, 10 mg"
} ]
}, {
"code": "C9507",
"display": "Covid-19 convalescent plasma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plasma, high titer covid-19 convalescent, each unit"
} ]
}, {
"code": "C9600",
"display": "Perc drug-el cor stent sing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transcatheter placement of drug eluting intracoronary stent(s),"
} ]
}, {
"code": "C9600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with coronary angioplasty when performed; single major coronary artery or branch"
} ]
}, {
"code": "C9601",
"display": "Perc drug-el cor stent bran",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transcatheter placement of drug-eluting intracoronary stent(s),"
} ]
}, {
"code": "C9601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with coronary angioplasty when performed; each additional branch of a major"
} ]
}, {
"code": "C9601",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coronary artery (list separately in addition to code for primary procedure)"
} ]
}, {
"code": "C9602",
"display": "Perc d-e cor stent ather s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary"
} ]
}, {
"code": "C9602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stent, with coronary angioplasty when performed; single major coronary artery"
} ]
}, {
"code": "C9602",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or branch"
} ]
}, {
"code": "C9603",
"display": "Perc d-e cor stent ather br",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary"
} ]
}, {
"code": "C9603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stent, with coronary angioplasty when performed; each additional branch of a"
} ]
}, {
"code": "C9603",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "major coronary artery (list separately in addition to code for primary"
} ]
}, {
"code": "C9603",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "procedure)"
} ]
}, {
"code": "C9604",
"display": "Perc d-e cor revasc t cabg s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal revascularization of or through coronary artery"
} ]
}, {
"code": "C9604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bypass graft (internal mammary, free arterial, venous), any combination of"
} ]
}, {
"code": "C9604",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "drug-eluting intracoronary stent, atherectomy and angioplasty, including distal"
} ]
}, {
"code": "C9604",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "protection when performed; single vessel"
} ]
}, {
"code": "C9605",
"display": "Perc d-e cor revasc t cabg b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal revascularization of or through coronary artery"
} ]
}, {
"code": "C9605",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bypass graft (internal mammary, free arterial, venous), any combination of"
} ]
}, {
"code": "C9605",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "drug-eluting intracoronary stent, atherectomy and angioplasty, including distal"
} ]
}, {
"code": "C9605",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "protection when performed; each additional branch subtended by the bypass graft"
} ]
}, {
"code": "C9605",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(list separately in addition to code for primary procedure)"
} ]
}, {
"code": "C9606",
"display": "Perc d-e cor revasc w ami s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal revascularization of acute total/subtotal occlusion"
} ]
}, {
"code": "C9606",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during acute myocardial infarction, coronary artery or coronary artery bypass"
} ]
}, {
"code": "C9606",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "graft, any combination of drug-eluting intracoronary stent, atherectomy and"
} ]
}, {
"code": "C9606",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "angioplasty, including aspiration thrombectomy when performed, single vessel"
} ]
}, {
"code": "C9607",
"display": "Perc d-e cor revasc chro sin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal revascularization of chronic total occlusion,"
} ]
}, {
"code": "C9607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "coronary artery, coronary artery branch, or coronary artery bypass graft, any"
} ]
}, {
"code": "C9607",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "combination of drug-eluting intracoronary stent, atherectomy and"
} ]
}, {
"code": "C9607",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "angioplasty; single vessel"
} ]
}, {
"code": "C9608",
"display": "Perc d-e cor revasc chro add",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous transluminal revascularization of chronic total occlusion,"
} ]
}, {
"code": "C9608",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "coronary artery, coronary artery branch, or coronary artery bypass graft, any"
} ]
}, {
"code": "C9608",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "combination of drug-eluting intracoronary stent, atherectomy and"
} ]
}, {
"code": "C9608",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "angioplasty; each additional coronary artery, coronary artery branch, or bypass"
} ]
}, {
"code": "C9608",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "graft (list separately in addition to code for primary procedure)"
} ]
}, {
"code": "C9610",
"display": "Cath coronary drug-delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheter, transluminal drug delivery with or without angioplasty, coronary,"
} ]
}, {
"code": "C9610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-laser (insertable)"
} ]
}, {
"code": "C9724",
"display": "Eps stomach plic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic full-thickness plication of the stomach using endoscopic plication"
} ]
}, {
"code": "C9724",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system (eps); includes endoscopy"
} ]
}, {
"code": "C9725",
"display": "Place endorectal app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Placement of endorectal intracavitary applicator for high intensity"
} ]
}, {
"code": "C9725",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "brachytherapy"
} ]
}, {
"code": "C9726",
"display": "Rxt breast appl place/remov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Placement and removal (if performed) of applicator into breast for"
} ]
}, {
"code": "C9726",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraoperative radiation therapy, add-on to primary breast procedure"
} ]
}, {
"code": "C9727",
"display": "Insert palate implants",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of implants into the soft palate; minimum of three implants"
} ]
}, {
"code": "C9728",
"display": "Place device/marker, non pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Placement of interstitial device(s) for radiation therapy/surgery guidance"
} ]
}, {
"code": "C9728",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., fiducial markers, dosimeter), for other than the following sites (any"
} ]
}, {
"code": "C9728",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or"
} ]
}, {
"code": "C9728",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "multiple"
} ]
}, {
"code": "C9733",
"display": "Non-ophthalmic fva",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-ophthalmic fluorescent vascular angiography"
} ]
}, {
"code": "C9734",
"display": "U/s trtmt, not leiomyomata",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Focused ultrasound ablation/therapeutic intervention, other than uterine"
} ]
}, {
"code": "C9734",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "leiomyomata, with magnetic resonance (mr) guidance"
} ]
}, {
"code": "C9735",
"display": "Anoscopy, submucosal inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anoscopy; with directed submucosal injection(s), any substance"
} ]
}, {
"code": "C9737",
"display": "Lap esoph augmentation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g.,"
} ]
}, {
"code": "C9737",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "magnetic band)"
} ]
}, {
"code": "C9738",
"display": "Blue light cysto imag agent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjunctive blue light cystoscopy with fluorescent imaging agent (list"
} ]
}, {
"code": "C9738",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "separately in addition to code for primary procedure)"
} ]
}, {
"code": "C9739",
"display": "Cystoscopy prostatic imp 1-3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants"
} ]
}, {
"code": "C9740",
"display": "Cysto impl 4 or more",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants"
} ]
}, {
"code": "C9741",
"display": "Impl pressure sensor w/angio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Right heart catheterization with implantation of wireless pressure sensor in"
} ]
}, {
"code": "C9741",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the pulmonary artery, including any type of measurement, angiography, imaging"
} ]
}, {
"code": "C9741",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supervision, interpretation, and report"
} ]
}, {
"code": "C9742",
"display": "Laryngoscopy with injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s),"
} ]
}, {
"code": "C9742",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapeutic, including diagnostic laryngoscopy, if performed"
} ]
}, {
"code": "C9743",
"display": "Bulking/spacer material impl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection/implantation of bulking or spacer material (any type) with or without"
} ]
}, {
"code": "C9743",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "image guidance (not to be used if a more specific code applies)"
} ]
}, {
"code": "C9744",
"display": "Abd us w/contrast",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultrasound, abdominal, with contrast"
} ]
}, {
"code": "C9745",
"display": "Nasal endo eustachian tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal endoscopy, surgical; balloon dilation of eustachian tube"
} ]
}, {
"code": "C9746",
"display": "Trans imp balloon cont",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transperineal implantation of permanent adjustable balloon continence device,"
} ]
}, {
"code": "C9746",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with cystourethroscopy, when performed and/or fluoroscopy, when performed"
} ]
}, {
"code": "C9747",
"display": "Ablation, hifu, prostate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ablation of prostate, transrectal, high intensity focused ultrasound (hifu),"
} ]
}, {
"code": "C9747",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including imaging guidance"
} ]
}, {
"code": "C9748",
"display": "Prostatic rf water vapor tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transurethral destruction of prostate tissue; by radiofrequency water vapor"
} ]
}, {
"code": "C9748",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(steam) thermal therapy"
} ]
}, {
"code": "C9749",
"display": "Repair nasal stenosis w/imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of nasal vestibular lateral wall stenosis with implant(s)"
} ]
}, {
"code": "C9750",
"display": "Ins/rem-replace compl iims",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion or removal and replacement of intracardiac ischemia monitoring system"
} ]
}, {
"code": "C9750",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including imaging supervision and interpretation and peri-operative"
} ]
}, {
"code": "C9750",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interrogation and programming; complete system (includes device and electrode)"
} ]
}, {
"code": "C9751",
"display": "Microwave bronch, 3d, ebus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by"
} ]
}, {
"code": "C9751",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microwave energy, including fluoroscopic guidance, when performed, with"
} ]
}, {
"code": "C9751",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "computed tomography acquisition(s) and 3-d rendering, computer-assisted,"
} ]
}, {
"code": "C9751",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "image-guided navigation, and endobronchial ultrasound (ebus) guided"
} ]
}, {
"code": "C9751",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies])"
} ]
}, {
"code": "C9751",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "and all mediastinal and/or hilar lymph node stations or structures and"
} ]
}, {
"code": "C9751",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "therapeutic intervention(s)"
} ]
}, {
"code": "C9752",
"display": "Intraosseous des lumb/sacrum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Destruction of intraosseous basivertebral nerve, first two vertebral bodies,"
} ]
}, {
"code": "C9752",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including imaging guidance (e.g., fluoroscopy), lumbar/sacrum"
} ]
}, {
"code": "C9753",
"display": "Intraosseous destruct add'l",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Destruction of intraosseous basivertebral nerve, each additional vertebral"
} ]
}, {
"code": "C9753",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "body, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum (list"
} ]
}, {
"code": "C9753",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "separately in addition to code for primary procedure)"
} ]
}, {
"code": "C9754",
"display": "Perc av fistula, direct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Creation of arteriovenous fistula, percutaneous; direct, any site, including"
} ]
}, {
"code": "C9754",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all imaging and radiologic supervision and interpretation, when performed and"
} ]
}, {
"code": "C9754",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "secondary procedures to redirect blood flow (e.g., transluminal balloon"
} ]
}, {
"code": "C9754",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "angioplasty, coil embolization, when performed)"
} ]
}, {
"code": "C9755",
"display": "Rf magnetic-guide av fistula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial"
} ]
}, {
"code": "C9755",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and venous catheters and radiofrequency energy, including flow-directing"
} ]
}, {
"code": "C9755",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "procedures (e.g., vascular coil embolization with radiologic supervision and"
} ]
}, {
"code": "C9755",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "interpretation, when performed) and fistulogram(s), angiography, venography,"
} ]
}, {
"code": "C9755",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and/or ultrasound, with radiologic supervision and interpretation, when"
} ]
}, {
"code": "C9755",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "performed"
} ]
}, {
"code": "C9756",
"display": "Fluorescence lymph map w/icg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s)"
} ]
}, {
"code": "C9756",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(sentinel or tumor draining) with administration of indocyanine green (icg)"
} ]
}, {
"code": "C9756",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(list separately in addition to code for primary procedure)"
} ]
}, {
"code": "C9757",
"display": "Spine device implant surgery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laminotomy (hemilaminectomy), with decompression of nerve root(s), including"
} ]
}, {
"code": "C9757",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "partial facetectomy, foraminotomy and excision of herniated intervertebral"
} ]
}, {
"code": "C9757",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "disc, and repair of annular defect with implantation of bone anchored annular"
} ]
}, {
"code": "C9757",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "closure device, including annular defect measurement, alignment and sizing"
} ]
}, {
"code": "C9757",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "assessment, and image guidance; 1 interspace, lumbar"
} ]
}, {
"code": "C9758",
"display": "Blind interatrial shunt ide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blinded procedure for nyha class iii/iv heart failure; transcatheter"
} ]
}, {
"code": "C9758",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "implantation of interatrial shunt or placebo control, including right heart"
} ]
}, {
"code": "C9758",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheterization, trans-esophageal echocardiography (tee)/intracardiac"
} ]
}, {
"code": "C9758",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "echocardiography (ice), and all imaging with or without guidance (e.g.,"
} ]
}, {
"code": "C9758",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "ultrasound, fluoroscopy), performed in an approved investigational device"
} ]
}, {
"code": "C9758",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "exemption (ide) study"
} ]
}, {
"code": "C9759",
"display": "Transcath intraop microinf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal,"
} ]
}, {
"code": "C9759",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vascular wall and/or perivascular) therapy, any vessel, including radiological"
} ]
}, {
"code": "C9759",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supervision and interpretation, when performed"
} ]
}, {
"code": "C9760",
"display": "Non-blind interatrial shunt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure;"
} ]
}, {
"code": "C9760",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transcatheter implantation of interatrial shunt, including right and left heart"
} ]
}, {
"code": "C9760",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheterization, transeptal puncture, trans-esophageal echocardiography"
} ]
}, {
"code": "C9760",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(tee)/intracardiac echocardiography (ice), and all imaging with or without"
} ]
}, {
"code": "C9760",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "guidance (e.g., ultrasound, fluoroscopy), performed in an approved"
} ]
}, {
"code": "C9760",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "investigational device exemption (ide) study"
} ]
}, {
"code": "C9761",
"display": "Cysto, litho, vacuum kidney",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and"
} ]
}, {
"code": "C9761",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ureteral catheterization for steerable vacuum aspiration of the kidney,"
} ]
}, {
"code": "C9761",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "collecting system, ureter, bladder, and urethra if applicable (must use a"
} ]
}, {
"code": "C9761",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "steerable ureteral catheter)"
} ]
}, {
"code": "C9762",
"display": "Cardiac mri seg dys strain",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac magnetic resonance imaging for morphology and function, quantification"
} ]
}, {
"code": "C9762",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of segmental dysfunction; with strain imaging"
} ]
}, {
"code": "C9763",
"display": "Cardiac mri seg dys stress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac magnetic resonance imaging for morphology and function, quantification"
} ]
}, {
"code": "C9763",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of segmental dysfunction; with stress imaging"
} ]
}, {
"code": "C9764",
"display": "Revasc intravasc lithotripsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, lower extremity"
} ]
}, {
"code": "C9764",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes"
} ]
}, {
"code": "C9764",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "angioplasty within the same vessel(s), when performed"
} ]
}, {
"code": "C9765",
"display": "Revasc intra lithotrip-stent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, lower extremity"
} ]
}, {
"code": "C9765",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), except tibial/peroneal; with intravascular lithotripsy, and"
} ]
}, {
"code": "C9765",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "transluminal stent placement(s), includes angioplasty within the same"
} ]
}, {
"code": "C9765",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "vessel(s), when performed"
} ]
}, {
"code": "C9766",
"display": "Revasc intra lithotrip-ather",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, lower extremity"
} ]
}, {
"code": "C9766",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), except tibial/peroneal; with intravascular lithotripsy and"
} ]
}, {
"code": "C9766",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "atherectomy, includes angioplasty within the same vessel(s), when performed"
} ]
}, {
"code": "C9767",
"display": "Revasc lithotrip-stent-ather",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, lower extremity"
} ]
}, {
"code": "C9767",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), except tibial/peroneal; with intravascular lithotripsy and"
} ]
}, {
"code": "C9767",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "transluminal stent placement(s), and atherectomy, includes angioplasty within"
} ]
}, {
"code": "C9767",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the same vessel(s), when performed"
} ]
}, {
"code": "C9768",
"display": "Endo us-guide hep porto grad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic ultrasound-guided direct measurement of hepatic portosystemic"
} ]
}, {
"code": "C9768",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pressure gradient by any method (list separately in addition to code for"
} ]
}, {
"code": "C9768",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "primary procedure)"
} ]
}, {
"code": "C9769",
"display": "Cysto w/temp pros implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy, with insertion of temporary prostatic implant/stent with"
} ]
}, {
"code": "C9769",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fixation/anchor and incisional struts"
} ]
}, {
"code": "C9770",
"display": "Vitrec/mech pars, subret inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vitrectomy, mechanical, pars plana approach, with subretinal injection of"
} ]
}, {
"code": "C9770",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacologic/biologic agent"
} ]
}, {
"code": "C9771",
"display": "Nsl/sins cryo post nasal tis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral"
} ]
}, {
"code": "C9771",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or bilateral"
} ]
}, {
"code": "C9772",
"display": "Revasc lithotrip tibi/perone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal"
} ]
}, {
"code": "C9772",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies), with intravascular lithotripsy, includes angioplasty within the"
} ]
}, {
"code": "C9772",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "same vessel (s), when performed"
} ]
}, {
"code": "C9773",
"display": "Revasc lithotr-stent tib/per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal"
} ]
}, {
"code": "C9773",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies); with intravascular lithotripsy, and transluminal stent"
} ]
}, {
"code": "C9773",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "placement(s), includes angioplasty within the same vessel(s), when performed"
} ]
}, {
"code": "C9774",
"display": "Revasc lithotr-ather tib/per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal"
} ]
}, {
"code": "C9774",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies); with intravascular lithotripsy and atherectomy, includes"
} ]
}, {
"code": "C9774",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "angioplasty within the same vessel (s), when performed"
} ]
}, {
"code": "C9775",
"display": "Revasc lith-sten-ath tib/per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revascularization, endovascular, open or percutaneous, tibial/peroneal"
} ]
}, {
"code": "C9775",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "artery(ies); with intravascular lithotripsy and transluminal stent"
} ]
}, {
"code": "C9775",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "placement(s), and atherectomy, includes angioplasty within the same vessel (s),"
} ]
}, {
"code": "C9775",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "when performed"
} ]
}, {
"code": "C9776",
"display": "Fluo bile duct imaging w/icg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile"
} ]
}, {
"code": "C9776",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with"
} ]
}, {
"code": "C9776",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intravenous administration of indocyanine green (icg) (list separately in"
} ]
}, {
"code": "C9776",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "addition to code for primary procedure)"
} ]
}, {
"code": "C9777",
"display": "Esophag muc integ w/eso egd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esophageal mucosal integrity testing by electrical impedance, transoral,"
} ]
}, {
"code": "C9777",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes esophagoscopy or esophagogastroduodenoscopy"
} ]
}, {
"code": "C9778",
"display": "Colpopexy, min/inv, ex-perit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)"
} ]
}, {
"code": "C9779",
"display": "Esd endoscopy or colonoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy,"
} ]
}, {
"code": "C9779",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mucosal closure, when performed"
} ]
}, {
"code": "C9780",
"display": "Insert cv cath inf & sup app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of central venous catheter through central venous occlusion via"
} ]
}, {
"code": "C9780",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inferior and superior approaches (e.g., inside-out technique), including"
} ]
}, {
"code": "C9780",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "imaging guidance"
} ]
}, {
"code": "C9781",
"display": "Arthro/shoul surg; w/spacer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g.,"
} ]
}, {
"code": "C9781",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "balloon), includes debridement (e.g., limited or extensive), subacromial"
} ]
}, {
"code": "C9781",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "decompression, acromioplasty, and biceps tenodesis when performed"
} ]
}, {
"code": "C9782",
"display": "Blind myocar trpl bon marrow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blinded procedure for new york heart association (nyha) class ii or iii heart"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "failure, or canadian cardiovascular society (ccs) class iii or iv chronic"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "refractory angina; transcatheter intramyocardial transplantation of autologous"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "bone marrow cells (e.g., mononuclear) or placebo control, autologous bone"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "marrow harvesting and preparation for transplantation, left heart"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "catheterization including ventriculography, all laboratory services, and all"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "imaging with or without guidance (e.g., transthoracic echocardiography,"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "ultrasound, fluoroscopy), performed in an approved investigational device"
} ]
}, {
"code": "C9782",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "exemption (ide) study"
} ]
}, {
"code": "C9783",
"display": "Blind cor sinus reducer impl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blinded procedure for transcatheter implantation of coronary sinus reduction"
} ]
}, {
"code": "C9783",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device or placebo control, including vascular access and closure, right heart"
} ]
}, {
"code": "C9783",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheterization, venous and coronary sinus angiography, imaging guidance and"
} ]
}, {
"code": "C9783",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "supervision and interpretation when performed in an approved investigational"
} ]
}, {
"code": "C9783",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "device exemption (ide) study"
} ]
}, {
"code": "C9784",
"display": "Endo sleeve gastro w/tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastric restrictive procedure, endoscopic sleeve gastroplasty, with"
} ]
}, {
"code": "C9784",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "esophagogastroduodenoscopy and intraluminal tube insertion, if performed,"
} ]
}, {
"code": "C9784",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including all system and tissue anchoring components"
} ]
}, {
"code": "C9785",
"display": "Endo outlet restrict w/tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic outlet reduction, gastric pouch application, with endoscopy and"
} ]
}, {
"code": "C9785",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraluminal tube insertion, if performed, including all system and tissue"
} ]
}, {
"code": "C9785",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "anchoring components"
} ]
}, {
"code": "C9786",
"display": "Echo cad for hf preserved ef",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Echocardiography image post processing for computer aided detection of heart"
} ]
}, {
"code": "C9786",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "failure with preserved ejection fraction, including interpretation and report"
} ]
}, {
"code": "C9787",
"display": "Gastric ep mapg simult pt sx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastric electrophysiology mapping with simultaneous patient symptom profiling"
} ]
}, {
"code": "C9788",
"display": "Uni breas optoacoustic imag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Opto-acoustic imaging, breast (including axilla when performed), unilateral,"
} ]
}, {
"code": "C9788",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with image documentation, analysis and report, obtained with ultrasound"
} ]
}, {
"code": "C9788",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "examination"
} ]
}, {
"code": "C9789",
"display": "Instill pharm renal pelvis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis,"
} ]
}, {
"code": "C9789",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any method, including all imaging guidance, including volumetric measurement if"
} ]
}, {
"code": "C9789",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "performed"
} ]
}, {
"code": "C9790",
"display": "Kidney histotripsy w/image",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of"
} ]
}, {
"code": "C9790",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "malignant renal tissue, including image guidance"
} ]
}, {
"code": "C9791",
"display": "Mri hyperpolarized xenon129",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast"
} ]
}, {
"code": "C9791",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "agent, chest, including preparation and administration of agent"
} ]
}, {
"code": "C9792",
"display": "Blind/nonblind trans atrial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blinded or nonblinded procedure for symptomatic new york heart association"
} ]
}, {
"code": "C9792",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(nyha) class ii, iii, iva heart failure; transcatheter implantation of left"
} ]
}, {
"code": "C9792",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "atrial to coronary sinus shunt using jugular vein access, including all imaging"
} ]
}, {
"code": "C9792",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "necessary to intra procedurally map the coronary sinus for optimal shunt"
} ]
}, {
"code": "C9792",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general"
} ]
}, {
"code": "C9792",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "anesthesia in an approved investigational device exemption (ide) study)"
} ]
}, {
"code": "C9793",
"display": "Pre-plan 3d model w/ccta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "3d predictive model generation for pre-planning of a cardiac procedure, using"
} ]
}, {
"code": "C9793",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "data from cardiac computed tomographic angiography with report"
} ]
}, {
"code": "C9794",
"display": "Complex simulation w/pet-ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic radiology simulation-aided field setting; complex, including"
} ]
}, {
"code": "C9794",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "acquisition of pet and ct imaging data required for"
} ]
}, {
"code": "C9794",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "radiopharmaceutical-directed radiation therapy treatment planning (i.e.,"
} ]
}, {
"code": "C9794",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "modeling)"
} ]
}, {
"code": "C9795",
"display": "Sbrt w/positron emission del",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or"
} ]
}, {
"code": "C9795",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "more lesions, including image guidance and real-time positron emissions-based"
} ]
}, {
"code": "C9795",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "delivery adjustments to 1 or more lesions, entire course not to exceed 5"
} ]
}, {
"code": "C9795",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "fractions"
} ]
}, {
"code": "C9796",
"display": "Rpr intst excl anrect fist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of enterocutaneous fistula small intestine or colon (excluding anorectal"
} ]
}, {
"code": "C9796",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fistula) with plug (e.g., porcine small intestine submucosa [sis])"
} ]
}, {
"code": "C9797",
"display": "Vasc emb/occ w/prs cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vascular embolization or occlusion procedure with use of a pressure-generating"
} ]
}, {
"code": "C9797",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "catheter (e.g., one-way valve, intermittently occluding), inclusive of all"
} ]
}, {
"code": "C9797",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "radiological supervision and interpretation, intraprocedural roadmapping, and"
} ]
}, {
"code": "C9797",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "imaging guidance necessary to complete the intervention; for tumors, organ"
} ]
}, {
"code": "C9797",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "ischemia, or infarction"
} ]
}, {
"code": "C9800",
"display": "Dermal filler inj px/suppl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and"
} ]
}, {
"code": "C9800",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "provision of radiesse or sculptra dermal filler, including all items and"
} ]
}, {
"code": "C9800",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies"
} ]
}, {
"code": "C9803",
"display": "Hopd covid-19 spec collect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital outpatient clinic visit specimen collection for severe acute"
} ]
}, {
"code": "C9803",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease"
} ]
}, {
"code": "C9803",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "[covid-19]), any specimen source"
} ]
}, {
"code": "C9804",
"display": "Pump elastomc non-opioid dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and"
} ]
}, {
"code": "C9804",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all disposable system components, non-opioid medical device (must be a"
} ]
}, {
"code": "C9804",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "qualifying medicare non-opioid medical device for post-surgical pain relief in"
} ]
}, {
"code": "C9804",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "accordance with section 4135 of the caa, 2023)"
} ]
}, {
"code": "C9806",
"display": "Pump perist non-opioid dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rotary peristaltic infusion pump (e.g., ambit pump), including catheter and all"
} ]
}, {
"code": "C9806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disposable system components, non-opioid medical device (must be a qualifying"
} ]
}, {
"code": "C9806",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare non-opioid medical device for post-surgical pain relief in accordance"
} ]
}, {
"code": "C9806",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with section 4135 of the caa, 2023)"
} ]
}, {
"code": "C9807",
"display": "Nerve stim non-opioid dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve"
} ]
}, {
"code": "C9807",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stimulation system), including electrode and all disposable system components,"
} ]
}, {
"code": "C9807",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "non-opioid medical device (must be a qualifying medicare non-opioid medical"
} ]
}, {
"code": "C9807",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "device for post-surgical pain relief in accordance with section 4135 of the"
} ]
}, {
"code": "C9807",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "caa, 2023)"
} ]
}, {
"code": "C9808",
"display": "Cryo probe non-opioid dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice"
} ]
}, {
"code": "C9808",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cryosphere, cryoice cryo2), including probe and all disposable system"
} ]
}, {
"code": "C9808",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "components, non-opioid medical device (must be a qualifying medicare non-opioid"
} ]
}, {
"code": "C9808",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medical device for post-surgical pain relief in accordance with section 4135 of"
} ]
}, {
"code": "C9808",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "the caa, 2023)"
} ]
}, {
"code": "C9809",
"display": "Cryo needle non-opioid dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cryoablation needle (e.g., iovera system), including needle/tip and all"
} ]
}, {
"code": "C9809",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disposable system components, non-opioid medical device (must be a qualifying"
} ]
}, {
"code": "C9809",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare non-opioid medical device for post-surgical pain relief in accordance"
} ]
}, {
"code": "C9809",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with section 4135 of the caa, 2023)"
} ]
}, {
"code": "C9898",
"display": "Inpnt stay radiolabeled item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiolabeled product provided during a hospital inpatient stay"
} ]
}, {
"code": "C9899",
"display": "Inpt implant pros dev,no cov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implanted prosthetic device, payable only for inpatients who do not have"
} ]
}, {
"code": "C9899",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inpatient coverage"
} ]
}, {
"code": "C9901",
"display": "Endo defect closure gi tract",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoscopic defect closure within the entire gastrointestinal tract, including"
} ]
}, {
"code": "C9901",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "upper endoscopy (including diagnostic, if performed) or colonoscopy (including"
} ]
}, {
"code": "C9901",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnostic, if performed), with all system and tissue anchoring components"
} ]
}, {
"code": "E0100",
"display": "Cane adjust/fixed with tip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cane, includes canes of all materials, adjustable or fixed, with tip"
} ]
}, {
"code": "E0105",
"display": "Cane adjust/fixed quad/3 pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cane, quad or three prong, includes canes of all materials, adjustable or"
} ]
}, {
"code": "E0105",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fixed, with tips"
} ]
}, {
"code": "E0110",
"display": "Crutch forearm pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutches, forearm, includes crutches of various materials, adjustable or fixed,"
} ]
}, {
"code": "E0110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pair, complete with tips and handgrips"
} ]
}, {
"code": "E0111",
"display": "Crutch forearm each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutch forearm, includes crutches of various materials, adjustable or fixed,"
} ]
}, {
"code": "E0111",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each, with tip and handgrips"
} ]
}, {
"code": "E0112",
"display": "Crutch underarm pair wood",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and"
} ]
}, {
"code": "E0112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "handgrips"
} ]
}, {
"code": "E0113",
"display": "Crutch underarm each wood",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip"
} ]
}, {
"code": "E0114",
"display": "Crutch underarm pair no wood",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips"
} ]
}, {
"code": "E0114",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and handgrips"
} ]
}, {
"code": "E0116",
"display": "Crutch underarm each no wood",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip,"
} ]
}, {
"code": "E0116",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "handgrip, with or without shock absorber, each"
} ]
}, {
"code": "E0117",
"display": "Underarm springassist crutch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutch, underarm, articulating, spring assisted, each"
} ]
}, {
"code": "E0118",
"display": "Crutch substitute",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutch substitute, lower leg platform, with or without wheels, each"
} ]
}, {
"code": "E0130",
"display": "Walker rigid adjust/fixed ht",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, rigid (pickup), adjustable or fixed height"
} ]
}, {
"code": "E0135",
"display": "Walker folding adjust/fixed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, folding (pickup), adjustable or fixed height"
} ]
}, {
"code": "E0140",
"display": "Walker w trunk support",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, with trunk support, adjustable or fixed height, any type"
} ]
}, {
"code": "E0141",
"display": "Rigid wheeled walker adj/fix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, rigid, wheeled, adjustable or fixed height"
} ]
}, {
"code": "E0143",
"display": "Walker folding wheeled w/o s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, folding, wheeled, adjustable or fixed height"
} ]
}, {
"code": "E0144",
"display": "Enclosed walker w rear seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior"
} ]
}, {
"code": "E0144",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat"
} ]
}, {
"code": "E0147",
"display": "Walker variable wheel resist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, heavy duty, multiple braking system, variable wheel resistance"
} ]
}, {
"code": "E0148",
"display": "Heavyduty walker no wheels",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, heavy duty, without wheels, rigid or folding, any type, each"
} ]
}, {
"code": "E0149",
"display": "Heavy duty wheeled walker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, heavy duty, wheeled, rigid or folding, any type"
} ]
}, {
"code": "E0152",
"display": "Walker, battery power wheels",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walker, battery powered, wheeled, folding, adjustable or fixed height"
} ]
}, {
"code": "E0153",
"display": "Forearm crutch platform atta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platform attachment, forearm crutch, each"
} ]
}, {
"code": "E0154",
"display": "Walker platform attachment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platform attachment, walker, each"
} ]
}, {
"code": "E0155",
"display": "Walker wheel attachment,pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheel attachment, rigid pick-up walker, per pair"
} ]
}, {
"code": "E0156",
"display": "Walker seat attachment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat attachment, walker"
} ]
}, {
"code": "E0157",
"display": "Walker crutch attachment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crutch attachment, walker, each"
} ]
}, {
"code": "E0158",
"display": "Walker leg extenders set of4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg extensions for walker, per set of four (4)"
} ]
}, {
"code": "E0159",
"display": "Brake for wheeled walker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brake attachment for wheeled walker, replacement, each"
} ]
}, {
"code": "E0160",
"display": "Sitz type bath or equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sitz type bath or equipment, portable, used with or without commode"
} ]
}, {
"code": "E0161",
"display": "Sitz bath/equipment w/faucet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sitz type bath or equipment, portable, used with or without commode, with"
} ]
}, {
"code": "E0161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "faucet attachment/s"
} ]
}, {
"code": "E0162",
"display": "Sitz bath chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sitz bath chair"
} ]
}, {
"code": "E0163",
"display": "Commode chair with fixed arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Commode chair, mobile or stationary, with fixed arms"
} ]
}, {
"code": "E0165",
"display": "Commode chair with detacharm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Commode chair, mobile or stationary, with detachable arms"
} ]
}, {
"code": "E0167",
"display": "Commode chair pail or pan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pail or pan for use with commode chair, replacement only"
} ]
}, {
"code": "E0168",
"display": "Heavyduty/wide commode chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Commode chair, extra wide and/or heavy duty, stationary or mobile, with or"
} ]
}, {
"code": "E0168",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without arms, any type, each"
} ]
}, {
"code": "E0170",
"display": "Commode chair electric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Commode chair with integrated seat lift mechanism, electric, any type"
} ]
}, {
"code": "E0171",
"display": "Commode chair non-electric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Commode chair with integrated seat lift mechanism, non-electric, any type"
} ]
}, {
"code": "E0172",
"display": "Seat lift mechanism toilet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat lift mechanism placed over or on top of toilet, any type"
} ]
}, {
"code": "E0175",
"display": "Commode chair foot rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot rest, for use with commode chair, each"
} ]
}, {
"code": "E0181",
"display": "Press pad alternating w/ pum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered pressure reducing mattress overlay/pad, alternating, with pump,"
} ]
}, {
"code": "E0181",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes heavy duty"
} ]
}, {
"code": "E0182",
"display": "Replace pump, alt press pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pump for alternating pressure pad, for replacement only"
} ]
}, {
"code": "E0183",
"display": "Press underlay alter w/pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered pressure reducing underlay/pad, alternating, with pump, includes heavy"
} ]
}, {
"code": "E0183",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "duty"
} ]
}, {
"code": "E0184",
"display": "Dry pressure mattress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dry pressure mattress"
} ]
}, {
"code": "E0185",
"display": "Gel pressure mattress pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gel or gel-like pressure pad for mattress, standard mattress length and width"
} ]
}, {
"code": "E0186",
"display": "Air pressure mattress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Air pressure mattress"
} ]
}, {
"code": "E0187",
"display": "Water pressure mattress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water pressure mattress"
} ]
}, {
"code": "E0188",
"display": "Synthetic sheepskin pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Synthetic sheepskin pad"
} ]
}, {
"code": "E0189",
"display": "Lambswool sheepskin pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lambswool sheepskin pad, any size"
} ]
}, {
"code": "E0190",
"display": "Positioning cushion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning cushion/pillow/wedge, any shape or size, includes all components"
} ]
}, {
"code": "E0190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and accessories"
} ]
}, {
"code": "E0191",
"display": "Protector heel or elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel or elbow protector, each"
} ]
}, {
"code": "E0193",
"display": "Powered air flotation bed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered air flotation bed (low air loss therapy)"
} ]
}, {
"code": "E0194",
"display": "Air fluidized bed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Air fluidized bed"
} ]
}, {
"code": "E0196",
"display": "Gel pressure mattress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gel pressure mattress"
} ]
}, {
"code": "E0197",
"display": "Air pressure pad for mattres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Air pressure pad for mattress, standard mattress length and width"
} ]
}, {
"code": "E0198",
"display": "Water pressure pad for mattr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water pressure pad for mattress, standard mattress length and width"
} ]
}, {
"code": "E0199",
"display": "Dry pressure pad for mattres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dry pressure pad for mattress, standard mattress length and width"
} ]
}, {
"code": "E0200",
"display": "Heat lamp without stand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heat lamp, without stand (table model), includes bulb, or infrared element"
} ]
}, {
"code": "E0202",
"display": "Phototherapy light w/ photom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Phototherapy (bilirubin) light with photometer"
} ]
}, {
"code": "E0203",
"display": "Therapeutic lightbox tabletp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic lightbox, minimum 10,000 lux, table top model"
} ]
}, {
"code": "E0205",
"display": "Heat lamp with stand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heat lamp, with stand, includes bulb, or infrared element"
} ]
}, {
"code": "E0210",
"display": "Electric heat pad standard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric heat pad, standard"
} ]
}, {
"code": "E0215",
"display": "Electric heat pad moist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric heat pad, moist"
} ]
}, {
"code": "E0217",
"display": "Water circ heat pad w pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water circulating heat pad with pump"
} ]
}, {
"code": "E0218",
"display": "Fluid circ cold pad w pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluid circulating cold pad with pump, any type"
} ]
}, {
"code": "E0221",
"display": "Infrared heating pad system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infrared heating pad system"
} ]
}, {
"code": "E0225",
"display": "Hydrocollator unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocollator unit, includes pads"
} ]
}, {
"code": "E0231",
"display": "Wound warming device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-contact wound warming device (temperature control unit, ac adapter and"
} ]
}, {
"code": "E0231",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "power cord) for use with warming card and wound cover"
} ]
}, {
"code": "E0232",
"display": "Warming card for nwt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Warming card for use with the non contact wound warming device and non contact"
} ]
}, {
"code": "E0232",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wound warming wound cover"
} ]
}, {
"code": "E0235",
"display": "Paraffin bath unit portable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Paraffin bath unit, portable (see medical supply code a4265 for paraffin)"
} ]
}, {
"code": "E0236",
"display": "Pump for water circulating p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pump for water circulating pad"
} ]
}, {
"code": "E0239",
"display": "Hydrocollator unit portable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydrocollator unit, portable"
} ]
}, {
"code": "E0240",
"display": "Bath/shower chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bath/shower chair, with or without wheels, any size"
} ]
}, {
"code": "E0241",
"display": "Bath tub wall rail",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bath tub wall rail, each"
} ]
}, {
"code": "E0242",
"display": "Bath tub rail floor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bath tub rail, floor base"
} ]
}, {
"code": "E0243",
"display": "Toilet rail",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Toilet rail, each"
} ]
}, {
"code": "E0244",
"display": "Toilet seat raised",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Raised toilet seat"
} ]
}, {
"code": "E0245",
"display": "Tub stool or bench",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tub stool or bench"
} ]
}, {
"code": "E0246",
"display": "Transfer tub rail attachment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer tub rail attachment"
} ]
}, {
"code": "E0247",
"display": "Trans bench w/wo comm open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer bench for tub or toilet with or without commode opening"
} ]
}, {
"code": "E0248",
"display": "Hdtrans bench w/wo comm open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer bench, heavy duty, for tub or toilet with or without commode opening"
} ]
}, {
"code": "E0249",
"display": "Pad water circulating heat u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pad for water circulating heat unit, for replacement only"
} ]
}, {
"code": "E0250",
"display": "Hosp bed fixed ht w/ mattres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, fixed height, with any type side rails, with mattress"
} ]
}, {
"code": "E0251",
"display": "Hosp bed fixd ht w/o mattres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, fixed height, with any type side rails, without mattress"
} ]
}, {
"code": "E0255",
"display": "Hospital bed var ht w/ mattr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, variable height, hi-lo, with any type side rails, with mattress"
} ]
}, {
"code": "E0256",
"display": "Hospital bed var ht w/o matt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, variable height, hi-lo, with any type side rails, without mattress"
} ]
}, {
"code": "E0260",
"display": "Hosp bed semi-electr w/ matt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, semi-electric (head and foot adjustment), with any type side"
} ]
}, {
"code": "E0260",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rails, with mattress"
} ]
}, {
"code": "E0261",
"display": "Hosp bed semi-electr w/o mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, semi-electric (head and foot adjustment), with any type side"
} ]
}, {
"code": "E0261",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rails, without mattress"
} ]
}, {
"code": "E0265",
"display": "Hosp bed total electr w/ mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, total electric (head, foot and height adjustments), with any type"
} ]
}, {
"code": "E0265",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "side rails, with mattress"
} ]
}, {
"code": "E0266",
"display": "Hosp bed total elec w/o matt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, total electric (head, foot and height adjustments), with any type"
} ]
}, {
"code": "E0266",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "side rails, without mattress"
} ]
}, {
"code": "E0270",
"display": "Hospital bed institutional t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, institutional type includes: oscillating, circulating and stryker"
} ]
}, {
"code": "E0270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frame, with mattress"
} ]
}, {
"code": "E0271",
"display": "Mattress innerspring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mattress, innerspring"
} ]
}, {
"code": "E0272",
"display": "Mattress foam rubber",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mattress, foam rubber"
} ]
}, {
"code": "E0273",
"display": "Bed board",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed board"
} ]
}, {
"code": "E0274",
"display": "Over-bed table",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Over-bed table"
} ]
}, {
"code": "E0275",
"display": "Bed pan standard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed pan, standard, metal or plastic"
} ]
}, {
"code": "E0276",
"display": "Bed pan fracture",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed pan, fracture, metal or plastic"
} ]
}, {
"code": "E0277",
"display": "Powered pres-redu air mattrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered pressure-reducing air mattress"
} ]
}, {
"code": "E0280",
"display": "Bed cradle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed cradle, any type"
} ]
}, {
"code": "E0290",
"display": "Hosp bed fx ht w/o rails w/m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, fixed height, without side rails, with mattress"
} ]
}, {
"code": "E0291",
"display": "Hosp bed fx ht w/o rail w/o",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, fixed height, without side rails, without mattress"
} ]
}, {
"code": "E0292",
"display": "Hosp bed var ht no sr w/matt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, variable height, hi-lo, without side rails, with mattress"
} ]
}, {
"code": "E0293",
"display": "Hosp bed var ht no sr no mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, variable height, hi-lo, without side rails, without mattress"
} ]
}, {
"code": "E0294",
"display": "Hosp bed semi-elect w/ mattr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, semi-electric (head and foot adjustment), without side rails,"
} ]
}, {
"code": "E0294",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with mattress"
} ]
}, {
"code": "E0295",
"display": "Hosp bed semi-elect w/o matt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, semi-electric (head and foot adjustment), without side rails,"
} ]
}, {
"code": "E0295",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without mattress"
} ]
}, {
"code": "E0296",
"display": "Hosp bed total elect w/ matt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, total electric (head, foot and height adjustments), without side"
} ]
}, {
"code": "E0296",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rails, with mattress"
} ]
}, {
"code": "E0297",
"display": "Hosp bed total elect w/o mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, total electric (head, foot and height adjustments), without side"
} ]
}, {
"code": "E0297",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rails, without mattress"
} ]
}, {
"code": "E0300",
"display": "Enclosed ped crib hosp grade",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric crib, hospital grade, fully enclosed, with or without top enclosure"
} ]
}, {
"code": "E0301",
"display": "Hd hosp bed, 350-600 lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, heavy duty, extra wide, with weight capacity greater than 350"
} ]
}, {
"code": "E0301",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pounds, but less than or equal to 600 pounds, with any type side rails, without"
} ]
}, {
"code": "E0301",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mattress"
} ]
}, {
"code": "E0302",
"display": "Ex hd hosp bed > 600 lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, extra heavy duty, extra wide, with weight capacity greater than"
} ]
}, {
"code": "E0302",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "600 pounds, with any type side rails, without mattress"
} ]
}, {
"code": "E0303",
"display": "Hosp bed hvy dty xtra wide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, heavy duty, extra wide, with weight capacity greater than 350"
} ]
}, {
"code": "E0303",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pounds, but less than or equal to 600 pounds, with any type side rails, with"
} ]
}, {
"code": "E0303",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mattress"
} ]
}, {
"code": "E0304",
"display": "Hosp bed xtra hvy dty x wide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, extra heavy duty, extra wide, with weight capacity greater than"
} ]
}, {
"code": "E0304",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "600 pounds, with any type side rails, with mattress"
} ]
}, {
"code": "E0305",
"display": "Rails bed side half length",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed side rails, half length"
} ]
}, {
"code": "E0310",
"display": "Rails bed side full length",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed side rails, full length"
} ]
}, {
"code": "E0315",
"display": "Bed accessory brd/tbl/supprt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bed accessory: board, table, or support device, any type"
} ]
}, {
"code": "E0316",
"display": "Bed safety enclosure",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety enclosure frame/canopy for use with hospital bed, any type"
} ]
}, {
"code": "E0325",
"display": "Urinal male jug-type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinal; male, jug-type, any material"
} ]
}, {
"code": "E0326",
"display": "Urinal female jug-type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urinal; female, jug-type, any material"
} ]
}, {
"code": "E0328",
"display": "Ped hospital bed, manual",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard,"
} ]
}, {
"code": "E0328",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "footboard and side rails up to 24 inches above the spring, includes mattress"
} ]
}, {
"code": "E0329",
"display": "Ped hospital bed semi/elect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures,"
} ]
}, {
"code": "E0329",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "top of headboard, footboard and side rails up to 24 inches above the spring,"
} ]
}, {
"code": "E0329",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "includes mattress"
} ]
}, {
"code": "E0350",
"display": "Control unit bowel system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Control unit for electronic bowel irrigation/evacuation system"
} ]
}, {
"code": "E0352",
"display": "Disposable pack w/bowel syst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable pack (water reservoir bag, speculum, valving mechanism and"
} ]
}, {
"code": "E0352",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "collection bag/box) for use with the electronic bowel irrigation/evacuation"
} ]
}, {
"code": "E0352",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "E0370",
"display": "Air elevator for heel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Air pressure elevator for heel"
} ]
}, {
"code": "E0371",
"display": "Nonpower mattress overlay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nonpowered advanced pressure reducing overlay for mattress, standard mattress"
} ]
}, {
"code": "E0371",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "length and width"
} ]
}, {
"code": "E0372",
"display": "Powered air mattress overlay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered air overlay for mattress, standard mattress length and width"
} ]
}, {
"code": "E0373",
"display": "Nonpowered pressure mattress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nonpowered advanced pressure reducing mattress"
} ]
}, {
"code": "E0424",
"display": "Stationary compressed gas 02",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stationary compressed gaseous oxygen system, rental; includes container,"
} ]
}, {
"code": "E0424",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and"
} ]
}, {
"code": "E0424",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "tubing"
} ]
}, {
"code": "E0425",
"display": "Gas system stationary compre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stationary compressed gas system, purchase; includes regulator, flowmeter,"
} ]
}, {
"code": "E0425",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "humidifier, nebulizer, cannula or mask, and tubing"
} ]
}, {
"code": "E0430",
"display": "Oxygen system gas portable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable gaseous oxygen system, purchase; includes regulator, flowmeter,"
} ]
}, {
"code": "E0430",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "humidifier, cannula or mask, and tubing"
} ]
}, {
"code": "E0431",
"display": "Portable gaseous 02",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable gaseous oxygen system, rental; includes portable container, regulator,"
} ]
}, {
"code": "E0431",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "flowmeter, humidifier, cannula or mask, and tubing"
} ]
}, {
"code": "E0433",
"display": "Portable liquid oxygen sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable liquid oxygen system, rental; home liquefier used to fill portable"
} ]
}, {
"code": "E0433",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid oxygen containers, includes portable containers, regulator, flowmeter,"
} ]
}, {
"code": "E0433",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "humidifier, cannula or mask and tubing, with or without supply reservoir and"
} ]
}, {
"code": "E0433",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "contents gauge"
} ]
}, {
"code": "E0434",
"display": "Portable liquid 02",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable liquid oxygen system, rental; includes portable container, supply"
} ]
}, {
"code": "E0434",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or"
} ]
}, {
"code": "E0434",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mask, and tubing"
} ]
}, {
"code": "E0435",
"display": "Oxygen system liquid portabl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable liquid oxygen system, purchase; includes portable container, supply"
} ]
}, {
"code": "E0435",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and"
} ]
}, {
"code": "E0435",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "refill adaptor"
} ]
}, {
"code": "E0439",
"display": "Stationary liquid 02",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stationary liquid oxygen system, rental; includes container, contents,"
} ]
}, {
"code": "E0439",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing"
} ]
}, {
"code": "E0440",
"display": "Oxygen system liquid station",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stationary liquid oxygen system, purchase; includes use of reservoir, contents"
} ]
}, {
"code": "E0440",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and"
} ]
}, {
"code": "E0440",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "tubing"
} ]
}, {
"code": "E0441",
"display": "Stationary o2 contents, gas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stationary oxygen contents, gaseous, 1 month's supply = 1 unit"
} ]
}, {
"code": "E0442",
"display": "Stationary o2 contents, liq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stationary oxygen contents, liquid, 1 month's supply = 1 unit"
} ]
}, {
"code": "E0443",
"display": "Portable 02 contents, gas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable oxygen contents, gaseous, 1 month's supply = 1 unit"
} ]
}, {
"code": "E0444",
"display": "Portable 02 contents, liquid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable oxygen contents, liquid, 1 month's supply = 1 unit"
} ]
}, {
"code": "E0445",
"display": "Oximeter non-invasive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oximeter device for measuring blood oxygen levels non-invasively"
} ]
}, {
"code": "E0446",
"display": "Topical ox deliver sys, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Topical oxygen delivery system, not otherwise specified, includes all supplies"
} ]
}, {
"code": "E0446",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and accessories"
} ]
}, {
"code": "E0447",
"display": "Port o2 cont, liq over 4 lpm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount"
} ]
}, {
"code": "E0447",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at rest or nighttime exceeds 4 liters per minute (lpm)"
} ]
}, {
"code": "E0450",
"display": "Vol control vent invasiv int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Volume control ventilator, without pressure support mode, may include pressure"
} ]
}, {
"code": "E0450",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control mode, used with invasive interface (e.g., tracheostomy tube)"
} ]
}, {
"code": "E0455",
"display": "Oxygen tent excl croup/ped t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen tent, excluding croup or pediatric tents"
} ]
}, {
"code": "E0457",
"display": "Chest shell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chest shell (cuirass)"
} ]
}, {
"code": "E0459",
"display": "Chest wrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chest wrap"
} ]
}, {
"code": "E0460",
"display": "Neg press vent portabl/statn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Negative pressure ventilator; portable or stationary"
} ]
}, {
"code": "E0461",
"display": "Vol control vent noninv int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Volume control ventilator, without pressure support mode, may include pressure"
} ]
}, {
"code": "E0461",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control mode, used with non-invasive interface (e.g., mask)"
} ]
}, {
"code": "E0462",
"display": "Rocking bed w/ or w/o side r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rocking bed with or without side rails"
} ]
}, {
"code": "E0463",
"display": "Press supp vent invasive int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pressure support ventilator with volume control mode, may include pressure"
} ]
}, {
"code": "E0463",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control mode, used with invasive interface (e.g., tracheostomy tube)"
} ]
}, {
"code": "E0464",
"display": "Press supp vent noninv int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pressure support ventilator with volume control mode, may include pressure"
} ]
}, {
"code": "E0464",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control mode, used with non-invasive interface (e.g., mask)"
} ]
}, {
"code": "E0465",
"display": "Home vent invasive interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home ventilator, any type, used with invasive interface, (e.g., tracheostomy"
} ]
}, {
"code": "E0465",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tube)"
} ]
}, {
"code": "E0466",
"display": "Home vent non-invasive inter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest"
} ]
}, {
"code": "E0466",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell)"
} ]
}, {
"code": "E0467",
"display": "Home vent multi-function",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home ventilator, multi-function respiratory device, also performs any or all of"
} ]
}, {
"code": "E0467",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the additional functions of oxygen concentration, drug nebulization,"
} ]
}, {
"code": "E0467",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "aspiration, and cough stimulation, includes all accessories, components and"
} ]
}, {
"code": "E0467",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "supplies for all functions"
} ]
}, {
"code": "E0468",
"display": "Home vent dual fnct incl all",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home ventilator, dual-function respiratory device, also performs additional"
} ]
}, {
"code": "E0468",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "function of cough stimulation, includes all accessories, components and"
} ]
}, {
"code": "E0468",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies for all functions"
} ]
}, {
"code": "E0469",
"display": "Lung expans high oscil neb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lung expansion airway clearance, continuous high frequency oscillation, and"
} ]
}, {
"code": "E0469",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nebulization device"
} ]
}, {
"code": "E0470",
"display": "Rad w/o backup non-inv intfc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respiratory assist device, bi-level pressure capability, without backup rate"
} ]
}, {
"code": "E0470",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feature, used with noninvasive interface, e.g., nasal or facial mask"
} ]
}, {
"code": "E0470",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(intermittent assist device with continuous positive airway pressure device)"
} ]
}, {
"code": "E0471",
"display": "Rad w/backup non inv intrfc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respiratory assist device, bi-level pressure capability, with back-up rate"
} ]
}, {
"code": "E0471",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feature, used with noninvasive interface, e.g., nasal or facial mask"
} ]
}, {
"code": "E0471",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(intermittent assist device with continuous positive airway pressure device)"
} ]
}, {
"code": "E0472",
"display": "Rad w backup invasive intrfc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respiratory assist device, bi-level pressure capability, with backup rate"
} ]
}, {
"code": "E0472",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feature, used with invasive interface, e.g., tracheostomy tube (intermittent"
} ]
}, {
"code": "E0472",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "assist device with continuous positive airway pressure device)"
} ]
}, {
"code": "E0480",
"display": "Percussor elect/pneum home m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percussor, electric or pneumatic, home model"
} ]
}, {
"code": "E0481",
"display": "Intrpulmnry percuss vent sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intrapulmonary percussive ventilation system and related accessories"
} ]
}, {
"code": "E0482",
"display": "Cough stimulating device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cough stimulating device, alternating positive and negative airway pressure"
} ]
}, {
"code": "E0483",
"display": "Hi freq chest wall oscil sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High frequency chest wall oscillation system, with full anterior and/or"
} ]
}, {
"code": "E0483",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior thoracic region receiving simultaneous external oscillation, includes"
} ]
}, {
"code": "E0483",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all accessories and supplies, each"
} ]
}, {
"code": "E0484",
"display": "Non-elec oscillatory pep dvc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oscillatory positive expiratory pressure device, non-electric, any type, each"
} ]
}, {
"code": "E0485",
"display": "Oral device/appliance prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral device/appliance used to reduce upper airway collapsibility, adjustable or"
} ]
}, {
"code": "E0485",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-adjustable, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "E0486",
"display": "Oral device/appliance cusfab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral device/appliance used to reduce upper airway collapsibility, adjustable or"
} ]
}, {
"code": "E0486",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-adjustable, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "E0487",
"display": "Electronic spirometer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spirometer, electronic, includes all accessories"
} ]
}, {
"code": "E0490",
"display": "Control unit nm hw remote",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power source and control electronics unit for oral device/appliance for"
} ]
}, {
"code": "E0490",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neuromuscular electrical stimulation of the tongue muscle, controlled by"
} ]
}, {
"code": "E0490",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hardware remote"
} ]
}, {
"code": "E0491",
"display": "Oral dv nm mouthpc hw remote",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral device/appliance for neuromuscular electrical stimulation of the tongue"
} ]
}, {
"code": "E0491",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle, used in conjunction with the power source and control electronics unit,"
} ]
}, {
"code": "E0491",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "controlled by hardware remote, 90-day supply"
} ]
}, {
"code": "E0492",
"display": "Control unit nm stim w phone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power source and control electronics unit for oral device/appliance for"
} ]
}, {
"code": "E0492",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neuromuscular electrical stimulation of the tongue muscle, controlled by phone"
} ]
}, {
"code": "E0492",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "application"
} ]
}, {
"code": "E0493",
"display": "Oral dv/app neuromus mouthpi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral device/appliance for neuromuscular electrical stimulation of the tongue"
} ]
}, {
"code": "E0493",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle, used in conjunction with the power source and control electronics unit,"
} ]
}, {
"code": "E0493",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "controlled by phone application, 90-day supply"
} ]
}, {
"code": "E0500",
"display": "Ippb all types",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ippb machine, all types, with built-in nebulization; manual or automatic"
} ]
}, {
"code": "E0500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "valves; internal or external power source"
} ]
}, {
"code": "E0530",
"display": "Electronic posa treatment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic positional obstructive sleep apnea treatment, with sensor, includes"
} ]
}, {
"code": "E0530",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all components and accessories, any type"
} ]
}, {
"code": "E0550",
"display": "Humidif extens supple w ippb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Humidifier, durable for extensive supplemental humidification during ippb"
} ]
}, {
"code": "E0550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatments or oxygen delivery"
} ]
}, {
"code": "E0555",
"display": "Humidifier for use w/ regula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Humidifier, durable, glass or autoclavable plastic bottle type, for use with"
} ]
}, {
"code": "E0555",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "regulator or flowmeter"
} ]
}, {
"code": "E0560",
"display": "Humidifier supplemental w/ i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Humidifier, durable for supplemental humidification during ippb treatment or"
} ]
}, {
"code": "E0560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "oxygen delivery"
} ]
}, {
"code": "E0561",
"display": "Humidifier nonheated w pap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Humidifier, non-heated, used with positive airway pressure device"
} ]
}, {
"code": "E0562",
"display": "Humidifier heated used w pap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Humidifier, heated, used with positive airway pressure device"
} ]
}, {
"code": "E0565",
"display": "Compressor air power source",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compressor, air power source for equipment which is not self-contained or"
} ]
}, {
"code": "E0565",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder driven"
} ]
}, {
"code": "E0570",
"display": "Nebulizer with compression",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nebulizer, with compressor"
} ]
}, {
"code": "E0572",
"display": "Aerosol compressor adjust pr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aerosol compressor, adjustable pressure, light duty for intermittent use"
} ]
}, {
"code": "E0574",
"display": "Ultrasonic generator w svneb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultrasonic/electronic aerosol generator with small volume nebulizer"
} ]
}, {
"code": "E0575",
"display": "Nebulizer ultrasonic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nebulizer, ultrasonic, large volume"
} ]
}, {
"code": "E0580",
"display": "Nebulizer for use w/ regulat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with"
} ]
}, {
"code": "E0580",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "regulator or flowmeter"
} ]
}, {
"code": "E0585",
"display": "Nebulizer w/ compressor & he",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nebulizer, with compressor and heater"
} ]
}, {
"code": "E0600",
"display": "Suction pump portab hom modl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respiratory suction pump, home model, portable or stationary, electric"
} ]
}, {
"code": "E0601",
"display": "Cont airway pressure device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous positive airway pressure (cpap) device"
} ]
}, {
"code": "E0602",
"display": "Manual breast pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast pump, manual, any type"
} ]
}, {
"code": "E0603",
"display": "Electric breast pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast pump, electric (ac and/or dc), any type"
} ]
}, {
"code": "E0604",
"display": "Hosp grade elec breast pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast pump, hospital grade, electric (ac and / or dc), any type"
} ]
}, {
"code": "E0605",
"display": "Vaporizer room type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vaporizer, room type"
} ]
}, {
"code": "E0606",
"display": "Drainage board postural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Postural drainage board"
} ]
}, {
"code": "E0607",
"display": "Blood glucose monitor home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home blood glucose monitor"
} ]
}, {
"code": "E0610",
"display": "Pacemaker monitr audible/vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible"
} ]
}, {
"code": "E0610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and visible check systems)"
} ]
}, {
"code": "E0615",
"display": "Pacemaker monitr digital/vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pacemaker monitor, self contained, checks battery depletion and other pacemaker"
} ]
}, {
"code": "E0615",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "components, includes digital/visible check systems"
} ]
}, {
"code": "E0616",
"display": "Cardiac event recorder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable cardiac event recorder with memory, activator and programmer"
} ]
}, {
"code": "E0617",
"display": "Automatic ext defibrillator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External defibrillator with integrated electrocardiogram analysis"
} ]
}, {
"code": "E0618",
"display": "Apnea monitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Apnea monitor, without recording feature"
} ]
}, {
"code": "E0619",
"display": "Apnea monitor w recorder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Apnea monitor, with recording feature"
} ]
}, {
"code": "E0620",
"display": "Cap bld skin piercing laser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin piercing device for collection of capillary blood, laser, each"
} ]
}, {
"code": "E0621",
"display": "Patient lift sling or seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sling or seat, patient lift, canvas or nylon"
} ]
}, {
"code": "E0625",
"display": "Patient lift bathroom or toi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient lift, bathroom or toilet, not otherwise classified"
} ]
}, {
"code": "E0627",
"display": "Seat lift mech, electric any",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat lift mechanism, electric, any type"
} ]
}, {
"code": "E0628",
"display": "Seat lift for pt furn-electr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Separate seat lift mechanism for use with patient owned furniture-electric"
} ]
}, {
"code": "E0629",
"display": "Seat lift mech, non-electric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat lift mechanism, non-electric, any type"
} ]
}, {
"code": "E0630",
"display": "Patient lift hydraulic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or"
} ]
}, {
"code": "E0630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pad(s)"
} ]
}, {
"code": "E0635",
"display": "Patient lift electric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient lift, electric with seat or sling"
} ]
}, {
"code": "E0636",
"display": "Pt support & positioning sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multipositional patient support system, with integrated lift, patient"
} ]
}, {
"code": "E0636",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessible controls"
} ]
}, {
"code": "E0637",
"display": "Combination sit to stand sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Combination sit to stand frame/table system, any size including pediatric, with"
} ]
}, {
"code": "E0637",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat lift feature, with or without wheels"
} ]
}, {
"code": "E0638",
"display": "Standing frame sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standing frame/table system, one position (e.g., upright, supine or prone"
} ]
}, {
"code": "E0638",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stander), any size including pediatric, with or without wheels"
} ]
}, {
"code": "E0639",
"display": "Moveable patient lift system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient lift, moveable from room to room with disassembly and reassembly,"
} ]
}, {
"code": "E0639",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes all components/accessories"
} ]
}, {
"code": "E0640",
"display": "Fixed patient lift system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient lift, fixed system, includes all components/accessories"
} ]
}, {
"code": "E0641",
"display": "Multi-position stnd fram sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standing frame/table system, multi-position (e.g., three-way stander), any size"
} ]
}, {
"code": "E0641",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including pediatric, with or without wheels"
} ]
}, {
"code": "E0642",
"display": "Dynamic standing frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standing frame/table system, mobile (dynamic stander), any size including"
} ]
}, {
"code": "E0642",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pediatric"
} ]
}, {
"code": "E0650",
"display": "Pneuma compresor non-segment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumatic compressor, non-segmental home model"
} ]
}, {
"code": "E0651",
"display": "Pneum compressor segmental",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumatic compressor, segmental home model without calibrated gradient pressure"
} ]
}, {
"code": "E0652",
"display": "Pneum compres w/cal pressure",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumatic compressor, segmental home model with calibrated gradient pressure"
} ]
}, {
"code": "E0655",
"display": "Pneumatic appliance half arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, half arm"
} ]
}, {
"code": "E0656",
"display": "Segmental pneumatic trunk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental pneumatic appliance for use with pneumatic compressor, trunk"
} ]
}, {
"code": "E0657",
"display": "Segmental pneumatic chest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental pneumatic appliance for use with pneumatic compressor, chest"
} ]
}, {
"code": "E0660",
"display": "Pneumatic appliance full leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, full leg"
} ]
}, {
"code": "E0665",
"display": "Pneumatic appliance full arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, full arm"
} ]
}, {
"code": "E0666",
"display": "Pneumatic appliance half leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-segmental pneumatic appliance for use with pneumatic compressor, half leg"
} ]
}, {
"code": "E0667",
"display": "Seg pneumatic appl full leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental pneumatic appliance for use with pneumatic compressor, full leg"
} ]
}, {
"code": "E0668",
"display": "Seg pneumatic appl full arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental pneumatic appliance for use with pneumatic compressor, full arm"
} ]
}, {
"code": "E0669",
"display": "Seg pneumatic appli half leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental pneumatic appliance for use with pneumatic compressor, half leg"
} ]
}, {
"code": "E0670",
"display": "Seg pneum int legs/trunk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2"
} ]
}, {
"code": "E0670",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "full legs and trunk"
} ]
}, {
"code": "E0671",
"display": "Pressure pneum appl full leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental gradient pressure pneumatic appliance, full leg"
} ]
}, {
"code": "E0672",
"display": "Pressure pneum appl full arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental gradient pressure pneumatic appliance, full arm"
} ]
}, {
"code": "E0673",
"display": "Pressure pneum appl half leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segmental gradient pressure pneumatic appliance, half leg"
} ]
}, {
"code": "E0675",
"display": "Pneumatic compression device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumatic compression device, high pressure, rapid inflation/deflation cycle,"
} ]
}, {
"code": "E0675",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for arterial insufficiency (unilateral or bilateral system)"
} ]
}, {
"code": "E0676",
"display": "Inter limb compress dev nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intermittent limb compression device (includes all accessories), not otherwise"
} ]
}, {
"code": "E0676",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "E0677",
"display": "Non pneum seq comp trunk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, trunk"
} ]
}, {
"code": "E0678",
"display": "Non pneum seq comp full leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, full leg"
} ]
}, {
"code": "E0679",
"display": "Non pneum seq comp half leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, half leg"
} ]
}, {
"code": "E0680",
"display": "Non pneum comp control cal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic compression controller with sequential calibrated gradient"
} ]
}, {
"code": "E0680",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pressure"
} ]
}, {
"code": "E0681",
"display": "Non pneu comp control w/o ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic compression controller without calibrated gradient pressure"
} ]
}, {
"code": "E0682",
"display": "Non pneum compress full arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, full arm"
} ]
}, {
"code": "E0683",
"display": "Non pneu peristalic comp pmp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic, non-sequential, peristaltic wave compression pump"
} ]
}, {
"code": "E0691",
"display": "Uvl pnl 2 sq ft or less",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye"
} ]
}, {
"code": "E0691",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "protection; treatment area 2 square feet or less"
} ]
}, {
"code": "E0692",
"display": "Uvl sys panel 4 ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye"
} ]
}, {
"code": "E0692",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "protection, 4 foot panel"
} ]
}, {
"code": "E0693",
"display": "Uvl sys panel 6 ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye"
} ]
}, {
"code": "E0693",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "protection, 6 foot panel"
} ]
}, {
"code": "E0694",
"display": "Uvl md cabinet sys 6 ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes"
} ]
}, {
"code": "E0694",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bulbs/lamps, timer and eye protection"
} ]
}, {
"code": "E0700",
"display": "Safety equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety equipment, device or accessory, any type"
} ]
}, {
"code": "E0705",
"display": "Transfer device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer device, any type, each"
} ]
}, {
"code": "E0710",
"display": "Restraints any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Restraints, any type (body, chest, wrist or ankle)"
} ]
}, {
"code": "E0711",
"display": "Ue enclosure restr rom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity medical tubing/lines enclosure or covering device, restricts"
} ]
}, {
"code": "E0711",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elbow range of motion"
} ]
}, {
"code": "E0715",
"display": "Intravag pelvic floor kegel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravaginal device intended to strengthen pelvic floor muscles during kegel"
} ]
}, {
"code": "E0715",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "exercises"
} ]
}, {
"code": "E0716",
"display": "Supp and acces intravag pelv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies and accessories for intravaginal device intended to strengthen pelvic"
} ]
}, {
"code": "E0716",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "floor muscles during kegel exercises"
} ]
}, {
"code": "E0720",
"display": "Tens two lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous electrical nerve stimulation (tens) device, two lead, localized"
} ]
}, {
"code": "E0720",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stimulation"
} ]
}, {
"code": "E0721",
"display": "Trans elec stim auricular",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous electrical nerve stimulator for nerves in the auricular region"
} ]
}, {
"code": "E0730",
"display": "Tens four lead",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous electrical nerve stimulation (tens) device, four or more leads,"
} ]
}, {
"code": "E0730",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for multiple nerve stimulation"
} ]
}, {
"code": "E0731",
"display": "Conductive garment for tens/",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Form fitting conductive garment for delivery of tens or nmes (with conductive"
} ]
}, {
"code": "E0731",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fibers separated from the patient's skin by layers of fabric)"
} ]
}, {
"code": "E0732",
"display": "Ces system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cranial electrotherapy stimulation (ces) system, any type"
} ]
}, {
"code": "E0733",
"display": "Trans elec nerv for trigemin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous electrical nerve stimulator for electrical stimulation of the"
} ]
}, {
"code": "E0733",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trigeminal nerve"
} ]
}, {
"code": "E0734",
"display": "Ext up limb tremor stim wris",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External upper limb tremor stimulator of the peripheral nerves of the wrist"
} ]
}, {
"code": "E0735",
"display": "Non-invasive vagus nerv stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-invasive vagus nerve stimulator"
} ]
}, {
"code": "E0736",
"display": "Transcut tibial nerv stimula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous tibial nerve stimulator"
} ]
}, {
"code": "E0737",
"display": "Transcut tibial stim by app",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous tibial nerve stimulator, controlled by phone application"
} ]
}, {
"code": "E0738",
"display": "Upper extremity rehab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity rehabilitation system providing active assistance to facilitate"
} ]
}, {
"code": "E0738",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle re-education, include microprocessor, all components and accessories"
} ]
}, {
"code": "E0739",
"display": "Rehab sys active assist rt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rehabilitation system with interactive interface providing active assistance in"
} ]
}, {
"code": "E0739",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rehabilitation therapy, includes all components and accessories, motors,"
} ]
}, {
"code": "E0739",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "microprocessors, sensors"
} ]
}, {
"code": "E0740",
"display": "Non-implant pelv flr e-stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-implanted pelvic floor electrical stimulator, complete system"
} ]
}, {
"code": "E0743",
"display": "Ext low ext nerve stimu rls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External lower extremity nerve stimulator for restless legs syndrome, each"
} ]
}, {
"code": "E0744",
"display": "Neuromuscular stim for scoli",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neuromuscular stimulator for scoliosis"
} ]
}, {
"code": "E0745",
"display": "Neuromuscular stim for shock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neuromuscular stimulator, electronic shock unit"
} ]
}, {
"code": "E0746",
"display": "Electromyograph biofeedback",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electromyography (emg), biofeedback device"
} ]
}, {
"code": "E0747",
"display": "Elec osteogen stim not spine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Osteogenesis stimulator, electrical, non-invasive, other than spinal"
} ]
}, {
"code": "E0747",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "applications"
} ]
}, {
"code": "E0748",
"display": "Elec osteogen stim spinal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Osteogenesis stimulator, electrical, non-invasive, spinal applications"
} ]
}, {
"code": "E0749",
"display": "Elec osteogen stim implanted",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Osteogenesis stimulator, electrical, surgically implanted"
} ]
}, {
"code": "E0755",
"display": "Electronic salivary reflex s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic salivary reflex stimulator (intra-oral/non-invasive)"
} ]
}, {
"code": "E0760",
"display": "Osteogen ultrasound stimltor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Osteogenesis stimulator, low intensity ultrasound, non-invasive"
} ]
}, {
"code": "E0761",
"display": "Nontherm electromgntc device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic"
} ]
}, {
"code": "E0761",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "energy treatment device"
} ]
}, {
"code": "E0762",
"display": "Trans elec jt stim dev sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous electrical joint stimulation device system, includes all"
} ]
}, {
"code": "E0762",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories"
} ]
}, {
"code": "E0764",
"display": "Functional neuromuscularstim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional neuromuscular stimulation, transcutaneous stimulation of sequential"
} ]
}, {
"code": "E0764",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle groups of ambulation with computer control, used for walking by spinal"
} ]
}, {
"code": "E0764",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cord injured, entire system, after completion of training program"
} ]
}, {
"code": "E0765",
"display": "Nerve stimulator for tx n&v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fda approved nerve stimulator, with replaceable batteries, for treatment of"
} ]
}, {
"code": "E0765",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nausea and vomiting"
} ]
}, {
"code": "E0766",
"display": "Elec stim cancer treatment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulation device used for cancer treatment, includes all"
} ]
}, {
"code": "E0766",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories, any type"
} ]
}, {
"code": "E0767",
"display": "Intrabuc am rf emf cancer tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency"
} ]
}, {
"code": "E0767",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electromagnetic field device, for cancer treatment, includes all accessories"
} ]
}, {
"code": "E0769",
"display": "Electric wound treatment dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulation or electromagnetic wound treatment device, not otherwise"
} ]
}, {
"code": "E0769",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "classified"
} ]
}, {
"code": "E0770",
"display": "Functional electric stim nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional electrical stimulator, transcutaneous stimulation of nerve and/or"
} ]
}, {
"code": "E0770",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle groups, any type, complete system, not otherwise specified"
} ]
}, {
"code": "E0776",
"display": "Iv pole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv pole"
} ]
}, {
"code": "E0779",
"display": "Amb infusion pump mechanical",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater"
} ]
}, {
"code": "E0780",
"display": "Mech amb infusion pump <8hrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours"
} ]
}, {
"code": "E0781",
"display": "External ambulatory infus pu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulatory infusion pump, single or multiple channels, electric or battery"
} ]
}, {
"code": "E0781",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "operated, with administrative equipment, worn by patient"
} ]
}, {
"code": "E0782",
"display": "Non-programble infusion pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion pump, implantable, non-programmable (includes all components, e.g.,"
} ]
}, {
"code": "E0782",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pump, catheter, connectors, etc.)"
} ]
}, {
"code": "E0783",
"display": "Programmable infusion pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion pump system, implantable, programmable (includes all components, e.g.,"
} ]
}, {
"code": "E0783",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pump, catheter, connectors, etc.)"
} ]
}, {
"code": "E0784",
"display": "Ext amb infusn pump insulin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External ambulatory infusion pump, insulin"
} ]
}, {
"code": "E0785",
"display": "Replacement impl pump cathet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable intraspinal (epidural/intrathecal) catheter used with implantable"
} ]
}, {
"code": "E0785",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion pump, replacement"
} ]
}, {
"code": "E0786",
"display": "Implantable pump replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable programmable infusion pump, replacement (excludes implantable"
} ]
}, {
"code": "E0786",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraspinal catheter)"
} ]
}, {
"code": "E0787",
"display": "Cgs dose adj insulin inf pmp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External ambulatory infusion pump, insulin, dosage rate adjustment using"
} ]
}, {
"code": "E0787",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapeutic continuous glucose sensing"
} ]
}, {
"code": "E0791",
"display": "Parenteral infusion pump sta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenteral infusion pump, stationary, single or multi-channel"
} ]
}, {
"code": "E0830",
"display": "Ambulatory traction device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulatory traction device, all types, each"
} ]
}, {
"code": "E0840",
"display": "Tract frame attach headboard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction frame, attached to headboard, cervical traction"
} ]
}, {
"code": "E0849",
"display": "Cervical pneum trac equip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction equipment, cervical, free-standing stand/frame, pneumatic, applying"
} ]
}, {
"code": "E0849",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "traction force to other than mandible"
} ]
}, {
"code": "E0850",
"display": "Traction stand free standing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction stand, free standing, cervical traction"
} ]
}, {
"code": "E0855",
"display": "Cervical traction equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical traction equipment not requiring additional stand or frame"
} ]
}, {
"code": "E0856",
"display": "Cervic collar w air bladders",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical traction device, with inflatable air bladder(s)"
} ]
}, {
"code": "E0860",
"display": "Tract equip cervical tract",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction equipment, overdoor, cervical"
} ]
}, {
"code": "E0870",
"display": "Tract frame attach footboard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction frame, attached to footboard, extremity traction, (e.g., buck's)"
} ]
}, {
"code": "E0880",
"display": "Trac stand free stand extrem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction stand, free standing, extremity traction"
} ]
}, {
"code": "E0890",
"display": "Traction frame attach pelvic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction frame, attached to footboard, pelvic traction"
} ]
}, {
"code": "E0900",
"display": "Trac stand free stand pelvic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traction stand, free standing, pelvic traction, (e.g., buck's)"
} ]
}, {
"code": "E0910",
"display": "Trapeze bar attached to bed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trapeze bars, a/k/a patient helper, attached to bed, with grab bar"
} ]
}, {
"code": "E0911",
"display": "Hd trapeze bar attach to bed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds,"
} ]
}, {
"code": "E0911",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "attached to bed, with grab bar"
} ]
}, {
"code": "E0912",
"display": "Hd trapeze bar free standing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds,"
} ]
}, {
"code": "E0912",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "free standing, complete with grab bar"
} ]
}, {
"code": "E0920",
"display": "Fracture frame attached to b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fracture frame, attached to bed, includes weights"
} ]
}, {
"code": "E0930",
"display": "Fracture frame free standing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fracture frame, free standing, includes weights"
} ]
}, {
"code": "E0935",
"display": "Cont pas motion exercise dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous passive motion exercise device for use on knee only"
} ]
}, {
"code": "E0936",
"display": "Cpm device, other than knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous passive motion exercise device for use other than knee"
} ]
}, {
"code": "E0940",
"display": "Trapeze bar free standing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trapeze bar, free standing, complete with grab bar"
} ]
}, {
"code": "E0941",
"display": "Gravity assisted traction de",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gravity assisted traction device, any type"
} ]
}, {
"code": "E0942",
"display": "Cervical head harness/halter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical head harness/halter"
} ]
}, {
"code": "E0944",
"display": "Pelvic belt/harness/boot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pelvic belt/harness/boot"
} ]
}, {
"code": "E0945",
"display": "Belt/harness extremity",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extremity belt/harness"
} ]
}, {
"code": "E0946",
"display": "Fracture frame dual w cross",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster)"
} ]
}, {
"code": "E0947",
"display": "Fracture frame attachmnts pe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fracture frame, attachments for complex pelvic traction"
} ]
}, {
"code": "E0948",
"display": "Fracture frame attachmnts ce",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fracture frame, attachments for complex cervical traction"
} ]
}, {
"code": "E0950",
"display": "Tray",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, tray, each"
} ]
}, {
"code": "E0951",
"display": "Loop heel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel loop/holder, any type, with or without ankle strap, each"
} ]
}, {
"code": "E0952",
"display": "Toe loop/holder, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Toe loop/holder, any type, each"
} ]
}, {
"code": "E0953",
"display": "W/c lateral thigh/knee sup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, lateral thigh or knee support, any type including fixed"
} ]
}, {
"code": "E0953",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mounting hardware, each"
} ]
}, {
"code": "E0954",
"display": "Foot box, any type each foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, foot box, any type, includes attachment and mounting"
} ]
}, {
"code": "E0954",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hardware, each foot"
} ]
}, {
"code": "E0955",
"display": "Cushioned headrest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting"
} ]
}, {
"code": "E0955",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hardware, each"
} ]
}, {
"code": "E0956",
"display": "W/c lateral trunk/hip suppor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed"
} ]
}, {
"code": "E0956",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mounting hardware, each"
} ]
}, {
"code": "E0957",
"display": "W/c medial thigh support",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, medial thigh support, any type, including fixed mounting"
} ]
}, {
"code": "E0957",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hardware, each"
} ]
}, {
"code": "E0958",
"display": "Whlchr att- conv 1 arm drive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, one-arm drive attachment, each"
} ]
}, {
"code": "E0959",
"display": "Amputee adapter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, adapter for amputee, each"
} ]
}, {
"code": "E0960",
"display": "W/c shoulder harness/straps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, shoulder harness/straps or chest strap, including any"
} ]
}, {
"code": "E0960",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "type mounting hardware"
} ]
}, {
"code": "E0961",
"display": "Wheelchair brake extension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, wheel lock brake extension (handle), each"
} ]
}, {
"code": "E0966",
"display": "Wheelchair head rest extensi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, headrest extension, each"
} ]
}, {
"code": "E0967",
"display": "Man wc rim/projection rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, hand rim with projections, any type, replacement"
} ]
}, {
"code": "E0967",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E0968",
"display": "Wheelchair commode seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Commode seat, wheelchair"
} ]
}, {
"code": "E0969",
"display": "Wheelchair narrowing device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Narrowing device, wheelchair"
} ]
}, {
"code": "E0970",
"display": "Wheelchair no. 2 footplates",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No. 2 footplates, except for elevating leg rest"
} ]
}, {
"code": "E0971",
"display": "Wheelchair anti-tipping devi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, anti-tipping device, each"
} ]
}, {
"code": "E0973",
"display": "W/ch access det adj armrest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly,"
} ]
}, {
"code": "E0973",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "E0974",
"display": "W/ch access anti-rollback",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, anti-rollback device, each"
} ]
}, {
"code": "E0978",
"display": "W/c acc,saf belt pelv strap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each"
} ]
}, {
"code": "E0980",
"display": "Wheelchair safety vest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety vest, wheelchair"
} ]
}, {
"code": "E0981",
"display": "Seat upholstery, replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, seat upholstery, replacement only, each"
} ]
}, {
"code": "E0982",
"display": "Back upholstery, replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, back upholstery, replacement only, each"
} ]
}, {
"code": "E0983",
"display": "Add pwr joystick",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, power add-on to convert manual wheelchair to"
} ]
}, {
"code": "E0983",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "motorized wheelchair, joystick control"
} ]
}, {
"code": "E0984",
"display": "Add pwr tiller",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, power add-on to convert manual wheelchair to"
} ]
}, {
"code": "E0984",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "motorized wheelchair, tiller control"
} ]
}, {
"code": "E0985",
"display": "W/c seat lift mechanism",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, seat lift mechanism"
} ]
}, {
"code": "E0986",
"display": "Man w/c push-rim powr system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, push-rim activated power assist system"
} ]
}, {
"code": "E0988",
"display": "Lever-activated wheel drive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, lever-activated, wheel drive, pair"
} ]
}, {
"code": "E0990",
"display": "Wheelchair elevating leg res",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, elevating leg rest, complete assembly, each"
} ]
}, {
"code": "E0992",
"display": "Wheelchair solid seat insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, solid seat insert"
} ]
}, {
"code": "E0994",
"display": "Wheelchair arm rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arm rest, each"
} ]
}, {
"code": "E0995",
"display": "Wc calf rest, pad replacemnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, calf rest/pad, replacement only, each"
} ]
}, {
"code": "E1002",
"display": "Pwr seat tilt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, tilt only"
} ]
}, {
"code": "E1003",
"display": "Pwr seat recline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, recline only, without shear"
} ]
}, {
"code": "E1003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reduction"
} ]
}, {
"code": "E1004",
"display": "Pwr seat recline mech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, recline only, with mechanical shear"
} ]
}, {
"code": "E1004",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reduction"
} ]
}, {
"code": "E1005",
"display": "Pwr seat recline pwr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, recline only, with power shear"
} ]
}, {
"code": "E1005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reduction"
} ]
}, {
"code": "E1006",
"display": "Pwr seat combo w/o shear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, combination tilt and recline,"
} ]
}, {
"code": "E1006",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without shear reduction"
} ]
}, {
"code": "E1007",
"display": "Pwr seat combo w/shear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, combination tilt and recline, with"
} ]
}, {
"code": "E1007",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanical shear reduction"
} ]
}, {
"code": "E1008",
"display": "Pwr seat combo pwr shear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seating system, combination tilt and recline, with"
} ]
}, {
"code": "E1008",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "power shear reduction"
} ]
}, {
"code": "E1009",
"display": "Add mech leg elevation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, addition to power seating system, mechanically linked leg"
} ]
}, {
"code": "E1009",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elevation system, including pushrod and leg rest, each"
} ]
}, {
"code": "E1010",
"display": "Add pwr leg elevation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, addition to power seating system, power leg elevation"
} ]
}, {
"code": "E1010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system, including leg rest, pair"
} ]
}, {
"code": "E1011",
"display": "Ped wc modify width adjustm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Modification to pediatric size wheelchair, width adjustment package (not to be"
} ]
}, {
"code": "E1011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dispensed with initial chair)"
} ]
}, {
"code": "E1012",
"display": "Ctr mount pwr elev leg rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, addition to power seating system, center mount power"
} ]
}, {
"code": "E1012",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elevating leg rest/platform, complete system, any type, each"
} ]
}, {
"code": "E1014",
"display": "Reclining back add ped w/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reclining back, addition to pediatric size wheelchair"
} ]
}, {
"code": "E1015",
"display": "Shock absorber for man w/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shock absorber for manual wheelchair, each"
} ]
}, {
"code": "E1016",
"display": "Shock absorber for power w/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shock absorber for power wheelchair, each"
} ]
}, {
"code": "E1017",
"display": "Hd shck absrbr for hd man wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair,"
} ]
}, {
"code": "E1017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "E1018",
"display": "Hd shck absrber for hd powwc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair,"
} ]
}, {
"code": "E1018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "E1020",
"display": "Residual limb support system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual limb support system for wheelchair, any type"
} ]
}, {
"code": "E1028",
"display": "W/c manual swingaway",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, manual swingaway, retractable or removable mounting"
} ]
}, {
"code": "E1028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hardware for joystick, other control interface or positioning accessory"
} ]
}, {
"code": "E1029",
"display": "W/c vent tray fixed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, ventilator tray, fixed"
} ]
}, {
"code": "E1030",
"display": "W/c vent tray gimbaled",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, ventilator tray, gimbaled"
} ]
}, {
"code": "E1031",
"display": "Rollabout chair with casters",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rollabout chair, any and all types with casters 5\" or greater"
} ]
}, {
"code": "E1035",
"display": "Patient transfer system <300",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multi-positional patient transfer system, with integrated seat, operated by"
} ]
}, {
"code": "E1035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care giver, patient weight capacity up to and including 300 lbs"
} ]
}, {
"code": "E1036",
"display": "Patient transfer system >300",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multi-positional patient transfer system, extra-wide, with integrated seat,"
} ]
}, {
"code": "E1036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "operated by caregiver, patient weight capacity greater than 300 lbs"
} ]
}, {
"code": "E1037",
"display": "Transport chair, ped size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transport chair, pediatric size"
} ]
}, {
"code": "E1038",
"display": "Transport chair pt wt<=300lb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transport chair, adult size, patient weight capacity up to and including 300"
} ]
}, {
"code": "E1038",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pounds"
} ]
}, {
"code": "E1039",
"display": "Transport chair pt wt >300lb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transport chair, adult size, heavy duty, patient weight capacity greater than"
} ]
}, {
"code": "E1039",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "300 pounds"
} ]
}, {
"code": "E1050",
"display": "Whelchr fxd full length arms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fully-reclining wheelchair, fixed full length arms, swing away detachable"
} ]
}, {
"code": "E1050",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elevating leg rests"
} ]
}, {
"code": "E1060",
"display": "Wheelchair detachable arms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fully-reclining wheelchair, detachable arms, desk or full length, swing away"
} ]
}, {
"code": "E1060",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable elevating legrests"
} ]
}, {
"code": "E1070",
"display": "Wheelchair detachable foot r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fully-reclining wheelchair, detachable arms (desk or full length) swing away"
} ]
}, {
"code": "E1070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable footrest"
} ]
}, {
"code": "E1083",
"display": "Hemi-wheelchair fixed arms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg"
} ]
}, {
"code": "E1083",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rest"
} ]
}, {
"code": "E1084",
"display": "Hemi-wheelchair detachable a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemi-wheelchair, detachable arms desk or full length arms, swing away"
} ]
}, {
"code": "E1084",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable elevating leg rests"
} ]
}, {
"code": "E1085",
"display": "Hemi-wheelchair fixed arms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemi-wheelchair, fixed full length arms, swing away detachable foot rests"
} ]
}, {
"code": "E1086",
"display": "Hemi-wheelchair detachable a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemi-wheelchair detachable arms desk or full length, swing away detachable"
} ]
}, {
"code": "E1086",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "footrests"
} ]
}, {
"code": "E1087",
"display": "Wheelchair lightwt fixed arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High strength lightweight wheelchair, fixed full length arms, swing away"
} ]
}, {
"code": "E1087",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable elevating leg rests"
} ]
}, {
"code": "E1088",
"display": "Wheelchair lightweight det a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High strength lightweight wheelchair, detachable arms desk or full length,"
} ]
}, {
"code": "E1088",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing away detachable elevating leg rests"
} ]
}, {
"code": "E1089",
"display": "Wheelchair lightwt fixed arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High strength lightweight wheelchair, fixed length arms, swing away detachable"
} ]
}, {
"code": "E1089",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "footrest"
} ]
}, {
"code": "E1090",
"display": "Wheelchair lightweight det a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High strength lightweight wheelchair, detachable arms desk or full length,"
} ]
}, {
"code": "E1090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing away detachable foot rests"
} ]
}, {
"code": "E1092",
"display": "Wheelchair wide w/ leg rests",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wide heavy duty wheel chair, detachable arms (desk or full length), swing away"
} ]
}, {
"code": "E1092",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable elevating leg rests"
} ]
}, {
"code": "E1093",
"display": "Wheelchair wide w/ foot rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wide heavy duty wheelchair, detachable arms desk or full length arms, swing"
} ]
}, {
"code": "E1093",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "away detachable footrests"
} ]
}, {
"code": "E1100",
"display": "Whchr s-recl fxd arm leg res",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Semi-reclining wheelchair, fixed full length arms, swing away detachable"
} ]
}, {
"code": "E1100",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elevating leg rests"
} ]
}, {
"code": "E1110",
"display": "Wheelchair semi-recl detach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg"
} ]
}, {
"code": "E1110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rest"
} ]
}, {
"code": "E1130",
"display": "Whlchr stand fxd arm ft rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standard wheelchair, fixed full length arms, fixed or swing away detachable"
} ]
}, {
"code": "E1130",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "footrests"
} ]
}, {
"code": "E1140",
"display": "Wheelchair standard detach a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, detachable arms, desk or full length, swing away detachable"
} ]
}, {
"code": "E1140",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "footrests"
} ]
}, {
"code": "E1150",
"display": "Wheelchair standard w/ leg r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, detachable arms, desk or full length swing away detachable"
} ]
}, {
"code": "E1150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elevating legrests"
} ]
}, {
"code": "E1160",
"display": "Wheelchair fixed arms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, fixed full length arms, swing away detachable elevating legrests"
} ]
}, {
"code": "E1161",
"display": "Manual adult wc w tiltinspac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual adult size wheelchair, includes tilt in space"
} ]
}, {
"code": "E1170",
"display": "Whlchr ampu fxd arm leg rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amputee wheelchair, fixed full length arms, swing away detachable elevating"
} ]
}, {
"code": "E1170",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "legrests"
} ]
}, {
"code": "E1171",
"display": "Wheelchair amputee w/o leg r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amputee wheelchair, fixed full length arms, without footrests or legrest"
} ]
}, {
"code": "E1172",
"display": "Wheelchair amputee detach ar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amputee wheelchair, detachable arms (desk or full length) without footrests or"
} ]
}, {
"code": "E1172",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "legrest"
} ]
}, {
"code": "E1180",
"display": "Wheelchair amputee w/ foot r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amputee wheelchair, detachable arms (desk or full length) swing away detachable"
} ]
}, {
"code": "E1180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "footrests"
} ]
}, {
"code": "E1190",
"display": "Wheelchair amputee w/ leg re",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amputee wheelchair, detachable arms (desk or full length) swing away detachable"
} ]
}, {
"code": "E1190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elevating legrests"
} ]
}, {
"code": "E1195",
"display": "Wheelchair amputee heavy dut",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty wheelchair, fixed full length arms, swing away detachable elevating"
} ]
}, {
"code": "E1195",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "legrests"
} ]
}, {
"code": "E1200",
"display": "Wheelchair amputee fixed arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amputee wheelchair, fixed full length arms, swing away detachable footrest"
} ]
}, {
"code": "E1220",
"display": "Whlchr special size/constrc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair; specially sized or constructed, (indicate brand name, model number,"
} ]
}, {
"code": "E1220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "if any) and justification"
} ]
}, {
"code": "E1221",
"display": "Wheelchair spec size w foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair with fixed arm, footrests"
} ]
}, {
"code": "E1222",
"display": "Wheelchair spec size w/ leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair with fixed arm, elevating legrests"
} ]
}, {
"code": "E1223",
"display": "Wheelchair spec size w foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair with detachable arms, footrests"
} ]
}, {
"code": "E1224",
"display": "Wheelchair spec size w/ leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair with detachable arms, elevating legrests"
} ]
}, {
"code": "E1225",
"display": "Manual semi-reclining back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, manual semi-reclining back, (recline greater than 15"
} ]
}, {
"code": "E1225",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "degrees, but less than 80 degrees), each"
} ]
}, {
"code": "E1226",
"display": "Manual fully reclining back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, manual fully reclining back, (recline greater than 80"
} ]
}, {
"code": "E1226",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "degrees), each"
} ]
}, {
"code": "E1227",
"display": "Wheelchair spec sz spec ht a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special height arms for wheelchair"
} ]
}, {
"code": "E1228",
"display": "Wheelchair spec sz spec ht b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special back height for wheelchair"
} ]
}, {
"code": "E1229",
"display": "Pediatric wheelchair nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, not otherwise specified"
} ]
}, {
"code": "E1230",
"display": "Power operated vehicle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle (three or four wheel nonhighway) specify brand name and"
} ]
}, {
"code": "E1230",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "model number"
} ]
}, {
"code": "E1231",
"display": "Rigid ped w/c tilt-in-space",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating"
} ]
}, {
"code": "E1231",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "E1232",
"display": "Folding ped wc tilt-in-space",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating"
} ]
}, {
"code": "E1232",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "E1233",
"display": "Rig ped wc tltnspc w/o seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating"
} ]
}, {
"code": "E1233",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "E1234",
"display": "Fld ped wc tltnspc w/o seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating"
} ]
}, {
"code": "E1234",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "E1235",
"display": "Rigid ped wc adjustable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, rigid, adjustable, with seating system"
} ]
}, {
"code": "E1236",
"display": "Folding ped wc adjustable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, folding, adjustable, with seating system"
} ]
}, {
"code": "E1237",
"display": "Rgd ped wc adjstabl w/o seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, rigid, adjustable, without seating system"
} ]
}, {
"code": "E1238",
"display": "Fld ped wc adjstabl w/o seat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair, pediatric size, folding, adjustable, without seating system"
} ]
}, {
"code": "E1239",
"display": "Ped power wheelchair nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, pediatric size, not otherwise specified"
} ]
}, {
"code": "E1240",
"display": "Whchr litwt det arm leg rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lightweight wheelchair, detachable arms, (desk or full length) swing away"
} ]
}, {
"code": "E1240",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable, elevating legrest"
} ]
}, {
"code": "E1250",
"display": "Wheelchair lightwt fixed arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lightweight wheelchair, fixed full length arms, swing away detachable footrest"
} ]
}, {
"code": "E1260",
"display": "Wheelchair lightwt foot rest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lightweight wheelchair, detachable arms (desk or full length) swing away"
} ]
}, {
"code": "E1260",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable footrest"
} ]
}, {
"code": "E1270",
"display": "Wheelchair lightweight leg r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lightweight wheelchair, fixed full length arms, swing away detachable elevating"
} ]
}, {
"code": "E1270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "legrests"
} ]
}, {
"code": "E1280",
"display": "Whchr h-duty det arm leg res",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests"
} ]
}, {
"code": "E1285",
"display": "Wheelchair heavy duty fixed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty wheelchair, fixed full length arms, swing away detachable footrest"
} ]
}, {
"code": "E1290",
"display": "Wheelchair hvy duty detach a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty wheelchair, detachable arms (desk or full length) swing away"
} ]
}, {
"code": "E1290",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detachable footrest"
} ]
}, {
"code": "E1295",
"display": "Wheelchair heavy duty fixed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty wheelchair, fixed full length arms, elevating legrest"
} ]
}, {
"code": "E1296",
"display": "Wheelchair special seat heig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special wheelchair seat height from floor"
} ]
}, {
"code": "E1297",
"display": "Wheelchair special seat dept",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special wheelchair seat depth, by upholstery"
} ]
}, {
"code": "E1298",
"display": "Wheelchair spec seat depth/w",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special wheelchair seat depth and/or width, by construction"
} ]
}, {
"code": "E1300",
"display": "Whirlpool portable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whirlpool, portable (overtub type)"
} ]
}, {
"code": "E1301",
"display": "Whirlpool tub walkin portabl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whirlpool tub, walk-in, portable"
} ]
}, {
"code": "E1310",
"display": "Whirlpool non-portable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whirlpool, non-portable (built-in type)"
} ]
}, {
"code": "E1352",
"display": "O2 flow reg pos inspir press",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen accessory, flow regulator capable of positive inspiratory pressure"
} ]
}, {
"code": "E1353",
"display": "Oxygen supplies regulator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Regulator"
} ]
}, {
"code": "E1354",
"display": "Wheeled cart, port cyl/conc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen accessory, wheeled cart for portable cylinder or portable concentrator,"
} ]
}, {
"code": "E1354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any type, replacement only, each"
} ]
}, {
"code": "E1355",
"display": "Oxygen supplies stand/rack",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stand/rack"
} ]
}, {
"code": "E1356",
"display": "Batt pack/cart, port conc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen accessory, battery pack/cartridge for portable concentrator, any type,"
} ]
}, {
"code": "E1356",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E1357",
"display": "Battery charger, port conc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen accessory, battery charger for portable concentrator, any type,"
} ]
}, {
"code": "E1357",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E1358",
"display": "Dc power adapter, port conc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen accessory, dc power adapter for portable concentrator, any type,"
} ]
}, {
"code": "E1358",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E1372",
"display": "Oxy suppl heater for nebuliz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immersion external heater for nebulizer"
} ]
}, {
"code": "E1390",
"display": "Oxygen concentrator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen concentrator, single delivery port, capable of delivering 85 percent or"
} ]
}, {
"code": "E1390",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater oxygen concentration at the prescribed flow rate"
} ]
}, {
"code": "E1391",
"display": "Oxygen concentrator, dual",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen concentrator, dual delivery port, capable of delivering 85 percent or"
} ]
}, {
"code": "E1391",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater oxygen concentration at the prescribed flow rate, each"
} ]
}, {
"code": "E1392",
"display": "Portable oxygen concentrator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable oxygen concentrator, rental"
} ]
}, {
"code": "E1399",
"display": "Durable medical equipment mi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Durable medical equipment, miscellaneous"
} ]
}, {
"code": "E1405",
"display": "O2/water vapor enrich w/heat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen and water vapor enriching system with heated delivery"
} ]
}, {
"code": "E1406",
"display": "O2/water vapor enrich w/o he",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen and water vapor enriching system without heated delivery"
} ]
}, {
"code": "E1500",
"display": "Centrifuge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Centrifuge, for dialysis"
} ]
}, {
"code": "E1510",
"display": "Kidney dialysate delivry sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal"
} ]
}, {
"code": "E1510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "syst, flowrate meter, power off, heater and temperature control with alarm,"
} ]
}, {
"code": "E1510",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "i.v. poles, pressure gauge, concentrate container"
} ]
}, {
"code": "E1520",
"display": "Heparin infusion pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heparin infusion pump for hemodialysis"
} ]
}, {
"code": "E1530",
"display": "Replacement air bubble detec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Air bubble detector for hemodialysis, each, replacement"
} ]
}, {
"code": "E1540",
"display": "Replacement pressure alarm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pressure alarm for hemodialysis, each, replacement"
} ]
}, {
"code": "E1550",
"display": "Bath conductivity meter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bath conductivity meter for hemodialysis, each"
} ]
}, {
"code": "E1560",
"display": "Replace blood leak detector",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood leak detector for hemodialysis, each, replacement"
} ]
}, {
"code": "E1570",
"display": "Adjustable chair for esrd pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjustable chair, for esrd patients"
} ]
}, {
"code": "E1575",
"display": "Transducer protect/fld bar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transducer protectors/fluid barriers, for hemodialysis, any size, per 10"
} ]
}, {
"code": "E1580",
"display": "Unipuncture control system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unipuncture control system for hemodialysis"
} ]
}, {
"code": "E1590",
"display": "Hemodialysis machine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemodialysis machine"
} ]
}, {
"code": "E1592",
"display": "Auto interm peritoneal dialy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Automatic intermittent peritoneal dialysis system"
} ]
}, {
"code": "E1594",
"display": "Cycler dialysis machine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cycler dialysis machine for peritoneal dialysis"
} ]
}, {
"code": "E1600",
"display": "Deli/install chrg hemo equip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Delivery and/or installation charges for hemodialysis equipment"
} ]
}, {
"code": "E1610",
"display": "Reverse osmosis h2o puri sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reverse osmosis water purification system, for hemodialysis"
} ]
}, {
"code": "E1615",
"display": "Deionizer h2o puri system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Deionizer water purification system, for hemodialysis"
} ]
}, {
"code": "E1620",
"display": "Replacement blood pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pump for hemodialysis, replacement"
} ]
}, {
"code": "E1625",
"display": "Water softening system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Water softening system, for hemodialysis"
} ]
}, {
"code": "E1629",
"display": "Tablo for dialysis service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tablo hemodialysis system for the billable dialysis service"
} ]
}, {
"code": "E1630",
"display": "Reciprocating peritoneal dia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reciprocating peritoneal dialysis system"
} ]
}, {
"code": "E1632",
"display": "Wearable artificial kidney",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wearable artificial kidney, each"
} ]
}, {
"code": "E1634",
"display": "Peritoneal dialysis clamp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peritoneal dialysis clamps, each"
} ]
}, {
"code": "E1635",
"display": "Compact travel hemodialyzer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compact (portable) travel hemodialyzer system"
} ]
}, {
"code": "E1636",
"display": "Sorbent cartridges per 10",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sorbent cartridges, for hemodialysis, per 10"
} ]
}, {
"code": "E1637",
"display": "Hemostats for dialysis, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemostats, each"
} ]
}, {
"code": "E1639",
"display": "Scale, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scale, each"
} ]
}, {
"code": "E1699",
"display": "Dialysis equipment noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis equipment, not otherwise specified"
} ]
}, {
"code": "E1700",
"display": "Jaw motion rehab system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Jaw motion rehabilitation system"
} ]
}, {
"code": "E1701",
"display": "Repl cushions for jaw motion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement cushions for jaw motion rehabilitation system, pkg. of 6"
} ]
}, {
"code": "E1702",
"display": "Repl measr scales jaw motion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200"
} ]
}, {
"code": "E1800",
"display": "Adjust elbow ext & flex dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable elbow extension and flexion device, includes soft interface"
} ]
}, {
"code": "E1800",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1801",
"display": "Sps elbow device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch elbow device, extension and/or flexion, with or"
} ]
}, {
"code": "E1801",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without range of motion adjustment, includes all components and accessories"
} ]
}, {
"code": "E1802",
"display": "Adjst forearm pro/sup device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable forearm pronation/supination device, includes soft interface"
} ]
}, {
"code": "E1802",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1803",
"display": "Adjust elbow extension dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable elbow extension only device, includes soft interface material"
} ]
}, {
"code": "E1804",
"display": "Adjust elbow flexion dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable elbow flexion only device, includes soft interface material"
} ]
}, {
"code": "E1805",
"display": "Adjust wrist ext & flex dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable wrist extension and flexion device, includes soft interface"
} ]
}, {
"code": "E1805",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1806",
"display": "Sps wrist device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch wrist device, flexion and/or extension, with or"
} ]
}, {
"code": "E1806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without range of motion adjustment, includes all components and accessories"
} ]
}, {
"code": "E1807",
"display": "Adjust wrist extension dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable wrist extension only device, includes soft interface material"
} ]
}, {
"code": "E1808",
"display": "Adjust wrist flexion device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable wrist flexion only device, includes soft interface material"
} ]
}, {
"code": "E1810",
"display": "Adjust knee ext & flex dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable knee extension and flexion device, includes soft interface"
} ]
}, {
"code": "E1810",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1811",
"display": "Sps knee device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch knee device, extension and/or flexion, with or"
} ]
}, {
"code": "E1811",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without range of motion adjustment, includes all components and accessories"
} ]
}, {
"code": "E1812",
"display": "Knee ext/flex w act res ctrl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic knee, extension/flexion device with active resistance control"
} ]
}, {
"code": "E1813",
"display": "Adjust knee extension device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable knee extension only device, includes soft interface material"
} ]
}, {
"code": "E1814",
"display": "Adjust knee flexion device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable knee flexion only device, includes soft interface material"
} ]
}, {
"code": "E1815",
"display": "Adjust ankle ext & flex dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable ankle extension and flexion device, includes soft interface"
} ]
}, {
"code": "E1815",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1816",
"display": "Sps ankle device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch ankle device, flexion and/or extension, with or"
} ]
}, {
"code": "E1816",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without range of motion adjustment, includes all components and accessories"
} ]
}, {
"code": "E1818",
"display": "Sps forearm device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch forearm pronation / supination device, with or"
} ]
}, {
"code": "E1818",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without range of motion adjustment, includes all components and accessories"
} ]
}, {
"code": "E1820",
"display": "Soft interface material",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement soft interface material, dynamic adjustable extension/flexion device"
} ]
}, {
"code": "E1821",
"display": "Replacement interface spsd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement soft interface material/cuffs for bi-directional static progressive"
} ]
}, {
"code": "E1821",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stretch device"
} ]
}, {
"code": "E1822",
"display": "Adjust ankle extension dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable ankle extension only device, includes soft interface material"
} ]
}, {
"code": "E1823",
"display": "Adjust ankle flexion device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable ankle flexion only device, includes soft interface material"
} ]
}, {
"code": "E1825",
"display": "Adjust finger ext & flex dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable finger extension and flexion device, includes soft interface"
} ]
}, {
"code": "E1825",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1826",
"display": "Adjust finger extension dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable finger extension only device, includes soft interface"
} ]
}, {
"code": "E1826",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1827",
"display": "Adjust finger flexion device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable finger flexion only device, includes soft interface material"
} ]
}, {
"code": "E1828",
"display": "Adjust toe extension device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable toe extension only device, includes soft interface material"
} ]
}, {
"code": "E1829",
"display": "Adjust toe flexion device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable toe flexion only device, includes soft interface material"
} ]
}, {
"code": "E1830",
"display": "Adjust toe ext & flex device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable toe extension and flexion device, includes soft interface"
} ]
}, {
"code": "E1830",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "E1831",
"display": "Static str toe dev ext/flex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch toe device, extension and/or flexion, with or"
} ]
}, {
"code": "E1831",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without range of motion adjustment, includes all components and accessories"
} ]
}, {
"code": "E1840",
"display": "Adj shoulder ext/flex device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dynamic adjustable shoulder flexion / abduction / rotation device, includes"
} ]
}, {
"code": "E1840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "soft interface material"
} ]
}, {
"code": "E1841",
"display": "Static str shldr dev rom adj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static progressive stretch shoulder device, with or without range of motion"
} ]
}, {
"code": "E1841",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustment, includes all components and accessories"
} ]
}, {
"code": "E1902",
"display": "Aac non-electronic board",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Communication board, non-electronic augmentative or alternative communication"
} ]
}, {
"code": "E1902",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "E1905",
"display": "Vr cbt therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Virtual reality cognitive behavioral therapy device (cbt), including"
} ]
}, {
"code": "E1905",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pre-programmed therapy software"
} ]
}, {
"code": "E2000",
"display": "Gastric suction pump hme mdl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastric suction pump, home model, portable or stationary, electric"
} ]
}, {
"code": "E2001",
"display": "Suct pum ext mgmt sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suction pump, home model, portable or stationary, electric, any type, for use"
} ]
}, {
"code": "E2001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with external urine and/or fecal management system"
} ]
}, {
"code": "E2100",
"display": "Bld glucose monitor w voice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood glucose monitor with integrated voice synthesizer"
} ]
}, {
"code": "E2101",
"display": "Bld glucose monitor w lance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood glucose monitor with integrated lancing/blood sample"
} ]
}, {
"code": "E2102",
"display": "Adju cgm receiver/monitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjunctive, non-implanted continuous glucose monitor or receiver"
} ]
}, {
"code": "E2103",
"display": "Non-adju cgm receiver/mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-adjunctive, non-implanted continuous glucose monitor or receiver"
} ]
}, {
"code": "E2104",
"display": "Glucose monitor w cartridge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home blood glucose monitor for use with integrated lancing/blood sample testing"
} ]
}, {
"code": "E2104",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cartridge"
} ]
}, {
"code": "E2120",
"display": "Pulse gen sys tx endolymp fl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pulse generator system for tympanic treatment of inner ear endolymphatic fluid"
} ]
}, {
"code": "E2201",
"display": "Man w/ch acc seat w>=20\"<24\"",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, nonstandard seat frame, width greater than or"
} ]
}, {
"code": "E2201",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 20 inches and less than 24 inches"
} ]
}, {
"code": "E2202",
"display": "Seat width 24-27 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches"
} ]
}, {
"code": "E2203",
"display": "Frame depth less than 22 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22"
} ]
}, {
"code": "E2203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches"
} ]
}, {
"code": "E2204",
"display": "Frame depth 22 to 25 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches"
} ]
}, {
"code": "E2205",
"display": "Manual wc accessory, handrim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, handrim without projections (includes ergonomic or"
} ]
}, {
"code": "E2205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "contoured), any type, replacement only, each"
} ]
}, {
"code": "E2206",
"display": "Man wc whl lock comp repl ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only,"
} ]
}, {
"code": "E2206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "E2207",
"display": "Crutch and cane holder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, crutch and cane holder, each"
} ]
}, {
"code": "E2208",
"display": "Cylinder tank carrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, cylinder tank carrier, each"
} ]
}, {
"code": "E2209",
"display": "Arm trough each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Accessory, arm trough, with or without hand support, each"
} ]
}, {
"code": "E2210",
"display": "Wheelchair bearings",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, bearings, any type, replacement only, each"
} ]
}, {
"code": "E2211",
"display": "Pneumatic propulsion tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each"
} ]
}, {
"code": "E2212",
"display": "Pneumatic prop tire tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each"
} ]
}, {
"code": "E2213",
"display": "Pneumatic prop tire insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable),"
} ]
}, {
"code": "E2213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any type, any size, each"
} ]
}, {
"code": "E2214",
"display": "Pneumatic caster tire each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, pneumatic caster tire, any size, each"
} ]
}, {
"code": "E2215",
"display": "Pneumatic caster tire tube",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each"
} ]
}, {
"code": "E2216",
"display": "Foam filled propulsion tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, foam filled propulsion tire, any size, each"
} ]
}, {
"code": "E2217",
"display": "Foam filled caster tire each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, foam filled caster tire, any size, each"
} ]
}, {
"code": "E2218",
"display": "Foam propulsion tire each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, foam propulsion tire, any size, each"
} ]
}, {
"code": "E2219",
"display": "Foam caster tire any size ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, foam caster tire, any size, each"
} ]
}, {
"code": "E2220",
"display": "Solid propuls tire, repl, ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size,"
} ]
}, {
"code": "E2220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E2221",
"display": "Solid caster tire repl, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable),"
} ]
}, {
"code": "E2221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any size, replacement only, each"
} ]
}, {
"code": "E2222",
"display": "Solid caster integ whl, repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated"
} ]
}, {
"code": "E2222",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wheel, any size, replacement only, each"
} ]
}, {
"code": "E2224",
"display": "Propulsion whl excl tire rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, propulsion wheel excludes tire, any size,"
} ]
}, {
"code": "E2224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E2225",
"display": "Caster wheel excludes tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement"
} ]
}, {
"code": "E2225",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E2226",
"display": "Caster fork replacement only",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, caster fork, any size, replacement only, each"
} ]
}, {
"code": "E2227",
"display": "Gear reduction drive wheel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, gear reduction drive wheel, each"
} ]
}, {
"code": "E2228",
"display": "Mwc acc, wheelchair brake",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, wheel braking system and lock, complete, each"
} ]
}, {
"code": "E2230",
"display": "Manual standing system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, manual standing system"
} ]
}, {
"code": "E2231",
"display": "Solid seat support base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, solid seat support base (replaces sling seat),"
} ]
}, {
"code": "E2231",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes any type mounting hardware"
} ]
}, {
"code": "E2291",
"display": "Planar back for ped size wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back, planar, for pediatric size wheelchair including fixed attaching hardware"
} ]
}, {
"code": "E2292",
"display": "Planar seat for ped size wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat, planar, for pediatric size wheelchair including fixed attaching hardware"
} ]
}, {
"code": "E2293",
"display": "Contour back for ped size wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back, contoured, for pediatric size wheelchair including fixed attaching"
} ]
}, {
"code": "E2293",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hardware"
} ]
}, {
"code": "E2294",
"display": "Contour seat for ped size wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat, contoured, for pediatric size wheelchair including fixed attaching"
} ]
}, {
"code": "E2294",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hardware"
} ]
}, {
"code": "E2295",
"display": "Ped dynamic seating frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating"
} ]
}, {
"code": "E2295",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frame, allows coordinated movement of multiple positioning features"
} ]
}, {
"code": "E2298",
"display": "Pwr seat elev sys for crt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complex rehabilitative power wheelchair accessory, power seat elevation system,"
} ]
}, {
"code": "E2298",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any type"
} ]
}, {
"code": "E2300",
"display": "Pwr seat elevation sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power seat elevation system, any type"
} ]
}, {
"code": "E2301",
"display": "Pwr standing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, power standing system, any type"
} ]
}, {
"code": "E2310",
"display": "Electro connect btw control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, electronic connection between wheelchair controller"
} ]
}, {
"code": "E2310",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and one power seating system motor, including all related electronics,"
} ]
}, {
"code": "E2310",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "indicator feature, mechanical function selection switch, and fixed mounting"
} ]
}, {
"code": "E2310",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "hardware"
} ]
}, {
"code": "E2311",
"display": "Electro connect btw 2 sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, electronic connection between wheelchair controller"
} ]
}, {
"code": "E2311",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and two or more power seating system motors, including all related electronics,"
} ]
}, {
"code": "E2311",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "indicator feature, mechanical function selection switch, and fixed mounting"
} ]
}, {
"code": "E2311",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "hardware"
} ]
}, {
"code": "E2312",
"display": "Mini-prop remote joystick",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, hand or chin control interface, mini-proportional"
} ]
}, {
"code": "E2312",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "remote joystick, proportional, including fixed mounting hardware"
} ]
}, {
"code": "E2313",
"display": "Pwc harness, expand control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, harness for upgrade to expandable controller,"
} ]
}, {
"code": "E2313",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including all fasteners, connectors and mounting hardware, each"
} ]
}, {
"code": "E2321",
"display": "Hand interface joystick",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, hand control interface, remote joystick,"
} ]
}, {
"code": "E2321",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nonproportional, including all related electronics, mechanical stop switch, and"
} ]
}, {
"code": "E2321",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fixed mounting hardware"
} ]
}, {
"code": "E2322",
"display": "Mult mech switches",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, hand control interface, multiple mechanical"
} ]
}, {
"code": "E2322",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "switches, nonproportional, including all related electronics, mechanical stop"
} ]
}, {
"code": "E2322",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "switch, and fixed mounting hardware"
} ]
}, {
"code": "E2323",
"display": "Special joystick handle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, specialty joystick handle for hand control"
} ]
}, {
"code": "E2323",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface, prefabricated"
} ]
}, {
"code": "E2324",
"display": "Chin cup interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, chin cup for chin control interface"
} ]
}, {
"code": "E2325",
"display": "Sip and puff interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, sip and puff interface, nonproportional, including"
} ]
}, {
"code": "E2325",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all related electronics, mechanical stop switch, and manual swingaway mounting"
} ]
}, {
"code": "E2325",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hardware"
} ]
}, {
"code": "E2326",
"display": "Breath tube kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, breath tube kit for sip and puff interface"
} ]
}, {
"code": "E2327",
"display": "Head control interface mech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, head control interface, mechanical, proportional,"
} ]
}, {
"code": "E2327",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including all related electronics, mechanical direction change switch, and"
} ]
}, {
"code": "E2327",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fixed mounting hardware"
} ]
}, {
"code": "E2328",
"display": "Head/extremity control inter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, head control or extremity control interface,"
} ]
}, {
"code": "E2328",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electronic, proportional, including all related electronics and fixed mounting"
} ]
}, {
"code": "E2328",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hardware"
} ]
}, {
"code": "E2329",
"display": "Head control nonproportional",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, head control interface, contact switch mechanism,"
} ]
}, {
"code": "E2329",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nonproportional, including all related electronics, mechanical stop switch,"
} ]
}, {
"code": "E2329",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mechanical direction change switch, head array, and fixed mounting hardware"
} ]
}, {
"code": "E2330",
"display": "Head control proximity switc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, head control interface, proximity switch mechanism,"
} ]
}, {
"code": "E2330",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nonproportional, including all related electronics, mechanical stop switch,"
} ]
}, {
"code": "E2330",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mechanical direction change switch, head array, and fixed mounting hardware"
} ]
}, {
"code": "E2331",
"display": "Attendant control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, attendant control, proportional, including all"
} ]
}, {
"code": "E2331",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "related electronics and fixed mounting hardware"
} ]
}, {
"code": "E2340",
"display": "W/c wdth 20-23 in seat frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, nonstandard seat frame width, 20-23 inches"
} ]
}, {
"code": "E2341",
"display": "W/c wdth 24-27 in seat frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, nonstandard seat frame width, 24-27 inches"
} ]
}, {
"code": "E2342",
"display": "W/c dpth 20-21 in seat frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches"
} ]
}, {
"code": "E2343",
"display": "W/c dpth 22-25 in seat frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches"
} ]
}, {
"code": "E2351",
"display": "Electronic sgd interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, electronic interface to operate speech generating"
} ]
}, {
"code": "E2351",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device using power wheelchair control interface"
} ]
}, {
"code": "E2358",
"display": "Gr 34 nonsealed leadacid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, group 34 non-sealed lead acid battery, each"
} ]
}, {
"code": "E2359",
"display": "Gr34 sealed leadacid battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel"
} ]
}, {
"code": "E2359",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cell, absorbed glassmat)"
} ]
}, {
"code": "E2360",
"display": "22nf nonsealed leadacid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, 22nf non-sealed lead acid battery, each"
} ]
}, {
"code": "E2361",
"display": "22nf sealed leadacid battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel"
} ]
}, {
"code": "E2361",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cell, absorbed glassmat)"
} ]
}, {
"code": "E2362",
"display": "Gr24 nonsealed leadacid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, group 24 non-sealed lead acid battery, each"
} ]
}, {
"code": "E2363",
"display": "Gr24 sealed leadacid battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel"
} ]
}, {
"code": "E2363",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cell, absorbed glassmat)"
} ]
}, {
"code": "E2364",
"display": "U1nonsealed leadacid battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, u-1 non-sealed lead acid battery, each"
} ]
}, {
"code": "E2365",
"display": "U1 sealed leadacid battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell,"
} ]
}, {
"code": "E2365",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "absorbed glassmat)"
} ]
}, {
"code": "E2366",
"display": "Battery charger, single mode",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, battery charger, single mode, for use with only one"
} ]
}, {
"code": "E2366",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "battery type, sealed or non-sealed, each"
} ]
}, {
"code": "E2367",
"display": "Battery charger, dual mode",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, battery charger, dual mode, for use with either"
} ]
}, {
"code": "E2367",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "battery type, sealed or non-sealed, each"
} ]
}, {
"code": "E2368",
"display": "Pwr wc drivewheel motor repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair component, drive wheel motor, replacement only"
} ]
}, {
"code": "E2369",
"display": "Pwr wc drivewheel gear repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair component, drive wheel gear box, replacement only"
} ]
}, {
"code": "E2370",
"display": "Pwr wc dr wh motor/gear comb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair component, integrated drive wheel motor and gear box"
} ]
}, {
"code": "E2370",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "combination, replacement only"
} ]
}, {
"code": "E2371",
"display": "Gr27 sealed leadacid battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell,"
} ]
}, {
"code": "E2371",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "absorbed glassmat), each"
} ]
}, {
"code": "E2372",
"display": "Gr27 non-sealed leadacid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, group 27 non-sealed lead acid battery, each"
} ]
}, {
"code": "E2373",
"display": "Hand/chin ctrl spec joystick",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, hand or chin control interface, compact remote"
} ]
}, {
"code": "E2373",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joystick, proportional, including fixed mounting hardware"
} ]
}, {
"code": "E2374",
"display": "Hand/chin ctrl std joystick",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, hand or chin control interface, standard remote"
} ]
}, {
"code": "E2374",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joystick (not including controller), proportional, including all related"
} ]
}, {
"code": "E2374",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "electronics and fixed mounting hardware, replacement only"
} ]
}, {
"code": "E2375",
"display": "Non-expandable controller",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, non-expandable controller, including all related"
} ]
}, {
"code": "E2375",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electronics and mounting hardware, replacement only"
} ]
}, {
"code": "E2376",
"display": "Expandable controller, repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, expandable controller, including all related"
} ]
}, {
"code": "E2376",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electronics and mounting hardware, replacement only"
} ]
}, {
"code": "E2377",
"display": "Expandable controller, initl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, expandable controller, including all related"
} ]
}, {
"code": "E2377",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electronics and mounting hardware, upgrade provided at initial issue"
} ]
}, {
"code": "E2378",
"display": "Pw actuator replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair component, actuator, replacement only"
} ]
}, {
"code": "E2381",
"display": "Pneum drive wheel tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement"
} ]
}, {
"code": "E2381",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E2382",
"display": "Tube, pneum wheel drive tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size,"
} ]
}, {
"code": "E2382",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E2383",
"display": "Insert, pneum wheel drive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable),"
} ]
}, {
"code": "E2383",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any type, any size, replacement only, each"
} ]
}, {
"code": "E2384",
"display": "Pneumatic caster tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only,"
} ]
}, {
"code": "E2384",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "E2385",
"display": "Tube, pneumatic caster tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, tube for pneumatic caster tire, any size,"
} ]
}, {
"code": "E2385",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E2386",
"display": "Foam filled drive wheel tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement"
} ]
}, {
"code": "E2386",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E2387",
"display": "Foam filled caster tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, foam filled caster tire, any size, replacement"
} ]
}, {
"code": "E2387",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E2388",
"display": "Foam drive wheel tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only,"
} ]
}, {
"code": "E2388",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "E2389",
"display": "Foam caster tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, foam caster tire, any size, replacement only, each"
} ]
}, {
"code": "E2390",
"display": "Solid drive wheel tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size,"
} ]
}, {
"code": "E2390",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "E2391",
"display": "Solid caster tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any"
} ]
}, {
"code": "E2391",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size, replacement only, each"
} ]
}, {
"code": "E2392",
"display": "Solid caster tire, integrate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated"
} ]
}, {
"code": "E2392",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wheel, any size, replacement only, each"
} ]
}, {
"code": "E2394",
"display": "Drive wheel excludes tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement"
} ]
}, {
"code": "E2394",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E2395",
"display": "Caster wheel excludes tire",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement"
} ]
}, {
"code": "E2395",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "E2396",
"display": "Caster fork",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, caster fork, any size, replacement only, each"
} ]
}, {
"code": "E2397",
"display": "Pwc acc, lith-based battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, lithium-based battery, each"
} ]
}, {
"code": "E2398",
"display": "Wc dynamic pos back hardware",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, dynamic positioning hardware for back"
} ]
}, {
"code": "E2402",
"display": "Neg press wound therapy pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Negative pressure wound therapy electrical pump, stationary or portable"
} ]
}, {
"code": "E2500",
"display": "Sgd digitized pre-rec <=8min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating device, digitized speech, using pre-recorded messages, less"
} ]
}, {
"code": "E2500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than or equal to 8 minutes recording time"
} ]
}, {
"code": "E2502",
"display": "Sgd prerec msg >8min <=20min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating device, digitized speech, using pre-recorded messages,"
} ]
}, {
"code": "E2502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater than 8 minutes but less than or equal to 20 minutes recording time"
} ]
}, {
"code": "E2504",
"display": "Sgd prerec msg>20min <=40min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating device, digitized speech, using pre-recorded messages,"
} ]
}, {
"code": "E2504",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater than 20 minutes but less than or equal to 40 minutes recording time"
} ]
}, {
"code": "E2506",
"display": "Sgd prerec msg > 40 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating device, digitized speech, using pre-recorded messages,"
} ]
}, {
"code": "E2506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater than 40 minutes recording time"
} ]
}, {
"code": "E2508",
"display": "Sgd spelling phys contact",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating device, synthesized speech, requiring message formulation by"
} ]
}, {
"code": "E2508",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "spelling and access by physical contact with the device"
} ]
}, {
"code": "E2510",
"display": "Sgd w multi methods msg/accs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating device, synthesized speech, permitting multiple methods of"
} ]
}, {
"code": "E2510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "message formulation and multiple methods of device access"
} ]
}, {
"code": "E2511",
"display": "Sgd sftwre prgrm for pc/pda",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech generating software program, for personal computer or personal digital"
} ]
}, {
"code": "E2511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assistant"
} ]
}, {
"code": "E2512",
"display": "Sgd accessory, mounting sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Accessory for speech generating device, mounting system"
} ]
}, {
"code": "E2513",
"display": "Sgd accessory, emg sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Accessory for speech generating device, electromyographic sensor"
} ]
}, {
"code": "E2599",
"display": "Sgd accessory noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Accessory for speech generating device, not otherwise classified"
} ]
}, {
"code": "E2601",
"display": "Gen w/c cushion wdth < 22 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "General use wheelchair seat cushion, width less than 22 inches, any depth"
} ]
}, {
"code": "E2602",
"display": "Gen w/c cushion wdth >=22 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "General use wheelchair seat cushion, width 22 inches or greater, any depth"
} ]
}, {
"code": "E2603",
"display": "Skin protect wc cus wd <22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection wheelchair seat cushion, width less than 22 inches, any depth"
} ]
}, {
"code": "E2604",
"display": "Skin protect wc cus wd>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection wheelchair seat cushion, width 22 inches or greater, any depth"
} ]
}, {
"code": "E2605",
"display": "Position wc cush wdth <22 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair seat cushion, width less than 22 inches, any depth"
} ]
}, {
"code": "E2606",
"display": "Position wc cush wdth>=22 in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair seat cushion, width 22 inches or greater, any depth"
} ]
}, {
"code": "E2607",
"display": "Skin pro/pos wc cus wd <22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection and positioning wheelchair seat cushion, width less than 22"
} ]
}, {
"code": "E2607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches, any depth"
} ]
}, {
"code": "E2608",
"display": "Skin pro/pos wc cus wd>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection and positioning wheelchair seat cushion, width 22 inches or"
} ]
}, {
"code": "E2608",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater, any depth"
} ]
}, {
"code": "E2609",
"display": "Custom fabricate w/c cushion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom fabricated wheelchair seat cushion, any size"
} ]
}, {
"code": "E2610",
"display": "Powered w/c cushion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair seat cushion, powered"
} ]
}, {
"code": "E2611",
"display": "Gen use back cush wdth <22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "General use wheelchair back cushion, width less than 22 inches, any height,"
} ]
}, {
"code": "E2611",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including any type mounting hardware"
} ]
}, {
"code": "E2612",
"display": "Gen use back cush wdth>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "General use wheelchair back cushion, width 22 inches or greater, any height,"
} ]
}, {
"code": "E2612",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including any type mounting hardware"
} ]
}, {
"code": "E2613",
"display": "Position back cush wd <22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair back cushion, posterior, width less than 22 inches, any"
} ]
}, {
"code": "E2613",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "height, including any type mounting hardware"
} ]
}, {
"code": "E2614",
"display": "Position back cush wd>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair back cushion, posterior, width 22 inches or greater, any"
} ]
}, {
"code": "E2614",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "height, including any type mounting hardware"
} ]
}, {
"code": "E2615",
"display": "Pos back post/lat wdth <22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair back cushion, posterior-lateral, width less than 22"
} ]
}, {
"code": "E2615",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches, any height, including any type mounting hardware"
} ]
}, {
"code": "E2616",
"display": "Pos back post/lat wdth>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair back cushion, posterior-lateral, width 22 inches or"
} ]
}, {
"code": "E2616",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater, any height, including any type mounting hardware"
} ]
}, {
"code": "E2617",
"display": "Custom fab w/c back cushion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom fabricated wheelchair back cushion, any size, including any type"
} ]
}, {
"code": "E2617",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mounting hardware"
} ]
}, {
"code": "E2619",
"display": "Replace cover w/c seat cush",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement cover for wheelchair seat cushion or back cushion, each"
} ]
}, {
"code": "E2620",
"display": "Wc planar back cush wd <22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair back cushion, planar back with lateral supports, width"
} ]
}, {
"code": "E2620",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less than 22 inches, any height, including any type mounting hardware"
} ]
}, {
"code": "E2621",
"display": "Wc planar back cush wd>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning wheelchair back cushion, planar back with lateral supports, width"
} ]
}, {
"code": "E2621",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "22 inches or greater, any height, including any type mounting hardware"
} ]
}, {
"code": "E2622",
"display": "Adj skin pro w/c cus wd<22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection wheelchair seat cushion, adjustable, width less than 22 inches,"
} ]
}, {
"code": "E2622",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any depth"
} ]
}, {
"code": "E2623",
"display": "Adj skin pro wc cus wd>=22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection wheelchair seat cushion, adjustable, width 22 inches or"
} ]
}, {
"code": "E2623",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater, any depth"
} ]
}, {
"code": "E2624",
"display": "Adj skin pro/pos cus<22in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection and positioning wheelchair seat cushion, adjustable, width less"
} ]
}, {
"code": "E2624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than 22 inches, any depth"
} ]
}, {
"code": "E2625",
"display": "Adj skin pro/pos wc cus>=22",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin protection and positioning wheelchair seat cushion, adjustable, width 22"
} ]
}, {
"code": "E2625",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inches or greater, any depth"
} ]
}, {
"code": "E2626",
"display": "Seo mobile arm sup att to wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to"
} ]
}, {
"code": "E2626",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wheelchair, balanced, adjustable"
} ]
}, {
"code": "E2627",
"display": "Arm supp att to wc rancho ty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to"
} ]
}, {
"code": "E2627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wheelchair, balanced, adjustable rancho type"
} ]
}, {
"code": "E2628",
"display": "Mobile arm supports reclinin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to"
} ]
}, {
"code": "E2628",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wheelchair, balanced, reclining"
} ]
}, {
"code": "E2629",
"display": "Friction dampening arm supp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, shoulder elbow, mobile arm support attached to"
} ]
}, {
"code": "E2629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wheelchair, balanced, friction arm support (friction dampening to proximal and"
} ]
}, {
"code": "E2629",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "distal joints)"
} ]
}, {
"code": "E2630",
"display": "Monosuspension arm/hand supp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm"
} ]
}, {
"code": "E2630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and hand support, overhead elbow forearm hand sling support, yoke type"
} ]
}, {
"code": "E2630",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "suspension support"
} ]
}, {
"code": "E2631",
"display": "Elevat proximal arm support",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm"
} ]
}, {
"code": "E2632",
"display": "Offset/lat rocker arm w/ela",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, addition to mobile arm support, offset or lateral rocker"
} ]
}, {
"code": "E2632",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "arm with elastic balance control"
} ]
}, {
"code": "E2633",
"display": "Mobile arm support supinator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, addition to mobile arm support, supinator"
} ]
}, {
"code": "E3000",
"display": "Speech volume modulation sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech volume modulation system, any type, including all components and"
} ]
}, {
"code": "E3000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories"
} ]
}, {
"code": "E3200",
"display": "Gait mod systm rhym auditory",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gait modulation system, rhythmic auditory stimulation, including restricted"
} ]
}, {
"code": "E3200",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy software, all components and accessories, prescription only"
} ]
}, {
"code": "E8000",
"display": "Posterior gait trainer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gait trainer, pediatric size, posterior support, includes all accessories and"
} ]
}, {
"code": "E8000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "components"
} ]
}, {
"code": "E8001",
"display": "Upright gait trainer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gait trainer, pediatric size, upright support, includes all accessories and"
} ]
}, {
"code": "E8001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "components"
} ]
}, {
"code": "E8002",
"display": "Anterior gait trainer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gait trainer, pediatric size, anterior support, includes all accessories and"
} ]
}, {
"code": "E8002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "components"
} ]
}, {
"code": "G0008",
"display": "Admin influenza virus vac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of influenza virus vaccine"
} ]
}, {
"code": "G0009",
"display": "Admin pneumococcal vaccine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of pneumococcal vaccine"
} ]
}, {
"code": "G0010",
"display": "Admin hepatitis b vaccine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of hepatitis b vaccine"
} ]
}, {
"code": "G0011",
"display": "Hiv prep counsel, md 15-30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individual counseling for pre-exposure prophylaxis (prep) by physician or"
} ]
}, {
"code": "G0011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "qualified health care professional (qhp) to prevent human immunodeficiency"
} ]
}, {
"code": "G0011",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "virus (hiv), includes hiv risk assessment (initial or continued assessment of"
} ]
}, {
"code": "G0011",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "risk), hiv risk reduction and medication adherence, 15-30 minutes"
} ]
}, {
"code": "G0012",
"display": "Injection of hiv prep drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under"
} ]
}, {
"code": "G0012",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "skin or into muscle"
} ]
}, {
"code": "G0013",
"display": "Hiv prep counsel, clin staff",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to"
} ]
}, {
"code": "G0013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prevent human immunodeficiency virus (hiv), includes: hiv risk assessment"
} ]
}, {
"code": "G0013",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(initial or continued assessment of risk), hiv risk reduction and medication"
} ]
}, {
"code": "G0013",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "adherence"
} ]
}, {
"code": "G0017",
"display": "Crisis psychotherapy 60m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychotherapy for crisis furnished in an applicable site of service (any place"
} ]
}, {
"code": "G0017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of service at which the non-facility rate for psychotherapy for crisis services"
} ]
}, {
"code": "G0017",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "applies, other than the office setting); first 60 minutes"
} ]
}, {
"code": "G0018",
"display": "Crisis psychotherapy add 30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychotherapy for crisis furnished in an applicable site of service (any place"
} ]
}, {
"code": "G0018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of service at which the non-facility rate for psychotherapy for crisis services"
} ]
}, {
"code": "G0018",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "applies, other than the office setting); each additional 30 minutes (list"
} ]
}, {
"code": "G0018",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "separately in addition to code for primary service)"
} ]
}, {
"code": "G0019",
"display": "Comm hlth intg svs sdoh 60mn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community health integration services performed by certified or trained"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "auxiliary personnel, including a community health worker, under the direction"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of a physician or other practitioner; 60 minutes per calendar month, in the"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "following activities to address social determinants of health (sdoh) need(s)"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "that are significantly limiting the ability to diagnose or treat problem(s)"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "addressed in an initiating visit: person-centered assessment, performed to"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "better understand the individualized context of the intersection between the"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "sdoh need(s) and the problem(s) addressed in the initiating visit. ++"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "conducting a person-centered assessment to understand patient's life story,"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "strengths, needs, goals, preferences and desired outcomes, including"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "understanding cultural and linguistic factors and including unmet sdoh needs"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "(that are not separately billed). ++ facilitating patient-driven goal-setting"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "and establishing an action plan. ++ providing tailored support to the patient"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "as needed to accomplish the practitioner's treatment plan. practitioner, home-,"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01500"
} ],
"designation": [ {
"value": "and community-based care coordination. ++ coordinating receipt of needed"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01600"
} ],
"designation": [ {
"value": "services from healthcare practitioners, providers, and facilities; and from"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01700"
} ],
"designation": [ {
"value": "home- and community-based service providers, social service providers, and"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01800"
} ],
"designation": [ {
"value": "caregiver (if applicable). ++ communication with practitioners, home- and"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "01900"
} ],
"designation": [ {
"value": "community-based service providers, hospitals, and skilled nursing facilities"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02000"
} ],
"designation": [ {
"value": "(or other health care facilities) regarding the patient's psychosocial"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02100"
} ],
"designation": [ {
"value": "strengths and needs, functional deficits, goals, preferences, and desired"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02200"
} ],
"designation": [ {
"value": "outcomes, including cultural and linguistic factors. ++ coordination of care"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02300"
} ],
"designation": [ {
"value": "transitions between and among health care practitioners and settings, including"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02400"
} ],
"designation": [ {
"value": "transitions involving referral to other clinicians; follow-up after an"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02500"
} ],
"designation": [ {
"value": "emergency department visit; or follow-up after discharges from hospitals,"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02600"
} ],
"designation": [ {
"value": "skilled nursing facilities or other health care facilities. ++ facilitating"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02700"
} ],
"designation": [ {
"value": "access to community-based social services (e.g., housing, utilities,"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02800"
} ],
"designation": [ {
"value": "transportation, food assistance) to address the sdoh need(s). health education-"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "02900"
} ],
"designation": [ {
"value": "helping the patient contextualize health education provided by the patient's"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03000"
} ],
"designation": [ {
"value": "treatment team with the patient's individual needs, goals, and preferences, in"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03100"
} ],
"designation": [ {
"value": "the context of the sdoh need(s), and educating the patient on how to best"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03200"
} ],
"designation": [ {
"value": "participate in medical decision-making. building patient self-advocacy skills,"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03300"
} ],
"designation": [ {
"value": "so that the patient can interact with members of the health care team and"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03400"
} ],
"designation": [ {
"value": "related community-based services addressing the sdoh need(s), in ways that are"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03500"
} ],
"designation": [ {
"value": "more likely to promote personalized and effective diagnosis or treatment."
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03600"
} ],
"designation": [ {
"value": "health care access / health system navigation. ++ helping the patient access"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03700"
} ],
"designation": [ {
"value": "healthcare, including identifying appropriate practitioners or providers for"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03800"
} ],
"designation": [ {
"value": "clinical care and helping secure appointments with them. facilitating"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "03900"
} ],
"designation": [ {
"value": "behavioral change as necessary for meeting diagnosis and treatment goals,"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "04000"
} ],
"designation": [ {
"value": "including promoting patient motivation to participate in care and reach"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "04100"
} ],
"designation": [ {
"value": "person-centered diagnosis or treatment goals. facilitating and providing social"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "04200"
} ],
"designation": [ {
"value": "and emotional support to help the patient cope with the problem(s) addressed in"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "04300"
} ],
"designation": [ {
"value": "the initiating visit, the sdoh need(s), and adjust daily routines to better"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "04400"
} ],
"designation": [ {
"value": "meet diagnosis and treatment goals. leveraging lived experience when applicable"
} ]
}, {
"code": "G0019",
"property": [ {
"code": "seqNum",
"valueString": "04500"
} ],
"designation": [ {
"value": "to provide support, mentorship, or inspiration to meet treatment goals"
} ]
}, {
"code": "G0022",
"display": "Comm hlth intg svs add 30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community health integration services, each additional 30 minutes per calendar"
} ]
}, {
"code": "G0022",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "month (list separately in addition to g0019)"
} ]
}, {
"code": "G0023",
"display": "Pin service 60m per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Principal illness navigation services by certified or trained auxiliary"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "personnel under the direction of a physician or other practitioner, including a"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient navigator; 60 minutes per calendar month, in the following activities:"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "person-centered assessment, performed to better understand the individual"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "context of the serious, high-risk condition. ++ conducting a person-centered"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "assessment to understand the patient's life story, strengths, needs, goals,"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "preferences, and desired outcomes, including understanding cultural and"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "linguistic factors and including unmet sdoh needs (that are not separately"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "billed). ++ facilitating patient-driven goal setting and establishing an action"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "plan. ++ providing tailored support as needed to accomplish the practitioner's"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "treatment plan. identifying or referring patient (and caregiver or family, if"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "applicable) to appropriate supportive services. practitioner, home, and"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "community-based care coordination. ++ coordinating receipt of needed services"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "from healthcare practitioners, providers, and facilities; home- and"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01500"
} ],
"designation": [ {
"value": "community-based service providers; and caregiver (if applicable). ++"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01600"
} ],
"designation": [ {
"value": "communication with practitioners, home-, and community-based service providers,"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01700"
} ],
"designation": [ {
"value": "hospitals, and skilled nursing facilities (or other health care facilities)"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01800"
} ],
"designation": [ {
"value": "regarding the patient's psychosocial strengths and needs, functional deficits,"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "01900"
} ],
"designation": [ {
"value": "goals, preferences, and desired outcomes, including cultural and linguistic"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02000"
} ],
"designation": [ {
"value": "factors. ++ coordination of care transitions between and among health care"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02100"
} ],
"designation": [ {
"value": "practitioners and settings, including transitions involving referral to other"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02200"
} ],
"designation": [ {
"value": "clinicians; follow-up after an emergency department visit; or follow-up after"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02300"
} ],
"designation": [ {
"value": "discharges from hospitals, skilled nursing facilities or other health care"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02400"
} ],
"designation": [ {
"value": "facilities. ++ facilitating access to community-based social services (e.g.,"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02500"
} ],
"designation": [ {
"value": "housing, utilities, transportation, food assistance) as needed to address sdoh"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02600"
} ],
"designation": [ {
"value": "need(s). health education- helping the patient contextualize health education"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02700"
} ],
"designation": [ {
"value": "provided by the patient's treatment team with the patient's individual needs,"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02800"
} ],
"designation": [ {
"value": "goals, preferences, and sdoh need(s), and educating the patient (and caregiver"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "02900"
} ],
"designation": [ {
"value": "if applicable) on how to best participate in medical decision-making. building"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03000"
} ],
"designation": [ {
"value": "patient self-advocacy skills, so that the patient can interact with members of"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03100"
} ],
"designation": [ {
"value": "the health care team and related community-based services (as needed), in ways"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03200"
} ],
"designation": [ {
"value": "that are more likely to promote personalized and effective treatment of their"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03300"
} ],
"designation": [ {
"value": "condition. health care access / health system navigation. ++ helping the"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03400"
} ],
"designation": [ {
"value": "patient access healthcare, including identifying appropriate practitioners or"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03500"
} ],
"designation": [ {
"value": "providers for clinical care, and helping secure appointments with them. ++"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03600"
} ],
"designation": [ {
"value": "providing the patient with information/resources to consider participation in"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03700"
} ],
"designation": [ {
"value": "clinical trials or clinical research as applicable. facilitating behavioral"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03800"
} ],
"designation": [ {
"value": "change as necessary for meeting diagnosis and treatment goals, including"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "03900"
} ],
"designation": [ {
"value": "promoting patient motivation to participate in care and reach person-centered"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "04000"
} ],
"designation": [ {
"value": "diagnosis or treatment goals. facilitating and providing social and emotional"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "04100"
} ],
"designation": [ {
"value": "support to help the patient cope with the condition, sdoh need(s), and adjust"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "04200"
} ],
"designation": [ {
"value": "daily routines to better meet diagnosis and treatment goals. leverage"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "04300"
} ],
"designation": [ {
"value": "knowledge of the serious, high-risk condition and/or lived experience when"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "04400"
} ],
"designation": [ {
"value": "applicable to provide support, mentorship, or inspiration to meet treatment"
} ]
}, {
"code": "G0023",
"property": [ {
"code": "seqNum",
"valueString": "04500"
} ],
"designation": [ {
"value": "goals"
} ]
}, {
"code": "G0024",
"display": "Pin srv add 30 min pr m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Principal illness navigation services, additional 30 minutes per calendar month"
} ]
}, {
"code": "G0024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(list separately in addition to g0023)"
} ]
}, {
"code": "G0027",
"display": "Semen analysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Semen analysis; presence and/or motility of sperm excluding huhner"
} ]
}, {
"code": "G0028",
"display": "Doc med rsn no scr tob",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not screening for tobacco use (e.g.,"
} ]
}, {
"code": "G0028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "limited life expectancy, other medical reason)"
} ]
}, {
"code": "G0029",
"display": "No tob scr/cess int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tobacco screening not performed or tobacco cessation intervention not provided"
} ]
}, {
"code": "G0029",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period or in the six months prior to the measurement"
} ]
}, {
"code": "G0029",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G0030",
"display": "Pt scr tob & cess int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for tobacco use and received tobacco cessation intervention"
} ]
}, {
"code": "G0030",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period or in the six months prior to the measurement"
} ]
}, {
"code": "G0030",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period (counseling, pharmacotherapy, or both), if identified as a tobacco user"
} ]
}, {
"code": "G0031",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palliative care services given to patient any time during the measurement period"
} ]
}, {
"code": "G0032",
"display": "2+ antipsy schiz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two or more antipsychotic prescriptions ordered for patients who had a"
} ]
}, {
"code": "G0032",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or"
} ]
}, {
"code": "G0032",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "between january 1 of the year prior to the measurement period and the index"
} ]
}, {
"code": "G0032",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "prescription start date (ipsd) for antipsychotics"
} ]
}, {
"code": "G0033",
"display": "2+ benzo seiz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two or more benzodiazepine prescriptions ordered for patients who had a"
} ]
}, {
"code": "G0033",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diagnosis of seizure disorders, rapid eye movement sleep behavior disorder,"
} ]
}, {
"code": "G0033",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety"
} ]
}, {
"code": "G0033",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disorder on or between january 1 of the year prior to the measurement period"
} ]
}, {
"code": "G0033",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and the ipsd for benzodiazepines"
} ]
}, {
"code": "G0034",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients receiving palliative care during the measurement period"
} ]
}, {
"code": "G0035",
"display": "Pt ed pos 23",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has any emergency department encounter during the performance period"
} ]
}, {
"code": "G0035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with place of service indicator 23"
} ]
}, {
"code": "G0036",
"display": "Pt/ptn decln assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient or care partner decline assessment"
} ]
}, {
"code": "G0037",
"display": "Pt not able to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "On date of encounter, patient is not able to participate in assessment or"
} ]
}, {
"code": "G0037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "screening, including non-verbal patients, delirious, severely aphasic, severely"
} ]
}, {
"code": "G0037",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "developmentally delayed, severe visual or hearing impairment and for those"
} ]
}, {
"code": "G0037",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patients, no knowledgeable informant available"
} ]
}, {
"code": "G0038",
"display": "Clin pt no ref",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician determines patient does not require referral"
} ]
}, {
"code": "G0039",
"display": "Pt no ref, rn spec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not referred, reason not otherwise specified"
} ]
}, {
"code": "G0040",
"display": "Pt phys/occ therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient already receiving physical/occupational/speech/recreational therapy"
} ]
}, {
"code": "G0040",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period"
} ]
}, {
"code": "G0041",
"display": "Pt/ptn decln referral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient and/or care partner decline referral"
} ]
}, {
"code": "G0042",
"display": "Ref to therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Referral to physical, occupational, speech, or recreational therapy"
} ]
}, {
"code": "G0043",
"display": "Pt mech pros ht valv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with mechanical prosthetic heart valve"
} ]
}, {
"code": "G0044",
"display": "Pt mitral stenosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with moderate or severe mitral stenosis"
} ]
}, {
"code": "G0045",
"display": "Mrs 90 days post stk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical follow-up and mrs score assessed at 90 days following endovascular"
} ]
}, {
"code": "G0045",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stroke intervention"
} ]
}, {
"code": "G0046",
"display": "No mrs 90 days post stk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical follow-up and mrs score not assessed at 90 days following endovascular"
} ]
}, {
"code": "G0046",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stroke intervention"
} ]
}, {
"code": "G0047",
"display": "Ped blunt hd traum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric patient with minor blunt head trauma and pecarn prediction criteria"
} ]
}, {
"code": "G0047",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "are not assessed"
} ]
}, {
"code": "G0048",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who receive palliative care services any time during the intake period"
} ]
}, {
"code": "G0048",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through the end of the measurement year"
} ]
}, {
"code": "G0049",
"display": "Main hemo in-cntr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "With maintenance hemodialysis (in-center and home hd) for the complete"
} ]
}, {
"code": "G0049",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reporting month"
} ]
}, {
"code": "G0050",
"display": "Pt w/ lmted life expec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a catheter that have limited life expectancy"
} ]
}, {
"code": "G0051",
"display": "Pt hospice mnth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients under hospice care in the current reporting month"
} ]
}, {
"code": "G0052",
"display": "Pt peri dialysis dur mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients on peritoneal dialysis for any portion of the reporting month"
} ]
}, {
"code": "G0053",
"display": "Adv rheum pt care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advancing rheumatology patient care mips value pathways"
} ]
}, {
"code": "G0054",
"display": "Strk cr prev pos outcme mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinating stroke care to promote prevention and cultivate positive outcomes"
} ]
}, {
"code": "G0054",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mips value pathways"
} ]
}, {
"code": "G0055",
"display": "Adv care heart dx mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advancing care for heart disease mips value pathways"
} ]
}, {
"code": "G0056",
"display": "Opt chronic dx mang mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Optimizing chronic disease management mips value pathways"
} ]
}, {
"code": "G0057",
"display": "Best pct pt safety em mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Proposed adopting best practices and promoting patient safety within emergency"
} ]
}, {
"code": "G0057",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicine mips value pathways"
} ]
}, {
"code": "G0058",
"display": "Imprv care le jnt repr mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Improving care for lower extremity joint repair mips value pathways"
} ]
}, {
"code": "G0059",
"display": "Pt sfty pos exp w aneth mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient safety and support of positive experiences with anesthesia mips value"
} ]
}, {
"code": "G0059",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathways"
} ]
}, {
"code": "G0060",
"display": "Allergy/immunology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Allergy/immunology mips specialty set"
} ]
}, {
"code": "G0061",
"display": "Anesthesiology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anesthesiology mips specialty set"
} ]
}, {
"code": "G0062",
"display": "Audiology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Audiology mips specialty set"
} ]
}, {
"code": "G0063",
"display": "Cardiology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiology mips specialty set"
} ]
}, {
"code": "G0064",
"display": "Cert nurse midwife ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Certified nurse midwife mips specialty set"
} ]
}, {
"code": "G0065",
"display": "Chiropractic ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chiropractic medicine mips specialty set"
} ]
}, {
"code": "G0066",
"display": "Clinical social work ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical social work mips specialty set"
} ]
}, {
"code": "G0067",
"display": "Dentistry ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dentistry mips specialty set"
} ]
}, {
"code": "G0068",
"display": "Adm iv infusion drug in home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Professional services for the administration of anti-infective, pain"
} ]
}, {
"code": "G0068",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management, chelation, pulmonary hypertension, inotropic, or other intravenous"
} ]
}, {
"code": "G0068",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "infusion drug or biological (excluding chemotherapy or other highly complex"
} ]
}, {
"code": "G0068",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "drug or biological) for each infusion drug administration calendar day in the"
} ]
}, {
"code": "G0068",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "individual's home, each 15 minutes"
} ]
}, {
"code": "G0069",
"display": "Adm sq infusion drug in home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Professional services for the administration of subcutaneous immunotherapy or"
} ]
}, {
"code": "G0069",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other subcutaneous infusion drug or biological for each infusion drug"
} ]
}, {
"code": "G0069",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "administration calendar day in the individual's home, each 15 minutes"
} ]
}, {
"code": "G0070",
"display": "Adm of chemo drug in home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Professional services for the administration of intravenous chemotherapy or"
} ]
}, {
"code": "G0070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other intravenous highly complex drug or biological infusion for each infusion"
} ]
}, {
"code": "G0070",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "drug administration calendar day in the individual's home, each 15 minutes"
} ]
}, {
"code": "G0071",
"display": "Comm svcs by rhc/fqhc 5 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Payment for communication technology-based services for 5 minutes or more of a"
} ]
}, {
"code": "G0071",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "virtual (non-face-to-face) communication between an rural health clinic (rhc)"
} ]
}, {
"code": "G0071",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or federally qualified health center (fqhc) practitioner and rhc or fqhc"
} ]
}, {
"code": "G0071",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patient, or 5 minutes or more of remote evaluation of recorded video and/or"
} ]
}, {
"code": "G0071",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "images by an rhc or fqhc practitioner, occurring in lieu of an office visit;"
} ]
}, {
"code": "G0071",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "rhc or fqhc only"
} ]
}, {
"code": "G0076",
"display": "Care manag h vst new pt 20 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brief (20 minutes) care management home visit for a new patient. for use only"
} ]
}, {
"code": "G0076",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0076",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0076",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0077",
"display": "Care manag h vst new pt 30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Limited (30 minutes) care management home visit for a new patient. for use only"
} ]
}, {
"code": "G0077",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0077",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0077",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0078",
"display": "Care manag h vst new pt 45 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Moderate (45 minutes) care management home visit for a new patient. for use"
} ]
}, {
"code": "G0078",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0078",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0078",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0079",
"display": "Care manag h vst new pt 60 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive (60 minutes) care management home visit for a new patient. for"
} ]
}, {
"code": "G0079",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use only in a medicare-approved cmmi model. (services must be furnished within"
} ]
}, {
"code": "G0079",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "a beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0079",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0080",
"display": "Care manag h vst new pt 75 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extensive (75 minutes) care management home visit for a new patient. for use"
} ]
}, {
"code": "G0080",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0080",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0080",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0081",
"display": "Care man h v ext pt 20 mi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brief (20 minutes) care management home visit for an existing patient. for use"
} ]
}, {
"code": "G0081",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0081",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0081",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0082",
"display": "Care man h v ext pt 30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Limited (30 minutes) care management home visit for an existing patient. for"
} ]
}, {
"code": "G0082",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use only in a medicare-approved cmmi model. (services must be furnished within"
} ]
}, {
"code": "G0082",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "a beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0082",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0083",
"display": "Care man h v ext pt 45 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Moderate (45 minutes) care management home visit for an existing patient. for"
} ]
}, {
"code": "G0083",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use only in a medicare-approved cmmi model. (services must be furnished within"
} ]
}, {
"code": "G0083",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "a beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0083",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0084",
"display": "Care man h v ext pt 60 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive (60 minutes) care management home visit for an existing patient."
} ]
}, {
"code": "G0084",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use only in a medicare-approved cmmi model. (services must be furnished"
} ]
}, {
"code": "G0084",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "within a beneficiary's home, domiciliary, rest home, assisted living and/or"
} ]
}, {
"code": "G0084",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "nursing facility)"
} ]
}, {
"code": "G0085",
"display": "Care man h v ext pt 75 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extensive (75 minutes) care management home visit for an existing patient. for"
} ]
}, {
"code": "G0085",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use only in a medicare-approved cmmi model. (services must be furnished within"
} ]
}, {
"code": "G0085",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "a beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0085",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0086",
"display": "Care man home care plan 30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Limited (30 minutes) care management home care plan oversight. for use only in"
} ]
}, {
"code": "G0086",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0086",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0086",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0087",
"display": "Care man home care plan 60 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive (60 minutes) care management home care plan oversight. for use"
} ]
}, {
"code": "G0087",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cmmi model. (services must be furnished within a"
} ]
}, {
"code": "G0087",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home, domiciliary, rest home, assisted living and/or nursing"
} ]
}, {
"code": "G0087",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "facility)"
} ]
}, {
"code": "G0088",
"display": "Adm iv drug 1st home visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Professional services, initial visit, for the administration of anti-infective,"
} ]
}, {
"code": "G0088",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pain management, chelation, pulmonary hypertension, inotropic, or other"
} ]
}, {
"code": "G0088",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intravenous infusion drug or biological (excluding chemotherapy or other highly"
} ]
}, {
"code": "G0088",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "complex drug or biological) for each infusion drug administration calendar day"
} ]
}, {
"code": "G0088",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "in the individual's home, each 15 minutes"
} ]
}, {
"code": "G0089",
"display": "Adm subq drug 1st home visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Professional services, initial visit, for the administration of subcutaneous"
} ]
}, {
"code": "G0089",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "immunotherapy or other subcutaneous infusion drug or biological for each"
} ]
}, {
"code": "G0089",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "infusion drug administration calendar day in the individual's home, each 15"
} ]
}, {
"code": "G0089",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G0090",
"display": "Adm iv chemo 1st home visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Professional services, initial visit, for the administration of intravenous"
} ]
}, {
"code": "G0090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chemotherapy or other highly complex infusion drug or biological for each"
} ]
}, {
"code": "G0090",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "infusion drug administration calendar day in the individual's home, each 15"
} ]
}, {
"code": "G0090",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G0101",
"display": "Ca screen;pelvic/breast exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical or vaginal cancer screening; pelvic and clinical breast examination"
} ]
}, {
"code": "G0102",
"display": "Prostate ca screening; dre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prostate cancer screening; digital rectal examination"
} ]
}, {
"code": "G0103",
"display": "Psa screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prostate cancer screening; prostate specific antigen test (psa)"
} ]
}, {
"code": "G0104",
"display": "Ca screen;flexi sigmoidscope",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; flexible sigmoidoscopy"
} ]
}, {
"code": "G0105",
"display": "Colorectal scrn; hi risk ind",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; colonoscopy on individual at high risk"
} ]
}, {
"code": "G0106",
"display": "Colon ca screen;barium enema",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy,"
} ]
}, {
"code": "G0106",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "barium enema"
} ]
}, {
"code": "G0108",
"display": "Diab manage trn per indiv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetes outpatient self-management training services, individual, per 30"
} ]
}, {
"code": "G0108",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G0109",
"display": "Diab manage trn ind/group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetes outpatient self-management training services, group session (2 or"
} ]
}, {
"code": "G0109",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "more), per 30 minutes"
} ]
}, {
"code": "G0117",
"display": "Glaucoma scrn hgh risk direc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glaucoma screening for high risk patients furnished by an optometrist or"
} ]
}, {
"code": "G0117",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ophthalmologist"
} ]
}, {
"code": "G0118",
"display": "Glaucoma scrn hgh risk direc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glaucoma screening for high risk patient furnished under the direct supervision"
} ]
}, {
"code": "G0118",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of an optometrist or ophthalmologist"
} ]
}, {
"code": "G0120",
"display": "Colon ca scrn; barium enema",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; alternative to g0105, screening colonoscopy,"
} ]
}, {
"code": "G0120",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "barium enema."
} ]
}, {
"code": "G0121",
"display": "Colon ca scrn not hi rsk ind",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; colonoscopy on individual not meeting criteria for"
} ]
}, {
"code": "G0121",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "high risk"
} ]
}, {
"code": "G0122",
"display": "Colon ca scrn; barium enema",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; barium enema"
} ]
}, {
"code": "G0123",
"display": "Screen cerv/vag thin layer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected"
} ]
}, {
"code": "G0123",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in preservative fluid, automated thin layer preparation, screening by"
} ]
}, {
"code": "G0123",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cytotechnologist under physician supervision"
} ]
}, {
"code": "G0124",
"display": "Screen c/v thin layer by md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected"
} ]
}, {
"code": "G0124",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in preservative fluid, automated thin layer preparation, requiring"
} ]
}, {
"code": "G0124",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interpretation by physician"
} ]
}, {
"code": "G0127",
"display": "Trim nail(s)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trimming of dystrophic nails, any number"
} ]
}, {
"code": "G0128",
"display": "Corf skilled nursing service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Direct (face-to-face with patient) skilled nursing services of a registered"
} ]
}, {
"code": "G0128",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nurse provided in a comprehensive outpatient rehabilitation facility, each 10"
} ]
}, {
"code": "G0128",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "minutes beyond the first 5 minutes"
} ]
}, {
"code": "G0129",
"display": "Php/iop ot service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Occupational therapy services requiring the skills of a qualified occupational"
} ]
}, {
"code": "G0129",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapist, furnished as a component of a partial hospitalization or intensive"
} ]
}, {
"code": "G0129",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "outpatient treatment program, per session (45 minutes or more)"
} ]
}, {
"code": "G0130",
"display": "Single energy x-ray study",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Single energy x-ray absorptiometry (sexa) bone density study, one or more"
} ]
}, {
"code": "G0130",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)"
} ]
}, {
"code": "G0136",
"display": "Adm of soc dtr assess 5-15 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of a standardized, evidence-based social determinants of health"
} ]
}, {
"code": "G0136",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "risk assessment tool, 5-15 minutes"
} ]
}, {
"code": "G0137",
"display": "Inten outpt svs,min 9 pr 7 d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensive outpatient services; weekly bundle, minimum of 9 services over a 7"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "contiguous day period, which can include individual and group therapy with"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "physicians or psychologists (or other mental health professionals to the extent"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "authorized under state law); occupational therapy requiring the skills of a"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "qualified occupational therapist; services of social workers, trained"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "psychiatric nurses, and other staff trained to work with psychiatric patients;"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "individualized activity therapies that are not primarily recreational or"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "diversionary; family counseling (the primary purpose of which is treatment of"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "the individual's condition); patient training and education (to the extent that"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "training and educational activities are closely and clearly related to"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "individual's care and treatment); diagnostic services; and such other items and"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "services (excluding meals and transportation) that are reasonable and necessary"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "for the diagnosis or active treatment of the individual's condition, reasonably"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "expected to improve or maintain the individual's condition and functional level"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01500"
} ],
"designation": [ {
"value": "and to prevent relapse or hospitalization, and furnished pursuant to such"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01600"
} ],
"designation": [ {
"value": "guidelines relating to frequency and duration of services in accordance with a"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01700"
} ],
"designation": [ {
"value": "physician certification and plan of treatment (provision of the services by a"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01800"
} ],
"designation": [ {
"value": "medicare-enrolled opioid treatment program); list separately in addition to"
} ]
}, {
"code": "G0137",
"property": [ {
"code": "seqNum",
"valueString": "01900"
} ],
"designation": [ {
"value": "code for primary procedure"
} ]
}, {
"code": "G0138",
"display": "Iv cipaglucosidase alfa-atga",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier"
} ]
}, {
"code": "G0138",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "acquisition and clinical supervision of oral administration of miglustat in"
} ]
}, {
"code": "G0138",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preparation of receipt of cipaglucosidase alfa-atga"
} ]
}, {
"code": "G0140",
"display": "Nav srv peer sup 60 min pr m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Principal illness navigation - peer support by certified or trained auxiliary"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "personnel under the direction of a physician or other practitioner, including a"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "certified peer specialist; 60 minutes per calendar month, in the following"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "activities: person-centered interview, performed to better understand the"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "individual context of the serious, high-risk condition. ++ conducting a"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "person-centered interview to understand the patient's life story, strengths,"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "needs, goals, preferences, and desired outcomes, including understanding"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "cultural and linguistic factors, and including unmet sdoh needs (that are not"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "billed separately). ++ facilitating patient-driven goal setting and"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "establishing an action plan. ++ providing tailored support as needed to"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "accomplish the person-centered goals in the practitioner's treatment plan."
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "identifying or referring patient (and caregiver or family, if applicable) to"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "appropriate supportive services. practitioner, home, and community-based care"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "communication. ++ assist the patient in communicating with their practitioners,"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01500"
} ],
"designation": [ {
"value": "home-, and community-based service providers, hospitals, and skilled nursing"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01600"
} ],
"designation": [ {
"value": "facilities (or other health care facilities) regarding the patient's"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01700"
} ],
"designation": [ {
"value": "psychosocial strengths and needs, goals, preferences, and desired outcomes,"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01800"
} ],
"designation": [ {
"value": "including cultural and linguistic factors. ++ facilitating access to"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "01900"
} ],
"designation": [ {
"value": "community-based social services (e.g., housing, utilities, transportation, food"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02000"
} ],
"designation": [ {
"value": "assistance) as needed to address sdoh need(s). health education. helping the"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02100"
} ],
"designation": [ {
"value": "patient contextualize health education provided by the patient's treatment team"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02200"
} ],
"designation": [ {
"value": "with the patient's individual needs, goals, preferences, and sdoh need(s), and"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02300"
} ],
"designation": [ {
"value": "educating the patient (and caregiver if applicable) on how to best participate"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02400"
} ],
"designation": [ {
"value": "in medical decision-making. building patient self-advocacy skills, so that the"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02500"
} ],
"designation": [ {
"value": "patient can interact with members of the health care team and related"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02600"
} ],
"designation": [ {
"value": "community-based services (as needed), in ways that are more likely to promote"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02700"
} ],
"designation": [ {
"value": "personalized and effective treatment of their condition. developing and"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02800"
} ],
"designation": [ {
"value": "proposing strategies to help meet person-centered treatment goals and"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "02900"
} ],
"designation": [ {
"value": "supporting the patient in using chosen strategies to reach person-centered"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "03000"
} ],
"designation": [ {
"value": "treatment goals. facilitating and providing social and emotional support to"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "03100"
} ],
"designation": [ {
"value": "help the patient cope with the condition, sdoh need(s), and adjust daily"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "03200"
} ],
"designation": [ {
"value": "routines to better meet person-centered diagnosis and treatment goals. leverage"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "03300"
} ],
"designation": [ {
"value": "knowledge of the serious, high-risk condition and/or lived experience when"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "03400"
} ],
"designation": [ {
"value": "applicable to provide support, mentorship, or inspiration to meet treatment"
} ]
}, {
"code": "G0140",
"property": [ {
"code": "seqNum",
"valueString": "03500"
} ],
"designation": [ {
"value": "goals"
} ]
}, {
"code": "G0141",
"display": "Scr c/v cyto,autosys and md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology smears, cervical or vaginal, performed by automated"
} ]
}, {
"code": "G0141",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system, with manual rescreening, requiring interpretation by physician"
} ]
}, {
"code": "G0143",
"display": "Scr c/v cyto,thinlayer,rescr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected"
} ]
}, {
"code": "G0143",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in preservative fluid, automated thin layer preparation, with manual screening"
} ]
}, {
"code": "G0143",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and rescreening by cytotechnologist under physician supervision"
} ]
}, {
"code": "G0144",
"display": "Scr c/v cyto,thinlayer,rescr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected"
} ]
}, {
"code": "G0144",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in preservative fluid, automated thin layer preparation, with screening by"
} ]
}, {
"code": "G0144",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "automated system, under physician supervision"
} ]
}, {
"code": "G0145",
"display": "Scr c/v cyto,thinlayer,rescr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology, cervical or vaginal (any reporting system), collected"
} ]
}, {
"code": "G0145",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in preservative fluid, automated thin layer preparation, with screening by"
} ]
}, {
"code": "G0145",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "automated system and manual rescreening under physician supervision"
} ]
}, {
"code": "G0146",
"display": "Nav srv peer sup add 30 pr m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Principal illness navigation - peer support, additional 30 minutes per calendar"
} ]
}, {
"code": "G0146",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "month (list separately in addition to g0140)"
} ]
}, {
"code": "G0147",
"display": "Scr c/v cyto, automated sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology smears, cervical or vaginal, performed by automated"
} ]
}, {
"code": "G0147",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system under physician supervision"
} ]
}, {
"code": "G0148",
"display": "Scr c/v cyto, autosys, rescr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening cytopathology smears, cervical or vaginal, performed by automated"
} ]
}, {
"code": "G0148",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system with manual rescreening"
} ]
}, {
"code": "G0151",
"display": "Hhcp-serv of pt,ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified physical therapist in the home health or"
} ]
}, {
"code": "G0151",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospice setting, each 15 minutes"
} ]
}, {
"code": "G0152",
"display": "Hhcp-serv of ot,ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified occupational therapist in the home health or"
} ]
}, {
"code": "G0152",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospice setting, each 15 minutes"
} ]
}, {
"code": "G0153",
"display": "Hhcp-svs of s/l path,ea 15mn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified speech-language pathologist in the home"
} ]
}, {
"code": "G0153",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health or hospice setting, each 15 minutes"
} ]
}, {
"code": "G0154",
"display": "Hhcp-svs of rn,ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Direct skilled nursing services of a licensed nurse (lpn or rn) in the home"
} ]
}, {
"code": "G0154",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health or hospice setting, each 15 minutes"
} ]
}, {
"code": "G0155",
"display": "Hhcp-svs of csw,ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services of clinical social worker in home health or hospice settings, each 15"
} ]
}, {
"code": "G0155",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G0156",
"display": "Hhcp-svs of aide,ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services of home health/hospice aide in home health or hospice settings, each"
} ]
}, {
"code": "G0156",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "15 minutes"
} ]
}, {
"code": "G0157",
"display": "Hhc pt assistant ea 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified physical therapist assistant in the home"
} ]
}, {
"code": "G0157",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health or hospice setting, each 15 minutes"
} ]
}, {
"code": "G0158",
"display": "Hhc ot assistant ea 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified occupational therapist assistant in the home"
} ]
}, {
"code": "G0158",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health or hospice setting, each 15 minutes"
} ]
}, {
"code": "G0159",
"display": "Hhc pt maint ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified physical therapist, in the home health"
} ]
}, {
"code": "G0159",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "setting, in the establishment or delivery of a safe and effective physical"
} ]
}, {
"code": "G0159",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy maintenance program, each 15 minutes"
} ]
}, {
"code": "G0160",
"display": "Hhc occup therapy ea 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified occupational therapist, in the home health"
} ]
}, {
"code": "G0160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "setting, in the establishment or delivery of a safe and effective occupational"
} ]
}, {
"code": "G0160",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy maintenance program, each 15 minutes"
} ]
}, {
"code": "G0161",
"display": "Hhc slp ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a qualified speech-language pathologist, in the home"
} ]
}, {
"code": "G0161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health setting, in the establishment or delivery of a safe and effective"
} ]
}, {
"code": "G0161",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "speech-language pathology maintenance program, each 15 minutes"
} ]
}, {
"code": "G0162",
"display": "Hhc rn e&m plan svs, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skilled services by a registered nurse (rn) for management and evaluation of"
} ]
}, {
"code": "G0162",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the plan of care; each 15 minutes (the patient's underlying condition or"
} ]
}, {
"code": "G0162",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "complication requires an rn to ensure that essential non-skilled care achieves"
} ]
}, {
"code": "G0162",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "its purpose in the home health or hospice setting)"
} ]
}, {
"code": "G0163",
"display": "Hhc lpn/rn obs/asses ea 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skilled services of a licensed nurse (lpn or rn) for the observation and"
} ]
}, {
"code": "G0163",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment of the patient's condition, each 15 minutes (the change in the"
} ]
}, {
"code": "G0163",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient's condition requires skilled nursing personnel to identify and evaluate"
} ]
}, {
"code": "G0163",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the patient's need for possible modification of treatment in the home health or"
} ]
}, {
"code": "G0163",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "hospice setting)"
} ]
}, {
"code": "G0164",
"display": "Hhc lis nurse train ea 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skilled services of a licensed nurse (lpn or rn), in the training and/or"
} ]
}, {
"code": "G0164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "education of a patient or family member, in the home health or hospice setting,"
} ]
}, {
"code": "G0164",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "each 15 minutes"
} ]
}, {
"code": "G0166",
"display": "Extrnl counterpulse, per tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External counterpulsation, per treatment session"
} ]
}, {
"code": "G0168",
"display": "Wound closure by adhesive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wound closure utilizing tissue adhesive(s) only"
} ]
}, {
"code": "G0173",
"display": "Linear acc stereo radsur com",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Linear accelerator based stereotactic radiosurgery, complete course of therapy"
} ]
}, {
"code": "G0173",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in one session"
} ]
}, {
"code": "G0175",
"display": "Opps service,sched team conf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scheduled interdisciplinary team conference (minimum of three exclusive of"
} ]
}, {
"code": "G0175",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient care nursing staff) with patient present"
} ]
}, {
"code": "G0176",
"display": "Opps/php/iop; activity thrpy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Activity therapy, such as music, dance, art or play therapies not for"
} ]
}, {
"code": "G0176",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recreation, related to the care and treatment of patient's disabling mental"
} ]
}, {
"code": "G0176",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "health problems, per session (45 minutes or more)"
} ]
}, {
"code": "G0177",
"display": "Opps/php/iop; train & educ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Training and educational services related to the care and treatment of"
} ]
}, {
"code": "G0177",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient's disabling mental health problems per session (45 minutes or more)"
} ]
}, {
"code": "G0179",
"display": "Md recertification hha pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician or allowed practitioner re-certification for medicare-covered home"
} ]
}, {
"code": "G0179",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health services under a home health plan of care (patient not present),"
} ]
}, {
"code": "G0179",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including contacts with home health agency and review of reports of patient"
} ]
}, {
"code": "G0179",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "status required by physicians and allowed practitioners to affirm the initial"
} ]
}, {
"code": "G0179",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "implementation of the plan of care"
} ]
}, {
"code": "G0180",
"display": "Md certification hha patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician or allowed practitioner certification for medicare-covered home"
} ]
}, {
"code": "G0180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health services under a home health plan of care (patient not present),"
} ]
}, {
"code": "G0180",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including contacts with home health agency and review of reports of patient"
} ]
}, {
"code": "G0180",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "status required by physicians and allowed practitioners to affirm the initial"
} ]
}, {
"code": "G0180",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "implementation of the plan of care"
} ]
}, {
"code": "G0181",
"display": "Home health care supervision",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician or allowed practitioner supervision of a patient receiving"
} ]
}, {
"code": "G0181",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare-covered services provided by a participating home health agency"
} ]
}, {
"code": "G0181",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(patient not present) requiring complex and multidisciplinary care modalities"
} ]
}, {
"code": "G0181",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "involving regular physician or allowed practitioner development and/or revision"
} ]
}, {
"code": "G0181",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "of care plans"
} ]
}, {
"code": "G0182",
"display": "Hospice care supervision",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician supervision of a patient under a medicare-approved hospice (patient"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not present) requiring complex and multidisciplinary care modalities involving"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "regular physician development and/or revision of care plans, review of"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "subsequent reports of patient status, review of laboratory and other studies,"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "communication (including telephone calls) with other health care professionals"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "involved in the patient's care, integration of new information into the medical"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "treatment plan and/or adjustment of medical therapy, within a calendar month,"
} ]
}, {
"code": "G0182",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "30 minutes or more"
} ]
}, {
"code": "G0186",
"display": "Dstry eye lesn,fdr vssl tech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Destruction of localized lesion of choroid (for example, choroidal"
} ]
}, {
"code": "G0186",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neovascularization); photocoagulation, feeder vessel technique (one or more"
} ]
}, {
"code": "G0186",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "sessions)"
} ]
}, {
"code": "G0202",
"display": "Scr mammo bi incl cad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening mammography, bilateral (2-view study of each breast), including"
} ]
}, {
"code": "G0202",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "computer-aided detection (cad) when performed"
} ]
}, {
"code": "G0204",
"display": "Dx mammo incl cad bi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic mammography, including computer-aided detection (cad) when"
} ]
}, {
"code": "G0204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performed; bilateral"
} ]
}, {
"code": "G0206",
"display": "Dx mammo incl cad uni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic mammography, including computer-aided detection (cad) when"
} ]
}, {
"code": "G0206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performed; unilateral"
} ]
}, {
"code": "G0219",
"display": "Pet img wholbod melano nonco",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pet imaging whole body; melanoma for non-covered indications"
} ]
}, {
"code": "G0235",
"display": "Pet not otherwise specified",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pet imaging, any site, not otherwise specified"
} ]
}, {
"code": "G0237",
"display": "Therapeutic procd strg endur",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic procedures to increase strength or endurance of respiratory"
} ]
}, {
"code": "G0237",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscles, face to face, one on one, each 15 minutes (includes monitoring)"
} ]
}, {
"code": "G0238",
"display": "Oth resp proc, indiv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic procedures to improve respiratory function, other than described by"
} ]
}, {
"code": "G0238",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "g0237, one on one, face to face, per 15 minutes (includes monitoring)"
} ]
}, {
"code": "G0239",
"display": "Oth resp proc, group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic procedures to improve respiratory function or increase strength or"
} ]
}, {
"code": "G0239",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "endurance of respiratory muscles, two or more individuals (includes monitoring)"
} ]
}, {
"code": "G0245",
"display": "Initial foot exam pt lops",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial physician evaluation and management of a diabetic patient with diabetic"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sensory neuropathy resulting in a loss of protective sensation (lops) which"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "examination that consists of at least the following elements: (a) visual"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "protective sensation, (c) evaluation of foot structure and biomechanics, (d)"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "evaluation of vascular status and skin integrity, and (e) evaluation and"
} ]
}, {
"code": "G0245",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "recommendation of footwear and (4) patient education"
} ]
}, {
"code": "G0246",
"display": "Followup eval of foot pt lop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up physician evaluation and management of a diabetic patient with"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diabetic sensory neuropathy resulting in a loss of protective sensation (lops)"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "to include at least the following: (1) a patient history, (2) a physical"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "examination that includes: (a) visual inspection of the forefoot, hindfoot and"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "structure and biomechanics, (d) evaluation of vascular status and skin"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "integrity, and (e) evaluation and recommendation of footwear, and (3) patient"
} ]
}, {
"code": "G0246",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "education"
} ]
}, {
"code": "G0247",
"display": "Routine footcare pt w lops",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Routine foot care by a physician of a diabetic patient with diabetic sensory"
} ]
}, {
"code": "G0247",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neuropathy resulting in a loss of protective sensation (lops) to include, the"
} ]
}, {
"code": "G0247",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "local care of superficial wounds (i.e. superficial to muscle and fascia) and at"
} ]
}, {
"code": "G0247",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "least the following if present: (1) local care of superficial wounds, (2)"
} ]
}, {
"code": "G0247",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "debridement of corns and calluses, and (3) trimming and debridement of nails"
} ]
}, {
"code": "G0248",
"display": "Demonstrate use home inr mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Demonstration, prior to initiation of home inr monitoring, for patient with"
} ]
}, {
"code": "G0248",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "either mechanical heart valve(s), chronic atrial fibrillation, or venous"
} ]
}, {
"code": "G0248",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "thromboembolism who meets medicare coverage criteria, under the direction of a"
} ]
}, {
"code": "G0248",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "physician; includes: face-to-face demonstration of use and care of the inr"
} ]
}, {
"code": "G0248",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "monitor, obtaining at least one blood sample, provision of instructions for"
} ]
}, {
"code": "G0248",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "reporting home inr test results, and documentation of patient's ability to"
} ]
}, {
"code": "G0248",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "perform testing and report results"
} ]
}, {
"code": "G0249",
"display": "Provide inr test mater/equip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Provision of test materials and equipment for home inr monitoring of patient"
} ]
}, {
"code": "G0249",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with either mechanical heart valve(s), chronic atrial fibrillation, or venous"
} ]
}, {
"code": "G0249",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "thromboembolism who meets medicare coverage criteria; includes: provision of"
} ]
}, {
"code": "G0249",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "materials for use in the home and reporting of test results to physician;"
} ]
}, {
"code": "G0249",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "testing not occurring more frequently than once a week; testing materials,"
} ]
}, {
"code": "G0249",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "billing units of service include 4 tests"
} ]
}, {
"code": "G0250",
"display": "Md inr test revie inter mgmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician review, interpretation, and patient management of home inr testing"
} ]
}, {
"code": "G0250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for patient with either mechanical heart valve(s), chronic atrial fibrillation,"
} ]
}, {
"code": "G0250",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or venous thromboembolism who meets medicare coverage criteria; testing not"
} ]
}, {
"code": "G0250",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "occurring more frequently than once a week; billing units of service include 4"
} ]
}, {
"code": "G0250",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "tests"
} ]
}, {
"code": "G0251",
"display": "Linear acc based stero radio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Linear accelerator based stereotactic radiosurgery, delivery including"
} ]
}, {
"code": "G0251",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "collimator changes and custom plugging, fractionated treatment, all lesions,"
} ]
}, {
"code": "G0251",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "per session, maximum five sessions per course of treatment"
} ]
}, {
"code": "G0252",
"display": "Pet imaging initial dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of"
} ]
}, {
"code": "G0252",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "breast cancer and/or surgical planning for breast cancer (e.g., initial staging"
} ]
}, {
"code": "G0252",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of axillary lymph nodes)"
} ]
}, {
"code": "G0255",
"display": "Current percep threshold tst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current perception threshold/sensory nerve conduction test, (snct) per limb,"
} ]
}, {
"code": "G0255",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any nerve"
} ]
}, {
"code": "G0257",
"display": "Unsched dialysis esrd pt hos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unscheduled or emergency dialysis treatment for an esrd patient in a hospital"
} ]
}, {
"code": "G0257",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outpatient department that is not certified as an esrd facility"
} ]
}, {
"code": "G0259",
"display": "Inject for sacroiliac joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection procedure for sacroiliac joint; arthrography"
} ]
}, {
"code": "G0260",
"display": "Inj for sacroiliac jt anesth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection procedure for sacroiliac joint; provision of anesthetic, steroid"
} ]
}, {
"code": "G0260",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or other therapeutic agent, with or without arthrography"
} ]
}, {
"code": "G0268",
"display": "Removal of impacted wax md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal of impacted cerumen (one or both ears) by physician on same date of"
} ]
}, {
"code": "G0268",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "service as audiologic function testing"
} ]
}, {
"code": "G0269",
"display": "Occlusive device in vein art",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Placement of occlusive device into either a venous or arterial access site,"
} ]
}, {
"code": "G0269",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "post surgical or interventional procedure (e.g., angioseal plug, vascular plug)"
} ]
}, {
"code": "G0270",
"display": "Mnt subs tx for change dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical nutrition therapy; reassessment and subsequent intervention(s)"
} ]
}, {
"code": "G0270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "following second referral in same year for change in diagnosis, medical"
} ]
}, {
"code": "G0270",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "condition or treatment regimen (including additional hours needed for renal"
} ]
}, {
"code": "G0270",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease), individual, face to face with the patient, each 15 minutes"
} ]
}, {
"code": "G0271",
"display": "Group mnt 2 or more 30 mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical nutrition therapy, reassessment and subsequent intervention(s)"
} ]
}, {
"code": "G0271",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "following second referral in same year for change in diagnosis, medical"
} ]
}, {
"code": "G0271",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "condition, or treatment regimen (including additional hours needed for renal"
} ]
}, {
"code": "G0271",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease), group (2 or more individuals), each 30 minutes"
} ]
}, {
"code": "G0276",
"display": "Pild/placebo control clin tr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar"
} ]
}, {
"code": "G0276",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "decompression (pild) or placebo-control, performed in an approved coverage with"
} ]
}, {
"code": "G0276",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "evidence development (ced) clinical trial"
} ]
}, {
"code": "G0277",
"display": "Hbot, full body chamber, 30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"
} ]
}, {
"code": "G0278",
"display": "Iliac art angio,cardiac cath",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iliac and/or femoral artery angiography, non-selective, bilateral or"
} ]
}, {
"code": "G0278",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ipsilateral to catheter insertion, performed at the same time as cardiac"
} ]
}, {
"code": "G0278",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "catheterization and/or coronary angiography, includes positioning or placement"
} ]
}, {
"code": "G0278",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of the catheter in the distal aorta or ipsilateral femoral or iliac artery,"
} ]
}, {
"code": "G0278",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "injection of dye, production of permanent images, and radiologic supervision"
} ]
}, {
"code": "G0278",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "and interpretation (list separately in addition to primary procedure)"
} ]
}, {
"code": "G0279",
"display": "Tomosynthesis, mammo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic digital breast tomosynthesis, unilateral or bilateral (list"
} ]
}, {
"code": "G0279",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "separately in addition to 77065 or 77066)"
} ]
}, {
"code": "G0281",
"display": "Elec stim unattend for press",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulation, (unattended), to one or more areas, for chronic stage"
} ]
}, {
"code": "G0281",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous"
} ]
}, {
"code": "G0281",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "stasis ulcers not demonstrating measurable signs of healing after 30 days of"
} ]
}, {
"code": "G0281",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "conventional care, as part of a therapy plan of care"
} ]
}, {
"code": "G0282",
"display": "Elect stim wound care not pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulation, (unattended), to one or more areas, for wound care"
} ]
}, {
"code": "G0282",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other than described in g0281"
} ]
}, {
"code": "G0283",
"display": "Elec stim other than wound",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulation (unattended), to one or more areas for indication(s)"
} ]
}, {
"code": "G0283",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other than wound care, as part of a therapy plan of care"
} ]
}, {
"code": "G0288",
"display": "Recon, cta for surg plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reconstruction, computed tomographic angiography of aorta for surgical planning"
} ]
}, {
"code": "G0288",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for vascular surgery"
} ]
}, {
"code": "G0289",
"display": "Arthro, loose body + chondro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthroscopy, knee, surgical, for removal of loose body, foreign body,"
} ]
}, {
"code": "G0289",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "debridement/shaving of articular cartilage (chondroplasty) at the time of other"
} ]
}, {
"code": "G0289",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surgical knee arthroscopy in a different compartment of the same knee"
} ]
}, {
"code": "G0293",
"display": "Non-cov surg proc,clin trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noncovered surgical procedure(s) using conscious sedation, regional, general or"
} ]
}, {
"code": "G0293",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "spinal anesthesia in a medicare qualifying clinical trial, per day"
} ]
}, {
"code": "G0294",
"display": "Non-cov proc, clinical trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noncovered procedure(s) using either no anesthesia or local anesthesia only, in"
} ]
}, {
"code": "G0294",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "a medicare qualifying clinical trial, per day"
} ]
}, {
"code": "G0295",
"display": "Electromagnetic therapy onc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electromagnetic therapy, to one or more areas, for wound care other than"
} ]
}, {
"code": "G0295",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "described in g0329 or for other uses"
} ]
}, {
"code": "G0296",
"display": "Visit to determ ldct elig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Counseling visit to discuss need for lung cancer screening using low dose ct"
} ]
}, {
"code": "G0296",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "scan (ldct) (service is for eligibility determination and shared decision"
} ]
}, {
"code": "G0296",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "making)"
} ]
}, {
"code": "G0297",
"display": "Ldct for lung ca screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low dose ct scan (ldct) for lung cancer screening"
} ]
}, {
"code": "G0299",
"display": "Hhs/hospice of rn ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Direct skilled nursing services of a registered nurse (rn) in the home health"
} ]
}, {
"code": "G0299",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or hospice setting, each 15 minutes"
} ]
}, {
"code": "G0300",
"display": "Hhs/hospice of lpn ea 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Direct skilled nursing services of a licensed practical nurse (lpn) in the home"
} ]
}, {
"code": "G0300",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "health or hospice setting, each 15 minutes"
} ]
}, {
"code": "G0302",
"display": "Pre-op service lvrs complete",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pre-operative pulmonary surgery services for preparation for lvrs, complete"
} ]
}, {
"code": "G0302",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "course of services, to include a minimum of 16 days of services"
} ]
}, {
"code": "G0303",
"display": "Pre-op service lvrs 10-15dos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15"
} ]
}, {
"code": "G0303",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days of services"
} ]
}, {
"code": "G0304",
"display": "Pre-op service lvrs 1-9 dos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days"
} ]
}, {
"code": "G0304",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of services"
} ]
}, {
"code": "G0305",
"display": "Post op service lvrs min 6",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of"
} ]
}, {
"code": "G0305",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services"
} ]
}, {
"code": "G0306",
"display": "Cbc/diffwbc w/o platelet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and"
} ]
}, {
"code": "G0306",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "automated wbc differential count"
} ]
}, {
"code": "G0307",
"display": "Cbc without platelet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)"
} ]
}, {
"code": "G0308",
"display": "180 d implant glucose sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Creation of subcutaneous pocket with insertion of 180 day implantable"
} ]
}, {
"code": "G0308",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interstitial glucose sensor, including system activation and patient training"
} ]
}, {
"code": "G0309",
"display": "Rem/inser glu sensor dif sit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal of implantable interstitial glucose sensor with creation of"
} ]
}, {
"code": "G0309",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subcutaneous pocket at different anatomic site and insertion of new 180 day"
} ]
}, {
"code": "G0309",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "implantable sensor, including system activation"
} ]
}, {
"code": "G0310",
"display": "Immunize counsel 5-15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunization counseling by a physician or other qualified health care"
} ]
}, {
"code": "G0310",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional when the vaccine(s) is not administered on the same date of"
} ]
}, {
"code": "G0310",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service, 5 to 15 mins time (this code is used for medicaid billing purposes)"
} ]
}, {
"code": "G0311",
"display": "Immunize counsel 16-30 mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunization counseling by a physician or other qualified health care"
} ]
}, {
"code": "G0311",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional when the vaccine(s) is not administered on the same date of"
} ]
}, {
"code": "G0311",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service, 16-30 mins time (this code is used for medicaid billing purposes)"
} ]
}, {
"code": "G0312",
"display": "Immunize couns < 21yr 5-15 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunization counseling by a physician or other qualified health care"
} ]
}, {
"code": "G0312",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional when the vaccine(s) is not administered on the same date of"
} ]
}, {
"code": "G0312",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service for ages under 21, 5 to 15 mins time (this code is used for medicaid"
} ]
}, {
"code": "G0312",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "billing purposes)"
} ]
}, {
"code": "G0313",
"display": "Immunize couns < 21yr 6-30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunization counseling by a physician or other qualified health care"
} ]
}, {
"code": "G0313",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional when the vaccine(s) is not administered on the same date of"
} ]
}, {
"code": "G0313",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service for ages under 21, 16-30 mins time (this code is used for medicaid"
} ]
}, {
"code": "G0313",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "billing purposes)"
} ]
}, {
"code": "G0314",
"display": "Counsel immune <21 16-30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunization counseling by a physician or other qualified health care"
} ]
}, {
"code": "G0314",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional for covid-19, ages under 21, 16-30 mins time (this code is used"
} ]
}, {
"code": "G0314",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "for the medicaid early and periodic screening, diagnostic, and treatment"
} ]
}, {
"code": "G0314",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "benefit (epsdt)"
} ]
}, {
"code": "G0315",
"display": "Counsel immune <21 5-15 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunization counseling by a physician or other qualified health care"
} ]
}, {
"code": "G0315",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional for covid-19, ages under 21, 5-15 mins time (this code is used for"
} ]
}, {
"code": "G0315",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the medicaid early and periodic screening, diagnostic, and treatment benefit"
} ]
}, {
"code": "G0315",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(epsdt)"
} ]
}, {
"code": "G0316",
"display": "Prolong inpt eval add15 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged hospital inpatient or observation care evaluation and management"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "service(s) beyond the total time for the primary service (when the primary"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service has been selected using time on the date of the primary service); each"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "additional 15 minutes by the physician or qualified healthcare professional,"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "with or without direct patient contact (list separately in addition to cpt"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "codes 99223, 99233, and 99236 for hospital inpatient or observation care"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "evaluation and management services). (do not report g0316 on the same date of"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "service as other prolonged services for evaluation and management 99358, 99359,"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "99418, 99415, 99416). (do not report g0316 for any time unit less than 15"
} ]
}, {
"code": "G0316",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "minutes)"
} ]
}, {
"code": "G0317",
"display": "Prolong nursin fac eval 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged nursing facility evaluation and management service(s) beyond"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the total time for the primary service (when the primary service has been"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "selected using time on the date of the primary service); each additional 15"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "minutes by the physician or qualified healthcare professional, with or without"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "direct patient contact (list separately in addition to cpt codes 99306, 99310"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "for nursing facility evaluation and management services). (do not report g0317"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "on the same date of service as other prolonged services for evaluation and"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "management 99358, 99359, 99418). (do not report g0317 for any time unit less"
} ]
}, {
"code": "G0317",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "than 15 minutes)"
} ]
}, {
"code": "G0318",
"display": "Prolong home eval add 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged home or residence evaluation and management service(s) beyond the"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "total time for the primary service (when the primary service has been selected"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "using time on the date of the primary service); each additional 15 minutes by"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the physician or qualified healthcare professional, with or without direct"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "patient contact (list separately in addition to cpt codes 99345, 99350 for home"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "or residence evaluation and management services). (do not report g0318 on the"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "same date of service as other prolonged services for evaluation and management"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "99358, 99359, 99417). (do not report g0318 for any time unit less than 15"
} ]
}, {
"code": "G0318",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "minutes)"
} ]
}, {
"code": "G0320",
"display": "Two-way audio and video hhs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home health services furnished using synchronous telemedicine rendered via a"
} ]
}, {
"code": "G0320",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "real-time two-way audio and video telecommunications system"
} ]
}, {
"code": "G0321",
"display": "Audio-only hhs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home health services furnished using synchronous telemedicine rendered via"
} ]
}, {
"code": "G0321",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "telephone or other real-time interactive audio-only telecommunications system"
} ]
}, {
"code": "G0322",
"display": "Home h physio data collec tr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The collection of physiologic data digitally stored and/or transmitted by the"
} ]
}, {
"code": "G0322",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient to the home health agency (i.e., remote patient monitoring)"
} ]
}, {
"code": "G0323",
"display": "Care manage beh svs 20mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Care management services for behavioral health conditions, at least 20 minutes"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of clinical psychologist, clinical social worker, mental health counselor, or"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "marriage and family therapist time, per calendar month. (these services include"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the following required elements: initial assessment or follow-up monitoring,"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "including the use of applicable validated rating scales; behavioral health care"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "planning in relation to behavioral/psychiatric health problems, including"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "revision for patients who are not progressing or whose status changes;"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "facilitating and coordinating treatment such as psychotherapy, coordination"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "with and/or referral to physicians and practitioners who are authorized by"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "medicare to prescribe medications and furnish e/m services, counseling and/or"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "psychiatric consultation; and continuity of care with a designated member of"
} ]
}, {
"code": "G0323",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "the care team)"
} ]
}, {
"code": "G0327",
"display": "Colon ca scrn;bld-bsd biomrk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; blood-based biomarker"
} ]
}, {
"code": "G0328",
"display": "Fecal blood scrn immunoassay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3"
} ]
}, {
"code": "G0328",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "simultaneous"
} ]
}, {
"code": "G0329",
"display": "Electromagntic tx for ulcers",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electromagnetic therapy, to one or more areas for chronic stage iii and stage"
} ]
}, {
"code": "G0329",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers"
} ]
}, {
"code": "G0329",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "not demonstrating measurable signs of healing after 30 days of conventional"
} ]
}, {
"code": "G0329",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "care as part of a therapy plan of care"
} ]
}, {
"code": "G0330",
"display": "Facility svs dental rehab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Facility services for dental rehabilitation procedure(s) performed on a patient"
} ]
}, {
"code": "G0330",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who requires monitored anesthesia (e.g., general, intravenous sedation"
} ]
}, {
"code": "G0330",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(monitored anesthesia care) and use of an operating room"
} ]
}, {
"code": "G0333",
"display": "Dispense fee initial 30 day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a"
} ]
}, {
"code": "G0333",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "beneficiary"
} ]
}, {
"code": "G0337",
"display": "Hospice evaluation preelecti",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice evaluation and counseling services, pre-election"
} ]
}, {
"code": "G0339",
"display": "Robot lin-radsurg com, first",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Image-guided robotic linear accelerator-based stereotactic radiosurgery,"
} ]
}, {
"code": "G0339",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete course of therapy in one session or first session of fractionated"
} ]
}, {
"code": "G0339",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment"
} ]
}, {
"code": "G0340",
"display": "Robt lin-radsurg fractx 2-5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Image-guided robotic linear accelerator-based stereotactic radiosurgery,"
} ]
}, {
"code": "G0340",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "delivery including collimator changes and custom plugging, fractionated"
} ]
}, {
"code": "G0340",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment, all lesions, per session, second through fifth sessions, maximum"
} ]
}, {
"code": "G0340",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "five sessions per course of treatment"
} ]
}, {
"code": "G0341",
"display": "Percutaneous islet celltrans",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous islet cell transplant, includes portal vein catheterization and"
} ]
}, {
"code": "G0341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion"
} ]
}, {
"code": "G0342",
"display": "Laparoscopy islet cell trans",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laparoscopy for islet cell transplant, includes portal vein catheterization and"
} ]
}, {
"code": "G0342",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion"
} ]
}, {
"code": "G0343",
"display": "Laparotomy islet cell transp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laparotomy for islet cell transplant, includes portal vein catheterization and"
} ]
}, {
"code": "G0343",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion"
} ]
}, {
"code": "G0364",
"display": "Bone marrow aspirate &biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bone marrow aspiration performed with bone marrow biopsy through the same"
} ]
}, {
"code": "G0364",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "incision on the same date of service"
} ]
}, {
"code": "G0365",
"display": "Vessel mapping hemo access",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vessel mapping of vessels for hemodialysis access (services for preoperative"
} ]
}, {
"code": "G0365",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vessel mapping prior to creation of hemodialysis access using an autogenous"
} ]
}, {
"code": "G0365",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hemodialysis conduit, including arterial inflow and venous outflow)"
} ]
}, {
"code": "G0372",
"display": "Md service required for pmd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician service required to establish and document the need for a power"
} ]
}, {
"code": "G0372",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mobility device"
} ]
}, {
"code": "G0378",
"display": "Hospital observation per hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital observation service, per hour"
} ]
}, {
"code": "G0379",
"display": "Direct refer hospital observ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Direct admission of patient for hospital observation care"
} ]
}, {
"code": "G0380",
"display": "Lev 1 hosp type b ed visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Level 1 hospital emergency department visit provided in a type b emergency"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department; (the ed must meet at least one of the following requirements: (1)"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "it is licensed by the state in which it is located under applicable state law"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "as an emergency room or emergency department; (2) it is held out to the public"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(by name, posted signs, advertising, or other means) as a place that provides"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "care for emergency medical conditions on an urgent basis without requiring a"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "previously scheduled appointment; or (3) during the calendar year immediately"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "preceding the calendar year in which a determination under 42 cfr 489.24 is"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "being made, based on a representative sample of patient visits that occurred"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "during that calendar year, it provides at least one-third of all of its"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "outpatient visits for the treatment of emergency medical conditions on an"
} ]
}, {
"code": "G0380",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "urgent basis without requiring a previously scheduled appointment)"
} ]
}, {
"code": "G0381",
"display": "Lev 2 hosp type b ed visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Level 2 hospital emergency department visit provided in a type b emergency"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department; (the ed must meet at least one of the following requirements: (1)"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "it is licensed by the state in which it is located under applicable state law"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "as an emergency room or emergency department; (2) it is held out to the public"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(by name, posted signs, advertising, or other means) as a place that provides"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "care for emergency medical conditions on an urgent basis without requiring a"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "previously scheduled appointment; or (3) during the calendar year immediately"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "preceding the calendar year in which a determination under 42 cfr 489.24 is"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "being made, based on a representative sample of patient visits that occurred"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "during that calendar year, it provides at least one-third of all of its"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "outpatient visits for the treatment of emergency medical conditions on an"
} ]
}, {
"code": "G0381",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "urgent basis without requiring a previously scheduled appointment)"
} ]
}, {
"code": "G0382",
"display": "Lev 3 hosp type b ed visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Level 3 hospital emergency department visit provided in a type b emergency"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department; (the ed must meet at least one of the following requirements: (1)"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "it is licensed by the state in which it is located under applicable state law"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "as an emergency room or emergency department; (2) it is held out to the public"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(by name, posted signs, advertising, or other means) as a place that provides"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "care for emergency medical conditions on an urgent basis without requiring a"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "previously scheduled appointment; or (3) during the calendar year immediately"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "preceding the calendar year in which a determination under 42 cfr 489.24 is"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "being made, based on a representative sample of patient visits that occurred"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "during that calendar year, it provides at least one-third of all of its"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "outpatient visits for the treatment of emergency medical conditions on an"
} ]
}, {
"code": "G0382",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "urgent basis without requiring a previously scheduled appointment)"
} ]
}, {
"code": "G0383",
"display": "Lev 4 hosp type b ed visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Level 4 hospital emergency department visit provided in a type b emergency"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department; (the ed must meet at least one of the following requirements: (1)"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "it is licensed by the state in which it is located under applicable state law"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "as an emergency room or emergency department; (2) it is held out to the public"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(by name, posted signs, advertising, or other means) as a place that provides"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "care for emergency medical conditions on an urgent basis without requiring a"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "previously scheduled appointment; or (3) during the calendar year immediately"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "preceding the calendar year in which a determination under 42 cfr 489.24 is"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "being made, based on a representative sample of patient visits that occurred"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "during that calendar year, it provides at least one-third of all of its"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "outpatient visits for the treatment of emergency medical conditions on an"
} ]
}, {
"code": "G0383",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "urgent basis without requiring a previously scheduled appointment)"
} ]
}, {
"code": "G0384",
"display": "Lev 5 hosp type b ed visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Level 5 hospital emergency department visit provided in a type b emergency"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "department; (the ed must meet at least one of the following requirements: (1)"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "it is licensed by the state in which it is located under applicable state law"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "as an emergency room or emergency department; (2) it is held out to the public"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(by name, posted signs, advertising, or other means) as a place that provides"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "care for emergency medical conditions on an urgent basis without requiring a"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "previously scheduled appointment; or (3) during the calendar year immediately"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "preceding the calendar year in which a determination under 42 cfr 489.24 is"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "being made, based on a representative sample of patient visits that occurred"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "during that calendar year, it provides at least one-third of all of its"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "outpatient visits for the treatment of emergency medical conditions on an"
} ]
}, {
"code": "G0384",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "urgent basis without requiring a previously scheduled appointment)"
} ]
}, {
"code": "G0389",
"display": "Ultrasound exam aaa screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultrasound b-scan and/or real time with image documentation; for abdominal"
} ]
}, {
"code": "G0389",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "aortic aneurysm (aaa) screening"
} ]
}, {
"code": "G0390",
"display": "Trauma respons w/hosp criti",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trauma response team associated with hospital critical care service"
} ]
}, {
"code": "G0396",
"display": "Alcohol/subs interv 15-30mn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or substance (other than tobacco) misuse structured assessment"
} ]
}, {
"code": "G0396",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., audit, dast), and brief intervention 15 to 30 minutes"
} ]
}, {
"code": "G0397",
"display": "Alcohol/subs interv >30 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or substance (other than tobacco) misuse structured assessment"
} ]
}, {
"code": "G0397",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., audit, dast), and intervention, greater than 30 minutes"
} ]
}, {
"code": "G0398",
"display": "Home sleep test/type 2 porta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home sleep study test (hst) with type ii portable monitor, unattended; minimum"
} ]
}, {
"code": "G0398",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and"
} ]
}, {
"code": "G0398",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "oxygen saturation"
} ]
}, {
"code": "G0399",
"display": "Home sleep test/type 3 porta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4"
} ]
}, {
"code": "G0399",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen"
} ]
}, {
"code": "G0399",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "saturation"
} ]
}, {
"code": "G0400",
"display": "Home sleep test/type 4 porta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3"
} ]
}, {
"code": "G0400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "channels"
} ]
}, {
"code": "G0402",
"display": "Initial preventive exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial preventive physical examination; face-to-face visit, services limited"
} ]
}, {
"code": "G0402",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to new beneficiary during the first 12 months of medicare enrollment"
} ]
}, {
"code": "G0403",
"display": "Ekg for initial prevent exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrocardiogram, routine ecg with 12 leads; performed as a screening for the"
} ]
}, {
"code": "G0403",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initial preventive physical examination with interpretation and report"
} ]
}, {
"code": "G0404",
"display": "Ekg tracing for initial prev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrocardiogram, routine ecg with 12 leads; tracing only, without"
} ]
}, {
"code": "G0404",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interpretation and report, performed as a screening for the initial preventive"
} ]
}, {
"code": "G0404",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "physical examination"
} ]
}, {
"code": "G0405",
"display": "Ekg interpret & report preve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrocardiogram, routine ecg with 12 leads; interpretation and report only,"
} ]
}, {
"code": "G0405",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performed as a screening for the initial preventive physical examination"
} ]
}, {
"code": "G0406",
"display": "Inpt/tele follow up 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up inpatient consultation, limited, physicians typically spend 15"
} ]
}, {
"code": "G0406",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes communicating with the patient via telehealth"
} ]
}, {
"code": "G0407",
"display": "Inpt/tele follow up 25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up inpatient consultation, intermediate, physicians typically spend 25"
} ]
}, {
"code": "G0407",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes communicating with the patient via telehealth"
} ]
}, {
"code": "G0408",
"display": "Inpt/tele follow up 35",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up inpatient consultation, complex, physicians typically spend 35"
} ]
}, {
"code": "G0408",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes communicating with the patient via telehealth"
} ]
}, {
"code": "G0409",
"display": "Corf related serv 15 mins ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Social work and psychological services, directly relating to and/or furthering"
} ]
}, {
"code": "G0409",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the patient's rehabilitation goals, each 15 minutes, face-to-face; individual"
} ]
}, {
"code": "G0409",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(services provided by a corf-qualified social worker or psychologist in a corf)"
} ]
}, {
"code": "G0410",
"display": "Grp psych php/iop 45-50",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group psychotherapy other than of a multiple-family group, in a partial"
} ]
}, {
"code": "G0410",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospitalization or intensive outpatient setting, approximately 45 to 50 minutes"
} ]
}, {
"code": "G0411",
"display": "Interactive grp psyc php/iop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interactive group psychotherapy, in a partial hospitalization or intensive"
} ]
}, {
"code": "G0411",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outpatient setting, approximately 45 to 50 minutes"
} ]
}, {
"code": "G0412",
"display": "Open tx iliac spine uni/bil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing"
} ]
}, {
"code": "G0412",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do"
} ]
}, {
"code": "G0412",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "not disrupt the pelvic ring includes internal fixation, when performed"
} ]
}, {
"code": "G0413",
"display": "Pelvic ring fracture uni/bil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous skeletal fixation of posterior pelvic bone fracture and/or"
} ]
}, {
"code": "G0413",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or"
} ]
}, {
"code": "G0413",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "bilateral, (includes ilium, sacroiliac joint and/or sacrum)"
} ]
}, {
"code": "G0414",
"display": "Pelvic ring fx treat int fix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Open treatment of anterior pelvic bone fracture and/or dislocation for fracture"
} ]
}, {
"code": "G0414",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patterns which disrupt the pelvic ring, unilateral or bilateral, includes"
} ]
}, {
"code": "G0414",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "internal fixation when performed (includes pubic symphysis and/or"
} ]
}, {
"code": "G0414",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "superior/inferior rami)"
} ]
}, {
"code": "G0415",
"display": "Open tx post pelvic fxcture",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Open treatment of posterior pelvic bone fracture and/or dislocation, for"
} ]
}, {
"code": "G0415",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fracture patterns which disrupt the pelvic ring, unilateral or bilateral,"
} ]
}, {
"code": "G0415",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "includes internal fixation, when performed (includes ilium, sacroiliac joint"
} ]
}, {
"code": "G0415",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "and/or sacrum)"
} ]
}, {
"code": "G0416",
"display": "Prostate biopsy, any mthd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical pathology, gross and microscopic examinations, for prostate needle"
} ]
}, {
"code": "G0416",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "biopsy, any method"
} ]
}, {
"code": "G0417",
"display": "Sat biopsy prostate 21-40",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical pathology, gross and microscopic examination, for prostate needle"
} ]
}, {
"code": "G0417",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "biopsy, any method, 21-40 specimens"
} ]
}, {
"code": "G0418",
"display": "Sat biopsy prostate 41-60",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical pathology, gross and microscopic examination, for prostate needle"
} ]
}, {
"code": "G0418",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "biopsy, any method, 41-60 specimens"
} ]
}, {
"code": "G0419",
"display": "Sat biopsy prostate: >60",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical pathology, gross and microscopic examination, for prostate needle"
} ]
}, {
"code": "G0419",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "biopsy, any method, >60 specimens"
} ]
}, {
"code": "G0420",
"display": "Ed svc ckd ind per session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Face-to-face educational services related to the care of chronic kidney"
} ]
}, {
"code": "G0420",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease; individual, per session, per one hour"
} ]
}, {
"code": "G0421",
"display": "Ed svc ckd grp per session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Face-to-face educational services related to the care of chronic kidney"
} ]
}, {
"code": "G0421",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease; group, per session, per one hour"
} ]
}, {
"code": "G0422",
"display": "Intens cardiac rehab w/exerc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensive cardiac rehabilitation; with or without continuous ecg monitoring"
} ]
}, {
"code": "G0422",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with exercise, per session"
} ]
}, {
"code": "G0423",
"display": "Intens cardiac rehab no exer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensive cardiac rehabilitation; with or without continuous ecg monitoring;"
} ]
}, {
"code": "G0423",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without exercise, per session"
} ]
}, {
"code": "G0424",
"display": "Pulmonary rehab w exer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pulmonary rehabilitation, including exercise (includes monitoring), one hour,"
} ]
}, {
"code": "G0424",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per session, up to two sessions per day"
} ]
}, {
"code": "G0425",
"display": "Inpt/ed teleconsult30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth consultation, emergency department or initial inpatient, typically"
} ]
}, {
"code": "G0425",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "30 minutes communicating with the patient via telehealth"
} ]
}, {
"code": "G0426",
"display": "Inpt/ed teleconsult50",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth consultation, emergency department or initial inpatient, typically"
} ]
}, {
"code": "G0426",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "50 minutes communicating with the patient via telehealth"
} ]
}, {
"code": "G0427",
"display": "Inpt/ed teleconsult70",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth consultation, emergency department or initial inpatient, typically"
} ]
}, {
"code": "G0427",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "70 minutes or more communicating with the patient via telehealth"
} ]
}, {
"code": "G0428",
"display": "Collagen meniscus implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi,"
} ]
}, {
"code": "G0428",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "collagen scaffold, menaflex)"
} ]
}, {
"code": "G0429",
"display": "Dermal filler injection(s)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome"
} ]
}, {
"code": "G0429",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(lds) (e.g., as a result of highly active antiretroviral therapy)"
} ]
}, {
"code": "G0431",
"display": "Drug screen multiple class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug screen, qualitative; multiple drug classes by high complexity test method"
} ]
}, {
"code": "G0431",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., immunoassay, enzyme assay), per patient encounter"
} ]
}, {
"code": "G0432",
"display": "Eia hiv-1/hiv-2 screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious agent antibody detection by enzyme immunoassay (eia) technique,"
} ]
}, {
"code": "G0432",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hiv-1 and/or hiv-2, screening"
} ]
}, {
"code": "G0433",
"display": "Elisa hiv-1/hiv-2 screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious agent antibody detection by enzyme-linked immunosorbent assay"
} ]
}, {
"code": "G0433",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(elisa) technique, hiv-1 and/or hiv-2, screening"
} ]
}, {
"code": "G0434",
"display": "Drug screen multi drug class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug screen, other than chromatographic; any number of drug classes, by clia"
} ]
}, {
"code": "G0434",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "waived test or moderate complexity test, per patient encounter"
} ]
}, {
"code": "G0435",
"display": "Oral hiv-1/hiv-2 screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2,"
} ]
}, {
"code": "G0435",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "screening"
} ]
}, {
"code": "G0436",
"display": "Tobacco-use counsel 3-10 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Smoking and tobacco cessation counseling visit for the asymptomatic patient;"
} ]
}, {
"code": "G0436",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intermediate, greater than 3 minutes, up to 10 minutes"
} ]
}, {
"code": "G0437",
"display": "Tobacco-use counsel>10min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Smoking and tobacco cessation counseling visit for the asymptomatic patient;"
} ]
}, {
"code": "G0437",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intensive, greater than 10 minutes"
} ]
}, {
"code": "G0438",
"display": "Ppps, initial visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual wellness visit; includes a personalized prevention plan of service"
} ]
}, {
"code": "G0438",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(pps), initial visit"
} ]
}, {
"code": "G0439",
"display": "Ppps, subseq visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual wellness visit, includes a personalized prevention plan of service"
} ]
}, {
"code": "G0439",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(pps), subsequent visit"
} ]
}, {
"code": "G0442",
"display": "Annual alcohol screen 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual alcohol misuse screening, 5 to 15 minutes"
} ]
}, {
"code": "G0443",
"display": "Brief alcohol misuse counsel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes"
} ]
}, {
"code": "G0444",
"display": "Depression screen annual",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual depression screening, 5 to 15 minutes"
} ]
}, {
"code": "G0445",
"display": "High inten beh couns std 30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High intensity behavioral counseling to prevent sexually transmitted infection;"
} ]
}, {
"code": "G0445",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "face-to-face, individual, includes: education, skills training and guidance on"
} ]
}, {
"code": "G0445",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "how to change sexual behavior; performed semi-annually, 30 minutes"
} ]
}, {
"code": "G0446",
"display": "Intens behave ther cardio dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual, face-to-face intensive behavioral therapy for cardiovascular disease,"
} ]
}, {
"code": "G0446",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "individual, 15 minutes"
} ]
}, {
"code": "G0447",
"display": "Behavior counsel obesity 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Face-to-face behavioral counseling for obesity, 15 minutes"
} ]
}, {
"code": "G0448",
"display": "Place perm pacing cardiovert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion or replacement of a permanent pacing cardioverter-defibrillator"
} ]
}, {
"code": "G0448",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system with transvenous lead(s), single or dual chamber with insertion of"
} ]
}, {
"code": "G0448",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pacing electrode, cardiac venous system, for left ventricular pacing"
} ]
}, {
"code": "G0451",
"display": "Devlopment test interpt&rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Development testing, with interpretation and report, per standardized"
} ]
}, {
"code": "G0451",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "instrument form"
} ]
}, {
"code": "G0452",
"display": "Molecular pathology interpr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Molecular pathology procedure; physician interpretation and report"
} ]
}, {
"code": "G0453",
"display": "Cont intraop neuro monitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous intraoperative neurophysiology monitoring, from outside the"
} ]
}, {
"code": "G0453",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "operating room (remote or nearby), per patient, (attention directed exclusively"
} ]
}, {
"code": "G0453",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "to one patient) each 15 minutes (list in addition to primary procedure)"
} ]
}, {
"code": "G0454",
"display": "Md document visit by npp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician documentation of face-to-face visit for durable medical equipment"
} ]
}, {
"code": "G0454",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "determination performed by nurse practitioner, physician assistant or clinical"
} ]
}, {
"code": "G0454",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "nurse specialist"
} ]
}, {
"code": "G0455",
"display": "Fecal microbiota prep instil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparation with instillation of fecal microbiota by any method, including"
} ]
}, {
"code": "G0455",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment of donor specimen"
} ]
}, {
"code": "G0456",
"display": "Neg pre wound <=50 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Negative pressure wound therapy, (e.g. vacuum assisted drainage collection)"
} ]
}, {
"code": "G0456",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "using a mechanically-powered device, not durable medical equipment, including"
} ]
}, {
"code": "G0456",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "provision of cartridge and dressing(s), topical application(s), wound"
} ]
}, {
"code": "G0456",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "assessment, and instructions for ongoing care, per session; total wounds(s)"
} ]
}, {
"code": "G0456",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "surface area less than or equal to 50 square centimeters"
} ]
}, {
"code": "G0457",
"display": "Neg pres wound >50 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Negative pressure wound therapy, (e.g. vacuum assisted drainage collection)"
} ]
}, {
"code": "G0457",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "using a mechanically-powered device, not durable medical equipment, including"
} ]
}, {
"code": "G0457",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "provision of cartridge and dressing(s), topical application(s), wound"
} ]
}, {
"code": "G0457",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "assessment, and instructions for ongoing care, per session; total wounds(s)"
} ]
}, {
"code": "G0457",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "surface area greater than 50 square centimeters"
} ]
}, {
"code": "G0458",
"display": "Ldr prostate brachy comp rat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low dose rate (ldr) prostate brachytherapy services, composite rate"
} ]
}, {
"code": "G0459",
"display": "Telehealth inpt pharm mgmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Inpatient telehealth pharmacologic management, including prescription, use, and"
} ]
}, {
"code": "G0459",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "review of medication with no more than minimal medical psychotherapy"
} ]
}, {
"code": "G0460",
"display": "Autolog prp not diab ulcer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Autologous platelet rich plasma or other blood-derived product for non-diabetic"
} ]
}, {
"code": "G0460",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or"
} ]
}, {
"code": "G0460",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mixing, and all other preparatory procedures, administration and dressings, per"
} ]
}, {
"code": "G0460",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treatment"
} ]
}, {
"code": "G0461",
"display": "Immunohisto/cyto chem 1st st",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunohistochemistry or immunocytochemistry, per specimen; first single or"
} ]
}, {
"code": "G0461",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multiplex antibody stain"
} ]
}, {
"code": "G0462",
"display": "Immunohisto/cyto chem add",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunohistochemistry or immunocytochemistry, per specimen; each additional"
} ]
}, {
"code": "G0462",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single or multiplex antibody stain (list separately in addition to code for"
} ]
}, {
"code": "G0462",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "primary procedure)"
} ]
}, {
"code": "G0463",
"display": "Hospital outpt clinic visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospital outpatient clinic visit for assessment and management of a patient"
} ]
}, {
"code": "G0464",
"display": "Colorec ca scr, sto bas dna",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g.,"
} ]
}, {
"code": "G0464",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "kras, ndrg4 and bmp3)"
} ]
}, {
"code": "G0465",
"display": "Autolog prp diab wound ulcer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Autologous platelet rich plasma (prp) or other blood-derived product for"
} ]
}, {
"code": "G0465",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diabetic chronic wounds/ulcers, using an fda-cleared device for this"
} ]
}, {
"code": "G0465",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "indication, (includes as applicable administration, dressings, phlebotomy,"
} ]
}, {
"code": "G0465",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "centrifugation or mixing, and all other preparatory procedures, per treatment)"
} ]
}, {
"code": "G0466",
"display": "Fqhc visit new patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Federally qualified health center (fqhc) visit, new patient; a"
} ]
}, {
"code": "G0466",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medically-necessary, face-to-face encounter (one-on-one) between a new patient"
} ]
}, {
"code": "G0466",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and a fqhc practitioner during which time one or more fqhc services are"
} ]
}, {
"code": "G0466",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "rendered and includes a typical bundle of medicare-covered services that would"
} ]
}, {
"code": "G0466",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "be furnished per diem to a patient receiving a fqhc visit"
} ]
}, {
"code": "G0467",
"display": "Fqhc visit, estab pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Federally qualified health center (fqhc) visit, established patient; a"
} ]
}, {
"code": "G0467",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medically-necessary, face-to-face encounter (one-on-one) between an established"
} ]
}, {
"code": "G0467",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient and a fqhc practitioner during which time one or more fqhc services are"
} ]
}, {
"code": "G0467",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "rendered and includes a typical bundle of medicare-covered services that would"
} ]
}, {
"code": "G0467",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "be furnished per diem to a patient receiving a fqhc visit"
} ]
}, {
"code": "G0468",
"display": "Fqhc visit, ippe or awv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that"
} ]
}, {
"code": "G0468",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes an initial preventive physical examination (ippe) or annual wellness"
} ]
}, {
"code": "G0468",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "visit (awv) and includes a typical bundle of medicare-covered services that"
} ]
}, {
"code": "G0468",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "would be furnished per diem to a patient receiving an ippe or awv"
} ]
}, {
"code": "G0469",
"display": "Fqhc visit, mh new pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Federally qualified health center (fqhc) visit, mental health, new patient; a"
} ]
}, {
"code": "G0469",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medically-necessary, face-to-face mental health encounter (one-on-one) between"
} ]
}, {
"code": "G0469",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "a new patient and a fqhc practitioner during which time one or more fqhc"
} ]
}, {
"code": "G0469",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "services are rendered and includes a typical bundle of medicare-covered"
} ]
}, {
"code": "G0469",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services that would be furnished per diem to a patient receiving a mental"
} ]
}, {
"code": "G0469",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "health visit"
} ]
}, {
"code": "G0470",
"display": "Fqhc visit, mh estab pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Federally qualified health center (fqhc) visit, mental health, established"
} ]
}, {
"code": "G0470",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient; a medically-necessary, face-to-face mental health encounter"
} ]
}, {
"code": "G0470",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(one-on-one) between an established patient and a fqhc practitioner during"
} ]
}, {
"code": "G0470",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "which time one or more fqhc services are rendered and includes a typical bundle"
} ]
}, {
"code": "G0470",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "of medicare-covered services that would be furnished per diem to a patient"
} ]
}, {
"code": "G0470",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "receiving a mental health visit"
} ]
}, {
"code": "G0471",
"display": "Ven blood coll snf/hha",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collection of venous blood by venipuncture or urine sample by catheterization"
} ]
}, {
"code": "G0471",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "from an individual in a skilled nursing facility (snf) or by a laboratory on"
} ]
}, {
"code": "G0471",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "behalf of a home health agency (hha)"
} ]
}, {
"code": "G0472",
"display": "Hep c screen high risk/other",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis c antibody screening, for individual at high risk and other covered"
} ]
}, {
"code": "G0472",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "indication(s)"
} ]
}, {
"code": "G0473",
"display": "Group behave couns 2-10",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes"
} ]
}, {
"code": "G0475",
"display": "Hiv combination assay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hiv antigen/antibody, combination assay, screening"
} ]
}, {
"code": "G0476",
"display": "Hpv combo assay ca screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious agent detection by nucleic acid (dna or rna); human papillomavirus"
} ]
}, {
"code": "G0476",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59,"
} ]
}, {
"code": "G0476",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "68) for cervical cancer screening, must be performed in addition to pap test"
} ]
}, {
"code": "G0477",
"display": "Drug test presump optical",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug test(s), presumptive, any number of drug classes; any number of devices or"
} ]
}, {
"code": "G0477",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedures, (e.g., immunoassay) capable of being read by direct optical"
} ]
}, {
"code": "G0477",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "observation only (e.g., dipsticks, cups, cards, cartridges), includes sample"
} ]
}, {
"code": "G0477",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "validation when performed, per date of service"
} ]
}, {
"code": "G0478",
"display": "Drug test presump opt inst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug test(s), presumptive, any number of drug classes; any number of devices or"
} ]
}, {
"code": "G0478",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedures, (e.g., immunoassay) read by instrument-assisted direct optical"
} ]
}, {
"code": "G0478",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "observation (e.g., dipsticks, cups, cards, cartridges), includes sample"
} ]
}, {
"code": "G0478",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "validation when performed, per date of service"
} ]
}, {
"code": "G0479",
"display": "Drug test presump not opt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug test(s), presumptive, any number of drug classes; any number of devices or"
} ]
}, {
"code": "G0479",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme"
} ]
}, {
"code": "G0479",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "assay, tof, maldi, ldtd, desi, dart, ghpc, gc mass spectrometry), includes"
} ]
}, {
"code": "G0479",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "sample validation when performed, per date of service"
} ]
}, {
"code": "G0480",
"display": "Drug test def 1-7 classes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "identify individual drugs and distinguish between structural isomers (but not"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "necessarily stereoisomers), including, but not limited to gc/ms (any type,"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "single or tandem) and lc/ms (any type, single or tandem and excluding"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g.,"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "alcohol dehydrogenase)), (2) stable isotope or other universally recognized"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "internal standards in all samples (e.g., to control for matrix effects,"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "interferences and variations in signal strength), and (3) method or"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "drug-specific calibration and matrix-matched quality control material (e.g., to"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "control for instrument variations and mass spectral drift); qualitative or"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "quantitative, all sources, includes specimen validity testing, per day; 1-7"
} ]
}, {
"code": "G0480",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "drug class(es), including metabolite(s) if performed"
} ]
}, {
"code": "G0481",
"display": "Drug test def 8-14 classes",
"property": [ {
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}, {
"code": "G0481",
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"code": "seqNum",
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"code": "G0481",
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"code": "seqNum",
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"code": "G0481",
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"code": "seqNum",
"valueString": "00400"
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"code": "G0481",
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"code": "seqNum",
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"code": "G0481",
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"code": "seqNum",
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"value": "alcohol dehydrogenase)), (2) stable isotope or other universally recognized"
} ]
}, {
"code": "G0481",
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"code": "seqNum",
"valueString": "00700"
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}, {
"code": "G0481",
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"code": "seqNum",
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}, {
"code": "G0481",
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"code": "seqNum",
"valueString": "00900"
} ],
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}, {
"code": "G0481",
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"code": "seqNum",
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"code": "G0481",
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"code": "seqNum",
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} ],
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"value": "quantitative, all sources, includes specimen validity testing, per day; 8-14"
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}, {
"code": "G0481",
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"code": "seqNum",
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"value": "drug class(es), including metabolite(s) if performed"
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}, {
"code": "G0482",
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"code": "seqNum",
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} ],
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"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to"
} ]
}, {
"code": "G0482",
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"code": "seqNum",
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} ],
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"value": "identify individual drugs and distinguish between structural isomers (but not"
} ]
}, {
"code": "G0482",
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"code": "seqNum",
"valueString": "00300"
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"value": "necessarily stereoisomers), including, but not limited to gc/ms (any type,"
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}, {
"code": "G0482",
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"code": "seqNum",
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} ],
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}, {
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"code": "seqNum",
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} ],
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}, {
"code": "G0482",
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"code": "seqNum",
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"value": "alcohol dehydrogenase)), (2) stable isotope or other universally recognized"
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}, {
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} ]
}, {
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"code": "seqNum",
"valueString": "01000"
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"designation": [ {
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} ]
}, {
"code": "G0482",
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"code": "seqNum",
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} ],
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"value": "quantitative, all sources, includes specimen validity testing, per day; 15-21"
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}, {
"code": "G0482",
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"code": "seqNum",
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} ],
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"value": "drug class(es), including metabolite(s) if performed"
} ]
}, {
"code": "G0483",
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"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Drug test(s), definitive, utilizing (1) drug identification methods able to"
} ]
}, {
"code": "G0483",
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"code": "seqNum",
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} ],
"designation": [ {
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} ]
}, {
"code": "G0483",
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"code": "seqNum",
"valueString": "00300"
} ],
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"value": "necessarily stereoisomers), including, but not limited to gc/ms (any type,"
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}, {
"code": "G0483",
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"code": "seqNum",
"valueString": "00400"
} ],
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"value": "single or tandem) and lc/ms (any type, single or tandem and excluding"
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}, {
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} ],
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}, {
"code": "G0483",
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"value": "alcohol dehydrogenase)), (2) stable isotope or other universally recognized"
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}, {
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} ],
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}, {
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"code": "seqNum",
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} ],
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"value": "more drug class(es), including metabolite(s) if performed"
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}, {
"code": "G0490",
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} ],
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"value": "Face-to-face home health nursing visit by a rural health clinic (rhc) or"
} ]
}, {
"code": "G0490",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
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}, {
"code": "G0490",
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"code": "seqNum",
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} ],
"designation": [ {
"value": "health agencies; (services limited to rn or lpn only)"
} ]
}, {
"code": "G0491",
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"code": "seqNum",
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} ],
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"value": "Dialysis procedure at a medicare certified esrd facility for acute kidney"
} ]
}, {
"code": "G0491",
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"code": "seqNum",
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} ],
"designation": [ {
"value": "injury without esrd"
} ]
}, {
"code": "G0492",
"display": "Md/oth eval acut kid no esrd",
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"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Dialysis procedure with single evaluation by a physician or other qualified"
} ]
}, {
"code": "G0492",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "health care professional for acute kidney injury without esrd"
} ]
}, {
"code": "G0493",
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"code": "seqNum",
"valueString": "00100"
} ],
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} ]
}, {
"code": "G0493",
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"code": "seqNum",
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} ],
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} ]
}, {
"code": "G0493",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "condition requires skilled nursing personnel to identify and evaluate the"
} ]
}, {
"code": "G0493",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patient's need for possible modification of treatment in the home health or"
} ]
}, {
"code": "G0493",
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"code": "seqNum",
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} ],
"designation": [ {
"value": "hospice setting)"
} ]
}, {
"code": "G0494",
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} ],
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} ]
}, {
"code": "G0494",
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} ],
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} ]
}, {
"code": "G0494",
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} ],
"designation": [ {
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} ]
}, {
"code": "G0494",
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"code": "seqNum",
"valueString": "00400"
} ],
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} ]
}, {
"code": "G0494",
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} ],
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"value": "hospice setting)"
} ]
}, {
"code": "G0495",
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} ],
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} ]
}, {
"code": "G0495",
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"code": "seqNum",
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} ],
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} ]
}, {
"code": "G0495",
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"code": "seqNum",
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} ],
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"value": "minutes"
} ]
}, {
"code": "G0496",
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} ],
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"value": "Skilled services of a licensed practical nurse (lpn), in the training and/or"
} ]
}, {
"code": "G0496",
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"code": "seqNum",
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} ],
"designation": [ {
"value": "education of a patient or family member, in the home health or hospice setting,"
} ]
}, {
"code": "G0496",
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"code": "seqNum",
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} ],
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"value": "each 15 minutes"
} ]
}, {
"code": "G0498",
"display": "Chemo extend iv infus w/pump",
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"code": "seqNum",
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} ],
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"value": "Chemotherapy administration, intravenous infusion technique; initiation of"
} ]
}, {
"code": "G0498",
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} ],
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}, {
"code": "G0498",
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"code": "seqNum",
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} ],
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} ]
}, {
"code": "G0498",
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} ],
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"value": "rest home or assisted living) using a portable pump provided by the"
} ]
}, {
"code": "G0498",
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"code": "seqNum",
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} ],
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"value": "office/clinic, includes follow up office/clinic visit at the conclusion of the"
} ]
}, {
"code": "G0498",
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"code": "seqNum",
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} ],
"designation": [ {
"value": "infusion"
} ]
}, {
"code": "G0499",
"display": "Hepb screen high risk indiv",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis b screening in non-pregnant, high risk individual includes hepatitis"
} ]
}, {
"code": "G0499",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to"
} ]
}, {
"code": "G0499",
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"code": "seqNum",
"valueString": "00300"
} ],
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"value": "hepatitis b core antigen (anti-hbc), and is followed by a neutralizing"
} ]
}, {
"code": "G0499",
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"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "confirmatory test, when performed, only for an initially reactive hbsag result"
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}, {
"code": "G0500",
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"code": "seqNum",
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} ],
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} ]
}, {
"code": "G0500",
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} ],
"designation": [ {
"value": "health care professional performing a gastrointestinal endoscopic service that"
} ]
}, {
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} ],
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"value": "sedation supports, requiring the presence of an independent trained observer to"
} ]
}, {
"code": "G0500",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "assist in the monitoring of the patient's level of consciousness and"
} ]
}, {
"code": "G0500",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
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} ]
}, {
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} ],
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} ]
}, {
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} ],
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} ]
}, {
"code": "G0501",
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} ],
"designation": [ {
"value": "mobility-assistive technology (such as adjustable height chairs or tables,"
} ]
}, {
"code": "G0501",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "patient lift, and adjustable padded leg supports) is medically necessary and"
} ]
}, {
"code": "G0501",
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"code": "seqNum",
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} ],
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"value": "used during the provision of an office/outpatient, evaluation and management"
} ]
}, {
"code": "G0501",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "visit (list separately in addition to primary service)"
} ]
}, {
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"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Initial psychiatric collaborative care management, first 70 minutes in the"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "first calendar month of behavioral health care manager activities, in"
} ]
}, {
"code": "G0502",
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"code": "seqNum",
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} ],
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} ]
}, {
"code": "G0502",
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"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "physician or other qualified health care professional, with the following"
} ]
}, {
"code": "G0502",
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"code": "seqNum",
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} ],
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"value": "required elements: outreach to and engagement in treatment of a patient"
} ]
}, {
"code": "G0502",
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} ],
"designation": [ {
"value": "directed by the treating physician or other qualified health care professional;"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "initial assessment of the patient, including administration of validated rating"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "scales, with the development of an individualized treatment plan; review by"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "the psychiatric consultant with modifications of the plan if recommended;"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "entering patient in a registry and tracking patient follow-up and progress"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
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} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "caseload consultation with the psychiatric consultant; and provision of brief"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "interventions using evidence-based techniques such as behavioral activation,"
} ]
}, {
"code": "G0502",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "motivational interviewing, and other focused treatment strategies"
} ]
}, {
"code": "G0503",
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"code": "seqNum",
"valueString": "00100"
} ],
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} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "subsequent month of behavioral health care manager activities, in consultation"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
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}, {
"code": "G0503",
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"code": "seqNum",
"valueString": "00400"
} ],
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"value": "qualified health care professional, with the following required elements:"
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}, {
"code": "G0503",
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"code": "seqNum",
"valueString": "00500"
} ],
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"value": "tracking patient follow-up and progress using the registry, with appropriate"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "documentation; participation in weekly caseload consultation with the"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "psychiatric consultant; ongoing collaboration with and coordination of the"
} ]
}, {
"code": "G0503",
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"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "patient's mental health care with the treating physician or other qualified"
} ]
}, {
"code": "G0503",
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"valueString": "00900"
} ],
"designation": [ {
"value": "health care professional and any other treating mental health providers;"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "additional review of progress and recommendations for changes in treatment, as"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "indicated, including medications, based on recommendations provided by the"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "psychiatric consultant; provision of brief interventions using evidence-based"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "techniques such as behavioral activation, motivational interviewing, and other"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "focused treatment strategies; monitoring of patient outcomes using validated"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01500"
} ],
"designation": [ {
"value": "rating scales; and relapse prevention planning with patients as they achieve"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01600"
} ],
"designation": [ {
"value": "remission of symptoms and/or other treatment goals and are prepared for"
} ]
}, {
"code": "G0503",
"property": [ {
"code": "seqNum",
"valueString": "01700"
} ],
"designation": [ {
"value": "discharge from active treatment"
} ]
}, {
"code": "G0504",
"display": "Init/sub psych care add 30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial or subsequent psychiatric collaborative care management, each"
} ]
}, {
"code": "G0504",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "additional 30 minutes in a calendar month of behavioral health care manager"
} ]
}, {
"code": "G0504",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "activities, in consultation with a psychiatric consultant, and directed by the"
} ]
}, {
"code": "G0504",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treating physician or other qualified health care professional (list separately"
} ]
}, {
"code": "G0504",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "in addition to code for primary procedure); (use g0504 in conjunction with"
} ]
}, {
"code": "G0504",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "g0502, g0503)"
} ]
}, {
"code": "G0505",
"display": "Cog/func assessment outpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cognition and functional assessment using standardized instruments with"
} ]
}, {
"code": "G0505",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "development of recorded care plan for the patient with cognitive impairment,"
} ]
}, {
"code": "G0505",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "history obtained from patient and/or caregiver, in office or other outpatient"
} ]
}, {
"code": "G0505",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "setting or home or domiciliary or rest home"
} ]
}, {
"code": "G0506",
"display": "Comp asses care plan ccm svc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive assessment of and care planning for patients requiring chronic"
} ]
}, {
"code": "G0506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care management services (list separately in addition to primary monthly care"
} ]
}, {
"code": "G0506",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "management service)"
} ]
}, {
"code": "G0507",
"display": "Care manage serv minimum 20",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Care management services for behavioral health conditions, at least 20 minutes"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of clinical staff time, directed by a physician or other qualified health care"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "professional, per calendar month, with the following required elements: initial"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "assessment or follow-up monitoring, including the use of applicable validated"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "rating scales; behavioral health care planning in relation to"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "behavioral/psychiatric health problems, including revision for patients who are"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "not progressing or whose status changes; facilitating and coordinating"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric"
} ]
}, {
"code": "G0507",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "consultation; and continuity of care with a designated member of the care team"
} ]
}, {
"code": "G0508",
"display": "Crit care telehea consult 60",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth consultation, critical care, initial , physicians typically spend 60"
} ]
}, {
"code": "G0508",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes communicating with the patient and providers via telehealth"
} ]
}, {
"code": "G0509",
"display": "Crit care telehea consult 50",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth consultation, critical care, subsequent, physicians typically spend"
} ]
}, {
"code": "G0509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "50 minutes communicating with the patient and providers via telehealth"
} ]
}, {
"code": "G0511",
"display": "Ccm/bhi by rhc/fqhc 20min mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rural health clinic or federally qualified health center (rhc or fqhc) only,"
} ]
}, {
"code": "G0511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "general care management, 20 minutes or more of clinical staff time for chronic"
} ]
}, {
"code": "G0511",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "care management services or behavioral health integration services directed by"
} ]
}, {
"code": "G0511",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month"
} ]
}, {
"code": "G0512",
"display": "Cocm by rhc/fqhc 60 min mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rural health clinic or federally qualified health center (rhc/fqhc) only,"
} ]
}, {
"code": "G0512",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of"
} ]
}, {
"code": "G0512",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "clinical staff time for psychiatric cocm services directed by an rhc or fqhc"
} ]
}, {
"code": "G0512",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "practitioner (physician, np, pa, or cnm) and including services furnished by a"
} ]
}, {
"code": "G0512",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "behavioral health care manager and consultation with a psychiatric consultant,"
} ]
}, {
"code": "G0512",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "per calendar month"
} ]
}, {
"code": "G0513",
"display": "Prolong prev svcs, first 30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged preventive service(s) (beyond the typical service time of the primary"
} ]
}, {
"code": "G0513",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure), in the office or other outpatient setting requiring direct patient"
} ]
}, {
"code": "G0513",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "contact beyond the usual service; first 30 minutes (list separately in addition"
} ]
}, {
"code": "G0513",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "to code for preventive service)"
} ]
}, {
"code": "G0514",
"display": "Prolong prev svcs, addl 30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged preventive service(s) (beyond the typical service time of the primary"
} ]
}, {
"code": "G0514",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure), in the office or other outpatient setting requiring direct patient"
} ]
}, {
"code": "G0514",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "contact beyond the usual service; each additional 30 minutes (list separately"
} ]
}, {
"code": "G0514",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "in addition to code g0513 for additional 30 minutes of preventive service)"
} ]
}, {
"code": "G0515",
"display": "Cognitive skills development",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Development of cognitive skills to improve attention, memory, problem solving"
} ]
}, {
"code": "G0515",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(includes compensatory training), direct (one-on-one) patient contact, each 15"
} ]
}, {
"code": "G0515",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G0516",
"display": "Insert drug del implant, >=4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of non-biodegradable drug delivery implants, 4 or more (services for"
} ]
}, {
"code": "G0516",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subdermal rod implant)"
} ]
}, {
"code": "G0517",
"display": "Remove drug implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal of non-biodegradable drug delivery implants, 4 or more (services for"
} ]
}, {
"code": "G0517",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subdermal implants)"
} ]
}, {
"code": "G0518",
"display": "Remove w insert drug implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more"
} ]
}, {
"code": "G0518",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(services for subdermal implants)"
} ]
}, {
"code": "G0519",
"display": "New pt-cg dyad dem low cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of new patient-caregiver dyad with dementia, low complexity, for use"
} ]
}, {
"code": "G0519",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in cmmi model"
} ]
}, {
"code": "G0520",
"display": "New pt-cg dyad dem mod cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of new patient-caregiver dyad with dementia, moderate complexity,"
} ]
}, {
"code": "G0520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use in cmmi model"
} ]
}, {
"code": "G0521",
"display": "New pt-cg dyad dem hig cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of new patient-caregiver dyad with dementia, high complexity, for"
} ]
}, {
"code": "G0521",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use in cmmi model"
} ]
}, {
"code": "G0522",
"display": "Mgt nw pt dementia low cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of a new patient with dementia, low complexity, for use in cmmi model"
} ]
}, {
"code": "G0523",
"display": "Mgt nw pt dem mod-high cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of a new patient with dementia, moderate to high complexity, for use"
} ]
}, {
"code": "G0523",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in cmmi model"
} ]
}, {
"code": "G0524",
"display": "Est pt-cg dyad dem low cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of established patient-caregiver dyad with dementia, low complexity,"
} ]
}, {
"code": "G0524",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use in cmmi model"
} ]
}, {
"code": "G0525",
"display": "Est pt-cg dyad dem mod cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of established patient-caregiver dyad with dementia, moderate"
} ]
}, {
"code": "G0525",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complexity, for use in cmmi model"
} ]
}, {
"code": "G0526",
"display": "Est pt-cg dyad dem hig cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of established patient-caregiver dyad with dementia, high"
} ]
}, {
"code": "G0526",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complexity, for use in cmmi model"
} ]
}, {
"code": "G0527",
"display": "Mgt est pt dmentia low cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of established patient with dementia, low complexity, for use in"
} ]
}, {
"code": "G0527",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cmmi model"
} ]
}, {
"code": "G0528",
"display": "Mgt est pt dem mod-hi cmplx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of established patient with dementia, moderate to high complexity,"
} ]
}, {
"code": "G0528",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use in cmmi model"
} ]
}, {
"code": "G0529",
"display": "In home respite care, 4 hr u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In-home respite care, 4-hour unit, for use in cmmi model"
} ]
}, {
"code": "G0530",
"display": "Adult daycare center, 8 hr u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult day center, 8-hour unit, for use in cmmi model"
} ]
}, {
"code": "G0531",
"display": "Fclty-based respite, 24 hr u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Facility-based respite, 24-hour unit, for use in cmmi model"
} ]
}, {
"code": "G0532",
"display": "Take home supp nasal spray",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg"
} ]
}, {
"code": "G0532",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled"
} ]
}, {
"code": "G0532",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "opioid treatment program);( list separately in addition to each primary code)"
} ]
}, {
"code": "G0533",
"display": "Buprenorphone inj weekly",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, buprenorphine (injectable) administered on a"
} ]
}, {
"code": "G0533",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weekly basis; weekly bundle including dispensing and/or administration,"
} ]
}, {
"code": "G0533",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "substance use counseling, individual and group therapy, and toxicology testing"
} ]
}, {
"code": "G0533",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "if performed (provision of the services by a medicare-enrolled opioid treatment"
} ]
}, {
"code": "G0533",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "program)"
} ]
}, {
"code": "G0534",
"display": "Coordinated care/or referral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care and/or referral services, such as to adequate and accessible"
} ]
}, {
"code": "G0534",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "community resources to address unmet health-related social needs, including"
} ]
}, {
"code": "G0534",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "harm reduction interventions and recovery support services a patient needs and"
} ]
}, {
"code": "G0534",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "wishes to pursue, which significantly limit the ability to diagnose or treat an"
} ]
}, {
"code": "G0534",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "opioid use disorder; each additional 30 minutes of services (provision of the"
} ]
}, {
"code": "G0534",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "services by a medicare-enrolled opioid treatment program); (list separately in"
} ]
}, {
"code": "G0534",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "addition to each primary code)"
} ]
}, {
"code": "G0535",
"display": "Pt navigat svs direct/ref",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient navigational services, provided directly or by referral; including"
} ]
}, {
"code": "G0535",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "helping the patient to navigate health systems and identify care providers and"
} ]
}, {
"code": "G0535",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supportive services, to build patient self-advocacy and communication skills"
} ]
}, {
"code": "G0535",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with care providers, and to promote patient-driven action plans and goals; each"
} ]
}, {
"code": "G0535",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "additional 30 minutes of services (provision of the services by a"
} ]
}, {
"code": "G0535",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "medicare-enrolled opioid treatment program); (list separately in addition to"
} ]
}, {
"code": "G0535",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "each primary code)"
} ]
}, {
"code": "G0536",
"display": "Peer recover support svs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peer recovery support services, provided directly or by referral; including"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "leveraging knowledge of the condition or lived experience to provide support,"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mentorship, or inspiration to meet oud treatment and recovery goals; conducting"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "a person-centered interview to understand the patient's life story, strengths,"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "needs, goals, preferences, and desired outcomes; developing and proposing"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "strategies to help meet person-centered treatment goals; assisting the patient"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "in locating or navigating recovery support services; each additional 30 minutes"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "of services (provision of the services by a medicare-enrolled opioid treatment"
} ]
}, {
"code": "G0536",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "program); (list separately in addition to each primary code)"
} ]
}, {
"code": "G0537",
"display": "Risk ascvd tst once pr 12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of a standardized, evidence-based atherosclerotic cardiovascular"
} ]
}, {
"code": "G0537",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12"
} ]
}, {
"code": "G0537",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "months"
} ]
}, {
"code": "G0538",
"display": "Ascvd rsk mng clin stf pr mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Atherosclerotic cardiovascular disease (ascvd) risk management services;"
} ]
}, {
"code": "G0538",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clinical staff time; per calendar month"
} ]
}, {
"code": "G0539",
"display": "Initial care training 30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Caregiver training in behavior management/modification for caregiver(s) of"
} ]
}, {
"code": "G0539",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients with a mental or physical health diagnosis, administered by physician"
} ]
}, {
"code": "G0539",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or other qualified health care professional (without the patient present),"
} ]
}, {
"code": "G0539",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "face-to-face; initial 30 minutes"
} ]
}, {
"code": "G0540",
"display": "Train for caregiver add 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Caregiver training in behavior management/modification for"
} ]
}, {
"code": "G0540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health"
} ]
}, {
"code": "G0540",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis, administered by physician or other qualified health care"
} ]
}, {
"code": "G0540",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "professional (without the patient present), face-to-face; each additional 15"
} ]
}, {
"code": "G0540",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G0541",
"display": "No pt prsnt train initial 30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Caregiver training in direct care strategies and techniques to support care for"
} ]
}, {
"code": "G0541",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients with an ongoing condition or illness and to reduce complications"
} ]
}, {
"code": "G0541",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(including, but not limited to, techniques to prevent decubitus ulcer"
} ]
}, {
"code": "G0541",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "formation, wound care, and infection control) (without the patient present),"
} ]
}, {
"code": "G0541",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "face-to-face; initial 30 minutes"
} ]
}, {
"code": "G0542",
"display": "No pt prsnt train add 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Caregiver training in direct care strategies and techniques to support care for"
} ]
}, {
"code": "G0542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients with an ongoing condition or illness and to reduce complications"
} ]
}, {
"code": "G0542",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(including, but not limited to, techniques to prevent decubitus ulcer"
} ]
}, {
"code": "G0542",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "formation, wound care, and infection control) (without the patient present),"
} ]
}, {
"code": "G0542",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "face-to-face; each additional 15 minutes (list separately in addition to code"
} ]
}, {
"code": "G0542",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "for primary service) (use g0542 in conjunction with g0541)"
} ]
}, {
"code": "G0543",
"display": "Group train w/o patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Group caregiver training in direct care strategies and techniques to support"
} ]
}, {
"code": "G0543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care for patients with an ongoing condition or illness and to reduce"
} ]
}, {
"code": "G0543",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "complications (including, but not limited to, techniques to prevent decubitus"
} ]
}, {
"code": "G0543",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "ulcer formation, wound care, and infection control) (without the patient"
} ]
}, {
"code": "G0543",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "present), face-to-face with multiple sets of caregivers"
} ]
}, {
"code": "G0544",
"display": "Post d/c phone follow up",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Post discharge telephonic follow-up contacts performed in conjunction with a"
} ]
}, {
"code": "G0544",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge from the emergency department for behavioral health or other crisis"
} ]
}, {
"code": "G0544",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "encounter, 4 calls per calendar month"
} ]
}, {
"code": "G0545",
"display": "Inherent visit to inpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Visit complexity inherent to hospital inpatient or observation care associated"
} ]
}, {
"code": "G0545",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with a confirmed or suspected infectious disease by an infectious diseases"
} ]
}, {
"code": "G0545",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "specialist, including disease transmission risk assessment and mitigation,"
} ]
}, {
"code": "G0545",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "public health investigation, analysis, and testing, and complex antimicrobial"
} ]
}, {
"code": "G0545",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "therapy counseling and treatment (add-on code, list separately in addition to"
} ]
}, {
"code": "G0545",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "hospital inpatient or observation evaluation and management visit, initial,"
} ]
}, {
"code": "G0545",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "same day discharge, subsequent or discharge)"
} ]
}, {
"code": "G0546",
"display": "Phone/internet ehr assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record assessment and"
} ]
}, {
"code": "G0546",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management service provided by a practitioner in a specialty whose covered"
} ]
}, {
"code": "G0546",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services are limited by statute to services for the diagnosis and treatment of"
} ]
}, {
"code": "G0546",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mental illness, including a verbal and written report to the patient's"
} ]
}, {
"code": "G0546",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "treating/requesting practitioner; 5-10 minutes of medical consultative"
} ]
}, {
"code": "G0546",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "discussion and review"
} ]
}, {
"code": "G0547",
"display": "Phone/internet svs 11-20 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record assessment and"
} ]
}, {
"code": "G0547",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management service provided by a practitioner in a specialty whose covered"
} ]
}, {
"code": "G0547",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services are limited by statute to services for the diagnosis and treatment of"
} ]
}, {
"code": "G0547",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mental illness, including a verbal and written report to the patient's"
} ]
}, {
"code": "G0547",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "treating/requesting practitioner; 11-20 minutes of medical consultative"
} ]
}, {
"code": "G0547",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "discussion and review"
} ]
}, {
"code": "G0548",
"display": "Phone/inter svs 21-30 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record assessment and"
} ]
}, {
"code": "G0548",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management service provided by a practitioner in a specialty whose covered"
} ]
}, {
"code": "G0548",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services are limited by statute to services for the diagnosis and treatment of"
} ]
}, {
"code": "G0548",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mental illness, including a verbal and written report to the patient's"
} ]
}, {
"code": "G0548",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "treating/requesting practitioner; 21-30 minutes of medical consultative"
} ]
}, {
"code": "G0548",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "discussion and review"
} ]
}, {
"code": "G0549",
"display": "Phone/inter for treat>31m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record assessment and"
} ]
}, {
"code": "G0549",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management service provided by a practitioner in a specialty whose covered"
} ]
}, {
"code": "G0549",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services are limited by statute to services for the diagnosis and treatment of"
} ]
}, {
"code": "G0549",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mental illness, including a verbal and written report to the patient's"
} ]
}, {
"code": "G0549",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "treating/requesting practitioner; 31 or more minutes of medical consultative"
} ]
}, {
"code": "G0549",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "discussion and review"
} ]
}, {
"code": "G0550",
"display": "Phone/inter for dx/treat >5m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record assessment and"
} ]
}, {
"code": "G0550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management service provided by a practitioner in a specialty whose covered"
} ]
}, {
"code": "G0550",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services are limited by statute to services for the diagnosis and treatment of"
} ]
}, {
"code": "G0550",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mental illness, including a written report to the patient's treating/requesting"
} ]
}, {
"code": "G0550",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "practitioner, 5 minutes or more of medical consultative time"
} ]
}, {
"code": "G0551",
"display": "Phn/intr svs fr dx treat 30m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record referral"
} ]
}, {
"code": "G0551",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "service(s) provided by a treating/requesting practitioner in a specialty whose"
} ]
}, {
"code": "G0551",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "covered services are limited by statute to services for the diagnosis and"
} ]
}, {
"code": "G0551",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treatment of mental illness, 30 minutes"
} ]
}, {
"code": "G0552",
"display": "Supply of digital device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supply of digital mental health treatment device and initial education and"
} ]
}, {
"code": "G0552",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "onboarding, per course of treatment that augments a behavioral therapy plan"
} ]
}, {
"code": "G0553",
"display": "Monthly tx for dmht 20mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "First 20 minutes of monthly treatment management services directly related to"
} ]
}, {
"code": "G0553",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the patient's therapeutic use of the digital mental health treatment (dmht)"
} ]
}, {
"code": "G0553",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "device that augments a behavioral therapy plan, physician/other qualified"
} ]
}, {
"code": "G0553",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "health care professional time reviewing information related to the use of the"
} ]
}, {
"code": "G0553",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "dmht device, including patient observations and patient specific inputs in a"
} ]
}, {
"code": "G0553",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "calendar month and requiring at least one interactive communication with the"
} ]
}, {
"code": "G0553",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "patient/caregiver during the calendar month"
} ]
}, {
"code": "G0554",
"display": "Add 20 m of monthly tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Each additional 20 minutes of monthly treatment management services directly"
} ]
}, {
"code": "G0554",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "related to the patient's therapeutic use of the digital mental health treatment"
} ]
}, {
"code": "G0554",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(dmht) device that augments a behavioral therapy plan, physician/other"
} ]
}, {
"code": "G0554",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "qualified health care professional time reviewing data generated from the dmht"
} ]
}, {
"code": "G0554",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "device from patient observations and patient specific inputs in a calendar"
} ]
}, {
"code": "G0554",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "month and requiring at least one interactive communication with the"
} ]
}, {
"code": "G0554",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "patient/caregiver during the calendar month"
} ]
}, {
"code": "G0555",
"display": "Replacment pt electronic sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Provision of replacement patient electronics system (e.g., system pillow,"
} ]
}, {
"code": "G0555",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "handheld reader) for home pulmonary artery pressure monitoring"
} ]
}, {
"code": "G0556",
"display": "Adv prim care mgmt lvl 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advanced primary care management services for a patient with one chronic"
} ]
}, {
"code": "G0556",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
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} ],
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} ],
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} ]
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} ]
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} ],
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}, {
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} ],
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} ]
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} ],
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} ]
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} ]
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} ]
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} ]
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} ]
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} ]
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} ],
"designation": [ {
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} ]
}, {
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} ],
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} ]
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} ]
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} ]
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} ],
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} ]
}, {
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"designation": [ {
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} ]
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} ],
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} ]
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} ],
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} ]
}, {
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} ]
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} ]
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} ],
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} ]
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} ],
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} ]
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} ],
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} ]
}, {
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} ]
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} ],
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} ]
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} ],
"designation": [ {
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} ]
}, {
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} ],
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} ]
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
"code": "G0556",
"property": [ {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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"property": [ {
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} ],
"designation": [ {
"value": "care team/practitioner regarding the beneficiary's care through the use of"
} ]
}, {
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"property": [ {
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} ],
"designation": [ {
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} ]
}, {
"code": "G0556",
"property": [ {
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} ],
"designation": [ {
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} ]
}, {
"code": "G0556",
"property": [ {
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"valueString": "05000"
} ],
"designation": [ {
"value": "communication-technology based services, including remote evaluation of"
} ]
}, {
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"property": [ {
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"valueString": "05100"
} ],
"designation": [ {
"value": "pre-recorded patient information and interprofessional telephone/internet/ehr"
} ]
}, {
"code": "G0556",
"property": [ {
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"valueString": "05200"
} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
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} ],
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} ]
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
"value": "more) chronic conditions expected to last at least 12 months, or until the"
} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
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} ],
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} ]
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} ],
"designation": [ {
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} ]
}, {
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"property": [ {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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"property": [ {
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} ],
"designation": [ {
"value": "any time (effective at the end of the calendar month); and that cost sharing"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "may apply. ++ document in patient's medical record that consent was obtained."
} ]
}, {
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"valueString": "01300"
} ],
"designation": [ {
"value": "initiation during a qualifying visit for new patients or patients not seen"
} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
"code": "G0557",
"property": [ {
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} ],
"designation": [ {
"value": "team/practitioner, including providing patients/caregivers with a way to"
} ]
}, {
"code": "G0557",
"property": [ {
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} ],
"designation": [ {
"value": "contact health care professionals in the practice to discuss urgent needs"
} ]
}, {
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"property": [ {
"code": "seqNum",
"valueString": "01700"
} ],
"designation": [ {
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} ]
}, {
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"property": [ {
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} ],
"designation": [ {
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} ]
}, {
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"property": [ {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
"value": "needs assessment (medical and psychosocial). ++ system-based approaches to"
} ]
}, {
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} ],
"designation": [ {
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"designation": [ {
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"designation": [ {
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} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
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} ]
}, {
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"property": [ {
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"valueString": "02700"
} ],
"designation": [ {
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} ]
}, {
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"valueString": "02800"
} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
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} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03000"
} ],
"designation": [ {
"value": "among health care providers and settings, including referrals to other"
} ]
}, {
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} ],
"designation": [ {
"value": "clinicians and follow-up after an emergency department visit and discharges"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03200"
} ],
"designation": [ {
"value": "from hospitals, skilled nursing facilities or other health care facilities as"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03300"
} ],
"designation": [ {
"value": "applicable; ++ ensure timely exchange of electronic health information with"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03400"
} ],
"designation": [ {
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} ]
}, {
"code": "G0557",
"property": [ {
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"valueString": "03500"
} ],
"designation": [ {
"value": "timely follow-up communication (direct contact, telephone, electronic) with the"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03600"
} ],
"designation": [ {
"value": "patient and/or caregiver after an emergency department visit and discharges"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03700"
} ],
"designation": [ {
"value": "from hospitals, skilled nursing facilities, or other health care facilities,"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "03800"
} ],
"designation": [ {
"value": "within 7 calendar days of discharge, as clinically indicated. ongoing"
} ]
}, {
"code": "G0557",
"property": [ {
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"valueString": "03900"
} ],
"designation": [ {
"value": "communication and coordinating receipt of needed services from practitioners,"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04000"
} ],
"designation": [ {
"value": "home- and community-based service providers, community-based social service"
} ]
}, {
"code": "G0557",
"property": [ {
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"valueString": "04100"
} ],
"designation": [ {
"value": "providers, hospitals, and skilled nursing facilities (or other health care"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04200"
} ],
"designation": [ {
"value": "facilities), and document communication regarding the patient's psychosocial"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04300"
} ],
"designation": [ {
"value": "strengths and needs, functional deficits, goals, preferences, and desired"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04400"
} ],
"designation": [ {
"value": "outcomes, including cultural and linguistic factors, in the patient's medical"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04500"
} ],
"designation": [ {
"value": "record; enhanced opportunities for the beneficiary and any caregiver to"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04600"
} ],
"designation": [ {
"value": "communicate with the care team/practitioner regarding the beneficiary's care"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04700"
} ],
"designation": [ {
"value": "through the use of asynchronous non-face-to-face consultation methods other"
} ]
}, {
"code": "G0557",
"property": [ {
"code": "seqNum",
"valueString": "04800"
} ],
"designation": [ {
"value": "than telephone, such as secure messaging, email, internet, or patient portal,"
} ]
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} ]
}, {
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"designation": [ {
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} ]
}, {
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} ]
}, {
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}, {
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} ],
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}, {
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"designation": [ {
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}, {
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} ],
"designation": [ {
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}, {
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} ],
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}, {
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} ],
"designation": [ {
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} ]
}, {
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} ],
"designation": [ {
"value": "radiopharmaceutical-directed radiation therapy treatment planning (i.e.,"
} ]
}, {
"code": "G0562",
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} ],
"designation": [ {
"value": "modeling)"
} ]
}, {
"code": "G0563",
"display": "Sbrt w/positron emission del",
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} ],
"designation": [ {
"value": "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or"
} ]
}, {
"code": "G0563",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "more lesions, including image guidance and real-time positron emissions-based"
} ]
}, {
"code": "G0563",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "delivery adjustments to 1 or more lesions, entire course not to exceed 5"
} ]
}, {
"code": "G0563",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "fractions"
} ]
}, {
"code": "G0564",
"display": "365 d implant glucose sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Creation of subcutaneous pocket with insertion of 365 day implantable"
} ]
}, {
"code": "G0564",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interstitial glucose sensor, including system activation and patient training"
} ]
}, {
"code": "G0565",
"display": "Rem/ins glu snsr 365 dif sit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal of implantable interstitial glucose sensor with creation of"
} ]
}, {
"code": "G0565",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subcutaneous pocket at different anatomic site and insertion of new 365 day"
} ]
}, {
"code": "G0565",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "implantable sensor, including system activation"
} ]
}, {
"code": "G0659",
"display": "Drug test def simple all cl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug test(s), definitive, utilizing drug identification methods able to"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "identify individual drugs and distinguish between structural isomers (but not"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "necessarily stereoisomers), including but not limited to gc/ms (any type,"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "single or tandem) and lc/ms (any type, single or tandem), excluding"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g.,"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "alcohol dehydrogenase), performed without method or drug-specific calibration,"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "without matrix-matched quality control material, or without use of stable"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "isotope or other universally recognized internal standard(s) for each drug,"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "drug metabolite or drug class per specimen; qualitative or quantitative, all"
} ]
}, {
"code": "G0659",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "sources, includes specimen validity testing, per day, any number of drug classes"
} ]
}, {
"code": "G0908",
"display": "Hgb > 12 g/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent hemoglobin (hgb) level > 12.0 g/dl"
} ]
}, {
"code": "G0909",
"display": "Hbg not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemoglobin level measurement not documented, reason not given"
} ]
}, {
"code": "G0910",
"display": "Hgb <= 12 g/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent hemoglobin level <= 12.0 g/dl"
} ]
}, {
"code": "G0913",
"display": "Improve visual funct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Improvement in visual function achieved within 90 days following cataract"
} ]
}, {
"code": "G0913",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgery"
} ]
}, {
"code": "G0914",
"display": "Survey not complete",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient care survey was not completed by patient"
} ]
}, {
"code": "G0915",
"display": "No improve visual funct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Improvement in visual function not achieved within 90 days following cataract"
} ]
}, {
"code": "G0915",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgery"
} ]
}, {
"code": "G0916",
"display": "Satisfy with care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Satisfaction with care achieved within 90 days following cataract surgery"
} ]
}, {
"code": "G0917",
"display": "Care survey not complete",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient care survey was not completed by patient"
} ]
}, {
"code": "G0918",
"display": "No satisfy with care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Satisfaction with care not achieved within 90 days following cataract surgery"
} ]
}, {
"code": "G0919",
"display": "Flu immunize not avail",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization ordered or recommended (to be given at alternate"
} ]
}, {
"code": "G0919",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "location or alternate provider); vaccine not available at time of visit"
} ]
}, {
"code": "G0920",
"display": "Type loc act doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Type, anatomic location, and activity all documented"
} ]
}, {
"code": "G0921",
"display": "Doc pt reas no assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not being able to assess (e.g., patient"
} ]
}, {
"code": "G0921",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "refuses endoscopic and/or radiologic assessment)"
} ]
}, {
"code": "G0922",
"display": "Type loc act not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of disease type, anatomic location, and activity, reason not"
} ]
}, {
"code": "G0922",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G1000",
"display": "Cdsm applied pathways",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism applied pathways, as defined by the"
} ]
}, {
"code": "G1000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare appropriate use criteria program"
} ]
}, {
"code": "G1001",
"display": "Cdsm evicore",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism evicore, as defined by the medicare"
} ]
}, {
"code": "G1001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1002",
"display": "Cdsm medcurrent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism medcurrent, as defined by the medicare"
} ]
}, {
"code": "G1002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1003",
"display": "Cdsm medicalis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism medicalis, as defined by the medicare"
} ]
}, {
"code": "G1003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1004",
"display": "Cdsm ndsc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism national decision support company, as"
} ]
}, {
"code": "G1004",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1005",
"display": "Cdsm nia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism national imaging associates, as defined by"
} ]
}, {
"code": "G1005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the medicare appropriate use criteria program"
} ]
}, {
"code": "G1006",
"display": "Cdsm test approp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism test appropriate, as defined by the"
} ]
}, {
"code": "G1006",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare appropriate use criteria program"
} ]
}, {
"code": "G1007",
"display": "Cdsm aim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism aim specialty health, as defined by the"
} ]
}, {
"code": "G1007",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare appropriate use criteria program"
} ]
}, {
"code": "G1008",
"display": "Cdsm cranberry pk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism cranberry peak, as defined by the medicare"
} ]
}, {
"code": "G1008",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1009",
"display": "Cdsm sage health",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism sage health management solutions, as"
} ]
}, {
"code": "G1009",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1010",
"display": "Cdsm stanson",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism stanson, as defined by the medicare"
} ]
}, {
"code": "G1010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1011",
"display": "Cdsm qualified nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism, qualified tool not otherwise specified, as"
} ]
}, {
"code": "G1011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1012",
"display": "Cdsm agilemd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism agilemd, as defined by the medicare"
} ]
}, {
"code": "G1012",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1013",
"display": "Cdsm evidencecare",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism evidencecare imagingcare, as defined by the"
} ]
}, {
"code": "G1013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare appropriate use criteria program"
} ]
}, {
"code": "G1014",
"display": "Cdsm inveniqa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism inveniqa semantic answers in medicine, as"
} ]
}, {
"code": "G1014",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1015",
"display": "Cdsm reliant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism reliant medical group, as defined by the"
} ]
}, {
"code": "G1015",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare appropriate use criteria program"
} ]
}, {
"code": "G1016",
"display": "Cdsm speed of care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism speed of care, as defined by the medicare"
} ]
}, {
"code": "G1016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1017",
"display": "Cdsm healthhelp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism healthhelp, as defined by the medicare"
} ]
}, {
"code": "G1017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1018",
"display": "Cdsm infinx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism infinx, as defined by the medicare"
} ]
}, {
"code": "G1018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1019",
"display": "Cdsm logicnets",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism logicnets, as defined by the medicare"
} ]
}, {
"code": "G1019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1020",
"display": "Cdsm curbside",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism curbside clinical augmented workflow, as"
} ]
}, {
"code": "G1020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1021",
"display": "Cdsm ehealthline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism ehealthline clinical decision support"
} ]
}, {
"code": "G1021",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism, as defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1022",
"display": "Cdsm intermountain",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism intermountain clinical decision support"
} ]
}, {
"code": "G1022",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism, as defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1023",
"display": "Cdsm persivia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism persivia clinical decision support, as"
} ]
}, {
"code": "G1023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "defined by the medicare appropriate use criteria program"
} ]
}, {
"code": "G1024",
"display": "Cdsm radrite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinical decision support mechanism radrite, as defined by the medicare"
} ]
}, {
"code": "G1024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriate use criteria program"
} ]
}, {
"code": "G1025",
"display": "Pt mnth 1 mcp prov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient-months where there are more than one medicare capitated payment (mcp)"
} ]
}, {
"code": "G1025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "provider listed for the month"
} ]
}, {
"code": "G1026",
"display": "Pt hemo > 3mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The number of adult patient-months in the denominator who were on maintenance"
} ]
}, {
"code": "G1026",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hemodialysis using a catheter continuously for three months or longer under the"
} ]
}, {
"code": "G1026",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "care of the same practitioner or group partner as of the last hemodialysis"
} ]
}, {
"code": "G1026",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "session of the reporting month"
} ]
}, {
"code": "G1027",
"display": "Pt hemo < 3mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The number of adult patient-months in the denominator who were on maintenance"
} ]
}, {
"code": "G1027",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hemodialysis under the care of the same practitioner or group partner as of the"
} ]
}, {
"code": "G1027",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "last hemodialysis session of the reporting month using a catheter continuously"
} ]
}, {
"code": "G1027",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "for less than three months"
} ]
}, {
"code": "G1028",
"display": "Take home supply 8mg per 0.1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray"
} ]
}, {
"code": "G1028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(provision of the services by a medicare-enrolled opioid treatment program);"
} ]
}, {
"code": "G1028",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "list separately in addition to code for primary procedure"
} ]
}, {
"code": "G2000",
"display": "Blinded conv. tx mdd clin tr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blinded administration of convulsive therapy procedure, either"
} ]
}, {
"code": "G2000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electroconvulsive therapy (ect, current covered gold standard) or magnetic"
} ]
}, {
"code": "G2000",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "seizure therapy (mst, non-covered experimental therapy), performed in an"
} ]
}, {
"code": "G2000",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "approved ide-based clinical trial, per treatment session"
} ]
}, {
"code": "G2001",
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} ],
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} ]
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"value": "more than 9 times.)"
} ]
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} ],
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}, {
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} ],
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} ]
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} ],
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} ]
}, {
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} ],
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"value": "facility within 90 days following discharge from an inpatient facility and no"
} ]
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"value": "more than 9 times.)"
} ]
}, {
"code": "G2007",
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} ],
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}, {
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} ],
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"value": "more than 9 times.)"
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"code": "G2008",
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} ],
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"value": "Moderate (45 minutes) in-home visit for an existing patient post-discharge. for"
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} ],
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"value": "more than 9 times.)"
} ]
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"code": "G2009",
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} ],
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"value": "Comprehensive (60 minutes) in-home visit for an existing patient"
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} ]
}, {
"code": "G2009",
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} ],
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}, {
"code": "G2009",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
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"value": "living and/or nursing facility within 90 days following discharge from an"
} ]
}, {
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} ],
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"value": "inpatient facility and no more than 9 times.)"
} ]
}, {
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} ],
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} ]
}, {
"code": "G2010",
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} ],
"designation": [ {
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} ]
}, {
"code": "G2010",
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"code": "seqNum",
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} ],
"designation": [ {
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} ]
}, {
"code": "G2010",
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"code": "seqNum",
"valueString": "00400"
} ],
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"value": "service provided within the previous 7 days nor leading to an e/m service or"
} ]
}, {
"code": "G2010",
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} ],
"designation": [ {
"value": "procedure within the next 24 hours or soonest available appointment"
} ]
}, {
"code": "G2011",
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"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Alcohol and/or substance (other than tobacco) misuse structured assessment"
} ]
}, {
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} ],
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} ]
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} ],
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} ]
}, {
"code": "G2012",
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}, {
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}, {
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}, {
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}, {
"code": "G2012",
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} ],
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}, {
"code": "G2013",
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"value": "Extensive (75 minutes) in-home visit for an existing patient post-discharge."
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}, {
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}, {
"code": "G2013",
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}, {
"code": "G2013",
"property": [ {
"code": "seqNum",
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} ],
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"value": "nursing facility within 90 days following discharge from an inpatient facility"
} ]
}, {
"code": "G2013",
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"code": "seqNum",
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} ],
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"value": "and no more than 9 times.)"
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}, {
"code": "G2014",
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} ],
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}, {
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} ],
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}, {
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"code": "seqNum",
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} ],
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}, {
"code": "G2014",
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"code": "seqNum",
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} ],
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"value": "following discharge from an inpatient facility and no more than 9 times.)"
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} ],
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} ]
}, {
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} ],
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}, {
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} ],
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"value": "facility within 90 days following discharge from an inpatient facility.)"
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} ],
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} ]
}, {
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} ],
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"value": "engagement and outreach of beneficiaries assigned to the sip component of the"
} ]
}, {
"code": "G2020",
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} ],
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"value": "pcf model (do not bill with chronic care management codes)"
} ]
}, {
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} ],
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"value": "Health care practitioners rendering treatment in place (tip)"
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}, {
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} ],
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} ]
}, {
"code": "G2022",
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"code": "seqNum",
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} ],
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"value": "services covered under the model (transport to an alternate"
} ]
}, {
"code": "G2022",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "destination/treatment in place)"
} ]
}, {
"code": "G2023",
"display": "Specimen collect covid-19",
"property": [ {
"code": "seqNum",
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} ],
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"value": "Specimen collection for severe acute respiratory syndrome coronavirus 2"
} ]
}, {
"code": "G2023",
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"code": "seqNum",
"valueString": "00200"
} ],
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"value": "(sars-cov-2) (coronavirus disease [covid-19]), any specimen source"
} ]
}, {
"code": "G2024",
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"code": "seqNum",
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} ],
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"value": "Specimen collection for severe acute respiratory syndrome coronavirus 2"
} ]
}, {
"code": "G2024",
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"code": "seqNum",
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} ],
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"value": "(sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or"
} ]
}, {
"code": "G2024",
"property": [ {
"code": "seqNum",
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} ],
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"value": "by a laboratory on behalf of a hha, any specimen source"
} ]
}, {
"code": "G2025",
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"code": "seqNum",
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} ],
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"value": "Payment for a telehealth distant site service furnished by a rural health"
} ]
}, {
"code": "G2025",
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"code": "seqNum",
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} ],
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"value": "clinic (rhc) or federally qualified health center (fqhc) only"
} ]
}, {
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} ],
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}, {
"code": "G2058",
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"code": "seqNum",
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} ],
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"value": "time directed by a physician or other qualified health care professional, per"
} ]
}, {
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"code": "seqNum",
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} ],
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"value": "calendar month (list separately in addition to code for primary procedure). (do"
} ]
}, {
"code": "G2058",
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} ],
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"value": "not report g2058 for care management services of less than 20 minutes"
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}, {
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} ],
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} ]
}, {
"code": "G2058",
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"code": "seqNum",
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} ],
"designation": [ {
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} ]
}, {
"code": "G2058",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "g2058 in the same calendar month as 99487, 99489, 99491))."
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} ],
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"value": "Qualified nonphysician healthcare professional online assessment and management"
} ]
}, {
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} ],
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"value": "service, for an established patient, for up to seven days, cumulative time"
} ]
}, {
"code": "G2061",
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"code": "seqNum",
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} ],
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"value": "during the 7 days; 5-10 minutes"
} ]
}, {
"code": "G2062",
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} ],
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"value": "Qualified nonphysician healthcare professional online assessment and management"
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}, {
"code": "G2062",
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} ],
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"value": "service, for an established patient, for up to seven days, cumulative time"
} ]
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"code": "G2062",
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"code": "seqNum",
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} ],
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"value": "during the 7 days; 11-20 minutes"
} ]
}, {
"code": "G2063",
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"code": "seqNum",
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} ],
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"value": "Qualified nonphysician healthcare professional online assessment and management"
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}, {
"code": "G2063",
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"code": "seqNum",
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} ],
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"value": "service, for an established patient, for up to seven days, cumulative time"
} ]
}, {
"code": "G2063",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the 7 days; 21 or more minutes"
} ]
}, {
"code": "G2064",
"display": "Md mang high risk dx 30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive care management services for a single high-risk disease, e.g.,"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "principal care management, at least 30 minutes of physician or other qualified"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "health care professional time per calendar month with the following elements:"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "one complex chronic condition lasting at least 3 months, which is the focus"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "of the care plan, the condition is of sufficient severity to place patient at"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "risk of hospitalization or have been the cause of a recent hospitalization, the"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "condition requires development or revision of disease-specific care plan, the"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "condition requires frequent adjustments in the medication regimen, and/or the"
} ]
}, {
"code": "G2064",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "management of the condition is unusually complex due to comorbidities"
} ]
}, {
"code": "G2065",
"display": "Clin mang h risk dx 30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive care management for a single high-risk disease services, e.g."
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "principal care management, at least 30 minutes of clinical staff time directed"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "by a physician or other qualified health care professional, per calendar month"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with the following elements: one complex chronic condition lasting at least 3"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "months, which is the focus of the care plan, the condition is of sufficient"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "severity to place patient at risk of hospitalization or have been cause of a"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "recent hospitalization, the condition requires development or revision of"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "disease-specific care plan, the condition requires frequent adjustments in the"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "medication regimen, and/or the management of the condition is unusually complex"
} ]
}, {
"code": "G2065",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "due to comorbidities"
} ]
}, {
"code": "G2066",
"display": "Inter devc remote 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interrogation device evaluation(s), (remote) up to 30 days; implantable"
} ]
}, {
"code": "G2066",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cardiovascular physiologic monitor system, implantable loop recorder system, or"
} ]
}, {
"code": "G2066",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt"
} ]
}, {
"code": "G2066",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of transmissions and technician review, technical support and distribution of"
} ]
}, {
"code": "G2066",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "results"
} ]
}, {
"code": "G2067",
"display": "Med assist tx meth wk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, methadone; weekly bundle including dispensing"
} ]
}, {
"code": "G2067",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or administration, substance use counseling, individual and group therapy,"
} ]
}, {
"code": "G2067",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and toxicology testing, if performed (provision of the services by a"
} ]
}, {
"code": "G2067",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2068",
"display": "Med assist tx bupre oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, buprenorphine (oral); weekly bundle including"
} ]
}, {
"code": "G2068",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dispensing and/or administration, substance use counseling, individual and"
} ]
}, {
"code": "G2068",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "group therapy, and toxicology testing if performed (provision of the services"
} ]
}, {
"code": "G2068",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "by a medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2069",
"display": "Med assist tx inject",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, buprenorphine (injectable) administered on a"
} ]
}, {
"code": "G2069",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monthly basis; bundle including dispensing and/or administration, substance use"
} ]
}, {
"code": "G2069",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "counseling, individual and group therapy, and toxicology testing if performed"
} ]
}, {
"code": "G2069",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(provision of the services by a medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2070",
"display": "Med assist tx implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, buprenorphine (implant insertion); weekly bundle"
} ]
}, {
"code": "G2070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including dispensing and/or administration, substance use counseling,"
} ]
}, {
"code": "G2070",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "individual and group therapy, and toxicology testing if performed (provision of"
} ]
}, {
"code": "G2070",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the services by a medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2071",
"display": "Med tx remove implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, buprenorphine (implant removal); weekly bundle"
} ]
}, {
"code": "G2071",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including dispensing and/or administration, substance use counseling,"
} ]
}, {
"code": "G2071",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "individual and group therapy, and toxicology testing if performed (provision of"
} ]
}, {
"code": "G2071",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the services by a medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2072",
"display": "Med tx insert/remove imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, buprenorphine (implant insertion and removal);"
} ]
}, {
"code": "G2072",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weekly bundle including dispensing and/or administration, substance use"
} ]
}, {
"code": "G2072",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "counseling, individual and group therapy, and toxicology testing if performed"
} ]
}, {
"code": "G2072",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(provision of the services by a medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2073",
"display": "Med tx naltrexone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, naltrexone; weekly bundle including dispensing"
} ]
}, {
"code": "G2073",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or administration, substance use counseling, individual and group therapy,"
} ]
}, {
"code": "G2073",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and toxicology testing if performed (provision of the services by a"
} ]
}, {
"code": "G2073",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-enrolled opioid treatment program)"
} ]
}, {
"code": "G2074",
"display": "Med assist tx no drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication assisted treatment, weekly bundle not including the drug, including"
} ]
}, {
"code": "G2074",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "substance use counseling, individual and group therapy, and toxicology testing"
} ]
}, {
"code": "G2074",
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"valueString": "00300"
} ],
"designation": [ {
"value": "if performed (provision of the services by a medicare-enrolled opioid treatment"
} ]
}, {
"code": "G2074",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "program)"
} ]
}, {
"code": "G2075",
"display": "Med tx meds nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Medication assisted treatment, medication not otherwise specified; weekly"
} ]
}, {
"code": "G2075",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bundle including dispensing and/or administration, substance use counseling,"
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}, {
"code": "G2075",
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"code": "seqNum",
"valueString": "00300"
} ],
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"value": "individual and group therapy, and toxicology testing, if performed (provision"
} ]
}, {
"code": "G2075",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of the services by a medicare-enrolled opioid treatment program)"
} ]
}, {
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"display": "Intake act w/med exam",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intake activities, including initial medical examination that is conducted by"
} ]
}, {
"code": "G2076",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "an appropriately licensed practitioner and preparation of a care plan, which"
} ]
}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "may be informed by administration of a standardized, evidence-based social"
} ]
}, {
"code": "G2076",
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"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "determinants of health risk assessment to identify unmet health-related social"
} ]
}, {
"code": "G2076",
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"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "needs, and that includes the patient's goals and mutually agreed-upon actions"
} ]
}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "for the patient to meet those goals, including harm reduction interventions;"
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}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "the patient's needs and goals in the areas of education, vocational training,"
} ]
}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "and employment; and the medical and psychiatric, psychosocial, economic, legal,"
} ]
}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "housing, and other recovery support services that a patient needs and wishes to"
} ]
}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "pursue, conducted by an appropriately licensed/credentialed personnel"
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}, {
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"property": [ {
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"valueString": "01100"
} ],
"designation": [ {
"value": "(provision of the services by a medicare-enrolled opioid treatment program);"
} ]
}, {
"code": "G2076",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "list separately in addition to each primary code"
} ]
}, {
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"display": "Periodic assessment",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Periodic assessment; assessing periodically by an otp practitioner and includes"
} ]
}, {
"code": "G2077",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
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"value": "a review of moud dosing, treatment response, other substance use disorder"
} ]
}, {
"code": "G2077",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment needs, responses and patient-identified goals, and other relevant"
} ]
}, {
"code": "G2077",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "physical and psychiatric treatment needs and goals; assessment may be informed"
} ]
}, {
"code": "G2077",
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"valueString": "00500"
} ],
"designation": [ {
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} ]
}, {
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"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
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} ]
}, {
"code": "G2077",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "need and interest for harm reduction interventions and recovery support"
} ]
}, {
"code": "G2077",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "services (provision of the services by a medicare-enrolled opioid treatment"
} ]
}, {
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"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "program); list separately in addition to each primary code"
} ]
}, {
"code": "G2078",
"display": "Take-home meth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Take-home supply of methadone; up to 7 additional day supply (provision of the"
} ]
}, {
"code": "G2078",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services by a medicare-enrolled opioid treatment program); list separately in"
} ]
}, {
"code": "G2078",
"property": [ {
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"valueString": "00300"
} ],
"designation": [ {
"value": "addition to code for primary procedure"
} ]
}, {
"code": "G2079",
"display": "Take-hom buprenorphine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Take-home supply of buprenorphine (oral); up to 7 additional day supply"
} ]
}, {
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(provision of the services by a medicare-enrolled opioid treatment program);"
} ]
}, {
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"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "list separately in addition to code for primary procedure"
} ]
}, {
"code": "G2080",
"display": "Add 30 mins counsel",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Each additional 30 minutes of counseling in a week of medication assisted"
} ]
}, {
"code": "G2080",
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"valueString": "00200"
} ],
"designation": [ {
"value": "treatment, (provision of the services by a medicare-enrolled opioid treatment"
} ]
}, {
"code": "G2080",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "program); list separately in addition to code for primary procedure"
} ]
}, {
"code": "G2081",
"display": "Pt 66+ snp or ltc pos > 90d",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients age 66 and older in institutional special needs plans (snp) or"
} ]
}, {
"code": "G2081",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than"
} ]
}, {
"code": "G2081",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "90 consecutive days during the measurement period"
} ]
}, {
"code": "G2082",
"display": "Visit esketamine 56m or less",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Office or other outpatient visit for the evaluation and management of an"
} ]
}, {
"code": "G2082",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "established patient that requires the supervision of a physician or other"
} ]
}, {
"code": "G2082",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "qualified health care professional and provision of up to 56 mg of esketamine"
} ]
}, {
"code": "G2082",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "nasal self-administration, includes 2 hours post-administration observation"
} ]
}, {
"code": "G2083",
"display": "Visit esketamine, > 56m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Office or other outpatient visit for the evaluation and management of an"
} ]
}, {
"code": "G2083",
"property": [ {
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"valueString": "00200"
} ],
"designation": [ {
"value": "established patient that requires the supervision of a physician or other"
} ]
}, {
"code": "G2083",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "qualified health care professional and provision of greater than 56 mg"
} ]
}, {
"code": "G2083",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "esketamine nasal self-administration, includes 2 hours post-administration"
} ]
}, {
"code": "G2083",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "observation"
} ]
}, {
"code": "G2086",
"display": "Off base opioid tx 70min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Office-based treatment for opioid use disorder, including development of the"
} ]
}, {
"code": "G2086",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment plan, care coordination, individual therapy and group therapy and"
} ]
}, {
"code": "G2086",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "counseling; at least 70 minutes in the first calendar month"
} ]
}, {
"code": "G2087",
"display": "Off base opioid tx, 60 m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Office-based treatment for opioid use disorder, including care coordination,"
} ]
}, {
"code": "G2087",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "individual therapy and group therapy and counseling; at least 60 minutes in a"
} ]
}, {
"code": "G2087",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "subsequent calendar month"
} ]
}, {
"code": "G2088",
"display": "Off base opioid tx, add30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Office-based treatment for opioid use disorder, including care coordination,"
} ]
}, {
"code": "G2088",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "individual therapy and group therapy and counseling; each additional 30 minutes"
} ]
}, {
"code": "G2088",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beyond the first 120 minutes (list separately in addition to code for primary"
} ]
}, {
"code": "G2088",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "procedure)"
} ]
}, {
"code": "G2089",
"display": "A1c level 7 to 9%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0%"
} ]
}, {
"code": "G2090",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and a dispensed medication for dementia"
} ]
}, {
"code": "G2090",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2091",
"display": "Pt 66+ frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2091",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and an advanced illness diagnosis during"
} ]
}, {
"code": "G2091",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2092",
"display": "Ace arb arni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker"
} ]
}, {
"code": "G2092",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or"
} ]
}, {
"code": "G2092",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "currently being taken"
} ]
}, {
"code": "G2093",
"display": "Med doc rsn no ace arn arni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing ace inhibitor or arb or"
} ]
}, {
"code": "G2093",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "arni therapy (e.g., hypotensive patients who are at immediate risk of"
} ]
}, {
"code": "G2093",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cardiogenic shock, hospitalized patients who have experienced marked azotemia,"
} ]
}, {
"code": "G2093",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "allergy, intolerance, other medical reasons)"
} ]
}, {
"code": "G2094",
"display": "Pt rsn no ace arn arni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not prescribing ace inhibitor or arb or"
} ]
}, {
"code": "G2094",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "arni therapy (e.g., patient declined, other patient reasons)"
} ]
}, {
"code": "G2095",
"display": "Sys rsn no ace arn arni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of system reason(s) for not prescribing ace inhibitor or arb or"
} ]
}, {
"code": "G2095",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "arni therapy (e.g., other system reasons)"
} ]
}, {
"code": "G2096",
"display": "No rsn ace arb arni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker"
} ]
}, {
"code": "G2096",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not"
} ]
}, {
"code": "G2096",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prescribed, reason not given"
} ]
}, {
"code": "G2097",
"display": "Dx uri 3d after other dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Episodes where the patient had a competing diagnosis on or within three days"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after the episode date (e.g., intestinal infection, pertussis, bacterial"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "infection, lyme disease, otitis media, acute sinusitis, chronic sinusitis,"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "infection of the adenoids, prostatitis, cellulitis, mastoiditis, or bone"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "infections, acute lymphadenitis, impetigo, skin staph infections,"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia,"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "inflammatory diseases [female reproductive organs]), infections of the kidney,"
} ]
}, {
"code": "G2097",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "cystitis or uti)"
} ]
}, {
"code": "G2098",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2098",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and a dispensed medication for dementia"
} ]
}, {
"code": "G2098",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2099",
"display": "Pt 66+ frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2099",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and an advanced illness diagnosis during"
} ]
}, {
"code": "G2099",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2100",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2100",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and a dispensed medication for dementia"
} ]
}, {
"code": "G2100",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2101",
"display": "Pt 66+ frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2101",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and an advanced illness diagnosis during"
} ]
}, {
"code": "G2101",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2102",
"display": "Dil retinal eye exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated retinal eye exam with interpretation by an ophthalmologist or"
} ]
}, {
"code": "G2102",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "optometrist documented and reviewed"
} ]
}, {
"code": "G2103",
"display": "7 stereo photos interpret",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seven standard field stereoscopic photos with interpretation by an"
} ]
}, {
"code": "G2103",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ophthalmologist or optometrist documented and reviewed"
} ]
}, {
"code": "G2104",
"display": "Eye img valid w/7 stereo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eye imaging validated to match diagnosis from seven standard field stereoscopic"
} ]
}, {
"code": "G2104",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "photos results documented and reviewed"
} ]
}, {
"code": "G2105",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "G2105",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90"
} ]
}, {
"code": "G2105",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the measurement period"
} ]
}, {
"code": "G2106",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2106",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and a dispensed medication for dementia"
} ]
}, {
"code": "G2106",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2107",
"display": "Pt 66+ frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2107",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and an advanced illness diagnosis during"
} ]
}, {
"code": "G2107",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2108",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "G2108",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90"
} ]
}, {
"code": "G2108",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the measurement period"
} ]
}, {
"code": "G2109",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2109",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and a dispensed medication for dementia"
} ]
}, {
"code": "G2109",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2110",
"display": "Pt 66+ frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and either one acute inpatient encounter"
} ]
}, {
"code": "G2110",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with a diagnosis of advanced illness or two outpatient, observation, ed or"
} ]
}, {
"code": "G2110",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "nonacute inpatient encounters on different dates of service with an advanced"
} ]
}, {
"code": "G2110",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "illness diagnosis during the measurement period or the year prior to the"
} ]
}, {
"code": "G2110",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "measurement period"
} ]
}, {
"code": "G2112",
"display": "Pred<=5 mg ra glu <6m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving <=5 mg daily prednisone (or equivalent), or ra activity is"
} ]
}, {
"code": "G2112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "worsening, or glucocorticoid use is for less than 6 months"
} ]
}, {
"code": "G2113",
"display": "Pred>5 mg >6m, no chg da",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6"
} ]
}, {
"code": "G2113",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "months, and improvement or no change in disease activity"
} ]
}, {
"code": "G2114",
"display": "Pt 66-80 frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2114",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and a dispensed medication for dementia during"
} ]
}, {
"code": "G2114",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2115",
"display": "Pt 66-80 frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 - 80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2115",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and a dispensed medication for dementia during"
} ]
}, {
"code": "G2115",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2116",
"display": "Pt 66-80 frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 - 80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2116",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and an advanced illness diagnosis during the"
} ]
}, {
"code": "G2116",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2117",
"display": "Pt 66-80 frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2117",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and either one acute inpatient encounter with a"
} ]
}, {
"code": "G2117",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis of advanced illness or two outpatient, observation, ed or nonacute"
} ]
}, {
"code": "G2117",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "inpatient encounters on different dates of service with an advanced illness"
} ]
}, {
"code": "G2117",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "diagnosis during the measurement period or the year prior to the measurement"
} ]
}, {
"code": "G2117",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G2118",
"display": "Pt 81+ frailty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 81 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2118",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period"
} ]
}, {
"code": "G2119",
"display": "Calc vitd opt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Within the past 2 years, calcium and/or vitamin d optimization has been ordered"
} ]
}, {
"code": "G2119",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or performed"
} ]
}, {
"code": "G2120",
"display": "No calc vitd opt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Within the past 2 years, calcium and/or vitamin d optimization has not been"
} ]
}, {
"code": "G2120",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ordered or performed"
} ]
}, {
"code": "G2121",
"display": "Psy dep anx ap and icd asse",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Depression, anxiety, apathy, and psychosis assessed"
} ]
}, {
"code": "G2122",
"display": "Psy/dep/anx/apandicd noasse",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Depression, anxiety, apathy, and psychosis not assessed"
} ]
}, {
"code": "G2123",
"display": "Pt 66-80 frailty med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age and had at least one claim/encounter for frailty"
} ]
}, {
"code": "G2123",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and either one acute inpatient encounter with a"
} ]
}, {
"code": "G2123",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis of advanced illness or two outpatient, observation, ed or nonacute"
} ]
}, {
"code": "G2123",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "inpatient encounters on different dates of service with an advanced illness"
} ]
}, {
"code": "G2123",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "diagnosis during the measurement period or the year prior to the measurement"
} ]
}, {
"code": "G2123",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G2124",
"display": "Pt 66-80 frailty adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age and had at least one claim/encounter for frailty"
} ]
}, {
"code": "G2124",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and a dispensed dementia medication"
} ]
}, {
"code": "G2125",
"display": "Pt 81+ frailty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 81 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "G2125",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the six months prior to the measurement period through december"
} ]
}, {
"code": "G2125",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "31 of the measurement period"
} ]
}, {
"code": "G2126",
"display": "Pt 66-80 frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2126",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and an advanced illness diagnosis during the"
} ]
}, {
"code": "G2126",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2127",
"display": "Pt 66-80 frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2127",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and a dispensed medication for dementia during"
} ]
}, {
"code": "G2127",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2128",
"display": "No aspirin med rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not on a daily aspirin or other"
} ]
}, {
"code": "G2128",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antiplatelet (e.g. history of gastrointestinal bleed, intra-cranial bleed,"
} ]
}, {
"code": "G2128",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "blood disorders, idiopathic thrombocytopenic purpura (itp), gastric bypass or"
} ]
}, {
"code": "G2128",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "documentation of active anticoagulant use during the measurement period)"
} ]
}, {
"code": "G2129",
"display": "No bp outpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procedure-related bp's not taken during an outpatient visit. examples include"
} ]
}, {
"code": "G2129",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "same day surgery, ambulatory service center, g.i. lab, dialysis, infusion"
} ]
}, {
"code": "G2129",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "center, chemotherapy"
} ]
}, {
"code": "G2130",
"display": "Pt 66+ lt inst > 90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "G2130",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 days"
} ]
}, {
"code": "G2130",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period"
} ]
}, {
"code": "G2131",
"display": "Pt 81+ frailty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 81 years and older with a diagnosis of frailty"
} ]
}, {
"code": "G2132",
"display": "Pt 66-80 frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2132",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and a dispensed medication for dementia during"
} ]
}, {
"code": "G2132",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2133",
"display": "Pt 66-80 frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66-80 years of age with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2133",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and either one acute inpatient encounter with a"
} ]
}, {
"code": "G2133",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis of advanced illness or two outpatient, observation, ed or nonacute"
} ]
}, {
"code": "G2133",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "inpatient encounters on different dates of service with an advanced illness"
} ]
}, {
"code": "G2133",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "diagnosis during the measurement period or the year prior to the measurement"
} ]
}, {
"code": "G2133",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G2134",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age or older with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2134",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and a dispensed medication for dementia during"
} ]
}, {
"code": "G2134",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "G2135",
"display": "Pt 66+ frailty and adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age or older with at least one claim/encounter for frailty"
} ]
}, {
"code": "G2135",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period and either one acute inpatient encounter with a"
} ]
}, {
"code": "G2135",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis of advanced illness or two outpatient, observation, ed or nonacute"
} ]
}, {
"code": "G2135",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "inpatient encounters on different dates of service with an advanced illness"
} ]
}, {
"code": "G2135",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "diagnosis during the measurement period or the year prior to the measurement"
} ]
}, {
"code": "G2135",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G2136",
"display": "Bk pain vas 6-20wk <= 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2136",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or"
} ]
}, {
"code": "G2136",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "back pain measured by the visual analog scale (vas) or numeric pain scale"
} ]
}, {
"code": "G2136",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "within three months preoperatively and at three months (6 - 20 weeks)"
} ]
}, {
"code": "G2136",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "postoperatively demonstrated an improvement of 5.0 points or greater"
} ]
}, {
"code": "G2137",
"display": "Bk pain vas 6-20wk > 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2137",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three months (6 - 20 weeks) postoperatively was greater than 3.0 and back pain"
} ]
}, {
"code": "G2137",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measured by the visual analog scale (vas) or numeric pain scale within three"
} ]
}, {
"code": "G2137",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months preoperatively and at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "G2137",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated improvement of less than 5.0 points"
} ]
}, {
"code": "G2138",
"display": "Bk pain vas 9-15mo <= 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain as measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2138",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "one year (9 to 15 months) postoperatively was less than or equal to 3.0 or back"
} ]
}, {
"code": "G2138",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pain measured by the visual analog scale (vas) or numeric pain scale within"
} ]
}, {
"code": "G2138",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "three months preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "G2138",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated an improvement of 5.0 points or greater"
} ]
}, {
"code": "G2139",
"display": "Bk pain vas 9-15mo > 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2139",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "one year (9 to 15 months) postoperatively was greater than 3.0 and back pain"
} ]
}, {
"code": "G2139",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measured by the visual analog scale (vas) or numeric pain scale within three"
} ]
}, {
"code": "G2139",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "G2139",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated improvement of less than 5.0 points"
} ]
}, {
"code": "G2140",
"display": "Leg pain vas 6-20wk <= 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2140",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or"
} ]
}, {
"code": "G2140",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "leg pain measured by the visual analog scale (vas) or numeric pain scale within"
} ]
}, {
"code": "G2140",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "three months preoperatively and at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "G2140",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated an improvement of 5.0 points or greater"
} ]
}, {
"code": "G2141",
"display": "Leg pain vas 6-20wk > 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2141",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three months (6 - 20 weeks) postoperatively was greater than 3.0 and leg pain"
} ]
}, {
"code": "G2141",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measured by the visual analog scale (vas) or numeric pain scale within three"
} ]
}, {
"code": "G2141",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months preoperatively and at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "G2141",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated improvement of less than 5.0 points"
} ]
}, {
"code": "G2142",
"display": "Fs odi 9-15mo postop<= 22",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measured by the oswestry disability index (odi version 2.1a)"
} ]
}, {
"code": "G2142",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at one year (9 to 15 months) postoperatively was less than or equal to 22 or"
} ]
}, {
"code": "G2142",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "functional status measured by the odi version 2.1a within three months"
} ]
}, {
"code": "G2142",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "preoperatively and at one year (9 to 15 months) postoperatively demonstrated an"
} ]
}, {
"code": "G2142",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "improvement of 30 points or greater"
} ]
}, {
"code": "G2143",
"display": "Fs odi 9-15mo > 22",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measured by the oswestry disability index (odi version 2.1a)"
} ]
}, {
"code": "G2143",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at one year (9 to 15 months) postoperatively was greater than 22 and functional"
} ]
}, {
"code": "G2143",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "status measured by the odi version 2.1a within three months preoperatively and"
} ]
}, {
"code": "G2143",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "at one year (9 to 15 months) postoperatively demonstrated an improvement of"
} ]
}, {
"code": "G2143",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "less than 30 points"
} ]
}, {
"code": "G2144",
"display": "Fs odi 6-20wk postop <= 22",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measured by the oswestry disability index (odi version 2.1a)"
} ]
}, {
"code": "G2144",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at three months (6-20 weeks) postoperatively was less than or equal to 22 or"
} ]
}, {
"code": "G2144",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "functional status measured by the odi version 2.1a within three months"
} ]
}, {
"code": "G2144",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "preoperatively and at three months (6-20 weeks) postoperatively demonstrated an"
} ]
}, {
"code": "G2144",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "improvement of 30 points or greater"
} ]
}, {
"code": "G2145",
"display": "Fsodi 6-20wk >22 or chg 30pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measured by the oswestry disability index (odi version 2.1a)"
} ]
}, {
"code": "G2145",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at three months (6 - 20 weeks) postoperatively was greater than 22 and"
} ]
}, {
"code": "G2145",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "functional status measured by the odi version 2.1a within three months"
} ]
}, {
"code": "G2145",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated"
} ]
}, {
"code": "G2145",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "an improvement of less than 30 points"
} ]
}, {
"code": "G2146",
"display": "Leg pain vas 9-15mo <= 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain as measured by the visual analog scale (vas) or numeric pain scale at"
} ]
}, {
"code": "G2146",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg"
} ]
}, {
"code": "G2146",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pain measured by the visual analog scale (vas) or numeric pain scale within"
} ]
}, {
"code": "G2146",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "three months preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "G2146",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated an improvement of 5.0 points or greater"
} ]
}, {
"code": "G2147",
"display": "Leg pain vas 9-15mo > 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain measured by the visual analog scale (vas) or numeric pain scale at one"
} ]
}, {
"code": "G2147",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "year (9 to 15 months) postoperatively was greater than 3.0 and leg pain"
} ]
}, {
"code": "G2147",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measured by the visual analog scale (vas) or numeric pain scale within three"
} ]
}, {
"code": "G2147",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "G2147",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstrated improvement of less than 5.0 points"
} ]
}, {
"code": "G2148",
"display": "Mpm used",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multimodal pain management was used"
} ]
}, {
"code": "G2149",
"display": "No mpm med rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not using multimodal pain management"
} ]
}, {
"code": "G2149",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., allergy to multiple classes of analgesics, intubated patient, hepatic"
} ]
}, {
"code": "G2149",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "failure, patient reports no pain during pacu stay, other medical reason(s))"
} ]
}, {
"code": "G2150",
"display": "No mpm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multimodal pain management was not used"
} ]
}, {
"code": "G2151",
"display": "Dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "G2151",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "G2151",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "G2152",
"display": "Res change sc >=0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the neck impairment successfully calculated and the score"
} ]
}, {
"code": "G2152",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "was equal to zero (0) or greater than zero (> 0)"
} ]
}, {
"code": "G2153",
"display": "Hosp dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In hospice or using hospice services during the measurement period"
} ]
}, {
"code": "G2154",
"display": "Td 9 yrs start end meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received at least one td vaccine or one tdap vaccine between nine years"
} ]
}, {
"code": "G2154",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to the start of the measurement period and the end of the measurement"
} ]
}, {
"code": "G2154",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G2155",
"display": "Hist contraindications",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had history of at least one of the following contraindications any time"
} ]
}, {
"code": "G2155",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during or before the measurement period: anaphylaxis due to tdap vaccine,"
} ]
}, {
"code": "G2155",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "anaphylaxis due to td vaccine or its components; encephalopathy due to tdap or"
} ]
}, {
"code": "G2155",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "td vaccination (post tetanus vaccination encephalitis, post diphtheria"
} ]
}, {
"code": "G2155",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "vaccination encephalitis or post pertussis vaccination encephalitis.)"
} ]
}, {
"code": "G2156",
"display": "No prior td or hx contra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive at least one td vaccine or one tdap vaccine between"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nine years prior to the start of the measurement period and the end of the"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period; or have history of at least one of the following"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "contraindications any time during or before the measurement period: anaphylaxis"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "due to tdap vaccine, anaphylaxis due to td vaccine or its components;"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "encephalopathy due to tdap or td vaccination (post tetanus vaccination"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "encephalitis, post diphtheria vaccination encephalitis or post pertussis"
} ]
}, {
"code": "G2156",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "vaccination encephalitis.)"
} ]
}, {
"code": "G2157",
"display": "Pneum vacc 12 mo 60+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients received both the 13-valent pneumococcal conjugate vaccine and the"
} ]
}, {
"code": "G2157",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with"
} ]
}, {
"code": "G2157",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the first occurrence after the age of 60 before or during the measurement period"
} ]
}, {
"code": "G2158",
"display": "Pneum vacc adv rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had prior pneumococcal vaccine adverse reaction any time during or"
} ]
}, {
"code": "G2158",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "before the measurement period"
} ]
}, {
"code": "G2159",
"display": "No pneum vacc 12 mo 60+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive both the 13-valent pneumococcal conjugate vaccine and"
} ]
}, {
"code": "G2159",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart,"
} ]
}, {
"code": "G2159",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with the first occurrence after the age of 60 before or during measurement"
} ]
}, {
"code": "G2159",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "period; or have prior pneumococcal vaccine adverse reaction any time during or"
} ]
}, {
"code": "G2159",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "before the measurement period"
} ]
}, {
"code": "G2160",
"display": "Herpzos 50+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received at least one dose of the herpes zoster live vaccine or two"
} ]
}, {
"code": "G2160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime"
} ]
}, {
"code": "G2160",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "on or after the patient's 50th birthday before or during the measurement period"
} ]
}, {
"code": "G2161",
"display": "Adv rx zos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had prior adverse reaction caused by zoster vaccine or its components"
} ]
}, {
"code": "G2161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any time during or before the measurement period"
} ]
}, {
"code": "G2162",
"display": "No herpzos 50+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive at least one dose of the herpes zoster live vaccine or"
} ]
}, {
"code": "G2162",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "two doses of the herpes zoster recombinant vaccine (at least 28 days apart)"
} ]
}, {
"code": "G2162",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "anytime on or after the patient's 50th birthday before or during the"
} ]
}, {
"code": "G2162",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "measurement period; or have prior adverse reaction caused by zoster vaccine or"
} ]
}, {
"code": "G2162",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "its components any time during or before the measurement period"
} ]
}, {
"code": "G2163",
"display": "Infl vacc 07/01 to 06/30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received an influenza vaccine on or between july 1 of the year prior to"
} ]
}, {
"code": "G2163",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the measurement period and june 30 of the measurement period"
} ]
}, {
"code": "G2164",
"display": "Adv rx infl vacc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had a prior influenza virus vaccine adverse reaction any time before or"
} ]
}, {
"code": "G2164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period"
} ]
}, {
"code": "G2165",
"display": "No infl vacc 07/01 to 06/30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive an influenza vaccine on or between july 1 of the year"
} ]
}, {
"code": "G2165",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to the measurement period and june 30 of the measurement period; or did"
} ]
}, {
"code": "G2165",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "not have a prior influenza virus vaccine adverse reaction any time before or"
} ]
}, {
"code": "G2165",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "during the measurement period"
} ]
}, {
"code": "G2166",
"display": "No pt adm dx no neck fs prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate at admission and/or discharge; patient unable to"
} ]
}, {
"code": "G2166",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete the neck fs prom at admission or discharge due to cognitive deficit,"
} ]
}, {
"code": "G2166",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "visual deficit, motor deficit, language barrier, or low reading level, and a"
} ]
}, {
"code": "G2166",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "suitable proxy/recorder is not available; patient self-discharged early;"
} ]
}, {
"code": "G2166",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medical reason"
} ]
}, {
"code": "G2167",
"display": "Res change sc < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the neck impairment successfully calculated and the score"
} ]
}, {
"code": "G2167",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "was less than zero (< 0)"
} ]
}, {
"code": "G2168",
"display": "Svs by pt in home health",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a physical therapist assistant in the home health setting"
} ]
}, {
"code": "G2168",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in the delivery of a safe and effective physical therapy maintenance program,"
} ]
}, {
"code": "G2168",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "each 15 minutes"
} ]
}, {
"code": "G2169",
"display": "Svs by ot in home health",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by an occupational therapist assistant in the home health"
} ]
}, {
"code": "G2169",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "setting in the delivery of a safe and effective occupational therapy"
} ]
}, {
"code": "G2169",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "maintenance program, each 15 minutes"
} ]
}, {
"code": "G2170",
"display": "Avf by tissue w thermal e",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue"
} ]
}, {
"code": "G2170",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "approximation using thermal resistance energy, and secondary procedures to"
} ]
}, {
"code": "G2170",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization)"
} ]
}, {
"code": "G2170",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "when performed, and includes all imaging and radiologic guidance, supervision"
} ]
}, {
"code": "G2170",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and interpretation, when performed"
} ]
}, {
"code": "G2171",
"display": "Avf use magnetic/art/ven",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous arteriovenous fistula creation (avf), direct, any site, using"
} ]
}, {
"code": "G2171",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "magnetic-guided arterial and venous catheters and radiofrequency energy,"
} ]
}, {
"code": "G2171",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including flow-directing procedures (e.g., vascular coil embolization with"
} ]
}, {
"code": "G2171",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "radiologic supervision and interpretation, wen performed) and fistulogram(s),"
} ]
}, {
"code": "G2171",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "angiography, enography, and/or ultrasound, with radiologic supervision and"
} ]
}, {
"code": "G2171",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "interpretation, when performed"
} ]
}, {
"code": "G2172",
"display": "Tx for opioid use demo proj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All inclusive payment for services related to highly coordinated and integrated"
} ]
}, {
"code": "G2172",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "opioid use disorder (oud) treatment services furnished for the demonstration"
} ]
}, {
"code": "G2172",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "project"
} ]
}, {
"code": "G2173",
"display": "Uri w comorb 12m oth dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Uri episodes where the patient had a comorbid condition during the 12 months"
} ]
}, {
"code": "G2173",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to or on the episode date (e.g., tuberculosis, neutropenia, cystic"
} ]
}, {
"code": "G2173",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fibrosis, chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid"
} ]
}, {
"code": "G2173",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "lung disease)"
} ]
}, {
"code": "G2174",
"display": "Uri new rx antibiotic 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Uri episodes where the patient is taking antibiotics (table 1) in the 30 days"
} ]
}, {
"code": "G2174",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to the episode date"
} ]
}, {
"code": "G2175",
"display": "Pt comorb dx 12m of epi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Episodes where the patient had a comorbid condition during the 12 months prior"
} ]
}, {
"code": "G2175",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to or on the episode date (e.g., tuberculosis, neutropenia, cystic fibrosis,"
} ]
}, {
"code": "G2175",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chronic bronchitis, pulmonary edema, respiratory failure, rheumatoid lung"
} ]
}, {
"code": "G2175",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease)"
} ]
}, {
"code": "G2176",
"display": "Outpt ed obs w inpt admit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Outpatient, ed, or observation visits that result in an inpatient admission"
} ]
}, {
"code": "G2177",
"display": "Bronch w rx antibx 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acute bronchitis/bronchiolitis episodes when the patient had a new or refill"
} ]
}, {
"code": "G2177",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription of antibiotics (table 1) in the 30 days prior to the episode date"
} ]
}, {
"code": "G2178",
"display": "Pt not elig low neuro ex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for lower"
} ]
}, {
"code": "G2178",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extremity neurological exam measure, for example patient bilateral amputee;"
} ]
}, {
"code": "G2178",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient has condition that would not allow them to accurately respond to a"
} ]
}, {
"code": "G2178",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "neurological exam (dementia, alzheimer's, etc.); patient has previously"
} ]
}, {
"code": "G2178",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "documented diabetic peripheral neuropathy with loss of protective sensation"
} ]
}, {
"code": "G2179",
"display": "Med doc rsn no low ex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient had medical reason for not performing lower"
} ]
}, {
"code": "G2179",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extremity neurological exam"
} ]
}, {
"code": "G2180",
"display": "Inelig footwr eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for evaluation"
} ]
}, {
"code": "G2180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of footwear as patient is bilateral lower extremity amputee"
} ]
}, {
"code": "G2181",
"display": "Bmi not doc medrsn ptref",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi not documented due to medical reason or patient refusal of height or weight"
} ]
}, {
"code": "G2181",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measurement"
} ]
}, {
"code": "G2182",
"display": "Pt 1st biolog antirheum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving first-time biologic and/or immune response modifier therapy"
} ]
}, {
"code": "G2183",
"display": "Doc pt unable comm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation patient unable to communicate and informant not available"
} ]
}, {
"code": "G2184",
"display": "No caregiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient does not have a caregiver"
} ]
}, {
"code": "G2185",
"display": "Caregiver dem trained",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation caregiver is trained and certified in dementia care"
} ]
}, {
"code": "G2186",
"display": "Pt ref app rsrcs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient /caregiver dyad has been referred to appropriate resources and"
} ]
}, {
"code": "G2186",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "connection to those resources is confirmed"
} ]
}, {
"code": "G2187",
"display": "Clin ind img hd trauma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: head trauma"
} ]
}, {
"code": "G2188",
"display": "Pt 50 yrs w/clin ind hd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: new or change in"
} ]
}, {
"code": "G2188",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "headache above 50 years of age"
} ]
}, {
"code": "G2189",
"display": "Img hd abnml neuro exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: abnormal neurologic"
} ]
}, {
"code": "G2189",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "exam"
} ]
}, {
"code": "G2190",
"display": "Ind img hd rad neck",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: headache radiating"
} ]
}, {
"code": "G2190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to the neck"
} ]
}, {
"code": "G2191",
"display": "Ind img hd pos hd ache",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: positional headaches"
} ]
}, {
"code": "G2192",
"display": ">55 yrs temp hd ache",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: temporal headaches"
} ]
}, {
"code": "G2192",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in patients over 55 years of age"
} ]
}, {
"code": "G2193",
"display": "<6yr new onset hd ache",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: new onset headache"
} ]
}, {
"code": "G2193",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in pre-school children or younger (<6 years of age)"
} ]
}, {
"code": "G2194",
"display": "New hdache ped pt dis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: new onset headache"
} ]
}, {
"code": "G2194",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in pediatric patients with disabilities for which headache is a concern as"
} ]
}, {
"code": "G2194",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "inferred from behavior"
} ]
}, {
"code": "G2195",
"display": "Occip hdache child",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head: occipital headache"
} ]
}, {
"code": "G2195",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in children"
} ]
}, {
"code": "G2196",
"display": "Screen unhlthy etoh use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as an unhealthy alcohol user when screened for unhealthy"
} ]
}, {
"code": "G2196",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "alcohol use using a systematic screening method"
} ]
}, {
"code": "G2197",
"display": "Screen hlthy etoh use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for unhealthy alcohol use using a systematic screening method"
} ]
}, {
"code": "G2197",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and not identified as an unhealthy alcohol user"
} ]
}, {
"code": "G2198",
"display": "Med rsn no unhlthy etoh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not screening for unhealthy alcohol use"
} ]
}, {
"code": "G2198",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "using a systematic screening method (e.g., limited life expectancy, other"
} ]
}, {
"code": "G2198",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical reasons)"
} ]
}, {
"code": "G2199",
"display": "Not scrn etoh no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not screened for unhealthy alcohol use using a systematic screening"
} ]
}, {
"code": "G2199",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "method"
} ]
}, {
"code": "G2200",
"display": "Unhlthy etoh rcvd couns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as an unhealthy alcohol user received brief counseling"
} ]
}, {
"code": "G2201",
"display": "Med rsn no brief couns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not providing brief counseling (e.g.,"
} ]
}, {
"code": "G2201",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "limited life expectancy, other medical reasons)"
} ]
}, {
"code": "G2202",
"display": "No rsn no brief couns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive brief counseling if identified as an unhealthy alcohol"
} ]
}, {
"code": "G2202",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "user"
} ]
}, {
"code": "G2203",
"display": "Med rsn no etoh couns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not providing brief counseling if"
} ]
}, {
"code": "G2203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "identified as an unhealthy alcohol user (e.g., limited life expectancy, other"
} ]
}, {
"code": "G2203",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical reasons)"
} ]
}, {
"code": "G2204",
"display": "Pt 45-85 w/ scope",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients between 45 and 85 years of age who received a screening colonoscopy"
} ]
}, {
"code": "G2204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the performance period"
} ]
}, {
"code": "G2205",
"display": "Preg drng adjv trtmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with pregnancy during adjuvant treatment course"
} ]
}, {
"code": "G2206",
"display": "Adjv trtmt chemo her2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received adjuvant treatment course including both chemotherapy and"
} ]
}, {
"code": "G2206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "her2-targeted therapy"
} ]
}, {
"code": "G2207",
"display": "Rsn no trtmt chem her2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reason for not administering adjuvant treatment course including both"
} ]
}, {
"code": "G2207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4;"
} ]
}, {
"code": "G2207",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "karnofsky <=50), cardiac contraindications, insufficient renal function,"
} ]
}, {
"code": "G2207",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "insufficient hepatic function, other active or secondary cancer diagnoses,"
} ]
}, {
"code": "G2207",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "other medical contraindications, patients who died during initial treatment"
} ]
}, {
"code": "G2207",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "course or transferred during or after initial treatment course)"
} ]
}, {
"code": "G2208",
"display": "No trtmt chemo and her2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive adjuvant treatment course including both chemotherapy"
} ]
}, {
"code": "G2208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and her2-targeted therapy"
} ]
}, {
"code": "G2209",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G2210",
"display": "No neck fs prom no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the neck impairment not measured because the patient did not"
} ]
}, {
"code": "G2210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete the neck fs prom at initial evaluation and/or near discharge, reason"
} ]
}, {
"code": "G2210",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "not given"
} ]
}, {
"code": "G2211",
"display": "Complex e/m visit add on",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Visit complexity inherent to evaluation and management associated with medical"
} ]
}, {
"code": "G2211",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care services that serve as the continuing focal point for all needed health"
} ]
}, {
"code": "G2211",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "care services and/or with medical care services that are part of ongoing care"
} ]
}, {
"code": "G2211",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "related to a patient's single, serious condition or a complex condition."
} ]
}, {
"code": "G2211",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(add-on code, list separately in addition to office/outpatient evaluation and"
} ]
}, {
"code": "G2211",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "management visit, new or established)"
} ]
}, {
"code": "G2212",
"display": "Prolong outpt/office vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged office or other outpatient evaluation and management service(s)"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "beyond the maximum required time of the primary procedure which has been"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "selected using total time on the date of the primary service; each additional"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "15 minutes by the physician or qualified healthcare professional, with or"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "without direct patient contact (list separately in addition to cpt codes 99205,"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "99215, 99483 for office or other outpatient evaluation and management services)"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "(do not report g2212 on the same date of service as 99358, 99359, 99415,"
} ]
}, {
"code": "G2212",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "99416). (do not report g2212 for any time unit less than 15 minutes)"
} ]
}, {
"code": "G2213",
"display": "Initiat med assist tx in er",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initiation of medication for the treatment of opioid use disorder in the"
} ]
}, {
"code": "G2213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "emergency department setting, including assessment, referral to ongoing care,"
} ]
}, {
"code": "G2213",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and arranging access to supportive services (list separately in addition to"
} ]
}, {
"code": "G2213",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "code for primary procedure)"
} ]
}, {
"code": "G2214",
"display": "Init/sub psych care m 1st 30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial or subsequent psychiatric collaborative care management, first 30"
} ]
}, {
"code": "G2214",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes in a month of behavioral health care manager activities, in"
} ]
}, {
"code": "G2214",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consultation with a psychiatric consultant, and directed by the treating"
} ]
}, {
"code": "G2214",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "physician or other qualified health care professional"
} ]
}, {
"code": "G2215",
"display": "Home supply nasal naloxone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray"
} ]
}, {
"code": "G2215",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(provision of the services by a medicare-enrolled opioid treatment program);"
} ]
}, {
"code": "G2215",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "list separately in addition to code for primary procedure"
} ]
}, {
"code": "G2216",
"display": "Home supply inject naloxon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Take-home supply of injectable naloxone (provision of the services by a"
} ]
}, {
"code": "G2216",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare-enrolled opioid treatment program); list separately in addition to"
} ]
}, {
"code": "G2216",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "code for primary procedure"
} ]
}, {
"code": "G2250",
"display": "Remot img sub by pt, non e/m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote assessment of recorded video and/or images submitted by an established"
} ]
}, {
"code": "G2250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient (e.g., store and forward), including interpretation with follow-up with"
} ]
}, {
"code": "G2250",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the patient within 24 business hours, not originating from a related service"
} ]
}, {
"code": "G2250",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "provided within the previous 7 days nor leading to a service or procedure"
} ]
}, {
"code": "G2250",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "within the next 24 hours or soonest available appointment"
} ]
}, {
"code": "G2251",
"display": "Brief chkin, 5-10, non-e/m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brief communication technology-based service, e.g. virtual check-in, by a"
} ]
}, {
"code": "G2251",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "qualified health care professional who cannot report evaluation and management"
} ]
}, {
"code": "G2251",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services, provided to an established patient, not originating from a related"
} ]
}, {
"code": "G2251",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "service provided within the previous 7 days nor leading to a service or"
} ]
}, {
"code": "G2251",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "procedure within the next 24 hours or soonest available appointment; 5-10"
} ]
}, {
"code": "G2251",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "minutes of clinical discussion"
} ]
}, {
"code": "G2252",
"display": "Brief chkin by md/qhp, 11-20",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brief communication technology-based service, e.g. virtual check-in, by a"
} ]
}, {
"code": "G2252",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physician or other qualified health care professional who can report evaluation"
} ]
}, {
"code": "G2252",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and management services, provided to an established patient, not originating"
} ]
}, {
"code": "G2252",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "from a related e/m service provided within the previous 7 days nor leading to"
} ]
}, {
"code": "G2252",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "an e/m service or procedure within the next 24 hours or soonest available"
} ]
}, {
"code": "G2252",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "appointment; 11-20 minutes of medical discussion"
} ]
}, {
"code": "G3001",
"display": "Admin + supply, tositumomab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration and supply of tositumomab, 450 mg"
} ]
}, {
"code": "G3002",
"display": "Chronic pain mgmt 30 mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chronic pain management and treatment, monthly bundle including, diagnosis;"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment and monitoring; administration of a validated pain rating scale or"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "tool; the development, implementation, revision, and/or maintenance of a"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "person-centered care plan that includes strengths, goals, clinical needs, and"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "desired outcomes; overall treatment management; facilitation and coordination"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "of any necessary behavioral health treatment; medication management; pain and"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "health literacy counseling; any necessary chronic pain related crisis care; and"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "ongoing communication and care coordination between relevant practitioners"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "furnishing care, e.g. physical therapy and occupational therapy, complementary"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "and integrative approaches, and community-based care, as appropriate. required"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "initial face-to-face visit at least 30 minutes provided by a physician or other"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "qualified health professional; first 30 minutes personally provided by"
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "physician or other qualified health care professional, per calendar month."
} ]
}, {
"code": "G3002",
"property": [ {
"code": "seqNum",
"valueString": "01400"
} ],
"designation": [ {
"value": "(when using g3002, 30 minutes must be met or exceeded.)"
} ]
}, {
"code": "G3003",
"display": "Chronic pain mgmt addl 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Each additional 15 minutes of chronic pain management and treatment by a"
} ]
}, {
"code": "G3003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physician or other qualified health care professional, per calendar month."
} ]
}, {
"code": "G3003",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(list separately in addition to code for g3002. when using g3003, 15 minutes"
} ]
}, {
"code": "G3003",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "must be met or exceeded.)"
} ]
}, {
"code": "G4000",
"display": "Dermatology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermatology mips specialty set"
} ]
}, {
"code": "G4001",
"display": "Diagnostic rad ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic radiology mips specialty set"
} ]
}, {
"code": "G4002",
"display": "Ep cardio ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrophysiology cardiac specialist mips specialty set"
} ]
}, {
"code": "G4003",
"display": "Emergency med ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency medicine mips specialty set"
} ]
}, {
"code": "G4004",
"display": "Endocrinology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endocrinology mips specialty set"
} ]
}, {
"code": "G4005",
"display": "Family medicine ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Family medicine mips specialty set"
} ]
}, {
"code": "G4006",
"display": "Gastroenterology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastro-enterology mips specialty set"
} ]
}, {
"code": "G4007",
"display": "General surgery ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "General surgery mips specialty set"
} ]
}, {
"code": "G4008",
"display": "Geriatrics ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Geriatrics mips specialty set"
} ]
}, {
"code": "G4009",
"display": "Hospitalists ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospitalists mips specialty set"
} ]
}, {
"code": "G4010",
"display": "Infectious disease ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious disease mips specialty set"
} ]
}, {
"code": "G4011",
"display": "Internal medicine ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Internal medicine mips specialty set"
} ]
}, {
"code": "G4012",
"display": "Interventional rad ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interventional radiology mips specialty set"
} ]
}, {
"code": "G4013",
"display": "Mntal/behav/psych hlth ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental/behavioral and psychiatry mips specialty set"
} ]
}, {
"code": "G4014",
"display": "Nephrology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nephrology mips specialty set"
} ]
}, {
"code": "G4015",
"display": "Neurology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neurology mips specialty set"
} ]
}, {
"code": "G4016",
"display": "Neurosurgical ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neurosurgical mips specialty set"
} ]
}, {
"code": "G4017",
"display": "Nutrition/dietician ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nutrition/dietician mips specialty set"
} ]
}, {
"code": "G4018",
"display": "Ob/gyn ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Obstetrics/gynecology mips specialty set"
} ]
}, {
"code": "G4019",
"display": "Oncology/hema ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology/hematology mips specialty set"
} ]
}, {
"code": "G4020",
"display": "Ophthalmology/optometry ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ophthalmology/optometry mips specialty set"
} ]
}, {
"code": "G4021",
"display": "Orthopedic surgery ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic surgery mips specialty set"
} ]
}, {
"code": "G4022",
"display": "Otolaryngology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Otolaryngology mips specialty set"
} ]
}, {
"code": "G4023",
"display": "Pathology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology mips specialty set"
} ]
}, {
"code": "G4024",
"display": "Pediatrics ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatrics mips specialty set"
} ]
}, {
"code": "G4025",
"display": "Physical medicine ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physical medicine mips specialty set"
} ]
}, {
"code": "G4026",
"display": "Phys/occ therapy ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physical therapy/occupational therapy mips specialty set"
} ]
}, {
"code": "G4027",
"display": "Plastic surgery ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plastic surgery mips specialty set"
} ]
}, {
"code": "G4028",
"display": "Podiatry ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Podiatry mips specialty set"
} ]
}, {
"code": "G4029",
"display": "Preventive medicine ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preventive medicine mips specialty set"
} ]
}, {
"code": "G4030",
"display": "Pulmonology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pulmonology mips specialty set"
} ]
}, {
"code": "G4031",
"display": "Radiation oncology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation oncology mips specialty set"
} ]
}, {
"code": "G4032",
"display": "Rheumatology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rheumatology mips specialty set"
} ]
}, {
"code": "G4033",
"display": "Skilled nursing facility ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skilled nursing facility mips specialty set"
} ]
}, {
"code": "G4034",
"display": "Speech language path ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech language pathology mips specialty set"
} ]
}, {
"code": "G4035",
"display": "Thoracic surgery ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thoracic surgery mips specialty set"
} ]
}, {
"code": "G4036",
"display": "Urgent care ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urgent care mips specialty set"
} ]
}, {
"code": "G4037",
"display": "Urology ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urology mips specialty set"
} ]
}, {
"code": "G4038",
"display": "Vascular surgery ss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vascular surgery mips specialty set"
} ]
}, {
"code": "G6001",
"display": "Echo guidance radiotherapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultrasonic guidance for placement of radiation therapy fields"
} ]
}, {
"code": "G6002",
"display": "Stereoscopic x-ray guidance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stereoscopic x-ray guidance for localization of target volume for the delivery"
} ]
}, {
"code": "G6002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of radiation therapy"
} ]
}, {
"code": "G6003",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, single treatment area, single port or parallel"
} ]
}, {
"code": "G6003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "opposed ports, simple blocks or no blocks: up to 5 mev"
} ]
}, {
"code": "G6004",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, single treatment area, single port or parallel"
} ]
}, {
"code": "G6004",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "opposed ports, simple blocks or no blocks: 6-10 mev"
} ]
}, {
"code": "G6005",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, single treatment area, single port or parallel"
} ]
}, {
"code": "G6005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "opposed ports, simple blocks or no blocks: 11-19 mev"
} ]
}, {
"code": "G6006",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, single treatment area, single port or parallel"
} ]
}, {
"code": "G6006",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "opposed ports, simple blocks or no blocks: 20 mev or greater"
} ]
}, {
"code": "G6007",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a"
} ]
}, {
"code": "G6007",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single treatment area, use of multiple blocks: up to 5 mev"
} ]
}, {
"code": "G6008",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a"
} ]
}, {
"code": "G6008",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single treatment area, use of multiple blocks: 6-10 mev"
} ]
}, {
"code": "G6009",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a"
} ]
}, {
"code": "G6009",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single treatment area, use of multiple blocks: 11-19 mev"
} ]
}, {
"code": "G6010",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a"
} ]
}, {
"code": "G6010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single treatment area, use of multiple blocks: 20 mev or greater"
} ]
}, {
"code": "G6011",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 3 or more separate treatment areas, custom"
} ]
}, {
"code": "G6011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "blocking, tangential ports, wedges, rotational beam, compensators, electron"
} ]
}, {
"code": "G6011",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beam; up to 5 mev"
} ]
}, {
"code": "G6012",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 3 or more separate treatment areas, custom"
} ]
}, {
"code": "G6012",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "blocking, tangential ports, wedges, rotational beam, compensators, electron"
} ]
}, {
"code": "G6012",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beam; 6-10 mev"
} ]
}, {
"code": "G6013",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery,3 or more separate treatment areas, custom"
} ]
}, {
"code": "G6013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "blocking, tangential ports, wedges, rotational beam, compensators, electron"
} ]
}, {
"code": "G6013",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beam; 11-19 mev"
} ]
}, {
"code": "G6014",
"display": "Radiation treatment delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiation treatment delivery, 3 or more separate treatment areas, custom"
} ]
}, {
"code": "G6014",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "blocking, tangential ports, wedges, rotational beam, compensators, electron"
} ]
}, {
"code": "G6014",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beam; 20 mev or greater"
} ]
}, {
"code": "G6015",
"display": "Radiation tx delivery imrt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensity modulated treatment delivery, single or multiple fields/arcs,via"
} ]
}, {
"code": "G6015",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "narrow spatially and temporally modulated beams, binary, dynamic mlc, per"
} ]
}, {
"code": "G6015",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment session"
} ]
}, {
"code": "G6016",
"display": "Delivery comp imrt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compensator-based beam modulation treatment delivery of inverse planned"
} ]
}, {
"code": "G6016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment using 3 or more high resolution (milled or cast) compensator,"
} ]
}, {
"code": "G6016",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "convergent beam modulated fields, per treatment session"
} ]
}, {
"code": "G6017",
"display": "Intrafraction track motion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intra-fraction localization and tracking of target or patient motion during"
} ]
}, {
"code": "G6017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface"
} ]
}, {
"code": "G6017",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "tracking), each fraction of treatment"
} ]
}, {
"code": "G6018",
"display": "Ileoscopy w/stent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ileoscopy, through stoma; with transendoscopic stent placement (includes"
} ]
}, {
"code": "G6018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predilation)"
} ]
}, {
"code": "G6019",
"display": "Colonoscopy lesion removal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other"
} ]
}, {
"code": "G6019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or"
} ]
}, {
"code": "G6019",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "snare technique"
} ]
}, {
"code": "G6020",
"display": "Colonoscopy w/stent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colonoscopy through stoma; with transendoscopic stent placement (includes"
} ]
}, {
"code": "G6020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predilation)"
} ]
}, {
"code": "G6021",
"display": "Unlisted px small intestine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unlisted procedure, intestine"
} ]
}, {
"code": "G6022",
"display": "Sigmoidoscopy w/ablate tumr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other"
} ]
}, {
"code": "G6022",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lesions(s) not amenable to removal by hot biopsy forceps, bipolar cautery or"
} ]
}, {
"code": "G6022",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "snare technique"
} ]
}, {
"code": "G6023",
"display": "Sigmoidoscopy w/stent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sigmoidoscopy, flexible; with transendoscopic stent placement (includes"
} ]
}, {
"code": "G6023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predilation)"
} ]
}, {
"code": "G6024",
"display": "Lesion removal colonoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colonoscopy, flexible; proximal to splenic flexure; with ablation of tumor(s),"
} ]
}, {
"code": "G6024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,"
} ]
}, {
"code": "G6024",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "bipolar cautery or snare technique"
} ]
}, {
"code": "G6025",
"display": "Colonoscopy w/stent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colonoscopy, flexible, proximal to splenic flexure; with transendoscopic stent"
} ]
}, {
"code": "G6025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "placement (includes predilation)"
} ]
}, {
"code": "G6027",
"display": "Anoscopy hra w/spec collect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anoscopy, high resolution (hra) (with magnification and chemical agent"
} ]
}, {
"code": "G6027",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "enhancement); diagnostic, including collection of specimen(s) by brushing or"
} ]
}, {
"code": "G6027",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "washing when performed"
} ]
}, {
"code": "G6028",
"display": "Anoscopy hra w/biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anoscopy, high resolution (hra) (with magnification and chemical agent"
} ]
}, {
"code": "G6028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "enhancement); with biopsy(ies)"
} ]
}, {
"code": "G6030",
"display": "Assay of amitriptyline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amitriptyline"
} ]
}, {
"code": "G6031",
"display": "Assay of benzodiazepines",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Benzodiazepines"
} ]
}, {
"code": "G6032",
"display": "Assay of desipramine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Desipramine"
} ]
}, {
"code": "G6034",
"display": "Assay of doxepin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Doxepin"
} ]
}, {
"code": "G6035",
"display": "Assay of gold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gold"
} ]
}, {
"code": "G6036",
"display": "Assay of imipramine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assay of imipramine"
} ]
}, {
"code": "G6037",
"display": "Assay of nortiptyline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nortriptyline"
} ]
}, {
"code": "G6038",
"display": "Assay of salicylate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Salicylate"
} ]
}, {
"code": "G6039",
"display": "Assay of acetaminophen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acetaminophen"
} ]
}, {
"code": "G6040",
"display": "Assay of ethanol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol (ethanol); any specimen except breath"
} ]
}, {
"code": "G6041",
"display": "Assay of urine alkaloids",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alkaloids, urine, quantitative"
} ]
}, {
"code": "G6042",
"display": "Assay of amphetamines",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amphetamine or methamphetamine"
} ]
}, {
"code": "G6043",
"display": "Assay of barbiturates",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Barbiturates, not elsewhere specified"
} ]
}, {
"code": "G6044",
"display": "Assay of cocaine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cocaine or metabolite"
} ]
}, {
"code": "G6045",
"display": "Assay of dihydrocodeinone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dihydrocodeinone"
} ]
}, {
"code": "G6046",
"display": "Assay of dihydromorphinone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dihydromorphinone"
} ]
}, {
"code": "G6047",
"display": "Assay of dihydrotestosterone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dihydrotestosterone"
} ]
}, {
"code": "G6048",
"display": "Assay of dimethadione",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dimethadione"
} ]
}, {
"code": "G6049",
"display": "Asssay of epiandrosterone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Epiandrosterone"
} ]
}, {
"code": "G6050",
"display": "Assay of ethchlorvynol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ethchlorvynol"
} ]
}, {
"code": "G6051",
"display": "Assay of flurazepam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flurazepam"
} ]
}, {
"code": "G6052",
"display": "Assay of meprobamate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Meprobamate"
} ]
}, {
"code": "G6053",
"display": "Assay of methadone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methadone"
} ]
}, {
"code": "G6054",
"display": "Assay of methsuximide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methsuximide"
} ]
}, {
"code": "G6055",
"display": "Assay of nicotine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nicotine"
} ]
}, {
"code": "G6056",
"display": "Assay of opiates",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Opiate(s), drug and metabolites, each procedure"
} ]
}, {
"code": "G6057",
"display": "Assay of phenothiazine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Phenothiazine"
} ]
}, {
"code": "G6058",
"display": "Drug confirmation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug confirmation, each procedure"
} ]
}, {
"code": "G8126",
"display": "Pt treat w/antidepress12wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with a diagnosis of major depression documented as being treated with"
} ]
}, {
"code": "G8126",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antidepressant medication during the entire 84 day (12 week) acute treatment"
} ]
}, {
"code": "G8126",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "phase"
} ]
}, {
"code": "G8127",
"display": "Pt not treat w/antidepres12w",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with a diagnosis of major depression not documented as being treated"
} ]
}, {
"code": "G8127",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with antidepressant medication during the entire 84 day (12 week) acute"
} ]
}, {
"code": "G8127",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment phase"
} ]
}, {
"code": "G8128",
"display": "Pt inelig for antidepres med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for"
} ]
}, {
"code": "G8128",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antidepressant medication during the entire 12 week acute treatment phase"
} ]
}, {
"code": "G8128",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measure"
} ]
}, {
"code": "G8395",
"display": "Lvef>=40% doc normal or mild",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or"
} ]
}, {
"code": "G8395",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mildly depressed left ventricular systolic function"
} ]
}, {
"code": "G8396",
"display": "Lvef not performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left ventricular ejection fraction (lvef) not performed or documented"
} ]
}, {
"code": "G8397",
"display": "Dil macula/fundus exam/w doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated macular or fundus exam performed, including documentation of the"
} ]
}, {
"code": "G8397",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "presence or absence of macular edema and level of severity of retinopathy"
} ]
}, {
"code": "G8398",
"display": "Dil macular/fundus not perfo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated macular or fundus exam not performed"
} ]
}, {
"code": "G8399",
"display": "Pt w/dxa results document",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with documented results of a central dual-energy x-ray absorptiometry"
} ]
}, {
"code": "G8399",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(dxa) ever being performed"
} ]
}, {
"code": "G8400",
"display": "Pt w/dxa no results doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with central dual-energy x-ray absorptiometry (dxa) results not"
} ]
}, {
"code": "G8400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented, reason not given"
} ]
}, {
"code": "G8401",
"display": "Pt inelig osteo screen measu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for screening"
} ]
}, {
"code": "G8404",
"display": "Low extemity neur exam docum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity neurological exam performed and documented"
} ]
}, {
"code": "G8405",
"display": "Low extemity neur not perfor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity neurological exam not performed"
} ]
}, {
"code": "G8406",
"display": "Pt inelig lower extrem neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for lower"
} ]
}, {
"code": "G8406",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extremity neurological exam measure"
} ]
}, {
"code": "G8410",
"display": "Eval on foot documented",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Footwear evaluation performed and documented"
} ]
}, {
"code": "G8415",
"display": "Eval on foot not performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Footwear evaluation was not performed"
} ]
}, {
"code": "G8416",
"display": "Pt inelig footwear evaluatio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for footwear"
} ]
}, {
"code": "G8416",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation measure"
} ]
}, {
"code": "G8417",
"display": "Calc bmi abv up param f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented above normal parameters and a follow-up plan is documented"
} ]
}, {
"code": "G8418",
"display": "Calc bmi blw low param f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented below normal parameters and a follow-up plan is documented"
} ]
}, {
"code": "G8419",
"display": "Calc bmi out nrm param nof/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi documented outside normal parameters, no follow-up plan documented, no"
} ]
}, {
"code": "G8419",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason given"
} ]
}, {
"code": "G8420",
"display": "Calc bmi norm parameters",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented within normal parameters and no follow-up plan is required"
} ]
}, {
"code": "G8421",
"display": "Bmi not calculated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi not documented and no reason is given"
} ]
}, {
"code": "G8422",
"display": "Pt inelig bmi calculation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi not documented, documentation the patient is not eligible for bmi"
} ]
}, {
"code": "G8422",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calculation"
} ]
}, {
"code": "G8427",
"display": "Docrev cur meds by elig clin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eligible clinician attests to documenting in the medical record they obtained,"
} ]
}, {
"code": "G8427",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "updated, or reviewed the patient's current medications"
} ]
}, {
"code": "G8428",
"display": "Cur meds not document",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current list of medications not documented as obtained, updated, or reviewed by"
} ]
}, {
"code": "G8428",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the eligible clinician, reason not given"
} ]
}, {
"code": "G8430",
"display": "Doc med rsn no medrec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of a medical reason(s) for not documenting, updating, or"
} ]
}, {
"code": "G8430",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reviewing the patient's current medications list (e.g., patient is in an urgent"
} ]
}, {
"code": "G8430",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or emergent medical situation)"
} ]
}, {
"code": "G8431",
"display": "Pos clin depres scrn f/u doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening for depression is documented as being positive and a follow-up plan"
} ]
}, {
"code": "G8431",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "is documented"
} ]
}, {
"code": "G8432",
"display": "Dep scr not doc, rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Depression screening not documented, reason not given"
} ]
}, {
"code": "G8433",
"display": "Scr for dep not cpt doc rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening for depression not completed, documented patient or medical reason"
} ]
}, {
"code": "G8442",
"display": "Doc pain as nt perf, not elg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pain assessment not documented as being performed, documentation the patient is"
} ]
}, {
"code": "G8442",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not eligible for a pain assessment using a standardized tool at the time of the"
} ]
}, {
"code": "G8442",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "encounter"
} ]
}, {
"code": "G8450",
"display": "Beta-bloc rx pt w/abn lvef",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker therapy prescribed"
} ]
}, {
"code": "G8451",
"display": "Pt w/abn lvef inelig b-bloc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by"
} ]
}, {
"code": "G8451",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the clinician (e.g., low blood pressure, fluid overload, asthma, patients"
} ]
}, {
"code": "G8451",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recently treated with an intravenous positive inotropic agent, allergy,"
} ]
}, {
"code": "G8451",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intolerance, other medical reasons, patient declined, other patient reasons)"
} ]
}, {
"code": "G8452",
"display": "Pt w/abn lvef b-bloc no rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker therapy not prescribed"
} ]
}, {
"code": "G8458",
"display": "Pt inelig geno no antvir tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient is not an eligible candidate for genotype"
} ]
}, {
"code": "G8458",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "testing; patient not receiving antiviral treatment for hepatitis c during the"
} ]
}, {
"code": "G8458",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period (e.g. genotype test done prior to the reporting period,"
} ]
}, {
"code": "G8458",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patient declines, patient not a candidate for antiviral treatment)"
} ]
}, {
"code": "G8460",
"display": "Pt inelig rna no antvir tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient is not an eligible candidate for quantitative"
} ]
}, {
"code": "G8460",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rna testing at week 12; patient not receiving antiviral treatment for hepatitis"
} ]
}, {
"code": "G8460",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "c"
} ]
}, {
"code": "G8461",
"display": "Pt rec antivir treat hep c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving antiviral treatment for hepatitis c during the measurement"
} ]
}, {
"code": "G8461",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G8464",
"display": "Pt inelig; lo to no dter rsk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that prostate cancer patient is not an eligible candidate"
} ]
}, {
"code": "G8464",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for adjuvant hormonal therapy; low or intermediate risk of recurrence or risk"
} ]
}, {
"code": "G8464",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of recurrence not determined"
} ]
}, {
"code": "G8465",
"display": "High risk recurrence pro ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High or very high risk of recurrence of prostate cancer"
} ]
}, {
"code": "G8473",
"display": "Ace/arb thxpy rx'd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker"
} ]
}, {
"code": "G8473",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(arb) therapy prescribed"
} ]
}, {
"code": "G8474",
"display": "Ace/arb not rx'd; doc reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker"
} ]
}, {
"code": "G8474",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(arb) therapy not prescribed for reasons documented by the clinician (e.g.,"
} ]
}, {
"code": "G8474",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases"
} ]
}, {
"code": "G8474",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of the aortic or mitral valve, other medical reasons) or (e.g., patient"
} ]
}, {
"code": "G8474",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "declined, other patient reasons)"
} ]
}, {
"code": "G8475",
"display": "Ace/arb thxpy not rx'd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker"
} ]
}, {
"code": "G8475",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(arb) therapy not prescribed, reason not given"
} ]
}, {
"code": "G8476",
"display": "Bp sys <140 and dias <90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent blood pressure has a systolic measurement of < 140 mmhg and a"
} ]
}, {
"code": "G8476",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diastolic measurement of < 90 mmhg"
} ]
}, {
"code": "G8477",
"display": "Bp sys>=140 and/or dias >=90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a"
} ]
}, {
"code": "G8477",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diastolic measurement of >= 90 mmhg"
} ]
}, {
"code": "G8478",
"display": "Bp not performed/doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure measurement not performed or documented, reason not given"
} ]
}, {
"code": "G8482",
"display": "Flu immunize order/admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization administered or previously received"
} ]
}, {
"code": "G8483",
"display": "Flu imm no admin doc rea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization was not administered for reasons documented by clinician"
} ]
}, {
"code": "G8483",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patient allergy or other medical reasons, patient declined or other"
} ]
}, {
"code": "G8483",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient reasons, vaccine not available or other system reasons)"
} ]
}, {
"code": "G8484",
"display": "Flu immunize no admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization was not administered, reason not given"
} ]
}, {
"code": "G8485",
"display": "Report, diabetes measures",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the diabetes mellitus (dm) measures group"
} ]
}, {
"code": "G8486",
"display": "Report, prev care measures",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the preventive care measures group"
} ]
}, {
"code": "G8487",
"display": "Report ckd measures",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the chronic kidney disease (ckd) measures group"
} ]
}, {
"code": "G8489",
"display": "Cad measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the coronary artery disease (cad) measures group"
} ]
}, {
"code": "G8490",
"display": "Ra measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the rheumatoid arthritis (ra) measures group"
} ]
}, {
"code": "G8491",
"display": "Hiv/aids measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the hiv/aids measures group"
} ]
}, {
"code": "G8492",
"display": "Periop care measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the perioperative care measures group"
} ]
}, {
"code": "G8493",
"display": "Back pain measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the back pain measures group"
} ]
}, {
"code": "G8494",
"display": "Dm meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the diabetes mellitus (dm)"
} ]
}, {
"code": "G8494",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G8495",
"display": "Ckd meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the chronic kidney disease"
} ]
}, {
"code": "G8495",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ckd) measures group have been performed for this patient"
} ]
}, {
"code": "G8496",
"display": "Prev care mg qual act perfrm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the preventive care measures"
} ]
}, {
"code": "G8496",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "group have been performed for this patient"
} ]
}, {
"code": "G8497",
"display": "Cabg meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the coronary artery bypass"
} ]
}, {
"code": "G8497",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "graft (cabg) measures group have been performed for this patient"
} ]
}, {
"code": "G8498",
"display": "Cad meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the coronary artery disease"
} ]
}, {
"code": "G8498",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(cad) measures group have been performed for this patient"
} ]
}, {
"code": "G8499",
"display": "Ra meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the rheumatoid arthritis"
} ]
}, {
"code": "G8499",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ra) measures group have been performed for this patient"
} ]
}, {
"code": "G8500",
"display": "Hiv meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the hiv/aids measures group"
} ]
}, {
"code": "G8500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G8501",
"display": "Perio meas qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the perioperative care"
} ]
}, {
"code": "G8501",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G8502",
"display": "Back pain mg qual act perfrm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the back pain measures group"
} ]
}, {
"code": "G8502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G8506",
"display": "Pt rec ace/arb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin"
} ]
}, {
"code": "G8506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "receptor blocker (arb) therapy"
} ]
}, {
"code": "G8509",
"display": "Pos pain assess no f/u doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pain assessment documented as positive using a standardized tool, follow-up"
} ]
}, {
"code": "G8509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plan not documented, reason not given"
} ]
}, {
"code": "G8510",
"display": "Scr dep neg, no plan reqd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening for depression is documented as negative, a follow-up plan is not"
} ]
}, {
"code": "G8510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "required"
} ]
}, {
"code": "G8511",
"display": "Scr dep pos, no plan doc rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening for depression documented as positive, follow-up plan not documented,"
} ]
}, {
"code": "G8511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G8530",
"display": "Auto av fistula recd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Autogenous av fistula received"
} ]
}, {
"code": "G8531",
"display": "Pt inelig; auto av fistula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for autogenous"
} ]
}, {
"code": "G8531",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "av fistula"
} ]
}, {
"code": "G8532",
"display": "No auto av fistula; no reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient received vascular access other than"
} ]
}, {
"code": "G8532",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "autogenous av fistula, reason not given"
} ]
}, {
"code": "G8535",
"display": "Eld maltreatment not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elder maltreatment screen not documented; documentation that patient is not"
} ]
}, {
"code": "G8535",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "eligible for the elder maltreatment screen at the time of the encounter related"
} ]
}, {
"code": "G8535",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "to one of the following reasons: (1) patient refuses to participate in the"
} ]
}, {
"code": "G8535",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "screening and has reasonable decisional capacity for self-protection, or (2)"
} ]
}, {
"code": "G8535",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "patient is in an urgent or emergent situation where time is of the essence and"
} ]
}, {
"code": "G8535",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "to delay treatment to perform the screening would jeopardize the patient's"
} ]
}, {
"code": "G8535",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "health status"
} ]
}, {
"code": "G8536",
"display": "No doc elder mal scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of an elder maltreatment screen, reason not given"
} ]
}, {
"code": "G8539",
"display": "Doc funct and care plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional outcome assessment documented as positive using a standardized tool"
} ]
}, {
"code": "G8539",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and a care plan based on identified deficiencies is documented within two days"
} ]
}, {
"code": "G8539",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of the functional outcome assessment"
} ]
}, {
"code": "G8540",
"display": "Foa not doc as being perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional outcome assessment not documented as being performed, documentation"
} ]
}, {
"code": "G8540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the patient is not eligible for a functional outcome assessment using a"
} ]
}, {
"code": "G8540",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "standardized tool at the time of the encounter"
} ]
}, {
"code": "G8541",
"display": "No doc cur funct assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional outcome assessment using a standardized tool not documented, reason"
} ]
}, {
"code": "G8541",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not given"
} ]
}, {
"code": "G8542",
"display": "Doc funct no deficiencies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional outcome assessment using a standardized tool is documented; no"
} ]
}, {
"code": "G8542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "functional deficiencies identified, care plan not required"
} ]
}, {
"code": "G8543",
"display": "Cur funct asses; no care pln",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of a positive functional outcome assessment using a standardized"
} ]
}, {
"code": "G8543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tool; care plan not documented within two days of assessment, reason not given"
} ]
}, {
"code": "G8544",
"display": "Cabg measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the coronary artery bypass graft (cabg) measures group"
} ]
}, {
"code": "G8545",
"display": "Hepc measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the hepatitis c measures group"
} ]
}, {
"code": "G8547",
"display": "Ivd measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the ischemic vascular disease (ivd) measures group"
} ]
}, {
"code": "G8548",
"display": "Hf measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the heart failure (hf) measures group"
} ]
}, {
"code": "G8549",
"display": "Hepc mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the hepatitis c measures"
} ]
}, {
"code": "G8549",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "group have been performed for this patient"
} ]
}, {
"code": "G8551",
"display": "Hf mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the heart failure (hf)"
} ]
}, {
"code": "G8551",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G8552",
"display": "Ivd mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the ischemic vascular"
} ]
}, {
"code": "G8552",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease (ivd) measures group have been performed for this patient"
} ]
}, {
"code": "G8559",
"display": "Pt ref doc oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient referred to a physician (preferably a physician with training in"
} ]
}, {
"code": "G8559",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disorders of the ear) for an otologic evaluation"
} ]
}, {
"code": "G8560",
"display": "Pt hx act drain prev 90 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has a history of active drainage from the ear within the previous 90"
} ]
}, {
"code": "G8560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days"
} ]
}, {
"code": "G8561",
"display": "Pt inelig for ref oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not eligible for the referral for otologic evaluation for patients"
} ]
}, {
"code": "G8561",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with a history of active drainage measure"
} ]
}, {
"code": "G8562",
"display": "Pt no hx act drain 90 d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient does not have a history of active drainage from the ear within the"
} ]
}, {
"code": "G8562",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "previous 90 days"
} ]
}, {
"code": "G8563",
"display": "Pt no ref oto reas no spec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not referred to a physician (preferably a physician with training in"
} ]
}, {
"code": "G8563",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disorders of the ear) for an otologic evaluation, reason not given"
} ]
}, {
"code": "G8564",
"display": "Pt ref oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was referred to a physician (preferably a physician with training in"
} ]
}, {
"code": "G8564",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disorders of the ear) for an otologic evaluation, reason not specified)"
} ]
}, {
"code": "G8565",
"display": "Ver doc hear loss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Verification and documentation of sudden or rapidly progressive hearing loss"
} ]
}, {
"code": "G8566",
"display": "Pt inelig ref oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not eligible for the \"referral for otologic evaluation for sudden or"
} ]
}, {
"code": "G8566",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rapidly progressive hearing loss\" measure"
} ]
}, {
"code": "G8567",
"display": "Pt no doc hear loss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient does not have verification and documentation of sudden or rapidly"
} ]
}, {
"code": "G8567",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "progressive hearing loss"
} ]
}, {
"code": "G8568",
"display": "Pt no ref otolo no spec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was not referred to a physician (preferably a physician with training"
} ]
}, {
"code": "G8568",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in disorders of the ear) for an otologic evaluation, reason not given"
} ]
}, {
"code": "G8569",
"display": "Prol intubation req",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged postoperative intubation (> 24 hrs) required"
} ]
}, {
"code": "G8570",
"display": "No prol intub req",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolonged postoperative intubation (> 24 hrs) not required"
} ]
}, {
"code": "G8571",
"display": "Ster wd ifx 30 d postop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Development of deep sternal wound infection/mediastinitis within 30 days"
} ]
}, {
"code": "G8571",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "postoperatively"
} ]
}, {
"code": "G8572",
"display": "No ster wd ifx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No deep sternal wound infection/mediastinitis"
} ]
}, {
"code": "G8573",
"display": "Stk cabg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stroke following isolated cabg surgery"
} ]
}, {
"code": "G8574",
"display": "No strk cabg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No stroke following isolated cabg surgery"
} ]
}, {
"code": "G8575",
"display": "Postop ren fail",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Developed postoperative renal failure or required dialysis"
} ]
}, {
"code": "G8576",
"display": "No postop ren fail",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No postoperative renal failure/dialysis not required"
} ]
}, {
"code": "G8577",
"display": "Reop req bld grft oth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Re-exploration required due to mediastinal bleeding with or without tamponade,"
} ]
}, {
"code": "G8577",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unplanned coronary artery intervention (native, vessel, graft, or both), valve"
} ]
}, {
"code": "G8577",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "dysfunction, aortic reintervention, or other cardiac reason"
} ]
}, {
"code": "G8578",
"display": "No reop req bld grft oth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Re-exploration not required due to mediastinal bleeding with or without"
} ]
}, {
"code": "G8578",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tamponade, unplanned coronary artery intervention (native, vessel, graft, or"
} ]
}, {
"code": "G8578",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "both), valve dysfunction, aortic reintervention, or other cardiac reason"
} ]
}, {
"code": "G8579",
"display": "Antplt med disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antiplatelet medication at discharge"
} ]
}, {
"code": "G8580",
"display": "Antplt med contraind",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antiplatelet medication contraindicated"
} ]
}, {
"code": "G8581",
"display": "No antplt med disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No antiplatelet medication at discharge"
} ]
}, {
"code": "G8582",
"display": "Bblock disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker at discharge"
} ]
}, {
"code": "G8583",
"display": "Bblock contraind",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker contraindicated"
} ]
}, {
"code": "G8584",
"display": "No bblock disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No beta-blocker at discharge"
} ]
}, {
"code": "G8585",
"display": "Antilipid treat disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anti-lipid treatment at discharge"
} ]
}, {
"code": "G8586",
"display": "Antlip disch contra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anti-lipid treatment contraindicated"
} ]
}, {
"code": "G8587",
"display": "No antlipid treat disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No anti-lipid treatment at discharge"
} ]
}, {
"code": "G8593",
"display": "Lipid pn results",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lipid profile results documented and reviewed (must include total cholesterol,"
} ]
}, {
"code": "G8593",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hdl-c, triglycerides and calculated ldl-c)"
} ]
}, {
"code": "G8594",
"display": "No lipid prof perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lipid profile not performed, reason not given"
} ]
}, {
"code": "G8595",
"display": "Ldl < 100",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent ldl-c < 100 mg/dl"
} ]
}, {
"code": "G8597",
"display": "Ldl >= 100",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent ldl-c >= 100 mg/dl"
} ]
}, {
"code": "G8598",
"display": "Asa/antiplat ther used",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin or another antiplatelet therapy used"
} ]
}, {
"code": "G8599",
"display": "No asa/antiplat ther use rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin or another antiplatelet therapy not used, reason not given"
} ]
}, {
"code": "G8600",
"display": "Tpa initi w/in 4.5 hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time"
} ]
}, {
"code": "G8600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "last known well"
} ]
}, {
"code": "G8601",
"display": "No elig tpa init w/in 4.5 hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time"
} ]
}, {
"code": "G8601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "last known well for reasons documented by clinician (e.g. patient enrolled in"
} ]
}, {
"code": "G8601",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "clinical trial for stroke, patient admitted for elective carotid intervention)"
} ]
}, {
"code": "G8602",
"display": "No tpa init w/in 4.5 hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time"
} ]
}, {
"code": "G8602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "last known well, reason not given"
} ]
}, {
"code": "G8627",
"display": "Surg proc w/in 30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical procedure performed within 30 days following cataract surgery for"
} ]
}, {
"code": "G8627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "major complications (e.g., retained nuclear fragments, endophthalmitis,"
} ]
}, {
"code": "G8627",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "dislocated or wrong power iol, retinal detachment, or wound dehiscence)"
} ]
}, {
"code": "G8628",
"display": "No surg proc w/in 30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical procedure not performed within 30 days following cataract surgery for"
} ]
}, {
"code": "G8628",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "major complications (e.g., retained nuclear fragments, endophthalmitis,"
} ]
}, {
"code": "G8628",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "dislocated or wrong power iol, retinal detachment, or wound dehiscence)"
} ]
}, {
"code": "G8629",
"display": "Doc antibio order b/4 surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of order for prophylactic parenteral antibiotic to be given"
} ]
}, {
"code": "G8629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "within one hour (if fluoroquinolone or vancomycin, two hours) prior to surgical"
} ]
}, {
"code": "G8629",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incision (or start of procedure when no incision is required)"
} ]
}, {
"code": "G8630",
"display": "Doc antibio given b/4 surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that administration of prophylactic parenteral antibiotics was"
} ]
}, {
"code": "G8630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiated within one hour (if fluoroquinolone or vancomycin, two hours) prior"
} ]
}, {
"code": "G8630",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "to surgical incision (or start of procedure when no incision is required), as"
} ]
}, {
"code": "G8630",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "ordered"
} ]
}, {
"code": "G8631",
"display": "Pt no elg 4 order antbi give",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for ordering"
} ]
}, {
"code": "G8631",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prophylactic parenteral antibiotics to be given within one hour (if"
} ]
}, {
"code": "G8631",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fluoroquinolone or vancomycin, two hours) prior to surgical incision (or start"
} ]
}, {
"code": "G8631",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of procedure when no incision is required)"
} ]
}, {
"code": "G8632",
"display": "Doc no antibi order b/4 surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prophylactic parenteral antibiotics were not ordered to be given or given"
} ]
}, {
"code": "G8632",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "within one hour (if fluoroquinolone or vancomycin, two hours) prior to the"
} ]
}, {
"code": "G8632",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surgical incision (or start of procedure when no incision is required), reason"
} ]
}, {
"code": "G8632",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "not given"
} ]
}, {
"code": "G8633",
"display": "Pharm ther osteo rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed"
} ]
}, {
"code": "G8634",
"display": "Pt no elg phar ther osteo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented patient not an eligible candidate to receive pharmacologic"
} ]
}, {
"code": "G8634",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy for osteoporosis"
} ]
}, {
"code": "G8635",
"display": "No pharm ther osteo rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacologic therapy for osteoporosis was not prescribed, reason not given"
} ]
}, {
"code": "G8645",
"display": "Asthma measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the asthma measures group"
} ]
}, {
"code": "G8646",
"display": "Asthma mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the asthma measures group"
} ]
}, {
"code": "G8646",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G8647",
"display": "Rafscrs ki scor >= 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the knee impairment successfully calculated and the score"
} ]
}, {
"code": "G8647",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "was equal to zero (0) or greater than zero (> 0)"
} ]
}, {
"code": "G8648",
"display": "Rafscrs ki scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the knee impairment successfully calculated and the score"
} ]
}, {
"code": "G8648",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "was less than zero (< 0)"
} ]
}, {
"code": "G8649",
"display": "Rafscrs ki no scor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the knee impairment"
} ]
}, {
"code": "G8649",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not measured because the patient did not complete the fs status survey near"
} ]
}, {
"code": "G8649",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "discharge, patient not appropriate"
} ]
}, {
"code": "G8650",
"display": "Rafs crs ki no scor no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the knee impairment not measured because the patient did not"
} ]
}, {
"code": "G8650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete the lepf prom at initial evaluation and/or near discharge, reason not"
} ]
}, {
"code": "G8650",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G8651",
"display": "Rafscrs hi scor >=0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the hip impairment successfully calculated and the score was"
} ]
}, {
"code": "G8651",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to zero (0) or greater than zero (> 0)"
} ]
}, {
"code": "G8652",
"display": "Rafscrs hi scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the hip impairment successfully calculated and the score was"
} ]
}, {
"code": "G8652",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "less than zero (< 0)"
} ]
}, {
"code": "G8653",
"display": "Rafscrs hi no scor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual scores for the hip impairment"
} ]
}, {
"code": "G8653",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not measured because the patient did not complete the fs status survey near"
} ]
}, {
"code": "G8653",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "discharge, patient not appropriate"
} ]
}, {
"code": "G8654",
"display": "Rafs crs hi no scor no surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the hip impairment not measured because the patient did not"
} ]
}, {
"code": "G8654",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete the lepf prom at initial evaluation and/or near discharge, reason not"
} ]
}, {
"code": "G8654",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G8655",
"display": "Rafscrs llfai scor >= 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the lower leg, foot or ankle impairment successfully"
} ]
}, {
"code": "G8655",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calculated and the score was equal to zero (0) or greater than zero ( > 0)"
} ]
}, {
"code": "G8656",
"display": "Rafscrs llfai scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the lower leg, foot or ankle impairment successfully"
} ]
}, {
"code": "G8656",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calculated and the score was less than zero (< 0)"
} ]
}, {
"code": "G8657",
"display": "Rafscrs llfai no scor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the lower leg, foot"
} ]
}, {
"code": "G8657",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or ankle impairment not measured because the patient did not complete the fs"
} ]
}, {
"code": "G8657",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "status survey near discharge, patient not appropriate"
} ]
}, {
"code": "G8658",
"display": "Rafscrs llfai no scor + surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the lower leg, foot or ankle impairment not measured because"
} ]
}, {
"code": "G8658",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the patient did not complete the lepf prom at initial evaluation and/or near"
} ]
}, {
"code": "G8658",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "discharge, reason not given"
} ]
}, {
"code": "G8659",
"display": "Rafscrs lbi scor >= 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the low back impairment successfully calculated and the"
} ]
}, {
"code": "G8659",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "score was equal to zero (0) or greater than zero (> 0)"
} ]
}, {
"code": "G8660",
"display": "Rafscrs lbi scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the low back impairment successfully calculated and the"
} ]
}, {
"code": "G8660",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "score was less than zero (< 0)"
} ]
}, {
"code": "G8661",
"display": "Rafscrs lbi no scor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the low back"
} ]
}, {
"code": "G8661",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "impairment not measured because the patient did not complete the fs status"
} ]
}, {
"code": "G8661",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "survey near discharge, patient not appropriate"
} ]
}, {
"code": "G8662",
"display": "Rafs crs lbi no scor no surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the low back impairment not measured because the patient did"
} ]
}, {
"code": "G8662",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not complete the low back fs prom at initial evaluation and/or near discharge,"
} ]
}, {
"code": "G8662",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G8663",
"display": "Rafscrs si scor >= 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the shoulder impairment successfully calculated and the"
} ]
}, {
"code": "G8663",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "score was equal to zero (0) or greater than zero (> 0)"
} ]
}, {
"code": "G8664",
"display": "Rafscrs si scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the shoulder impairment successfully calculated and the"
} ]
}, {
"code": "G8664",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "score was less than zero (< 0)"
} ]
}, {
"code": "G8665",
"display": "Rafscrs si no scor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the shoulder"
} ]
}, {
"code": "G8665",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "impairment not measured because the patient did not complete the fs status"
} ]
}, {
"code": "G8665",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "survey near discharge, patient not appropriate"
} ]
}, {
"code": "G8666",
"display": "Rafs crs si no scor no surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the shoulder impairment not measured because the patient did"
} ]
}, {
"code": "G8666",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not complete the shoulder fs prom at initial evaluation and/or near discharge,"
} ]
}, {
"code": "G8666",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G8667",
"display": "Rafscrs ewh scor >= 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the elbow, wrist or hand impairment successfully calculated"
} ]
}, {
"code": "G8667",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and the score was equal to zero (0) or greater than zero (> 0)"
} ]
}, {
"code": "G8668",
"display": "Rafscrs ewh scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the elbow, wrist or hand impairment successfully calculated"
} ]
}, {
"code": "G8668",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and the score was less than zero (< 0)"
} ]
}, {
"code": "G8669",
"display": "Rafscrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the elbow, wrist or"
} ]
}, {
"code": "G8669",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hand impairment not measured because the patient did not complete the fs status"
} ]
}, {
"code": "G8669",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "survey near discharge, patient not appropriate"
} ]
}, {
"code": "G8670",
"display": "Rafs crs ewh no scor no surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residual score for the elbow, wrist or hand impairment not measured because the"
} ]
}, {
"code": "G8670",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient did not complete the elbow/wrist/hand fs prom at initial evaluation"
} ]
}, {
"code": "G8670",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and/or near discharge, reason not given"
} ]
}, {
"code": "G8671",
"display": "Rafscrs goi scor >= 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the neck, cranium,"
} ]
}, {
"code": "G8671",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mandible, thoracic spine, ribs or other general orthopedic impairment"
} ]
}, {
"code": "G8671",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "successfully calculated and the score was equal to zero (0) or greater than"
} ]
}, {
"code": "G8671",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "zero (> 0)"
} ]
}, {
"code": "G8672",
"display": "Rafscrs goi scor < 0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the neck, cranium,"
} ]
}, {
"code": "G8672",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mandible, thoracic spine, ribs or other general orthopedic impairment"
} ]
}, {
"code": "G8672",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "successfully calculated and the score was less than zero (< 0)"
} ]
}, {
"code": "G8673",
"display": "Rafscrs goi no scor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the neck, cranium,"
} ]
}, {
"code": "G8673",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mandible, thoracic spine, ribs or other general orthopedic impairment not"
} ]
}, {
"code": "G8673",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measured because the patient did not complete the fs status survey near"
} ]
}, {
"code": "G8673",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "discharge, patient not appropriate"
} ]
}, {
"code": "G8674",
"display": "Rafscrs neck, no msr/no foto",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Risk-adjusted functional status change residual score for the neck, cranium,"
} ]
}, {
"code": "G8674",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mandible, thoracic spine, ribs or other general orthopedic impairment not"
} ]
}, {
"code": "G8674",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measured because the patient did not complete the general orthopedic fs prom at"
} ]
}, {
"code": "G8674",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "initial evaluation and/or near discharge, reason not given"
} ]
}, {
"code": "G8682",
"display": "Lvg test perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lvf testing documented as being performed prior to discharge or in the previous"
} ]
}, {
"code": "G8682",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "12 months"
} ]
}, {
"code": "G8683",
"display": "Pt not elig for lvf test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lvf testing not performed prior to discharge or in the previous 12 months for a"
} ]
}, {
"code": "G8683",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medical or patient documented reason"
} ]
}, {
"code": "G8685",
"display": "Lvf test not perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lvf testing not documented as being performed prior to discharge or in the"
} ]
}, {
"code": "G8685",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "previous 12 months, reason not given"
} ]
}, {
"code": "G8694",
"display": "Lvef <=40%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current or prior left ventricular ejection fraction (lvef) < = 40% or"
} ]
}, {
"code": "G8694",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documentation of moderate or severe lvsd"
} ]
}, {
"code": "G8696",
"display": "Antithromb thx presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antithrombotic therapy prescribed at discharge"
} ]
}, {
"code": "G8697",
"display": "Antithromb no presc doc reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antithrombotic therapy not prescribed for documented reasons (e.g., patient had"
} ]
}, {
"code": "G8697",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stroke during hospital stay, patient expired during inpatient stay, other"
} ]
}, {
"code": "G8697",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical reason(s)); (e.g., patient left against medical advice, other patient"
} ]
}, {
"code": "G8697",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reason(s))"
} ]
}, {
"code": "G8698",
"display": "Antithromb no presc no reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antithrombotic therapy was not prescribed at discharge, reason not given"
} ]
}, {
"code": "G8699",
"display": "Rehab ordered disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rehabilitation services (occupational, physical or speech) ordered at or prior"
} ]
}, {
"code": "G8699",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to discharge"
} ]
}, {
"code": "G8700",
"display": "Rehab not indicated disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rehabilitation services (occupational, physical or speech) not indicated at or"
} ]
}, {
"code": "G8700",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to discharge"
} ]
}, {
"code": "G8701",
"display": "Rehab not ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rehabilitation services were not ordered, reason not otherwise specified"
} ]
}, {
"code": "G8702",
"display": "Antiobiotics 4 hr prior surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that prophylactic antibiotics were given within 4 hours prior to"
} ]
}, {
"code": "G8702",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgical incision or intraoperatively"
} ]
}, {
"code": "G8703",
"display": "Antibiotics not prior surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that prophylactic antibiotics were neither given within 4 hours"
} ]
}, {
"code": "G8703",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to surgical incision nor intraoperatively"
} ]
}, {
"code": "G8704",
"display": "Ecg performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "12-lead electrocardiogram (ecg) performed"
} ]
}, {
"code": "G8705",
"display": "Med reas no ecg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing a 12-lead"
} ]
}, {
"code": "G8705",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrocardiogram (ecg)"
} ]
}, {
"code": "G8706",
"display": "Pt reas no ecg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not performing a 12-lead"
} ]
}, {
"code": "G8706",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "electrocardiogram (ecg)"
} ]
}, {
"code": "G8707",
"display": "Ecg not performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "12-lead electrocardiogram (ecg) not performed, reason not given"
} ]
}, {
"code": "G8708",
"display": "Antibiotic not pres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not prescribed antibiotic"
} ]
}, {
"code": "G8709",
"display": "Uri ep compete diag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Uri episodes when the patient had competing diagnoses on or three days after"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the episode date (e.g., intestinal infection, pertussis, bacterial infection,"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "tonsillitis, chronic sinusitis, infection of the"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "infections, acute lymphadenitis, impetigo, skin staph infections,"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia,"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "inflammatory diseases [female reproductive organs]), infections of the kidney,"
} ]
}, {
"code": "G8709",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "cystitis or uti, and acne)"
} ]
}, {
"code": "G8710",
"display": "Pt pres antibiotic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient prescribed antibiotic"
} ]
}, {
"code": "G8711",
"display": "Pres antibx on/within 3 day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed antibiotic on or within 3 days after the episode date"
} ]
}, {
"code": "G8712",
"display": "Not pres antibiotic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antibiotic not prescribed or dispensed"
} ]
}, {
"code": "G8713",
"display": "Spkt/v great 1.2 kt/v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spkt/v greater than or equal to 1.2 (single-pool clearance of urea [kt] /"
} ]
}, {
"code": "G8713",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "volume [v])"
} ]
}, {
"code": "G8714",
"display": "Hemodialysis 3 times week",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemodialysis treatment performed exactly three times per week for > 90 days"
} ]
}, {
"code": "G8717",
"display": "Less 1.2 kt/v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason"
} ]
}, {
"code": "G8717",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not given"
} ]
}, {
"code": "G8718",
"display": "Great 1.7 kt/v per week",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Total kt/v greater than or equal to 1.7 per week (total clearance of urea [kt]"
} ]
}, {
"code": "G8718",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "/ volume [v])"
} ]
}, {
"code": "G8720",
"display": "Less 1.7 kt/v per week",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Total kt/v less than 1.7 per week (total clearance of urea [kt] / volume [v])"
} ]
}, {
"code": "G8721",
"display": "Pt, pn, hist grade doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pt category (primary tumor), pn category (regional lymph nodes), and histologic"
} ]
}, {
"code": "G8721",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "grade were documented in pathology report"
} ]
}, {
"code": "G8722",
"display": "Med reas pt, pn, not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not including the pt category, the pn"
} ]
}, {
"code": "G8722",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "category or the histologic grade in the pathology report (e.g., re-excision"
} ]
}, {
"code": "G8722",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "without residual tumor; non-carcinomasanal canal)"
} ]
}, {
"code": "G8723",
"display": "Spec sit not prim tumor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site is other than anatomic location of primary tumor"
} ]
}, {
"code": "G8724",
"display": "Pt, pn, hist grade not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pt category, pn category and histologic grade were not documented in the"
} ]
}, {
"code": "G8724",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathology report, reason not given"
} ]
}, {
"code": "G8725",
"display": "Lipid profile perf doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total"
} ]
}, {
"code": "G8725",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cholesterol)"
} ]
}, {
"code": "G8726",
"display": "Doc reas no lipid profile",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician has documented reason for not performing fasting lipid profile (e.g.,"
} ]
}, {
"code": "G8726",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient declined, other patient reasons)"
} ]
}, {
"code": "G8728",
"display": "Lipid profile not perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fasting lipid profile not performed, reason not given"
} ]
}, {
"code": "G8730",
"display": "Pain doc pos and plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pain assessment documented as positive using a standardized tool and a"
} ]
}, {
"code": "G8730",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up plan is documented"
} ]
}, {
"code": "G8731",
"display": "Pain neg no plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pain assessment using a standardized tool is documented as negative, no"
} ]
}, {
"code": "G8731",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up plan required"
} ]
}, {
"code": "G8732",
"display": "No doc of pain",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of pain assessment, reason not given"
} ]
}, {
"code": "G8733",
"display": "Doc pos elder mal scrn plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elder maltreatment screen documented as positive and a follow-up plan is"
} ]
}, {
"code": "G8733",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented"
} ]
}, {
"code": "G8734",
"display": "Doc neg eld req",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elder maltreatment screen documented as negative, follow-up is not required"
} ]
}, {
"code": "G8735",
"display": "Eld mal scrn pos no plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elder maltreatment screen documented as positive, follow-up plan not"
} ]
}, {
"code": "G8735",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented, reason not given"
} ]
}, {
"code": "G8736",
"display": "Ldl-c <100mg/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most current ldl-c <100mg/dl"
} ]
}, {
"code": "G8737",
"display": "Ldl-c >=100mg/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most current ldl-c >=100mg/dl"
} ]
}, {
"code": "G8738",
"display": "Lvef < 40%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left ventricular ejection fraction (lvef) < 40% or documentation of severely or"
} ]
}, {
"code": "G8738",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "moderately depressed left ventricular systolic function"
} ]
}, {
"code": "G8739",
"display": "Lvef >= 40%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or"
} ]
}, {
"code": "G8739",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mildly depressed left ventricular systolic function"
} ]
}, {
"code": "G8740",
"display": "Lvef not perfrmd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Left ventricular ejection fraction (lvef) not performed or assessed, reason not"
} ]
}, {
"code": "G8740",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G8749",
"display": "No signs melanoma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs"
} ]
}, {
"code": "G8749",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "such as weakness, or any other sign suggesting systemic spread) or absence of"
} ]
}, {
"code": "G8749",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom"
} ]
}, {
"code": "G8749",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "suggesting the possibility of systemic spread of melanoma)"
} ]
}, {
"code": "G8751",
"display": "Smkg status not assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Smoking status and exposure to second hand smoke in the home not assessed,"
} ]
}, {
"code": "G8751",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G8752",
"display": "Sys bp less 140",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent systolic blood pressure < 140 mmhg"
} ]
}, {
"code": "G8753",
"display": "Sys bp > or = 140",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent systolic blood pressure >= 140 mmhg"
} ]
}, {
"code": "G8754",
"display": "Dias bp less 90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent diastolic blood pressure < 90 mmhg"
} ]
}, {
"code": "G8755",
"display": "Dias bp > or = 90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent diastolic blood pressure >= 90 mmhg"
} ]
}, {
"code": "G8756",
"display": "No bp measure doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of blood pressure measurement, reason not given"
} ]
}, {
"code": "G8757",
"display": "Copd mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the chronic obstructive"
} ]
}, {
"code": "G8757",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pulmonary disease (copd) measures group have been performed for this patient"
} ]
}, {
"code": "G8758",
"display": "Ibd mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the inflammatory bowel"
} ]
}, {
"code": "G8758",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease (ibd) measures group have been performed for this patient"
} ]
}, {
"code": "G8759",
"display": "Osa mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the sleep apnea measures"
} ]
}, {
"code": "G8759",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "group have been performed for this patient"
} ]
}, {
"code": "G8761",
"display": "Dementia mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the dementia measures group"
} ]
}, {
"code": "G8761",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G8762",
"display": "Pd mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the parkinson's disease"
} ]
}, {
"code": "G8762",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G8763",
"display": "Hyperten mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the hypertension (htn)"
} ]
}, {
"code": "G8763",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G8764",
"display": "Car prev mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the cardiovascular"
} ]
}, {
"code": "G8764",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prevention measures group have bee performed for this patient"
} ]
}, {
"code": "G8765",
"display": "Cataract mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the cataract measures group"
} ]
}, {
"code": "G8765",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G8767",
"display": "Lipid panel res doc rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lipid panel results documented and reviewed (must include total cholesterol,"
} ]
}, {
"code": "G8767",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hdl-c, triglycerides and calculated ldl-c)"
} ]
}, {
"code": "G8768",
"display": "Doc med reas no lipid profle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing lipid profile (e.g.,"
} ]
}, {
"code": "G8768",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients with palliative goals or for whom treatment of hypertension with"
} ]
}, {
"code": "G8768",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "standard treatment goals is not clinically appropriate)"
} ]
}, {
"code": "G8769",
"display": "Lipid profile not perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lipid profile not performed, reason not given"
} ]
}, {
"code": "G8770",
"display": "Urine protein test doc rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urine protein test result documented and reviewed"
} ]
}, {
"code": "G8771",
"display": "Doc dx ckd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of diagnosis of chronic kidney disease"
} ]
}, {
"code": "G8772",
"display": "Doc med reas no urine protn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing urine protein test (e.g.,"
} ]
}, {
"code": "G8772",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients with palliative goals or for whom treatment of hypertension with"
} ]
}, {
"code": "G8772",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "standard treatment goals is not cllinically appropriate)"
} ]
}, {
"code": "G8773",
"display": "No urine protein test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Urine protein test was not performed, reason not given"
} ]
}, {
"code": "G8774",
"display": "Serum creatinine doc rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Serum creatinine test result documented and reviewed"
} ]
}, {
"code": "G8775",
"display": "Doc med reas no serum crtn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing serum creatinine test"
} ]
}, {
"code": "G8775",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patients with palliative goals or for whom treatment of hypertension"
} ]
}, {
"code": "G8775",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with standard treatment goals is not clinically appropriate)"
} ]
}, {
"code": "G8776",
"display": "No serum creatinine test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Serum creatinine test not performed, reason not given"
} ]
}, {
"code": "G8777",
"display": "Diabetes screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetes screening test performed"
} ]
}, {
"code": "G8778",
"display": "Doc med reas no diabete scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing diabetes screening test"
} ]
}, {
"code": "G8778",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patients with a diagnosis of diabetes, or with palliative goals or for"
} ]
}, {
"code": "G8778",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "whom treatment of hypertension with standard treatment goals is not clinically"
} ]
}, {
"code": "G8778",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "appropriate)"
} ]
}, {
"code": "G8779",
"display": "No diabetes screen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetes screening test not performed, reason not given"
} ]
}, {
"code": "G8780",
"display": "Counsel diet phys activity",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Counseling for diet and physical activity performed"
} ]
}, {
"code": "G8781",
"display": "Doc med reas no counsel diet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for patient not receiving counseling for"
} ]
}, {
"code": "G8781",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diet and physical activity (e.g., patients with palliative goals or for whom"
} ]
}, {
"code": "G8781",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment of hypertension with standard treatment goals is not clinically"
} ]
}, {
"code": "G8781",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "appropriate)"
} ]
}, {
"code": "G8782",
"display": "No counsel diet phys act",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Counseling for diet and physical activity not performed, reason not given"
} ]
}, {
"code": "G8783",
"display": "Bp scrn perf rec interval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Normal blood pressure reading documented, follow-up not required"
} ]
}, {
"code": "G8784",
"display": "Pt no elig for bp assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not eligible (e.g., documentation the patient is not eligible due to"
} ]
}, {
"code": "G8784",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "active diagnosis of hypertension, patient refuses, urgent or emergent situation)"
} ]
}, {
"code": "G8785",
"display": "Bp scrn no perf at interval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure reading not documented, reason not given"
} ]
}, {
"code": "G8797",
"display": "Specimen site not esophagus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic location of esophagus"
} ]
}, {
"code": "G8798",
"display": "Specimen site not prostate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic location of prostate"
} ]
}, {
"code": "G8806",
"display": "Perf ultrsnd to lct preg doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy"
} ]
}, {
"code": "G8806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "location documented"
} ]
}, {
"code": "G8807",
"display": "No ta tv ultrasnd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trans-abdominal or trans-vaginal ultrasound not performed for reasons"
} ]
}, {
"code": "G8807",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented by clinician (e.g., patient has a documented intrauterine pregnancy"
} ]
}, {
"code": "G8807",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "[iup])"
} ]
}, {
"code": "G8808",
"display": "Ultrasound not perf, rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trans-abdominal or trans-vaginal ultrasound not performed, reason not given"
} ]
}, {
"code": "G8809",
"display": "Rh-immunoglobulin order",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rh-immunoglobulin (rhogam) ordered"
} ]
}, {
"code": "G8810",
"display": "Doc reas no rh-immuno",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rh-immunoglobulin (rhogam) not ordered for reasons documented by clinician"
} ]
}, {
"code": "G8810",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patient had prior documented receipt of rhogam within 12 weeks, patient"
} ]
}, {
"code": "G8810",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "refusal)"
} ]
}, {
"code": "G8811",
"display": "No rh-immunoglobulin order",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation rh-immunoglobulin (rhogam) was not ordered, reason not given"
} ]
}, {
"code": "G8815",
"display": "Doc reas no statin therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented reason in the medical records for why the statin therapy was not"
} ]
}, {
"code": "G8815",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescribed (i.e., lower extremity bypass was for a patient with"
} ]
}, {
"code": "G8815",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "non-artherosclerotic disease)"
} ]
}, {
"code": "G8816",
"display": "Statin med pres at disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Statin medication prescribed at discharge"
} ]
}, {
"code": "G8817",
"display": "Doc reas no statin med disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Statin therapy not prescribed at discharge, reason not given"
} ]
}, {
"code": "G8818",
"display": "Pt disch to home by day#7",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient discharge to home no later than post-operative day #7"
} ]
}, {
"code": "G8825",
"display": "Pt not disch to home day#7",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not discharged to home by post-operative day #7"
} ]
}, {
"code": "G8826",
"display": "Pt disch home day #2 evar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient discharged to home no later than post-operative day #2 following evar"
} ]
}, {
"code": "G8833",
"display": "Pt not disch home day#2 evar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not discharged to home by post-operative day #2 following evar"
} ]
}, {
"code": "G8834",
"display": "Pt disch home day #2 cea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient discharged to home no later than post-operative day #2 following cea"
} ]
}, {
"code": "G8838",
"display": "Not disch home by day #2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not discharged to home by post-operative day #2 following cea"
} ]
}, {
"code": "G8839",
"display": "Sleep apnea assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sleep apnea symptoms assessed, including presence or absence of snoring and"
} ]
}, {
"code": "G8839",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "daytime sleepiness"
} ]
}, {
"code": "G8840",
"display": "Doc reas no sleep apnea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not documenting an assessment of sleep symptoms"
} ]
}, {
"code": "G8840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patient didn't have initial daytime sleepiness, patient visited between"
} ]
}, {
"code": "G8840",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "initial testing and initiation of therapy)"
} ]
}, {
"code": "G8841",
"display": "No sleep apnea assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sleep apnea symptoms not assessed, reason not given"
} ]
}, {
"code": "G8842",
"display": "Ahi rdi rei doc win 2mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory"
} ]
}, {
"code": "G8842",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "event index (rei) documented or measured within 2 months after initial"
} ]
}, {
"code": "G8842",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "evaluation for suspected obstructive sleep apnea"
} ]
}, {
"code": "G8843",
"display": "Doc reas no ahi rdi rei",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "respiratory disturbance index (rdi), or a respiratory event index (rei) within"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "2 months after initial evaluation for suspected obstructive sleep apnea (e.g.,"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medical, neurological, or psychiatric disease that prohibits successful"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "completion of a sleep study, patients for whom a sleep study would present a"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "bigger risk than benefit or would pose an undue burden, dementia, patients"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "previously diagnosed with osa and severity assessed by another provider,"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "patients who decline ahi/rdi/rei measurement, patients who had a financial"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "reason for not completing testing, test was ordered but not completed, patients"
} ]
}, {
"code": "G8843",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "decline because their insurance (payer) does not cover the expense)"
} ]
}, {
"code": "G8844",
"display": "No ahi rdi rei ini dx no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Apnea hypopnea index (ahi), respiratory disturbance index (rdi), or respiratory"
} ]
}, {
"code": "G8844",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "event index (rei) not documented or measured within 2 months after initial"
} ]
}, {
"code": "G8844",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "evaluation for suspected obstructive sleep apnea, reason not given"
} ]
}, {
"code": "G8845",
"display": "Pos airway press prescribed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positive airway pressure therapy prescribed"
} ]
}, {
"code": "G8846",
"display": "Mod or severe osa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or"
} ]
}, {
"code": "G8846",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "respiratory disturbance index (rdi) of 15 or greater)"
} ]
}, {
"code": "G8848",
"display": "Mild osa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory"
} ]
}, {
"code": "G8848",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disturbance index (rdi) of less than 15)"
} ]
}, {
"code": "G8849",
"display": "Doc reas no pos air press",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not prescribing positive airway pressure therapy"
} ]
}, {
"code": "G8849",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patient unable to tolerate, alternative therapies use, patient declined,"
} ]
}, {
"code": "G8849",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "financial, insurance coverage)"
} ]
}, {
"code": "G8850",
"display": "No pap prescribed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positive airway pressure therapy not prescribed, reason not given"
} ]
}, {
"code": "G8851",
"display": "Adhere tx assess at lst ann",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adherence to therapy was assessed at least annually through an objective"
} ]
}, {
"code": "G8851",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "informatics system or through self-reporting (if objective reporting is not"
} ]
}, {
"code": "G8851",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "available, documented)"
} ]
}, {
"code": "G8852",
"display": "Pos air press prescribe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positive airway pressure therapy was prescribed"
} ]
}, {
"code": "G8853",
"display": "Pos air press not prescribe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positive airway pressure therapy not prescribed"
} ]
}, {
"code": "G8854",
"display": "Reas no adhere therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not objectively reporting adherence to"
} ]
}, {
"code": "G8854",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evidence-based therapy (e.g., patients who have been diagnosed with a terminal"
} ]
}, {
"code": "G8854",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or advanced disease with an expected life span of less than 6 months, patients"
} ]
}, {
"code": "G8854",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "who decline therapy, patients who do not return for follow-up at least"
} ]
}, {
"code": "G8854",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "annually, patients unable to access/afford therapy, patient's insurance will"
} ]
}, {
"code": "G8854",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "not cover therapy)"
} ]
}, {
"code": "G8855",
"display": "Ther not assessed annually",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adherence to therapy was not assessed at least annually through an objective"
} ]
}, {
"code": "G8855",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "informatics system or through self-reporting (if objective reporting is not"
} ]
}, {
"code": "G8855",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "available), reason not given"
} ]
}, {
"code": "G8856",
"display": "Ref for oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Referral to a physician for an otologic evaluation performed"
} ]
}, {
"code": "G8857",
"display": "No elig ref for oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not eligible for the referral for otologic evaluation measure (e.g.,"
} ]
}, {
"code": "G8857",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients who are already under the care of a physician for acute or chronic"
} ]
}, {
"code": "G8857",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "dizziness)"
} ]
}, {
"code": "G8858",
"display": "Not ref for oto eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Referral to a physician for an otologic evaluation not performed, reason not"
} ]
}, {
"code": "G8858",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G8859",
"display": "Corticosteroids 10mg 60 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving corticosteroids greater than or equal to 10mg/day for 60 or"
} ]
}, {
"code": "G8859",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater consecutive days"
} ]
}, {
"code": "G8860",
"display": "Corticosteroid 10 mg 60 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have received dose of corticosteroids greater than or equal to"
} ]
}, {
"code": "G8860",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "10mg/day for 60 or greater consecutive days"
} ]
}, {
"code": "G8861",
"display": "Dxa ordered for osteo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) ordered"
} ]
}, {
"code": "G8861",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and documented, review of systems and medication history or pharmacologic"
} ]
}, {
"code": "G8861",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy (other than minerals/vitamins) for osteoporosis prescribed"
} ]
}, {
"code": "G8862",
"display": "No corticostrd 10mg 60 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients not receiving corticosteroids greater than or equal to 10mg/day for 60"
} ]
}, {
"code": "G8862",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or greater consecutive days"
} ]
}, {
"code": "G8863",
"display": "No assess bone loss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients not assessed for risk of bone loss, reason not given"
} ]
}, {
"code": "G8864",
"display": "Pneumococcal vaccine admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumococcal vaccine administered or previously received"
} ]
}, {
"code": "G8865",
"display": "Doc med reas no pneumococcal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not administering or previously"
} ]
}, {
"code": "G8865",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "receiving pneumococcal vaccine (e.g., patient allergic reaction, potential"
} ]
}, {
"code": "G8865",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "adverse drug reaction)"
} ]
}, {
"code": "G8866",
"display": "Doc pt reas no pneumococcal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not administering or previously"
} ]
}, {
"code": "G8866",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "receiving pneumococcal vaccine (e.g., patient refusal)"
} ]
}, {
"code": "G8867",
"display": "No pneumococcal admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumococcal vaccine not administered or previously received, reason not given"
} ]
}, {
"code": "G8868",
"display": "1st course antitnf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients receiving a first course of anti-tnf therapy"
} ]
}, {
"code": "G8869",
"display": "Doc immune hep b antitnf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has documented immunity to hepatitis b and initiating anti-tnf therapy"
} ]
}, {
"code": "G8870",
"display": "Hepb admin 1st antitnf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis b vaccine injection administered or previously received and is"
} ]
}, {
"code": "G8870",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "receiving a first course of anti-tnf therapy"
} ]
}, {
"code": "G8871",
"display": "No 1st antitnf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not receiving a first course of anti-tnf therapy"
} ]
}, {
"code": "G8872",
"display": "Intraop image confirm excise",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Excised tissue evaluated by imaging intraoperatively to confirm successful"
} ]
}, {
"code": "G8872",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inclusion of targeted lesion"
} ]
}, {
"code": "G8873",
"display": "Specimen not intraop image",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with needle localization specimens which are not amenable to"
} ]
}, {
"code": "G8873",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intraoperative imaging such as mri needle wire localization, or targets which"
} ]
}, {
"code": "G8873",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "are tentatively identified on mammogram or ultrasound which do not contain a"
} ]
}, {
"code": "G8873",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "biopsy marker but which can be verified on intraoperative inspection or"
} ]
}, {
"code": "G8873",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "pathology (e.g., needle biopsy site where the biopsy marker is remote from the"
} ]
}, {
"code": "G8873",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "actual biopsy site)"
} ]
}, {
"code": "G8874",
"display": "Tissue not image intraop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Excised tissue not evaluated by imaging intraoperatively to confirm successful"
} ]
}, {
"code": "G8874",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inclusion of targeted lesion"
} ]
}, {
"code": "G8875",
"display": "Breast cancer dx min invsive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy"
} ]
}, {
"code": "G8875",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "method"
} ]
}, {
"code": "G8876",
"display": "Doc reas no min inv dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not performing minimally invasive biopsy to"
} ]
}, {
"code": "G8876",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant,"
} ]
}, {
"code": "G8876",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chest wall, etc., lesion could not be adequately visualized for needle biopsy,"
} ]
}, {
"code": "G8876",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patient condition prevents needle biopsy [weight, breast thickness, etc.], duct"
} ]
}, {
"code": "G8876",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "excision without imaging abnormality, prophylactic mastectomy, reduction"
} ]
}, {
"code": "G8876",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "mammoplasty, excisional biopsy performed by another physician)"
} ]
}, {
"code": "G8877",
"display": "No brst cncr dx min invasive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician did not attempt to achieve the diagnosis of breast cancer"
} ]
}, {
"code": "G8877",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperatively by a minimally invasive biopsy method, reason not given"
} ]
}, {
"code": "G8878",
"display": "Sent lymph node biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sentinel lymph node biopsy procedure performed"
} ]
}, {
"code": "G8879",
"display": "Node neg inv brst cncr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer"
} ]
}, {
"code": "G8880",
"display": "Sen lym p node biop not perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) sentinel lymph node biopsy not performed (e.g.,"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reasons could include but not limited to; non-invasive cancer, incidental"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "discovery of breast cancer on prophylactic mastectomy, incidental discovery of"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer,"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "recurrent invasive breast cancer, clinically node positive after neoadjuvant"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "systemic therapy, patient refusal after informed consent, patient with"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "significant age, comorbidities, or limited life expectancy and favorable tumor;"
} ]
}, {
"code": "G8880",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "adjuvant systemic therapy unlikely to change)"
} ]
}, {
"code": "G8881",
"display": "Brst cncr stage > t1n0m0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stage of breast cancer is greater than t1n0m0 or t2n0m0"
} ]
}, {
"code": "G8882",
"display": "No sent lymph node biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sentinel lymph node biopsy procedure not performed, reason not given"
} ]
}, {
"code": "G8883",
"display": "Rev, comm, track, doc biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biopsy results reviewed, communicated, tracked and documented"
} ]
}, {
"code": "G8884",
"display": "Doc reas biopsy not review",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented reason that patient's biopsy results were not reviewed"
} ]
}, {
"code": "G8885",
"display": "No rev, comm, track biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biopsy results not reviewed, communicated, tracked or documented"
} ]
}, {
"code": "G8886",
"display": "Bp under control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent blood pressure under control"
} ]
}, {
"code": "G8887",
"display": "Doc med reas bp not control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for most recent blood pressure not being"
} ]
}, {
"code": "G8887",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "under control (e.g., patients with palliative goals or for whom treatment of"
} ]
}, {
"code": "G8887",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hypertension with standard treatment goals is not clinically appropriate)"
} ]
}, {
"code": "G8888",
"display": "Bp not under control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent blood pressure not under control, results documented and reviewed"
} ]
}, {
"code": "G8889",
"display": "No doc bp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of blood pressure measurement, reason not given"
} ]
}, {
"code": "G8890",
"display": "Ldl-c under control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent ldl-c under control, results documented and reviewed"
} ]
}, {
"code": "G8891",
"display": "Doc med reas no ldl-c contrl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for most recent ldl-c not under control"
} ]
}, {
"code": "G8891",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patients with palliative goals for whom treatment of hypertension with"
} ]
}, {
"code": "G8891",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "standard treatment goals is not clinically appropriate)"
} ]
}, {
"code": "G8892",
"display": "Doc med reas no ldl-c test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing ldl-c test (e.g. patients"
} ]
}, {
"code": "G8892",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with palliative goals or for whom treatment of hypertension with standard"
} ]
}, {
"code": "G8892",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment goals is not clinically appropriate)"
} ]
}, {
"code": "G8893",
"display": "Ldl-c not under control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent ldl-c not under control, results documented and reviewed"
} ]
}, {
"code": "G8894",
"display": "Ldl-c not performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ldl-c not performed, reason not given"
} ]
}, {
"code": "G8895",
"display": "Antrom prescribe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral aspirin or other antithrombotic therapy prescribed"
} ]
}, {
"code": "G8896",
"display": "Doc med reas no antihtrom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing oral aspirin or other"
} ]
}, {
"code": "G8896",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antithrombotic therapy (e.g., patient documented to be low risk or patient with"
} ]
}, {
"code": "G8896",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "terminal illness or treatment of hypertension with standard treatment goals is"
} ]
}, {
"code": "G8896",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "not clinically appropriate, or for whom risk of aspirin or other antithrombotic"
} ]
}, {
"code": "G8896",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "therapy exceeds potential benefits such as for individuals whose blood pressure"
} ]
}, {
"code": "G8896",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "is poorly controlled)"
} ]
}, {
"code": "G8897",
"display": "Antithrom not prescribe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral aspirin or other antithrombotic therapy was not prescribed, reason not"
} ]
}, {
"code": "G8897",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G8898",
"display": "Copd measures group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the chronic obstructive pulmonary disease (copd) measures"
} ]
}, {
"code": "G8898",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "group"
} ]
}, {
"code": "G8899",
"display": "Inflammatory bowel dis mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the inflammatory bowel disease (ibd) measures group"
} ]
}, {
"code": "G8900",
"display": "Obstructive sleep apnea mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the sleep apnea measures group"
} ]
}, {
"code": "G8902",
"display": "Dementia measures group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the dementia measures group"
} ]
}, {
"code": "G8903",
"display": "Parkinson's disease mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the parkinson's disease measures group"
} ]
}, {
"code": "G8904",
"display": "Hypertension mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the hypertension (htn) measures group"
} ]
}, {
"code": "G8905",
"display": "Cardiovascular prevention mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the cardiovascular prevention measures group"
} ]
}, {
"code": "G8906",
"display": "Cataract measures group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the cataract measures group"
} ]
}, {
"code": "G8907",
"display": "Pt doc no events on discharg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented not to have experienced any of the following events: a burn"
} ]
}, {
"code": "G8907",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to discharge; a fall within the facility; wrong"
} ]
}, {
"code": "G8907",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "site/side/patient/procedure/implant event; or a hospital transfer or hospital"
} ]
}, {
"code": "G8907",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "admission upon discharge from the facility"
} ]
}, {
"code": "G8908",
"display": "Pt doc w burn prior to d/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented to have received a burn prior to discharge"
} ]
}, {
"code": "G8909",
"display": "Pt doc no burn prior to d/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented not to have received a burn prior to discharge"
} ]
}, {
"code": "G8910",
"display": "Pt doc to have fall in asc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented to have experienced a fall within asc"
} ]
}, {
"code": "G8911",
"display": "Pt doc no fall in asc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented not to have experienced a fall within ambulatory surgical"
} ]
}, {
"code": "G8911",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "center"
} ]
}, {
"code": "G8912",
"display": "Pt doc with wrong event",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented to have experienced a wrong site, wrong side, wrong patient,"
} ]
}, {
"code": "G8912",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wrong procedure or wrong implant event"
} ]
}, {
"code": "G8913",
"display": "Pt doc no wrong event",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented not to have experienced a wrong site, wrong side, wrong"
} ]
}, {
"code": "G8913",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient, wrong procedure or wrong implant event"
} ]
}, {
"code": "G8914",
"display": "Pt trans to hosp post d/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented to have experienced a hospital transfer or hospital"
} ]
}, {
"code": "G8914",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "admission upon discharge from asc"
} ]
}, {
"code": "G8915",
"display": "Pt not trans to hosp at d/c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented not to have experienced a hospital transfer or hospital"
} ]
}, {
"code": "G8915",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "admission upon discharge from asc"
} ]
}, {
"code": "G8916",
"display": "Pt w iv ab given on time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with preoperative order for iv antibiotic surgical site infection (ssi)"
} ]
}, {
"code": "G8916",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prophylaxis, antibiotic initiated on time"
} ]
}, {
"code": "G8917",
"display": "Pt w iv ab not given on time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with preoperative order for iv antibiotic surgical site infection (ssi)"
} ]
}, {
"code": "G8917",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prophylaxis, antibiotic not initiated on time"
} ]
}, {
"code": "G8918",
"display": "Pt w/o preop order iv ab pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient without preoperative order for iv antibiotic surgical site infection"
} ]
}, {
"code": "G8918",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ssi) prophylaxis"
} ]
}, {
"code": "G8923",
"display": "Lvef <= 40% or lvsd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current or prior left ventricular ejection fraction (lvef) <= 40% or"
} ]
}, {
"code": "G8923",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documentation of moderately or severely depressed left ventricular systolic"
} ]
}, {
"code": "G8923",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "function"
} ]
}, {
"code": "G8924",
"display": "Spir res doc fev1/fvc<70%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spirometry results documented (fev1/fvc < 70%)"
} ]
}, {
"code": "G8925",
"display": "Spir fev1/fvc>=60% & no copd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spirometry test results demonstrate fev1 >= 60% fev1/fvc >= 70%, predicted or"
} ]
}, {
"code": "G8925",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient does not have copd symptoms"
} ]
}, {
"code": "G8926",
"display": "Spiro no perf or doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spirometry test not performed or documented, reason not given"
} ]
}, {
"code": "G8927",
"display": "Adj chem pres ajcc iii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjuvant chemotherapy referred, prescribed or previously received for ajcc"
} ]
}, {
"code": "G8927",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stage iii, colon cancer"
} ]
}, {
"code": "G8928",
"display": "Adj chem not pres rsn spec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjuvant chemotherapy not prescribed or previously received, for documented"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "to the current visit date, patient's diagnosis date is within 120 days of the"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "end of the 12 month reporting period, patient's cancer has metastasized,"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medical contraindication/allergy, poor performance status, other medical"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "reasons, patient refusal, other patient reasons, patient is currently enrolled"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "in a clinical trial that precludes prescription of chemotherapy, other system"
} ]
}, {
"code": "G8928",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "reasons)"
} ]
}, {
"code": "G8929",
"display": "Adj cmo not pres rsn not gvn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjuvant chemotherapy not prescribed or previously received, reason not given"
} ]
}, {
"code": "G8930",
"display": "Assess of dep @ initial eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assessment of depression severity at the initial evaluation"
} ]
}, {
"code": "G8931",
"display": "Asses of dep not documented",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assessment of depression severity not documented, reason not given"
} ]
}, {
"code": "G8932",
"display": "Suicd rsk assessed init eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suicide risk assessed at the initial evaluation"
} ]
}, {
"code": "G8933",
"display": "Suicide risk not assessed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suicide risk not assessed at the initial evaluation, reason not given"
} ]
}, {
"code": "G8934",
"display": "Lvef <=40% or dep lv sys fcn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current or prior left ventricular ejection fraction (lvef) <=40% or"
} ]
}, {
"code": "G8934",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documentation of moderately or severely depressed left ventricular systolic"
} ]
}, {
"code": "G8934",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "function"
} ]
}, {
"code": "G8935",
"display": "Rx ace or arb therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician prescribed angiotensin converting enzyme (ace) inhibitor or"
} ]
}, {
"code": "G8935",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "angiotensin receptor blocker (arb) therapy"
} ]
}, {
"code": "G8936",
"display": "Pt not eligible ace/arb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient was not an eligible candidate for angiotensin"
} ]
}, {
"code": "G8936",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy"
} ]
}, {
"code": "G8936",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(eg, allergy, intolerance, pregnancy, renal failure due to ace inhibitor,"
} ]
}, {
"code": "G8936",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "diseases of the aortic or mitral valve, other medical reasons) or (eg, patient"
} ]
}, {
"code": "G8936",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "declined, other patient reasons)"
} ]
}, {
"code": "G8937",
"display": "No rx ace/arb therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or"
} ]
}, {
"code": "G8937",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "angiotensin receptor blocker (arb) therapy, reason not given"
} ]
}, {
"code": "G8938",
"display": "Bmi doc onl fup nt doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented as being outside of normal parameters, follow-up plan is not"
} ]
}, {
"code": "G8938",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented, documentation the patient is not eligible"
} ]
}, {
"code": "G8939",
"display": "Pain as doc positive, no f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pain assessment documented as positive, follow-up plan not documented,"
} ]
}, {
"code": "G8939",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documentation the patient is not eligible at the time of the encounter"
} ]
}, {
"code": "G8940",
"display": "Scr dep pos, no plan done",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening for depression documented as positive, a follow-up plan not"
} ]
}, {
"code": "G8940",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "completed, documented reason"
} ]
}, {
"code": "G8941",
"display": "Eld maltreatment doc as pos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elder maltreatment screen documented as positive, follow-up plan not"
} ]
}, {
"code": "G8941",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented, documentation the patient is not eligible for follow-up plan at the"
} ]
}, {
"code": "G8941",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "time of the encounter"
} ]
}, {
"code": "G8942",
"display": "Doc fcn/care plan w/30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional outcome assessment using a standardized tool is documented within"
} ]
}, {
"code": "G8942",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the previous 30 days and a care plan, based on identified deficiencies is"
} ]
}, {
"code": "G8942",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented within two days of the functional outcome assessment"
} ]
}, {
"code": "G8943",
"display": "Ldlc not pres w/i 12 mo prir",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ldl-c result not present or not within 12 months prior"
} ]
}, {
"code": "G8944",
"display": "Ajcc mel cnr stg 0 - iic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ajcc melanoma cancer stage 0 through iic melanoma"
} ]
}, {
"code": "G8946",
"display": "Mibm but no dx of breast ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minimally invasive biopsy method attempted but not diagnostic of breast cancer"
} ]
}, {
"code": "G8946",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., high risk lesion of breast such as atypical ductal hyperplasia, lobular"
} ]
}, {
"code": "G8946",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "neoplasia, atypical lobular hyperplasia, lobular carcinoma in situ, atypical"
} ]
}, {
"code": "G8946",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "columnar hyperplasia, flat epithelial atypia, radial scar, complex sclerosing"
} ]
}, {
"code": "G8946",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "lesion, papillary lesion, or any lesion with spindle cells)"
} ]
}, {
"code": "G8947",
"display": "1 or more neuropsych",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One or more neuropsychiatric symptoms"
} ]
}, {
"code": "G8948",
"display": "No neuropsych symptoms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No neuropsychiatric symptoms"
} ]
}, {
"code": "G8949",
"display": "Doc pt reas on counsel diet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for patient not receiving counseling for"
} ]
}, {
"code": "G8949",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diet and physical activity (e.g., patient is not willing to discuss diet or"
} ]
}, {
"code": "G8949",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "exercise interventions to help control blood pressure, or the patient said"
} ]
}, {
"code": "G8949",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "he/she refused to make these changes)"
} ]
}, {
"code": "G8950",
"display": "Pre-htn or htn doc, f/u indc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevated or hypertensive blood pressure reading documented, and the indicated"
} ]
}, {
"code": "G8950",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up is documented"
} ]
}, {
"code": "G8951",
"display": "Pre-htn/htn doc, no pt f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pre-hypertensive or hypertensive blood pressure reading documented, indicated"
} ]
}, {
"code": "G8951",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up not documented, documentation the patient is not eligible"
} ]
}, {
"code": "G8952",
"display": "Pre-htn/htn, no f/u, not gvn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevated or hypertensive blood pressure reading documented, indicated follow-up"
} ]
}, {
"code": "G8952",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not documented, reason not given"
} ]
}, {
"code": "G8953",
"display": "Oncology mg qual act perform",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the oncology measures group"
} ]
}, {
"code": "G8953",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G8955",
"display": "Most recent assess vol mgmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent assessment of adequacy of volume management documented"
} ]
}, {
"code": "G8956",
"display": "Pt rcv hedia outpt dyls fac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving maintenance hemodialysis in an outpatient dialysis facility"
} ]
}, {
"code": "G8957",
"display": "Pt no hedia in outpt fac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not receiving maintenance hemodialysis in an outpatient dialysis"
} ]
}, {
"code": "G8957",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "facility"
} ]
}, {
"code": "G8958",
"display": "Assess vol mgmt not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assessment of adequacy of volume management not documented, reason not given"
} ]
}, {
"code": "G8959",
"display": "Clin tx mdd comm to tx clin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician treating major depressive disorder communicates to clinician treating"
} ]
}, {
"code": "G8959",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "comorbid condition"
} ]
}, {
"code": "G8960",
"display": "Clin tx mdd not comm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician treating major depressive disorder did not communicate to clinician"
} ]
}, {
"code": "G8960",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treating comorbid condition, reason not given"
} ]
}, {
"code": "G8961",
"display": "Csit lowrisk surg pts preop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac stress imaging test primarily performed on low-risk surgery patient for"
} ]
}, {
"code": "G8961",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperative evaluation within 30 days preceding this surgery"
} ]
}, {
"code": "G8962",
"display": "Csit on pt any reas 30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac stress imaging test performed on patient for any reason including those"
} ]
}, {
"code": "G8962",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who did not have low risk surgery or test that was performed more than 30 days"
} ]
}, {
"code": "G8962",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preceding low risk surgery"
} ]
}, {
"code": "G8963",
"display": "Csi per asx pt w/pci 2 yrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac stress imaging performed primarily for monitoring of asymptomatic"
} ]
}, {
"code": "G8963",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient who had pci within 2 years"
} ]
}, {
"code": "G8964",
"display": "Csi any other than pci 2 yr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac stress imaging test performed primarily for any other reason than"
} ]
}, {
"code": "G8964",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitoring of asymptomatic patient who had pci within 2 years (e.g.,"
} ]
}, {
"code": "G8964",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "symptomatic patient, patient greater than 2 years since pci, initial"
} ]
}, {
"code": "G8964",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evaluation, etc)"
} ]
}, {
"code": "G8965",
"display": "Csit perf on low chd rsk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac stress imaging test primarily performed on low chd risk patient for"
} ]
}, {
"code": "G8965",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initial detection and risk assessment"
} ]
}, {
"code": "G8966",
"display": "Csit perf sx or high chd rsk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac stress imaging test performed on symptomatic or higher than low chd"
} ]
}, {
"code": "G8966",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "risk patient or for any reason other than initial detection and risk assessment"
} ]
}, {
"code": "G8967",
"display": "Warf or other fda drug presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fda approved oral anticoagulant is prescribed"
} ]
}, {
"code": "G8968",
"display": "Doc med not presb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing an fda-approved"
} ]
}, {
"code": "G8968",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anticoagulant (e.g., present or planned atrial appendage occlusion or ligation"
} ]
}, {
"code": "G8968",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or patient being currently enrolled in a clinical trial related to af/atrial"
} ]
}, {
"code": "G8968",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "flutter treatment)"
} ]
}, {
"code": "G8969",
"display": "Doc pt rsn no presc warf/fda",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not prescribing an oral anticoagulant"
} ]
}, {
"code": "G8969",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "that is fda approved for the prevention of thromboembolism (e.g., patient"
} ]
}, {
"code": "G8969",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preference for not receiving anticoagulation)"
} ]
}, {
"code": "G8970",
"display": "No rsk fac or 1 mod risk te",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No risk factors or one moderate risk factor for thromboembolism"
} ]
}, {
"code": "G8971",
"display": "Warfrn or othr antcog no rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Warfarin or another oral anticoagulant that is fda approved not prescribed,"
} ]
}, {
"code": "G8971",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G8972",
"display": "1>=risk or>= mod risk for te",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One or more high risk factors for thromboembolism or more than one moderate"
} ]
}, {
"code": "G8972",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "risk factor for thromboembolism"
} ]
}, {
"code": "G8973",
"display": "Mst rcnt hbb < 10g/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent hemoglobin (hgb) level < 10 g/dl"
} ]
}, {
"code": "G8974",
"display": "Hgb not doc rns not gvn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemoglobin level measurement not documented, reason not given"
} ]
}, {
"code": "G8975",
"display": "Hgb <10g/dl, med rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for patient having a hemoglobin level < 10"
} ]
}, {
"code": "G8975",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "g/dl (e.g., patients who have non-renal etiologies of anemia [e.g., sickle cell"
} ]
}, {
"code": "G8975",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "anemia or other hemoglobinopathies, hypersplenism, primary bone marrow disease,"
} ]
}, {
"code": "G8975",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "anemia related to chemotherapy for diagnosis of malignancy, postoperative"
} ]
}, {
"code": "G8975",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "bleeding, active bloodstream or peritoneal infection], other medical reasons)"
} ]
}, {
"code": "G8976",
"display": "Hgb >= 10 g/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent hemoglobin (hgb) level >= 10 g/dl"
} ]
}, {
"code": "G8977",
"display": "Oncology measures grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the oncology measures group"
} ]
}, {
"code": "G8978",
"display": "Mobility current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mobility: walking & moving around functional limitation, current status, at"
} ]
}, {
"code": "G8978",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset and at reporting intervals"
} ]
}, {
"code": "G8979",
"display": "Mobility goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mobility: walking & moving around functional limitation, projected goal status,"
} ]
}, {
"code": "G8979",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at therapy episode outset, at reporting intervals, and at discharge or to end"
} ]
}, {
"code": "G8979",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reporting"
} ]
}, {
"code": "G8980",
"display": "Mobility d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mobility: walking & moving around functional limitation, discharge status, at"
} ]
}, {
"code": "G8980",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge from therapy or to end reporting"
} ]
}, {
"code": "G8981",
"display": "Body pos current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Changing & maintaining body position functional limitation, current status, at"
} ]
}, {
"code": "G8981",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset and at reporting intervals"
} ]
}, {
"code": "G8982",
"display": "Body pos goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Changing & maintaining body position functional limitation, projected goal"
} ]
}, {
"code": "G8982",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "status, at therapy episode outset, at reporting intervals, and at discharge or"
} ]
}, {
"code": "G8982",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "to end reporting"
} ]
}, {
"code": "G8983",
"display": "Body pos d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Changing & maintaining body position functional limitation, discharge status,"
} ]
}, {
"code": "G8983",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at discharge from therapy or to end reporting"
} ]
}, {
"code": "G8984",
"display": "Carry current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Carrying, moving & handling objects functional limitation, current status, at"
} ]
}, {
"code": "G8984",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset and at reporting intervals"
} ]
}, {
"code": "G8985",
"display": "Carry goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Carrying, moving and handling objects, projected goal status, at therapy"
} ]
}, {
"code": "G8985",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "episode outset, at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G8986",
"display": "Carry d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Carrying, moving & handling objects functional limitation, discharge status, at"
} ]
}, {
"code": "G8986",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge from therapy or to end reporting"
} ]
}, {
"code": "G8987",
"display": "Self care current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self care functional limitation, current status, at therapy episode outset and"
} ]
}, {
"code": "G8987",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at reporting intervals"
} ]
}, {
"code": "G8988",
"display": "Self care goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self care functional limitation, projected goal status, at therapy episode"
} ]
}, {
"code": "G8988",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outset, at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G8989",
"display": "Self care d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self care functional limitation, discharge status, at discharge from therapy or"
} ]
}, {
"code": "G8989",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to end reporting"
} ]
}, {
"code": "G8990",
"display": "Other pt/ot current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other physical or occupational therapy primary functional limitation, current"
} ]
}, {
"code": "G8990",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "status, at therapy episode outset and at reporting intervals"
} ]
}, {
"code": "G8991",
"display": "Other pt/ot goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other physical or occupational therapy primary functional limitation, projected"
} ]
}, {
"code": "G8991",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "goal status, at therapy episode outset, at reporting intervals, and at"
} ]
}, {
"code": "G8991",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "discharge or to end reporting"
} ]
}, {
"code": "G8992",
"display": "Other pt/ot d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other physical or occupational therapy primary functional limitation, discharge"
} ]
}, {
"code": "G8992",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "status, at discharge from therapy or to end reporting"
} ]
}, {
"code": "G8993",
"display": "Sub pt/ot current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other physical or occupational therapy subsequent functional limitation,"
} ]
}, {
"code": "G8993",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "current status, at therapy episode outset and at reporting intervals"
} ]
}, {
"code": "G8994",
"display": "Sub pt/ot goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other physical or occupational therapy subsequent functional limitation,"
} ]
}, {
"code": "G8994",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "projected goal status, at therapy episode outset, at reporting intervals, and"
} ]
}, {
"code": "G8994",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "at discharge or to end reporting"
} ]
}, {
"code": "G8995",
"display": "Sub pt/ot d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other physical or occupational therapy subsequent functional limitation,"
} ]
}, {
"code": "G8995",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge status, at discharge from therapy or to end reporting"
} ]
}, {
"code": "G8996",
"display": "Swallow current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Swallowing functional limitation, current status at therapy episode outset and"
} ]
}, {
"code": "G8996",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at reporting intervals"
} ]
}, {
"code": "G8997",
"display": "Swallow goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Swallowing functional limitation, projected goal status, at therapy episode"
} ]
}, {
"code": "G8997",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outset, at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G8998",
"display": "Swallow d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Swallowing functional limitation, discharge status, at discharge from therapy"
} ]
}, {
"code": "G8998",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or to end reporting"
} ]
}, {
"code": "G8999",
"display": "Motor speech current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Motor speech functional limitation, current status at therapy episode outset"
} ]
}, {
"code": "G8999",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and at reporting intervals"
} ]
}, {
"code": "G9001",
"display": "Mccd, initial rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, initial rate"
} ]
}, {
"code": "G9002",
"display": "Mccd,maintenance rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, maintenance rate"
} ]
}, {
"code": "G9003",
"display": "Mccd, risk adj hi, initial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, risk adjusted high, initial"
} ]
}, {
"code": "G9004",
"display": "Mccd, risk adj lo, initial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, risk adjusted low, initial"
} ]
}, {
"code": "G9005",
"display": "Mccd, risk adj, maintenance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, risk adjusted maintenance"
} ]
}, {
"code": "G9006",
"display": "Mccd, home monitoring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, home monitoring"
} ]
}, {
"code": "G9007",
"display": "Mccd, sch team conf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, scheduled team conference"
} ]
}, {
"code": "G9008",
"display": "Mccd,phys coor-care ovrsght",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, physician coordinated care oversight services"
} ]
}, {
"code": "G9009",
"display": "Mccd, risk adj, level 3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, risk adjusted maintenance, level 3"
} ]
}, {
"code": "G9010",
"display": "Mccd, risk adj, level 4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, risk adjusted maintenance, level 4"
} ]
}, {
"code": "G9011",
"display": "Mccd, risk adj, level 5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated care fee, risk adjusted maintenance, level 5"
} ]
}, {
"code": "G9012",
"display": "Other specified case mgmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other specified case management service not elsewhere classified"
} ]
}, {
"code": "G9013",
"display": "Esrd demo bundle level i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esrd demo basic bundle level i"
} ]
}, {
"code": "G9014",
"display": "Esrd demo bundle-level ii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esrd demo expanded bundle including venous access and related services"
} ]
}, {
"code": "G9016",
"display": "Demo-smoking cessation coun",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Smoking cessation counseling, individual, in the absence of or in addition to"
} ]
}, {
"code": "G9016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any other evaluation and management service, per session (6-10 minutes) [demo"
} ]
}, {
"code": "G9016",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "project code only]"
} ]
}, {
"code": "G9017",
"display": "Amantadine hcl 100mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved"
} ]
}, {
"code": "G9017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9018",
"display": "Zanamivir,inhalation pwd 10m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use"
} ]
}, {
"code": "G9018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9019",
"display": "Oseltamivir phosphate 75mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved"
} ]
}, {
"code": "G9019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9020",
"display": "Rimantadine hcl 100mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved"
} ]
}, {
"code": "G9020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9033",
"display": "Amantadine hcl oral brand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amantadine hydrochloride, oral brand, per 100 mg (for use in a"
} ]
}, {
"code": "G9033",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9034",
"display": "Zanamivir, inh pwdr, brand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zanamivir, inhalation powder, administered through inhaler, brand, per 10 mg"
} ]
}, {
"code": "G9034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9035",
"display": "Oseltamivir phosp, brand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved"
} ]
}, {
"code": "G9035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9036",
"display": "Rimantadine hcl, brand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a"
} ]
}, {
"code": "G9036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9037",
"display": "Intrpro req fr rec phys/qhcp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interprofessional telephone/internet/electronic health record clinical"
} ]
}, {
"code": "G9037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "question/request for specialty recommendations by a treating/requesting"
} ]
}, {
"code": "G9037",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "physician or other qualified health care professional for the care of the"
} ]
}, {
"code": "G9037",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patient (i.e. not for professional education or scheduling) and may include"
} ]
}, {
"code": "G9037",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "subsequent follow up on the specialist's recommendations; 30 minutes"
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}, {
"code": "G9038",
"display": "Co-management services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Co-management services with the following elements: new diagnosis or acute"
} ]
}, {
"code": "G9038",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "exacerbation and stabilization of existing condition; condition which may"
} ]
}, {
"code": "G9038",
"property": [ {
"code": "seqNum",
"valueString": "00300"
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"designation": [ {
"value": "benefit from joint care planning; condition for which specialist is taking a"
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}, {
"code": "G9038",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "co-management role; condition expected to last at least 3 months; comprehensive"
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}, {
"code": "G9038",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "care plan established, implemented, revised or monitored in partnership with"
} ]
}, {
"code": "G9038",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "co-managing clinicians; ongoing communication and care coordination between"
} ]
}, {
"code": "G9038",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "co-managing clinicians furnishing care"
} ]
}, {
"code": "G9050",
"display": "Oncology work-up evaluation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; primary focus of visit; work-up, evaluation, or staging at the time"
} ]
}, {
"code": "G9050",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of cancer diagnosis or recurrence (for use in a medicare-approved demonstration"
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}, {
"code": "G9050",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "project)"
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}, {
"code": "G9051",
"display": "Oncology tx decision-mgmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; primary focus of visit; treatment decision-making after disease is"
} ]
}, {
"code": "G9051",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "staged or restaged, discussion of treatment options, supervising/coordinating"
} ]
}, {
"code": "G9051",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "active cancer directed therapy or managing consequences of cancer directed"
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}, {
"code": "G9051",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "therapy (for use in a medicare-approved demonstration project)"
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}, {
"code": "G9052",
"display": "Onc surveillance for disease",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; primary focus of visit; surveillance for disease recurrence for"
} ]
}, {
"code": "G9052",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient who has completed definitive cancer-directed therapy and currently"
} ]
}, {
"code": "G9052",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "lacks evidence of recurrent disease; cancer directed therapy might be"
} ]
}, {
"code": "G9052",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "considered in the future (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9053",
"display": "Onc expectant management pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; primary focus of visit; expectant management of patient with evidence"
} ]
}, {
"code": "G9053",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of cancer for whom no cancer directed therapy is being administered or arranged"
} ]
}, {
"code": "G9053",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "at present; cancer directed therapy might be considered in the future (for use"
} ]
}, {
"code": "G9053",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9054",
"display": "Onc supervision palliative",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; primary focus of visit; supervising, coordinating or managing care of"
} ]
}, {
"code": "G9054",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient with terminal cancer or for whom other medical illness prevents further"
} ]
}, {
"code": "G9054",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cancer treatment; includes symptom management, end-of-life care planning,"
} ]
}, {
"code": "G9054",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "management of palliative therapies (for use in a medicare-approved"
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}, {
"code": "G9054",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9055",
"display": "Onc visit unspecified nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; primary focus of visit; other, unspecified service not otherwise"
} ]
}, {
"code": "G9055",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9056",
"display": "Onc prac mgmt adheres guide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; practice guidelines; management adheres to guidelines (for use in a"
} ]
}, {
"code": "G9056",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9057",
"display": "Onc pract mgmt differs trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; practice guidelines; management differs from guidelines as a result"
} ]
}, {
"code": "G9057",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of patient enrollment in an institutional review board approved clinical trial"
} ]
}, {
"code": "G9057",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9058",
"display": "Onc prac mgmt disagree w/gui",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; practice guidelines; management differs from guidelines because the"
} ]
}, {
"code": "G9058",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treating physician disagrees with guideline recommendations (for use in a"
} ]
}, {
"code": "G9058",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9059",
"display": "Onc prac mgmt pt opt alterna",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; practice guidelines; management differs from guidelines because the"
} ]
}, {
"code": "G9059",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient, after being offered treatment consistent with guidelines, has opted"
} ]
}, {
"code": "G9059",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "for alternative treatment or management, including no treatment (for use in a"
} ]
}, {
"code": "G9059",
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"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9060",
"display": "Onc prac mgmt dif pt comorb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Oncology; practice guidelines; management differs from guidelines for reason(s)"
} ]
}, {
"code": "G9060",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "associated with patient comorbid illness or performance status not factored"
} ]
}, {
"code": "G9060",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "into guidelines (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9061",
"display": "Onc prac cond noadd by guide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; practice guidelines; patient's condition not addressed by available"
} ]
}, {
"code": "G9061",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "guidelines (for use in a medicare-approved demonstration project)"
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"code": "G9062",
"display": "Onc prac guide differs nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; practice guidelines; management differs from guidelines for other"
} ]
}, {
"code": "G9062",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason(s) not listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9063",
"display": "Onc dx nsclc stgi no progres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of"
} ]
}, {
"code": "G9063",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease initially established as stage i (prior to neo-adjuvant therapy, if"
} ]
}, {
"code": "G9063",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "any) with no evidence of disease progression, recurrence, or metastases (for"
} ]
}, {
"code": "G9063",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9064",
"display": "Onc dx nsclc stg2 no progres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of"
} ]
}, {
"code": "G9064",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease initially established as stage ii (prior to neo-adjuvant therapy, if"
} ]
}, {
"code": "G9064",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "any) with no evidence of disease progression, recurrence, or metastases (for"
} ]
}, {
"code": "G9064",
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"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9065",
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"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of"
} ]
}, {
"code": "G9065",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease initially established as stage iii a (prior to neo-adjuvant therapy, if"
} ]
}, {
"code": "G9065",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "any) with no evidence of disease progression, recurrence, or metastases (for"
} ]
}, {
"code": "G9065",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9066",
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"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to non-small cell lung cancer; stage iii b-"
} ]
}, {
"code": "G9066",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "iv at diagnosis, metastatic, locally recurrent, or progressive (for use in a"
} ]
}, {
"code": "G9066",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9067",
"display": "Onc dx nsclc dx unknown nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to non-small cell lung cancer; extent of"
} ]
}, {
"code": "G9067",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9067",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9068",
"display": "Onc dx sclc/nsclc limited",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to small cell and combined small"
} ]
}, {
"code": "G9068",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cell/non-small cell; extent of disease initially established as limited with no"
} ]
}, {
"code": "G9068",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9068",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9069",
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"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
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"value": "Oncology; disease status; small cell lung cancer, limited to small cell and"
} ]
}, {
"code": "G9069",
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"code": "seqNum",
"valueString": "00200"
} ],
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"value": "combined small cell/non-small cell; extensive stage at diagnosis, metastatic,"
} ]
}, {
"code": "G9069",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "locally recurrent, or progressive (for use in a medicare-approved demonstration"
} ]
}, {
"code": "G9069",
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"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "project)"
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}, {
"code": "G9070",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; small cell lung cancer, limited to small cell and"
} ]
}, {
"code": "G9070",
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"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "combined small cell/non-small; extent of disease unknown, staging in progress,"
} ]
}, {
"code": "G9070",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or not listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9071",
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"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; invasive female breast cancer (does not include"
} ]
}, {
"code": "G9071",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i or"
} ]
}, {
"code": "G9071",
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"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "stage iia-iib; or t3, n1, m0; and er and/or pr positive; with no evidence of"
} ]
}, {
"code": "G9071",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease progression, recurrence, or metastases (for use in a medicare-approved"
} ]
}, {
"code": "G9071",
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"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9072",
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"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; invasive female breast cancer (does not include"
} ]
}, {
"code": "G9072",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i, or"
} ]
}, {
"code": "G9072",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "stage iia-iib; or t3, n1, m0; and er and pr negative; with no evidence of"
} ]
}, {
"code": "G9072",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease progression, recurrence, or metastases (for use in a medicare-approved"
} ]
}, {
"code": "G9072",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9073",
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"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; invasive female breast cancer (does not include"
} ]
}, {
"code": "G9073",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage"
} ]
}, {
"code": "G9073",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "iiia-iiib; and not t3, n1, m0; and er and/or pr positive; with no evidence of"
} ]
}, {
"code": "G9073",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease progression, recurrence, or metastases (for use in a medicare-approved"
} ]
}, {
"code": "G9073",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9074",
"display": "Onc dx brst stg3-noprogress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; invasive female breast cancer (does not include"
} ]
}, {
"code": "G9074",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage"
} ]
}, {
"code": "G9074",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "iiia-iiib; and not t3, n1, m0; and er and pr negative; with no evidence of"
} ]
}, {
"code": "G9074",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "disease progression, recurrence, or metastases (for use in a medicare-approved"
} ]
}, {
"code": "G9074",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9075",
"display": "Onc dx brst metastic/ recur",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; invasive female breast cancer (does not include"
} ]
}, {
"code": "G9075",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ductal carcinoma in situ); adenocarcinoma as predominant cell type; m1 at"
} ]
}, {
"code": "G9075",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis, metastatic, locally recurrent, or progressive (for use in a"
} ]
}, {
"code": "G9075",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9077",
"display": "Onc dx prostate t1no progres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9077",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at"
} ]
}, {
"code": "G9077",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis with no evidence of disease progression, recurrence, or metastases"
} ]
}, {
"code": "G9077",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9078",
"display": "Onc dx prostate t2no progres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9078",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; t2 or t3a gleason 8-10 or psa > 20 at diagnosis with no"
} ]
}, {
"code": "G9078",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9078",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9079",
"display": "Onc dx prostate t3b-t4noprog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9079",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; t3b-t4, any n; any t, n1 at diagnosis with no evidence"
} ]
}, {
"code": "G9079",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9079",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9080",
"display": "Onc dx prostate w/rise psa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma; after"
} ]
}, {
"code": "G9080",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initial treatment with rising psa or failure of psa decline (for use in a"
} ]
}, {
"code": "G9080",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9083",
"display": "Onc dx prostate unknwn nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of"
} ]
}, {
"code": "G9083",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9083",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9084",
"display": "Onc dx colon t1-3,n1-2,no pr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; colon cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9084",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9084",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t1-3, n0, m0 with no evidence of disease progression,"
} ]
}, {
"code": "G9084",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "recurrence, or metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9085",
"display": "Onc dx colon t4, n0 w/o prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; colon cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9085",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9085",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t4, n0, m0 with no evidence of disease progression, recurrence,"
} ]
}, {
"code": "G9085",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "or metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9086",
"display": "Onc dx colon t1-4 no dx prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; colon cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9086",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9086",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t1-4, n1-2, m0 with no evidence of disease progression,"
} ]
}, {
"code": "G9086",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "recurrence, or metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9087",
"display": "Onc dx colon metas evid dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; colon cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9087",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally"
} ]
}, {
"code": "G9087",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recurrent, or progressive with current clinical, radiologic, or biochemical"
} ]
}, {
"code": "G9087",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9088",
"display": "Onc dx colon metas noevid dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; colon cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9088",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally"
} ]
}, {
"code": "G9088",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recurrent, or progressive without current clinical, radiologic, or biochemical"
} ]
}, {
"code": "G9088",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9089",
"display": "Onc dx colon extent unknown",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; colon cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9089",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease unknown, staging in"
} ]
}, {
"code": "G9089",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "progress, or not listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9090",
"display": "Onc dx rectal t1-2 no progr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9090",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t1-2, n0, m0 (prior to neo-adjuvant therapy, if any) with no"
} ]
}, {
"code": "G9090",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9090",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9091",
"display": "Onc dx rectal t3 n0 no prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9091",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9091",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t3, n0, m0 (prior to neo-adjuvant therapy, if any) with no"
} ]
}, {
"code": "G9091",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9091",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9092",
"display": "Onc dx rectal t1-3,n1-2noprg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9092",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9092",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t1-3, n1-2, m0 (prior to neo-adjuvant therapy, if any) with no"
} ]
}, {
"code": "G9092",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence or metastases (for use in a"
} ]
}, {
"code": "G9092",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9093",
"display": "Onc dx rectal t4,n,m0 no prg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9093",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9093",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no"
} ]
}, {
"code": "G9093",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9093",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9094",
"display": "Onc dx rectal m1 w/mets prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9094",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; m1 at diagnosis, metastatic, locally"
} ]
}, {
"code": "G9094",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recurrent, or progressive (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9095",
"display": "Onc dx rectal extent unknwn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; rectal cancer, limited to invasive cancer,"
} ]
}, {
"code": "G9095",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenocarcinoma as predominant cell type; extent of disease unknown, staging in"
} ]
}, {
"code": "G9095",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "progress, or not listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9096",
"display": "Onc dx esophag t1-t3 noprog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or"
} ]
}, {
"code": "G9096",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "squamous cell carcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9096",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t1-t3, n0-n1 or nx (prior to neo-adjuvant therapy, if any) with"
} ]
}, {
"code": "G9096",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "no evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9096",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9097",
"display": "Onc dx esophageal t4 no prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or"
} ]
}, {
"code": "G9097",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "squamous cell carcinoma as predominant cell type; extent of disease initially"
} ]
}, {
"code": "G9097",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "established as t4, any n, m0 (prior to neo-adjuvant therapy, if any) with no"
} ]
}, {
"code": "G9097",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of disease progression, recurrence, or metastases (for use in a"
} ]
}, {
"code": "G9097",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9098",
"display": "Onc dx esophageal mets recur",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or"
} ]
}, {
"code": "G9098",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "squamous cell carcinoma as predominant cell type; m1 at diagnosis, metastatic,"
} ]
}, {
"code": "G9098",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "locally recurrent, or progressive (for use in a medicare-approved demonstration"
} ]
}, {
"code": "G9098",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "project)"
} ]
}, {
"code": "G9099",
"display": "Onc dx esophageal unknown",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; esophageal cancer, limited to adenocarcinoma or"
} ]
}, {
"code": "G9099",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "squamous cell carcinoma as predominant cell type; extent of disease unknown,"
} ]
}, {
"code": "G9099",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "staging in progress, or not listed (for use in a medicare-approved"
} ]
}, {
"code": "G9099",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9100",
"display": "Onc dx gastric no recurrence",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9100",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; post r0 resection (with or without neoadjuvant therapy)"
} ]
}, {
"code": "G9100",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with no evidence of disease recurrence, progression, or metastases (for use in"
} ]
}, {
"code": "G9100",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "a medicare-approved demonstration project)"
} ]
}, {
"code": "G9101",
"display": "Onc dx gastric p r1-r2noprog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9101",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; post r1 or r2 resection (with or without neoadjuvant"
} ]
}, {
"code": "G9101",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy) with no evidence of disease progression, or metastases (for use in a"
} ]
}, {
"code": "G9101",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9102",
"display": "Onc dx gastric unresectable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9102",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; clinical or pathologic m0, unresectable with no evidence"
} ]
}, {
"code": "G9102",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of disease progression, or metastases (for use in a medicare-approved"
} ]
}, {
"code": "G9102",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9103",
"display": "Onc dx gastric recurrent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9103",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; clinical or pathologic m1 at diagnosis, metastatic,"
} ]
}, {
"code": "G9103",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "locally recurrent, or progressive (for use in a medicare-approved demonstration"
} ]
}, {
"code": "G9103",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "project)"
} ]
}, {
"code": "G9104",
"display": "Onc dx gastric unknown nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; gastric cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9104",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; extent of disease unknown, staging in progress, or not"
} ]
}, {
"code": "G9104",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9105",
"display": "Onc dx pancreatc p r0 res no",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as"
} ]
}, {
"code": "G9105",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "predominant cell type; post r0 resection without evidence of disease"
} ]
}, {
"code": "G9105",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "progression, recurrence, or metastases (for use in a medicare-approved"
} ]
}, {
"code": "G9105",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9106",
"display": "Onc dx pancreatc p r1/r2 no",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post r1"
} ]
}, {
"code": "G9106",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or r2 resection with no evidence of disease progression, or metastases (for use"
} ]
}, {
"code": "G9106",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9107",
"display": "Onc dx pancreatic unresectab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma;"
} ]
}, {
"code": "G9107",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unresectable at diagnosis, m1 at diagnosis, metastatic, locally recurrent, or"
} ]
}, {
"code": "G9107",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "progressive (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9108",
"display": "Onc dx pancreatic unknwn nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent"
} ]
}, {
"code": "G9108",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9108",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9109",
"display": "Onc dx head/neck t1-t2no prg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral"
} ]
}, {
"code": "G9109",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cavity, pharynx and larynx with squamous cell as predominant cell type; extent"
} ]
}, {
"code": "G9109",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of disease initially established as t1-t2 and n0, m0 (prior to neo-adjuvant"
} ]
}, {
"code": "G9109",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "therapy, if any) with no evidence of disease progression, recurrence, or"
} ]
}, {
"code": "G9109",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9110",
"display": "Onc dx head/neck t3-4 noprog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral"
} ]
}, {
"code": "G9110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cavity, pharynx and larynx with squamous cell as predominant cell type; extent"
} ]
}, {
"code": "G9110",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of disease initially established as t3-4 and/or n1-3, m0 (prior to neo-adjuvant"
} ]
}, {
"code": "G9110",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "therapy, if any) with no evidence of disease progression, recurrence, or"
} ]
}, {
"code": "G9110",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9111",
"display": "Onc dx head/neck m1 mets rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral"
} ]
}, {
"code": "G9111",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cavity, pharynx and larynx with squamous cell as predominant cell type; m1 at"
} ]
}, {
"code": "G9111",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diagnosis, metastatic, locally recurrent, or progressive (for use in a"
} ]
}, {
"code": "G9111",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9112",
"display": "Onc dx head/neck ext unknown",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; head and neck cancer, limited to cancers of oral"
} ]
}, {
"code": "G9112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cavity, pharynx and larynx with squamous cell as predominant cell type; extent"
} ]
}, {
"code": "G9112",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9112",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9113",
"display": "Onc dx ovarian stg1a-b no pr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer;"
} ]
}, {
"code": "G9113",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathologic stage ia-b (grade 1) without evidence of disease progression,"
} ]
}, {
"code": "G9113",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recurrence, or metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9114",
"display": "Onc dx ovarian stg1a-b or 2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer;"
} ]
}, {
"code": "G9114",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii;"
} ]
}, {
"code": "G9114",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "without evidence of disease progression, recurrence, or metastases (for use in"
} ]
}, {
"code": "G9114",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "a medicare-approved demonstration project)"
} ]
}, {
"code": "G9115",
"display": "Onc dx ovarian stg3/4 noprog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer;"
} ]
}, {
"code": "G9115",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathologic stage iii-iv; without evidence of progression, recurrence, or"
} ]
}, {
"code": "G9115",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "metastases (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9116",
"display": "Onc dx ovarian recurrence",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer;"
} ]
}, {
"code": "G9116",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evidence of disease progression, or recurrence, and/or platinum resistance (for"
} ]
}, {
"code": "G9116",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9117",
"display": "Onc dx ovarian unknown nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent"
} ]
}, {
"code": "G9117",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9117",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9123",
"display": "Onc dx cml chronic phase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia"
} ]
}, {
"code": "G9123",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chromosome positive and/or bcr-abl positive; chronic phase not in hematologic,"
} ]
}, {
"code": "G9123",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cytogenetic, or molecular remission (for use in a medicare-approved"
} ]
}, {
"code": "G9123",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9124",
"display": "Onc dx cml acceler phase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia"
} ]
}, {
"code": "G9124",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chromosome positive and/or bcr-abl positive; accelerated phase not in"
} ]
}, {
"code": "G9124",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hematologic cytogenetic, or molecular remission (for use in a medicare-approved"
} ]
}, {
"code": "G9124",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9125",
"display": "Onc dx cml blast phase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia"
} ]
}, {
"code": "G9125",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chromosome positive and/or bcr-abl positive; blast phase not in hematologic,"
} ]
}, {
"code": "G9125",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cytogenetic, or molecular remission (for use in a medicare-approved"
} ]
}, {
"code": "G9125",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9126",
"display": "Onc dx cml remission",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia"
} ]
}, {
"code": "G9126",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chromosome positive and/or bcr-abl positive; in hematologic, cytogenetic, or"
} ]
}, {
"code": "G9126",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "molecular remission (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9128",
"display": "Onc dx multi myeloma stage i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to multiple myeloma, systemic disease;"
} ]
}, {
"code": "G9128",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "smoldering, stage i (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9129",
"display": "Onc dx mult myeloma stg2 hig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to multiple myeloma, systemic disease; stage"
} ]
}, {
"code": "G9129",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ii or higher (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9130",
"display": "Onc dx multi myeloma unknown",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; limited to multiple myeloma, systemic disease; extent"
} ]
}, {
"code": "G9130",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9130",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9131",
"display": "Onc dx brst unknown nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; invasive female breast cancer (does not include"
} ]
}, {
"code": "G9131",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ductal carcinoma in situ); adenocarcinoma as predominant cell type; extent of"
} ]
}, {
"code": "G9131",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "disease unknown, staging in progress, or not listed (for use in a"
} ]
}, {
"code": "G9131",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9132",
"display": "Onc dx prostate mets no cast",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma;"
} ]
}, {
"code": "G9132",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hormone-refractory/androgen-independent (e.g., rising psa on anti-androgen"
} ]
}, {
"code": "G9132",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy or post-orchiectomy); clinical metastases (for use in a"
} ]
}, {
"code": "G9132",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9133",
"display": "Onc dx prostate clinical met",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; prostate cancer, limited to adenocarcinoma;"
} ]
}, {
"code": "G9133",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hormone-responsive; clinical metastases or m1 at diagnosis (for use in a"
} ]
}, {
"code": "G9133",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9134",
"display": "Onc nhlstg 1-2 no relap no",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification;"
} ]
}, {
"code": "G9134",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stage i, ii at diagnosis, not relapsed, not refractory (for use in a"
} ]
}, {
"code": "G9134",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9135",
"display": "Onc dx nhl stg 3-4 not relap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification;"
} ]
}, {
"code": "G9135",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stage iii, iv, not relapsed, not refractory (for use in a medicare-approved"
} ]
}, {
"code": "G9135",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9136",
"display": "Onc dx nhl trans to lg bcell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; non-hodgkin's lymphoma, transformed from original"
} ]
}, {
"code": "G9136",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cellular diagnosis to a second cellular classification (for use in a"
} ]
}, {
"code": "G9136",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medicare-approved demonstration project)"
} ]
}, {
"code": "G9137",
"display": "Onc dx nhl relapse/refractor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification;"
} ]
}, {
"code": "G9137",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "relapsed/refractory (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9138",
"display": "Onc dx nhl stg unknown",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; non-hodgkin's lymphoma, any cellular classification;"
} ]
}, {
"code": "G9138",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diagnostic evaluation, stage not determined, evaluation of possible relapse or"
} ]
}, {
"code": "G9138",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "non-response to therapy, or not listed (for use in a medicare-approved"
} ]
}, {
"code": "G9138",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "demonstration project)"
} ]
}, {
"code": "G9139",
"display": "Onc dx cml dx status unknown",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology; disease status; chronic myelogenous leukemia, limited to philadelphia"
} ]
}, {
"code": "G9139",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "chromosome positive and/or bcr-abl positive; extent of disease unknown, staging"
} ]
}, {
"code": "G9139",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "in progress, not listed (for use in a medicare-approved demonstration project)"
} ]
}, {
"code": "G9140",
"display": "Frontier extended stay demo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Frontier extended stay clinic demonstration; for a patient stay in a clinic"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "approved for the cms demonstration project; the following measures should be"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "present: the stay must be equal to or greater than 4 hours; weather or other"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "conditions must prevent transfer or the case falls into a category of"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "monitoring and observation cases that are permitted by the rules of the"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "demonstration; there is a maximum frontier extended stay clinic (fesc) visit of"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "48 hours, except in the case when weather or other conditions prevent transfer;"
} ]
}, {
"code": "G9140",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "payment is made on each period up to 4 hours, after the first 4 hours"
} ]
}, {
"code": "G9143",
"display": "Warfarin respon genetic test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Warfarin responsiveness testing by genetic technique using any method, any"
} ]
}, {
"code": "G9143",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "number of specimen(s)"
} ]
}, {
"code": "G9147",
"display": "Outpt iv insulin tx any mea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Outpatient intravenous insulin treatment (oivit) either pulsatile or"
} ]
}, {
"code": "G9147",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "continuous, by any means, guided by the results of measurements for:"
} ]
}, {
"code": "G9147",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial,"
} ]
}, {
"code": "G9147",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "venous or capillary glucose; and/or potassium concentration"
} ]
}, {
"code": "G9148",
"display": "Medical home level 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "National committee for quality assurance - level 1 medical home"
} ]
}, {
"code": "G9149",
"display": "Medical home level ii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "National committee for quality assurance - level 2 medical home"
} ]
}, {
"code": "G9150",
"display": "Medical home level iii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "National committee for quality assurance - level 3 medical home"
} ]
}, {
"code": "G9151",
"display": "Mapcp demo state",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mapcp demonstration - state provided services"
} ]
}, {
"code": "G9152",
"display": "Mapcp demo community",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mapcp demonstration - community health teams"
} ]
}, {
"code": "G9153",
"display": "Mapcp demo physician",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mapcp demonstration - physician incentive pool"
} ]
}, {
"code": "G9156",
"display": "Evaluation for wheelchair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Evaluation for wheelchair requiring face to face visit with physician"
} ]
}, {
"code": "G9157",
"display": "Transesoph doppl cardiac mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transesophageal doppler measurement of cardiac output (including probe"
} ]
}, {
"code": "G9157",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "placement, image acquisition, and interpretation per course of treatment) for"
} ]
}, {
"code": "G9157",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "monitoring purposes"
} ]
}, {
"code": "G9158",
"display": "Motor speech d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Motor speech functional limitation, discharge status, at discharge from therapy"
} ]
}, {
"code": "G9158",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or to end reporting"
} ]
}, {
"code": "G9159",
"display": "Lang comp current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoken language comprehension functional limitation, current status at therapy"
} ]
}, {
"code": "G9159",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "episode outset and at reporting intervals"
} ]
}, {
"code": "G9160",
"display": "Lang comp goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoken language comprehension functional limitation, projected goal status at"
} ]
}, {
"code": "G9160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset, at reporting intervals, and at discharge or to end"
} ]
}, {
"code": "G9160",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reporting"
} ]
}, {
"code": "G9161",
"display": "Lang comp d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoken language comprehension functional limitation, discharge status, at"
} ]
}, {
"code": "G9161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge from therapy or to end reporting"
} ]
}, {
"code": "G9162",
"display": "Lang express current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoken language expression functional limitation, current status at therapy"
} ]
}, {
"code": "G9162",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "episode outset and at reporting intervals"
} ]
}, {
"code": "G9163",
"display": "Lang express goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoken language expression functional limitation, projected goal status at"
} ]
}, {
"code": "G9163",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset, at reporting intervals, and at discharge or to end"
} ]
}, {
"code": "G9163",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reporting"
} ]
}, {
"code": "G9164",
"display": "Lang express d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoken language expression functional limitation, discharge status at discharge"
} ]
}, {
"code": "G9164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "from therapy or to end reporting"
} ]
}, {
"code": "G9165",
"display": "Atten current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Attention functional limitation, current status at therapy episode outset and"
} ]
}, {
"code": "G9165",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at reporting intervals"
} ]
}, {
"code": "G9166",
"display": "Atten goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Attention functional limitation, projected goal status at therapy episode"
} ]
}, {
"code": "G9166",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outset, at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G9167",
"display": "Atten d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Attention functional limitation, discharge status at discharge from therapy or"
} ]
}, {
"code": "G9167",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to end reporting"
} ]
}, {
"code": "G9168",
"display": "Memory current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Memory functional limitation, current status at therapy episode outset and at"
} ]
}, {
"code": "G9168",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reporting intervals"
} ]
}, {
"code": "G9169",
"display": "Memory goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Memory functional limitation, projected goal status at therapy episode outset,"
} ]
}, {
"code": "G9169",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G9170",
"display": "Memory d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Memory functional limitation, discharge status at discharge from therapy or to"
} ]
}, {
"code": "G9170",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "end reporting"
} ]
}, {
"code": "G9171",
"display": "Voice current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Voice functional limitation, current status at therapy episode outset and at"
} ]
}, {
"code": "G9171",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reporting intervals"
} ]
}, {
"code": "G9172",
"display": "Voice goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Voice functional limitation, projected goal status at therapy episode outset,"
} ]
}, {
"code": "G9172",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G9173",
"display": "Voice d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Voice functional limitation, discharge status at discharge from therapy or to"
} ]
}, {
"code": "G9173",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "end reporting"
} ]
}, {
"code": "G9174",
"display": "Speech lang current status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other speech language pathology functional limitation, current status at"
} ]
}, {
"code": "G9174",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset and at reporting intervals"
} ]
}, {
"code": "G9175",
"display": "Speech lang goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other speech language pathology functional limitation, projected goal status at"
} ]
}, {
"code": "G9175",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy episode outset, at reporting intervals, and at discharge or to end"
} ]
}, {
"code": "G9175",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reporting"
} ]
}, {
"code": "G9176",
"display": "Speech lang d/c status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other speech language pathology functional limitation, discharge status at"
} ]
}, {
"code": "G9176",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge from therapy or to end reporting"
} ]
}, {
"code": "G9186",
"display": "Motor speech goal status",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Motor speech functional limitation, projected goal status at therapy episode"
} ]
}, {
"code": "G9186",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outset, at reporting intervals, and at discharge or to end reporting"
} ]
}, {
"code": "G9187",
"display": "Bpci home visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bundled payments for care improvement initiative home visit for patient"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment performed by a qualified health care professional for individuals"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "not considered homebound including, but not limited to, assessment of safety,"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "falls, clinical status, fluid status, medication reconciliation/management,"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "patient compliance with orders/plan of care, performance of activities of daily"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "living, appropriateness of care setting; (for use only in the meidcare-approved"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "bundled payments for care improvement initiative); may not be billed for a"
} ]
}, {
"code": "G9187",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "30-day period covered by a transitional care management code"
} ]
}, {
"code": "G9188",
"display": "Beta not given no reason",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker therapy not prescribed, reason not given"
} ]
}, {
"code": "G9189",
"display": "Beta pres or already taking",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beta-blocker therapy prescribed or currently being taken"
} ]
}, {
"code": "G9190",
"display": "Medical reason for no beta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing beta-blocker therapy"
} ]
}, {
"code": "G9190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(eg, allergy, intolerance, other medical reasons)"
} ]
}, {
"code": "G9191",
"display": "Pt reason for no beta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not prescribing beta-blocker therapy"
} ]
}, {
"code": "G9191",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(eg, patient declined, other patient reasons)"
} ]
}, {
"code": "G9192",
"display": "System reason for no beta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of system reason(s) for not prescribing beta-blocker therapy (eg,"
} ]
}, {
"code": "G9192",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other reasons attributable to the health care system)"
} ]
}, {
"code": "G9193",
"display": "Doc not eligible for dep med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented that patient with a diagnosis of major depression was not"
} ]
}, {
"code": "G9193",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "an eligible candidate for antidepressant medication treatment or patient did"
} ]
}, {
"code": "G9193",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "not have a diagnosis of major depression"
} ]
}, {
"code": "G9194",
"display": "Mdd pt treated for 180d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with a diagnosis of major depression documented as being treated with"
} ]
}, {
"code": "G9194",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antidepressant medication during the entire 180 day (6 month) continuation"
} ]
}, {
"code": "G9194",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment phase"
} ]
}, {
"code": "G9195",
"display": "Mdd pt not treated for 180d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with a diagnosis of major depression not documented as being treated"
} ]
}, {
"code": "G9195",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with antidepressant medication during the entire 180 day (6 months)"
} ]
}, {
"code": "G9195",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "continuation treatment phase"
} ]
}, {
"code": "G9196",
"display": "Med reason for no ceph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not ordering a first or second"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "in clinical trials, patients with documented infection prior to surgical"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "procedure of interest, patients who were receiving antibiotics more than 24"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "hours prior to surgery [except colon surgery patients taking oral prophylactic"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "antibiotics], patients who were receiving antibiotics within 24 hours prior to"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "arrival [except colon surgery patients taking oral prophylactic antibiotics],"
} ]
}, {
"code": "G9196",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "other medical reason(s))"
} ]
}, {
"code": "G9197",
"display": "Order for ceph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of order for first or second generation cephalosporin for"
} ]
}, {
"code": "G9197",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antimicrobial prophylaxis"
} ]
}, {
"code": "G9198",
"display": "No order for ceph no reason",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Order for first or second generation cephalosporin for antimicrobial"
} ]
}, {
"code": "G9198",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prophylaxis was not documented, reason not given"
} ]
}, {
"code": "G9199",
"display": "Doc reason for no vte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Venous thromboembolism (vte) prophylaxis not administered the day of or the day"
} ]
}, {
"code": "G9199",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after hospital admission for documented reasons (eg, patient is ambulatory,"
} ]
}, {
"code": "G9199",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient expired during inpatient stay, patient already on warfarin or another"
} ]
}, {
"code": "G9199",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "anticoagulant, other medical reason(s) or eg, patient left against medical"
} ]
}, {
"code": "G9199",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "advice, other patient reason(s))"
} ]
}, {
"code": "G9200",
"display": "No reason for no vte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Venous thromboembolism (vte) prophylaxis was not administered the day of or the"
} ]
}, {
"code": "G9200",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "day after hospital admission, reason not given"
} ]
}, {
"code": "G9201",
"display": "Vte given upon admission",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Venous thromboembolism (vte) prophylaxis administered the day of or the day"
} ]
}, {
"code": "G9201",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after hospital admission"
} ]
}, {
"code": "G9202",
"display": "Hep c aby pos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a positive hepatitis c antibody test"
} ]
}, {
"code": "G9203",
"display": "Hep c rna done prior to med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rna testing for hepatitis c documented as performed within 12 months prior to"
} ]
}, {
"code": "G9203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiation of antiviral treatment for hepatitis c"
} ]
}, {
"code": "G9204",
"display": "No reason for no hep c rna",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rna testing for hepatitis c was not documented as performed within 12 months"
} ]
}, {
"code": "G9204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to initiation of antiviral treatment for hepatitis c, reason not given"
} ]
}, {
"code": "G9205",
"display": "Hep c antiviral started",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient starting antiviral treatmentfor hepatitis c during the measurement"
} ]
}, {
"code": "G9205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9206",
"display": "Hep c therapy started",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient starting antiviral treatment for hepatitis c during the measurement"
} ]
}, {
"code": "G9206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9207",
"display": "Hep c genotype prior to med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis c genotype testing documented as performed within 12 months prior to"
} ]
}, {
"code": "G9207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiation of antiviral treatment for hepatitis c"
} ]
}, {
"code": "G9208",
"display": "No reason for no hep c geno",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis c genotype testing was not documented as performed within 12 months"
} ]
}, {
"code": "G9208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to initiation of antiviral treatment for hepatitis c, reason not given"
} ]
}, {
"code": "G9209",
"display": "Hep c rna 4to12 wk after med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis c quantitative rna testing documented as performed between 4-12 weeks"
} ]
}, {
"code": "G9209",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after the initiation of antiviral treatment"
} ]
}, {
"code": "G9210",
"display": "No hepc rna after med docrsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis c quantitative rna testing not performed between 4-12 weeks after the"
} ]
}, {
"code": "G9210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiation of antiviral treatment for documented reason(s) (e.g., patients"
} ]
}, {
"code": "G9210",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "whose treatment was discontinued during the testing period prior to testing,"
} ]
}, {
"code": "G9210",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "other medical reasons, patient declined, other patient reasons)"
} ]
}, {
"code": "G9211",
"display": "No hepc rna after med no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis c quantitative rna testing was not documented as performed between"
} ]
}, {
"code": "G9211",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4-12 weeks after the initiation of antiviral treatment, reason not given"
} ]
}, {
"code": "G9212",
"display": "Doc of dsm-iv init eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dsm-ivtm criteria for major depressive disorder documented at the initial"
} ]
}, {
"code": "G9212",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation"
} ]
}, {
"code": "G9213",
"display": "No doc of dsm-iv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dsm-iv-tr criteria for major depressive disorder not documented at the initial"
} ]
}, {
"code": "G9213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation, reason not otherwise specified"
} ]
}, {
"code": "G9214",
"display": "Cd4 count documented",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cd4+ cell count or cd4+ cell percentage results documented"
} ]
}, {
"code": "G9215",
"display": "No cd4 count no reason",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cd4+ cell count or percentage not documented as performed, reason not given"
} ]
}, {
"code": "G9216",
"display": "No pcp proph at dx no reason",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pcp prophylaxis was not prescribed at time of diagnosis of hiv, reason not given"
} ]
}, {
"code": "G9217",
"display": "No pcp proph low cd4 norsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pcp prophylaxis was not prescribed within 3 months of low cd4+ cell count below"
} ]
}, {
"code": "G9217",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "200 cells/mm3, reason not given"
} ]
}, {
"code": "G9218",
"display": "No pcp prop low at cd4 norsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pcp prophylaxis was not prescribed within 3 months oflow cd4+ cell count below"
} ]
}, {
"code": "G9218",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "500 cells/mm3 or a cd4 percentage below 15%, reason not given"
} ]
}, {
"code": "G9219",
"display": "No oder pjp for med reason",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of"
} ]
}, {
"code": "G9219",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "low cd4+ cell count below 200 cells/mm3 for medical reason (i.e., patient's"
} ]
}, {
"code": "G9219",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cd4+ cell count above threshold within 3 months after cd4+ cell count below"
} ]
}, {
"code": "G9219",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "threshold, indicating that the patient's cd4+ levels are within an acceptable"
} ]
}, {
"code": "G9219",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "range and the patient does not require pcp prophylaxis)"
} ]
}, {
"code": "G9220",
"display": "No order for pjp for medrsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumocystis jiroveci pneumonia prophylaxis not prescribed within 3 months of"
} ]
}, {
"code": "G9220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% for"
} ]
}, {
"code": "G9220",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical reason (i.e., patient's cd4+ cell count above threshold within 3 months"
} ]
}, {
"code": "G9220",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "after cd4+ cell count below threshold, indicating that the patient's cd4+"
} ]
}, {
"code": "G9220",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "levels are within an acceptable range and the patient does not require pcp"
} ]
}, {
"code": "G9220",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prophylaxis)"
} ]
}, {
"code": "G9221",
"display": "Pjp proph prescribed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumocystis jiroveci pneumonia prophlaxis prescribed"
} ]
}, {
"code": "G9222",
"display": "Pjp proph ordered low cd4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low"
} ]
}, {
"code": "G9222",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cd4+ cell count below 200 cells/mm3"
} ]
}, {
"code": "G9223",
"display": "Pjp proph ordered cd4 low",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low"
} ]
}, {
"code": "G9223",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%"
} ]
}, {
"code": "G9224",
"display": "Medrsn no foot exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason for not performing foot exam (e.g., patient"
} ]
}, {
"code": "G9224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with bilateral foot/leg amputation)"
} ]
}, {
"code": "G9225",
"display": "Norsn no foot exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot exam was not performed, reason not given"
} ]
}, {
"code": "G9226",
"display": "3 comp foot exam completed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot examination performed (includes examination through visual inspection,"
} ]
}, {
"code": "G9226",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sensory exam with 10-g monofilament plus testing any one of the following:"
} ]
}, {
"code": "G9226",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or"
} ]
}, {
"code": "G9226",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "vibration perception threshold, and pulse exam; report when all of the 3"
} ]
}, {
"code": "G9226",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "components are completed)"
} ]
}, {
"code": "G9227",
"display": "Foa doc, care plan not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional outcome assessment documented, care plan not documented,"
} ]
}, {
"code": "G9227",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documentation the patient is not eligible for a care plan at the time of the"
} ]
}, {
"code": "G9227",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "encounter"
} ]
}, {
"code": "G9228",
"display": "Gc chl syp documented",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chlamydia, gonorrhea and syphilis screening results documented (report when"
} ]
}, {
"code": "G9228",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "results are present for all of the 3 screenings)"
} ]
}, {
"code": "G9229",
"display": "Ptrsn no gc chl syp test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chlamydia, gonorrhea, and syphilis screening results not documented (patient"
} ]
}, {
"code": "G9229",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "refusal is the only allowed exception)"
} ]
}, {
"code": "G9230",
"display": "Norsn for gc chl syp test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chlamydia, gonorrhea, and syphilis not screened, reason not given"
} ]
}, {
"code": "G9231",
"display": "Doc esrd dia trans preg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of end stage renal disease (esrd), dialysis, renal transplant"
} ]
}, {
"code": "G9231",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "before or during the measurement period or pregnancy during the measurement"
} ]
}, {
"code": "G9231",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9232",
"display": "Ptrsn no comm comorbid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician treating major depressive disorder did not communicate to clinician"
} ]
}, {
"code": "G9232",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treating comorbid condition for specified patient reason (e.g., patient is"
} ]
}, {
"code": "G9232",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "unable to communicate the diagnosis of a comorbid condition; the patient is"
} ]
}, {
"code": "G9232",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "unwilling to communicate the diagnosis of a comorbid condition; or the patient"
} ]
}, {
"code": "G9232",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "is unaware of the comorbid condition, or any other specified patient reason)"
} ]
}, {
"code": "G9233",
"display": "Tkr composite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the total knee replacement"
} ]
}, {
"code": "G9233",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G9234",
"display": "Tkr intent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the total knee replacement measures group"
} ]
}, {
"code": "G9235",
"display": "Gs mg composite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the general surgery measures"
} ]
}, {
"code": "G9235",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "group have been performed for this patient"
} ]
}, {
"code": "G9236",
"display": "Op rad mg composite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the optimizing patient"
} ]
}, {
"code": "G9236",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "exposure to ionizing radiation measures group have been performed for this"
} ]
}, {
"code": "G9236",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient"
} ]
}, {
"code": "G9237",
"display": "Gs mg intent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the general surgery measures group"
} ]
}, {
"code": "G9238",
"display": "Op rad mg intent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the optimizing patient exposure to ionizing radiation"
} ]
}, {
"code": "G9238",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group"
} ]
}, {
"code": "G9239",
"display": "Doc rsn hemod & cath acc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reasons for patient initiating maintenance hemodialysis with a"
} ]
}, {
"code": "G9239",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "catheter as the mode of vascular access (e.g., patient has a maturing"
} ]
}, {
"code": "G9239",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "arteriovenous fistula (avf)/arteriovenous graft (avg), time-limited trial of"
} ]
}, {
"code": "G9239",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "hemodialysis, other medical reasons, patient declined avf/avg, other patient"
} ]
}, {
"code": "G9239",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "reasons, patient followed by reporting nephrologist for fewer than 90 days,"
} ]
}, {
"code": "G9239",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "other system reasons)"
} ]
}, {
"code": "G9240",
"display": "Doc pt w cath maint dia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient whose mode of vascular access is a catheter at the time maintenance"
} ]
}, {
"code": "G9240",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hemodialysis is initiated"
} ]
}, {
"code": "G9241",
"display": "Doc pt w out cath maint dia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient whose mode of vascular access is not a catheter at the time maintenance"
} ]
}, {
"code": "G9241",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hemodialysis is initiated"
} ]
}, {
"code": "G9242",
"display": "Doc viral load >=200",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of viral load equal to or greater than 200 copies/ml or viral"
} ]
}, {
"code": "G9242",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "load not performed"
} ]
}, {
"code": "G9243",
"display": "Doc viral load <200",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of viral load less than 200 copies/ml"
} ]
}, {
"code": "G9244",
"display": "Antiviral not ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antiretroviral thereapy not prescribed"
} ]
}, {
"code": "G9245",
"display": "Antiviral ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antiretroviral therapy prescribed"
} ]
}, {
"code": "G9246",
"display": "No enc or enc/vir ld 90days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not have two eligible encounters at least 90 days apart or one"
} ]
}, {
"code": "G9246",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "eligible encounter and one hiv viral load test at least 90 days apart"
} ]
}, {
"code": "G9247",
"display": "2 enc enc/vir ld 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had two eligible encounters at least 90 days apart or one eligible"
} ]
}, {
"code": "G9247",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "encounter and one hiv viral load test at least 90 days apart"
} ]
}, {
"code": "G9248",
"display": "No med visit 6mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not have a medical visit in the last 6 months"
} ]
}, {
"code": "G9249",
"display": "Med visit w in 6mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had a medical visit in the last 6 months"
} ]
}, {
"code": "G9250",
"display": "Doc of pain comfort 48hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient pain brought to a comfortable level within 48 hours"
} ]
}, {
"code": "G9250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "from initial assessment"
} ]
}, {
"code": "G9251",
"display": "Doc no pain comfort 48hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient with pain not brought to a comfortable level within 48"
} ]
}, {
"code": "G9251",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hours from initial assessment"
} ]
}, {
"code": "G9252",
"display": "Neo detect scrn colo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adenoma(s) or other neoplasm detected during screening colonoscopy"
} ]
}, {
"code": "G9253",
"display": "No neo detect scrn colo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adenoma(s) or other neoplasm not detected during screening colonoscopy"
} ]
}, {
"code": "G9254",
"display": "Doc pt dischg >2d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient discharged to home later than post-operative day 2"
} ]
}, {
"code": "G9254",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "following cea or cas"
} ]
}, {
"code": "G9255",
"display": "Pt dc home 2nd po day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient discharged to home no later than post operative day 2"
} ]
}, {
"code": "G9255",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "following cea or cas"
} ]
}, {
"code": "G9256",
"display": "Doc of pat death after cas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient death following cas"
} ]
}, {
"code": "G9257",
"display": "Doc of pat stroke after cas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient stroke following cas"
} ]
}, {
"code": "G9258",
"display": "Doc of pat stroke after cea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient stroke following cea"
} ]
}, {
"code": "G9259",
"display": "Survive/no stroke post cas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient survival and absence of stroke following cas"
} ]
}, {
"code": "G9260",
"display": "Doc of pat death after cea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient death following cea"
} ]
}, {
"code": "G9261",
"display": "Survive/no stroke post cea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient survival and absence of stroke following cea"
} ]
}, {
"code": "G9262",
"display": "Doc of death post-aaa repair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient death in the hospital following endovascular aaa repair"
} ]
}, {
"code": "G9263",
"display": "Doc of disch post-aaa repair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient discharged alive following endovascular aaa repair"
} ]
}, {
"code": "G9264",
"display": "Doc rsn hemod w/cath >=90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient receiving maintenance hemodialysis for greater than or"
} ]
}, {
"code": "G9264",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 90 days with a catheter for documented reasons (e.g., other medical"
} ]
}, {
"code": "G9264",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reasons, patient declined arteriovenous fistula (avf)/arteriovenous graft"
} ]
}, {
"code": "G9264",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(avg), other patient reasons)"
} ]
}, {
"code": "G9265",
"display": "Doc cath >90d for maint dia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving maintenance hemodialysis for greater than or equal to 90 days"
} ]
}, {
"code": "G9265",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with a catheter as the mode of vascular access"
} ]
}, {
"code": "G9266",
"display": "Norsn pt cath >=90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving maintenance hemodialysis for greater than or equal to 90 days"
} ]
}, {
"code": "G9266",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without a catheter as the mode of vascular access"
} ]
}, {
"code": "G9267",
"display": "Doc comp or mort w in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient with one or more complications or mortality within 30"
} ]
}, {
"code": "G9267",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days"
} ]
}, {
"code": "G9268",
"display": "Doc comp or mort w in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient with one or more complications within 90 days"
} ]
}, {
"code": "G9269",
"display": "Doc no comp or mort w in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient without one or more complications and without"
} ]
}, {
"code": "G9269",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mortality within 30 days"
} ]
}, {
"code": "G9270",
"display": "Doc no comp or mort w in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient without one or more complications within 90 days"
} ]
}, {
"code": "G9271",
"display": "Ldl under 100",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ldl value < 100"
} ]
}, {
"code": "G9272",
"display": "Ldl 100 and over",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ldl value >= 100"
} ]
}, {
"code": "G9273",
"display": "Sys<140 and dia<90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure has a systolic value of < 140 and a diastolic value of < 90"
} ]
}, {
"code": "G9274",
"display": "Bp out of nrml limits",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure has a systolic value of =140 and a diastolic value of = 90 or"
} ]
}, {
"code": "G9274",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "systolic value < 140 and diastolic value = 90 or systolic value = 140 and"
} ]
}, {
"code": "G9274",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "diastolic value < 90"
} ]
}, {
"code": "G9275",
"display": "Doc of non tobacco user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that patient is a current non-tobacco user"
} ]
}, {
"code": "G9276",
"display": "Doc of tobacco user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that patient is a current tobacco user"
} ]
}, {
"code": "G9277",
"display": "Doc daily aspirin or contra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that the patient is on daily aspirin or anti-platelet or has"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documentation of a valid contraindication or exception to"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use,"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "allergy to aspirin or anti-platelets, history of gastrointestinal bleed and"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "bleeding disorder; additionally, the following exceptions documented by the"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "physician as a reason for not taking daily aspirin or anti-platelet are"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "acceptable (use of non-steroidal anti-inflammatory agents, documented risk for"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "drug interaction, uncontrolled hypertension defined as >180 systolic or >110"
} ]
}, {
"code": "G9277",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "diastolic or gastroesophageal reflux)"
} ]
}, {
"code": "G9278",
"display": "Doc no daily aspirin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that the patient is not on daily aspirin or anti-platelet regimen"
} ]
}, {
"code": "G9279",
"display": "Pne scrn done doc vac done",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumococcal screening performed and documentation of vaccination received"
} ]
}, {
"code": "G9279",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to discharge"
} ]
}, {
"code": "G9280",
"display": "Pne not given norsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumococcal vaccination not administered prior to discharge, reason not"
} ]
}, {
"code": "G9280",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "G9281",
"display": "Pne scrn done doc not ind",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening performed and documentation that vaccination not indicated/patient"
} ]
}, {
"code": "G9281",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "refusal"
} ]
}, {
"code": "G9282",
"display": "Doc medrsn no histo type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not reporting the histological type or"
} ]
}, {
"code": "G9282",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nsclc-nos classification with an explanation (e.g., biopsy taken for other"
} ]
}, {
"code": "G9282",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "purposes in a patient with a history of non-small cell lung cancer or other"
} ]
}, {
"code": "G9282",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "documented medical reasons)"
} ]
}, {
"code": "G9283",
"display": "Hist type doc on report",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non small cell lung cancer biopsy and cytology specimen report documents"
} ]
}, {
"code": "G9283",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "classification into specific histologic type or classified as nsclc-nos with an"
} ]
}, {
"code": "G9283",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "explanation"
} ]
}, {
"code": "G9284",
"display": "No hist type doc on report",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non small cell lung cancer biopsy and cytology specimen report does not"
} ]
}, {
"code": "G9284",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "document classification into specific histologic type or classified as"
} ]
}, {
"code": "G9284",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "nsclc-nos with an explanation"
} ]
}, {
"code": "G9285",
"display": "Site not small cell lung ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic location of lung or is not classified as non"
} ]
}, {
"code": "G9285",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "small cell lung cancer"
} ]
}, {
"code": "G9286",
"display": "Antibio rx w in 10d of sympt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antibiotic regimen prescribed within 10 days after onset of symptoms"
} ]
}, {
"code": "G9287",
"display": "No antibio w in 10d of sympt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antibiotic regimen not prescribed within 10 days after onset of symptoms"
} ]
}, {
"code": "G9288",
"display": "Doc medrsn no hist type rpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not reporting the histological type or"
} ]
}, {
"code": "G9288",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nsclc-nos classification with an explanation (e.g., a solitary fibrous tumor in"
} ]
}, {
"code": "G9288",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "a person with a history of non-small cell carcinoma or other documented medical"
} ]
}, {
"code": "G9288",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reasons)"
} ]
}, {
"code": "G9289",
"display": "Doc type nsm lung ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non small cell lung cancer biopsy and cytology specimen report documents"
} ]
}, {
"code": "G9289",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "classification into specific histologic type or classified as nsclc-nos with an"
} ]
}, {
"code": "G9289",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "explanation"
} ]
}, {
"code": "G9290",
"display": "No doc type nsm lung ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non small cell lung cancer biopsy and cytology specimen report does not"
} ]
}, {
"code": "G9290",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "document classification into specific histologic type or classified as"
} ]
}, {
"code": "G9290",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "nsclc-nos with an explanation"
} ]
}, {
"code": "G9291",
"display": "Not nsm lung ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic location of lung, is not classified as non"
} ]
}, {
"code": "G9291",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "small cell lung cancer or classified as nsclc-nos"
} ]
}, {
"code": "G9292",
"display": "Medrsn no pt category",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not reporting pt category and a"
} ]
}, {
"code": "G9292",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "statement on thickness and ulceration and for pt1, mitotic rate (e.g., negative"
} ]
}, {
"code": "G9292",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "skin biopsies in a patient with a history of melanoma or other documented"
} ]
}, {
"code": "G9292",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "medical reasons)"
} ]
}, {
"code": "G9293",
"display": "No pt category on report",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report does not include the pt category and a statement on thickness"
} ]
}, {
"code": "G9293",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and ulceration and for pt1, mitotic rate"
} ]
}, {
"code": "G9294",
"display": "Pt cat and thck on report",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report includes the pt category and a statement on thickness and"
} ]
}, {
"code": "G9294",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ulceration and for pt1, mitotic rate"
} ]
}, {
"code": "G9295",
"display": "Non cutaneous loc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic cutaneous location"
} ]
}, {
"code": "G9296",
"display": "Doc share dec prior proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with documented shared decision-making including discussion of"
} ]
}, {
"code": "G9296",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "conservative (non-surgical) therapy (e.g., nsaids, analgesics, weight loss,"
} ]
}, {
"code": "G9296",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "exercise, injections) prior to the procedure"
} ]
}, {
"code": "G9297",
"display": "No doc share dec prior proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shared decision-making including discussion of conservative (non-surgical)"
} ]
}, {
"code": "G9297",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy (e.g., nsaids, analgesics, weight loss, exercise, injections) prior to"
} ]
}, {
"code": "G9297",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the procedure, not documented, reason not given"
} ]
}, {
"code": "G9298",
"display": "Eval risk vte card 30d prior",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are evaluated for venous thromboembolic and cardiovascular risk"
} ]
}, {
"code": "G9298",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi,"
} ]
}, {
"code": "G9298",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "arrhythmia and stroke)"
} ]
}, {
"code": "G9299",
"display": "No eval risk vte card prior",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are not evaluated for venous thromboembolic and cardiovascular"
} ]
}, {
"code": "G9299",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "risk factors within 30 days prior to the procedure (e.g., history of dvt, pe,"
} ]
}, {
"code": "G9299",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mi, arrhythmia and stroke, reason not given)"
} ]
}, {
"code": "G9300",
"display": "Doc medrsn no compl antibio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not completely infusing the prophylactic"
} ]
}, {
"code": "G9300",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antibiotic prior to the inflation of the proximal tourniquet (e.g., a"
} ]
}, {
"code": "G9300",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "tourniquet was not used)"
} ]
}, {
"code": "G9301",
"display": "Doc compl inf antibio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had the prophylactic antibiotic completely infused prior to the"
} ]
}, {
"code": "G9301",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inflation of the proximal tourniquet"
} ]
}, {
"code": "G9302",
"display": "Norsn incomp inf antibio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prophylactic antibiotic not completely infused prior to the inflation of the"
} ]
}, {
"code": "G9302",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "proximal tourniquet, reason not given"
} ]
}, {
"code": "G9303",
"display": "Norsn no pros info op rpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Operative report does not identify the prosthetic implant specifications"
} ]
}, {
"code": "G9303",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including the prosthetic implant manufacturer, the brand name of the prosthetic"
} ]
}, {
"code": "G9303",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "implant and the size of each prosthetic implant, reason not given"
} ]
}, {
"code": "G9304",
"display": "Pros info op rpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Operative report identifies the prosthetic implant specifications including the"
} ]
}, {
"code": "G9304",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prosthetic implant manufacturer, the brand name of the prosthetic implant and"
} ]
}, {
"code": "G9304",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the size of each prosthetic implant"
} ]
}, {
"code": "G9305",
"display": "No interv req for leak",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intervention for presence of leak of endoluminal contents through an"
} ]
}, {
"code": "G9305",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anastomosis not required"
} ]
}, {
"code": "G9306",
"display": "Interv req for leak",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intervention for presence of leak of endoluminal contents through an"
} ]
}, {
"code": "G9306",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anastomosis required"
} ]
}, {
"code": "G9307",
"display": "No ret for surg w in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No return to the operating room for a surgical procedure, for complications of"
} ]
}, {
"code": "G9307",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the principal operative procedure, within 30 days of the principal operative"
} ]
}, {
"code": "G9307",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "G9308",
"display": "Unpl ret or w/compl w/in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unplanned return to the operating room for a surgical procedure, for"
} ]
}, {
"code": "G9308",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complications of the principal operative procedure, within 30 days of the"
} ]
}, {
"code": "G9308",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "principal operative procedure"
} ]
}, {
"code": "G9309",
"display": "No unplnd hosp readm in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No unplanned hospital readmission within 30 days of principal procedure"
} ]
}, {
"code": "G9310",
"display": "Unplnd hosp readm in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unplanned hospital readmission within 30 days of principal procedure"
} ]
}, {
"code": "G9311",
"display": "No surg site infection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No surgical site infection"
} ]
}, {
"code": "G9312",
"display": "Surgical site infection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical site infection"
} ]
}, {
"code": "G9313",
"display": "Amoxic not presc as 1st line",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amoxicillin, with or without clavulanate, not prescribed as first line"
} ]
}, {
"code": "G9313",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antibiotic at the time of diagnosis for documented reason"
} ]
}, {
"code": "G9314",
"display": "Norsn not first line amox",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amoxicillin, with or without clavulanate, not prescribed as first line"
} ]
}, {
"code": "G9314",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antibiotic at the time of diagnosis, reason not given"
} ]
}, {
"code": "G9315",
"display": "Amox w/wo clav rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic"
} ]
}, {
"code": "G9315",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "at the time of diagnosis"
} ]
}, {
"code": "G9316",
"display": "Doc comm risk calc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient-specific risk assessment with a risk calculator based"
} ]
}, {
"code": "G9316",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "on multi-institutional clinical data, the specific risk calculator used, and"
} ]
}, {
"code": "G9316",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "communication of risk assessment from risk calculator with the patient or family"
} ]
}, {
"code": "G9317",
"display": "No doc comm risk calc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient-specific risk assessment with a risk calculator based"
} ]
}, {
"code": "G9317",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "on multi-institutional clinical data, the specific risk calculator used, and"
} ]
}, {
"code": "G9317",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "communication of risk assessment from risk calculator with the patient or"
} ]
}, {
"code": "G9317",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "family not completed"
} ]
}, {
"code": "G9318",
"display": "Image std nomenclature",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imaging study named according to standardized nomenclature"
} ]
}, {
"code": "G9319",
"display": "Image not std nomenclature",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imaging study not named according to standardized nomenclature, reason not given"
} ]
}, {
"code": "G9320",
"display": "Medrsn no std nomenclature",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not naming ct studies according to a"
} ]
}, {
"code": "G9320",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "standardized nomenclature provided (eg, ct studies performed for radiation"
} ]
}, {
"code": "G9320",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment planning or image-guided radiation treatment delivery)"
} ]
}, {
"code": "G9321",
"display": "Prev ct nuc med cnt doc 12mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial"
} ]
}, {
"code": "G9321",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "perfusion or infarct avid imaging) studies documented in the 12-month period"
} ]
}, {
"code": "G9321",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prior to the current study"
} ]
}, {
"code": "G9322",
"display": "No cnt ct nuc med doc 12mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Count of previous ct and cardiac nuclear medicine (myocardial perfusion or"
} ]
}, {
"code": "G9322",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infarct avid imaging) studies not documented in the 12-month period prior to"
} ]
}, {
"code": "G9322",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the current study, reason not given"
} ]
}, {
"code": "G9323",
"display": "Mdrsn no doc cnt of ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not counting previous ct and cardiac"
} ]
}, {
"code": "G9323",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nuclear medicine (myocardial perfusion) studies (eg, ct studies performed for"
} ]
}, {
"code": "G9323",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "radiation treatment planning or image-guided radiation treatment delivery)"
} ]
}, {
"code": "G9324",
"display": "Not all data norsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All necessary data elements not included, reason not given"
} ]
}, {
"code": "G9325",
"display": "Medrsn no ct rpt to reg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ct studies not reported to a radiation dose index registry due to medical"
} ]
}, {
"code": "G9325",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reasons (eg, ct studies performed for radiation treatment planning or"
} ]
}, {
"code": "G9325",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "image-guided radiation treatment delivery)"
} ]
}, {
"code": "G9326",
"display": "Ct done no rad ds index, nrg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ct studies performed not reported to a radiation dose index registry that is"
} ]
}, {
"code": "G9326",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capable of collecting at a minimum all necessary data elements, reason not given"
} ]
}, {
"code": "G9327",
"display": "Ct done rad ds index",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ct studies performed reported to a radiation dose index registry that is"
} ]
}, {
"code": "G9327",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capable of collecting at a minimum all necessary data elements"
} ]
}, {
"code": "G9328",
"display": "Medrsn no dicom format doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dicom format image data availability not documented in final report due to"
} ]
}, {
"code": "G9328",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medical reasons (eg, ct studies performed for radiation treatment planning or"
} ]
}, {
"code": "G9328",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "image-guided radiation treatment delivery)"
} ]
}, {
"code": "G9329",
"display": "Norsn no dicom format doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dicom format image data available to non-affiliated external healthcare"
} ]
}, {
"code": "G9329",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "facilities or entities on a secure, media free, reciprocally searchable basis"
} ]
}, {
"code": "G9329",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with patient authorization for at least a 12-month period after the study not"
} ]
}, {
"code": "G9329",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "documented in final report, reason not given"
} ]
}, {
"code": "G9340",
"display": "Dicom format doc on rpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final report documented that dicom format image data available to"
} ]
}, {
"code": "G9340",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-affiliated external healthcare facilities or entities on a secure, media"
} ]
}, {
"code": "G9340",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "free, reciprocally searchable basis with patient authorization for at least a"
} ]
}, {
"code": "G9340",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "12-month period after the study"
} ]
}, {
"code": "G9341",
"display": "Srch for ct w in 12 mos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Search conducted for prior patient ct studies completed at non-affiliated"
} ]
}, {
"code": "G9341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "external healthcare facilities or entities within the past 12-months and are"
} ]
}, {
"code": "G9341",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "available through a secure, authorized, media-free, shared archive prior to an"
} ]
}, {
"code": "G9341",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "imaging study being performed"
} ]
}, {
"code": "G9342",
"display": "No srch for ct in 12mo norsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Search not conducted prior to an imaging study being performed for prior"
} ]
}, {
"code": "G9342",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient ct studies completed at non-affiliated external healthcare facilities"
} ]
}, {
"code": "G9342",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or entities within the past 12-months and are available through a secure,"
} ]
}, {
"code": "G9342",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "authorized, media-free, shared archive, reason not given"
} ]
}, {
"code": "G9343",
"display": "Medrsn no dicom srch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Due to medical reasons, search not conducted for dicom format images for prior"
} ]
}, {
"code": "G9343",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient ct imaging studies completed at non-affiliated external healthcare"
} ]
}, {
"code": "G9343",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "facilities or entities within the past 12 months that are available through a"
} ]
}, {
"code": "G9343",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "secure, authorized, media-free, shared archive (e.g., ct studies performed for"
} ]
}, {
"code": "G9343",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "radiation treatment planning or image-guided radiation treatment delivery)"
} ]
}, {
"code": "G9344",
"display": "Sysrsn no dicom srch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Due to system reasons search not conducted for dicom format images for prior"
} ]
}, {
"code": "G9344",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient ct imaging studies completed at non-affiliated external healthcare"
} ]
}, {
"code": "G9344",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "facilities or entities within the past 12 months that are available through a"
} ]
}, {
"code": "G9344",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "secure, authorized, media-free, shared archive (e.g., non-affiliated external"
} ]
}, {
"code": "G9344",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "healthcare facilities or entities does not have archival abilities through a"
} ]
}, {
"code": "G9344",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "shared archival system)"
} ]
}, {
"code": "G9345",
"display": "Follow up pulm nod",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up recommendations documented according to recommended guidelines for"
} ]
}, {
"code": "G9345",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "incidentally detected pulmonary nodules (e.g., follow-up ct imaging studies"
} ]
}, {
"code": "G9345",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "needed or that no follow-up is needed) based at a minimum on nodule size and"
} ]
}, {
"code": "G9345",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patient risk factors"
} ]
}, {
"code": "G9346",
"display": "No follow up pulm nod",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up recommendations not documented according to recommended guidelines"
} ]
}, {
"code": "G9346",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for incidentally detected pulmonary nodules due to medical reasons (e.g.,"
} ]
}, {
"code": "G9346",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patients with known malignant disease, patients with unexplained fever, ct"
} ]
}, {
"code": "G9346",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "studies performed for radiation treatment planning or image-guided radiation"
} ]
}, {
"code": "G9346",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "treatment delivery)"
} ]
}, {
"code": "G9347",
"display": "No follow up pulm nod norsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Follow-up recommendations not documented according to recommended guidelines"
} ]
}, {
"code": "G9347",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for incidentally detected pulmonary nodules, reason not given"
} ]
}, {
"code": "G9348",
"display": "Doc rsn for ord ct scan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ct scan of the paranasal sinuses ordered at the time of diagnosis for"
} ]
}, {
"code": "G9348",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented reasons"
} ]
}, {
"code": "G9349",
"display": "Ct within 28 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ct scan of the paranasal sinuses ordered at the time of diagnosis or received"
} ]
}, {
"code": "G9349",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "within 28 days after date of diagnosis"
} ]
}, {
"code": "G9350",
"display": "No doc sinus ct 28d or dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ct scan of the paranasal sinuses not ordered at the time of diagnosis or"
} ]
}, {
"code": "G9350",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "received within 28 days after date of diagnosis"
} ]
}, {
"code": "G9351",
"display": "Doc >1 sinus ct w 90d dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "More than one ct scan of the paranasal sinuses ordered or received within 90"
} ]
}, {
"code": "G9351",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days after diagnosis"
} ]
}, {
"code": "G9352",
"display": "Not >1 sinus ct w 90d dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "More than one ct scan of the paranasal sinuses ordered or received within 90"
} ]
}, {
"code": "G9352",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days after the date of diagnosis, reason not given"
} ]
}, {
"code": "G9353",
"display": "Medrsn >1 sinus ct w 90d dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "More than one ct scan of the paranasal sinuses ordered or received within 90"
} ]
}, {
"code": "G9353",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days after the date of diagnosis for documented reasons (eg, patients with"
} ]
}, {
"code": "G9353",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "complications, second ct obtained prior to surgery, other medical reasons)"
} ]
}, {
"code": "G9354",
"display": "1 or no ct sinus w/in 90d dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after"
} ]
}, {
"code": "G9354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the date of diagnosis"
} ]
}, {
"code": "G9355",
"display": "No early ind/delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elective delivery (without medical indication) by cesarean birth or induction"
} ]
}, {
"code": "G9355",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of labor not performed (<39 weeks of gestation)"
} ]
}, {
"code": "G9356",
"display": "Early ind/delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elective delivery (without medical indication) by cesarean birth or induction"
} ]
}, {
"code": "G9356",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of labor performed (<39 weeks of gestation)"
} ]
}, {
"code": "G9357",
"display": "Pp eval/edu perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Post-partum screenings, evaluations and education performed"
} ]
}, {
"code": "G9358",
"display": "Pp eval/edu not perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Post-partum screenings, evaluations and education not performed"
} ]
}, {
"code": "G9359",
"display": "Neg mgd pos tb notact",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of negative or managed positive tb screen with further evidence"
} ]
}, {
"code": "G9359",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "that tb is not active prior to treatment with a biologic immune response"
} ]
}, {
"code": "G9359",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "modifier"
} ]
}, {
"code": "G9360",
"display": "No doc of neg or man pos tb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of negative or managed positive tb screen"
} ]
}, {
"code": "G9361",
"display": "Doc rsn elect c-sec/induct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical indication for delivery by cesarean birth or induction of labor (<39"
} ]
}, {
"code": "G9361",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weeks of gestation) [documentation of reason(s) for elective delivery (e.g.,"
} ]
}, {
"code": "G9361",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hemorrhage and placental complications, hypertension, preeclampsia and"
} ]
}, {
"code": "G9361",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "eclampsia, rupture of membranes (premature or prolonged), maternal conditions"
} ]
}, {
"code": "G9361",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "complicating pregnancy/delivery, fetal conditions complicating"
} ]
}, {
"code": "G9361",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "pregnancy/delivery, late pregnancy, prior uterine surgery, or participation in"
} ]
}, {
"code": "G9361",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "clinical trial)]"
} ]
}, {
"code": "G9362",
"display": "Mac or pnb w/o genanes >60m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb)"
} ]
}, {
"code": "G9362",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without the use of general anesthesia during an applicable procedure 60 minutes"
} ]
}, {
"code": "G9362",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or longer, as documented in the anesthesia record"
} ]
}, {
"code": "G9363",
"display": "Mac or pnb w/o genanes <60m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb)"
} ]
}, {
"code": "G9363",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without the use of general anesthesia during an applicable procedure or general"
} ]
}, {
"code": "G9363",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or neuraxial anesthesia less than 60 minutes, as documented in the anesthesia"
} ]
}, {
"code": "G9363",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "G9364",
"display": "Sinus caus bac inx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sinusitis caused by, or presumed to be caused by, bacterial infection"
} ]
}, {
"code": "G9365",
"display": "1high risk med ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One high-risk medication ordered"
} ]
}, {
"code": "G9366",
"display": "1high risk no ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One high-risk medication not ordered"
} ]
}, {
"code": "G9367",
"display": ">= 2 same hi-rsk med ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least two orders for high-risk medications from the same drug class"
} ]
}, {
"code": "G9368",
"display": ">= 2 same hi-rsk med not ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least two orders for high-risk medications from the same drug class not"
} ]
}, {
"code": "G9368",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ordered"
} ]
}, {
"code": "G9369",
"display": "Fill 2 rx antipsych",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individual filled at least two prescriptions for any antipsychotic medication"
} ]
}, {
"code": "G9369",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and had a pdc of 0.8 or greater"
} ]
}, {
"code": "G9370",
"display": "Not fill 2 rx antipsych",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individual who did not fill at least two prescriptions for any antipsychotic"
} ]
}, {
"code": "G9370",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medication or did not have a pdc of 0.8 or greater"
} ]
}, {
"code": "G9376",
"display": "Contd ret attach at 6mth f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient continued to have the retina attached at the 6 months follow up visit"
} ]
}, {
"code": "G9376",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(+/- 1 month) following only one surgery"
} ]
}, {
"code": "G9377",
"display": "No ret attach after 6mt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not have the retina attached after 6 months following only one"
} ]
}, {
"code": "G9377",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgery"
} ]
}, {
"code": "G9378",
"display": "Contd ret attach f/u vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient continued to have the retina attached at the 6 months follow up visit"
} ]
}, {
"code": "G9378",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(+/- 1 month)"
} ]
}, {
"code": "G9379",
"display": "No acheive flat ret 6mth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not achieve flat retinas six months post surgery"
} ]
}, {
"code": "G9380",
"display": "Off assis eol iss",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient offered assistance with end of life issues or existing end of life plan"
} ]
}, {
"code": "G9380",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "was reviewed or updated during the measurement period"
} ]
}, {
"code": "G9381",
"display": "Doc med reas no offer eol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not offering assistance with end of life"
} ]
}, {
"code": "G9381",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "issues (e.g., patient in hospice care, patient in terminal phase) during the"
} ]
}, {
"code": "G9381",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period"
} ]
}, {
"code": "G9382",
"display": "No off assis eol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not offered assistance with end of life issues or existing end of life"
} ]
}, {
"code": "G9382",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plan was not reviewed or updated during the measurement period"
} ]
}, {
"code": "G9383",
"display": "Recd scrn hcv infec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received screening for hcv infection within the 12 month reporting"
} ]
}, {
"code": "G9383",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9384",
"display": "Doc med rsn no hcv scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not receiving annual screening for hcv"
} ]
}, {
"code": "G9384",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infection (e.g., decompensated cirrhosis indicating advanced disease [i.e.,"
} ]
}, {
"code": "G9384",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "ascites, esophageal variceal bleeding, hepatic encephalopathy], hepatocellular"
} ]
}, {
"code": "G9384",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "carcinoma, waitlist for organ transplant, limited life expectancy, other"
} ]
}, {
"code": "G9384",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medical reasons)"
} ]
}, {
"code": "G9385",
"display": "Doc pt reas not rec hcv srn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not receiving annual screening for hcv"
} ]
}, {
"code": "G9385",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infection (e.g., patient declined, other patient reasons)"
} ]
}, {
"code": "G9386",
"display": "Scrn hcv infec not recd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening for hcv infection not received within the 12 month reporting period,"
} ]
}, {
"code": "G9386",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G9389",
"display": "Unpln rup post cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unplanned rupture of the posterior capsule requiring vitrectomy during cataract"
} ]
}, {
"code": "G9389",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgery"
} ]
}, {
"code": "G9390",
"display": "No unpln rup post cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No unplanned rupture of the posterior capsule requiring vitrectomy during"
} ]
}, {
"code": "G9390",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cataract surgery"
} ]
}, {
"code": "G9391",
"display": "Achv refrac +1d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient achieves refraction +-1 d for the eye that underwent cataract surgery,"
} ]
}, {
"code": "G9391",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measured at the one month follow up visit"
} ]
}, {
"code": "G9392",
"display": "Not achv refrac +1d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient does not achieve refraction +-1 d for the eye that underwent cataract"
} ]
}, {
"code": "G9392",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgery, measured at the one month follow up visit"
} ]
}, {
"code": "G9393",
"display": "Ini phq9 >9 remiss <5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with an initial phq-9 score greater than nine who achieves remission at"
} ]
}, {
"code": "G9393",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of"
} ]
}, {
"code": "G9393",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "less than five"
} ]
}, {
"code": "G9394",
"display": "Dx bipol, death, nhres, hosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient who had a diagnosis of bipolar disorder or personality disorder, death,"
} ]
}, {
"code": "G9394",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "permanent nursing home resident or receiving hospice or palliative care any"
} ]
}, {
"code": "G9394",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "time during the measurement or assessment period"
} ]
}, {
"code": "G9395",
"display": "Ini phq9 >9 no remiss >=5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with an initial phq-9 score greater than nine who did not achieve"
} ]
}, {
"code": "G9395",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "remission at twelve months as demonstrated by a twelve month (+/- 30 days)"
} ]
}, {
"code": "G9395",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "phq-9 score greater than or equal to five"
} ]
}, {
"code": "G9396",
"display": "Ini phq9 >9 not assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with an initial phq-9 score greater than nine who was not assessed for"
} ]
}, {
"code": "G9396",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "remission at twelve months (+/- 30 days)"
} ]
}, {
"code": "G9399",
"display": "Doc disc tx choices",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation in the patient record of a discussion between the"
} ]
}, {
"code": "G9399",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "physician/clinician and the patient that includes all of the following:"
} ]
}, {
"code": "G9399",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment choices appropriate to genotype, risks and benefits, evidence of"
} ]
}, {
"code": "G9399",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "effectiveness, and patient preferences toward the outcome of the treatment"
} ]
}, {
"code": "G9400",
"display": "Doc reas no disc tx opt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical or patient reason(s) for not discussing treatment"
} ]
}, {
"code": "G9400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "options; medical reasons: patient is not a candidate for treatment due to"
} ]
}, {
"code": "G9400",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "advanced physical or mental health comorbidity (including active substance"
} ]
}, {
"code": "G9400",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "use); currently receiving antiviral treatment; successful antiviral treatment"
} ]
}, {
"code": "G9400",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(with sustained virologic response) prior to reporting period; other documented"
} ]
}, {
"code": "G9400",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "medical reasons; patient reasons: patient unable or unwilling to participate in"
} ]
}, {
"code": "G9400",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "the discussion or other patient reasons"
} ]
}, {
"code": "G9401",
"display": "No disc tx choices",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation in the patient record of a discussion between the physician or"
} ]
}, {
"code": "G9401",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other qualified healthcare professional and the patient that includes all of"
} ]
}, {
"code": "G9401",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the following: treatment choices appropriate to genotype, risks and benefits,"
} ]
}, {
"code": "G9401",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "evidence of effectiveness, and patient preferences toward treatment"
} ]
}, {
"code": "G9402",
"display": "Recd f/u w/in 30d disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received follow-up within 30 days after discharge"
} ]
}, {
"code": "G9403",
"display": "Doc reas no 30 day f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented reason patient was not able to complete 30 day follow-up"
} ]
}, {
"code": "G9403",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "from acute inpatient setting discharge (e.g., patient death prior to follow-up"
} ]
}, {
"code": "G9403",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "visit, patient non-compliant for visit follow-up)"
} ]
}, {
"code": "G9404",
"display": "No 30 day f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive follow-up within 30 days after discharge"
} ]
}, {
"code": "G9405",
"display": "Recd f/u w/in 7d dc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received follow-up within 7 days after discharge"
} ]
}, {
"code": "G9406",
"display": "Doc reas no 7d f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician documented reason patient was not able to complete 7 day follow-up"
} ]
}, {
"code": "G9406",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "from acute inpatient setting discharge (i.e patient death prior to follow-up"
} ]
}, {
"code": "G9406",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "visit, patient non-compliance for visit follow-up)"
} ]
}, {
"code": "G9407",
"display": "No 7d f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive follow-up within 7 days after discharge"
} ]
}, {
"code": "G9408",
"display": "Card tamp w/in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with cardiac tamponade and/or pericardiocentesis occurring within 30"
} ]
}, {
"code": "G9408",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days"
} ]
}, {
"code": "G9409",
"display": "No card tamp e/in 30d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients without cardiac tamponade and/or pericardiocentesis occurring within"
} ]
}, {
"code": "G9409",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "30 days"
} ]
}, {
"code": "G9410",
"display": "Admit w/in 180d req remov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient admitted within 180 days, status post cied implantation, replacement,"
} ]
}, {
"code": "G9410",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or revision with an infection requiring device removal or surgical revision"
} ]
}, {
"code": "G9411",
"display": "No admit w/in 180d req remov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not admitted within 180 days, status post cied implantation,"
} ]
}, {
"code": "G9411",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement, or revision with an infection requiring device removal or surgical"
} ]
}, {
"code": "G9411",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "revision"
} ]
}, {
"code": "G9412",
"display": "Admit w/in 180d req surg rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient admitted within 180 days, status post cied implantation, replacement,"
} ]
}, {
"code": "G9412",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or revision with an infection requiring device removal or surgical revision"
} ]
}, {
"code": "G9413",
"display": "No admit req surg rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not admitted within 180 days, status post cied implantation,"
} ]
}, {
"code": "G9413",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement, or revision with an infection requiring device removal or surgical"
} ]
}, {
"code": "G9413",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "revision"
} ]
}, {
"code": "G9414",
"display": "1dose menig vac btwn 11 & 13",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had one dose of meningococcal vaccine (serogroups a, c, w, y) on or"
} ]
}, {
"code": "G9414",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "between the patient's 11th and 13th birthdays"
} ]
}, {
"code": "G9415",
"display": "No 1dose meni vac btwn 11&13",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y)"
} ]
}, {
"code": "G9415",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "on or between the patient's 11th and 13th birthdays"
} ]
}, {
"code": "G9416",
"display": "Pt 1 tdap betw 10-13 yrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine"
} ]
}, {
"code": "G9416",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(tdap) on or between the patient's 10th and 13th birthdays"
} ]
}, {
"code": "G9417",
"display": "Pt not 1 tdap betw 10-13 yrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not have one tetanus, diphtheria toxoids and acellular pertussis"
} ]
}, {
"code": "G9417",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vaccine (tdap) on or between the patient's 10th and 13th birthdays"
} ]
}, {
"code": "G9418",
"display": "Lungcx bx rpt docs class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Primary non-small cell lung cancer lung biopsy and cytology specimen report"
} ]
}, {
"code": "G9418",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documents classification into specific histologic type following iaslc guidance"
} ]
}, {
"code": "G9418",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or classified as nsclc-nos with an explanation"
} ]
}, {
"code": "G9419",
"display": "Med reas not incl histo type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not including the histological type or"
} ]
}, {
"code": "G9419",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nsclc-nos classification with an explanation (e.g. specimen insufficient or"
} ]
}, {
"code": "G9419",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "non-diagnostic, specimen does not contain cancer, or other documented medical"
} ]
}, {
"code": "G9419",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reasons)"
} ]
}, {
"code": "G9420",
"display": "Spec site no lung",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic location of lung or is not classified as"
} ]
}, {
"code": "G9420",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "primary non-small cell lung cancer"
} ]
}, {
"code": "G9421",
"display": "Lung cx bx rpt no doc class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Primary non-small cell lung cancer lung biopsy and cytology specimen report"
} ]
}, {
"code": "G9421",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "does not document classification into specific histologic type or histologic"
} ]
}, {
"code": "G9421",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "type does not follow iaslc guidance or is classified as nsclc-nos but without"
} ]
}, {
"code": "G9421",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "an explanation"
} ]
}, {
"code": "G9422",
"display": "Rpt doc class histo type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Primary lung carcinoma resection report documents pt category, pn category and"
} ]
}, {
"code": "G9422",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for non-small cell lung cancer, histologic type (e.g., squamous cell carcinoma,"
} ]
}, {
"code": "G9422",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "adenocarcinoma and not nsclc-nos)"
} ]
}, {
"code": "G9423",
"display": "Med reas rpt no histo type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason for not including pt category, pn category and"
} ]
}, {
"code": "G9423",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "histologic type [for patient with appropriate exclusion criteria (e.g.,"
} ]
}, {
"code": "G9423",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "metastatic disease, benign tumors, malignant tumors other than carcinomas,"
} ]
}, {
"code": "G9423",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "inadequate surgical specimens)]"
} ]
}, {
"code": "G9424",
"display": "Site no lung or lung cx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic location of lung, or classified as nsclc-nos"
} ]
}, {
"code": "G9425",
"display": "Spec rpt no doc class histo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Primary lung carcinoma resection report does not document pt category, pn"
} ]
}, {
"code": "G9425",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "category and for non-small cell lung cancer, histologic type (e.g., squamous"
} ]
}, {
"code": "G9425",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cell carcinoma, adenocarcinoma)"
} ]
}, {
"code": "G9426",
"display": "Impr med time edarr pain med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Improvement in median time from ed arrival to initial ed oral or parenteral"
} ]
}, {
"code": "G9426",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pain medication administration performed for ed admitted patients"
} ]
}, {
"code": "G9427",
"display": "No impro med time pain med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Improvement in median time from ed arrival to initial ed oral or parenteral"
} ]
}, {
"code": "G9427",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pain medication administration not performed for ed admitted patients"
} ]
}, {
"code": "G9428",
"display": "Patho rpt incl pt ctg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report includes the pt category, thickness, ulceration and mitotic"
} ]
}, {
"code": "G9428",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rate, peripheral and deep margin status and presence or absence of"
} ]
}, {
"code": "G9428",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "microsatellitosis for invasive tumors"
} ]
}, {
"code": "G9429",
"display": "Doc med rsn no pt cat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not including pt category, thickness,"
} ]
}, {
"code": "G9429",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ulceration and mitotic rate, peripheral and deep margin status and presence or"
} ]
}, {
"code": "G9429",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "absence of microsatellitosis for invasive tumors (e.g., negative skin biopsies,"
} ]
}, {
"code": "G9429",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "insufficient tissue, or other documented medical reasons)"
} ]
}, {
"code": "G9430",
"display": "Spec site no cutaneous",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specimen site other than anatomic cutaneous location"
} ]
}, {
"code": "G9431",
"display": "Patho rpt no pt ctg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report does not include the pt category, thickness, ulceration and"
} ]
}, {
"code": "G9431",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mitotic rate, peripheral and deep margin status and presence or absence of"
} ]
}, {
"code": "G9431",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "microsatellitosis for invasive tumors"
} ]
}, {
"code": "G9432",
"display": "Asth controlled",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Asthma well-controlled based on the act, c-act, acq, or ataq score and results"
} ]
}, {
"code": "G9432",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented"
} ]
}, {
"code": "G9433",
"display": "Death, nhres, hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Death, permanent nursing home resident or receiving hospice or palliative care"
} ]
}, {
"code": "G9433",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any time during the measurement period"
} ]
}, {
"code": "G9434",
"display": "Asth not controlled",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Asthma not well-controlled based on the act, c-act, acq, or ataq score, or"
} ]
}, {
"code": "G9434",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified asthma control tool not used, reason not given"
} ]
}, {
"code": "G9435",
"display": "Asp presc disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin prescribed at discharge"
} ]
}, {
"code": "G9436",
"display": "Asp not presc doc reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin not prescribed for documented reasons (e.g., allergy, medical"
} ]
}, {
"code": "G9436",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intolerance, history of bleed)"
} ]
}, {
"code": "G9437",
"display": "Asp not presc disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin not prescribed at discharge"
} ]
}, {
"code": "G9438",
"display": "P2y inhib presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "P2y inhibitor prescribed at discharge"
} ]
}, {
"code": "G9439",
"display": "P2y inhib not presc doc reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "P2y inhibitor not prescribed for documented reasons (e.g., allergy, medical"
} ]
}, {
"code": "G9439",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intolerance, history of bleed)"
} ]
}, {
"code": "G9440",
"display": "P2y inhib not presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "P2y inhibitor not prescribed at discharge"
} ]
}, {
"code": "G9441",
"display": "Statin presc disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Statin prescribed at discharge"
} ]
}, {
"code": "G9442",
"display": "Statin not presc doc reas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Statin not prescribed for documented reasons (e.g., allergy, medical"
} ]
}, {
"code": "G9442",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intolerance)"
} ]
}, {
"code": "G9443",
"display": "Statin not presc disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Statin not prescribed at discharge"
} ]
}, {
"code": "G9448",
"display": "Born 1945-1965",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were born in the years 1945 to 1965"
} ]
}, {
"code": "G9449",
"display": "Hx bld transf b/f 1992",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "History of receiving blood transfusions prior to 1992"
} ]
}, {
"code": "G9450",
"display": "Hx injec drug use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "History of injection drug use"
} ]
}, {
"code": "G9451",
"display": "1x scrn hcv infect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received one-time screening for hcv infection"
} ]
}, {
"code": "G9452",
"display": "Doc med reas no hcv test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not receiving hcv antibody test due to"
} ]
}, {
"code": "G9452",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "limited life expectancy"
} ]
}, {
"code": "G9453",
"display": "Pt reas no hcv infect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not receiving one-time screening for hcv"
} ]
}, {
"code": "G9453",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infection (e.g., patient declined, other patient reasons)"
} ]
}, {
"code": "G9454",
"display": "No scr hcv inf 12 mth rp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "One-time screening for hcv infection not received within 12-month reporting"
} ]
}, {
"code": "G9454",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period and no documentation of prior screening for hcv infection, reason not"
} ]
}, {
"code": "G9454",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G9455",
"display": "Abd imag w/us, ct or mri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient underwent abdominal imaging with ultrasound, contrast enhanced ct or"
} ]
}, {
"code": "G9455",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "contrast mri for hcc"
} ]
}, {
"code": "G9456",
"display": "Doc med pt reas no hcc scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical or patient reason(s) for not ordering or performing"
} ]
}, {
"code": "G9456",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "screening for hcc. medical reason: comorbid medical conditions with expected"
} ]
}, {
"code": "G9456",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "survival < 5 years, hepatic decompensation and not a candidate for liver"
} ]
}, {
"code": "G9456",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "transplantation, or other medical reasons; patient reasons: patient declined or"
} ]
}, {
"code": "G9456",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "other patient reasons (e.g., cost of tests, time related to accessing testing"
} ]
}, {
"code": "G9456",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "equipment)"
} ]
}, {
"code": "G9457",
"display": "Pt no abd img no doc rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not undergo abdominal imaging and did not have a documented reason"
} ]
}, {
"code": "G9457",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for not undergoing abdominal imaging in the submission period"
} ]
}, {
"code": "G9458",
"display": "Tob user recd cess interv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient documented as tobacco user and received tobacco cessation intervention"
} ]
}, {
"code": "G9458",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(must include at least one of the following: advice given to quit smoking or"
} ]
}, {
"code": "G9458",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "tobacco use, counseling on the benefits of quitting smoking or tobacco use,"
} ]
}, {
"code": "G9458",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "assistance with or referral to external smoking or tobacco cessation support"
} ]
}, {
"code": "G9458",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "programs, or current enrollment in smoking or tobacco use cessation program) if"
} ]
}, {
"code": "G9458",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "identified as a tobacco user"
} ]
}, {
"code": "G9459",
"display": "Tob non-user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Currently a tobacco non-user"
} ]
}, {
"code": "G9460",
"display": "No tob assess or cess inter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tobacco assessment or tobacco cessation intervention not performed, reason not"
} ]
}, {
"code": "G9460",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "given"
} ]
}, {
"code": "G9463",
"display": "Sinusitis intent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the sinusitis measures group"
} ]
}, {
"code": "G9464",
"display": "Sinusitis comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the sinusitis measures group"
} ]
}, {
"code": "G9464",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "have been performed for this patient"
} ]
}, {
"code": "G9465",
"display": "Aoe intent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the acute otitis externa (aoe) measures group"
} ]
}, {
"code": "G9466",
"display": "Aoe comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the aoe measures group have"
} ]
}, {
"code": "G9466",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "been performed for this patient"
} ]
}, {
"code": "G9467",
"display": "Recd cortico >=10mg/day >60d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient who have received or are receiving corticosteroids greater than or"
} ]
}, {
"code": "G9467",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days"
} ]
}, {
"code": "G9467",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or a single prescription equating to 600 mg prednisone or greater for all fills"
} ]
}, {
"code": "G9467",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "within the last twelve months"
} ]
}, {
"code": "G9468",
"display": "No recd cortico>=10mg/d >60d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not receiving corticosteroids greater than or equal to 10 mg/day of"
} ]
}, {
"code": "G9468",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prednisone equivalents for 60 or greater consecutive days or a single"
} ]
}, {
"code": "G9468",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prescription equating to 600 mg prednisone or greater for all fills"
} ]
}, {
"code": "G9469",
"display": "Rec cortico>90d or 1rx 900mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have received or are receiving corticosteroids greater than or"
} ]
}, {
"code": "G9469",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to 10 mg/day of prednisone equivalents for 90 or greater consecutive days"
} ]
}, {
"code": "G9469",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or a single prescription equating to 900 mg prednisone or greater for all fills"
} ]
}, {
"code": "G9470",
"display": "No rec cortico>60d 1rx 600mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients not receiving corticosteroids greater than or equal to 10 mg/day of"
} ]
}, {
"code": "G9470",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prednisone equivalents for 60 or greater consecutive days or a single"
} ]
}, {
"code": "G9470",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prescription equating to 600 mg prednisone or greater for all fills"
} ]
}, {
"code": "G9471",
"display": "W/in 2yr dxa not order",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not"
} ]
}, {
"code": "G9471",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ordered or documented"
} ]
}, {
"code": "G9472",
"display": "No dxa no med hx no rv sx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not"
} ]
}, {
"code": "G9472",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ordered and documented, no review of systems and no medication history or"
} ]
}, {
"code": "G9472",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed"
} ]
}, {
"code": "G9473",
"display": "Chap services at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by chaplain in the hospice setting, each 15 minutes"
} ]
}, {
"code": "G9474",
"display": "Diet counsel at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by dietary counselor in the hospice setting, each 15 minutes"
} ]
}, {
"code": "G9475",
"display": "Other counselor at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by other counselor in the hospice setting, each 15 minutes"
} ]
}, {
"code": "G9476",
"display": "Volun service at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by volunteer in the hospice setting, each 15 minutes"
} ]
}, {
"code": "G9477",
"display": "Care coord at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by care coordinator in the hospice setting, each 15 minutes"
} ]
}, {
"code": "G9478",
"display": "Othe therapist at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by other qualified therapist in the hospice setting, each 15"
} ]
}, {
"code": "G9478",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G9479",
"display": "Pharmacist at hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by qualified pharmacist in the hospice setting, each 15"
} ]
}, {
"code": "G9479",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "G9480",
"display": "Admission to mccm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Admission to medicare care choice model program (mccm)"
} ]
}, {
"code": "G9481",
"display": "Remote e/m new pt 10mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cms innovation center demonstration project, which"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "requires these 3 key components: a problem focused history; a problem focused"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "examination; and straightforward medical decision making, furnished in real"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "time using interactive audio and video technology. counseling and coordination"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "of care with other physicians, other qualified health care professionals or"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "agencies are provided consistent with the nature of the problem(s) and the"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "needs of the patient or the family or both. usually, the presenting problem(s)"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "are self limited or minor. typically, 10 minutes are spent with the patient or"
} ]
}, {
"code": "G9481",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "family or both via real time, audio and video intercommunications technology"
} ]
}, {
"code": "G9482",
"display": "Remote e/m new pt 20mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cms innovation center demonstration project, which"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "requires these 3 key components: an expanded problem focused history; an"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "expanded problem focused examination; straightforward medical decision making,"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "furnished in real time using interactive audio and video technology."
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "counseling and coordination of care with other physicians, other qualified"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "health care professionals or agencies are provided consistent with the nature"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "of the problem(s) and the needs of the patient or the family or both. usually,"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "the presenting problem(s) are of low to moderate severity. typically, 20"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "minutes are spent with the patient or family or both via real time, audio and"
} ]
}, {
"code": "G9482",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "video intercommunications technology"
} ]
}, {
"code": "G9483",
"display": "Remote e/m new pt 30mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9483",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved cms innovation center demonstration project, which"
} ]
}, {
"code": "G9483",
"property": [ {
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"code": "G9485",
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"code": "G9485",
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"code": "G9485",
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"code": "G9485",
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"code": "G9485",
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"code": "G9485",
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"code": "G9486",
"display": "Remote e/m est. pt 10mins",
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"value": "Remote in-home visit for the evaluation and management of an established"
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"code": "G9486",
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"code": "G9486",
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"code": "G9486",
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"code": "G9486",
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"code": "G9487",
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"code": "G9487",
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}, {
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"code": "G9488",
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"code": "seqNum",
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"value": "Cms innovation center models, home visit for patient assessment performed by"
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"code": "G9490",
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"code": "seqNum",
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} ],
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} ],
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"value": "prevention, functional status/ambulation, medication reconciliation/management,"
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} ],
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} ]
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"code": "seqNum",
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} ],
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} ]
}, {
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"code": "seqNum",
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} ],
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}, {
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} ],
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"value": "neoplasm detected is only diagnosed as traditional serrated adenoma, sessile"
} ]
}, {
"code": "G9496",
"property": [ {
"code": "seqNum",
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} ],
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"value": "serrated polyp, or sessile serrated adenoma"
} ]
}, {
"code": "G9497",
"display": "Rec inst no smoke day surg",
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"code": "seqNum",
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} ],
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"value": "Received instruction from the anesthesiologist or proxy prior to the day of"
} ]
}, {
"code": "G9497",
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"code": "seqNum",
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} ],
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"value": "surgery to abstain from smoking on the day of surgery"
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}, {
"code": "G9498",
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"code": "seqNum",
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} ],
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"value": "Antibiotic regimen prescribed"
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}, {
"code": "G9499",
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"code": "seqNum",
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} ],
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"value": "Patient did not start or is not receiving antiviral treatment for hepatitis c"
} ]
}, {
"code": "G9499",
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} ],
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}, {
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"code": "seqNum",
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} ],
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"value": "Radiation exposure indices documented in final report for procedure using"
} ]
}, {
"code": "G9500",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "fluoroscopy"
} ]
}, {
"code": "G9501",
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"code": "seqNum",
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} ],
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"value": "Radiation exposure indices not documented in final report for procedure using"
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}, {
"code": "G9501",
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"code": "seqNum",
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} ],
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"value": "fluoroscopy, reason not given"
} ]
}, {
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"code": "seqNum",
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} ],
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"value": "Documentation of medical reason for not performing foot exam (i.e., patients"
} ]
}, {
"code": "G9502",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "who have had either a bilateral amputation above or below the knee, or both a"
} ]
}, {
"code": "G9502",
"property": [ {
"code": "seqNum",
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} ],
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"value": "left and right amputation above or below the knee before or during the"
} ]
}, {
"code": "G9502",
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"code": "seqNum",
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} ],
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"value": "measurement period)"
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}, {
"code": "G9503",
"display": "Pt tk tams hcl",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "Patient taking tamsulosin hydrochloride"
} ]
}, {
"code": "G9504",
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"code": "seqNum",
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} ],
"designation": [ {
"value": "Documented reason for not assessing hepatitis b virus (hbv) status (e.g.,"
} ]
}, {
"code": "G9504",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "patient not initiating anti-tnf therapy, patient declined) prior to initiating"
} ]
}, {
"code": "G9504",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "anti-tnf therapy"
} ]
}, {
"code": "G9505",
"display": "Abx pres w/in 10 dys of symp",
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"code": "seqNum",
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} ],
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"value": "Antibiotic regimen prescribed within 10 days after onset of symptoms for"
} ]
}, {
"code": "G9505",
"property": [ {
"code": "seqNum",
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} ],
"designation": [ {
"value": "documented medical reason"
} ]
}, {
"code": "G9506",
"display": "Bio imm resp mod presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biologic immune response modifier prescribed"
} ]
}, {
"code": "G9507",
"display": "Doc reas on statin or contra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that the patient is on a statin medication or has documentation"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of a valid contraindication or exception to statin medications;"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "contraindications/exceptions that can be defined by diagnosis codes include"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pregnancy during the measurement period, active liver disease, rhabdomyolysis,"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "end stage renal disease on dialysis and heart failure; provider documented"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "contraindications/exceptions include breastfeeding during the measurement"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "period, woman of child-bearing age not actively taking birth control, allergy"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine,"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "gemfibrozil, and danazol) and intolerance (with supporting documentation of"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "trying a statin at least once within the last 5 years or diagnosis codes for"
} ]
}, {
"code": "G9507",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "myostitis or toxic myopathy related to drugs)"
} ]
}, {
"code": "G9508",
"display": "Doc pt not on statin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that the patient is not on a statin medication"
} ]
}, {
"code": "G9509",
"display": "Adit mdd dys rem 12 mnths",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult patients 18 years of age or older with major depression or dysthymia who"
} ]
}, {
"code": "G9509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reached remission at twelve months as demonstrated by a twelve month (+/-60"
} ]
}, {
"code": "G9509",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "days) phq-9 or phq-9m score of less than 5"
} ]
}, {
"code": "G9510",
"display": "Remis12m not phq-9 score <5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult patients 18 years of age or older with major depression or dysthymia who"
} ]
}, {
"code": "G9510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "did not reach remission at twelve months as demonstrated by a twelve month"
} ]
}, {
"code": "G9510",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m"
} ]
}, {
"code": "G9510",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "score was not assessed or is greater than or equal to 5"
} ]
}, {
"code": "G9511",
"display": "Idx evt dte phq>9 doc 12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Index event date phq-9 or phq-9m score greater than 9 documented during the"
} ]
}, {
"code": "G9511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "twelve month denominator identification period"
} ]
}, {
"code": "G9512",
"display": "Indiv pdc > 0.8",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individual had a pdc of 0.8 or greater"
} ]
}, {
"code": "G9513",
"display": "Indiv pdc not > 0.8",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Individual did not have a pdc of 0.8 or greater"
} ]
}, {
"code": "G9514",
"display": "Req ret or w/in 90d of surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient required a return to the operating room within 90 days of surgery"
} ]
}, {
"code": "G9515",
"display": "No reas, no ret or w/in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not require a return to the operating room within 90 days of surgery"
} ]
}, {
"code": "G9516",
"display": "Impr vis acuit w/in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient achieved an improvement in visual acuity, from their preoperative"
} ]
}, {
"code": "G9516",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "level, within 90 days of surgery"
} ]
}, {
"code": "G9517",
"display": "No impr vis acuit w/in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not achieve an improvement in visual acuity, from their"
} ]
}, {
"code": "G9517",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperative level, within 90 days of surgery, reason not given"
} ]
}, {
"code": "G9518",
"display": "Doc active inj drug use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of active injection drug use"
} ]
}, {
"code": "G9519",
"display": "Final ref +/- 1.0 w/in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of"
} ]
}, {
"code": "G9519",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "their planned refraction within 90 days of surgery"
} ]
}, {
"code": "G9520",
"display": "Refract not +/- 1.0 w/in 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient does not achieve final refraction (spherical equivalent) +/- 1.0"
} ]
}, {
"code": "G9520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diopters of their planned refraction within 90 days of surgery"
} ]
}, {
"code": "G9521",
"display": "Er and ip hosp <2 in 12 mos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Total number of emergency department visits and inpatient hospitalizations less"
} ]
}, {
"code": "G9521",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than two in the past 12 months"
} ]
}, {
"code": "G9522",
"display": "Er/ip hosp =/>2 in 12 mos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Total number of emergency department visits and inpatient hospitalizations"
} ]
}, {
"code": "G9522",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal to or greater than two in the past 12 months or patient not screened,"
} ]
}, {
"code": "G9522",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G9523",
"display": "D/c hemo or perit dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient discontinued from hemodialysis or peritoneal dialysis"
} ]
}, {
"code": "G9524",
"display": "Refer to hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was referred to hospice care"
} ]
}, {
"code": "G9525",
"display": "Doc pt reas no hospice refer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not referring to hospice care (e.g.,"
} ]
}, {
"code": "G9525",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient declined, other patient reasons)"
} ]
}, {
"code": "G9526",
"display": "No reason, no refer hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was not referred to hospice care, reason not given"
} ]
}, {
"code": "G9529",
"display": "Minor blunt trauma w/head ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with minor blunt head trauma had an appropriate indication(s) for a"
} ]
}, {
"code": "G9529",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "head ct"
} ]
}, {
"code": "G9530",
"display": "Pt mbht hd ct ord ec prov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient presented with a minor blunt head trauma and had a head ct ordered for"
} ]
}, {
"code": "G9530",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trauma by an emergency care provider"
} ]
}, {
"code": "G9531",
"display": "Pt doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has documentation of ventricular shunt, brain tumor, multisystem"
} ]
}, {
"code": "G9531",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trauma, or is currently taking an antiplatelet medication including: abciximab,"
} ]
}, {
"code": "G9531",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "anagrelide, cangrelor, cilostazol, clopidogrel, dipyridamole, eptifibatide,"
} ]
}, {
"code": "G9531",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar"
} ]
}, {
"code": "G9532",
"display": "Pt hd ct ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had a head ct for trauma ordered by someone other than an emergency"
} ]
}, {
"code": "G9532",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care provider or was ordered for a reason other than trauma"
} ]
}, {
"code": "G9533",
"display": "Indic for head ct not valid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with minor blunt head trauma did not have an appropriate indication(s)"
} ]
}, {
"code": "G9533",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for a head ct"
} ]
}, {
"code": "G9534",
"display": "Adv brain image not ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advanced brain imaging (cta, ct, mra or mri) was not ordered"
} ]
}, {
"code": "G9535",
"display": "Normal neuro exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a normal neurological examination"
} ]
}, {
"code": "G9536",
"display": "Doc med reas adv brain image",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for ordering an advanced brain imaging study"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(i.e., patient has an abnormal neurological examination; patient has the"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coexistence of seizures, or both; recent onset of severe headache; change in"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the type of headache; signs of increased intracranial pressure (e.g.,"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "papilledema, absent venous pulsations on funduscopic examination, altered"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "mental status, focal neurologic deficits, signs of meningeal irritation);"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "hiv-positive patients with a new type of headache; immunocompromised patient"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or"
} ]
}, {
"code": "G9536",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "anti-platelet therapy; very young patients with unexplained headache symptoms)"
} ]
}, {
"code": "G9537",
"display": "Img hd clin trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imaging needed as part of a clinical trial; or other clinician ordered the study"
} ]
}, {
"code": "G9538",
"display": "Adv brain image ordered",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advanced brain imaging (cta, ct, mra or mri) was ordered"
} ]
}, {
"code": "G9539",
"display": "Intent pot remv time placemt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intent for potential removal at time of placement"
} ]
}, {
"code": "G9540",
"display": "Pt alive 3 mos post proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient alive 3 months post procedure"
} ]
}, {
"code": "G9541",
"display": "Filter rem 3 mon plmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filter removed within 3 months of placement"
} ]
}, {
"code": "G9542",
"display": "Doc reass appr remo filt 3ms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented re-assessment for the appropriateness of filter removal within 3"
} ]
}, {
"code": "G9542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "months of placement"
} ]
}, {
"code": "G9543",
"display": "Doc 2x re-assess filt remov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of at least two attempts to reach the patient to arrange a"
} ]
}, {
"code": "G9543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clinical re-assessment for the appropriateness of filter removal within 3"
} ]
}, {
"code": "G9543",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "months of placement"
} ]
}, {
"code": "G9544",
"display": "No filt remov w/in 3mos plcm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients that do not have the filter removed, documented re-assessment for the"
} ]
}, {
"code": "G9544",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "appropriateness of filter removal, or documentation of at least two attempts to"
} ]
}, {
"code": "G9544",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reach the patient to arrange a clinical re-assessment for the appropriateness"
} ]
}, {
"code": "G9544",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of filter removal within 3 months of placement"
} ]
}, {
"code": "G9547",
"display": "Cys ren les or adren",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal"
} ]
}, {
"code": "G9547",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but"
} ]
}, {
"code": "G9547",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "less than or equal to 4.0 cm classified as likely benign by unenhanced ct or"
} ]
}, {
"code": "G9547",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "washout protocol ct, or mri with in- and opposed-phase sequences or other"
} ]
}, {
"code": "G9547",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "equivalent institutional imaging protocols"
} ]
}, {
"code": "G9548",
"display": "No f/u rec image study",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports for imaging studies stating no follow-up imaging is recommended"
} ]
}, {
"code": "G9549",
"display": "Doc med rsn for f/u imag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) that follow-up imaging is indicated (e.g.,"
} ]
}, {
"code": "G9549",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient has lymphadenopathy, signs of metastasis or an active diagnosis or"
} ]
}, {
"code": "G9549",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "history of cancer, and other medical reason(s))"
} ]
}, {
"code": "G9550",
"display": "Imag rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports for imaging studies with follow-up imaging recommended, or final"
} ]
}, {
"code": "G9550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reports that do not include a specific recommendation of no follow-up"
} ]
}, {
"code": "G9551",
"display": "Imag no les",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports for imaging studies without an incidentally found lesion noted"
} ]
}, {
"code": "G9552",
"display": "Inc thyr node <1.0 in rpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incidental thyroid nodule < 1.0 cm noted in report"
} ]
}, {
"code": "G9553",
"display": "Prior thyroid dise dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prior thyroid disease diagnosis"
} ]
}, {
"code": "G9554",
"display": "Ct/cta/mri/a chst foll rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports for ct, cta, mri or mra of the chest or neck with follow-up"
} ]
}, {
"code": "G9554",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "imaging recommended"
} ]
}, {
"code": "G9555",
"display": "Doc med rsn for follup image",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for recommending follow up imaging (e.g.,"
} ]
}, {
"code": "G9555",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient has multiple endocrine neoplasia, patient has cervical lymphadenopathy,"
} ]
}, {
"code": "G9555",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "other medical reason(s))"
} ]
}, {
"code": "G9556",
"display": "Ct/cta/mri/a no follup imag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports for ct, cta, mri or mra of the chest or neck with follow-up"
} ]
}, {
"code": "G9556",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "imaging not recommended"
} ]
}, {
"code": "G9557",
"display": "Ct/cta/mri/a no thyr <1.0cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports for ct, cta, mri or mra studies of the chest or neck without an"
} ]
}, {
"code": "G9557",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "incidentally found thyroid nodule < 1.0 cm noted or no nodule found"
} ]
}, {
"code": "G9558",
"display": "Tx beta-lactam abx therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient treated with a beta-lactam antibiotic as definitive therapy"
} ]
}, {
"code": "G9559",
"display": "Doc med reas no abx therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing a beta-lactam antibiotic"
} ]
}, {
"code": "G9559",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., allergy, intolerance to beta-lactam antibiotics)"
} ]
}, {
"code": "G9560",
"display": "No beta-lactam abx ther, rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not treated with a beta-lactam antibiotic as definitive therapy, reason"
} ]
}, {
"code": "G9560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not given"
} ]
}, {
"code": "G9561",
"display": "Presc opiates >6 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients prescribed opiates for longer than six weeks"
} ]
}, {
"code": "G9562",
"display": "Foll-up eval q3mo opiod tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a follow-up evaluation conducted at least every three months"
} ]
}, {
"code": "G9562",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during opioid therapy"
} ]
}, {
"code": "G9563",
"display": "No f/u eval q3mo opiod tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a follow-up evaluation conducted at least every three"
} ]
}, {
"code": "G9563",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "months during opioid therapy"
} ]
}, {
"code": "G9572",
"display": "Phq-scr >9 doc in 12m time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Index date phq-score greater than 9 documented during the twelve month"
} ]
}, {
"code": "G9572",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "denominator identification period"
} ]
}, {
"code": "G9573",
"display": "Adl pt md or dys rem 6 mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult patients 18 years of age or older with major depression or dysthymia who"
} ]
}, {
"code": "G9573",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "did not reach remission at six months as demonstrated by a six month (+/-60"
} ]
}, {
"code": "G9573",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "days) phq-9 or phq-9m score of less than five"
} ]
}, {
"code": "G9574",
"display": "Adl pt md dys no rem 6 mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult patients 18 years of age or older with major depression or dysthymia who"
} ]
}, {
"code": "G9574",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "did not reach remission at six months as demonstrated by a six month (+/-60"
} ]
}, {
"code": "G9574",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "days) phq-9 or phq-9m score of less than five; either phq-9 or phq-9m score was"
} ]
}, {
"code": "G9574",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "not assessed or is greater than or equal to five"
} ]
}, {
"code": "G9577",
"display": "Presc opiates >6 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients prescribed opiates for longer than six weeks"
} ]
}, {
"code": "G9578",
"display": "Doc opioid tx 1x during ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of signed opioid treatment agreement at least once during opioid"
} ]
}, {
"code": "G9578",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy"
} ]
}, {
"code": "G9579",
"display": "No doc opioid tx 1x at ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of signed an opioid treatment agreement at least once during"
} ]
}, {
"code": "G9579",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "opioid therapy"
} ]
}, {
"code": "G9580",
"display": "Door to punc time <2hrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Door to puncture time of 90 minutes or less"
} ]
}, {
"code": "G9581",
"display": "Md doc, door to punc tm >2hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Door to puncture time of greater than 2 hours for reasons documented by"
} ]
}, {
"code": "G9581",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "clinician (e.g., patients who are transferred from one institution to another"
} ]
}, {
"code": "G9581",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with a known diagnosis of cva for endovascular stroke treatment; hospitalized"
} ]
}, {
"code": "G9581",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "patients with newly diagnosed cva considered for endovascular stroke treatment)"
} ]
}, {
"code": "G9582",
"display": "Door to punc time >2hr, nrg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Door to puncture time of greater than 90 minutes, no reason given"
} ]
}, {
"code": "G9583",
"display": "Presc opiates >6 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients prescribed opiates for longer than six weeks"
} ]
}, {
"code": "G9584",
"display": "Eval opioid use instr/pt int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient evaluated for risk of misuse of opiates by using a brief validated"
} ]
}, {
"code": "G9584",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least"
} ]
}, {
"code": "G9584",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "once during opioid therapy"
} ]
}, {
"code": "G9585",
"display": "No eval opi use instr/intv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not evaluated for risk of misuse of opiates by using a brief validated"
} ]
}, {
"code": "G9585",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "instrument (e.g., opioid risk tool, soapp-r) or patient not interviewed at"
} ]
}, {
"code": "G9585",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "least once during opioid therapy"
} ]
}, {
"code": "G9593",
"display": "Low pecarn ped head trauma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric patient with minor blunt head trauma classified as low risk according"
} ]
}, {
"code": "G9593",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to the pecarn prediction rules"
} ]
}, {
"code": "G9594",
"display": "Pt mbht hd ct ord ec prov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient presented with a minor blunt head trauma and had a head ct ordered for"
} ]
}, {
"code": "G9594",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trauma by an emergency care provider"
} ]
}, {
"code": "G9595",
"display": "Doc shnt/tum/coag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has documentation of ventricular shunt, brain tumor, or coagulopathy"
} ]
}, {
"code": "G9596",
"display": "Ped pt hd ct ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric patient had a head ct for trauma ordered by someone other than an"
} ]
}, {
"code": "G9596",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "emergency care provider or was ordered for a reason other than trauma"
} ]
}, {
"code": "G9597",
"display": "No low pecarn ped head traum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric patient with minor blunt head trauma not classified as low risk"
} ]
}, {
"code": "G9597",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "according to the pecarn prediction rules"
} ]
}, {
"code": "G9598",
"display": "Aor ane 5.5-5.9 cm max diam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or"
} ]
}, {
"code": "G9598",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minor diameter on axial formatted ct"
} ]
}, {
"code": "G9599",
"display": "Aor ane >=6.0 cm max diam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct"
} ]
}, {
"code": "G9599",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or minor diameter on axial formatted ct"
} ]
}, {
"code": "G9600",
"display": "Symp aaa urgent repair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Symptomatic aaas that required urgent/emergent (non-elective) repair"
} ]
}, {
"code": "G9601",
"display": "Pt dchg home post op day 7",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient discharge to home no later than post-operative day #7"
} ]
}, {
"code": "G9602",
"display": "Pt no dchg home postop day 7",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not discharged to home by post-operative day #7"
} ]
}, {
"code": "G9603",
"display": "Pt surv improv bsline tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient survey score improved from baseline following treatment"
} ]
}, {
"code": "G9604",
"display": "Pt surv results not avail",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient survey results not available"
} ]
}, {
"code": "G9605",
"display": "Surv score no improv w/tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient survey score did not improve from baseline following treatment"
} ]
}, {
"code": "G9606",
"display": "Intraop cyst eval trac inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intraoperative cystoscopy performed to evaluate for lower tract injury"
} ]
}, {
"code": "G9607",
"display": "Doc med rsn not perf cystosc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented medical reasons for not performing intraoperative cystoscopy (e.g.,"
} ]
}, {
"code": "G9607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "urethral pathology precluding cystoscopy, any patient who has a congenital or"
} ]
}, {
"code": "G9607",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "acquired absence of the urethra) or in the case of patient death"
} ]
}, {
"code": "G9608",
"display": "Intraop cyst eval not done",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intraoperative cystoscopy not performed to evaluate for lower tract injury"
} ]
}, {
"code": "G9609",
"display": "Doc order anti-plat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of an order for anti-platelet agents"
} ]
}, {
"code": "G9610",
"display": "Doc md rsn no antipla",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) in the patient's record for not ordering"
} ]
}, {
"code": "G9610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-platelet agents"
} ]
}, {
"code": "G9611",
"display": "No doc order anti-plat rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Order for anti-platelet agents was not documented in the patient's record,"
} ]
}, {
"code": "G9611",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "G9612",
"display": "Phodoc 2 mr cec lndmk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Photodocumentation of two or more cecal landmarks to establish a complete"
} ]
}, {
"code": "G9612",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "examination"
} ]
}, {
"code": "G9613",
"display": "Doc post surg anatomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of post-surgical anatomy (e.g., right hemicolectomy, ileocecal"
} ]
}, {
"code": "G9613",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "resection, etc.)"
} ]
}, {
"code": "G9614",
"display": "Photodoc < 2 cec lndmk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Photodocumentation of less than two cecal landmarks (i.e., no cecal landmarks"
} ]
}, {
"code": "G9614",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or only one cecal landmark) to establish a complete examination"
} ]
}, {
"code": "G9615",
"display": "Pre-op asst doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preoperative assessment documented"
} ]
}, {
"code": "G9616",
"display": "Doc rsn no preop assmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not documenting a preoperative assessment (e.g.,"
} ]
}, {
"code": "G9616",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient with a gynecologic or other pelvic malignancy noted at the time of"
} ]
}, {
"code": "G9616",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surgery)"
} ]
}, {
"code": "G9617",
"display": "Pre-op asst not doc, rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preoperative assessment not documented, reason not given"
} ]
}, {
"code": "G9618",
"display": "Doc scr uter mal or us/samp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of screening for uterine malignancy or those that had an"
} ]
}, {
"code": "G9618",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ultrasound and/or endometrial sampling of any kind"
} ]
}, {
"code": "G9619",
"display": "Doc rsn no scr uter malig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of reason(s) for not screening for uterine malignancy (e.g.,"
} ]
}, {
"code": "G9619",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior hysterectomy)"
} ]
}, {
"code": "G9620",
"display": "No scr utr malig/us/samp rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not screened for uterine malignancy, or those that have not had an"
} ]
}, {
"code": "G9620",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ultrasound and/or endometrial sampling of any kind, reason not given"
} ]
}, {
"code": "G9621",
"display": "Scr unheal etoh w/counsel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as an unhealthy alcohol user when screened for unhealthy"
} ]
}, {
"code": "G9621",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "alcohol use using a systematic screening method and received brief counseling"
} ]
}, {
"code": "G9622",
"display": "No unheal etoh user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not identified as an unhealthy alcohol user when screened for unhealthy"
} ]
}, {
"code": "G9622",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "alcohol use using a systematic screening method"
} ]
}, {
"code": "G9623",
"display": "Doc med rsn no scr etoh use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not screening for unhealthy alcohol use"
} ]
}, {
"code": "G9623",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., limited life expectancy, other medical reasons)"
} ]
}, {
"code": "G9624",
"display": "Pt not scrn or no counseling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not screened for unhealthy alcohol use using a systematic screening"
} ]
}, {
"code": "G9624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "method or patient did not receive brief counseling if identified as an"
} ]
}, {
"code": "G9624",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "unhealthy alcohol user"
} ]
}, {
"code": "G9625",
"display": "Pt bl srg 30 day pst srg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient sustained bladder injury at the time of surgery or discovered"
} ]
}, {
"code": "G9625",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subsequently up to 30 days post-surgery"
} ]
}, {
"code": "G9626",
"display": "Med rsn no rpt bladder inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented medical reason for not reporting bladder injury (e.g., gynecologic"
} ]
}, {
"code": "G9626",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or other pelvic malignancy documented, concurrent surgery involving bladder"
} ]
}, {
"code": "G9626",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pathology, injury that occurs during a urinary incontinence procedure, patient"
} ]
}, {
"code": "G9626",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "death from non-medical causes not related to surgery, patient died during"
} ]
}, {
"code": "G9626",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "procedure without evidence of bladder injury)"
} ]
}, {
"code": "G9627",
"display": "Pt no bl srg 30 day pst srg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not sustain bladder injury at the time of surgery nor discovered"
} ]
}, {
"code": "G9627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subsequently up to 30 days post-surgery"
} ]
}, {
"code": "G9628",
"display": "Pt bwli srg 30 day pst srg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient sustained bowel injury at the time of surgery or discovered"
} ]
}, {
"code": "G9628",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subsequently up to 30 days post-surgery"
} ]
}, {
"code": "G9629",
"display": "Med rsn no rpt bowel inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented medical reasons for not reporting bowel injury (e.g., gynecologic or"
} ]
}, {
"code": "G9629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other pelvic malignancy documented, planned (e.g., not due to an unexpected"
} ]
}, {
"code": "G9629",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "bowel injury) resection and/or re-anastomosis of bowel, or patient death from"
} ]
}, {
"code": "G9629",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "non-medical causes not related to surgery, patient died during procedure"
} ]
}, {
"code": "G9629",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "without evidence of bowel injury)"
} ]
}, {
"code": "G9630",
"display": "Pt no bwli srg 30 day srg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not sustain a bowel injury at the time of surgery nor discovered"
} ]
}, {
"code": "G9630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subsequently up to 30 days post-surgery"
} ]
}, {
"code": "G9631",
"display": "Pt ui srg 30 day pst srg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient sustained ureter injury at the time of surgery or discovered"
} ]
}, {
"code": "G9631",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subsequently up to 30 days post-surgery"
} ]
}, {
"code": "G9632",
"display": "Med rsn for no rpt uret inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented medical reasons for not reporting ureter injury (e.g., gynecologic"
} ]
}, {
"code": "G9632",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or other pelvic malignancy documented, concurrent surgery involving bladder"
} ]
}, {
"code": "G9632",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pathology, injury that occurs during a urinary incontinence procedure, patient"
} ]
}, {
"code": "G9632",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "death from non-medical causes not related to surgery, patient died during"
} ]
}, {
"code": "G9632",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "procedure without evidence of ureter injury)"
} ]
}, {
"code": "G9633",
"display": "Pt no ui srg 30 day pst srg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not sustain ureter injury at the time of surgery nor discovered"
} ]
}, {
"code": "G9633",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subsequently up to 30 days post-surgery"
} ]
}, {
"code": "G9634",
"display": "Qual life tool 2x same/impr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Health-related quality of life assessed with tool during at least two visits"
} ]
}, {
"code": "G9634",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and quality of life score remained the same or improved"
} ]
}, {
"code": "G9635",
"display": "No doc rsn do qual life assm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Health-related quality of life not assessed with tool for documented reason(s)"
} ]
}, {
"code": "G9635",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patient has a cognitive or neuropsychiatric impairment that impairs"
} ]
}, {
"code": "G9635",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "his/her ability to complete the hrqol survey, patient has the inability to read"
} ]
}, {
"code": "G9635",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "and/or write in order to complete the hrqol questionnaire)"
} ]
}, {
"code": "G9636",
"display": "No life asst 2x same/decr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Health-related quality of life not assessed with tool during at least two"
} ]
}, {
"code": "G9636",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "visits or quality of life score declined"
} ]
}, {
"code": "G9637",
"display": "Doc >1 dose reduc tech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports with documentation of one or more dose reduction techniques"
} ]
}, {
"code": "G9637",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., automated exposure control, adjustment of the ma and/or kv according to"
} ]
}, {
"code": "G9637",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient size, use of iterative reconstruction technique)"
} ]
}, {
"code": "G9638",
"display": "No doc >1 dose reduc tech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Final reports without documentation of one or more dose reduction techniques"
} ]
}, {
"code": "G9638",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., automated exposure control, adjustment of the ma and/or kv according to"
} ]
}, {
"code": "G9638",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient size, use of iterative reconstruction technique)"
} ]
}, {
"code": "G9639",
"display": "Amp no reqd in48h ieler proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Major amputation or open surgical bypass not required within 48 hours of the"
} ]
}, {
"code": "G9639",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "index endovascular lower extremity revascularization procedure"
} ]
}, {
"code": "G9640",
"display": "Doc plan hybrid/stage proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of planned hybrid or staged procedure"
} ]
}, {
"code": "G9641",
"display": "Amp reqd w/in 48h ieler proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Major amputation or open surgical bypass required within 48 hours of the index"
} ]
}, {
"code": "G9641",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "endovascular lower extremity revascularization procedure"
} ]
}, {
"code": "G9642",
"display": "Current smoker",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current smoker (e.g., cigarette, cigar, pipe, e-cigarette or marijuana)"
} ]
}, {
"code": "G9643",
"display": "Elective surgery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elective surgery"
} ]
}, {
"code": "G9644",
"display": "No smok b/4 anes day of surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who abstained from smoking prior to anesthesia on the day of surgery"
} ]
}, {
"code": "G9644",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or procedure"
} ]
}, {
"code": "G9645",
"display": "Had smoke b/4 anes day surg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not abstain from smoking prior to anesthesia on the day of"
} ]
}, {
"code": "G9645",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surgery or procedure"
} ]
}, {
"code": "G9646",
"display": "Pt w/90d mrs 0-2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with 90 day mrs score of 0 to 2"
} ]
}, {
"code": "G9647",
"display": "No mrs score in 90d followup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients in whom mrs score could not be obtained at 90 day follow-up"
} ]
}, {
"code": "G9648",
"display": "Pt w/90d mrs >2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with 90 day mrs score greater than 2"
} ]
}, {
"code": "G9649",
"display": "Psor as doc spc bm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psoriasis assessment tool documented meeting any one of the specified"
} ]
}, {
"code": "G9649",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa),"
} ]
}, {
"code": "G9649",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "psoriasis area and severity index (pasi) and/or dermatology life quality index)"
} ]
}, {
"code": "G9649",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(dlqi))"
} ]
}, {
"code": "G9650",
"display": "Doc pt no ther chg or contra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that the patient declined therapy change or has documented"
} ]
}, {
"code": "G9650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "contraindications (e.g., experienced adverse effects or lack of efficacy with"
} ]
}, {
"code": "G9650",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all other therapy options) in order to achieve better disease control as"
} ]
}, {
"code": "G9650",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "measured by pga, bsa, pasi, or dlqi"
} ]
}, {
"code": "G9651",
"display": "Psor as doc no spc bm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psoriasis assessment tool documented not meeting any one of the specified"
} ]
}, {
"code": "G9651",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "benchmarks (e.g., (pga; 5-point or 6-point scale), body surface area (bsa),"
} ]
}, {
"code": "G9651",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "psoriasis area and severity index (pasi) and/or dermatology life quality index)"
} ]
}, {
"code": "G9651",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(dlqi)) or psoriasis assessment tool not documented"
} ]
}, {
"code": "G9652",
"display": "Pt tx sys bio med psori 6mth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has been treated with a systemic or biologic medication for psoriasis"
} ]
}, {
"code": "G9652",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for at least six months"
} ]
}, {
"code": "G9653",
"display": "Pt no tx sys bio rx 6 mths",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has not been treated with a systemic or biologic medication for"
} ]
}, {
"code": "G9653",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "psoriasis for at least six months"
} ]
}, {
"code": "G9654",
"display": "Mon anesth care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitored anesthesia care (mac)"
} ]
}, {
"code": "G9655",
"display": "Toc tool incl key elem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A transfer of care protocol or handoff tool/checklist that includes the"
} ]
}, {
"code": "G9655",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "required key handoff elements is used"
} ]
}, {
"code": "G9656",
"display": "Pt trans from anest to pacu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient transferred directly from anesthetizing location to pacu or other"
} ]
}, {
"code": "G9656",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-icu location"
} ]
}, {
"code": "G9657",
"display": "Toc dur aneth to icu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer of care during an anesthetic or to the intensive care unit"
} ]
}, {
"code": "G9658",
"display": "Toc tool incl elem not used",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A transfer of care protocol or handoff tool/checklist that includes the"
} ]
}, {
"code": "G9658",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "required key handoff elements is not used"
} ]
}, {
"code": "G9659",
"display": ">=86y scr colo nomed rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients greater than or equal to 86 years of age who underwent a screening"
} ]
}, {
"code": "G9659",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "colonoscopy and did not have a history of colorectal cancer or other valid"
} ]
}, {
"code": "G9659",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical reason for the colonoscopy, including: iron deficiency anemia, lower"
} ]
}, {
"code": "G9659",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "gastrointestinal bleeding, familial adenomatous polyposis, lynch syndrome"
} ]
}, {
"code": "G9659",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "(i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease"
} ]
}, {
"code": "G9659",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "(i.e., crohn's disease or ulcerative colitis), abnormal finding of"
} ]
}, {
"code": "G9659",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "gastrointestinal tract, weight loss, or changes in bowel habits"
} ]
}, {
"code": "G9660",
"display": "Doc med rsn colo pt >= 86y",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for a colonoscopy performed on a patient"
} ]
}, {
"code": "G9660",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower"
} ]
}, {
"code": "G9660",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "gastrointestinal bleeding, familial history of adenomatous polyposis, lynch"
} ]
}, {
"code": "G9660",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel"
} ]
}, {
"code": "G9660",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "disease (i.e., crohn's disease or ulcerative colitis), abnormal finding of"
} ]
}, {
"code": "G9660",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "gastrointestinal tract, weight loss, or changes in bowel habits)"
} ]
}, {
"code": "G9661",
"display": "Pt >= 86 w/ hi risk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients greater than or equal to 86 years of age who received a colonoscopy"
} ]
}, {
"code": "G9661",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for an assessment of signs/symptoms of gi tract illness, and/or because the"
} ]
}, {
"code": "G9661",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient meets high risk criteria, and/or to follow-up on previously diagnosed"
} ]
}, {
"code": "G9661",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "advanced lesions"
} ]
}, {
"code": "G9662",
"display": "Prior dx/active clin ascvd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd"
} ]
}, {
"code": "G9662",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "G9663",
"display": "Fast/dir ldl >= 190 mg/dl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Any ldl-c laboratory result >= 190 mg/dl"
} ]
}, {
"code": "G9664",
"display": "Taking statin or rec'd order",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are currently statin therapy users or received an order"
} ]
}, {
"code": "G9664",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(prescription) for statin therapy"
} ]
}, {
"code": "G9665",
"display": "No statin/no order statin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are not currently statin therapy users or did not receive an order"
} ]
}, {
"code": "G9665",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(prescription) for statin therapy"
} ]
}, {
"code": "G9666",
"display": "Fas/dir ldl 70-189mg/dl mst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient's highest fasting or direct ldl-c laboratory test result in the"
} ]
}, {
"code": "G9666",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measurement period or two years prior to the beginning of the measurement"
} ]
}, {
"code": "G9666",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period is 70-189 mg/dl"
} ]
}, {
"code": "G9667",
"display": "Doc med rsn no stat tx/presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not currently being a statin therapy"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "user or receive an order (prescription) for statin therapy (e.g., patient with"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "adverse effect, allergy or intolerance to statin medication therapy, patients"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "who have an active diagnosis of pregnancy or who are breastfeeding, patients"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "who are receiving palliative care, patients with active liver disease or"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "hepatic disease or insufficiency, patients with end stage renal disease (esrd),"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "and patients with diabetes who have a fasting or direct ldl-c laboratory test"
} ]
}, {
"code": "G9667",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "result < 70 mg/dl and are not taking statin therapy)"
} ]
}, {
"code": "G9669",
"display": "Intend rpt mult chr msr grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the multiple chronic conditions measures group"
} ]
}, {
"code": "G9670",
"display": "Qty act mcc mg perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the multiple chronic"
} ]
}, {
"code": "G9670",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "conditions measures group have been performed for this patient"
} ]
}, {
"code": "G9671",
"display": "Intend rpt dia retin msr grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the diabetic retinopathy measures group"
} ]
}, {
"code": "G9672",
"display": "Qty act diab retin mg perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the diabetic retinopathy"
} ]
}, {
"code": "G9672",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measures group have been performed for this patient"
} ]
}, {
"code": "G9673",
"display": "Intend rpt card prev msr grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "I intend to report the cardiovascular prevention measures group"
} ]
}, {
"code": "G9674",
"display": "Pt w/clin ascvd dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical ascvd diagnosis"
} ]
}, {
"code": "G9675",
"display": "Pt w/fast/dir lab ldl-c >190",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have ever had a fasting or direct laboratory result of ldl-c = 190"
} ]
}, {
"code": "G9675",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg/dl"
} ]
}, {
"code": "G9676",
"display": "40-75y w/type 1/2 w/ldl-c rs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients aged 40 to 75 years at the beginning of the measurement period with"
} ]
}, {
"code": "G9676",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as"
} ]
}, {
"code": "G9676",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the highest fasting or direct laboratory test result in the measurement year or"
} ]
}, {
"code": "G9676",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "during the two years prior to the beginning of the measurement period"
} ]
}, {
"code": "G9677",
"display": "Qty act card prev mg perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All quality actions for the applicable measures in the cardiovascular"
} ]
}, {
"code": "G9677",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prevention measures group have been performed for this patient"
} ]
}, {
"code": "G9678",
"display": "Oncology care model service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oncology care model (ocm) monthly enhanced oncology services (meos) payment for"
} ]
}, {
"code": "G9678",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ocm enhanced services. g9678 payments may only be made to ocm practitioners"
} ]
}, {
"code": "G9678",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "for ocm beneficiaries for the furnishment of enhanced services as defined in"
} ]
}, {
"code": "G9678",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the ocm participation agreement"
} ]
}, {
"code": "G9679",
"display": "Acute care pneumonia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This code is for onsite acute care treatment of a nursing facility resident"
} ]
}, {
"code": "G9679",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with pneumonia; may only be billed once per day per beneficiary"
} ]
}, {
"code": "G9680",
"display": "Acute care congestive heart",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This code is for onsite acute care treatment of a nursing facility resident"
} ]
}, {
"code": "G9680",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with chf; may only be billed once per day per beneficiary"
} ]
}, {
"code": "G9681",
"display": "Acute care chronic obstruct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This code is for onsite acute care treatment of a resident with copd or asthma;"
} ]
}, {
"code": "G9681",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "may only be billed once per day per beneficiary"
} ]
}, {
"code": "G9682",
"display": "Acute care skin infection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This code is for the onsite acute care treatment a nursing facility resident"
} ]
}, {
"code": "G9682",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with a skin infection; may only be billed once per day per beneficiary"
} ]
}, {
"code": "G9683",
"display": "Acute fluid/electro disorder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Facility service(s) for the onsite acute care treatment of a nursing facility"
} ]
}, {
"code": "G9683",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "resident with fluid or electrolyte disorder. (may only be billed once per day"
} ]
}, {
"code": "G9683",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "per beneficiary). this service is for a demonstration project"
} ]
}, {
"code": "G9684",
"display": "Acute care urinary tract inf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "This code is for the onsite acute care treatment of a nursing facility resident"
} ]
}, {
"code": "G9684",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for a uti; may only be billed once per day per beneficiary"
} ]
}, {
"code": "G9685",
"display": "Acute nursing facility care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician service or other qualified health care professional for the"
} ]
}, {
"code": "G9685",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation and management of a beneficiary's acute change in condition in a"
} ]
}, {
"code": "G9685",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "nursing facility. this service is for a demonstration project"
} ]
}, {
"code": "G9686",
"display": "Nursing facility conference",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Onsite nursing facility conference, that is separate and distinct from an"
} ]
}, {
"code": "G9686",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation and management visit, including qualified practitioner and at least"
} ]
}, {
"code": "G9686",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "one member of the nursing facility interdisciplinary care team"
} ]
}, {
"code": "G9687",
"display": "Hospice anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services provided to patient any time during the measurement period"
} ]
}, {
"code": "G9688",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients using hospice services any time during the measurement period"
} ]
}, {
"code": "G9689",
"display": "Inpt elect carotid intervent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient admitted for performance of elective carotid intervention"
} ]
}, {
"code": "G9690",
"display": "Pt in hos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receiving hospice services any time during the measurement period"
} ]
}, {
"code": "G9691",
"display": "Pt hosp dur msmt period",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had hospice services any time during the measurement period"
} ]
}, {
"code": "G9692",
"display": "Hosp recd by pt dur msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services received by patient any time during the measurement period"
} ]
}, {
"code": "G9693",
"display": "Pt use hosp during msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient use of hospice services any time during the measurement period"
} ]
}, {
"code": "G9694",
"display": "Hosp srv used pt in msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services utilized by patient any time during the measurement period"
} ]
}, {
"code": "G9695",
"display": "Long act inhal bronchdil pre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Long-acting inhaled bronchodilator prescribed"
} ]
}, {
"code": "G9696",
"display": "Med rsn no presc bronchdil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing a long-acting inhaled"
} ]
}, {
"code": "G9696",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bronchodilator (e.g., patient intolerance or history of side effects)"
} ]
}, {
"code": "G9697",
"display": "Pt rsn no presc bronchdil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not prescribing a long-acting inhaled"
} ]
}, {
"code": "G9697",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bronchodilator"
} ]
}, {
"code": "G9698",
"display": "Sys rsn no presc bronchdil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of system reason(s) for not prescribing a long-acting inhaled"
} ]
}, {
"code": "G9698",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bronchodilator (e.g., cost of treatment or lack of insurance)"
} ]
}, {
"code": "G9699",
"display": "Long inhal bronchdil no pres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Long-acting inhaled bronchodilator not prescribed, reason not otherwise"
} ]
}, {
"code": "G9699",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "G9700",
"display": "Pt is w/hosp during msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9701",
"display": "Child anbx 30 prior dx estab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Children who are taking antibiotics in the 30 days prior to the date of the"
} ]
}, {
"code": "G9701",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "encounter during which the diagnosis was established"
} ]
}, {
"code": "G9702",
"display": "Pt use hosp during msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9703",
"display": "Anbx 30 prior to episode",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Episodes where the patient is taking antibiotics (table 1) in the 30 days prior"
} ]
}, {
"code": "G9703",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to the episode date"
} ]
}, {
"code": "G9704",
"display": "Ajcc br ca stg i: t1 mic/t1a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ajcc breast cancer stage i: t1 mic or t1a documented"
} ]
}, {
"code": "G9705",
"display": "Ajcc br ca stg ib",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest"
} ]
}, {
"code": "G9705",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dimension) documented"
} ]
}, {
"code": "G9706",
"display": "Low recur prost ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low (or very low) risk of recurrence, prostate cancer"
} ]
}, {
"code": "G9707",
"display": "Pt had hosp dur msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received hospice services any time during the measurement period"
} ]
}, {
"code": "G9708",
"display": "Bilat mast/hx bi /unilat mas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Women who had a bilateral mastectomy or who have a history of a bilateral"
} ]
}, {
"code": "G9708",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mastectomy or for whom there is evidence of a right and a left unilateral"
} ]
}, {
"code": "G9708",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mastectomy"
} ]
}, {
"code": "G9709",
"display": "Hosp srv used pt in msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services used by patient any time during the measurement period"
} ]
}, {
"code": "G9710",
"display": "Pt prov hosp srv msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was provided hospice services any time during the measurement period"
} ]
}, {
"code": "G9711",
"display": "Pt hx tot col or colon ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis or past history of total colectomy or colorectal"
} ]
}, {
"code": "G9711",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cancer"
} ]
}, {
"code": "G9712",
"display": "Doc med rsn presc anbx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for prescribing or dispensing antibiotic"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., intestinal infection, pertussis, bacterial infection, lyme disease,"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis,"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "staph infections, pneumonia, gonococcal infections/venereal disease (syphilis,"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "chlamydia, inflammatory diseases [female reproductive organs]), infections of"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis,"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "disorders of the immune system, malignancy neoplasms, chronic bronchitis,"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "due to external agents, other diseases of the respiratory system, and"
} ]
}, {
"code": "G9712",
"property": [ {
"code": "seqNum",
"valueString": "01300"
} ],
"designation": [ {
"value": "tuberculosis"
} ]
}, {
"code": "G9713",
"display": "Pt use hosp during msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9714",
"display": "Pt is w/hosp during msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is using hospice services any time during the measurement period"
} ]
}, {
"code": "G9715",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9716",
"display": "Bmi doc onl fup not cmpltd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented as being outside of normal parameters, follow-up plan is not"
} ]
}, {
"code": "G9716",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "completed for documented medical reason"
} ]
}, {
"code": "G9717",
"display": "Doc pt dx bipol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating the patient has had a diagnosis of bipolar disorder"
} ]
}, {
"code": "G9718",
"display": "Hospice anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services for patient provided any time during the measurement period"
} ]
}, {
"code": "G9719",
"display": "Pt not ambul/immob/wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair"
} ]
}, {
"code": "G9719",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bound, dependent on helper pushing wheelchair, independent in wheelchair or"
} ]
}, {
"code": "G9719",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "minimal help in wheelchair"
} ]
}, {
"code": "G9720",
"display": "Hospice anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services for patient occurred any time during the measurement period"
} ]
}, {
"code": "G9721",
"display": "Pt not ambul/immob/wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair"
} ]
}, {
"code": "G9721",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bound, dependent on helper pushing wheelchair, independent in wheelchair or"
} ]
}, {
"code": "G9721",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "minimal help in wheelchair"
} ]
}, {
"code": "G9722",
"display": "Doc hx renal fail or cr+ >=4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl;"
} ]
}, {
"code": "G9722",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "renal transplant recipients are not considered to have preoperative renal"
} ]
}, {
"code": "G9722",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "failure, unless, since transplantation the cr has been or is 4.0 or higher"
} ]
}, {
"code": "G9723",
"display": "Hosp recd by pt dur msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services for patient received any time during the measurement period"
} ]
}, {
"code": "G9724",
"display": "Pt w/doc use anticoag mst yr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had documentation of use of anticoagulant medications overlapping"
} ]
}, {
"code": "G9724",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the measurement year"
} ]
}, {
"code": "G9725",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9726",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9727",
"display": "Pt unable cmplt lepf prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the lepf prom at initial evaluation and/or discharge"
} ]
}, {
"code": "G9727",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to blindness, illiteracy, severe mental incapacity or language"
} ]
}, {
"code": "G9727",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9728",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9729",
"display": "Pt unbl cmplt lepf prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the lepf prom at initial evaluation and/or discharge"
} ]
}, {
"code": "G9729",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to blindness, illiteracy, severe mental incapacity or language"
} ]
}, {
"code": "G9729",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9730",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9731",
"display": "Pt unbl cmplt lepf prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the lepf prom at initial evaluation and/or discharge"
} ]
}, {
"code": "G9731",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to blindness, illiteracy, severe mental incapacity or language"
} ]
}, {
"code": "G9731",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9732",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9733",
"display": "Pt unbl cmplt lb fs prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the low back fs prom at initial evaluation and/or"
} ]
}, {
"code": "G9733",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge due to blindness, illiteracy, severe mental incapacity or language"
} ]
}, {
"code": "G9733",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9734",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9735",
"display": "Pt unbl cmplt shld fs prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the shoulder fs prom at initial evaluation and/or"
} ]
}, {
"code": "G9735",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge due to blindness, illiteracy, severe mental incapacity or language"
} ]
}, {
"code": "G9735",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9736",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9737",
"display": "Pt unbl cmplt ewh fs prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation"
} ]
}, {
"code": "G9737",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or discharge due to blindness, illiteracy, severe mental incapacity or"
} ]
}, {
"code": "G9737",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "language incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9738",
"display": "Refused to participate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient refused to participate"
} ]
}, {
"code": "G9739",
"display": "Pt unbl cmplt go fs prom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the general orthopedic fs prom at initial evaluation"
} ]
}, {
"code": "G9739",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or discharge due to blindness, illiteracy, severe mental incapacity or"
} ]
}, {
"code": "G9739",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "language incompatibility and an adequate proxy is not available"
} ]
}, {
"code": "G9740",
"display": "Hosp srv to pt dur msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services given to patient any time during the measurement period"
} ]
}, {
"code": "G9741",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9742",
"display": "Psych sympt assessed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychiatric symptoms assessed"
} ]
}, {
"code": "G9743",
"display": "Psych symp not assessed, rns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychiatric symptoms not assessed, reason not otherwise specified"
} ]
}, {
"code": "G9744",
"display": "Pt not eli d/t act dig htn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not eligible due to active diagnosis of hypertension"
} ]
}, {
"code": "G9745",
"display": "Doc rsn no hbp scrn or f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented reason for not screening or recommending a follow-up for high blood"
} ]
}, {
"code": "G9745",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pressure"
} ]
}, {
"code": "G9746",
"display": "Mit sten, valve or trans af",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has mitral stenosis or prosthetic heart valves or patient has transient"
} ]
}, {
"code": "G9746",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac"
} ]
}, {
"code": "G9746",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surgery)"
} ]
}, {
"code": "G9747",
"display": "Pall dialysis with catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is undergoing palliative dialysis with a catheter"
} ]
}, {
"code": "G9748",
"display": "App transpl lvg kidney donor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient approved by a qualified transplant program and scheduled to receive a"
} ]
}, {
"code": "G9748",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "living donor kidney transplant"
} ]
}, {
"code": "G9749",
"display": "Pall dialysis with catheter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is undergoing palliative dialysis with a catheter"
} ]
}, {
"code": "G9750",
"display": "App transpl lvg kidney donor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient approved by a qualified transplant program and scheduled to receive a"
} ]
}, {
"code": "G9750",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "living donor kidney transplant"
} ]
}, {
"code": "G9751",
"display": "Pt died w/in 24 mos rpt time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient died at any time during the 24-month measurement period"
} ]
}, {
"code": "G9752",
"display": "Urgent surgery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency surgery"
} ]
}, {
"code": "G9753",
"display": "Doc no dicom, ct other fac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason for not conducting a search for dicom format"
} ]
}, {
"code": "G9753",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "images for prior patient ct imaging studies completed at non-affiliated"
} ]
}, {
"code": "G9753",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "external healthcare facilities or entities within the past 12 months that are"
} ]
}, {
"code": "G9753",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "available through a secure, authorized, media-free, shared archive (e.g.,"
} ]
}, {
"code": "G9753",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "trauma, acute myocardial infarction, stroke, aortic aneurysm where time is of"
} ]
}, {
"code": "G9753",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "the essence)"
} ]
}, {
"code": "G9754",
"display": "Incid pulm nodule",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A finding of an incidental pulmonary nodule"
} ]
}, {
"code": "G9755",
"display": "Doc med rsn no fllw up",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not including a recommended interval and"
} ]
}, {
"code": "G9755",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "modality for follow-up or for no follow-up, and source of recommendations"
} ]
}, {
"code": "G9755",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(e.g., patients with unexplained fever, immunocompromised patients who are at"
} ]
}, {
"code": "G9755",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "risk for infection)"
} ]
}, {
"code": "G9756",
"display": "Surg proc w/silicone oil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical procedures that included the use of silicone oil"
} ]
}, {
"code": "G9757",
"display": "Surg proc w/silicone oil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical procedures that included the use of silicone oil"
} ]
}, {
"code": "G9758",
"display": "Pt in hos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient in hospice at any time during the measurement period"
} ]
}, {
"code": "G9759",
"display": "Hx preop post cap rup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "History of preoperative posterior capsule rupture"
} ]
}, {
"code": "G9760",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9761",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9762",
"display": "Pt had >= 2-3 hpv vaccines",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had at least two hpv vaccines (with at least 146 days between the two)"
} ]
}, {
"code": "G9762",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or three hpv vaccines on or between the patient's 9th and 13th birthdays"
} ]
}, {
"code": "G9763",
"display": "Pt not have 2-3 hpv vaccines",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not have at least two hpv vaccines (with at least 146 days between"
} ]
}, {
"code": "G9763",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the two) or three hpv vaccines on or between the patient's 9th and 13th"
} ]
}, {
"code": "G9763",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "birthdays"
} ]
}, {
"code": "G9764",
"display": "Pt treatd w/oral syst or bio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has been treated with a systemic medication for psoriasis vulgaris"
} ]
}, {
"code": "G9765",
"display": "Doc pat declined therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that the patient declined change in medication or alternative"
} ]
}, {
"code": "G9765",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapies were unavailable, has documented contraindications, or has not been"
} ]
}, {
"code": "G9765",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treated with a systemic medication for at least six consecutive months (e.g.,"
} ]
}, {
"code": "G9765",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "experienced adverse effects or lack of efficacy with all other therapy options)"
} ]
}, {
"code": "G9765",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "in order to achieve better disease control as measured by pga, bsa, pasi, or"
} ]
}, {
"code": "G9765",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "dlqi"
} ]
}, {
"code": "G9766",
"display": "Cva stroke dx tx transf fac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are transferred from one institution to another with a known"
} ]
}, {
"code": "G9766",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diagnosis of cva for endovascular stroke treatment"
} ]
}, {
"code": "G9767",
"display": "Hosp new dx cva consid evst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospitalized patients with newly diagnosed cva considered for endovascular"
} ]
}, {
"code": "G9767",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stroke treatment"
} ]
}, {
"code": "G9768",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who utilize hospice services any time during the measurement period"
} ]
}, {
"code": "G9769",
"display": "Bn den 2yr/got ost med/ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had a bone mineral density test in the past two years or received"
} ]
}, {
"code": "G9769",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "osteoporosis medication or therapy in the past 12 months"
} ]
}, {
"code": "G9770",
"display": "Perip nerve block",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peripheral nerve block (pnb)"
} ]
}, {
"code": "G9771",
"display": "Anes end, 1 temp >35.5(95.9)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 1 body temperature measurement equal to or greater than 35.5 degrees"
} ]
}, {
"code": "G9771",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately"
} ]
}, {
"code": "G9771",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "before or 15 minutes immediately after anesthesia end time"
} ]
}, {
"code": "G9772",
"display": "Doc med rsn no temp >= 35.5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not achieving at least 1 body"
} ]
}, {
"code": "G9772",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9"
} ]
}, {
"code": "G9772",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "degrees fahrenheit) within the 30 minutes immediately before or 15 minutes"
} ]
}, {
"code": "G9772",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "immediately after anesthesia end time (e.g., emergency cases, intentional"
} ]
}, {
"code": "G9772",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "hypothermia, etc.)"
} ]
}, {
"code": "G9773",
"display": "1 bod temp >=35.5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least 1 body temperature measurement equal to or greater than 35.5 degrees"
} ]
}, {
"code": "G9773",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes"
} ]
}, {
"code": "G9773",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "immediately before or 15 minutes immediately after anesthesia end time, reason"
} ]
}, {
"code": "G9773",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "not given"
} ]
}, {
"code": "G9774",
"display": "Pt had hyst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have had a hysterectomy"
} ]
}, {
"code": "G9775",
"display": "Recd 2 anti-emet pre/intraop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received at least 2 prophylactic pharmacologic anti-emetic agents of"
} ]
}, {
"code": "G9775",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "different classes preoperatively and/or intraoperatively"
} ]
}, {
"code": "G9776",
"display": "Doc med rsn no proph antiem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason for not receiving at least 2 prophylactic"
} ]
}, {
"code": "G9776",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacologic anti-emetic agents of different classes preoperatively and/or"
} ]
}, {
"code": "G9776",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intraoperatively (e.g., intolerance or other medical reason)"
} ]
}, {
"code": "G9777",
"display": "Pt no antiemet pre/intraop",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive at least 2 prophylactic pharmacologic anti-emetic"
} ]
}, {
"code": "G9777",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "agents of different classes preoperatively and/or intraoperatively"
} ]
}, {
"code": "G9778",
"display": "Pts dx w/pregn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have a diagnosis of pregnancy at any time during the measurement"
} ]
}, {
"code": "G9778",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9779",
"display": "Pts breastfeeding",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are breastfeeding at any time during the performance period"
} ]
}, {
"code": "G9780",
"display": "Pts dx w/rhabdomyolysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have a diagnosis of rhabdomyolysis at any time during the"
} ]
}, {
"code": "G9780",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "G9781",
"display": "Doc rsn no statin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not currently being a statin therapy"
} ]
}, {
"code": "G9781",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "user or receiving an order (prescription) for statin therapy (e.g., patients"
} ]
}, {
"code": "G9781",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with statin-associated muscle symptoms or an allergy to statin medication"
} ]
}, {
"code": "G9781",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "therapy, patients who are receiving palliative or hospice care, patients with"
} ]
}, {
"code": "G9781",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "active liver disease or hepatic disease or insufficiency, patients with end"
} ]
}, {
"code": "G9781",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "stage renal disease [esrd], or other medical reasons)"
} ]
}, {
"code": "G9782",
"display": "Hx dx fam/pure hypercholes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "History of or active diagnosis of familial hypercholesterolemia"
} ]
}, {
"code": "G9783",
"display": "Doc dx dm, fast <70, no stat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patients with diabetes who have a most recent fasting or"
} ]
}, {
"code": "G9783",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "direct ldl- c laboratory test result < 70 mg/dl and are not taking statin"
} ]
}, {
"code": "G9783",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy"
} ]
}, {
"code": "G9784",
"display": "Path/derm prov 2nd biop opin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathologists/dermatopathologists providing a second opinion on a biopsy"
} ]
}, {
"code": "G9785",
"display": "Path report sent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell"
} ]
}, {
"code": "G9785",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "carcinoma, or melanoma (to include in situ disease) sent from the pathologist/"
} ]
}, {
"code": "G9785",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "dermatopathologist to the biopsying clinician for review within 7 days from the"
} ]
}, {
"code": "G9785",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "time when the tissue specimen was received by the pathologist"
} ]
}, {
"code": "G9786",
"display": "Path report not sent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell"
} ]
}, {
"code": "G9786",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "carcinoma, or melanoma (to include in situ disease) was not sent from the"
} ]
}, {
"code": "G9786",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pathologist/ dermatopathologist to the biopsying clinician for review within 7"
} ]
}, {
"code": "G9786",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "days from the time when the tissue specimen was received by the pathologist"
} ]
}, {
"code": "G9787",
"display": "Pt alive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient alive as of the last day of the measurement year"
} ]
}, {
"code": "G9788",
"display": "Most rct bp ,
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent bp is less than or equal to 140/90 mm hg"
} ]
}, {
"code": "G9789",
"display": "Record bp ip, er, urg/self",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure recorded during inpatient stays, emergency room visits, or"
} ]
}, {
"code": "G9789",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "urgent care visits"
} ]
}, {
"code": "G9790",
"display": "Most rct bp >/= 140/90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent bp is greater than 140/90 mm hg, or blood pressure not documented"
} ]
}, {
"code": "G9791",
"display": "Most rct tob stat free",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent tobacco status is tobacco free"
} ]
}, {
"code": "G9792",
"display": "Most rct tob stat not free",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent tobacco status is not tobacco free"
} ]
}, {
"code": "G9793",
"display": "Pt on daily asa/antiplat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is currently on a daily aspirin or other antiplatelet"
} ]
}, {
"code": "G9794",
"display": "Doc med rsn no daily aspirin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not on a daily aspirin or other"
} ]
}, {
"code": "G9794",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antiplatelet (e.g., history of gastrointestinal bleed, intra-cranial bleed,"
} ]
}, {
"code": "G9794",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "idiopathic thrombocytopenic purpura (itp), gastric bypass or documentation of"
} ]
}, {
"code": "G9794",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "active anticoagulant use during the measurement period)"
} ]
}, {
"code": "G9795",
"display": "Pt no daily asa/antiplat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not currently on a daily aspirin or other antiplatelet"
} ]
}, {
"code": "G9796",
"display": "Pt not currently on statin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is currently on a statin therapy"
} ]
}, {
"code": "G9797",
"display": "Pt currently on statin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not on a statin therapy"
} ]
}, {
"code": "G9798",
"display": "D/c ami btw 7/1-6/30 meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge(s) for ami between july 1 of the year prior measurement period to"
} ]
}, {
"code": "G9798",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "june 30 of the measurement period"
} ]
}, {
"code": "G9799",
"display": "Med disp evt indic hx asth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a medication dispensing event indicator of a history of asthma"
} ]
}, {
"code": "G9799",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any time during the patient's history through the end of the measure period"
} ]
}, {
"code": "G9800",
"display": "Pt id intol/alleg beta-block",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are identified as having an intolerance or allergy to beta-blocker"
} ]
}, {
"code": "G9800",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy"
} ]
}, {
"code": "G9801",
"display": "Nonacut transf from inpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospitalizations in which the patient was transferred directly to a non-acute"
} ]
}, {
"code": "G9801",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care facility for any diagnosis"
} ]
}, {
"code": "G9802",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9803",
"display": "Pt presc 135 day trmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient prescribed at least a 135 day treatment within the 180-day measurement"
} ]
}, {
"code": "G9803",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interval with beta-blockers post-discharge for ami"
} ]
}, {
"code": "G9804",
"display": "Pt not presc 135 day trmt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was not prescribed at least a 135 day treatment within the 180-day"
} ]
}, {
"code": "G9804",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measurement interval with beta-blockers post-discharge for ami"
} ]
}, {
"code": "G9805",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9806",
"display": "Pt recd cerv cyto/hpv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who received cervical cytology or an hpv test"
} ]
}, {
"code": "G9807",
"display": "Pt no recd cerv cyto/hpv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not receive cervical cytology or an hpv test"
} ]
}, {
"code": "G9808",
"display": "Pt no asthm cont med mst per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Any patients who had no asthma controller medications dispensed during the"
} ]
}, {
"code": "G9808",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measurement year"
} ]
}, {
"code": "G9809",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9810",
"display": "Pdc 75% w/asth cont med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient achieved a pdc of at least 75% for their asthma controller medication"
} ]
}, {
"code": "G9811",
"display": "No pdc 75% w/asth cont med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not achieve a pdc of at least 75% for their asthma controller"
} ]
}, {
"code": "G9811",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medication"
} ]
}, {
"code": "G9812",
"display": "Pt died during inpt/30d aft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient died including all deaths occurring during the hospitalization in which"
} ]
}, {
"code": "G9812",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the operation was performed, even if after 30 days, and those deaths occurring"
} ]
}, {
"code": "G9812",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "after discharge from the hospital, but within 30 days of the procedure"
} ]
}, {
"code": "G9813",
"display": "Pt not died w/in 30d of proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not die within 30 days of the procedure or during the index"
} ]
}, {
"code": "G9813",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospitalization"
} ]
}, {
"code": "G9814",
"display": "Death during index hosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Death occurring during the index acute care hospitalization"
} ]
}, {
"code": "G9815",
"display": "Death not during index hosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Death did not occur during the index acute care hospitalization"
} ]
}, {
"code": "G9816",
"display": "Death <30 day post discharge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Death occurring after discharge from the hospital but within 30 days post"
} ]
}, {
"code": "G9816",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "G9817",
"display": "No death 30-days post-disch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Death did not occur after discharge from the hospital within 30 days post"
} ]
}, {
"code": "G9817",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "G9818",
"display": "Doc sex activity",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of sexual activity"
} ]
}, {
"code": "G9819",
"display": "Pt w/hosp anytime msmt per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "G9820",
"display": "Doc chlam scr test w/follow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of a chlamydia screening test with proper follow-up"
} ]
}, {
"code": "G9821",
"display": "No doc chlam scr ts w/follow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No documentation of a chlamydia screening test with proper follow-up"
} ]
}, {
"code": "G9822",
"display": "Endo abl proc yr prev ind dt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had an endometrial ablation procedure during the 12 months prior"
} ]
}, {
"code": "G9822",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to the index date (exclusive of the index date)"
} ]
}, {
"code": "G9823",
"display": "Endo smpl/hyst bx res doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endometrial sampling or hysteroscopy with biopsy and results documented during"
} ]
}, {
"code": "G9823",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the 12 months prior to the index date (exclusive of the index date) of the"
} ]
}, {
"code": "G9823",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "endometrial ablation"
} ]
}, {
"code": "G9824",
"display": "Endo smpl/hyst bx res no doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endometrial sampling or hysteroscopy with biopsy and results not documented"
} ]
}, {
"code": "G9824",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the 12 months prior to the index date (exclusive of the index date) of"
} ]
}, {
"code": "G9824",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the endometrial ablation"
} ]
}, {
"code": "G9825",
"display": "Her-2 neg,undoc/unkn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Her-2/neu negative or undocumented/unknown"
} ]
}, {
"code": "G9826",
"display": "Transf pract aft init chemo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient transferred to practice after initiation of chemotherapy"
} ]
}, {
"code": "G9827",
"display": "Her-2 targ ther no init tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Her2-targeted therapies not administered during the initial course of treatment"
} ]
}, {
"code": "G9828",
"display": "Her-2 targ ther dur init tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Her2-targeted therapies administered during the initial course of treatment"
} ]
}, {
"code": "G9829",
"display": "Breast adj chemo admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast adjuvant chemotherapy administered"
} ]
}, {
"code": "G9830",
"display": "Her-2 pos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Her-2/neu positive"
} ]
}, {
"code": "G9831",
"display": "Ajcc stg brt ca dx ii or iii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ajcc stage at breast cancer diagnosis = ii or iii"
} ]
}, {
"code": "G9832",
"display": "Brt ca dx i, no t1/t1a/t1b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast"
} ]
}, {
"code": "G9832",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cancer diagnosis does not equal = t1, t1a, t1b"
} ]
}, {
"code": "G9833",
"display": "Transf pract aft init chemo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient transfer to practice after initiation of chemotherapy"
} ]
}, {
"code": "G9834",
"display": "Pt met dis at dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has metastatic disease at diagnosis"
} ]
}, {
"code": "G9835",
"display": "Trastuz given w/in 12 mos dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trastuzumab administered within 12 months of diagnosis"
} ]
}, {
"code": "G9836",
"display": "Rsn no trast given doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reason for not administering trastuzumab documented (e.g. patient declined,"
} ]
}, {
"code": "G9836",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient died, patient transferred, contraindication or other clinical"
} ]
}, {
"code": "G9836",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "exclusion, neoadjuvant chemotherapy or radiation not complete)"
} ]
}, {
"code": "G9837",
"display": "Trastuz not in 12 mos dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trastuzumab not administered within 12 months of diagnosis"
} ]
}, {
"code": "G9838",
"display": "Pt met dis at dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has metastatic disease at diagnosis"
} ]
}, {
"code": "G9839",
"display": "Anti-egfr mon anti ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anti-egfr monoclonal antibody therapy"
} ]
}, {
"code": "G9840",
"display": "Gene testing performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ras (kras and nras) gene mutation testing performed before initiation of"
} ]
}, {
"code": "G9840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-egfr moab"
} ]
}, {
"code": "G9841",
"display": "Gene testing not performed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ras (kras and nras) gene mutation testing not performed before initiation of"
} ]
}, {
"code": "G9841",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-egfr moab"
} ]
}, {
"code": "G9842",
"display": "Pt met dis at dx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has metastatic disease at diagnosis"
} ]
}, {
"code": "G9843",
"display": "Kras or nras gene mutation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ras (kras or nras) gene mutation"
} ]
}, {
"code": "G9844",
"display": "Pt no recd anti-egfr ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive anti-egfr monoclonal antibody therapy"
} ]
}, {
"code": "G9845",
"display": "Pt recd anti-egfr ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received anti-egfr monoclonal antibody therapy"
} ]
}, {
"code": "G9846",
"display": "Pt died from cancer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died from cancer"
} ]
}, {
"code": "G9847",
"display": "Pt recd chemo last 14d life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received systemic cancer-directed therapy in the last 14 days of life"
} ]
}, {
"code": "G9848",
"display": "Pt no chemo last 14d life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive systemic cancer-directed therapy in the last 14 days of"
} ]
}, {
"code": "G9848",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "life"
} ]
}, {
"code": "G9849",
"display": "Pt died from cancer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died from cancer"
} ]
}, {
"code": "G9850",
"display": "1/more ed last 30d life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had more than one emergency department visit in the last 30 days of life"
} ]
}, {
"code": "G9851",
"display": "1/no ed visit last 30d life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had one or less emergency department visits in the last 30 days of life"
} ]
}, {
"code": "G9852",
"display": "Pt died from cancer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died from cancer"
} ]
}, {
"code": "G9853",
"display": "Icu stay last 30d life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient admitted to the icu in the last 30 days of life"
} ]
}, {
"code": "G9854",
"display": "No icu stay last 30d life",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was not admitted to the icu in the last 30 days of life"
} ]
}, {
"code": "G9855",
"display": "Pt died from cancer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died from cancer"
} ]
}, {
"code": "G9856",
"display": "Pt no hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was not admitted to hospice"
} ]
}, {
"code": "G9857",
"display": "Pt admit hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient admitted to hospice"
} ]
}, {
"code": "G9858",
"display": "Pt enroll hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient enrolled in hospice"
} ]
}, {
"code": "G9859",
"display": "Pt died from cancer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died from cancer"
} ]
}, {
"code": "G9860",
"display": "Pt less 3d hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient spent less than three days in hospice care"
} ]
}, {
"code": "G9861",
"display": "Pt more than 3d hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient spent greater than or equal to three days in hospice care"
} ]
}, {
"code": "G9862",
"display": "Doc rsn no 10 yr follow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not recommending at least a 10 year"
} ]
}, {
"code": "G9862",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up interval (e.g., inadequate prep, familial or personal history of"
} ]
}, {
"code": "G9862",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "colonic polyps, patient had no adenoma and age is = 66 years old, or life"
} ]
}, {
"code": "G9862",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "expectancy < 10 years old, other medical reasons)"
} ]
}, {
"code": "G9868",
"display": "Cmmi asyntelehealth <10min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receipt and analysis of remote, asynchronous images for dermatologic and/or"
} ]
}, {
"code": "G9868",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less"
} ]
}, {
"code": "G9868",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "than 10 minutes"
} ]
}, {
"code": "G9869",
"display": "Cmmi asyntelehealth 10-20min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receipt and analysis of remote, asynchronous images for dermatologic and/or"
} ]
}, {
"code": "G9869",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ophthalmologic evaluation, for use only in a medicare-approved cmmi model,"
} ]
}, {
"code": "G9869",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "10-20 minutes"
} ]
}, {
"code": "G9870",
"display": "Cmmi asyntelehealth >20min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receipt and analysis of remote, asynchronous images for dermatologic and/or"
} ]
}, {
"code": "G9870",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more"
} ]
}, {
"code": "G9870",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "than 20 minutes"
} ]
}, {
"code": "G9873",
"display": "1 em core session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "First medicare diabetes prevention program (mdpp) core session was attended by"
} ]
}, {
"code": "G9873",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "an mdpp beneficiary under the mdpp expanded model (em). a core session is an"
} ]
}, {
"code": "G9873",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mdpp service that: (1) is furnished by an mdpp supplier during months 1"
} ]
}, {
"code": "G9873",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "through 6 of the mdpp services period; (2) is approximately 1 hour in length;"
} ]
}, {
"code": "G9873",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and (3) adheres to a cdc-approved dpp curriculum for core sessions"
} ]
}, {
"code": "G9874",
"display": "4 em core sessions",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Four total medicare diabetes prevention program (mdpp) core sessions were"
} ]
}, {
"code": "G9874",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "attended by an mdpp beneficiary under the mdpp expanded model (em). a core"
} ]
}, {
"code": "G9874",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "session is an mdpp service that: (1) is furnished by an mdpp supplier during"
} ]
}, {
"code": "G9874",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in"
} ]
}, {
"code": "G9874",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "length; and (3) adheres to a cdc-approved dpp curriculum for core sessions"
} ]
}, {
"code": "G9875",
"display": "9 em core sessions",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nine total medicare diabetes prevention program (mdpp) core sessions were"
} ]
}, {
"code": "G9875",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "attended by an mdpp beneficiary under the mdpp expanded model (em). a core"
} ]
}, {
"code": "G9875",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "session is an mdpp service that: (1) is furnished by an mdpp supplier during"
} ]
}, {
"code": "G9875",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months 1 through 6 of the mdpp services period; (2) is approximately 1 hour in"
} ]
}, {
"code": "G9875",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "length; and (3) adheres to a cdc-approved dpp curriculum for core sessions"
} ]
}, {
"code": "G9876",
"display": "2 em core ms mo 7-9 no wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms)"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "model (em). a core maintenance session is an mdpp service that: (1) is"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "furnished by an mdpp supplier during months 7 through 12 of the mdpp services"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "achieve at least 5% weight loss (wl) from his/her baseline weight, as measured"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "by at least one in-person weight measurement at a core maintenance session in"
} ]
}, {
"code": "G9876",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "months 7-9"
} ]
}, {
"code": "G9877",
"display": "2 em core ms mo 10-12 no wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms)"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). a core maintenance session is an mdpp service that: (1)"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "is furnished by an mdpp supplier during months 7 through 12 of the mdpp"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "achieve at least 5% weight loss (wl) from his/her baseline weight, as measured"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "by at least one in-person weight measurement at a core maintenance session in"
} ]
}, {
"code": "G9877",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "months 10-12"
} ]
}, {
"code": "G9878",
"display": "2 em core ms mo 7-9 wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms)"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "model (em). a core maintenance session is an mdpp service that: (1) is"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "furnished by an mdpp supplier during months 7 through 12 of the mdpp services"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions.the beneficiary achieved"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "at least 5% weight loss (wl) from his/her baseline weight, as measured by at"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "least one in-person weight measurement at a core maintenance session in months"
} ]
}, {
"code": "G9878",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "7-9"
} ]
}, {
"code": "G9879",
"display": "2 em core ms mo 10-12 wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms)"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). a core maintenance session is an mdpp service that: (1)"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "is furnished by an mdpp supplier during months 7 through 12 of the mdpp"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary achieved"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "at least 5% weight loss (wl) from his/her baseline weight, as measured by at"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "least one in-person weight measurement at a core maintenance session in months"
} ]
}, {
"code": "G9879",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "10-12"
} ]
}, {
"code": "G9880",
"display": "Em 5 percent wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her"
} ]
}, {
"code": "G9880",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "baseline weight in months 1-12 of the mdpp services period under the mdpp"
} ]
}, {
"code": "G9880",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). this is a one-time payment available when a beneficiary"
} ]
}, {
"code": "G9880",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "first achieves at least 5% weight loss from baseline as measured by an"
} ]
}, {
"code": "G9880",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "in-person weight measurement at a core session or core maintenance session"
} ]
}, {
"code": "G9881",
"display": "Em 9 percent wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her"
} ]
}, {
"code": "G9881",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "baseline weight in months 1-24 under the mdpp expanded model (em). this is a"
} ]
}, {
"code": "G9881",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "one-time payment available when a beneficiary first achieves at least 9% weight"
} ]
}, {
"code": "G9881",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "loss from baseline as measured by an in-person weight measurement at a core"
} ]
}, {
"code": "G9881",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "session, core maintenance session, or ongoing maintenance session"
} ]
}, {
"code": "G9882",
"display": "2 em ongoing ms mo 13-15 wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ms) were attended by an mdpp beneficiary in months (mo) 13-15 under the mdpp"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). an ongoing maintenance session is an mdpp service that:"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "maintained at least 5% weight loss (wl) from his/her baseline weight, as"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "measured by at least one in-person weight measurement at an ongoing maintenance"
} ]
}, {
"code": "G9882",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "session in months 13-15"
} ]
}, {
"code": "G9883",
"display": "2 em ongoing ms mo 16-18 wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ms) were attended by an mdpp beneficiary in months (mo) 16-18 under the mdpp"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). an ongoing maintenance session is an mdpp service that:"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "maintained at least 5% weight loss (wl) from his/her baseline weight, as"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "measured by at least one in-person weight measurement at an ongoing maintenance"
} ]
}, {
"code": "G9883",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "session in months 16-18"
} ]
}, {
"code": "G9884",
"display": "2 em ongoing ms mo 19-21 wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ms) were attended by an mdpp beneficiary in months (mo) 19-21 under the mdpp"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). an ongoing maintenance session is an mdpp service that:"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "maintained at least 5% weight loss (wl) from his/her baseline weight, as"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "measured by at least one in-person weight measurement at an ongoing maintenance"
} ]
}, {
"code": "G9884",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "session in months 19-21"
} ]
}, {
"code": "G9885",
"display": "2 em ongoing ms mo 22-24 wl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "expanded model (em). an ongoing maintenance session is an mdpp service that:"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(1) is furnished by an mdpp supplier during months 13 through 24 of the mdpp"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services period; (2) is approximately 1 hour in length; and (3) adheres to a"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "cdc-approved dpp curriculum for maintenance sessions. the beneficiary"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "maintained at least 5% weight loss (wl) from his/her baseline weight, as"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "measured by at least one in-person weight measurement at an ongoing maintenance"
} ]
}, {
"code": "G9885",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "session in months 22-24"
} ]
}, {
"code": "G9886",
"display": "In-person attendance g code",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral counseling for diabetes prevention, in-person, group, 60 minutes"
} ]
}, {
"code": "G9887",
"display": "Distance learning attendance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral counseling for diabetes prevention, distance learning, 60 minutes"
} ]
}, {
"code": "G9888",
"display": "5% wl maintnd from bsline wt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Maintenance 5% wl from baseline weight in months 7-12"
} ]
}, {
"code": "G9890",
"display": "Em bridge payment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bridge payment: a one-time payment for the first medicare diabetes prevention"
} ]
}, {
"code": "G9890",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program (mdpp) core session, core maintenance session, or ongoing maintenance"
} ]
}, {
"code": "G9890",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "session furnished by an mdpp supplier to an mdpp beneficiary during months 1-24"
} ]
}, {
"code": "G9890",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of the mdpp expanded model (em) who has previously received mdpp services from"
} ]
}, {
"code": "G9890",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "a different mdpp supplier under the mdpp expanded model. a supplier may only"
} ]
}, {
"code": "G9890",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "receive one bridge payment per mdpp beneficiary"
} ]
}, {
"code": "G9891",
"display": "Em session reporting",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mdpp session reported as a line-item on a claim for a payable mdpp expanded"
} ]
}, {
"code": "G9891",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "model (em) hcpcs code for a session furnished by the billing supplier under"
} ]
}, {
"code": "G9891",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the mdpp expanded model and counting toward achievement of the attendance"
} ]
}, {
"code": "G9891",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "performance goal for the payable mdpp expanded model hcpcs code (this code is"
} ]
}, {
"code": "G9891",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "for reporting purposes only)"
} ]
}, {
"code": "G9892",
"display": "Doc pt rsn no dil mac exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not performing a dilated macular"
} ]
}, {
"code": "G9892",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "examination"
} ]
}, {
"code": "G9893",
"display": "No mac exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated macular exam was not performed, reason not otherwise specified"
} ]
}, {
"code": "G9894",
"display": "Adr dep thrpy prescribed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Androgen deprivation therapy prescribed/administered in combination with"
} ]
}, {
"code": "G9894",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "external beam radiotherapy to the prostate"
} ]
}, {
"code": "G9895",
"display": "Doc med rsn no adr dep thrpy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing/administering androgen"
} ]
}, {
"code": "G9895",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "deprivation therapy in combination with external beam radiotherapy to the"
} ]
}, {
"code": "G9895",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prostate (e.g., salvage therapy)"
} ]
}, {
"code": "G9896",
"display": "Doc pt rsn no adr dep thrpy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not prescribing/administering androgen"
} ]
}, {
"code": "G9896",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "deprivation therapy in combination with external beam radiotherapy to the"
} ]
}, {
"code": "G9896",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prostate"
} ]
}, {
"code": "G9897",
"display": "Pt nt prsc adr dep thrpy rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were not prescribed/administered androgen deprivation therapy in"
} ]
}, {
"code": "G9897",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "combination with external beam radiotherapy to the prostate, reason not given"
} ]
}, {
"code": "G9898",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "G9898",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90"
} ]
}, {
"code": "G9898",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the measurement period"
} ]
}, {
"code": "G9899",
"display": "Scrn mam perf rslts doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening, diagnostic, film, digital or digital breast tomosynthesis (3d)"
} ]
}, {
"code": "G9899",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mammography results documented and reviewed"
} ]
}, {
"code": "G9900",
"display": "Scrn mam perf rslts not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening, diagnostic, film, digital or digital breast tomosynthesis (3d)"
} ]
}, {
"code": "G9900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mammography results were not documented and reviewed, reason not otherwise"
} ]
}, {
"code": "G9900",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "G9901",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "G9901",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90"
} ]
}, {
"code": "G9901",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the measurement period"
} ]
}, {
"code": "G9902",
"display": "Pt scrn tbco and id as user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for tobacco use and identified as a tobacco user"
} ]
}, {
"code": "G9903",
"display": "Pt scrn tbco id as non user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for tobacco use and identified as a tobacco non-user"
} ]
}, {
"code": "G9904",
"display": "Doc med rsn no tbco scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not screening for tobacco use (e.g.,"
} ]
}, {
"code": "G9904",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "limited life expectancy, other medical reason)"
} ]
}, {
"code": "G9905",
"display": "No pt tbco scrn rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not screened for tobacco use"
} ]
}, {
"code": "G9906",
"display": "Pt recv tbco cess interv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as a tobacco user received tobacco cessation intervention"
} ]
}, {
"code": "G9906",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period or in the six months prior to the measurement"
} ]
}, {
"code": "G9906",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period (counseling and/or pharmacotherapy)"
} ]
}, {
"code": "G9907",
"display": "Doc med rsn no tbco interv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not providing tobacco cessation"
} ]
}, {
"code": "G9907",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intervention on the date of the encounter or within the previous 12 months"
} ]
}, {
"code": "G9907",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(e.g., limited life expectancy, other medical reason)"
} ]
}, {
"code": "G9908",
"display": "No pt tbco cess interv rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as tobacco user did not receive tobacco cessation"
} ]
}, {
"code": "G9908",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intervention during the measurement period or in the six months prior to the"
} ]
}, {
"code": "G9908",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period (counseling and/or pharmacotherapy)"
} ]
}, {
"code": "G9909",
"display": "Doc med rsn no tbco interv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not providing tobacco cessation"
} ]
}, {
"code": "G9909",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intervention on the date of the encounter or within the previous 12 months if"
} ]
}, {
"code": "G9909",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "identified as a tobacco user (e.g., limited life expectancy, other medical"
} ]
}, {
"code": "G9909",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reason)"
} ]
}, {
"code": "G9910",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "G9910",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90"
} ]
}, {
"code": "G9910",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the measurement period"
} ]
}, {
"code": "G9911",
"display": "Node neg pre/post syst ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or"
} ]
}, {
"code": "G9911",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after neoadjuvant systemic therapy"
} ]
}, {
"code": "G9912",
"display": "Hbv status assesed and int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis b virus (hbv) status assessed and results interpreted prior to"
} ]
}, {
"code": "G9912",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiating anti-tnf (tumor necrosis factor) therapy"
} ]
}, {
"code": "G9913",
"display": "No hbv status assesd and int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hepatitis b virus (hbv) status not assessed and results interpreted prior to"
} ]
}, {
"code": "G9913",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise"
} ]
}, {
"code": "G9913",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "G9914",
"display": "Pt initiated anti-tnf agent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient initiated an anti-tnf agent"
} ]
}, {
"code": "G9915",
"display": "No documntd hbv results rcd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No record of hbv results documented"
} ]
}, {
"code": "G9916",
"display": "Funct status past 12 months",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status performed once in the last 12 months"
} ]
}, {
"code": "G9917",
"display": "Adv dem crgvr limited",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of advanced stage dementia and caregiver knowledge is limited"
} ]
}, {
"code": "G9918",
"display": "No funct stat perf, rsn nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status not performed, reason not otherwise specified"
} ]
}, {
"code": "G9919",
"display": "Scrn nd pos nd prov of rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening performed and positive and provision of recommendations"
} ]
}, {
"code": "G9920",
"display": "Scrning perf and negative",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening performed and negative"
} ]
}, {
"code": "G9921",
"display": "No or part scrn nd rng or os",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No screening performed, partial screening performed or positive screen without"
} ]
}, {
"code": "G9921",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recommendations and reason is not given or otherwise specified"
} ]
}, {
"code": "G9922",
"display": "Sfty cncrns scrn nd mit recs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety concerns screen provided and if positive then documented mitigation"
} ]
}, {
"code": "G9922",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recommendations"
} ]
}, {
"code": "G9923",
"display": "Safty cncrns scrn and neg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety concerns screen provided and negative"
} ]
}, {
"code": "G9924",
"display": "Doc med rsn no scrn or recs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not providing safety concerns screen or"
} ]
}, {
"code": "G9924",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for not providing recommendations, orders or referrals for positive screen"
} ]
}, {
"code": "G9924",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(e.g., patient in palliative care, other medical reason)"
} ]
}, {
"code": "G9925",
"display": "No scrn prov rsn nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety concerns screening not provided, reason not otherwise specified"
} ]
}, {
"code": "G9926",
"display": "Sfty cncrns scrn but no recs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety concerns screening positive screen is without provision of mitigation"
} ]
}, {
"code": "G9926",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recommendations, including but not limited to referral to other resources"
} ]
}, {
"code": "G9927",
"display": "Doc no warf /fda pt trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of system reason(s) for not prescribing an fda-approved"
} ]
}, {
"code": "G9927",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anticoagulation due to patient being currently enrolled in a clinical trial"
} ]
}, {
"code": "G9927",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "related to af/atrial flutter treatment"
} ]
}, {
"code": "G9928",
"display": "No warf or fda drug presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fda-approved anticoagulant not prescribed, reason not given"
} ]
}, {
"code": "G9929",
"display": "Trs/rev af",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with transient or reversible cause of af (e.g., pneumonia,"
} ]
}, {
"code": "G9929",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hyperthyroidism, pregnancy, cardiac surgery)"
} ]
}, {
"code": "G9930",
"display": "Com care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are receiving comfort care only"
} ]
}, {
"code": "G9931",
"display": "No chad or chad scr 0 or 1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0, 1, or 2 for"
} ]
}, {
"code": "G9931",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "women"
} ]
}, {
"code": "G9932",
"display": "Doc pt rsn no tb scrn recrds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not having records of negative or"
} ]
}, {
"code": "G9932",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "managed positive tb screen (e.g., patient does not return for mantoux (ppd)"
} ]
}, {
"code": "G9932",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "skin test evaluation)"
} ]
}, {
"code": "G9933",
"display": "Canc detectd during col scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adenoma(s) or colorectal cancer detected during screening colonoscopy"
} ]
}, {
"code": "G9934",
"display": "Doc rsn not detecting cancer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that neoplasm detected is only diagnosed as traditional serrated"
} ]
}, {
"code": "G9934",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenoma, sessile serrated polyp, or sessile serrated adenoma"
} ]
}, {
"code": "G9935",
"display": "Canc not detectd during srcn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adenoma(s) or colorectal cancer not detected during screening colonoscopy"
} ]
}, {
"code": "G9936",
"display": "Pmh plyp/neo co/rect/jun/ans",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surveillance colonoscopy - personal history of colonic polyps, colon cancer, or"
} ]
}, {
"code": "G9936",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other malignant neoplasm of rectum, rectosigmoid junction, and anus"
} ]
}, {
"code": "G9937",
"display": "Dig or surv colsco",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diagnostic colonoscopy"
} ]
}, {
"code": "G9938",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients aged 66 or older in institutional special needs plans (snp) or"
} ]
}, {
"code": "G9938",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "residing in long-term care with pos code 32, 33, 34, 54, or 56 for more than 90"
} ]
}, {
"code": "G9938",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the six months prior to the measurement period through"
} ]
}, {
"code": "G9938",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "december 31 of the measurement period"
} ]
}, {
"code": "G9939",
"display": "Same path/derm perf biopsy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathologists/dermatopathologists is the same clinician who performed the biopsy"
} ]
}, {
"code": "G9940",
"display": "Doc reas no statin therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not on a statin (e.g., pregnancy, in"
} ]
}, {
"code": "G9940",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vitro fertilization, clomiphene rx, esrd, cirrhosis, muscular pain and disease"
} ]
}, {
"code": "G9940",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or prior year)"
} ]
}, {
"code": "G9941",
"display": "Pre and post vas wthn 3 mos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain was measured by the visual analog scale (vas) within three months"
} ]
}, {
"code": "G9941",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperatively and at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "G9942",
"display": "Adtl spine proc on same date",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had any additional spine procedures performed on the same date as the"
} ]
}, {
"code": "G9942",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lumbar discectomy/laminectomy"
} ]
}, {
"code": "G9943",
"display": "Bk pn nt msr vas scl pre/pst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain was not measured by the visual analog scale (vas) or numeric pain"
} ]
}, {
"code": "G9943",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "scale at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "G9944",
"display": "Vas 3 mon pre and 1 yr post",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain was measured by the visual analog scale (vas) within three months"
} ]
}, {
"code": "G9944",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "G9945",
"display": "Pt w/cancer scoliosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had cancer, acute fracture or infection related to the lumbar spine or"
} ]
}, {
"code": "G9945",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
} ]
}, {
"code": "G9946",
"display": "Bk pain no vas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back pain was not measured by the visual analog scale (vas) or numeric pain"
} ]
}, {
"code": "G9946",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "scale at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "G9947",
"display": "Pre and post vas wthn 3 mos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain was measured by the visual analog scale (vas) within three months"
} ]
}, {
"code": "G9947",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperatively and at three months (6 to 20 weeks) postoperatively"
} ]
}, {
"code": "G9948",
"display": "Adtl spine proc on same date",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had any additional spine procedures performed on the same date as the"
} ]
}, {
"code": "G9948",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lumbar discectomy/laminectomy"
} ]
}, {
"code": "G9949",
"display": "Leg pain no vas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain was not measured by the visual analog scale (vas) or numeric pain"
} ]
}, {
"code": "G9949",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "scale at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "G9954",
"display": "Pt >2 rsk fac post-op vomit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient exhibits 2 or more risk factors for post-operative vomiting"
} ]
}, {
"code": "G9955",
"display": "Inhlnt anesth only for induc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cases in which an inhalational anesthetic is used only for induction"
} ]
}, {
"code": "G9956",
"display": "Combo thrpy of >= 2 prophly",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received combination therapy consisting of at least two prophylactic"
} ]
}, {
"code": "G9956",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacologic anti-emetic agents of different classes preoperatively and/or"
} ]
}, {
"code": "G9956",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intraoperatively"
} ]
}, {
"code": "G9957",
"display": "Doc med rsn no combo thrpy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason for not receiving combination therapy"
} ]
}, {
"code": "G9957",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "consisting of at least two prophylactic pharmacologic anti-emetic agents of"
} ]
}, {
"code": "G9957",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "different classes preoperatively and/or intraoperatively (e.g., intolerance or"
} ]
}, {
"code": "G9957",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "other medical reason)"
} ]
}, {
"code": "G9958",
"display": "No combo prohpyl thrp for pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive combination therapy consisting of at least two"
} ]
}, {
"code": "G9958",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prophylactic pharmacologic anti-emetic agents of different classes"
} ]
}, {
"code": "G9958",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preoperatively and/or intraoperatively"
} ]
}, {
"code": "G9959",
"display": "Systemic antimicro not presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Systemic antimicrobials not prescribed"
} ]
}, {
"code": "G9960",
"display": "Med rsn sys antimi nt rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for prescribing systemic antimicrobials"
} ]
}, {
"code": "G9961",
"display": "Systemic antimicro presc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Systemic antimicrobials prescribed"
} ]
}, {
"code": "G9962",
"display": "Embolization doc separatly",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Embolization endpoints are documented separately for each embolized vessel and"
} ]
}, {
"code": "G9962",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ovarian artery angiography or embolization performed in the presence of variant"
} ]
}, {
"code": "G9962",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "uterine artery anatomy"
} ]
}, {
"code": "G9963",
"display": "Embolization not doc separat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Embolization endpoints are not documented separately for each embolized vessel"
} ]
}, {
"code": "G9963",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or ovarian artery angiography or embolization not performed in the presence of"
} ]
}, {
"code": "G9963",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "variant uterine artery anatomy"
} ]
}, {
"code": "G9964",
"display": "Pt recv >=1 well-chld visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received at least one well-child visit with a pcp during the"
} ]
}, {
"code": "G9964",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "G9965",
"display": "No well-chld vist recv by pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive at least one well-child visit with a pcp during the"
} ]
}, {
"code": "G9965",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "G9966",
"display": "Scrn, inter, report child",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Children who were screened for risk of developmental, behavioral and social"
} ]
}, {
"code": "G9966",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "delays using a standardized tool with interpretation and report"
} ]
}, {
"code": "G9967",
"display": "No scrn, inter, reprt child",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Children who were not screened for risk of developmental, behavioral and social"
} ]
}, {
"code": "G9967",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "delays using a standardized tool with interpretation and report"
} ]
}, {
"code": "G9968",
"display": "Pt refrd 2 pvdr/spclst in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was referred to another clinician or specialist during the measurement"
} ]
}, {
"code": "G9968",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9969",
"display": "Pvdr rfrd pt rprt rcvd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician who referred the patient to another clinician received a report from"
} ]
}, {
"code": "G9969",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the clinician to whom the patient was referred"
} ]
}, {
"code": "G9970",
"display": "Pvdr rfrd pt no rprt rcvd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinician who referred the patient to another clinician did not receive a"
} ]
}, {
"code": "G9970",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "report from the clinician to whom the patient was referred"
} ]
}, {
"code": "G9974",
"display": "Mac exam perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated macular exam performed, including documentation of the presence or"
} ]
}, {
"code": "G9974",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "absence of macular thickening or geographic atrophy or hemorrhage and the level"
} ]
}, {
"code": "G9974",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of macular degeneration severity"
} ]
}, {
"code": "G9975",
"display": "Doc med rsn no dil mac exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing a dilated macular"
} ]
}, {
"code": "G9975",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "examination"
} ]
}, {
"code": "G9978",
"display": "Remote e/m new pt 10mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved bundled payments for care improvement advanced"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(bpci advanced) model episode of care, which requires these 3 key components: a"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "problem focused history; a problem focused examination; and straightforward"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medical decision making, furnished in real time using interactive audio and"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "video technology. counseling and coordination of care with other physicians,"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "other qualified health care professionals or agencies are provided consistent"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "with the nature of the problem(s) and the needs of the patient or the family or"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "both. usually, the presenting problem(s) are self limited or minor. typically,"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "10 minutes are spent with the patient or family or both via real time, audio"
} ]
}, {
"code": "G9978",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "and video intercommunications technology"
} ]
}, {
"code": "G9979",
"display": "Remote e/m new pt 20mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved bundled payments for care improvement advanced"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(bpci advanced) model episode of care, which requires these 3 key components:"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "an expanded problem focused history; an expanded problem focused examination;"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "straightforward medical decision making, furnished in real time using"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "interactive audio and video technology. counseling and coordination of care"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "with other physicians, other qualified health care professionals or agencies"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "are provided consistent with the nature of the problem(s) and the needs of the"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "patient or the family or both. usually, the presenting problem(s) are of low to"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "moderate severity. typically, 20 minutes are spent with the patient or family"
} ]
}, {
"code": "G9979",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "or both via real time, audio and video intercommunications technology"
} ]
}, {
"code": "G9980",
"display": "Remote e/m new pt 30 mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved bundled payments for care improvement advanced"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(bpci advanced) model episode of care, which requires these 3 key components: a"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "detailed history; a detailed examination; medical decision making of low"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "complexity, furnished in real time using interactive audio and video"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "technology. counseling and coordination of care with other physicians, other"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "qualified health care professionals or agencies are provided consistent with"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "the nature of the problem(s) and the needs of the patient or the family or"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "both. usually, the presenting problem(s) are of moderate severity. typically,"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "30 minutes are spent with the patient or family or both via real time, audio"
} ]
}, {
"code": "G9980",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "and video intercommunications technology"
} ]
}, {
"code": "G9981",
"display": "Remote e/m new pt 45mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved bundled payments for care improvement advanced"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(bpci advanced) model episode of care, which requires these 3 key components: a"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "comprehensive history; a comprehensive examination; medical decision making of"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "moderate complexity, furnished in real time using interactive audio and video"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "technology. counseling and coordination of care with other physicians, other"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "qualified health care professionals or agencies are provided consistent with"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "the nature of the problem(s) and the needs of the patient or the family or"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "both. usually, the presenting problem(s) are of moderate to high severity."
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "typically, 45 minutes are spent with the patient or family or both via real"
} ]
}, {
"code": "G9981",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "time, audio and video intercommunications technology"
} ]
}, {
"code": "G9982",
"display": "Remote e/m new pt 60mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of a new patient for use"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only in a medicare-approved bundled payments for care improvement advanced"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(bpci advanced) model episode of care, which requires these 3 key components: a"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "comprehensive history; a comprehensive examination; medical decision making of"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "high complexity, furnished in real time using interactive audio and video"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "technology. counseling and coordination of care with other physicians, other"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "qualified health care professionals or agencies are provided consistent with"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "the nature of the problem(s) and the needs of the patient or the family or"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "both. usually, the presenting problem(s) are of moderate to high severity."
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "typically, 60 minutes are spent with the patient or family or both via real"
} ]
}, {
"code": "G9982",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "time, audio and video intercommunications technology"
} ]
}, {
"code": "G9983",
"display": "Remote e/m est. pt 10mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of an established"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient for use only in a medicare-approved bundled payments for care"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "improvement advanced (bpci advanced) model episode of care, which requires at"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "least 2 of the following 3 key components: a problem focused history; a problem"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "focused examination; straightforward medical decision making, furnished in real"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "time using interactive audio and video technology. counseling and coordination"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "of care with other physicians, other qualified health care professionals or"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "agencies are provided consistent with the nature of the problem(s) and the"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "needs of the patient or the family or both. usually, the presenting problem(s)"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "are self limited or minor. typically, 10 minutes are spent with the patient or"
} ]
}, {
"code": "G9983",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "family or both via real time, audio and video intercommunications technology"
} ]
}, {
"code": "G9984",
"display": "Remote e/m est. pt 15mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of an established"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient for use only in a medicare-approved bundled payments for care"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "improvement advanced (bpci advanced) model episode of care, which requires at"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "least 2 of the following 3 key components: an expanded problem focused history;"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "an expanded problem focused examination; medical decision making of low"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "complexity, furnished in real time using interactive audio and video"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "technology. counseling and coordination of care with other physicians, other"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "qualified health care professionals or agencies are provided consistent with"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "the nature of the problem(s) and the needs of the patient or the family or"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "both. usually, the presenting problem(s) are of low to moderate severity."
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "typically, 15 minutes are spent with the patient or family or both via real"
} ]
}, {
"code": "G9984",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "time, audio and video intercommunications technology"
} ]
}, {
"code": "G9985",
"display": "Remote e/m est. pt 25mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of an established"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient for use only in a medicare-approved bundled payments for care"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "improvement advanced (bpci advanced) model episode of care, which requires at"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "least 2 of the following 3 key components: a detailed history; a detailed"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "examination; medical decision making of moderate complexity, furnished in real"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "time using interactive audio and video technology. counseling and coordination"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "of care with other physicians, other qualified health care professionals or"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "agencies are provided consistent with the nature of the problem(s) and the"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "needs of the patient or the family or both. usually, the presenting problem(s)"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "are of moderate to high severity. typically, 25 minutes are spent with the"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "patient or family or both via real time, audio and video intercommunications"
} ]
}, {
"code": "G9985",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "technology"
} ]
}, {
"code": "G9986",
"display": "Remote e/m est. pt 40mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Remote in-home visit for the evaluation and management of an established"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient for use only in a medicare-approved bundled payments for care"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "improvement advanced (bpci advanced) model episode of care, which requires at"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "least 2 of the following 3 key components: a comprehensive history; a"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "comprehensive examination; medical decision making of high complexity,"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "furnished in real time using interactive audio and video technology."
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "counseling and coordination of care with other physicians, other qualified"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "health care professionals or agencies are provided consistent with the nature"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "of the problem(s) and the needs of the patient or the family or both. usually,"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "01000"
} ],
"designation": [ {
"value": "the presenting problem(s) are of moderate to high severity. typically, 40"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "01100"
} ],
"designation": [ {
"value": "minutes are spent with the patient or family or both via real time, audio and"
} ]
}, {
"code": "G9986",
"property": [ {
"code": "seqNum",
"valueString": "01200"
} ],
"designation": [ {
"value": "video intercommunications technology"
} ]
}, {
"code": "G9987",
"display": "Bpci advanced in home visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bundled payments for care improvement advanced (bpci advanced) model home visit"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for patient assessment performed by clinical staff for an individual not"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "considered homebound, including, but not necessarily limited to patient"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "assessment of clinical status, safety/fall prevention, functional"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "status/ambulation, medication reconciliation/management, compliance with"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "orders/plan of care, performance of activities of daily living, and ensuring"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "beneficiary connections to community and other services; for use only for a"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "bpci advanced model episode of care; may not be billed for a 30-day period"
} ]
}, {
"code": "G9987",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "covered by a transitional care management code"
} ]
}, {
"code": "G9988",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palliative care services provided to patient any time during the measurement"
} ]
}, {
"code": "G9988",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9989",
"display": "Med rsn no pneum vax",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not administering pneumococcal vaccine"
} ]
}, {
"code": "G9989",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., adverse reaction to vaccine)"
} ]
}, {
"code": "G9990",
"display": "No pneum vax admin 19+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on"
} ]
}, {
"code": "G9990",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or after their 19th birthday and before the end of the measurement period"
} ]
}, {
"code": "G9991",
"display": "Pneum vax admin 19+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received any pneumococcal conjugate or polysaccharide vaccine on or"
} ]
}, {
"code": "G9991",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after their 19th birthday and before the end of the measurement period"
} ]
}, {
"code": "G9992",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palliative care services used by patient any time during the measurement period"
} ]
}, {
"code": "G9993",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was provided palliative care services any time during the measurement"
} ]
}, {
"code": "G9993",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "G9994",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is using palliative care services any time during the measurement period"
} ]
}, {
"code": "G9995",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use palliative care services any time during the measurement period"
} ]
}, {
"code": "G9996",
"display": "Doc pt pal or hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating the patient has received or is currently receiving"
} ]
}, {
"code": "G9996",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "palliative or hospice care"
} ]
}, {
"code": "G9997",
"display": "Doc pt preg dur msrmt pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient pregnancy anytime during the measurement period prior"
} ]
}, {
"code": "G9997",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to and including the current encounter"
} ]
}, {
"code": "G9998",
"display": "Doc med rsn <3 colon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for an interval of less than 3 years since"
} ]
}, {
"code": "G9998",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had"
} ]
}, {
"code": "G9998",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >="
} ]
}, {
"code": "G9998",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "20 mm in size, last colonoscopy found greater than 10 adenomas, lower"
} ]
}, {
"code": "G9998",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "gastrointestinal bleeding, or patient at high risk for colon cancer due to"
} ]
}, {
"code": "G9998",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal"
} ]
}, {
"code": "G9998",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "or family history of colon cancer, hereditary colorectal cancer syndromes])"
} ]
}, {
"code": "G9999",
"display": "Doc sys rsn <3 colon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of system reason(s) for an interval of less than 3 years since"
} ]
}, {
"code": "G9999",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the last colonoscopy (e.g., unable to locate previous colonoscopy report,"
} ]
}, {
"code": "G9999",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient cannot provide precise date or details from previous colonoscopy,"
} ]
}, {
"code": "G9999",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "previous colonoscopy report was incomplete)"
} ]
}, {
"code": "H0001",
"display": "Alcohol and/or drug assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug assessment"
} ]
}, {
"code": "H0002",
"display": "Alcohol and/or drug screenin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health screening to determine eligibility for admission to treatment"
} ]
}, {
"code": "H0002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program"
} ]
}, {
"code": "H0003",
"display": "Alcohol and/or drug screenin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug screening; laboratory analysis of specimens for presence of"
} ]
}, {
"code": "H0003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "alcohol and/or drugs"
} ]
}, {
"code": "H0004",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health counseling and therapy, per 15 minutes"
} ]
}, {
"code": "H0005",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; group counseling by a clinician"
} ]
}, {
"code": "H0006",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; case management"
} ]
}, {
"code": "H0007",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; crisis intervention (outpatient)"
} ]
}, {
"code": "H0008",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)"
} ]
}, {
"code": "H0009",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; acute detoxification (hospital inpatient)"
} ]
}, {
"code": "H0010",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; sub-acute detoxification (residential addiction"
} ]
}, {
"code": "H0010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program inpatient)"
} ]
}, {
"code": "H0011",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; acute detoxification (residential addiction"
} ]
}, {
"code": "H0011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program inpatient)"
} ]
}, {
"code": "H0012",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; sub-acute detoxification (residential addiction"
} ]
}, {
"code": "H0012",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program outpatient)"
} ]
}, {
"code": "H0013",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; acute detoxification (residential addiction"
} ]
}, {
"code": "H0013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program outpatient)"
} ]
}, {
"code": "H0014",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; ambulatory detoxification"
} ]
}, {
"code": "H0015",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; intensive outpatient (treatment program that"
} ]
}, {
"code": "H0015",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "operates at least 3 hours/day and at least 3 days/week and is based on an"
} ]
}, {
"code": "H0015",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "individualized treatment plan), including assessment, counseling; crisis"
} ]
}, {
"code": "H0015",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intervention, and activity therapies or education"
} ]
}, {
"code": "H0016",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; medical/somatic (medical intervention in"
} ]
}, {
"code": "H0016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ambulatory setting)"
} ]
}, {
"code": "H0017",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health; residential (hospital residential treatment program),"
} ]
}, {
"code": "H0017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without room and board, per diem"
} ]
}, {
"code": "H0018",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health; short-term residential (non-hospital residential treatment"
} ]
}, {
"code": "H0018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "program), without room and board, per diem"
} ]
}, {
"code": "H0019",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health; long-term residential (non-medical, non-acute care in a"
} ]
}, {
"code": "H0019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "residential treatment program where stay is typically longer than 30 days),"
} ]
}, {
"code": "H0019",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "without room and board, per diem"
} ]
}, {
"code": "H0020",
"display": "Alcohol and/or drug services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services; methadone administration and/or service"
} ]
}, {
"code": "H0020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(provision of the drug by a licensed program)"
} ]
}, {
"code": "H0021",
"display": "Alcohol and/or drug training",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug training service (for staff and personnel not employed by"
} ]
}, {
"code": "H0021",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "providers)"
} ]
}, {
"code": "H0022",
"display": "Alcohol and/or drug interven",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug intervention service (planned facilitation)"
} ]
}, {
"code": "H0023",
"display": "Alcohol and/or drug outreach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health outreach service (planned approach to reach a targeted"
} ]
}, {
"code": "H0023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "population)"
} ]
}, {
"code": "H0024",
"display": "Alcohol and/or drug preventi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health prevention information dissemination service (one-way direct"
} ]
}, {
"code": "H0024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or non-direct contact with service audiences to affect knowledge and attitude)"
} ]
}, {
"code": "H0025",
"display": "Alcohol and/or drug preventi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health prevention education service (delivery of services with"
} ]
}, {
"code": "H0025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "target population to affect knowledge, attitude and/or behavior)"
} ]
}, {
"code": "H0026",
"display": "Alcohol and/or drug preventi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug prevention process service, community-based (delivery of"
} ]
}, {
"code": "H0026",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services to develop skills of impactors)"
} ]
}, {
"code": "H0027",
"display": "Alcohol and/or drug preventi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug prevention environmental service (broad range of external"
} ]
}, {
"code": "H0027",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "activities geared toward modifying systems in order to mainstream prevention"
} ]
}, {
"code": "H0027",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "through policy and law)"
} ]
}, {
"code": "H0028",
"display": "Alcohol and/or drug preventi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug prevention problem identification and referral service"
} ]
}, {
"code": "H0028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., student assistance and employee assistance programs), does not include"
} ]
}, {
"code": "H0028",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "assessment"
} ]
}, {
"code": "H0029",
"display": "Alcohol and/or drug preventi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug prevention alternatives service (services for populations"
} ]
}, {
"code": "H0029",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "that exclude alcohol and other drug use e.g., alcohol free social events)"
} ]
}, {
"code": "H0030",
"display": "Alcohol and/or drug hotline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health hotline service"
} ]
}, {
"code": "H0031",
"display": "Mh health assess by non-md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health assessment, by non-physician"
} ]
}, {
"code": "H0032",
"display": "Mh svc plan dev by non-md",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health service plan development by non-physician"
} ]
}, {
"code": "H0033",
"display": "Oral med adm direct observe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral medication administration, direct observation"
} ]
}, {
"code": "H0034",
"display": "Med trng & support per 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication training and support, per 15 minutes"
} ]
}, {
"code": "H0035",
"display": "Mh partial hosp tx under 24h",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health partial hospitalization, treatment, less than 24 hours"
} ]
}, {
"code": "H0036",
"display": "Comm psy face-face per 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community psychiatric supportive treatment, face-to-face, per 15 minutes"
} ]
}, {
"code": "H0037",
"display": "Comm psy sup tx pgm per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community psychiatric supportive treatment program, per diem"
} ]
}, {
"code": "H0038",
"display": "Self-help/peer svc per 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Self-help/peer services, per 15 minutes"
} ]
}, {
"code": "H0039",
"display": "Asser com tx face-face/15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assertive community treatment, face-to-face, per 15 minutes"
} ]
}, {
"code": "H0040",
"display": "Assert comm tx pgm per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assertive community treatment program, per diem"
} ]
}, {
"code": "H0041",
"display": "Fos c chld non-ther per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foster care, child, non-therapeutic, per diem"
} ]
}, {
"code": "H0042",
"display": "Fos c chld non-ther per mon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foster care, child, non-therapeutic, per month"
} ]
}, {
"code": "H0043",
"display": "Supported housing, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supported housing, per diem"
} ]
}, {
"code": "H0044",
"display": "Supported housing, per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supported housing, per month"
} ]
}, {
"code": "H0045",
"display": "Respite not-in-home per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respite care services, not in the home, per diem"
} ]
}, {
"code": "H0046",
"display": "Mental health service, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health services, not otherwise specified"
} ]
}, {
"code": "H0047",
"display": "Alcohol/drug abuse svc nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or other drug abuse services, not otherwise specified"
} ]
}, {
"code": "H0048",
"display": "Spec coll non-blood:a/d test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or other drug testing: collection and handling only, specimens"
} ]
}, {
"code": "H0048",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other than blood"
} ]
}, {
"code": "H0049",
"display": "Alcohol/drug screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug screening"
} ]
}, {
"code": "H0050",
"display": "Alcohol/drug service 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug services, brief intervention, per 15 minutes"
} ]
}, {
"code": "H0051",
"display": "Traditional healing service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Traditional healing service"
} ]
}, {
"code": "H0052",
"display": "Mmip mental health and care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Missing and murdered indigenous persons (mmip) mental health and clinical care"
} ]
}, {
"code": "H0053",
"display": "Ht mental health and care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Historical trauma (ht) mental health and clinical care for indigenous persons"
} ]
}, {
"code": "H1000",
"display": "Prenatal care atrisk assessm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal care, at-risk assessment"
} ]
}, {
"code": "H1001",
"display": "Antepartum management",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal care, at-risk enhanced service; antepartum management"
} ]
}, {
"code": "H1002",
"display": "Carecoordination prenatal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal care, at risk enhanced service; care coordination"
} ]
}, {
"code": "H1003",
"display": "Prenatal at risk education",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal care, at-risk enhanced service; education"
} ]
}, {
"code": "H1004",
"display": "Follow up home visit/prental",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal care, at-risk enhanced service; follow-up home visit"
} ]
}, {
"code": "H1005",
"display": "Prenatalcare enhanced srv pk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal care, at-risk enhanced service package (includes h1001-h1004)"
} ]
}, {
"code": "H1010",
"display": "Nonmed family planning ed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-medical family planning education, per session"
} ]
}, {
"code": "H1011",
"display": "Family assessment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Family assessment by licensed behavioral health professional for state defined"
} ]
}, {
"code": "H1011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "purposes"
} ]
}, {
"code": "H2000",
"display": "Comp multidisipln evaluation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive multidisciplinary evaluation"
} ]
}, {
"code": "H2001",
"display": "Rehabilitation program 1/2 d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rehabilitation program, per 1/2 day"
} ]
}, {
"code": "H2010",
"display": "Comprehensive med svc 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive medication services, per 15 minutes"
} ]
}, {
"code": "H2011",
"display": "Crisis interven svc, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crisis intervention service, per 15 minutes"
} ]
}, {
"code": "H2012",
"display": "Behav hlth day treat, per hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health day treatment, per hour"
} ]
}, {
"code": "H2013",
"display": "Psych hlth fac svc, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychiatric health facility service, per diem"
} ]
}, {
"code": "H2014",
"display": "Skills train and dev, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skills training and development, per 15 minutes"
} ]
}, {
"code": "H2015",
"display": "Comp comm supp svc, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive community support services, per 15 minutes"
} ]
}, {
"code": "H2016",
"display": "Comp comm supp svc, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive community support services, per diem"
} ]
}, {
"code": "H2017",
"display": "Psysoc rehab svc, per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychosocial rehabilitation services, per 15 minutes"
} ]
}, {
"code": "H2018",
"display": "Psysoc rehab svc, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychosocial rehabilitation services, per diem"
} ]
}, {
"code": "H2019",
"display": "Ther behav svc, per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic behavioral services, per 15 minutes"
} ]
}, {
"code": "H2020",
"display": "Ther behav svc, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic behavioral services, per diem"
} ]
}, {
"code": "H2021",
"display": "Com wrap-around sv, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community-based wrap-around services, per 15 minutes"
} ]
}, {
"code": "H2022",
"display": "Com wrap-around sv, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community-based wrap-around services, per diem"
} ]
}, {
"code": "H2023",
"display": "Supported employ, per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supported employment, per 15 minutes"
} ]
}, {
"code": "H2024",
"display": "Supported employ, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supported employment, per diem"
} ]
}, {
"code": "H2025",
"display": "Supp maint employ, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing support to maintain employment, per 15 minutes"
} ]
}, {
"code": "H2026",
"display": "Supp maint employ, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing support to maintain employment, per diem"
} ]
}, {
"code": "H2027",
"display": "Psychoed svc, per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Psychoeducational service, per 15 minutes"
} ]
}, {
"code": "H2028",
"display": "Sex offend tx svc, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sexual offender treatment service, per 15 minutes"
} ]
}, {
"code": "H2029",
"display": "Sex offend tx svc, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sexual offender treatment service, per diem"
} ]
}, {
"code": "H2030",
"display": "Mh clubhouse svc, per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health clubhouse services, per 15 minutes"
} ]
}, {
"code": "H2031",
"display": "Mh clubhouse svc, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mental health clubhouse services, per diem"
} ]
}, {
"code": "H2032",
"display": "Activity therapy, per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Activity therapy, per 15 minutes"
} ]
}, {
"code": "H2033",
"display": "Multisys ther/juvenile 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Multisystemic therapy for juveniles, per 15 minutes"
} ]
}, {
"code": "H2034",
"display": "A/d halfway house, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or drug abuse halfway house services, per diem"
} ]
}, {
"code": "H2035",
"display": "A/d tx program, per hour",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or other drug treatment program, per hour"
} ]
}, {
"code": "H2036",
"display": "A/d tx program, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or other drug treatment program, per diem"
} ]
}, {
"code": "H2037",
"display": "Dev delay prev dp ch, 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Developmental delay prevention activities, dependent child of client, per 15"
} ]
}, {
"code": "H2037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "minutes"
} ]
}, {
"code": "H2038",
"display": "Skill train and dev/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skills training and development, per diem"
} ]
}, {
"code": "H2040",
"display": "Coord specialty care, month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated specialty care, team-based, for first episode psychosis, per month"
} ]
}, {
"code": "H2041",
"display": "Coord special care encounter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coordinated specialty care, team-based, for first episode psychosis, per"
} ]
}, {
"code": "H2041",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "encounter"
} ]
}, {
"code": "J0120",
"display": "Tetracyclin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tetracycline, up to 250 mg"
} ]
}, {
"code": "J0121",
"display": "Inj., omadacycline, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, omadacycline, 1 mg"
} ]
}, {
"code": "J0122",
"display": "Inj., eravacycline, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eravacycline, 1 mg"
} ]
}, {
"code": "J0129",
"display": "Abatacept injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, abatacept, 10 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J0129",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J0129",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J0130",
"display": "Abciximab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection abciximab, 10 mg"
} ]
}, {
"code": "J0131",
"display": "Inj, acetaminophen (nos)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetaminophen, not otherwise specified,10 mg"
} ]
}, {
"code": "J0132",
"display": "Acetylcysteine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetylcysteine, 100 mg"
} ]
}, {
"code": "J0133",
"display": "Acyclovir injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acyclovir, 5 mg"
} ]
}, {
"code": "J0134",
"display": "Inj acetaminophen -fresenius",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to"
} ]
}, {
"code": "J0134",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j0131, 10 mg"
} ]
}, {
"code": "J0135",
"display": "Adalimumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab, 20 mg"
} ]
}, {
"code": "J0136",
"display": "Inj, acetaminophen (b braun)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10"
} ]
}, {
"code": "J0136",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg"
} ]
}, {
"code": "J0137",
"display": "Inj, acetaminophen (hikma)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg"
} ]
}, {
"code": "J0138",
"display": "Inj acetaminoph 10mg/ibu 3mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetaminophen 10 mg and ibuprofen 3 mg"
} ]
}, {
"code": "J0139",
"display": "Inj, adalimumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab, 1 mg"
} ]
}, {
"code": "J0150",
"display": "Injection adenosine 6 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adenosine for therapeutic use, 6 mg (not to be used to report any"
} ]
}, {
"code": "J0150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenosine phosphate compounds, instead use a9270)"
} ]
}, {
"code": "J0151",
"display": "Inj adenosine diag 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adenosine for diagnostic use, 1 mg (not to be used to report any"
} ]
}, {
"code": "J0151",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adenosine phosphate compounds, instead use a9270)"
} ]
}, {
"code": "J0153",
"display": "Adenosine inj 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate"
} ]
}, {
"code": "J0153",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "compounds)"
} ]
}, {
"code": "J0171",
"display": "Adrenalin epinephrine inject",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adrenalin, epinephrine, 0.1 mg"
} ]
}, {
"code": "J0172",
"display": "Inj, aducanumab-avwa, 2 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aducanumab-avwa, 2 mg"
} ]
}, {
"code": "J0173",
"display": "Inj, epinephrine (belcher)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1"
} ]
}, {
"code": "J0173",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg"
} ]
}, {
"code": "J0174",
"display": "Inj, lecanemab-irmb, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lecanemab-irmb, 1 mg"
} ]
}, {
"code": "J0175",
"display": "Inj, donanemab-azbt, 2 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, donanemab-azbt, 2 mg"
} ]
}, {
"code": "J0177",
"display": "Inj, aflibercept hd, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aflibercept hd, 1 mg"
} ]
}, {
"code": "J0178",
"display": "Aflibercept injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aflibercept, 1 mg"
} ]
}, {
"code": "J0179",
"display": "Inj, brolucizumab-dbll, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, brolucizumab-dbll, 1 mg"
} ]
}, {
"code": "J0180",
"display": "Agalsidase beta injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, agalsidase beta, 1 mg"
} ]
}, {
"code": "J0184",
"display": "Inj, amisulpride, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amisulpride, 1 mg"
} ]
}, {
"code": "J0185",
"display": "Inj., aprepitant, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aprepitant, 1 mg"
} ]
}, {
"code": "J0190",
"display": "Inj biperiden lactate/5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, biperiden lactate, per 5 mg"
} ]
}, {
"code": "J0200",
"display": "Alatrofloxacin mesylate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alatrofloxacin mesylate, 100 mg"
} ]
}, {
"code": "J0202",
"display": "Injection, alemtuzumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alemtuzumab, 1 mg"
} ]
}, {
"code": "J0205",
"display": "Alglucerase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alglucerase, per 10 units"
} ]
}, {
"code": "J0206",
"display": "Inj allopurinol sodium 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, allopurinol sodium, 1 mg"
} ]
}, {
"code": "J0207",
"display": "Amifostine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amifostine, 500 mg"
} ]
}, {
"code": "J0208",
"display": "Inj, pedmark, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sodium thiosulfate (pedmark), 100 mg"
} ]
}, {
"code": "J0209",
"display": "Inj, sod thiosulfate (hope)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sodium thiosulfate (hope), 100 mg"
} ]
}, {
"code": "J0210",
"display": "Methyldopate hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methyldopate hcl, up to 250 mg"
} ]
}, {
"code": "J0211",
"display": "Inj, nithiodote, 3mg / 125mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)"
} ]
}, {
"code": "J0215",
"display": "Alefacept",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alefacept, 0.5 mg"
} ]
}, {
"code": "J0216",
"display": "Inj, alfentanil hcl, 500mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alfentanil hydrochloride, 500 micrograms"
} ]
}, {
"code": "J0217",
"display": "Inj velmanase alfa-tycv 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, velmanase alfa-tycv, 1 mg"
} ]
}, {
"code": "J0218",
"display": "Inj olipudase alfa-rpcp 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, olipudase alfa-rpcp, 1 mg"
} ]
}, {
"code": "J0219",
"display": "Inj aval alfa-nqpt 4mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, avalglucosidase alfa-ngpt, 4 mg"
} ]
}, {
"code": "J0220",
"display": "Alglucosidase alfa injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alglucosidase alfa, 10 mg, not otherwise specified"
} ]
}, {
"code": "J0221",
"display": "Lumizyme injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alglucosidase alfa, (lumizyme), 10 mg"
} ]
}, {
"code": "J0222",
"display": "Inj., patisiran, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, patisiran, 0.1 mg"
} ]
}, {
"code": "J0223",
"display": "Inj givosiran 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, givosiran, 0.5 mg"
} ]
}, {
"code": "J0224",
"display": "Inj. lumasiran, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lumasiran, 0.5 mg"
} ]
}, {
"code": "J0225",
"display": "Inj, vutrisiran, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vutrisiran, 1 mg"
} ]
}, {
"code": "J0248",
"display": "Inj, remdesivir, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, remdesivir, 1 mg"
} ]
}, {
"code": "J0256",
"display": "Alpha 1 proteinase inhibitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg"
} ]
}, {
"code": "J0257",
"display": "Glassia injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg"
} ]
}, {
"code": "J0270",
"display": "Alprostadil for injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug"
} ]
}, {
"code": "J0270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J0270",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J0275",
"display": "Alprostadil urethral suppos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alprostadil urethral suppository (code may be used for medicare when drug"
} ]
}, {
"code": "J0275",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J0275",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J0278",
"display": "Amikacin sulfate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amikacin sulfate, 100 mg"
} ]
}, {
"code": "J0280",
"display": "Aminophyllin 250 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aminophyllin, up to 250 mg"
} ]
}, {
"code": "J0282",
"display": "Amiodarone hcl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amiodarone hydrochloride, 30 mg"
} ]
}, {
"code": "J0283",
"display": "Inj, amiodarone (nexterone)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amiodarone hydrochloride (nexterone), 30 mg"
} ]
}, {
"code": "J0285",
"display": "Amphotericin b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amphotericin b, 50 mg"
} ]
}, {
"code": "J0287",
"display": "Amphotericin b lipid complex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amphotericin b lipid complex, 10 mg"
} ]
}, {
"code": "J0288",
"display": "Ampho b cholesteryl sulfate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amphotericin b cholesteryl sulfate complex, 10 mg"
} ]
}, {
"code": "J0289",
"display": "Amphotericin b liposome inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amphotericin b liposome, 10 mg"
} ]
}, {
"code": "J0290",
"display": "Ampicillin 500 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ampicillin sodium, 500 mg"
} ]
}, {
"code": "J0291",
"display": "Inj., plazomicin, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, plazomicin, 5 mg"
} ]
}, {
"code": "J0295",
"display": "Ampicillin sulbactam 1.5 gm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm"
} ]
}, {
"code": "J0300",
"display": "Amobarbital 125 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amobarbital, up to 125 mg"
} ]
}, {
"code": "J0330",
"display": "Succinycholine chloride inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, succinylcholine chloride, up to 20 mg"
} ]
}, {
"code": "J0348",
"display": "Anidulafungin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, anidulafungin, 1 mg"
} ]
}, {
"code": "J0349",
"display": "Inj, rezafungin, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rezafungin, 1 mg"
} ]
}, {
"code": "J0350",
"display": "Injection anistreplase 30 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, anistreplase, per 30 units"
} ]
}, {
"code": "J0360",
"display": "Hydralazine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydralazine hcl, up to 20 mg"
} ]
}, {
"code": "J0364",
"display": "Apomorphine hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, apomorphine hydrochloride, 1 mg"
} ]
}, {
"code": "J0365",
"display": "Aprotonin, 10,000 kiu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aprotonin, 10,000 kiu"
} ]
}, {
"code": "J0380",
"display": "Inj metaraminol bitartrate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, metaraminol bitartrate, per 10 mg"
} ]
}, {
"code": "J0390",
"display": "Chloroquine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chloroquine hydrochloride, up to 250 mg"
} ]
}, {
"code": "J0391",
"display": "Inj, artesunate, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, artesunate, 1 mg"
} ]
}, {
"code": "J0395",
"display": "Arbutamine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, arbutamine hcl, 1 mg"
} ]
}, {
"code": "J0400",
"display": "Aripiprazole injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole, intramuscular, 0.25 mg"
} ]
}, {
"code": "J0401",
"display": "Inj, abilify maintena, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole (abilify maintena), 1 mg"
} ]
}, {
"code": "J0402",
"display": "Inj, abilify asimtufii, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole (abilify asimtufii), 1 mg"
} ]
}, {
"code": "J0456",
"display": "Azithromycin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, azithromycin, 500 mg"
} ]
}, {
"code": "J0457",
"display": "Injection, aztreonam, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aztreonam, 100 mg"
} ]
}, {
"code": "J0461",
"display": "Atropine sulfate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, atropine sulfate, 0.01 mg"
} ]
}, {
"code": "J0470",
"display": "Dimecaprol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dimercaprol, per 100 mg"
} ]
}, {
"code": "J0475",
"display": "Baclofen 10 mg injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, baclofen, 10 mg"
} ]
}, {
"code": "J0476",
"display": "Baclofen intrathecal trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, baclofen, 50 mcg for intrathecal trial"
} ]
}, {
"code": "J0480",
"display": "Basiliximab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, basiliximab, 20 mg"
} ]
}, {
"code": "J0485",
"display": "Belatacept injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, belatacept, 1 mg"
} ]
}, {
"code": "J0490",
"display": "Belimumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, belimumab, 10 mg"
} ]
}, {
"code": "J0491",
"display": "Inj anifrolumab-fnia 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, anifrolumab-fnia, 1 mg"
} ]
}, {
"code": "J0500",
"display": "Dicyclomine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dicyclomine hcl, up to 20 mg"
} ]
}, {
"code": "J0515",
"display": "Inj benztropine mesylate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, benztropine mesylate, per 1 mg"
} ]
}, {
"code": "J0517",
"display": "Inj., benralizumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, benralizumab, 1 mg"
} ]
}, {
"code": "J0520",
"display": "Bethanechol chloride inject",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg"
} ]
}, {
"code": "J0558",
"display": "Peng benzathine/procaine inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, penicillin g benzathine and penicillin g procaine, 100,000 units"
} ]
}, {
"code": "J0561",
"display": "Penicillin g benzathine inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, penicillin g benzathine, 100,000 units"
} ]
}, {
"code": "J0565",
"display": "Inj, bezlotoxumab, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bezlotoxumab, 10 mg"
} ]
}, {
"code": "J0567",
"display": "Inj., cerliponase alfa 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cerliponase alfa, 1 mg"
} ]
}, {
"code": "J0570",
"display": "Buprenorphine implant 74.2mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Buprenorphine implant, 74.2 mg"
} ]
}, {
"code": "J0571",
"display": "Buprenorphine oral 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Buprenorphine, oral, 1 mg"
} ]
}, {
"code": "J0572",
"display": "Bupren/nal up to 3mg bupreno",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine"
} ]
}, {
"code": "J0573",
"display": "Bupren/nal 3.1 to 6mg bupren",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg"
} ]
}, {
"code": "J0573",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "buprenorphine"
} ]
}, {
"code": "J0574",
"display": "Bupren/nal 6.1 to 10mg bupre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10"
} ]
}, {
"code": "J0574",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg buprenorphine"
} ]
}, {
"code": "J0575",
"display": "Bupren/nal over 10mg bupreno",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine"
} ]
}, {
"code": "J0576",
"display": "Inj buprenorph (brixadi) 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine extended-release (brixadi), 1 mg"
} ]
}, {
"code": "J0577",
"display": "Inj, brixadi, 7 days or less",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine extended-release (brixadi), less than or equal to 7"
} ]
}, {
"code": "J0577",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days of therapy"
} ]
}, {
"code": "J0578",
"display": "Inj brixadi, more than 7 day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine extended release (brixadi), greater than 7 days and up"
} ]
}, {
"code": "J0578",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 28 days of therapy"
} ]
}, {
"code": "J0583",
"display": "Bivalirudin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bivalirudin, 1 mg"
} ]
}, {
"code": "J0584",
"display": "Injection, burosumab-twza 1m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, burosumab-twza 1 mg"
} ]
}, {
"code": "J0585",
"display": "Injection,onabotulinumtoxina",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, onabotulinumtoxina, 1 unit"
} ]
}, {
"code": "J0586",
"display": "Abobotulinumtoxina",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, abobotulinumtoxina, 5 units"
} ]
}, {
"code": "J0587",
"display": "Inj, rimabotulinumtoxinb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rimabotulinumtoxinb, 100 units"
} ]
}, {
"code": "J0588",
"display": "Incobotulinumtoxin a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, incobotulinumtoxin a, 1 unit"
} ]
}, {
"code": "J0589",
"display": "Inj daxibotulinumtoxina-lanm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daxibotulinumtoxina-lanm, 1 unit"
} ]
}, {
"code": "J0591",
"display": "Inj deoxycholic acid, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, deoxycholic acid, 1 mg"
} ]
}, {
"code": "J0592",
"display": "Buprenorphine hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine hydrochloride, 0.1 mg"
} ]
}, {
"code": "J0593",
"display": "Inj., lanadelumab-flyo, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J0593",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under direct supervision of a physician, not for use when drug is"
} ]
}, {
"code": "J0593",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "self-administered)"
} ]
}, {
"code": "J0594",
"display": "Busulfan injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "injection, busulfan, 1 mg"
} ]
}, {
"code": "J0595",
"display": "Butorphanol tartrate 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, butorphanol tartrate, 1 mg"
} ]
}, {
"code": "J0596",
"display": "Injection, ruconest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units"
} ]
}, {
"code": "J0597",
"display": "C-1 esterase, berinert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, c-1 esterase inhibitor (human), berinert, 10 units"
} ]
}, {
"code": "J0598",
"display": "C-1 esterase, cinryze",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, c-1 esterase inhibitor (human), cinryze, 10 units"
} ]
}, {
"code": "J0599",
"display": "Inj., haegarda 10 units",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, c-1 esterase inhibitor (human), (haegarda), 10 units"
} ]
}, {
"code": "J0600",
"display": "Edetate calcium disodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, edetate calcium disodium, up to 1000 mg"
} ]
}, {
"code": "J0601",
"display": "Sevelamer carbonate 20 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for"
} ]
}, {
"code": "J0601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "esrd on dialysis)"
} ]
}, {
"code": "J0602",
"display": "Sevelamer carbonate pdr 20mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20"
} ]
}, {
"code": "J0602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg (for esrd on dialysis)"
} ]
}, {
"code": "J0603",
"display": "Sevelamer hydrochloride 20mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg"
} ]
}, {
"code": "J0603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(for esrd on dialysis)"
} ]
}, {
"code": "J0604",
"display": "Cinacalcet, esrd on dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cinacalcet, oral, 1 mg, (for esrd on dialysis)"
} ]
}, {
"code": "J0605",
"display": "Sucroferric oxyhydroxide 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis)"
} ]
}, {
"code": "J0606",
"display": "Inj, etelcalcetide, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, etelcalcetide, 0.1 mg"
} ]
}, {
"code": "J0607",
"display": "Lanthanum carbonate oral 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lanthanum carbonate, oral, 5 mg (for esrd on dialysis)"
} ]
}, {
"code": "J0608",
"display": "Lanthanum carbonate pwdr 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to"
} ]
}, {
"code": "J0608",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j0607 (for esrd on dialysis)"
} ]
}, {
"code": "J0609",
"display": "Ferric citrate orl 3 mg iron",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis)"
} ]
}, {
"code": "J0610",
"display": "Calcium glucon (fresenius)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcium gluconate (fresenius kabi), per 10 ml"
} ]
}, {
"code": "J0611",
"display": "Calcium glucon (wg critical)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcium gluconate (wg critical care), per 10 ml"
} ]
}, {
"code": "J0612",
"display": "Inj, calcium gluconate, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcium gluconate, not otherwise specified, 10 mg"
} ]
}, {
"code": "J0613",
"display": "Calcium glucon (wg critical)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcium gluconate (wg critical care), not therapeutically equivalent"
} ]
}, {
"code": "J0613",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to j0612, 10 mg"
} ]
}, {
"code": "J0615",
"display": "Calcium acetate, oral, 23 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Calcium acetate, oral, 23 mg (for esrd on dialysis)"
} ]
}, {
"code": "J0620",
"display": "Calcium glycer & lact/10 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcium glycerophosphate and calcium lactate, per 10 ml"
} ]
}, {
"code": "J0630",
"display": "Calcitonin salmon injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcitonin salmon, up to 400 units"
} ]
}, {
"code": "J0636",
"display": "Inj calcitriol per 0.1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calcitriol, 0.1 mcg"
} ]
}, {
"code": "J0637",
"display": "Caspofungin acetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, caspofungin acetate, 5 mg"
} ]
}, {
"code": "J0638",
"display": "Canakinumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, canakinumab, 1 mg"
} ]
}, {
"code": "J0640",
"display": "Leucovorin calcium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, leucovorin calcium, per 50 mg"
} ]
}, {
"code": "J0641",
"display": "Inj levoleucovorin nos 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levoleucovorin, not otherwise specified, 0.5 mg"
} ]
}, {
"code": "J0642",
"display": "Injection, khapzory, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levoleucovorin (khapzory), 0.5 mg"
} ]
}, {
"code": "J0650",
"display": "Inj, levothyroxine nos 10mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levothyroxine sodium, not otherwise specified, 10 mcg"
} ]
}, {
"code": "J0651",
"display": "Inj, levothyroxine, freskabi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levothyroxine sodium (fresenius kabi), not therapeutically"
} ]
}, {
"code": "J0651",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equivalent to j0650, 10 mcg"
} ]
}, {
"code": "J0652",
"display": "Inj, levothyroxine, hikma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levothyroxine sodium (hikma), not therapeutically equivalent to"
} ]
}, {
"code": "J0652",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j0650, 10 mcg"
} ]
}, {
"code": "J0665",
"display": "Inj, bupivacaine, nos, 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bupivicaine, not otherwise specified, 0.5 mg"
} ]
}, {
"code": "J0666",
"display": "Inj, bupivacaine liposome",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bupivacaine liposome, 1 mg"
} ]
}, {
"code": "J0670",
"display": "Inj mepivacaine hcl/10 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mepivacaine hydrochloride, per 10 ml"
} ]
}, {
"code": "J0687",
"display": "Inj cefazolin (wg crit care)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefazolin sodium (wg critical care), not therapeutically equivalent"
} ]
}, {
"code": "J0687",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to j0690, 500 mg"
} ]
}, {
"code": "J0688",
"display": "Inj cefazolin sodium, hikma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690,"
} ]
}, {
"code": "J0688",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "500 mg"
} ]
}, {
"code": "J0689",
"display": "Inj cefazolin sodium, baxter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690,"
} ]
}, {
"code": "J0689",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "500 mg"
} ]
}, {
"code": "J0690",
"display": "Cefazolin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefazolin sodium, 500 mg"
} ]
}, {
"code": "J0691",
"display": "Inj lefamulin 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lefamulin, 1 mg"
} ]
}, {
"code": "J0692",
"display": "Cefepime hcl for injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefepime hydrochloride, 500 mg"
} ]
}, {
"code": "J0693",
"display": "Inj., cefiderocol, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefiderocol, 5 mg"
} ]
}, {
"code": "J0694",
"display": "Cefoxitin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefoxitin sodium, 1 gm"
} ]
}, {
"code": "J0695",
"display": "Inj ceftolozane tazobactam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftolozane 50 mg and tazobactam 25 mg"
} ]
}, {
"code": "J0696",
"display": "Ceftriaxone sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftriaxone sodium, per 250 mg"
} ]
}, {
"code": "J0697",
"display": "Sterile cefuroxime injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sterile cefuroxime sodium, per 750 mg"
} ]
}, {
"code": "J0698",
"display": "Cefotaxime sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefotaxime sodium, per gm"
} ]
}, {
"code": "J0699",
"display": "Inj, cefiderocol, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefiderocol, 10 mg"
} ]
}, {
"code": "J0701",
"display": "Inj. cefepime hcl (baxter)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to"
} ]
}, {
"code": "J0701",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "maxipime, 500 mg"
} ]
}, {
"code": "J0702",
"display": "Betamethasone acet&sod phosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg"
} ]
}, {
"code": "J0703",
"display": "Inj, cefepime hcl (b braun)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to"
} ]
}, {
"code": "J0703",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "maxipime, 500 mg"
} ]
}, {
"code": "J0706",
"display": "Caffeine citrate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, caffeine citrate, 5 mg"
} ]
}, {
"code": "J0710",
"display": "Cephapirin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cephapirin sodium, up to 1 gm"
} ]
}, {
"code": "J0712",
"display": "Ceftaroline fosamil inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftaroline fosamil, 10 mg"
} ]
}, {
"code": "J0713",
"display": "Inj ceftazidime per 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftazidime, per 500 mg"
} ]
}, {
"code": "J0714",
"display": "Ceftazidime and avibactam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftazidime and avibactam, 0.5 g/0.125 g"
} ]
}, {
"code": "J0715",
"display": "Ceftizoxime sodium / 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ceftizoxime sodium, per 500 mg"
} ]
}, {
"code": "J0716",
"display": "Centruroides immune f(ab)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, centruroides immune f(ab)2, up to 120 milligrams"
} ]
}, {
"code": "J0717",
"display": "Certolizumab pegol inj 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J0717",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J0717",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J0720",
"display": "Chloramphenicol sodium injec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chloramphenicol sodium succinate, up to 1 gm"
} ]
}, {
"code": "J0725",
"display": "Chorionic gonadotropin/1000u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chorionic gonadotropin, per 1,000 usp units"
} ]
}, {
"code": "J0735",
"display": "Clonidine hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, clonidine hydrochloride, 1 mg"
} ]
}, {
"code": "J0736",
"display": "Inj, clindamycin phosp 300mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, clindamycin phosphate, 300 mg"
} ]
}, {
"code": "J0737",
"display": "Inj, clindamycin (baxter)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, clindamycin phosphate (baxter), not therapeutically equivalent to"
} ]
}, {
"code": "J0737",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j0736, 300 mg"
} ]
}, {
"code": "J0739",
"display": "Hiv prep, inj, cabotegravir",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv"
} ]
}, {
"code": "J0739",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pre-exposure prophylaxis (not for use as treatment for hiv)"
} ]
}, {
"code": "J0740",
"display": "Cidofovir injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cidofovir, 375 mg"
} ]
}, {
"code": "J0741",
"display": "Inj, cabote rilpivir 2mg 3mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cabotegravir and rilpivirine, 2mg/3mg"
} ]
}, {
"code": "J0742",
"display": "Inj imip 4 cilas 4 releb 2mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg"
} ]
}, {
"code": "J0743",
"display": "Cilastatin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cilastatin sodium; imipenem, per 250 mg"
} ]
}, {
"code": "J0744",
"display": "Ciprofloxacin iv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ciprofloxacin for intravenous infusion, 200 mg"
} ]
}, {
"code": "J0745",
"display": "Inj codeine phosphate /30 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, codeine phosphate, per 30 mg"
} ]
}, {
"code": "J0750",
"display": "Hiv prep, ftc/tdf 200/300mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved"
} ]
}, {
"code": "J0750",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription, only for use as hiv pre-exposure prophylaxis (not for use as"
} ]
}, {
"code": "J0750",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment of hiv)"
} ]
}, {
"code": "J0751",
"display": "Hiv prep, ftc/taf 200/25mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved"
} ]
}, {
"code": "J0751",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription, only for use as hiv pre-exposure prophylaxis (not for use as"
} ]
}, {
"code": "J0751",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment of hiv)"
} ]
}, {
"code": "J0760",
"display": "Colchicine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, colchicine, per 1 mg"
} ]
}, {
"code": "J0770",
"display": "Colistimethate sodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, colistimethate sodium, up to 150 mg"
} ]
}, {
"code": "J0775",
"display": "Collagenase, clost hist inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, collagenase, clostridium histolyticum, 0.01 mg"
} ]
}, {
"code": "J0780",
"display": "Prochlorperazine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, prochlorperazine, up to 10 mg"
} ]
}, {
"code": "J0791",
"display": "Inj crizanlizumab-tmca 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, crizanlizumab-tmca, 5 mg"
} ]
}, {
"code": "J0795",
"display": "Corticorelin ovine triflutal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, corticorelin ovine triflutate, 1 microgram"
} ]
}, {
"code": "J0799",
"display": "Hiv prep, fda approved, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis"
} ]
}, {
"code": "J0799",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(not for use as treatment of hiv), not otherwise classified"
} ]
}, {
"code": "J0800",
"display": "Corticotropin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, corticotropin, up to 40 units"
} ]
}, {
"code": "J0801",
"display": "Inj. acthar gel to 40 units",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, corticotropin (acthar gel), up to 40 units"
} ]
}, {
"code": "J0802",
"display": "Inj. (ani), up to 40 units",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, corticotropin (ani), up to 40 units"
} ]
}, {
"code": "J0833",
"display": "Cosyntropin injection nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cosyntropin, not otherwise specified, 0.25 mg"
} ]
}, {
"code": "J0834",
"display": "Inj., cosyntropin, 0.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cosyntropin, 0.25 mg"
} ]
}, {
"code": "J0840",
"display": "Crotalidae poly immune fab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram"
} ]
}, {
"code": "J0841",
"display": "Inj crotalidae im f(ab')2 eq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, crotalidae immune f(ab')2 (equine), 120 mg"
} ]
}, {
"code": "J0850",
"display": "Cytomegalovirus imm iv /vial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cytomegalovirus immune globulin intravenous (human), per vial"
} ]
}, {
"code": "J0870",
"display": "Injection, imetelstat, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, imetelstat, 1 mg"
} ]
}, {
"code": "J0872",
"display": "Daptomycin (xellia) unrefrig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent"
} ]
}, {
"code": "J0872",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to j0878 or j0873, 1 mg"
} ]
}, {
"code": "J0873",
"display": "Inj daptomycin (xellia)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or"
} ]
}, {
"code": "J0873",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j0872, 1 mg"
} ]
}, {
"code": "J0874",
"display": "Inj, daptomycin (baxter)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg"
} ]
}, {
"code": "J0875",
"display": "Injection, dalbavancin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dalbavancin, 5 mg"
} ]
}, {
"code": "J0877",
"display": "Inj, daptomycin (hospira)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg"
} ]
}, {
"code": "J0878",
"display": "Daptomycin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daptomycin, 1 mg"
} ]
}, {
"code": "J0879",
"display": "Difelikefalin, esrd on dialy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)"
} ]
}, {
"code": "J0881",
"display": "Darbepoetin alfa, non-esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, darbepoetin alfa, 1 microgram (non-esrd use)"
} ]
}, {
"code": "J0882",
"display": "Darbepoetin alfa, esrd use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)"
} ]
}, {
"code": "J0883",
"display": "Argatroban nonesrd use 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban, 1 mg (for non-esrd use)"
} ]
}, {
"code": "J0884",
"display": "Argatroban esrd dialysis 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban, 1 mg (for esrd on dialysis)"
} ]
}, {
"code": "J0885",
"display": "Epoetin alfa, non-esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin alfa, (for non-esrd use), 1000 units"
} ]
}, {
"code": "J0886",
"display": "Epoetin alfa 1000 units esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin alfa, 1000 units (for esrd on dialysis)"
} ]
}, {
"code": "J0887",
"display": "Epoetin beta esrd use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin beta, 1 microgram, (for esrd on dialysis)"
} ]
}, {
"code": "J0888",
"display": "Epoetin beta non esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin beta, 1 microgram, (for non esrd use)"
} ]
}, {
"code": "J0889",
"display": "Daprodustat oral 1mg esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Daprodustat, oral, 1 mg, (for esrd on dialysis)"
} ]
}, {
"code": "J0890",
"display": "Peginesatide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, peginesatide, 0.1 mg (for esrd on dialysis)"
} ]
}, {
"code": "J0891",
"display": "Argatroban nonesrd (accord)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg"
} ]
}, {
"code": "J0891",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(for non-esrd use)"
} ]
}, {
"code": "J0892",
"display": "Argatroban dialysis (accord)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg"
} ]
}, {
"code": "J0892",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(for esrd on dialysis)"
} ]
}, {
"code": "J0893",
"display": "Inj, decitabine (sun pharma)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1"
} ]
}, {
"code": "J0893",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg"
} ]
}, {
"code": "J0894",
"display": "Decitabine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, decitabine, 1 mg"
} ]
}, {
"code": "J0895",
"display": "Deferoxamine mesylate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, deferoxamine mesylate, 500 mg"
} ]
}, {
"code": "J0896",
"display": "Inj luspatercept-aamt 0.25mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, luspatercept-aamt, 0.25 mg"
} ]
}, {
"code": "J0897",
"display": "Denosumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, denosumab, 1 mg"
} ]
}, {
"code": "J0898",
"display": "Argatroban nonesrd (auromed)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1"
} ]
}, {
"code": "J0898",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg (for non-esrd use)"
} ]
}, {
"code": "J0899",
"display": "Argatroban dialysis, auromed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1"
} ]
}, {
"code": "J0899",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg (for esrd on dialysis)"
} ]
}, {
"code": "J0900",
"display": "Testosterone enanthate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone enanthate and estradiol valerate, up to 1 cc"
} ]
}, {
"code": "J0901",
"display": "Vadadustat oral 1mg for esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vadadustat, oral, 1 mg (for esrd on dialysis)"
} ]
}, {
"code": "J0911",
"display": "Inst tauro 1.35mg/hep 100u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous"
} ]
}, {
"code": "J0911",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "catheter lock for adult patients receiving chronic hemodialysis)"
} ]
}, {
"code": "J0945",
"display": "Brompheniramine maleate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, brompheniramine maleate, per 10 mg"
} ]
}, {
"code": "J1000",
"display": "Depo-estradiol cypionate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, depo-estradiol cypionate, up to 5 mg"
} ]
}, {
"code": "J1010",
"display": "Inj, methylpred acetate 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone acetate, 1 mg"
} ]
}, {
"code": "J1020",
"display": "Methylprednisolone 20 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone acetate, 20 mg"
} ]
}, {
"code": "J1030",
"display": "Methylprednisolone 40 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone acetate, 40 mg"
} ]
}, {
"code": "J1040",
"display": "Methylprednisolone 80 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone acetate, 80 mg"
} ]
}, {
"code": "J1050",
"display": "Medroxyprogesterone acetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, medroxyprogesterone acetate, 1 mg"
} ]
}, {
"code": "J1060",
"display": "Testosterone cypionate 1 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone cypionate and estradiol cypionate, up to 1 ml"
} ]
}, {
"code": "J1070",
"display": "Testosterone cypionat 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone cypionate, up to 100 mg"
} ]
}, {
"code": "J1071",
"display": "Inj testosterone cypionate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone cypionate, 1 mg"
} ]
}, {
"code": "J1080",
"display": "Testosterone cypionat 200 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone cypionate, 1 cc, 200 mg"
} ]
}, {
"code": "J1094",
"display": "Inj dexamethasone acetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dexamethasone acetate, 1 mg"
} ]
}, {
"code": "J1095",
"display": "Injection, dexamethasone 9%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dexamethasone 9 percent, intraocular, 1 microgram"
} ]
}, {
"code": "J1096",
"display": "Dexametha opth insert 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexamethasone, lacrimal ophthalmic insert, 0.1 mg"
} ]
}, {
"code": "J1097",
"display": "Phenylep ketorolac opth soln",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation"
} ]
}, {
"code": "J1097",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "solution, 1 ml"
} ]
}, {
"code": "J1100",
"display": "Dexamethasone sodium phos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dexamethasone sodium phosphate, 1 mg"
} ]
}, {
"code": "J1105",
"display": "Dexmedetomidine film, 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexmedetomidine, oral, 1 mcg"
} ]
}, {
"code": "J1110",
"display": "Inj dihydroergotamine mesylt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dihydroergotamine mesylate, per 1 mg"
} ]
}, {
"code": "J1120",
"display": "Acetazolamid sodium injectio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, acetazolamide sodium, up to 500 mg"
} ]
}, {
"code": "J1130",
"display": "Inj diclofenac sodium 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, diclofenac sodium, 0.5 mg"
} ]
}, {
"code": "J1160",
"display": "Digoxin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, digoxin, up to 0.5 mg"
} ]
}, {
"code": "J1162",
"display": "Digoxin immune fab (ovine)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, digoxin immune fab (ovine), per vial"
} ]
}, {
"code": "J1165",
"display": "Phenytoin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenytoin sodium, per 50 mg"
} ]
}, {
"code": "J1170",
"display": "Hydromorphone injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydromorphone, up to 4 mg"
} ]
}, {
"code": "J1171",
"display": "Inj, hydromorphone, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydromorphone, 0.1 mg"
} ]
}, {
"code": "J1180",
"display": "Dyphylline injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dyphylline, up to 500 mg"
} ]
}, {
"code": "J1190",
"display": "Dexrazoxane hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dexrazoxane hydrochloride, per 250 mg"
} ]
}, {
"code": "J1200",
"display": "Diphenhydramine hcl injectio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, diphenhydramine hcl, up to 50 mg"
} ]
}, {
"code": "J1201",
"display": "Inj. cetirizine hcl 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cetirizine hydrochloride, 0.5 mg"
} ]
}, {
"code": "J1202",
"display": "Miglustat oral 65 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miglustat, oral, 65 mg"
} ]
}, {
"code": "J1203",
"display": "Inj, cipaglucosidase, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cipaglucosidase alfa-atga, 5 mg"
} ]
}, {
"code": "J1205",
"display": "Chlorothiazide sodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chlorothiazide sodium, per 500 mg"
} ]
}, {
"code": "J1212",
"display": "Dimethyl sulfoxide 50% 50 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dmso, dimethyl sulfoxide, 50%, 50 ml"
} ]
}, {
"code": "J1230",
"display": "Methadone injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methadone hcl, up to 10 mg"
} ]
}, {
"code": "J1240",
"display": "Dimenhydrinate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dimenhydrinate, up to 50 mg"
} ]
}, {
"code": "J1245",
"display": "Dipyridamole injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dipyridamole, per 10 mg"
} ]
}, {
"code": "J1250",
"display": "Inj dobutamine hcl/250 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dobutamine hydrochloride, per 250 mg"
} ]
}, {
"code": "J1260",
"display": "Dolasetron mesylate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dolasetron mesylate, 10 mg"
} ]
}, {
"code": "J1265",
"display": "Dopamine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dopamine hcl, 40 mg"
} ]
}, {
"code": "J1267",
"display": "Doripenem injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, doripenem, 10 mg"
} ]
}, {
"code": "J1270",
"display": "Injection, doxercalciferol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, doxercalciferol, 1 mcg"
} ]
}, {
"code": "J1290",
"display": "Ecallantide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ecallantide, 1 mg"
} ]
}, {
"code": "J1300",
"display": "Eculizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eculizumab, 10 mg"
} ]
}, {
"code": "J1301",
"display": "Injection, edaravone, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, edaravone, 1 mg"
} ]
}, {
"code": "J1302",
"display": "Inj, sutimlimab-jome, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sutimlimab-jome, 10 mg"
} ]
}, {
"code": "J1303",
"display": "Inj., ravulizumab-cwvz 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ravulizumab-cwvz, 10 mg"
} ]
}, {
"code": "J1304",
"display": "Inj tofersen intrathec 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tofersen, 1 mg"
} ]
}, {
"code": "J1305",
"display": "Inj, evinacumab-dgnb, 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, evinacumab-dgnb, 5mg"
} ]
}, {
"code": "J1306",
"display": "Injection, inclisiran, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, inclisiran, 1 mg"
} ]
}, {
"code": "J1307",
"display": "Inj, crovalimab-akkz, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, crovalimab-akkz, 10 mg"
} ]
}, {
"code": "J1320",
"display": "Amitriptyline injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amitriptyline hcl, up to 20 mg"
} ]
}, {
"code": "J1322",
"display": "Elosulfase alfa, injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elosulfase alfa, 1 mg"
} ]
}, {
"code": "J1323",
"display": "Inj, elranatamab-bcmm, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elranatamab-bcmm, 1 mg"
} ]
}, {
"code": "J1324",
"display": "Enfuvirtide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, enfuvirtide, 1 mg"
} ]
}, {
"code": "J1325",
"display": "Epoprostenol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoprostenol, 0.5 mg"
} ]
}, {
"code": "J1327",
"display": "Eptifibatide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eptifibatide, 5 mg"
} ]
}, {
"code": "J1330",
"display": "Ergonovine maleate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ergonovine maleate, up to 0.2 mg"
} ]
}, {
"code": "J1335",
"display": "Ertapenem injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ertapenem sodium, 500 mg"
} ]
}, {
"code": "J1364",
"display": "Erythro lactobionate /500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, erythromycin lactobionate, per 500 mg"
} ]
}, {
"code": "J1380",
"display": "Estradiol valerate 10 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, estradiol valerate, up to 10 mg"
} ]
}, {
"code": "J1410",
"display": "Inj estrogen conjugate 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, estrogen conjugated, per 25 mg"
} ]
}, {
"code": "J1411",
"display": "Inj, hemgenix, per tx dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, etranacogene dezaparvovec-drlb, per therapeutic dose"
} ]
}, {
"code": "J1412",
"display": "Inj roctavian ml 2x10^13vc g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x"
} ]
}, {
"code": "J1412",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "10^13 vector genomes"
} ]
}, {
"code": "J1413",
"display": "Inj delandistrogene mox rokl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose"
} ]
}, {
"code": "J1414",
"display": "Inj, beqvez, per tx dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose"
} ]
}, {
"code": "J1426",
"display": "Injection, casimersen, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, casimersen, 10 mg"
} ]
}, {
"code": "J1427",
"display": "Inj. viltolarsen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, viltolarsen, 10 mg"
} ]
}, {
"code": "J1428",
"display": "Inj, eteplirsen, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eteplirsen, 10 mg"
} ]
}, {
"code": "J1429",
"display": "Inj golodirsen 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, golodirsen, 10 mg"
} ]
}, {
"code": "J1430",
"display": "Ethanolamine oleate 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ethanolamine oleate, 100 mg"
} ]
}, {
"code": "J1434",
"display": "Inj, focinvez, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosaprepitant (focinvez), 1 mg"
} ]
}, {
"code": "J1435",
"display": "Injection estrone per 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, estrone, per 1 mg"
} ]
}, {
"code": "J1436",
"display": "Etidronate disodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, etidronate disodium, per 300 mg"
} ]
}, {
"code": "J1437",
"display": "Inj. fe derisomaltose 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric derisomaltose, 10 mg"
} ]
}, {
"code": "J1438",
"display": "Etanercept injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, etanercept, 25 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J1438",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J1438",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J1439",
"display": "Inj ferric carboxymaltos 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric carboxymaltose, 1 mg"
} ]
}, {
"code": "J1440",
"display": "Fecal microbiota jslm 1 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fecal microbiota, live - jslm, 1 ml"
} ]
}, {
"code": "J1442",
"display": "Inj filgrastim excl biosimil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram"
} ]
}, {
"code": "J1443",
"display": "Inj ferric pyrophosphate cit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron"
} ]
}, {
"code": "J1444",
"display": "Fe pyro cit pow 0.1 mg iron",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron"
} ]
}, {
"code": "J1445",
"display": "Inj triferic avnu 0.1mg iron",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron"
} ]
}, {
"code": "J1446",
"display": "Inj, tbo-filgrastim, 5 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tbo-filgrastim, 5 micrograms"
} ]
}, {
"code": "J1447",
"display": "Inj tbo filgrastim 1 microg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tbo-filgrastim, 1 microgram"
} ]
}, {
"code": "J1448",
"display": "Injection, trilaciclib, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trilaciclib, 1mg"
} ]
}, {
"code": "J1449",
"display": "Inj eflapegrastim-xnst 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eflapegrastim-xnst, 0.1 mg"
} ]
}, {
"code": "J1450",
"display": "Fluconazole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection fluconazole, 200 mg"
} ]
}, {
"code": "J1451",
"display": "Fomepizole, 15 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fomepizole, 15 mg"
} ]
}, {
"code": "J1452",
"display": "Intraocular fomivirsen na",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fomivirsen sodium, intraocular, 1.65 mg"
} ]
}, {
"code": "J1453",
"display": "Fosaprepitant injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosaprepitant, 1 mg"
} ]
}, {
"code": "J1454",
"display": "Inj fosnetupitant, palonoset",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosnetupitant 235 mg and palonosetron 0.25 mg"
} ]
}, {
"code": "J1455",
"display": "Foscarnet sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, foscarnet sodium, per 1000 mg"
} ]
}, {
"code": "J1456",
"display": "Inj, fosaprepitant (teva)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg"
} ]
}, {
"code": "J1457",
"display": "Gallium nitrate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gallium nitrate, 1 mg"
} ]
}, {
"code": "J1458",
"display": "Galsulfase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, galsulfase, 1 mg"
} ]
}, {
"code": "J1459",
"display": "Inj ivig privigen 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g.,"
} ]
}, {
"code": "J1459",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid), 500 mg"
} ]
}, {
"code": "J1460",
"display": "Gamma globulin 1 cc inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gamma globulin, intramuscular, 1 cc"
} ]
}, {
"code": "J1551",
"display": "Inj cutaquig 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (cutaquig), 100 mg"
} ]
}, {
"code": "J1552",
"display": "Inj, alyglo, 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (alyglo), 500 mg"
} ]
}, {
"code": "J1554",
"display": "Inj. asceniv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (asceniv), 500 mg"
} ]
}, {
"code": "J1555",
"display": "Inj cuvitru, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (cuvitru), 100 mg"
} ]
}, {
"code": "J1556",
"display": "Inj, imm glob bivigam, 500mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (bivigam), 500 mg"
} ]
}, {
"code": "J1557",
"display": "Gammaplex injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g.,"
} ]
}, {
"code": "J1557",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid), 500 mg"
} ]
}, {
"code": "J1558",
"display": "Inj. xembify, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (xembify), 100 mg"
} ]
}, {
"code": "J1559",
"display": "Hizentra injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (hizentra), 100 mg"
} ]
}, {
"code": "J1560",
"display": "Gamma globulin > 10 cc inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gamma globulin, intramuscular, over 10 cc"
} ]
}, {
"code": "J1561",
"display": "Gamunex-c/gammaked",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g.,"
} ]
}, {
"code": "J1561",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid), 500 mg"
} ]
}, {
"code": "J1562",
"display": "Vivaglobin, inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (vivaglobin), 100 mg"
} ]
}, {
"code": "J1566",
"display": "Immune globulin, powder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, intravenous, lyophilized (e.g., powder), not"
} ]
}, {
"code": "J1566",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "otherwise specified, 500 mg"
} ]
}, {
"code": "J1568",
"display": "Octagam injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g.,"
} ]
}, {
"code": "J1568",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid), 500 mg"
} ]
}, {
"code": "J1569",
"display": "Gammagard liquid injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g.,"
} ]
}, {
"code": "J1569",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid), 500 mg"
} ]
}, {
"code": "J1570",
"display": "Ganciclovir sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ganciclovir sodium, 500 mg"
} ]
}, {
"code": "J1571",
"display": "Hepagam b im injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml"
} ]
}, {
"code": "J1572",
"display": "Flebogamma injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, (flebogamma/flebogamma dif), intravenous,"
} ]
}, {
"code": "J1572",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-lyophilized (e.g., liquid), 500 mg"
} ]
}, {
"code": "J1573",
"display": "Hepagam b intravenous, inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml"
} ]
}, {
"code": "J1574",
"display": "Inj, ganciclovir (exela)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570,"
} ]
}, {
"code": "J1574",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "500 mg"
} ]
}, {
"code": "J1575",
"display": "Hyqvia 100mg immuneglobulin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin"
} ]
}, {
"code": "J1576",
"display": "Inj, panzyga, 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g.,"
} ]
}, {
"code": "J1576",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "liquid), 500 mg"
} ]
}, {
"code": "J1580",
"display": "Garamycin gentamicin inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, garamycin, gentamicin, up to 80 mg"
} ]
}, {
"code": "J1590",
"display": "Gatifloxacin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gatifloxacin, 10 mg"
} ]
}, {
"code": "J1595",
"display": "Injection glatiramer acetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glatiramer acetate, 20 mg"
} ]
}, {
"code": "J1596",
"display": "Inj, glycopyrrolate, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glycopyrrolate, 0.1 mg"
} ]
}, {
"code": "J1597",
"display": "Inj glycopyrrolate, glyrx-pf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glycopyrrolate (glyrx-pf), 0.1 mg"
} ]
}, {
"code": "J1598",
"display": "Inj glycopyrrolate fres kabi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to"
} ]
}, {
"code": "J1598",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j1596, 0.1 mg"
} ]
}, {
"code": "J1599",
"display": "Ivig non-lyophilized, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not"
} ]
}, {
"code": "J1599",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "otherwise specified, 500 mg"
} ]
}, {
"code": "J1600",
"display": "Gold sodium thiomaleate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gold sodium thiomalate, up to 50 mg"
} ]
}, {
"code": "J1602",
"display": "Golimumab for iv use 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, golimumab, 1 mg, for intravenous use"
} ]
}, {
"code": "J1610",
"display": "Glucagon hydrochloride/1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glucagon hydrochloride, per 1 mg"
} ]
}, {
"code": "J1611",
"display": "Inj glucagon hcl, fresenius",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glucagon hydrochloride (fresenius kabi), not therapeutically"
} ]
}, {
"code": "J1611",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equivalent to j1610, per 1 mg"
} ]
}, {
"code": "J1620",
"display": "Gonadorelin hydroch/ 100 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gonadorelin hydrochloride, per 100 mcg"
} ]
}, {
"code": "J1626",
"display": "Granisetron hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, granisetron hydrochloride, 100 mcg"
} ]
}, {
"code": "J1627",
"display": "Inj, granisetron, xr, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, granisetron, extended-release, 0.1 mg"
} ]
}, {
"code": "J1628",
"display": "Inj., guselkumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, guselkumab, 1 mg"
} ]
}, {
"code": "J1630",
"display": "Haloperidol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, haloperidol, up to 5 mg"
} ]
}, {
"code": "J1631",
"display": "Haloperidol decanoate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, haloperidol decanoate, per 50 mg"
} ]
}, {
"code": "J1632",
"display": "Inj., brexanolone, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, brexanolone, 1 mg"
} ]
}, {
"code": "J1640",
"display": "Hemin, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hemin, 1 mg"
} ]
}, {
"code": "J1642",
"display": "Inj heparin sodium per 10 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, heparin sodium, (heparin lock flush), per 10 units"
} ]
}, {
"code": "J1643",
"display": "Inj heparin, pfizer, 1000u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644,"
} ]
}, {
"code": "J1643",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per 1000 units"
} ]
}, {
"code": "J1644",
"display": "Inj heparin sodium per 1000u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, heparin sodium, per 1000 units"
} ]
}, {
"code": "J1645",
"display": "Dalteparin sodium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dalteparin sodium, per 2500 iu"
} ]
}, {
"code": "J1650",
"display": "Inj enoxaparin sodium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, enoxaparin sodium, 10 mg"
} ]
}, {
"code": "J1652",
"display": "Fondaparinux sodium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fondaparinux sodium, 0.5 mg"
} ]
}, {
"code": "J1655",
"display": "Tinzaparin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tinzaparin sodium, 1000 iu"
} ]
}, {
"code": "J1670",
"display": "Tetanus immune globulin inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tetanus immune globulin, human, up to 250 units"
} ]
}, {
"code": "J1675",
"display": "Histrelin acetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, histrelin acetate, 10 micrograms"
} ]
}, {
"code": "J1700",
"display": "Hydrocortisone acetate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydrocortisone acetate, up to 25 mg"
} ]
}, {
"code": "J1710",
"display": "Hydrocortisone sodium ph inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydrocortisone sodium phosphate, up to 50 mg"
} ]
}, {
"code": "J1720",
"display": "Hydrocortisone sodium succ i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydrocortisone sodium succinate, up to 100 mg"
} ]
}, {
"code": "J1725",
"display": "Hydroxyprogesterone caproate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxyprogesterone caproate, 1 mg"
} ]
}, {
"code": "J1726",
"display": "Makena, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxyprogesterone caproate, (makena), 10 mg"
} ]
}, {
"code": "J1729",
"display": "Inj hydroxyprogst capoat nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg"
} ]
}, {
"code": "J1730",
"display": "Diazoxide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, diazoxide, up to 300 mg"
} ]
}, {
"code": "J1738",
"display": "Inj. meloxicam 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meloxicam, 1 mg"
} ]
}, {
"code": "J1740",
"display": "Ibandronate sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ibandronate sodium, 1 mg"
} ]
}, {
"code": "J1741",
"display": "Ibuprofen injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ibuprofen, 100 mg"
} ]
}, {
"code": "J1742",
"display": "Ibutilide fumarate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ibutilide fumarate, 1 mg"
} ]
}, {
"code": "J1743",
"display": "Idursulfase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, idursulfase, 1 mg"
} ]
}, {
"code": "J1744",
"display": "Icatibant injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, icatibant, 1 mg"
} ]
}, {
"code": "J1745",
"display": "Infliximab not biosimil 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab, excludes biosimilar, 10 mg"
} ]
}, {
"code": "J1746",
"display": "Inj., ibalizumab-uiyk, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ibalizumab-uiyk, 10 mg"
} ]
}, {
"code": "J1747",
"display": "Inj, spesolimab-sbzo, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, spesolimab-sbzo, 1 mg"
} ]
}, {
"code": "J1748",
"display": "Inj, zymfentra, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab-dyyb (zymfentra), 10 mg"
} ]
}, {
"code": "J1749",
"display": "Inj, iloprost, 0.1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, iloprost, 0.1 mcg"
} ]
}, {
"code": "J1750",
"display": "Inj iron dextran",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, iron dextran, 50 mg"
} ]
}, {
"code": "J1756",
"display": "Iron sucrose injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, iron sucrose, 1 mg"
} ]
}, {
"code": "J1786",
"display": "Imuglucerase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, imiglucerase, 10 units"
} ]
}, {
"code": "J1790",
"display": "Droperidol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, droperidol, up to 5 mg"
} ]
}, {
"code": "J1800",
"display": "Propranolol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, propranolol hcl, up to 1 mg"
} ]
}, {
"code": "J1805",
"display": "Inj, esmolol hcl, 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, esmolol hydrochloride, 10 mg"
} ]
}, {
"code": "J1806",
"display": "Inj esmolol hcl wg crit care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, esmolol hydrochloride (wg critical care), not therapeutically"
} ]
}, {
"code": "J1806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equivalent to j1805, 10 mg"
} ]
}, {
"code": "J1810",
"display": "Droperidol/fentanyl inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, droperidol and fentanyl citrate, up to 2 ml ampule"
} ]
}, {
"code": "J1811",
"display": "Fiasp for insulin pump use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units"
} ]
}, {
"code": "J1812",
"display": "Inj. insulin (fiasp)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin (fiasp), per 5 units"
} ]
}, {
"code": "J1813",
"display": "Lyumjev for insulin pump use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50"
} ]
}, {
"code": "J1813",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "units"
} ]
}, {
"code": "J1814",
"display": "Inj. insulin (lyumjev)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin (lyumjev), per 5 units"
} ]
}, {
"code": "J1815",
"display": "Insulin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, insulin, per 5 units"
} ]
}, {
"code": "J1817",
"display": "Insulin for insulin pump use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin for administration through dme (i.e., insulin pump) per 50 units"
} ]
}, {
"code": "J1823",
"display": "Inj. inebilizumab-cdon, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, inebilizumab-cdon, 1 mg"
} ]
}, {
"code": "J1826",
"display": "Interferon beta-1a inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon beta-1a, 30 mcg"
} ]
}, {
"code": "J1830",
"display": "Interferon beta-1b / .25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J1830",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J1830",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J1833",
"display": "Injection, isavuconazonium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, isavuconazonium, 1 mg"
} ]
}, {
"code": "J1835",
"display": "Itraconazole injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, itraconazole, 50 mg"
} ]
}, {
"code": "J1836",
"display": "Inj, metronidazole, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, metronidazole, 10 mg"
} ]
}, {
"code": "J1840",
"display": "Kanamycin sulfate 500 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, kanamycin sulfate, up to 500 mg"
} ]
}, {
"code": "J1850",
"display": "Kanamycin sulfate 75 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, kanamycin sulfate, up to 75 mg"
} ]
}, {
"code": "J1885",
"display": "Ketorolac tromethamine inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ketorolac tromethamine, per 15 mg"
} ]
}, {
"code": "J1890",
"display": "Cephalothin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cephalothin sodium, up to 1 gram"
} ]
}, {
"code": "J1920",
"display": "Inj, labetalol hcl, 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, labetalol hydrochloride, 5 mg"
} ]
}, {
"code": "J1921",
"display": "Inj labetalol hcl hikma, 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to"
} ]
}, {
"code": "J1921",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j1920, 5 mg"
} ]
}, {
"code": "J1930",
"display": "Lanreotide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lanreotide, 1 mg"
} ]
}, {
"code": "J1931",
"display": "Laronidase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, laronidase, 0.1 mg"
} ]
}, {
"code": "J1932",
"display": "Inj, lanreotide, (cipla) 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lanreotide, (cipla), 1 mg"
} ]
}, {
"code": "J1939",
"display": "Inj, bumetanide, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bumetanide, 0.5 mg"
} ]
}, {
"code": "J1940",
"display": "Furosemide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, furosemide, up to 20 mg"
} ]
}, {
"code": "J1941",
"display": "Inj, furoscix, 20 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, furosemide (furoscix), 20 mg"
} ]
}, {
"code": "J1942",
"display": "Aripiprazole lauroxil 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole lauroxil, 1 mg"
} ]
}, {
"code": "J1943",
"display": "Inj., aristada initio, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole lauroxil, (aristada initio), 1 mg"
} ]
}, {
"code": "J1944",
"display": "Aripiprazole lauroxil 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aripiprazole lauroxil, (aristada), 1 mg"
} ]
}, {
"code": "J1945",
"display": "Lepirudin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lepirudin, 50 mg"
} ]
}, {
"code": "J1950",
"display": "Leuprolide acetate /3.75 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, leuprolide acetate (for depot suspension), per 3.75 mg"
} ]
}, {
"code": "J1951",
"display": "Inj fensolvi 0.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg"
} ]
}, {
"code": "J1952",
"display": "Leuprolide inj, camcevi, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leuprolide injectable, camcevi, 1 mg"
} ]
}, {
"code": "J1953",
"display": "Levetiracetam injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levetiracetam, 10 mg"
} ]
}, {
"code": "J1954",
"display": "Leuprolide depot cipla 7.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg"
} ]
}, {
"code": "J1955",
"display": "Inj levocarnitine per 1 gm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levocarnitine, per 1 gm"
} ]
}, {
"code": "J1956",
"display": "Levofloxacin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levofloxacin, 250 mg"
} ]
}, {
"code": "J1960",
"display": "Levorphanol tartrate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, levorphanol tartrate, up to 2 mg"
} ]
}, {
"code": "J1961",
"display": "Inj, lenacapavir, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lenacapavir, 1 mg"
} ]
}, {
"code": "J1980",
"display": "Hyoscyamine sulfate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hyoscyamine sulfate, up to 0.25 mg"
} ]
}, {
"code": "J1990",
"display": "Chlordiazepoxide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chlordiazepoxide hcl, up to 100 mg"
} ]
}, {
"code": "J2001",
"display": "Lidocaine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lidocaine hcl for intravenous infusion, 10 mg"
} ]
}, {
"code": "J2002",
"display": "Inj, lidocaine in d5w, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lidocaine hcl in 5% dextrose, 1 mg"
} ]
}, {
"code": "J2003",
"display": "Inj, lidocaine hcl, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lidocaine hydrochloride, 1 mg"
} ]
}, {
"code": "J2004",
"display": "Inj, lidocaine w epinephrine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lidocaine hcl with epinephrine, 1 mg"
} ]
}, {
"code": "J2010",
"display": "Lincomycin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lincomycin hcl, up to 300 mg"
} ]
}, {
"code": "J2020",
"display": "Linezolid injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, linezolid, 200 mg"
} ]
}, {
"code": "J2021",
"display": "Inj, linezolid (hospira)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg"
} ]
}, {
"code": "J2060",
"display": "Lorazepam injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lorazepam, 2 mg"
} ]
}, {
"code": "J2062",
"display": "Loxapine for inhalation 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Loxapine for inhalation, 1 mg"
} ]
}, {
"code": "J2150",
"display": "Mannitol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mannitol, 25% in 50 ml"
} ]
}, {
"code": "J2170",
"display": "Mecasermin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mecasermin, 1 mg"
} ]
}, {
"code": "J2175",
"display": "Meperidine hydrochl /100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meperidine hydrochloride, per 100 mg"
} ]
}, {
"code": "J2180",
"display": "Meperidine/promethazine inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meperidine and promethazine hcl, up to 50 mg"
} ]
}, {
"code": "J2182",
"display": "Injection, mepolizumab, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mepolizumab, 1 mg"
} ]
}, {
"code": "J2183",
"display": "Inj meropenem (wg crit care)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meropenem (wg critical care), not therapeutically equivalent to"
} ]
}, {
"code": "J2183",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j2185, 100 mg"
} ]
}, {
"code": "J2184",
"display": "Inj, meropenem (b. braun)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg"
} ]
}, {
"code": "J2185",
"display": "Meropenem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meropenem, 100 mg"
} ]
}, {
"code": "J2186",
"display": "Inj., meropenem, vaborbactam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, meropenem and vaborbactam, 10mg/10mg (20mg)"
} ]
}, {
"code": "J2210",
"display": "Methylergonovin maleate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylergonovine maleate, up to 0.2 mg"
} ]
}, {
"code": "J2212",
"display": "Methylnaltrexone injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylnaltrexone, 0.1 mg"
} ]
}, {
"code": "J2246",
"display": "Inj, micafungin (baxter)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, micafungin in sodium (baxter), not therapeutically equivalent to"
} ]
}, {
"code": "J2246",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j2248, 1 mg"
} ]
}, {
"code": "J2247",
"display": "Inj, micafungin (par pharm)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, micafungin sodium (par pharm) not thereapeutically equivalent to"
} ]
}, {
"code": "J2247",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j2248, 1 mg"
} ]
}, {
"code": "J2248",
"display": "Micafungin sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, micafungin sodium, 1 mg"
} ]
}, {
"code": "J2249",
"display": "Inj, remimazolam, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, remimazolam, 1 mg"
} ]
}, {
"code": "J2250",
"display": "Inj midazolam hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, midazolam hydrochloride, per 1 mg"
} ]
}, {
"code": "J2251",
"display": "Inj midazolam in 0.9% nacl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically"
} ]
}, {
"code": "J2251",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equivalent to j2250, 1 mg"
} ]
}, {
"code": "J2252",
"display": "Inj midazolam in 0.8% nacl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically"
} ]
}, {
"code": "J2252",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equivalent to j2250, 1 mg"
} ]
}, {
"code": "J2253",
"display": "Inj midazolam (seizalam)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, midazolam (seizalam), 1 mg"
} ]
}, {
"code": "J2260",
"display": "Inj milrinone lactate / 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, milrinone lactate, 5 mg"
} ]
}, {
"code": "J2265",
"display": "Minocycline hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, minocycline hydrochloride, 1 mg"
} ]
}, {
"code": "J2267",
"display": "Inj, mirikizumab-mrkz, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mirikizumab-mrkz, 1 mg"
} ]
}, {
"code": "J2270",
"display": "Morphine sulfate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate, up to 10 mg"
} ]
}, {
"code": "J2271",
"display": "Morphine so4 injection 100mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate, 100mg"
} ]
}, {
"code": "J2272",
"display": "Inj, morphine (fresenius)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to"
} ]
}, {
"code": "J2272",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j2270, up to 10 mg"
} ]
}, {
"code": "J2274",
"display": "Inj morphine pf epid ithc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate, preservative-free for epidural or intrathecal use,"
} ]
}, {
"code": "J2274",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "10 mg"
} ]
}, {
"code": "J2275",
"display": "Morphine sulfate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate (preservative-free sterile solution), per 10 mg"
} ]
}, {
"code": "J2277",
"display": "Inj, motixafortide, 0.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, motixafortide, 0.25 mg"
} ]
}, {
"code": "J2278",
"display": "Ziconotide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ziconotide, 1 microgram"
} ]
}, {
"code": "J2280",
"display": "Inj, moxifloxacin 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, moxifloxacin, 100 mg"
} ]
}, {
"code": "J2281",
"display": "Inj moxifloxacin (fres kabi)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to"
} ]
}, {
"code": "J2281",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j2280, 100 mg"
} ]
}, {
"code": "J2290",
"display": "Inj, nafcillin sodium, 20 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nafcillin sodium, 20 mg"
} ]
}, {
"code": "J2300",
"display": "Inj nalbuphine hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nalbuphine hydrochloride, per 10 mg"
} ]
}, {
"code": "J2305",
"display": "Inj, nitroglycerin, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nitroglycerin, 5 mg"
} ]
}, {
"code": "J2310",
"display": "Inj naloxone hydrochloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, naloxone hydrochloride, per 1 mg"
} ]
}, {
"code": "J2311",
"display": "Inj, naloxone hcl (zimhi)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, naloxone hydrochloride (zimhi), 1 mg"
} ]
}, {
"code": "J2315",
"display": "Naltrexone, depot form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, naltrexone, depot form, 1 mg"
} ]
}, {
"code": "J2320",
"display": "Nandrolone decanoate 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nandrolone decanoate, up to 50 mg"
} ]
}, {
"code": "J2323",
"display": "Natalizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, natalizumab, 1 mg"
} ]
}, {
"code": "J2325",
"display": "Nesiritide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nesiritide, 0.1 mg"
} ]
}, {
"code": "J2326",
"display": "Inj, nusinersen, 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nusinersen, 0.1 mg"
} ]
}, {
"code": "J2327",
"display": "Inj risankizumab-rzaa 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risankizumab-rzaa, intravenous, 1 mg"
} ]
}, {
"code": "J2329",
"display": "Inj ublituximab-xiiy, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ublituximab-xiiy, 1mg"
} ]
}, {
"code": "J2350",
"display": "Injection, ocrelizumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ocrelizumab, 1 mg"
} ]
}, {
"code": "J2353",
"display": "Octreotide injection, depot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, octreotide, depot form for intramuscular injection, 1 mg"
} ]
}, {
"code": "J2354",
"display": "Octreotide inj, non-depot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, octreotide, non-depot form for subcutaneous or intravenous"
} ]
}, {
"code": "J2354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "injection, 25 mcg"
} ]
}, {
"code": "J2355",
"display": "Oprelvekin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oprelvekin, 5 mg"
} ]
}, {
"code": "J2356",
"display": "Inj tezepelumab-ekko, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tezepelumab-ekko, 1 mg"
} ]
}, {
"code": "J2357",
"display": "Omalizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, omalizumab, 5 mg"
} ]
}, {
"code": "J2358",
"display": "Olanzapine long-acting inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, olanzapine, long-acting, 1 mg"
} ]
}, {
"code": "J2359",
"display": "Inj. olanzapine, 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, olanzapine, 0.5 mg"
} ]
}, {
"code": "J2360",
"display": "Orphenadrine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, orphenadrine citrate, up to 60 mg"
} ]
}, {
"code": "J2370",
"display": "Phenylephrine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenylephrine hcl, up to 1 ml"
} ]
}, {
"code": "J2371",
"display": "Inj phenylephrine hcl 20 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenylephrine hydrochloride, 20 micrograms"
} ]
}, {
"code": "J2372",
"display": "Inj, biorphen, 20 micrograms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenylephrine hydrochloride (biorphen), 20 micrograms"
} ]
}, {
"code": "J2373",
"display": "Inj, immphentiv, 20 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms"
} ]
}, {
"code": "J2400",
"display": "Chloroprocaine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chloroprocaine hydrochloride, per 30 ml"
} ]
}, {
"code": "J2401",
"display": "Chloroprocaine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chloroprocaine hydrochloride, per 1 mg"
} ]
}, {
"code": "J2402",
"display": "Chloroprocaine (clorotekal)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg"
} ]
}, {
"code": "J2403",
"display": "Chloroprocaine opht gel, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chloroprocaine hcl ophthalmic, 3% gel, 1 mg"
} ]
}, {
"code": "J2404",
"display": "Inj, nicardipine 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nicardipine, 0.1 mg"
} ]
}, {
"code": "J2405",
"display": "Ondansetron hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ondansetron hydrochloride, per 1 mg"
} ]
}, {
"code": "J2406",
"display": "Injection, oritavancin 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oritavancin (kimyrsa), 10 mg"
} ]
}, {
"code": "J2407",
"display": "Injection, oritavancin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oritavancin (orbactiv), 10 mg"
} ]
}, {
"code": "J2410",
"display": "Oxymorphone hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oxymorphone hcl, up to 1 mg"
} ]
}, {
"code": "J2425",
"display": "Palifermin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, palifermin, 50 micrograms"
} ]
}, {
"code": "J2426",
"display": "Inj, invega sustenna, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paliperidone palmitate extended release (invega sustenna), 1 mg"
} ]
}, {
"code": "J2427",
"display": "Inj, invega hafyera/trinza",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paliperidone palmitate extended release (invega hafyera, or invega"
} ]
}, {
"code": "J2427",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trinza), 1 mg"
} ]
}, {
"code": "J2430",
"display": "Pamidronate disodium /30 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pamidronate disodium, per 30 mg"
} ]
}, {
"code": "J2440",
"display": "Papaverin hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, papaverine hcl, up to 60 mg"
} ]
}, {
"code": "J2460",
"display": "Oxytetracycline injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oxytetracycline hcl, up to 50 mg"
} ]
}, {
"code": "J2468",
"display": "Inj, palonosetron (posfrea)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, palonosetron hydrochloride (posfrea), 25 micrograms"
} ]
}, {
"code": "J2469",
"display": "Palonosetron hcl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, palonosetron hcl, 25 mcg"
} ]
}, {
"code": "J2470",
"display": "Inj pantoprazole sodium 40mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pantoprazole sodium, 40 mg"
} ]
}, {
"code": "J2471",
"display": "Inj pantoprazole(hikma) 40mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg"
} ]
}, {
"code": "J2472",
"display": "Inj, pantoprazole sodium chl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg"
} ]
}, {
"code": "J2501",
"display": "Paricalcitol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paricalcitol, 1 mcg"
} ]
}, {
"code": "J2502",
"display": "Inj, pasireotide long acting",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pasireotide long acting, 1 mg"
} ]
}, {
"code": "J2503",
"display": "Pegaptanib sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegaptanib sodium, 0.3 mg"
} ]
}, {
"code": "J2504",
"display": "Pegademase bovine, 25 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegademase bovine, 25 iu"
} ]
}, {
"code": "J2505",
"display": "Injection, pegfilgrastim 6mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim, 6 mg"
} ]
}, {
"code": "J2506",
"display": "Inj pegfilgrast ex bio 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim, excludes biosimilar, 0.5 mg"
} ]
}, {
"code": "J2507",
"display": "Pegloticase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegloticase, 1 mg"
} ]
}, {
"code": "J2508",
"display": "Pegunigalsidase alfa-iwxj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegunigalsidase alfa-iwxj, 1 mg"
} ]
}, {
"code": "J2510",
"display": "Penicillin g procaine inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, penicillin g procaine, aqueous, up to 600,000 units"
} ]
}, {
"code": "J2513",
"display": "Pentastarch 10% solution",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pentastarch, 10% solution, 100 ml"
} ]
}, {
"code": "J2515",
"display": "Pentobarbital sodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pentobarbital sodium, per 50 mg"
} ]
}, {
"code": "J2540",
"display": "Penicillin g potassium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, penicillin g potassium, up to 600,000 units"
} ]
}, {
"code": "J2543",
"display": "Piperacillin/tazobactam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125"
} ]
}, {
"code": "J2543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "grams)"
} ]
}, {
"code": "J2545",
"display": "Pentamidine non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pentamidine isethionate, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J2545",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per 300 mg"
} ]
}, {
"code": "J2547",
"display": "Injection, peramivir",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, peramivir, 1 mg"
} ]
}, {
"code": "J2550",
"display": "Promethazine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, promethazine hcl, up to 50 mg"
} ]
}, {
"code": "J2560",
"display": "Phenobarbital sodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenobarbital sodium, up to 120 mg"
} ]
}, {
"code": "J2561",
"display": "Inj, sezaby, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phenobarbital sodium (sezaby), 1 mg"
} ]
}, {
"code": "J2562",
"display": "Plerixafor injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, plerixafor, 1 mg"
} ]
}, {
"code": "J2590",
"display": "Oxytocin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oxytocin, up to 10 units"
} ]
}, {
"code": "J2597",
"display": "Inj desmopressin acetate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, desmopressin acetate, per 1 mcg"
} ]
}, {
"code": "J2598",
"display": "Inj, vasopressin, 1 unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vasopressin, 1 unit"
} ]
}, {
"code": "J2599",
"display": "Inj vasopressin (am reg) 1 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vasopressin (american regent), not therapeutically equivalent to"
} ]
}, {
"code": "J2599",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j2598, 1 unit"
} ]
}, {
"code": "J2601",
"display": "Inj, vasopressin (baxter)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vasopressin (baxter), 1 unit"
} ]
}, {
"code": "J2650",
"display": "Prednisolone acetate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, prednisolone acetate, up to 1 ml"
} ]
}, {
"code": "J2670",
"display": "Totazoline hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tolazoline hcl, up to 25 mg"
} ]
}, {
"code": "J2675",
"display": "Inj progesterone per 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, progesterone, per 50 mg"
} ]
}, {
"code": "J2679",
"display": "Inj fluphenazine hcl 1.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluphenazine hcl, 1.25 mg"
} ]
}, {
"code": "J2680",
"display": "Fluphenazine decanoate 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluphenazine decanoate, up to 25 mg"
} ]
}, {
"code": "J2690",
"display": "Procainamide hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, procainamide hcl, up to 1 gm"
} ]
}, {
"code": "J2700",
"display": "Oxacillin sodium injeciton",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oxacillin sodium, up to 250 mg"
} ]
}, {
"code": "J2704",
"display": "Inj, propofol, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, propofol, 10 mg"
} ]
}, {
"code": "J2710",
"display": "Neostigmine methylslfte inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, neostigmine methylsulfate, up to 0.5 mg"
} ]
}, {
"code": "J2720",
"display": "Inj protamine sulfate/10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, protamine sulfate, per 10 mg"
} ]
}, {
"code": "J2724",
"display": "Protein c concentrate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, protein c concentrate, intravenous, human, 10 iu"
} ]
}, {
"code": "J2725",
"display": "Inj protirelin per 250 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, protirelin, per 250 mcg"
} ]
}, {
"code": "J2730",
"display": "Pralidoxime chloride inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pralidoxime chloride, up to 1 gm"
} ]
}, {
"code": "J2760",
"display": "Phentolaine mesylate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phentolamine mesylate, up to 5 mg"
} ]
}, {
"code": "J2765",
"display": "Metoclopramide hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, metoclopramide hcl, up to 10 mg"
} ]
}, {
"code": "J2770",
"display": "Quinupristin/dalfopristin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, quinupristin/dalfopristin, 500 mg (150/350)"
} ]
}, {
"code": "J2777",
"display": "Inj, faricimab-svoa, 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, faricimab-svoa, 0.1 mg"
} ]
}, {
"code": "J2778",
"display": "Ranibizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ranibizumab, 0.1 mg"
} ]
}, {
"code": "J2779",
"display": "Inj, susvimo 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg"
} ]
}, {
"code": "J2780",
"display": "Ranitidine hydrochloride inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ranitidine hydrochloride, 25 mg"
} ]
}, {
"code": "J2781",
"display": "Inj, pegcetacoplan, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegcetacoplan, intravitreal, 1 mg"
} ]
}, {
"code": "J2782",
"display": "Inj avacincaptad pegol 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, avacincaptad pegol, 0.1 mg"
} ]
}, {
"code": "J2783",
"display": "Rasburicase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rasburicase, 0.5 mg"
} ]
}, {
"code": "J2785",
"display": "Regadenoson injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, regadenoson, 0.1 mg"
} ]
}, {
"code": "J2786",
"display": "Injection, reslizumab, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, reslizumab, 1 mg"
} ]
}, {
"code": "J2787",
"display": "Riboflavin 5'phos opth<=3ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml"
} ]
}, {
"code": "J2788",
"display": "Rho d immune globulin 50 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)"
} ]
}, {
"code": "J2790",
"display": "Rho d immune globulin inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)"
} ]
}, {
"code": "J2791",
"display": "Rhophylac injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or"
} ]
}, {
"code": "J2791",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intravenous, 100 iu"
} ]
}, {
"code": "J2792",
"display": "Rho(d) immune globulin h, sd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu"
} ]
}, {
"code": "J2793",
"display": "Rilonacept injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rilonacept, 1 mg"
} ]
}, {
"code": "J2794",
"display": "Inj risperdal consta, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risperidone (risperdal consta), 0.5 mg"
} ]
}, {
"code": "J2795",
"display": "Ropivacaine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ropivacaine hydrochloride, 1 mg"
} ]
}, {
"code": "J2796",
"display": "Romiplostim injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romiplostim, 10 micrograms"
} ]
}, {
"code": "J2797",
"display": "Inj., rolapitant, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rolapitant, 0.5 mg"
} ]
}, {
"code": "J2798",
"display": "Inj., perseris, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risperidone, (perseris), 0.5 mg"
} ]
}, {
"code": "J2799",
"display": "Inj, uzedy, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risperidone (uzedy), 1 mg"
} ]
}, {
"code": "J2800",
"display": "Methocarbamol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methocarbamol, up to 10 ml"
} ]
}, {
"code": "J2801",
"display": "Inj, rykindo, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, risperidone (rykindo), 0.5 mg"
} ]
}, {
"code": "J2802",
"display": "Inj, romiplostim 1 microgram",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romiplostim, 1 microgram"
} ]
}, {
"code": "J2805",
"display": "Sincalide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sincalide, 5 micrograms"
} ]
}, {
"code": "J2806",
"display": "Inj sincalide, maia, 5 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sincalide (maia), not therapeutically equivalent to j2805, 5"
} ]
}, {
"code": "J2806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "micrograms"
} ]
}, {
"code": "J2810",
"display": "Inj theophylline per 40 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, theophylline, per 40 mg"
} ]
}, {
"code": "J2820",
"display": "Sargramostim injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sargramostim (gm-csf), 50 mcg"
} ]
}, {
"code": "J2840",
"display": "Inj sebelipase alfa 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sebelipase alfa, 1 mg"
} ]
}, {
"code": "J2850",
"display": "Inj secretin synthetic human",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, secretin, synthetic, human, 1 microgram"
} ]
}, {
"code": "J2860",
"display": "Injection, siltuximab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, siltuximab, 10 mg"
} ]
}, {
"code": "J2910",
"display": "Aurothioglucose injeciton",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aurothioglucose, up to 50 mg"
} ]
}, {
"code": "J2916",
"display": "Na ferric gluconate complex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg"
} ]
}, {
"code": "J2919",
"display": "Inj, methylpred sod succ 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone sodium succinate, 5 mg"
} ]
}, {
"code": "J2920",
"display": "Methylprednisolone injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone sodium succinate, up to 40 mg"
} ]
}, {
"code": "J2930",
"display": "Methylprednisolone injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methylprednisolone sodium succinate, up to 125 mg"
} ]
}, {
"code": "J2940",
"display": "Somatrem injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, somatrem, 1 mg"
} ]
}, {
"code": "J2941",
"display": "Somatropin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, somatropin, 1 mg"
} ]
}, {
"code": "J2950",
"display": "Promazine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, promazine hcl, up to 25 mg"
} ]
}, {
"code": "J2993",
"display": "Reteplase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, reteplase, 18.1 mg"
} ]
}, {
"code": "J2995",
"display": "Inj streptokinase /250000 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, streptokinase, per 250,000 iu"
} ]
}, {
"code": "J2997",
"display": "Alteplase recombinant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alteplase recombinant, 1 mg"
} ]
}, {
"code": "J2998",
"display": "Inj plasminogen tvmh 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, plasminogen, human-tvmh, 1 mg"
} ]
}, {
"code": "J3000",
"display": "Streptomycin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, streptomycin, up to 1 gm"
} ]
}, {
"code": "J3010",
"display": "Fentanyl citrate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fentanyl citrate, 0.1 mg"
} ]
}, {
"code": "J3030",
"display": "Sumatriptan succinate / 6 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J3030",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J3030",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self administered)"
} ]
}, {
"code": "J3031",
"display": "Inj., fremanezumab-vfrm 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug"
} ]
}, {
"code": "J3031",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered under the direct supervision of a physician, not for use when drug"
} ]
}, {
"code": "J3031",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "is self-administered)"
} ]
}, {
"code": "J3032",
"display": "Inj. eptinezumab-jjmr 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eptinezumab-jjmr, 1 mg"
} ]
}, {
"code": "J3055",
"display": "Inj talquetamab-tgvs 0.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, talquetamab-tgvs, 0.25 mg"
} ]
}, {
"code": "J3060",
"display": "Inj, taliglucerase alfa 10 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, taliglucerase alfa, 10 units"
} ]
}, {
"code": "J3070",
"display": "Pentazocine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pentazocine, 30 mg"
} ]
}, {
"code": "J3090",
"display": "Inj tedizolid phosphate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tedizolid phosphate, 1 mg"
} ]
}, {
"code": "J3095",
"display": "Telavancin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, telavancin, 10 mg"
} ]
}, {
"code": "J3101",
"display": "Tenecteplase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tenecteplase, 1 mg"
} ]
}, {
"code": "J3105",
"display": "Terbutaline sulfate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, terbutaline sulfate, up to 1 mg"
} ]
}, {
"code": "J3110",
"display": "Teriparatide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teriparatide, 10 mcg"
} ]
}, {
"code": "J3111",
"display": "Inj. romosozumab-aqqg 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romosozumab-aqqg, 1 mg"
} ]
}, {
"code": "J3120",
"display": "Testosterone enanthate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone enanthate, up to 100 mg"
} ]
}, {
"code": "J3121",
"display": "Inj testostero enanthate 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone enanthate, 1 mg"
} ]
}, {
"code": "J3130",
"display": "Testosterone enanthate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone enanthate, up to 200 mg"
} ]
}, {
"code": "J3140",
"display": "Testosterone suspension inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone suspension, up to 50 mg"
} ]
}, {
"code": "J3145",
"display": "Testosterone undecanoate 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone undecanoate, 1 mg"
} ]
}, {
"code": "J3150",
"display": "Testosteron propionate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, testosterone propionate, up to 100 mg"
} ]
}, {
"code": "J3230",
"display": "Chlorpromazine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, chlorpromazine hcl, up to 50 mg"
} ]
}, {
"code": "J3240",
"display": "Thyrotropin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial"
} ]
}, {
"code": "J3241",
"display": "Inj. teprotumumab-trbw 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teprotumumab-trbw, 10 mg"
} ]
}, {
"code": "J3243",
"display": "Tigecycline injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tigecycline, 1 mg"
} ]
}, {
"code": "J3244",
"display": "Inj. tigecycline (accord)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg"
} ]
}, {
"code": "J3245",
"display": "Inj., tildrakizumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tildrakizumab, 1 mg"
} ]
}, {
"code": "J3246",
"display": "Tirofiban hcl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tirofiban hcl, 0.25 mg"
} ]
}, {
"code": "J3247",
"display": "Inj secukinumab intrav 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, secukinumab, intravenous, 1 mg"
} ]
}, {
"code": "J3250",
"display": "Trimethobenzamide hcl inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trimethobenzamide hcl, up to 200 mg"
} ]
}, {
"code": "J3260",
"display": "Tobramycin sulfate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tobramycin sulfate, up to 80 mg"
} ]
}, {
"code": "J3262",
"display": "Tocilizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tocilizumab, 1 mg"
} ]
}, {
"code": "J3263",
"display": "Inj, toripalimab-tpzi, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, toripalimab-tpzi, 1 mg"
} ]
}, {
"code": "J3265",
"display": "Injection torsemide 10 mg/ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, torsemide, 10 mg/ml"
} ]
}, {
"code": "J3280",
"display": "Thiethylperazine maleate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, thiethylperazine maleate, up to 10 mg"
} ]
}, {
"code": "J3285",
"display": "Treprostinil injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, treprostinil, 1 mg"
} ]
}, {
"code": "J3299",
"display": "Inj xipere 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide (xipere), 1 mg"
} ]
}, {
"code": "J3300",
"display": "Triamcinolone a inj prs-free",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide, preservative free, 1 mg"
} ]
}, {
"code": "J3301",
"display": "Triamcinolone acet inj nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide, not otherwise specified, 10 mg"
} ]
}, {
"code": "J3302",
"display": "Triamcinolone diacetate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone diacetate, per 5 mg"
} ]
}, {
"code": "J3303",
"display": "Triamcinolone hexacetonl inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone hexacetonide, per 5 mg"
} ]
}, {
"code": "J3304",
"display": "Inj triamcinolone ace xr 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide, preservative-free, extended-release,"
} ]
}, {
"code": "J3304",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microsphere formulation, 1 mg"
} ]
}, {
"code": "J3305",
"display": "Inj trimetrexate glucoronate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trimetrexate glucuronate, per 25 mg"
} ]
}, {
"code": "J3310",
"display": "Perphenazine injeciton",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, perphenazine, up to 5 mg"
} ]
}, {
"code": "J3315",
"display": "Triptorelin pamoate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triptorelin pamoate, 3.75 mg"
} ]
}, {
"code": "J3316",
"display": "Inj., triptorelin xr 3.75 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triptorelin, extended-release, 3.75 mg"
} ]
}, {
"code": "J3320",
"display": "Spectinomycn di-hcl inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, spectinomycin dihydrochloride, up to 2 gm"
} ]
}, {
"code": "J3350",
"display": "Urea injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, urea, up to 40 gm"
} ]
}, {
"code": "J3355",
"display": "Urofollitropin, 75 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, urofollitropin, 75 iu"
} ]
}, {
"code": "J3357",
"display": "Ustekinumab sub cu inj, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ustekinumab, for subcutaneous injection, 1 mg"
} ]
}, {
"code": "J3358",
"display": "Ustekinumab, iv inject, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ustekinumab, for intravenous injection, 1 mg"
} ]
}, {
"code": "J3360",
"display": "Diazepam injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, diazepam, up to 5 mg"
} ]
}, {
"code": "J3364",
"display": "Urokinase 5000 iu injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, urokinase, 5000 iu vial"
} ]
}, {
"code": "J3365",
"display": "Urokinase 250,000 iu inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, iv, urokinase, 250,000 i.u. vial"
} ]
}, {
"code": "J3370",
"display": "Vancomycin hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vancomycin hcl, 500 mg"
} ]
}, {
"code": "J3371",
"display": "Inj, vancomycin hcl (mylan)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500"
} ]
}, {
"code": "J3371",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg"
} ]
}, {
"code": "J3372",
"display": "Inj, vancomycin hcl (xellia)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370,"
} ]
}, {
"code": "J3372",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "500 mg"
} ]
}, {
"code": "J3380",
"display": "Inj vedolizumab iv 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vedolizumab, intravenous, 1 mg"
} ]
}, {
"code": "J3385",
"display": "Velaglucerase alfa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, velaglucerase alfa, 100 units"
} ]
}, {
"code": "J3392",
"display": "Inj, exagamglogene autotem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, exagamglogene autotemcel, per treatment"
} ]
}, {
"code": "J3393",
"display": "Inj, betibeglogene autotemce",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, betibeglogene autotemcel, per treatment"
} ]
}, {
"code": "J3394",
"display": "Inj, lovotibeglogene autotem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lovotibeglogene autotemcel, per treatment"
} ]
}, {
"code": "J3396",
"display": "Verteporfin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, verteporfin, 0.1 mg"
} ]
}, {
"code": "J3397",
"display": "Inj., vestronidase alfa-vjbk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vestronidase alfa-vjbk, 1 mg"
} ]
}, {
"code": "J3398",
"display": "Inj luxturna 1 billion vec g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, voretigene neparvovec-rzyl, 1 billion vector genomes"
} ]
}, {
"code": "J3399",
"display": "Inj onase abepar-xioi treat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector"
} ]
}, {
"code": "J3399",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "genomes"
} ]
}, {
"code": "J3400",
"display": "Triflupromazine hcl inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triflupromazine hcl, up to 20 mg"
} ]
}, {
"code": "J3401",
"display": "Vyjuvek 5x10^9pfu/ml, 0.1 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beremagene geperpavec-svdt for topical administration, containing nominal 5 x"
} ]
}, {
"code": "J3401",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "10^9 pfu/ml vector genomes, per 0.1 ml"
} ]
}, {
"code": "J3410",
"display": "Hydroxyzine hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxyzine hcl, up to 25 mg"
} ]
}, {
"code": "J3411",
"display": "Thiamine hcl 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, thiamine hcl, 100 mg"
} ]
}, {
"code": "J3415",
"display": "Pyridoxine hcl 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pyridoxine hcl, 100 mg"
} ]
}, {
"code": "J3420",
"display": "Vitamin b12 injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg"
} ]
}, {
"code": "J3424",
"display": "Inj hydroxocobalamin iv 25mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxocobalamin, intravenous, 25 mg"
} ]
}, {
"code": "J3425",
"display": "Hydroxocobalamin im 10mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxocobalamin, intramuscular, 10 mcg"
} ]
}, {
"code": "J3430",
"display": "Vitamin k phytonadione inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, phytonadione (vitamin k), per 1 mg"
} ]
}, {
"code": "J3465",
"display": "Injection, voriconazole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, voriconazole, 10 mg"
} ]
}, {
"code": "J3470",
"display": "Hyaluronidase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hyaluronidase, up to 150 units"
} ]
}, {
"code": "J3471",
"display": "Ovine, up to 999 usp units",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999"
} ]
}, {
"code": "J3471",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "usp units)"
} ]
}, {
"code": "J3472",
"display": "Ovine, 1000 usp units",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hyaluronidase, ovine, preservative free, per 1000 usp units"
} ]
}, {
"code": "J3473",
"display": "Hyaluronidase recombinant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hyaluronidase, recombinant, 1 usp unit"
} ]
}, {
"code": "J3475",
"display": "Inj magnesium sulfate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, magnesium sulfate, per 500 mg"
} ]
}, {
"code": "J3480",
"display": "Inj potassium chloride",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, potassium chloride, per 2 meq"
} ]
}, {
"code": "J3485",
"display": "Zidovudine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, zidovudine, 10 mg"
} ]
}, {
"code": "J3486",
"display": "Ziprasidone mesylate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ziprasidone mesylate, 10 mg"
} ]
}, {
"code": "J3489",
"display": "Zoledronic acid 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, zoledronic acid, 1 mg"
} ]
}, {
"code": "J3490",
"display": "Drugs unclassified injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unclassified drugs"
} ]
}, {
"code": "J3520",
"display": "Edetate disodium per 150 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Edetate disodium, per 150 mg"
} ]
}, {
"code": "J3530",
"display": "Nasal vaccine inhalation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal vaccine inhalation"
} ]
}, {
"code": "J3535",
"display": "Metered dose inhaler drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug administered through a metered dose inhaler"
} ]
}, {
"code": "J3570",
"display": "Laetrile amygdalin vit b17",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laetrile, amygdalin, vitamin b17"
} ]
}, {
"code": "J3590",
"display": "Unclassified biologics",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unclassified biologics"
} ]
}, {
"code": "J3591",
"display": "Esrd on dialysi drug/bio noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unclassified drug or biological used for esrd on dialysis"
} ]
}, {
"code": "J7030",
"display": "Normal saline solution infus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, normal saline solution , 1000 cc"
} ]
}, {
"code": "J7040",
"display": "Normal saline solution infus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, normal saline solution, sterile (500 ml = 1 unit)"
} ]
}, {
"code": "J7042",
"display": "5% dextrose/normal saline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose/normal saline (500 ml = 1 unit)"
} ]
}, {
"code": "J7050",
"display": "Normal saline solution infus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, normal saline solution, 250 cc"
} ]
}, {
"code": "J7060",
"display": "5% dextrose/water",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose/water (500 ml = 1 unit)"
} ]
}, {
"code": "J7070",
"display": "D5w infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, d5w, 1000 cc"
} ]
}, {
"code": "J7100",
"display": "Dextran 40 infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, dextran 40, 500 ml"
} ]
}, {
"code": "J7110",
"display": "Dextran 75 infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, dextran 75, 500 ml"
} ]
}, {
"code": "J7120",
"display": "Ringers lactate infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ringers lactate infusion, up to 1000 cc"
} ]
}, {
"code": "J7121",
"display": "5% dextrose in lac ringers",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose in lactated ringers infusion, up to 1000 cc"
} ]
}, {
"code": "J7131",
"display": "Hypertonic saline sol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hypertonic saline solution, 1 ml"
} ]
}, {
"code": "J7165",
"display": "Inj, human-lans, per i.u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix"
} ]
}, {
"code": "J7165",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "activity"
} ]
}, {
"code": "J7168",
"display": "Prothrombin complex kcentra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity"
} ]
}, {
"code": "J7169",
"display": "Inj andexxa, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10"
} ]
}, {
"code": "J7169",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg"
} ]
}, {
"code": "J7170",
"display": "Inj., emicizumab-kxwh 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, emicizumab-kxwh, 0.5 mg"
} ]
}, {
"code": "J7171",
"display": "Inj, adzynma, 10 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adamts13, recombinant-krhn, 10 iu"
} ]
}, {
"code": "J7175",
"display": "Inj, factor x, (human), 1iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor x, (human), 1 i.u."
} ]
}, {
"code": "J7177",
"display": "Inj., fibryga, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, human fibrinogen concentrate (fibryga), 1 mg"
} ]
}, {
"code": "J7178",
"display": "Inj human fibrinogen con nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, human fibrinogen concentrate, not otherwise specified, 1 mg"
} ]
}, {
"code": "J7179",
"display": "Vonvendi inj 1 iu vwf:rco",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco"
} ]
}, {
"code": "J7180",
"display": "Factor xiii anti-hem factor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor xiii (antihemophilic factor, human), 1 i.u."
} ]
}, {
"code": "J7181",
"display": "Factor xiii recomb a-subunit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor xiii a-subunit, (recombinant), per iu"
} ]
}, {
"code": "J7182",
"display": "Factor viii recomb novoeight",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per"
} ]
}, {
"code": "J7182",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "iu"
} ]
}, {
"code": "J7183",
"display": "Wilate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco"
} ]
}, {
"code": "J7185",
"display": "Xyntha inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u."
} ]
}, {
"code": "J7186",
"display": "Antihemophilic viii/vwf comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, antihemophilic factor viii/von willebrand factor complex (human),"
} ]
}, {
"code": "J7186",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per factor viii i.u."
} ]
}, {
"code": "J7187",
"display": "Humate-p, inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, von willebrand factor complex (humate-p), per iu vwf:rco"
} ]
}, {
"code": "J7188",
"display": "Factor viii recomb obizur",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u."
} ]
}, {
"code": "J7189",
"display": "Factor viia recomb novoseven",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram"
} ]
}, {
"code": "J7190",
"display": "Factor viii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor viii (antihemophilic factor, human) per i.u."
} ]
}, {
"code": "J7191",
"display": "Factor viii (porcine)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor viii (antihemophilic factor (porcine)), per i.u."
} ]
}, {
"code": "J7192",
"display": "Factor viii recombinant nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise"
} ]
}, {
"code": "J7192",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "J7193",
"display": "Factor ix non-recombinant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor ix (antihemophilic factor, purified, non-recombinant) per i.u."
} ]
}, {
"code": "J7194",
"display": "Factor ix complex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor ix, complex, per i.u."
} ]
}, {
"code": "J7195",
"display": "Factor ix recombinant nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise"
} ]
}, {
"code": "J7195",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "J7196",
"display": "Antithrombin recombinant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, antithrombin recombinant, 50 i.u."
} ]
}, {
"code": "J7197",
"display": "Antithrombin iii injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antithrombin iii (human), per i.u."
} ]
}, {
"code": "J7198",
"display": "Anti-inhibitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anti-inhibitor, per i.u."
} ]
}, {
"code": "J7199",
"display": "Hemophilia clot factor noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemophilia clotting factor, not otherwise classified"
} ]
}, {
"code": "J7200",
"display": "Factor ix recombinan rixubis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu"
} ]
}, {
"code": "J7201",
"display": "Factor ix alprolix recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u."
} ]
}, {
"code": "J7202",
"display": "Factor ix idelvion inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u."
} ]
}, {
"code": "J7203",
"display": "Factor ix recomb gly rebinyn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection factor ix, (antihemophilic factor, recombinant), glycopegylated,"
} ]
}, {
"code": "J7203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(rebinyn), 1 iu"
} ]
}, {
"code": "J7204",
"display": "Inj recombin esperoct per iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, antihemophilic factor (recombinant), (esperoct),"
} ]
}, {
"code": "J7204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "glycopegylated-exei, per iu"
} ]
}, {
"code": "J7205",
"display": "Factor viii fc fusion recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii fc fusion protein (recombinant), per iu"
} ]
}, {
"code": "J7207",
"display": "Factor viii pegylated recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u."
} ]
}, {
"code": "J7208",
"display": "Inj. jivi 1 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl,"
} ]
}, {
"code": "J7208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(jivi), 1 i.u."
} ]
}, {
"code": "J7209",
"display": "Factor viii nuwiq recomb 1iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u."
} ]
}, {
"code": "J7210",
"display": "Inj, afstyla, 1 i.u.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u."
} ]
}, {
"code": "J7211",
"display": "Inj, kovaltry, 1 i.u.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u."
} ]
}, {
"code": "J7212",
"display": "Factor viia recomb sevenfact",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram"
} ]
}, {
"code": "J7213",
"display": "Inj, ixinity, 1 i.u.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, coagulation factor ix (recombinant), ixinity, 1 i.u."
} ]
}, {
"code": "J7214",
"display": "Altuviiio per factor viii iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii/von willebrand factor complex, recombinant (altuviiio),"
} ]
}, {
"code": "J7214",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per factor viii i.u."
} ]
}, {
"code": "J7294",
"display": "Seg acet and eth estr yearly",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly"
} ]
}, {
"code": "J7294",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vaginal system, each"
} ]
}, {
"code": "J7295",
"display": "Eth estr and eton monthly",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly"
} ]
}, {
"code": "J7295",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vaginal ring, each"
} ]
}, {
"code": "J7296",
"display": "Kyleena, 19.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg"
} ]
}, {
"code": "J7297",
"display": "Liletta, 52 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg"
} ]
}, {
"code": "J7298",
"display": "Mirena, 52 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg"
} ]
}, {
"code": "J7300",
"display": "Intraut copper contraceptive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intrauterine copper contraceptive"
} ]
}, {
"code": "J7301",
"display": "Skyla, 13.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg"
} ]
}, {
"code": "J7302",
"display": "Levonorgestrel iu 52 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel-releasing intrauterine contraceptive system, 52 mg"
} ]
}, {
"code": "J7303",
"display": "Contraceptive vaginal ring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive supply, hormone containing vaginal ring, each"
} ]
}, {
"code": "J7304",
"display": "Contraceptive hormone patch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive supply, hormone containing patch, each"
} ]
}, {
"code": "J7306",
"display": "Levonorgestrel implant sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel (contraceptive) implant system, including implants and supplies"
} ]
}, {
"code": "J7307",
"display": "Etonogestrel implant system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Etonogestrel (contraceptive) implant system, including implant and supplies"
} ]
}, {
"code": "J7308",
"display": "Aminolevulinic acid hcl top",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aminolevulinic acid hcl for topical administration, 20%, single unit dosage"
} ]
}, {
"code": "J7308",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "form (354 mg)"
} ]
}, {
"code": "J7309",
"display": "Methyl aminolevulinate, top",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram"
} ]
}, {
"code": "J7310",
"display": "Ganciclovir long act implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ganciclovir, 4.5 mg, long-acting implant"
} ]
}, {
"code": "J7311",
"display": "Inj., retisert, 0.01 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg"
} ]
}, {
"code": "J7312",
"display": "Dexamethasone intra implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dexamethasone, intravitreal implant, 0.1 mg"
} ]
}, {
"code": "J7313",
"display": "Inj., iluvien, 0.01 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg"
} ]
}, {
"code": "J7314",
"display": "Inj., yutiq, 0.01 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg"
} ]
}, {
"code": "J7315",
"display": "Ophthalmic mitomycin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mitomycin, ophthalmic, 0.2 mg"
} ]
}, {
"code": "J7316",
"display": "Inj, ocriplasmin, 0.125 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ocriplasmin, 0.125 mg"
} ]
}, {
"code": "J7318",
"display": "Inj, durolane 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg"
} ]
}, {
"code": "J7320",
"display": "Genvisc 850, inj, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg"
} ]
}, {
"code": "J7321",
"display": "Hyalgan supartz visco-3 dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular"
} ]
}, {
"code": "J7321",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "injection, per dose"
} ]
}, {
"code": "J7322",
"display": "Hymovis injection 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg"
} ]
}, {
"code": "J7323",
"display": "Euflexxa inj per dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose"
} ]
}, {
"code": "J7324",
"display": "Orthovisc inj per dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose"
} ]
}, {
"code": "J7325",
"display": "Synvisc or synvisc-one",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular"
} ]
}, {
"code": "J7325",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "injection, 1 mg"
} ]
}, {
"code": "J7326",
"display": "Gel-one",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, gel-one, for intra-articular injection, per dose"
} ]
}, {
"code": "J7327",
"display": "Monovisc inj per dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, monovisc, for intra-articular injection, per dose"
} ]
}, {
"code": "J7328",
"display": "Gelsyn-3 injection 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg"
} ]
}, {
"code": "J7329",
"display": "Inj, trivisc 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg"
} ]
}, {
"code": "J7330",
"display": "Cultured chondrocytes implnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Autologous cultured chondrocytes, implant"
} ]
}, {
"code": "J7331",
"display": "Synojoynt, inj., 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg"
} ]
}, {
"code": "J7332",
"display": "Inj., triluron, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg"
} ]
}, {
"code": "J7333",
"display": "Visco-3 inj dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, visco-3, for intra-articular injection, per dose"
} ]
}, {
"code": "J7335",
"display": "Capsaicin 8% patch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Capsaicin 8% patch, per 10 square centimeters"
} ]
}, {
"code": "J7336",
"display": "Capsaicin 8% patch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Capsaicin 8% patch, per square centimeter"
} ]
}, {
"code": "J7340",
"display": "Carbidopa levodopa ent 100ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml"
} ]
}, {
"code": "J7342",
"display": "Ciprofloxacin otic susp 6 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Instillation, ciprofloxacin otic suspension, 6 mg"
} ]
}, {
"code": "J7345",
"display": "Aminolevulinic acid, 10% gel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg"
} ]
}, {
"code": "J7351",
"display": "Inj bimatoprost itc imp1mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bimatoprost, intracameral implant, 1 microgram"
} ]
}, {
"code": "J7352",
"display": "Afamelanotide implant, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Afamelanotide implant, 1 mg"
} ]
}, {
"code": "J7353",
"display": "Anacaulase-bcdb 8.8% gel 1 g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anacaulase-bcdb, 8.8% gel, 1 gram"
} ]
}, {
"code": "J7354",
"display": "Cantharidin top, applicator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2"
} ]
}, {
"code": "J7354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg)"
} ]
}, {
"code": "J7355",
"display": "Inj travoprost intra impl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, travoprost, intracameral implant, 1 microgram"
} ]
}, {
"code": "J7401",
"display": "Mometasone furoate sinus imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mometasone furoate sinus implant, 10 micrograms"
} ]
}, {
"code": "J7402",
"display": "Mometasone sinus sinuva",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mometasone furoate sinus implant, (sinuva), 10 micrograms"
} ]
}, {
"code": "J7500",
"display": "Azathioprine oral 50mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Azathioprine, oral, 50 mg"
} ]
}, {
"code": "J7501",
"display": "Azathioprine parenteral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Azathioprine, parenteral, 100 mg"
} ]
}, {
"code": "J7502",
"display": "Cyclosporine oral 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cyclosporine, oral, 100 mg"
} ]
}, {
"code": "J7503",
"display": "Tacrol envarsus ex rel oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg"
} ]
}, {
"code": "J7504",
"display": "Lymphocyte immune globulin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg"
} ]
}, {
"code": "J7505",
"display": "Monoclonal antibodies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Muromonab-cd3, parenteral, 5 mg"
} ]
}, {
"code": "J7506",
"display": "Prednisone oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prednisone, oral, per 5 mg"
} ]
}, {
"code": "J7507",
"display": "Tacrolimus imme rel oral 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tacrolimus, immediate release, oral, 1 mg"
} ]
}, {
"code": "J7508",
"display": "Tacrol astagraf ex rel oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg"
} ]
}, {
"code": "J7509",
"display": "Methylprednisolone oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methylprednisolone oral, per 4 mg"
} ]
}, {
"code": "J7510",
"display": "Prednisolone oral per 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prednisolone oral, per 5 mg"
} ]
}, {
"code": "J7511",
"display": "Antithymocyte globuln rabbit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg"
} ]
}, {
"code": "J7512",
"display": "Prednisone ir or dr oral 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prednisone, immediate release or delayed release, oral, 1 mg"
} ]
}, {
"code": "J7513",
"display": "Daclizumab, parenteral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Daclizumab, parenteral, 25 mg"
} ]
}, {
"code": "J7514",
"display": "Mycophenol (myhibbin) 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mycophenolate mofetil (myhibbin), oral suspension, 100 mg"
} ]
}, {
"code": "J7515",
"display": "Cyclosporine oral 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cyclosporine, oral, 25 mg"
} ]
}, {
"code": "J7516",
"display": "Inj, cyclosporine 250mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclosporine, 250 mg"
} ]
}, {
"code": "J7517",
"display": "Mycophenolate mofetil oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mycophenolate mofetil, oral, 250 mg"
} ]
}, {
"code": "J7518",
"display": "Mycophenolic acid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mycophenolic acid, oral, 180 mg"
} ]
}, {
"code": "J7519",
"display": "Inj. mycophenolate mofetil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mycophenolate mofetil, 10 mg"
} ]
}, {
"code": "J7520",
"display": "Sirolimus, oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sirolimus, oral, 1 mg"
} ]
}, {
"code": "J7525",
"display": "Tacrolimus injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tacrolimus, parenteral, 5 mg"
} ]
}, {
"code": "J7527",
"display": "Oral everolimus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Everolimus, oral, 0.25 mg"
} ]
}, {
"code": "J7599",
"display": "Immunosuppressive drug noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immunosuppressive drug, not otherwise classified"
} ]
}, {
"code": "J7601",
"display": "Ensifentrine inh 3 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ensifentrine, inhalation suspension, fda approved final product,"
} ]
}, {
"code": "J7601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, 3 mg"
} ]
}, {
"code": "J7604",
"display": "Acetylcysteine comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acetylcysteine, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per gram"
} ]
}, {
"code": "J7605",
"display": "Arformoterol non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arformoterol, inhalation solution, fda approved final product, non-compounded,"
} ]
}, {
"code": "J7605",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose form, 15 micrograms"
} ]
}, {
"code": "J7606",
"display": "Formoterol fumarate, inh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Formoterol fumarate, inhalation solution, fda approved final product,"
} ]
}, {
"code": "J7606",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, 20 micrograms"
} ]
}, {
"code": "J7607",
"display": "Levalbuterol comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levalbuterol, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, concentrated form, 0.5 mg"
} ]
}, {
"code": "J7608",
"display": "Acetylcysteine non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acetylcysteine, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7608",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per gram"
} ]
}, {
"code": "J7609",
"display": "Albuterol comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Albuterol, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7609",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose, 1 mg"
} ]
}, {
"code": "J7610",
"display": "Albuterol comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Albuterol, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "concentrated form, 1 mg"
} ]
}, {
"code": "J7611",
"display": "Albuterol non-comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Albuterol, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7611",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, concentrated form, 1 mg"
} ]
}, {
"code": "J7612",
"display": "Levalbuterol non-comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levalbuterol, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7612",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, concentrated form, 0.5 mg"
} ]
}, {
"code": "J7613",
"display": "Albuterol non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Albuterol, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7613",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose, 1 mg"
} ]
}, {
"code": "J7614",
"display": "Levalbuterol non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levalbuterol, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7614",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose, 0.5 mg"
} ]
}, {
"code": "J7615",
"display": "Levalbuterol comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levalbuterol, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7615",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose, 0.5 mg"
} ]
}, {
"code": "J7620",
"display": "Albuterol ipratrop non-comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved"
} ]
}, {
"code": "J7620",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "final product, non-compounded, administered through dme"
} ]
}, {
"code": "J7622",
"display": "Beclomethasone comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Beclomethasone, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7622",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per milligram"
} ]
}, {
"code": "J7624",
"display": "Betamethasone comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Betamethasone, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per milligram"
} ]
}, {
"code": "J7626",
"display": "Budesonide non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Budesonide, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7626",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose form, up to 0.5 mg"
} ]
}, {
"code": "J7627",
"display": "Budesonide comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Budesonide, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose form, up to 0.5 mg"
} ]
}, {
"code": "J7628",
"display": "Bitolterol mesylate comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bitolterol mesylate, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7628",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, concentrated form, per milligram"
} ]
}, {
"code": "J7629",
"display": "Bitolterol mesylate comp unt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bitolterol mesylate, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7631",
"display": "Cromolyn sodium noncomp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cromolyn sodium, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7631",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per 10 milligrams"
} ]
}, {
"code": "J7632",
"display": "Cromolyn sodium comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cromolyn sodium, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7632",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per 10 milligrams"
} ]
}, {
"code": "J7633",
"display": "Budesonide non-comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Budesonide, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7633",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, concentrated form, per 0.25 milligram"
} ]
}, {
"code": "J7634",
"display": "Budesonide comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Budesonide, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7634",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "concentrated form, per 0.25 milligram"
} ]
}, {
"code": "J7635",
"display": "Atropine comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Atropine, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7635",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "concentrated form, per milligram"
} ]
}, {
"code": "J7636",
"display": "Atropine comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Atropine, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7636",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose form, per milligram"
} ]
}, {
"code": "J7637",
"display": "Dexamethasone comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexamethasone, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7637",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, concentrated form, per milligram"
} ]
}, {
"code": "J7638",
"display": "Dexamethasone comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexamethasone, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7638",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per milligram"
} ]
}, {
"code": "J7639",
"display": "Dornase alfa non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dornase alfa, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7639",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7640",
"display": "Formoterol comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Formoterol, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7640",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose form, 12 micrograms"
} ]
}, {
"code": "J7641",
"display": "Flunisolide comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flunisolide, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7641",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose, per milligram"
} ]
}, {
"code": "J7642",
"display": "Glycopyrrolate comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glycopyrrolate, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7642",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, concentrated form, per milligram"
} ]
}, {
"code": "J7643",
"display": "Glycopyrrolate comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glycopyrrolate, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7643",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per milligram"
} ]
}, {
"code": "J7644",
"display": "Ipratropium bromide non-comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ipratropium bromide, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7644",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7645",
"display": "Ipratropium bromide comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ipratropium bromide, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7645",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7647",
"display": "Isoetharine comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoetharine hcl, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7647",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, concentrated form, per milligram"
} ]
}, {
"code": "J7648",
"display": "Isoetharine non-comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoetharine hcl, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7648",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, concentrated form, per milligram"
} ]
}, {
"code": "J7649",
"display": "Isoetharine non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoetharine hcl, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7649",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7650",
"display": "Isoetharine comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoetharine hcl, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per milligram"
} ]
}, {
"code": "J7657",
"display": "Isoproterenol comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoproterenol hcl, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7657",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, concentrated form, per milligram"
} ]
}, {
"code": "J7658",
"display": "Isoproterenol non-comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoproterenol hcl, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7658",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, concentrated form, per milligram"
} ]
}, {
"code": "J7659",
"display": "Isoproterenol non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoproterenol hcl, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7659",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7660",
"display": "Isoproterenol comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Isoproterenol hcl, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7660",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7665",
"display": "Mannitol for inhaler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mannitol, administered through an inhaler, 5 mg"
} ]
}, {
"code": "J7667",
"display": "Metaproterenol comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metaproterenol sulfate, inhalation solution, compounded product, concentrated"
} ]
}, {
"code": "J7667",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "form, per 10 milligrams"
} ]
}, {
"code": "J7668",
"display": "Metaproterenol non-comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metaproterenol sulfate, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7668",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, concentrated form, per 10 milligrams"
} ]
}, {
"code": "J7669",
"display": "Metaproterenol non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metaproterenol sulfate, inhalation solution, fda-approved final product,"
} ]
}, {
"code": "J7669",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-compounded, administered through dme, unit dose form, per 10 milligrams"
} ]
}, {
"code": "J7670",
"display": "Metaproterenol comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metaproterenol sulfate, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7670",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, unit dose form, per 10 milligrams"
} ]
}, {
"code": "J7674",
"display": "Methacholine chloride, neb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methacholine chloride administered as inhalation solution through a nebulizer,"
} ]
}, {
"code": "J7674",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per 1 mg"
} ]
}, {
"code": "J7676",
"display": "Pentamidine comp unit dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pentamidine isethionate, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7676",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, unit dose form, per 300 mg"
} ]
}, {
"code": "J7677",
"display": "Revefenacin inh non-com 1mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revefenacin inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7677",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, 1 microgram"
} ]
}, {
"code": "J7680",
"display": "Terbutaline sulf comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terbutaline sulfate, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7680",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, concentrated form, per milligram"
} ]
}, {
"code": "J7681",
"display": "Terbutaline sulf comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terbutaline sulfate, inhalation solution, compounded product, administered"
} ]
}, {
"code": "J7681",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "through dme, unit dose form, per milligram"
} ]
}, {
"code": "J7682",
"display": "Tobramycin non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tobramycin, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7682",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose form, administered through dme, per 300 milligrams"
} ]
}, {
"code": "J7683",
"display": "Triamcinolone comp con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Triamcinolone, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7683",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, concentrated form, per milligram"
} ]
}, {
"code": "J7684",
"display": "Triamcinolone comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Triamcinolone, inhalation solution, compounded product, administered through"
} ]
}, {
"code": "J7684",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dme, unit dose form, per milligram"
} ]
}, {
"code": "J7685",
"display": "Tobramycin comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tobramycin, inhalation solution, compounded product, administered through dme,"
} ]
}, {
"code": "J7685",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit dose form, per 300 milligrams"
} ]
}, {
"code": "J7686",
"display": "Treprostinil, non-comp unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Treprostinil, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "J7686",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose form, 1.74 mg"
} ]
}, {
"code": "J7699",
"display": "Inhalation solution for dme",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noc drugs, inhalation solution administered through dme"
} ]
}, {
"code": "J7799",
"display": "Non-inhalation drug for dme",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Noc drugs, other than inhalation drugs, administered through dme"
} ]
}, {
"code": "J7999",
"display": "Compounded drug, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compounded drug, not otherwise classified"
} ]
}, {
"code": "J8498",
"display": "Antiemetic rectal/supp nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antiemetic drug, rectal/suppository, not otherwise specified"
} ]
}, {
"code": "J8499",
"display": "Oral prescrip drug non chemo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescription drug, oral, non chemotherapeutic, nos"
} ]
}, {
"code": "J8501",
"display": "Oral aprepitant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aprepitant, oral, 5 mg"
} ]
}, {
"code": "J8510",
"display": "Oral busulfan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Busulfan; oral, 2 mg"
} ]
}, {
"code": "J8515",
"display": "Cabergoline, oral 0.25mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cabergoline, oral, 0.25 mg"
} ]
}, {
"code": "J8520",
"display": "Capecitabine, oral, 150 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Capecitabine, oral, 150 mg"
} ]
}, {
"code": "J8521",
"display": "Capecitabine, oral, 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Capecitabine, oral, 500 mg"
} ]
}, {
"code": "J8522",
"display": "Capecitabine, oral, 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Capecitabine, oral, 50 mg"
} ]
}, {
"code": "J8530",
"display": "Cyclophosphamide oral 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cyclophosphamide; oral, 25 mg"
} ]
}, {
"code": "J8540",
"display": "Oral dexamethasone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexamethasone, oral, 0.25 mg"
} ]
}, {
"code": "J8541",
"display": "Oral, hemady, 0.25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dexamethasone (hemady), oral, 0.25 mg"
} ]
}, {
"code": "J8560",
"display": "Etoposide oral 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Etoposide; oral, 50 mg"
} ]
}, {
"code": "J8562",
"display": "Oral fludarabine phosphate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fludarabine phosphate, oral, 10 mg"
} ]
}, {
"code": "J8565",
"display": "Gefitinib oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gefitinib, oral, 250 mg"
} ]
}, {
"code": "J8597",
"display": "Antiemetic drug oral nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antiemetic drug, oral, not otherwise specified"
} ]
}, {
"code": "J8600",
"display": "Melphalan oral 2 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Melphalan; oral, 2 mg"
} ]
}, {
"code": "J8610",
"display": "Methotrexate oral 2.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methotrexate; oral, 2.5 mg"
} ]
}, {
"code": "J8611",
"display": "Oral methotrexate (jylamvo)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methotrexate (jylamvo), oral, 2.5 mg"
} ]
}, {
"code": "J8612",
"display": "Oral methotrexate (xatmep)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methotrexate (xatmep), oral, 2.5 mg"
} ]
}, {
"code": "J8650",
"display": "Nabilone oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nabilone, oral, 1 mg"
} ]
}, {
"code": "J8655",
"display": "Oral netupitant, palonosetro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Netupitant 300 mg and palonosetron 0.5 mg, oral"
} ]
}, {
"code": "J8670",
"display": "Rolapitant, oral, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rolapitant, oral, 1 mg"
} ]
}, {
"code": "J8700",
"display": "Temozolomide",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Temozolomide, oral, 5 mg"
} ]
}, {
"code": "J8705",
"display": "Topotecan oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Topotecan, oral, 0.25 mg"
} ]
}, {
"code": "J8999",
"display": "Oral prescription drug chemo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescription drug, oral, chemotherapeutic, nos"
} ]
}, {
"code": "J9000",
"display": "Doxorubicin hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, doxorubicin hydrochloride, 10 mg"
} ]
}, {
"code": "J9010",
"display": "Alemtuzumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alemtuzumab, 10 mg"
} ]
}, {
"code": "J9015",
"display": "Aldesleukin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aldesleukin, per single use vial"
} ]
}, {
"code": "J9017",
"display": "Arsenic trioxide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, arsenic trioxide, 1 mg"
} ]
}, {
"code": "J9019",
"display": "Erwinaze injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, asparaginase (erwinaze), 1,000 iu"
} ]
}, {
"code": "J9020",
"display": "Asparaginase, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, asparaginase, not otherwise specified, 10,000 units"
} ]
}, {
"code": "J9021",
"display": "Inj, aspara, rylaze, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, asparaginase, recombinant, (rylaze), 0.1 mg"
} ]
}, {
"code": "J9022",
"display": "Inj, atezolizumab,10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, atezolizumab, 10 mg"
} ]
}, {
"code": "J9023",
"display": "Injection, avelumab, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, avelumab, 10 mg"
} ]
}, {
"code": "J9025",
"display": "Azacitidine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, azacitidine, 1 mg"
} ]
}, {
"code": "J9026",
"display": "Inj, tarlatamab-dlle, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tarlatamab-dlle, 1 mg"
} ]
}, {
"code": "J9027",
"display": "Clofarabine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, clofarabine, 1 mg"
} ]
}, {
"code": "J9028",
"display": "Inj, nogapendekin pmln, 1mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram"
} ]
}, {
"code": "J9029",
"display": "Instill adstiladrin, tx dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose"
} ]
}, {
"code": "J9030",
"display": "Bcg live intravesical 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bcg live intravesical instillation, 1 mg"
} ]
}, {
"code": "J9031",
"display": "Bcg live intravesical vac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bcg (intravesical) per instillation"
} ]
}, {
"code": "J9032",
"display": "Injection, belinostat, 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, belinostat, 10 mg"
} ]
}, {
"code": "J9033",
"display": "Inj, bendamustine hcl, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hydrochloride, 1 mg"
} ]
}, {
"code": "J9034",
"display": "Inj., bendeka 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hcl (bendeka), 1 mg"
} ]
}, {
"code": "J9035",
"display": "Bevacizumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab, 10 mg"
} ]
}, {
"code": "J9036",
"display": "Inj. belrapzo/bendamustine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg"
} ]
}, {
"code": "J9037",
"display": "Inj belantamab mafodot blmf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, belantamab mafodotin-blmf, 0.5 mg"
} ]
}, {
"code": "J9039",
"display": "Injection, blinatumomab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, blinatumomab, 1 microgram"
} ]
}, {
"code": "J9040",
"display": "Bleomycin sulfate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bleomycin sulfate, 15 units"
} ]
}, {
"code": "J9041",
"display": "Injection, bortezomib, 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bortezomib, 0.1 mg"
} ]
}, {
"code": "J9042",
"display": "Brentuximab vedotin inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, brentuximab vedotin, 1 mg"
} ]
}, {
"code": "J9043",
"display": "Cabazitaxel injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cabazitaxel, 1 mg"
} ]
}, {
"code": "J9044",
"display": "Inj, bortezomib, nos, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bortezomib, not otherwise specified, 0.1 mg"
} ]
}, {
"code": "J9045",
"display": "Carboplatin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, carboplatin, 50 mg"
} ]
}, {
"code": "J9046",
"display": "Inj, bortezomib, dr. reddy's",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041,"
} ]
}, {
"code": "J9046",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "0.1 mg"
} ]
}, {
"code": "J9047",
"display": "Injection, carfilzomib, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, carfilzomib, 1 mg"
} ]
}, {
"code": "J9048",
"display": "Inj, bortezomib freseniuskab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bortezomib (fresenius kabi), not therapeutically equivalent to"
} ]
}, {
"code": "J9048",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j9041, 0.1 mg"
} ]
}, {
"code": "J9049",
"display": "Inj, bortezomib, hospira",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg"
} ]
}, {
"code": "J9050",
"display": "Carmustine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, carmustine, 100 mg"
} ]
}, {
"code": "J9051",
"display": "Inj, bortezomib (maia)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg"
} ]
}, {
"code": "J9052",
"display": "Inj, carmustine (accord)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg"
} ]
}, {
"code": "J9055",
"display": "Cetuximab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cetuximab, 10 mg"
} ]
}, {
"code": "J9056",
"display": "Inj, vivimusta, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hydrochloride (vivimusta), 1 mg"
} ]
}, {
"code": "J9057",
"display": "Inj., copanlisib, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, copanlisib, 1 mg"
} ]
}, {
"code": "J9058",
"display": "Inj apotex/bendamustine 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hydrochloride (apotex), 1 mg"
} ]
}, {
"code": "J9059",
"display": "Inj bendamustine, baxter 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bendamustine hydrochloride (baxter), 1 mg"
} ]
}, {
"code": "J9060",
"display": "Cisplatin 10 mg injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cisplatin, powder or solution, 10 mg"
} ]
}, {
"code": "J9061",
"display": "Inj, amivantamab-vmjw",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, amivantamab-vmjw, 2 mg"
} ]
}, {
"code": "J9063",
"display": "Inj, elahere, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mirvetuximab soravtansine-gynx, 1 mg"
} ]
}, {
"code": "J9064",
"display": "Inj, cabazitaxel (sandoz)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg"
} ]
}, {
"code": "J9065",
"display": "Inj cladribine per 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cladribine, per 1 mg"
} ]
}, {
"code": "J9070",
"display": "Cyclophosphamide 100 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cyclophosphamide, 100 mg"
} ]
}, {
"code": "J9071",
"display": "Inj cyclophosphamd auromedic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide (auromedics), 5 mg"
} ]
}, {
"code": "J9072",
"display": "Inj cyclophos avyxa 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide (avyxa), 5 mg"
} ]
}, {
"code": "J9073",
"display": "Inj cyclophosphamd (ingenus)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide (ingenus), 5 mg"
} ]
}, {
"code": "J9074",
"display": "Inj, cyclophosphamd, sandoz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide (sandoz), 5 mg"
} ]
}, {
"code": "J9075",
"display": "Inj, cyclophosphamide, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide, not otherwise specified, 5 mg"
} ]
}, {
"code": "J9076",
"display": "Inj, cyclophos (baxter) 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cyclophosphamide (baxter), 5 mg"
} ]
}, {
"code": "J9098",
"display": "Cytarabine liposome inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cytarabine liposome, 10 mg"
} ]
}, {
"code": "J9100",
"display": "Cytarabine hcl 100 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cytarabine, 100 mg"
} ]
}, {
"code": "J9118",
"display": "Inj. calaspargase pegol-mknl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, calaspargase pegol-mknl, 10 units"
} ]
}, {
"code": "J9119",
"display": "Inj., cemiplimab-rwlc, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cemiplimab-rwlc, 1 mg"
} ]
}, {
"code": "J9120",
"display": "Dactinomycin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dactinomycin, 0.5 mg"
} ]
}, {
"code": "J9130",
"display": "Dacarbazine 100 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dacarbazine, 100 mg"
} ]
}, {
"code": "J9144",
"display": "Daratumumab, hyaluronidase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daratumumab, 10 mg and hyaluronidase-fihj"
} ]
}, {
"code": "J9145",
"display": "Injection, daratumumab 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daratumumab, 10 mg"
} ]
}, {
"code": "J9150",
"display": "Daunorubicin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daunorubicin, 10 mg"
} ]
}, {
"code": "J9151",
"display": "Daunorubicin citrate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, daunorubicin citrate, liposomal formulation, 10 mg"
} ]
}, {
"code": "J9153",
"display": "Inj daunorubicin, cytarabine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine"
} ]
}, {
"code": "J9155",
"display": "Degarelix injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, degarelix, 1 mg"
} ]
}, {
"code": "J9160",
"display": "Denileukin diftitox inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, denileukin diftitox, 300 micrograms"
} ]
}, {
"code": "J9165",
"display": "Diethylstilbestrol injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, diethylstilbestrol diphosphate, 250 mg"
} ]
}, {
"code": "J9171",
"display": "Docetaxel injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, docetaxel, 1 mg"
} ]
}, {
"code": "J9172",
"display": "Docetaxel (docivyx), 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, docetaxel (docivyx), 1 mg"
} ]
}, {
"code": "J9173",
"display": "Inj., durvalumab, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, durvalumab, 10 mg"
} ]
}, {
"code": "J9175",
"display": "Elliotts b solution per ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elliotts' b solution, 1 ml"
} ]
}, {
"code": "J9176",
"display": "Injection, elotuzumab, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, elotuzumab, 1 mg"
} ]
}, {
"code": "J9177",
"display": "Inj enfort vedo-ejfv 0.25mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, enfortumab vedotin-ejfv, 0.25 mg"
} ]
}, {
"code": "J9178",
"display": "Inj, epirubicin hcl, 2 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epirubicin hcl, 2 mg"
} ]
}, {
"code": "J9179",
"display": "Eribulin mesylate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eribulin mesylate, 0.1 mg"
} ]
}, {
"code": "J9181",
"display": "Etoposide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, etoposide, 10 mg"
} ]
}, {
"code": "J9185",
"display": "Fludarabine phosphate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fludarabine phosphate, 50 mg"
} ]
}, {
"code": "J9190",
"display": "Fluorouracil injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fluorouracil, 500 mg"
} ]
}, {
"code": "J9196",
"display": "Inj gemcitabine hcl (accord)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent"
} ]
}, {
"code": "J9196",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to j9201, 200 mg"
} ]
}, {
"code": "J9198",
"display": "Inj. infugem, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gemcitabine hydrochloride, (infugem), 100 mg"
} ]
}, {
"code": "J9199",
"display": "Injection, infugem, 200 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gemcitabine hydrochloride (infugem), 200 mg"
} ]
}, {
"code": "J9200",
"display": "Floxuridine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, floxuridine, 500 mg"
} ]
}, {
"code": "J9201",
"display": "In gemcitabine hcl nos 200mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg"
} ]
}, {
"code": "J9202",
"display": "Goserelin acetate implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Goserelin acetate implant, per 3.6 mg"
} ]
}, {
"code": "J9203",
"display": "Gemtuzumab ozogamicin 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gemtuzumab ozogamicin, 0.1 mg"
} ]
}, {
"code": "J9204",
"display": "Inj mogamulizumab-kpkc, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mogamulizumab-kpkc, 1 mg"
} ]
}, {
"code": "J9205",
"display": "Inj irinotecan liposome 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, irinotecan liposome, 1 mg"
} ]
}, {
"code": "J9206",
"display": "Irinotecan injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, irinotecan, 20 mg"
} ]
}, {
"code": "J9207",
"display": "Ixabepilone injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ixabepilone, 1 mg"
} ]
}, {
"code": "J9208",
"display": "Ifosfamide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ifosfamide, 1 gram"
} ]
}, {
"code": "J9209",
"display": "Mesna injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mesna, 200 mg"
} ]
}, {
"code": "J9210",
"display": "Inj., emapalumab-lzsg, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, emapalumab-lzsg, 1 mg"
} ]
}, {
"code": "J9211",
"display": "Idarubicin hcl injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, idarubicin hydrochloride, 5 mg"
} ]
}, {
"code": "J9212",
"display": "Interferon alfacon-1 inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon alfacon-1, recombinant, 1 microgram"
} ]
}, {
"code": "J9213",
"display": "Interferon alfa-2a inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon, alfa-2a, recombinant, 3 million units"
} ]
}, {
"code": "J9214",
"display": "Interferon alfa-2b inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon, alfa-2b, recombinant, 1 million units"
} ]
}, {
"code": "J9215",
"display": "Interferon alfa-n3 inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu"
} ]
}, {
"code": "J9216",
"display": "Interferon gamma 1-b inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon, gamma 1-b, 3 million units"
} ]
}, {
"code": "J9217",
"display": "Leuprolide acetate suspnsion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leuprolide acetate (for depot suspension), 7.5 mg"
} ]
}, {
"code": "J9218",
"display": "Leuprolide acetate injeciton",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leuprolide acetate, per 1 mg"
} ]
}, {
"code": "J9219",
"display": "Leuprolide acetate implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leuprolide acetate implant, 65 mg"
} ]
}, {
"code": "J9223",
"display": "Inj. lurbinectedin, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, lurbinectedin, 0.1 mg"
} ]
}, {
"code": "J9225",
"display": "Vantas implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Histrelin implant (vantas), 50 mg"
} ]
}, {
"code": "J9226",
"display": "Supprelin la implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Histrelin implant (supprelin la), 50 mg"
} ]
}, {
"code": "J9227",
"display": "Inj. isatuximab-irfc 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, isatuximab-irfc, 10 mg"
} ]
}, {
"code": "J9228",
"display": "Ipilimumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ipilimumab, 1 mg"
} ]
}, {
"code": "J9229",
"display": "Inj inotuzumab ozogam 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, inotuzumab ozogamicin, 0.1 mg"
} ]
}, {
"code": "J9230",
"display": "Mechlorethamine hcl inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg"
} ]
}, {
"code": "J9245",
"display": "Inj melpha hydroch nos 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, melphalan hydrochloride, not otherwise specified, 50 mg"
} ]
}, {
"code": "J9246",
"display": "Inj., evomela, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, melphalan (evomela), 1 mg"
} ]
}, {
"code": "J9247",
"display": "Inj, melphalan flufenami 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, melphalan flufenamide, 1mg"
} ]
}, {
"code": "J9248",
"display": "Inj melphalan (hepzato) 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, melphalan (hepzato), 1 mg"
} ]
}, {
"code": "J9249",
"display": "Inj, melphalan (apotex) 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, melphalan (apotex), 1 mg"
} ]
}, {
"code": "J9250",
"display": "Methotrexate sodium inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methotrexate sodium, 5 mg"
} ]
}, {
"code": "J9255",
"display": "Inj, methotrexate (accord)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg"
} ]
}, {
"code": "J9258",
"display": "Paclitaxel (teva)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paclitaxel protein-bound particles (teva), not therapeutically"
} ]
}, {
"code": "J9258",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equivalent to j9264, 1 mg"
} ]
}, {
"code": "J9259",
"display": "Paclitaxel (american regent)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paclitaxel protein-bound particles (american regent), not"
} ]
}, {
"code": "J9259",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapeutically equivalent to j9264, 1 mg"
} ]
}, {
"code": "J9260",
"display": "Inj methotrexate sodium 50mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, methotrexate sodium, 50 mg"
} ]
}, {
"code": "J9261",
"display": "Nelarabine injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nelarabine, 50 mg"
} ]
}, {
"code": "J9262",
"display": "Inj, omacetaxine mep, 0.01mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, omacetaxine mepesuccinate, 0.01 mg"
} ]
}, {
"code": "J9263",
"display": "Oxaliplatin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, oxaliplatin, 0.5 mg"
} ]
}, {
"code": "J9264",
"display": "Paclitaxel protein bound",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paclitaxel protein-bound particles, 1 mg"
} ]
}, {
"code": "J9265",
"display": "Paclitaxel injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paclitaxel, 30 mg"
} ]
}, {
"code": "J9266",
"display": "Pegaspargase injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegaspargase, per single dose vial"
} ]
}, {
"code": "J9267",
"display": "Paclitaxel injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, paclitaxel, 1 mg"
} ]
}, {
"code": "J9268",
"display": "Pentostatin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pentostatin, 10 mg"
} ]
}, {
"code": "J9269",
"display": "Inj. tagraxofusp-erzs 10 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tagraxofusp-erzs, 10 micrograms"
} ]
}, {
"code": "J9270",
"display": "Plicamycin (mithramycin) inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, plicamycin, 2.5 mg"
} ]
}, {
"code": "J9271",
"display": "Inj pembrolizumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pembrolizumab, 1 mg"
} ]
}, {
"code": "J9272",
"display": "Inj, dostarlimab-gxly, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, dostarlimab-gxly, 10 mg"
} ]
}, {
"code": "J9273",
"display": "Inj tisotu vedotin-tftv, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tisotumab vedotin-tftv, 1 mg"
} ]
}, {
"code": "J9274",
"display": "Inj, tebentafusp-tebn, 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tebentafusp-tebn, 1 microgram"
} ]
}, {
"code": "J9280",
"display": "Mitomycin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mitomycin, 5 mg"
} ]
}, {
"code": "J9281",
"display": "Mitomycin instillation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mitomycin pyelocalyceal instillation, 1 mg"
} ]
}, {
"code": "J9285",
"display": "Inj, olaratumab, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, olaratumab, 10 mg"
} ]
}, {
"code": "J9286",
"display": "Inj glofitamab gxbm, 2.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, glofitamab-gxbm, 2.5 mg"
} ]
}, {
"code": "J9292",
"display": "Inj, pemetrexed (avyxa) 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (avyxa), not therapeutically equivalent to j9305, 10 mg"
} ]
}, {
"code": "J9293",
"display": "Mitoxantrone hydrochl / 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mitoxantrone hydrochloride, per 5 mg"
} ]
}, {
"code": "J9294",
"display": "Inj pemetrexed, hospira 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg"
} ]
}, {
"code": "J9295",
"display": "Injection, necitumumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, necitumumab, 1 mg"
} ]
}, {
"code": "J9296",
"display": "Inj pemetrexed (accord) 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg"
} ]
}, {
"code": "J9297",
"display": "Inj pemetrexed (sandoz) 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg"
} ]
}, {
"code": "J9298",
"display": "Inj nivol relatlimab 3mg/1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg"
} ]
}, {
"code": "J9299",
"display": "Injection, nivolumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nivolumab, 1 mg"
} ]
}, {
"code": "J9300",
"display": "Gemtuzumab ozogamicin inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, gemtuzumab ozogamicin, 5 mg"
} ]
}, {
"code": "J9301",
"display": "Obinutuzumab inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, obinutuzumab, 10 mg"
} ]
}, {
"code": "J9302",
"display": "Ofatumumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ofatumumab, 10 mg"
} ]
}, {
"code": "J9303",
"display": "Panitumumab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, panitumumab, 10 mg"
} ]
}, {
"code": "J9304",
"display": "Inj. pemetrexed, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (pemfexy), 10 mg"
} ]
}, {
"code": "J9305",
"display": "Inj. pemetrexed nos 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed, not otherwise specified, 10 mg"
} ]
}, {
"code": "J9306",
"display": "Injection, pertuzumab, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pertuzumab, 1 mg"
} ]
}, {
"code": "J9307",
"display": "Pralatrexate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pralatrexate, 1 mg"
} ]
}, {
"code": "J9308",
"display": "Injection, ramucirumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ramucirumab, 5 mg"
} ]
}, {
"code": "J9309",
"display": "Inj, polatuzumab vedotin 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, polatuzumab vedotin-piiq, 1 mg"
} ]
}, {
"code": "J9310",
"display": "Rituximab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab, 100 mg"
} ]
}, {
"code": "J9311",
"display": "Inj rituximab, hyaluronidase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab 10 mg and hyaluronidase"
} ]
}, {
"code": "J9312",
"display": "Inj., rituximab, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab, 10 mg"
} ]
}, {
"code": "J9313",
"display": "Inj., lumoxiti, 0.01 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, moxetumomab pasudotox-tdfk, 0.01 mg"
} ]
}, {
"code": "J9314",
"display": "Inj pemetrexed (teva) 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg"
} ]
}, {
"code": "J9315",
"display": "Romidepsin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romidepsin, 1 mg"
} ]
}, {
"code": "J9316",
"display": "Pertuzu, trastuzu, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg"
} ]
}, {
"code": "J9317",
"display": "Sacituzumab govitecan-hziy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sacituzumab govitecan-hziy, 2.5 mg"
} ]
}, {
"code": "J9318",
"display": "Inj romidepsin non-lyo 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romidepsin, non-lyophilized, 0.1 mg"
} ]
}, {
"code": "J9319",
"display": "Inj romidepsin lyophil 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, romidepsin, lyophilized, 0.1 mg"
} ]
}, {
"code": "J9320",
"display": "Streptozocin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, streptozocin, 1 gram"
} ]
}, {
"code": "J9321",
"display": "Inj epcoritamab-bysp 0.16 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epcoritamab-bysp, 0.16 mg"
} ]
}, {
"code": "J9322",
"display": "Inj pemetrexed (bluepoint)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10"
} ]
}, {
"code": "J9322",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mg"
} ]
}, {
"code": "J9323",
"display": "Inj pemetrexed ditromethamin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed ditromethamine, 10 mg"
} ]
}, {
"code": "J9324",
"display": "Inj, pemrydi rtu, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemetrexed (pemrydi rtu), 10 mg"
} ]
}, {
"code": "J9325",
"display": "Inj talimogene laherparepvec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, talimogene laherparepvec, per 1 million plaque forming units"
} ]
}, {
"code": "J9328",
"display": "Temozolomide injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, temozolomide, 1 mg"
} ]
}, {
"code": "J9329",
"display": "Inj, tislelizumab-jsgr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tislelizumab-jsgr, 1mg"
} ]
}, {
"code": "J9330",
"display": "Temsirolimus injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, temsirolimus, 1 mg"
} ]
}, {
"code": "J9331",
"display": "Inj sirolimus prot part 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sirolimus protein-bound particles, 1 mg"
} ]
}, {
"code": "J9332",
"display": "Inj efgartigimod 2mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, efgartigimod alfa-fcab, 2mg"
} ]
}, {
"code": "J9333",
"display": "Inj ronzanolixizum-noli 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rozanolixizumab-noli, 1 mg"
} ]
}, {
"code": "J9334",
"display": "Inj efgart-alfa 2mg hya-qvfc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc"
} ]
}, {
"code": "J9340",
"display": "Thiotepa injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, thiotepa, 15 mg"
} ]
}, {
"code": "J9345",
"display": "Inj, retifanlimab-dlwr, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, retifanlimab-dlwr, 1 mg"
} ]
}, {
"code": "J9347",
"display": "Inj, tremelimumab-actl, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tremelimumab-actl, 1 mg"
} ]
}, {
"code": "J9348",
"display": "Inj. naxitamab-gqgk, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, naxitamab-gqgk, 1 mg"
} ]
}, {
"code": "J9349",
"display": "Inj., tafasitamab-cxix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tafasitamab-cxix, 2 mg"
} ]
}, {
"code": "J9350",
"display": "Inj mosunetuzumab-axgb, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, mosunetuzumab-axgb, 1 mg"
} ]
}, {
"code": "J9351",
"display": "Topotecan injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, topotecan, 0.1 mg"
} ]
}, {
"code": "J9352",
"display": "Injection trabectedin 0.1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trabectedin, 0.1 mg"
} ]
}, {
"code": "J9353",
"display": "Inj. margetuximab-cmkb, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, margetuximab-cmkb, 5 mg"
} ]
}, {
"code": "J9354",
"display": "Inj, ado-trastuzumab emt 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ado-trastuzumab emtansine, 1 mg"
} ]
}, {
"code": "J9355",
"display": "Inj trastuzumab excl biosimi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab, excludes biosimilar, 10 mg"
} ]
}, {
"code": "J9356",
"display": "Inj. herceptin hylecta, 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab, 10 mg and hyaluronidase-oysk"
} ]
}, {
"code": "J9357",
"display": "Valrubicin injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, valrubicin, intravesical, 200 mg"
} ]
}, {
"code": "J9358",
"display": "Inj fam-trastu deru-nxki 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fam-trastuzumab deruxtecan-nxki, 1 mg"
} ]
}, {
"code": "J9359",
"display": "Inj lon tesirin-lpyl 0.075mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, loncastuximab tesirine-lpyl, 0.075 mg"
} ]
}, {
"code": "J9360",
"display": "Vinblastine sulfate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vinblastine sulfate, 1 mg"
} ]
}, {
"code": "J9361",
"display": "Inj, efbemalenograstim alfa-",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, efbemalenograstim alfa-vuxw, 0.5 mg"
} ]
}, {
"code": "J9370",
"display": "Vincristine sulfate 1 mg inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vincristine sulfate, 1 mg"
} ]
}, {
"code": "J9371",
"display": "Inj, vincristine sul lip 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vincristine sulfate liposome, 1 mg"
} ]
}, {
"code": "J9376",
"display": "Inj pozelimab-bbfg, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pozelimab-bbfg, 1 mg"
} ]
}, {
"code": "J9380",
"display": "Inj teclistamab cqyv 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teclistamab-cqyv, 0.5 mg"
} ]
}, {
"code": "J9381",
"display": "Inj teplizumab mzwv 5 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teplizumab-mzwv, 5 mcg"
} ]
}, {
"code": "J9390",
"display": "Vinorelbine tartrate inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, vinorelbine tartrate, 10 mg"
} ]
}, {
"code": "J9393",
"display": "Inj, fulvestrant (teva)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg"
} ]
}, {
"code": "J9394",
"display": "Inj, fulvestrant (fresenius)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to"
} ]
}, {
"code": "J9394",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "j9395, 25 mg"
} ]
}, {
"code": "J9395",
"display": "Injection, fulvestrant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fulvestrant, 25 mg"
} ]
}, {
"code": "J9400",
"display": "Inj, ziv-aflibercept, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ziv-aflibercept, 1 mg"
} ]
}, {
"code": "J9600",
"display": "Porfimer sodium injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, porfimer sodium, 75 mg"
} ]
}, {
"code": "J9999",
"display": "Chemotherapy drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Not otherwise classified, antineoplastic drugs"
} ]
}, {
"code": "K0001",
"display": "Standard wheelchair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standard wheelchair"
} ]
}, {
"code": "K0002",
"display": "Stnd hemi (low seat) whlchr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standard hemi (low seat) wheelchair"
} ]
}, {
"code": "K0003",
"display": "Lightweight wheelchair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lightweight wheelchair"
} ]
}, {
"code": "K0004",
"display": "High strength ltwt whlchr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High strength, lightweight wheelchair"
} ]
}, {
"code": "K0005",
"display": "Ultralightweight wheelchair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultralightweight wheelchair"
} ]
}, {
"code": "K0006",
"display": "Heavy duty wheelchair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heavy duty wheelchair"
} ]
}, {
"code": "K0007",
"display": "Extra heavy duty wheelchair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extra heavy duty wheelchair"
} ]
}, {
"code": "K0008",
"display": "Cstm manual wheelchair/base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom manual wheelchair/base"
} ]
}, {
"code": "K0009",
"display": "Other manual wheelchair/base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other manual wheelchair/base"
} ]
}, {
"code": "K0010",
"display": "Stnd wt frame power whlchr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standard - weight frame motorized/power wheelchair"
} ]
}, {
"code": "K0011",
"display": "Stnd wt pwr whlchr w control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standard - weight frame motorized/power wheelchair with programmable control"
} ]
}, {
"code": "K0011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "parameters for speed adjustment, tremor dampening, acceleration control and"
} ]
}, {
"code": "K0011",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "braking"
} ]
}, {
"code": "K0012",
"display": "Ltwt portbl power whlchr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lightweight portable motorized/power wheelchair"
} ]
}, {
"code": "K0013",
"display": "Custom power whlchr base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom motorized/power wheelchair base"
} ]
}, {
"code": "K0014",
"display": "Other power whlchr base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other motorized/power wheelchair base"
} ]
}, {
"code": "K0015",
"display": "Detach non-adj ht armrst rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Detachable, non-adjustable height armrest, replacement only, each"
} ]
}, {
"code": "K0017",
"display": "Detach adjust armrest base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Detachable, adjustable height armrest, base, replacement only, each"
} ]
}, {
"code": "K0018",
"display": "Detach adjust armrst upper",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Detachable, adjustable height armrest, upper portion, replacement only, each"
} ]
}, {
"code": "K0019",
"display": "Arm pad repl, each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arm pad, replacement only, each"
} ]
}, {
"code": "K0020",
"display": "Fixed adjust armrest pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fixed, adjustable height armrest, pair"
} ]
}, {
"code": "K0037",
"display": "Hi mount flip-up footrest ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High mount flip-up footrest, each"
} ]
}, {
"code": "K0038",
"display": "Leg strap each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg strap, each"
} ]
}, {
"code": "K0039",
"display": "Leg strap h style each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg strap, h style, each"
} ]
}, {
"code": "K0040",
"display": "Adjustable angle footplate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjustable angle footplate, each"
} ]
}, {
"code": "K0041",
"display": "Large size footplate each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Large size footplate, each"
} ]
}, {
"code": "K0042",
"display": "Standard size ftplate rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Standard size footplate, replacement only, each"
} ]
}, {
"code": "K0043",
"display": "Ftrst lowr exten tube rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Footrest, lower extension tube, replacement only, each"
} ]
}, {
"code": "K0044",
"display": "Ftrst upr hanger brac rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Footrest, upper hanger bracket, replacement only, each"
} ]
}, {
"code": "K0045",
"display": "Ftrst compl assembly repl ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Footrest, complete assembly, replacement only, each"
} ]
}, {
"code": "K0046",
"display": "Elev lgrst lwr exten repl ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevating legrest, lower extension tube, replacement only, each"
} ]
}, {
"code": "K0047",
"display": "Elev legrst upr hangr rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevating legrest, upper hanger bracket, replacement only, each"
} ]
}, {
"code": "K0050",
"display": "Ratchet assembly replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ratchet assembly, replacement only"
} ]
}, {
"code": "K0051",
"display": "Cam rel asm ft/legrst rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cam release assembly, footrest or legrest, replacement only, each"
} ]
}, {
"code": "K0052",
"display": "Swingaway detach ftrest repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Swingaway, detachable footrests, replacement only, each"
} ]
}, {
"code": "K0053",
"display": "Elevate footrest articulate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevating footrests, articulating (telescoping), each"
} ]
}, {
"code": "K0056",
"display": "Seat ht <17 or >=21 ltwt wc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Seat height less than 17\" or equal to or greater than 21\" for a high strength,"
} ]
}, {
"code": "K0056",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lightweight, or ultralightweight wheelchair"
} ]
}, {
"code": "K0065",
"display": "Spoke protectors",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spoke protectors, each"
} ]
}, {
"code": "K0069",
"display": "Rr whl compl sol tire rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement"
} ]
}, {
"code": "K0069",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "K0070",
"display": "Rr whl compl pne tire rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded,"
} ]
}, {
"code": "K0070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "K0071",
"display": "Fr cstr comp pne tire rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Front caster assembly, complete, with pneumatic tire, replacement only, each"
} ]
}, {
"code": "K0072",
"display": "Fr cstr semi-pne tire rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Front caster assembly, complete, with semi-pneumatic tire, replacement only,"
} ]
}, {
"code": "K0072",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "K0073",
"display": "Caster pin lock each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Caster pin lock, each"
} ]
}, {
"code": "K0077",
"display": "Fr cstr asmb sol tire rep ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Front caster assembly, complete, with solid tire, replacement only, each"
} ]
}, {
"code": "K0098",
"display": "Drive belt for pwc, repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drive belt for power wheelchair, replacement only"
} ]
}, {
"code": "K0105",
"display": "Iv hanger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv hanger, each"
} ]
}, {
"code": "K0108",
"display": "W/c component-accessory nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair component or accessory, not otherwise specified"
} ]
}, {
"code": "K0195",
"display": "Elevating whlchair leg rests",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevating leg rests, pair (for use with capped rental wheelchair base)"
} ]
}, {
"code": "K0455",
"display": "Pump uninterrupted infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion pump used for uninterrupted parenteral administration of medication,"
} ]
}, {
"code": "K0455",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., epoprostenol or treprostinol)"
} ]
}, {
"code": "K0462",
"display": "Temporary replacement eqpmnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Temporary replacement for patient owned equipment being repaired, any type"
} ]
}, {
"code": "K0552",
"display": "Sup/ext non-ins inf pump syr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for external non-insulin drug infusion pump, syringe type cartridge,"
} ]
}, {
"code": "K0552",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sterile, each"
} ]
}, {
"code": "K0553",
"display": "Ther cgm supply allowance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supply allowance for therapeutic continuous glucose monitor (cgm), includes all"
} ]
}, {
"code": "K0553",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "supplies and accessories, 1 month supply = 1 unit of service"
} ]
}, {
"code": "K0554",
"display": "Ther cgm receiver/monitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receiver (monitor), dedicated, for use with therapeutic glucose continuous"
} ]
}, {
"code": "K0554",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitor system"
} ]
}, {
"code": "K0601",
"display": "Repl batt silver oxide 1.5 v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for external infusion pump owned by patient, silver oxide,"
} ]
}, {
"code": "K0601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1.5 volt, each"
} ]
}, {
"code": "K0602",
"display": "Repl batt silver oxide 3 v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for external infusion pump owned by patient, silver oxide,"
} ]
}, {
"code": "K0602",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "3 volt, each"
} ]
}, {
"code": "K0603",
"display": "Repl batt alkaline 1.5 v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for external infusion pump owned by patient, alkaline, 1.5"
} ]
}, {
"code": "K0603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "volt, each"
} ]
}, {
"code": "K0604",
"display": "Repl batt lithium 3.6 v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for external infusion pump owned by patient, lithium, 3.6"
} ]
}, {
"code": "K0604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "volt, each"
} ]
}, {
"code": "K0605",
"display": "Repl batt lithium 4.5 v",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for external infusion pump owned by patient, lithium, 4.5"
} ]
}, {
"code": "K0605",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "volt, each"
} ]
}, {
"code": "K0606",
"display": "Aed garment w elec analysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Automatic external defibrillator, with integrated electrocardiogram analysis,"
} ]
}, {
"code": "K0606",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "garment type"
} ]
}, {
"code": "K0607",
"display": "Repl batt for aed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement battery for automated external defibrillator, garment type only,"
} ]
}, {
"code": "K0607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "K0608",
"display": "Repl garment for aed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement garment for use with automated external defibrillator, each"
} ]
}, {
"code": "K0609",
"display": "Repl electrode for aed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement electrodes for use with automated external defibrillator, garment"
} ]
}, {
"code": "K0609",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "type only, each"
} ]
}, {
"code": "K0669",
"display": "Seat/back cus no dmepdac ver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair accessory, wheelchair seat or back cushion, does not meet specific"
} ]
}, {
"code": "K0669",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "code criteria or no written coding verification from dme pdac"
} ]
}, {
"code": "K0672",
"display": "Removable soft interface le",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, removable soft interface, all components,"
} ]
}, {
"code": "K0672",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "K0730",
"display": "Ctrl dose inh drug deliv sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Controlled dose inhalation drug delivery system"
} ]
}, {
"code": "K0733",
"display": "12-24hr sealed lead acid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each"
} ]
}, {
"code": "K0733",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., gel cell, absorbed glassmat)"
} ]
}, {
"code": "K0738",
"display": "Portable gas oxygen system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable gaseous oxygen system, rental; home compressor used to fill portable"
} ]
}, {
"code": "K0738",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "oxygen cylinders; includes portable containers, regulator, flowmeter,"
} ]
}, {
"code": "K0738",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "humidifier, cannula or mask, and tubing"
} ]
}, {
"code": "K0739",
"display": "Repair/svc dme non-oxygen eq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair or nonroutine service for durable medical equipment other than oxygen"
} ]
}, {
"code": "K0739",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equipment requiring the skill of a technician, labor component, per 15 minutes"
} ]
}, {
"code": "K0740",
"display": "Repair/svc oxygen equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair or nonroutine service for oxygen equipment requiring the skill of a"
} ]
}, {
"code": "K0740",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "technician, labor component, per 15 minutes"
} ]
}, {
"code": "K0743",
"display": "Portable home suction pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suction pump, home model, portable, for use on wounds"
} ]
}, {
"code": "K0744",
"display": "Absorp drg <= 16 suc pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Absorptive wound dressing for use with suction pump, home model, portable, pad"
} ]
}, {
"code": "K0744",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size 16 square inches or less"
} ]
}, {
"code": "K0745",
"display": "Absorp drg >16<=48 suc pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Absorptive wound dressing for use with suction pump, home model, portable, pad"
} ]
}, {
"code": "K0745",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size more than 16 square inches but less than or equal to 48 square inches"
} ]
}, {
"code": "K0746",
"display": "Absorp drg >48 suc pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Absorptive wound dressing for use with suction pump, home model, portable, pad"
} ]
}, {
"code": "K0746",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size greater than 48 square inches"
} ]
}, {
"code": "K0800",
"display": "Pov group 1 std up to 300lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, group 1 standard, patient weight capacity up to and"
} ]
}, {
"code": "K0800",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including 300 pounds"
} ]
}, {
"code": "K0801",
"display": "Pov group 1 hd 301-450 lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450"
} ]
}, {
"code": "K0801",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pounds"
} ]
}, {
"code": "K0802",
"display": "Pov group 1 vhd 451-600 lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to"
} ]
}, {
"code": "K0802",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "600 pounds"
} ]
}, {
"code": "K0806",
"display": "Pov group 2 std up to 300lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, group 2 standard, patient weight capacity up to and"
} ]
}, {
"code": "K0806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including 300 pounds"
} ]
}, {
"code": "K0807",
"display": "Pov group 2 hd 301-450 lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450"
} ]
}, {
"code": "K0807",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pounds"
} ]
}, {
"code": "K0808",
"display": "Pov group 2 vhd 451-600 lbs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to"
} ]
}, {
"code": "K0808",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "600 pounds"
} ]
}, {
"code": "K0812",
"display": "Power operated vehicle noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power operated vehicle, not otherwise classified"
} ]
}, {
"code": "K0813",
"display": "Pwc gp 1 std port seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 1 standard, portable, sling/solid seat and back,"
} ]
}, {
"code": "K0813",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0814",
"display": "Pwc gp 1 std port cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 1 standard, portable, captains chair, patient weight"
} ]
}, {
"code": "K0814",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity up to and including 300 pounds"
} ]
}, {
"code": "K0815",
"display": "Pwc gp 1 std seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 1 standard, sling/solid seat and back, patient weight"
} ]
}, {
"code": "K0815",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity up to and including 300 pounds"
} ]
}, {
"code": "K0816",
"display": "Pwc gp 1 std cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 1 standard, captains chair, patient weight capacity up"
} ]
}, {
"code": "K0816",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to and including 300 pounds"
} ]
}, {
"code": "K0820",
"display": "Pwc gp 2 std port seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient"
} ]
}, {
"code": "K0820",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0821",
"display": "Pwc gp 2 std port cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, portable, captains chair, patient weight"
} ]
}, {
"code": "K0821",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity up to and including 300 pounds"
} ]
}, {
"code": "K0822",
"display": "Pwc gp 2 std seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, sling/solid seat/back, patient weight"
} ]
}, {
"code": "K0822",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity up to and including 300 pounds"
} ]
}, {
"code": "K0823",
"display": "Pwc gp 2 std cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, captains chair, patient weight capacity up"
} ]
}, {
"code": "K0823",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to and including 300 pounds"
} ]
}, {
"code": "K0824",
"display": "Pwc gp 2 hd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight"
} ]
}, {
"code": "K0824",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity 301 to 450 pounds"
} ]
}, {
"code": "K0825",
"display": "Pwc gp 2 hd cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity"
} ]
}, {
"code": "K0825",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "301 to 450 pounds"
} ]
}, {
"code": "K0826",
"display": "Pwc gp 2 vhd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient"
} ]
}, {
"code": "K0826",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity 451 to 600 pounds"
} ]
}, {
"code": "K0827",
"display": "Pwc gp vhd cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 very heavy duty, captains chair, patient weight"
} ]
}, {
"code": "K0827",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity 451 to 600 pounds"
} ]
}, {
"code": "K0828",
"display": "Pwc gp 2 xtra hd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient"
} ]
}, {
"code": "K0828",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity 601 pounds or more"
} ]
}, {
"code": "K0829",
"display": "Pwc gp 2 xtra hd cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601"
} ]
}, {
"code": "K0829",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pounds or more"
} ]
}, {
"code": "K0830",
"display": "Pwc gp2 std seat elevate s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back,"
} ]
}, {
"code": "K0830",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0831",
"display": "Pwc gp2 std seat elevate cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, seat elevator, captains chair, patient"
} ]
}, {
"code": "K0831",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0835",
"display": "Pwc gp2 std sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, single power option, sling/solid seat/back,"
} ]
}, {
"code": "K0835",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0836",
"display": "Pwc gp2 std sing pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, single power option, captains chair,"
} ]
}, {
"code": "K0836",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0837",
"display": "Pwc gp 2 hd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0837",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0838",
"display": "Pwc gp 2 hd sing pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 heavy duty, single power option, captains chair,"
} ]
}, {
"code": "K0838",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0839",
"display": "Pwc gp2 vhd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 very heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0839",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 451 to 600 pounds"
} ]
}, {
"code": "K0840",
"display": "Pwc gp2 xhd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 extra heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 601 pounds or more"
} ]
}, {
"code": "K0841",
"display": "Pwc gp2 std mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, multiple power option, sling/solid"
} ]
}, {
"code": "K0841",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0842",
"display": "Pwc gp2 std mult pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 standard, multiple power option, captains chair,"
} ]
}, {
"code": "K0842",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0843",
"display": "Pwc gp2 hd mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 2 heavy duty, multiple power option, sling/solid"
} ]
}, {
"code": "K0843",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0848",
"display": "Pwc gp 3 std seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 standard, sling/solid seat/back, patient weight"
} ]
}, {
"code": "K0848",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity up to and including 300 pounds"
} ]
}, {
"code": "K0849",
"display": "Pwc gp 3 std cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 standard, captains chair, patient weight capacity up"
} ]
}, {
"code": "K0849",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to and including 300 pounds"
} ]
}, {
"code": "K0850",
"display": "Pwc gp 3 hd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight"
} ]
}, {
"code": "K0850",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity 301 to 450 pounds"
} ]
}, {
"code": "K0851",
"display": "Pwc gp 3 hd cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity"
} ]
}, {
"code": "K0851",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "301 to 450 pounds"
} ]
}, {
"code": "K0852",
"display": "Pwc gp 3 vhd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient"
} ]
}, {
"code": "K0852",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity 451 to 600 pounds"
} ]
}, {
"code": "K0853",
"display": "Pwc gp 3 vhd cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 very heavy duty, captains chair, patient weight"
} ]
}, {
"code": "K0853",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity 451 to 600 pounds"
} ]
}, {
"code": "K0854",
"display": "Pwc gp 3 xhd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient"
} ]
}, {
"code": "K0854",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity 601 pounds or more"
} ]
}, {
"code": "K0855",
"display": "Pwc gp 3 xhd cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 extra heavy duty, captains chair, patient weight"
} ]
}, {
"code": "K0855",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity 601 pounds or more"
} ]
}, {
"code": "K0856",
"display": "Pwc gp3 std sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 standard, single power option, sling/solid seat/back,"
} ]
}, {
"code": "K0856",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0857",
"display": "Pwc gp3 std sing pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 standard, single power option, captains chair,"
} ]
}, {
"code": "K0857",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0858",
"display": "Pwc gp3 hd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0858",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight 301 to 450 pounds"
} ]
}, {
"code": "K0859",
"display": "Pwc gp3 hd sing pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 heavy duty, single power option, captains chair,"
} ]
}, {
"code": "K0859",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0860",
"display": "Pwc gp3 vhd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 very heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0860",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 451 to 600 pounds"
} ]
}, {
"code": "K0861",
"display": "Pwc gp3 std mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 standard, multiple power option, sling/solid"
} ]
}, {
"code": "K0861",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0862",
"display": "Pwc gp3 hd mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 heavy duty, multiple power option, sling/solid"
} ]
}, {
"code": "K0862",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0863",
"display": "Pwc gp3 vhd mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid"
} ]
}, {
"code": "K0863",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 451 to 600 pounds"
} ]
}, {
"code": "K0864",
"display": "Pwc gp3 xhd mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid"
} ]
}, {
"code": "K0864",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 601 pounds or more"
} ]
}, {
"code": "K0868",
"display": "Pwc gp 4 std seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 standard, sling/solid seat/back, patient weight"
} ]
}, {
"code": "K0868",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity up to and including 300 pounds"
} ]
}, {
"code": "K0869",
"display": "Pwc gp 4 std cap chair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 standard, captains chair, patient weight capacity up"
} ]
}, {
"code": "K0869",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to and including 300 pounds"
} ]
}, {
"code": "K0870",
"display": "Pwc gp 4 hd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight"
} ]
}, {
"code": "K0870",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "capacity 301 to 450 pounds"
} ]
}, {
"code": "K0871",
"display": "Pwc gp 4 vhd seat/back",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient"
} ]
}, {
"code": "K0871",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weight capacity 451 to 600 pounds"
} ]
}, {
"code": "K0877",
"display": "Pwc gp4 std sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 standard, single power option, sling/solid seat/back,"
} ]
}, {
"code": "K0877",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0878",
"display": "Pwc gp4 std sing pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 standard, single power option, captains chair,"
} ]
}, {
"code": "K0878",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0879",
"display": "Pwc gp4 hd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0879",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0880",
"display": "Pwc gp4 vhd sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 very heavy duty, single power option, sling/solid"
} ]
}, {
"code": "K0880",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight 451 to 600 pounds"
} ]
}, {
"code": "K0884",
"display": "Pwc gp4 std mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 standard, multiple power option, sling/solid"
} ]
}, {
"code": "K0884",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0885",
"display": "Pwc gp4 std mult pow opt cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 standard, multiple power option, captains chair,"
} ]
}, {
"code": "K0885",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient weight capacity up to and including 300 pounds"
} ]
}, {
"code": "K0886",
"display": "Pwc gp4 hd mult pow s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 4 heavy duty, multiple power option, sling/solid"
} ]
}, {
"code": "K0886",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity 301 to 450 pounds"
} ]
}, {
"code": "K0890",
"display": "Pwc gp5 ped sing pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 5 pediatric, single power option, sling/solid"
} ]
}, {
"code": "K0890",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity up to and including 125 pounds"
} ]
}, {
"code": "K0891",
"display": "Pwc gp5 ped mult pow opt s/b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, group 5 pediatric, multiple power option, sling/solid"
} ]
}, {
"code": "K0891",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "seat/back, patient weight capacity up to and including 125 pounds"
} ]
}, {
"code": "K0898",
"display": "Power wheelchair noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power wheelchair, not otherwise classified"
} ]
}, {
"code": "K0899",
"display": "Pow mobil dev no dmepdac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power mobility device, not coded by dme pdac or does not meet criteria"
} ]
}, {
"code": "K0900",
"display": "Cstm dme other than wheelchr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Customized durable medical equipment, other than wheelchair"
} ]
}, {
"code": "K0901",
"display": "Ko single upright pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "K0901",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "K0901",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
} ]
}, {
"code": "K0902",
"display": "Ko double upright pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "K0902",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "K0902",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
} ]
}, {
"code": "K0903",
"display": "Mult den insert dir carv/cam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "For diabetics only, multiple density insert, made by direct carving with cam"
} ]
}, {
"code": "K0903",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "technology from a rectified cad model created from a digitized scan of the"
} ]
}, {
"code": "K0903",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient, total contact with patient's foot, including arch, base layer minimum"
} ]
}, {
"code": "K0903",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler"
} ]
}, {
"code": "K0903",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and other shaping material, custom fabricated, each"
} ]
}, {
"code": "K1001",
"display": "Electronic posa treatment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic positional obstructive sleep apnea treatment, with sensor, includes"
} ]
}, {
"code": "K1001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "all components and accessories, any type"
} ]
}, {
"code": "K1002",
"display": "Ces system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cranial electrotherapy stimulation (ces) system, any type"
} ]
}, {
"code": "K1003",
"display": "Whirlpool tub walkin portabl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whirlpool tub, walk-in, portable"
} ]
}, {
"code": "K1004",
"display": "Lo freq us diathermy device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low frequency ultrasonic diathermy treatment device for home use"
} ]
}, {
"code": "K1005",
"display": "Disp col sto bag breast milk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable collection and storage bag for breast milk, any size, any type, each"
} ]
}, {
"code": "K1006",
"display": "Suct pum ext urine mgmt sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suction pump, home model, portable or stationary, electric, any type, for use"
} ]
}, {
"code": "K1006",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with external urine management system"
} ]
}, {
"code": "K1007",
"display": "Bil hkaf pc s/d micro sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bilateral hip, knee, ankle, foot device, powered, includes pelvic component,"
} ]
}, {
"code": "K1007",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single or double upright(s), knee joints any type, with or without ankle joints"
} ]
}, {
"code": "K1007",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "any type, includes all components and accessories, motors, microprocessors,"
} ]
}, {
"code": "K1007",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "sensors"
} ]
}, {
"code": "K1009",
"display": "Speech volume modulation sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech volume modulation system, any type, including all components and"
} ]
}, {
"code": "K1009",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories"
} ]
}, {
"code": "K1010",
"display": "Intraurethral drainag device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Indwelling intraurethral drainage device with valve, patient inserted,"
} ]
}, {
"code": "K1010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "K1011",
"display": "Acti intraurethral drainage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Activation device for intraurethral drainage device with valve, replacement"
} ]
}, {
"code": "K1011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, each"
} ]
}, {
"code": "K1012",
"display": "Charger base station intraur",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Charger and base station for intraurethral activation device, replacement only"
} ]
}, {
"code": "K1013",
"display": "Enema tube any type repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enema tube, with or without adapter, any type, replacement only, each"
} ]
}, {
"code": "K1014",
"display": "Ak 4 bar link hydl swg/stanc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid"
} ]
}, {
"code": "K1014",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing and stance phase control"
} ]
}, {
"code": "K1015",
"display": "Foot, adductus position, adj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, adductus positioning device, adjustable"
} ]
}, {
"code": "K1016",
"display": "Trans elec nerv for trigemin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcutaneous electrical nerve stimulator for electrical stimulation of the"
} ]
}, {
"code": "K1016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trigeminal nerve"
} ]
}, {
"code": "K1017",
"display": "Monthly supp use with k1016",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monthly supplies for use of device coded at k1016"
} ]
}, {
"code": "K1018",
"display": "Ext up limb tremor stim wris",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External upper limb tremor stimulator of the peripheral nerves of the wrist"
} ]
}, {
"code": "K1019",
"display": "Supp ext up limb tremor stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies and accessories for external upper limb tremor stimulator of the"
} ]
}, {
"code": "K1019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "peripheral nerves of the wrist"
} ]
}, {
"code": "K1020",
"display": "Non-invasive vagus nerv stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-invasive vagus nerve stimulator"
} ]
}, {
"code": "K1021",
"display": "Exsuff belt incl all sup acc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exsufflation belt, includes all supplies and accessories"
} ]
}, {
"code": "K1022",
"display": "Endoskel posit rotat unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, endoskeletal, knee disarticulation,"
} ]
}, {
"code": "K1022",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "above knee, hip disarticulation, positional rotation unit, any type"
} ]
}, {
"code": "K1023",
"display": "Trans elec nerv periph nerv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves"
} ]
}, {
"code": "K1023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of the upper arm"
} ]
}, {
"code": "K1024",
"display": "Non pneum comp control cal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic compression controller with sequential calibrated gradient"
} ]
}, {
"code": "K1024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pressure"
} ]
}, {
"code": "K1025",
"display": "Non pneum compress full arm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, full arm"
} ]
}, {
"code": "K1026",
"display": "Mech allergen parti barrier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical"
} ]
}, {
"code": "K1027",
"display": "Oral dev without fix mech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral device/appliance used to reduce upper airway collapsibility, without fixed"
} ]
}, {
"code": "K1027",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanical hinge, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "K1028",
"display": "Control unit nm stim w phone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power source and control electronics unit for oral device/appliance for"
} ]
}, {
"code": "K1028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neuromuscular electrical stimulation of the tongue muscle, controlled by phone"
} ]
}, {
"code": "K1028",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "application"
} ]
}, {
"code": "K1029",
"display": "Oral dv/app neuromus mouthpi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral device/appliance for neuromuscular electrical stimulation of the tongue"
} ]
}, {
"code": "K1029",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle, used in conjunction with the power source and control electronics unit,"
} ]
}, {
"code": "K1029",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "controlled by phone application, 90-day supply"
} ]
}, {
"code": "K1030",
"display": "Ext recharge bat replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External recharging system for battery (internal) for use with implanted"
} ]
}, {
"code": "K1030",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cardiac contractility modulation generator, replacement only"
} ]
}, {
"code": "K1031",
"display": "Non pneu comp control w/o ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic compression controller without calibrated gradient pressure"
} ]
}, {
"code": "K1032",
"display": "Non pneum seq comp full leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, full leg"
} ]
}, {
"code": "K1033",
"display": "Non pneum seq comp half leg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pneumatic sequential compression garment, half leg"
} ]
}, {
"code": "K1034",
"display": "Covid test self-admn/collect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Provision of covid-19 test, nonprescription self-administered and"
} ]
}, {
"code": "K1034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "self-collected use, fda approved, authorized or cleared, one test count"
} ]
}, {
"code": "K1035",
"display": "Mol diag reader self-admn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Molecular diagnostic test reader, nonprescription self-administered and"
} ]
}, {
"code": "K1035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "self-collected use, fda approved, authorized or cleared"
} ]
}, {
"code": "K1036",
"display": "Supplies for ultra diatherm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies and accessories (e.g., transducer) for low frequency ultrasonic"
} ]
}, {
"code": "K1036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diathermy treatment device, per month"
} ]
}, {
"code": "K1037",
"display": "Docking station for oral dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Docking station for use with oral device/appliance used to reduce upper airway"
} ]
}, {
"code": "K1037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "collapsibility"
} ]
}, {
"code": "L0112",
"display": "Cranial cervical orthosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cranial cervical orthosis, congenital torticollis type, with or without soft"
} ]
}, {
"code": "L0112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface material, adjustable range of motion joint, custom fabricated"
} ]
}, {
"code": "L0113",
"display": "Cranial cervical torticollis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cranial cervical orthosis, torticollis type, with or without joint, with or"
} ]
}, {
"code": "L0113",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without soft interface material, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L0120",
"display": "Cerv flex n/adj foam pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)"
} ]
}, {
"code": "L0130",
"display": "Flex thermoplastic collar mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, flexible, thermoplastic collar, molded to patient"
} ]
}, {
"code": "L0140",
"display": "Cervical semi-rigid adjustab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, semi-rigid, adjustable (plastic collar)"
} ]
}, {
"code": "L0150",
"display": "Cerv semi-rig adj molded chn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, semi-rigid, adjustable molded chin cup (plastic collar with"
} ]
}, {
"code": "L0150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mandibular/occipital piece)"
} ]
}, {
"code": "L0160",
"display": "Cerv sr wire occ/man pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated,"
} ]
}, {
"code": "L0160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0170",
"display": "Cervical collar molded to pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, collar, molded to patient model"
} ]
}, {
"code": "L0172",
"display": "Cerv col sr foam 2pc pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated,"
} ]
}, {
"code": "L0172",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0174",
"display": "Cerv sr 2pc thor ext pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic"
} ]
}, {
"code": "L0174",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension, prefabricated, off-the-shelf"
} ]
}, {
"code": "L0180",
"display": "Cer post col occ/man sup adj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, multiple post collar, occipital/mandibular supports, adjustable"
} ]
}, {
"code": "L0190",
"display": "Cerv collar supp adj cerv ba",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, multiple post collar, occipital/mandibular supports, adjustable"
} ]
}, {
"code": "L0190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cervical bars (somi, guilford, taylor types)"
} ]
}, {
"code": "L0200",
"display": "Cerv col supp adj bar & thor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical, multiple post collar, occipital/mandibular supports, adjustable"
} ]
}, {
"code": "L0200",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cervical bars, and thoracic extension"
} ]
}, {
"code": "L0220",
"display": "Thor rib belt custom fabrica",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thoracic, rib belt, custom fabricated"
} ]
}, {
"code": "L0450",
"display": "Tlso flex trunk/thor pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, flexible, provides trunk support, upper thoracic region, produces"
} ]
}, {
"code": "L0450",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on the intervertebral disks with rigid"
} ]
}, {
"code": "L0450",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "stays or panel(s), includes shoulder straps and closures, prefabricated,"
} ]
}, {
"code": "L0450",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0452",
"display": "Tlso flex custom fab thoraci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, flexible, provides trunk support, upper thoracic region, produces"
} ]
}, {
"code": "L0452",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on the intervertebral disks with rigid"
} ]
}, {
"code": "L0452",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "stays or panel(s), includes shoulder straps and closures, custom fabricated"
} ]
}, {
"code": "L0454",
"display": "Tlso trnk sj-t9 pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso flexible, provides trunk support, extends from sacrococcygeal junction to"
} ]
}, {
"code": "L0454",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "above t-9 vertebra, restricts gross trunk motion in the sagittal plane,"
} ]
}, {
"code": "L0454",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "produces intracavitary pressure to reduce load on the intervertebral disks with"
} ]
}, {
"code": "L0454",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "rigid stays or panel(s), includes shoulder straps and closures, prefabricated"
} ]
}, {
"code": "L0454",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "item that has been trimmed, bent, molded, assembled, or otherwise customized to"
} ]
}, {
"code": "L0454",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0455",
"display": "Tlso flex trnk sj-t9 pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to"
} ]
}, {
"code": "L0455",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "above t-9 vertebra, restricts gross trunk motion in the sagittal plane,"
} ]
}, {
"code": "L0455",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "produces intracavitary pressure to reduce load on the intervertebral disks with"
} ]
}, {
"code": "L0455",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "rigid stays or panel(s), includes shoulder straps and closures, prefabricated,"
} ]
}, {
"code": "L0455",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0456",
"display": "Tlso flex trnk sj-ss pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel"
} ]
}, {
"code": "L0456",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and soft anterior apron, extends from the sacrococcygeal junction and"
} ]
}, {
"code": "L0456",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "terminates just inferior to the scapular spine, restricts gross trunk motion in"
} ]
}, {
"code": "L0456",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the sagittal plane, produces intracavitary pressure to reduce load on the"
} ]
}, {
"code": "L0456",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "intervertebral disks, includes straps and closures, prefabricated item that has"
} ]
}, {
"code": "L0456",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "been trimmed, bent, molded, assembled, or otherwise customized to fit a"
} ]
}, {
"code": "L0456",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "specific patient by an individual with expertise"
} ]
}, {
"code": "L0457",
"display": "Tlso flex trnk sj-ss pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel"
} ]
}, {
"code": "L0457",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and soft anterior apron, extends from the sacrococcygeal junction and"
} ]
}, {
"code": "L0457",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "terminates just inferior to the scapular spine, restricts gross trunk motion in"
} ]
}, {
"code": "L0457",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the sagittal plane, produces intracavitary pressure to reduce load on the"
} ]
}, {
"code": "L0457",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "intervertebral disks, includes straps and closures, prefabricated, off-the-shelf"
} ]
}, {
"code": "L0458",
"display": "Tlso 2mod symphis-xipho pre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, modular segmented spinal system, two rigid plastic"
} ]
}, {
"code": "L0458",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shells, posterior extends from the sacrococcygeal junction and terminates just"
} ]
}, {
"code": "L0458",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "inferior to the scapular spine, anterior extends from the symphysis pubis to"
} ]
}, {
"code": "L0458",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal,"
} ]
}, {
"code": "L0458",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and transverse planes, lateral strength is provided by overlapping plastic and"
} ]
}, {
"code": "L0458",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "stabilizing closures, includes straps and closures, prefabricated, includes"
} ]
}, {
"code": "L0458",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "fitting and adjustment"
} ]
}, {
"code": "L0460",
"display": "Tlso 2 shl symphys-stern cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, modular segmented spinal system, two rigid plastic"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shells, posterior extends from the sacrococcygeal junction and terminates just"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "inferior to the scapular spine, anterior extends from the symphysis pubis to"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the sternal notch, soft liner, restricts gross trunk motion in the sagittal,"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "coronal, and transverse planes, lateral strength is provided by overlapping"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "plastic and stabilizing closures, includes straps and closures, prefabricated"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "item that has been trimmed, bent, molded, assembled, or otherwise customized to"
} ]
}, {
"code": "L0460",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0462",
"display": "Tlso 3mod sacro-scap pre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, modular segmented spinal system, three rigid plastic"
} ]
}, {
"code": "L0462",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shells, posterior extends from the sacrococcygeal junction and terminates just"
} ]
}, {
"code": "L0462",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "inferior to the scapular spine, anterior extends from the symphysis pubis to"
} ]
}, {
"code": "L0462",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "the sternal notch, soft liner, restricts gross trunk motion in the sagittal,"
} ]
}, {
"code": "L0462",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "coronal, and transverse planes, lateral strength is provided by overlapping"
} ]
}, {
"code": "L0462",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "plastic and stabilizing closures, includes straps and closures, prefabricated,"
} ]
}, {
"code": "L0462",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L0464",
"display": "Tlso 4mod sacro-scap pre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, modular segmented spinal system, four rigid plastic"
} ]
}, {
"code": "L0464",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shells, posterior extends from sacrococcygeal junction and terminates just"
} ]
}, {
"code": "L0464",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "inferior to scapular spine, anterior extends from symphysis pubis to the"
} ]
}, {
"code": "L0464",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal,"
} ]
}, {
"code": "L0464",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "and transverse planes, lateral strength is provided by overlapping plastic and"
} ]
}, {
"code": "L0464",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "stabilizing closures, includes straps and closures, prefabricated, includes"
} ]
}, {
"code": "L0464",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "fitting and adjustment"
} ]
}, {
"code": "L0466",
"display": "Tlso r fram soft ant pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron"
} ]
}, {
"code": "L0466",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with straps, closures and padding, restricts gross trunk motion in sagittal"
} ]
}, {
"code": "L0466",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "plane, produces intracavitary pressure to reduce load on intervertebral disks,"
} ]
}, {
"code": "L0466",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L0466",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0467",
"display": "Tlso r fram soft pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron"
} ]
}, {
"code": "L0467",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with straps, closures and padding, restricts gross trunk motion in sagittal"
} ]
}, {
"code": "L0467",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "plane, produces intracavitary pressure to reduce load on intervertebral disks,"
} ]
}, {
"code": "L0467",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L0468",
"display": "Tlso rig fram pelvic pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal-coronal control, rigid posterior frame and flexible soft"
} ]
}, {
"code": "L0468",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anterior apron with straps, closures and padding, extends from sacrococcygeal"
} ]
}, {
"code": "L0468",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "junction over scapulae, lateral strength provided by pelvic, thoracic, and"
} ]
}, {
"code": "L0468",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "lateral frame pieces, restricts gross trunk motion in sagittal, and coronal"
} ]
}, {
"code": "L0468",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "planes, produces intracavitary pressure to reduce load on intervertebral disks,"
} ]
}, {
"code": "L0468",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L0468",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0469",
"display": "Tlso rig fram pelvic pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal-coronal control, rigid posterior frame and flexible soft"
} ]
}, {
"code": "L0469",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anterior apron with straps, closures and padding, extends from sacrococcygeal"
} ]
}, {
"code": "L0469",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "junction over scapulae, lateral strength provided by pelvic, thoracic, and"
} ]
}, {
"code": "L0469",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "lateral frame pieces, restricts gross trunk motion in sagittal and coronal"
} ]
}, {
"code": "L0469",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "planes, produces intracavitary pressure to reduce load on intervertebral disks,"
} ]
}, {
"code": "L0469",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L0470",
"display": "Tlso rigid frame pre subclav",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron"
} ]
}, {
"code": "L0470",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with straps, closures and padding, extends from sacrococcygeal junction to"
} ]
}, {
"code": "L0470",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "scapula, lateral strength provided by pelvic, thoracic, and lateral frame"
} ]
}, {
"code": "L0470",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pieces, rotational strength provided by subclavicular extensions, restricts"
} ]
}, {
"code": "L0470",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "gross trunk motion in sagittal, coronal, and transverse planes, provides"
} ]
}, {
"code": "L0470",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on the intervertebral disks, includes"
} ]
}, {
"code": "L0470",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "fitting and shaping the frame, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L0472",
"display": "Tlso rigid frame hyperex pre",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, hyperextension, rigid anterior and lateral frame"
} ]
}, {
"code": "L0472",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extends from symphysis pubis to sternal notch with two anterior components (one"
} ]
}, {
"code": "L0472",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pubic and one sternal), posterior and lateral pads with straps and closures,"
} ]
}, {
"code": "L0472",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and"
} ]
}, {
"code": "L0472",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "transverse planes, includes fitting and shaping the frame, prefabricated,"
} ]
}, {
"code": "L0472",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L0480",
"display": "Tlso rigid plastic custom fa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, one piece rigid plastic shell without interface liner,"
} ]
}, {
"code": "L0480",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with multiple straps and closures, posterior extends from sacrococcygeal"
} ]
}, {
"code": "L0480",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "junction and terminates just inferior to scapular spine, anterior extends from"
} ]
}, {
"code": "L0480",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "symphysis pubis to sternal notch, anterior or posterior opening, restricts"
} ]
}, {
"code": "L0480",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "gross trunk motion in sagittal, coronal, and transverse planes, includes a"
} ]
}, {
"code": "L0480",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "carved plaster or cad-cam model, custom fabricated"
} ]
}, {
"code": "L0482",
"display": "Tlso rigid lined custom fab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, one piece rigid plastic shell with interface liner,"
} ]
}, {
"code": "L0482",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multiple straps and closures, posterior extends from sacrococcygeal junction"
} ]
}, {
"code": "L0482",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and terminates just inferior to scapular spine, anterior extends from symphysis"
} ]
}, {
"code": "L0482",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pubis to sternal notch, anterior or posterior opening, restricts gross trunk"
} ]
}, {
"code": "L0482",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "motion in sagittal, coronal, and transverse planes, includes a carved plaster"
} ]
}, {
"code": "L0482",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "or cad-cam model, custom fabricated"
} ]
}, {
"code": "L0484",
"display": "Tlso rigid plastic cust fab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, two piece rigid plastic shell without interface liner,"
} ]
}, {
"code": "L0484",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with multiple straps and closures, posterior extends from sacrococcygeal"
} ]
}, {
"code": "L0484",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "junction and terminates just inferior to scapular spine, anterior extends from"
} ]
}, {
"code": "L0484",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "symphysis pubis to sternal notch, lateral strength is enhanced by overlapping"
} ]
}, {
"code": "L0484",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "plastic, restricts gross trunk motion in the sagittal, coronal, and transverse"
} ]
}, {
"code": "L0484",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "planes, includes a carved plaster or cad-cam model, custom fabricated"
} ]
}, {
"code": "L0486",
"display": "Tlso rigidlined cust fab two",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, two piece rigid plastic shell with interface liner,"
} ]
}, {
"code": "L0486",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multiple straps and closures, posterior extends from sacrococcygeal junction"
} ]
}, {
"code": "L0486",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and terminates just inferior to scapular spine, anterior extends from symphysis"
} ]
}, {
"code": "L0486",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pubis to sternal notch, lateral strength is enhanced by overlapping plastic,"
} ]
}, {
"code": "L0486",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "restricts gross trunk motion in the sagittal, coronal, and transverse planes,"
} ]
}, {
"code": "L0486",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "includes a carved plaster or cad-cam model, custom fabricated"
} ]
}, {
"code": "L0488",
"display": "Tlso rigid lined pre one pie",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, triplanar control, one piece rigid plastic shell with interface liner,"
} ]
}, {
"code": "L0488",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multiple straps and closures, posterior extends from sacrococcygeal junction"
} ]
}, {
"code": "L0488",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and terminates just inferior to scapular spine, anterior extends from symphysis"
} ]
}, {
"code": "L0488",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pubis to sternal notch, anterior or posterior opening, restricts gross trunk"
} ]
}, {
"code": "L0488",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "motion in sagittal, coronal, and transverse planes, prefabricated, includes"
} ]
}, {
"code": "L0488",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "fitting and adjustment"
} ]
}, {
"code": "L0490",
"display": "Tlso rigid plastic pre one",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping"
} ]
}, {
"code": "L0490",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reinforced anterior, with multiple straps and closures, posterior extends from"
} ]
}, {
"code": "L0490",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior"
} ]
}, {
"code": "L0490",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "extends from symphysis pubis to xiphoid, anterior opening, restricts gross"
} ]
}, {
"code": "L0490",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "trunk motion in sagittal and coronal planes, prefabricated, includes fitting"
} ]
}, {
"code": "L0490",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "and adjustment"
} ]
}, {
"code": "L0491",
"display": "Tlso 2 piece rigid shell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal-coronal control, modular segmented spinal system, two rigid"
} ]
}, {
"code": "L0491",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plastic shells, posterior extends from the sacrococcygeal junction and"
} ]
}, {
"code": "L0491",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "terminates just inferior to the scapular spine, anterior extends from the"
} ]
}, {
"code": "L0491",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the"
} ]
}, {
"code": "L0491",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "sagittal and coronal planes, lateral strength is provided by overlapping"
} ]
}, {
"code": "L0491",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "plastic and stabilizing closures, includes straps and closures, prefabricated,"
} ]
}, {
"code": "L0491",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L0492",
"display": "Tlso 3 piece rigid shell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, sagittal-coronal control, modular segmented spinal system, three rigid"
} ]
}, {
"code": "L0492",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plastic shells, posterior extends from the sacrococcygeal junction and"
} ]
}, {
"code": "L0492",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "terminates just inferior to the scapular spine, anterior extends from the"
} ]
}, {
"code": "L0492",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the"
} ]
}, {
"code": "L0492",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "sagittal and coronal planes, lateral strength is provided by overlapping"
} ]
}, {
"code": "L0492",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "plastic and stabilizing closures, includes straps and closures, prefabricated,"
} ]
}, {
"code": "L0492",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L0621",
"display": "Sio flex pelvic/sacr pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion"
} ]
}, {
"code": "L0621",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "about the sacroiliac joint, includes straps, closures, may include pendulous"
} ]
}, {
"code": "L0621",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "abdomen design, prefabricated, off-the-shelf"
} ]
}, {
"code": "L0622",
"display": "Sio flex pelvisacral custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion"
} ]
}, {
"code": "L0622",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "about the sacroiliac joint, includes straps, closures, may include pendulous"
} ]
}, {
"code": "L0622",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "abdomen design, custom fabricated"
} ]
}, {
"code": "L0623",
"display": "Sio rig pnl pelv/sac pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid"
} ]
}, {
"code": "L0623",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "panels over the sacrum and abdomen, reduces motion about the sacroiliac joint,"
} ]
}, {
"code": "L0623",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "includes straps, closures, may include pendulous abdomen design, prefabricated,"
} ]
}, {
"code": "L0623",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0624",
"display": "Sio panel custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid"
} ]
}, {
"code": "L0624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "panels placed over the sacrum and abdomen, reduces motion about the sacroiliac"
} ]
}, {
"code": "L0624",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "joint, includes straps, closures, may include pendulous abdomen design, custom"
} ]
}, {
"code": "L0624",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L0625",
"display": "Lo flex l1-below l5 pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1"
} ]
}, {
"code": "L0625",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to below l-5 vertebra, produces intracavitary pressure to reduce load on the"
} ]
}, {
"code": "L0625",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intervertebral discs, includes straps, closures, may include pendulous abdomen"
} ]
}, {
"code": "L0625",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "design, shoulder straps, stays, prefabricated, off-the-shelf"
} ]
}, {
"code": "L0626",
"display": "Lo sag rig pnl stays pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior"
} ]
}, {
"code": "L0626",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extends from l-1 to below l-5 vertebra, produces intracavitary pressure to"
} ]
}, {
"code": "L0626",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reduce load on the intervertebral discs, includes straps, closures, may include"
} ]
}, {
"code": "L0626",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "padding, stays, shoulder straps, pendulous abdomen design, prefabricated item"
} ]
}, {
"code": "L0626",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "that has been trimmed, bent, molded, assembled, or otherwise customized to fit"
} ]
}, {
"code": "L0626",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "a specific patient by an individual with expertise"
} ]
}, {
"code": "L0627",
"display": "Lo sag ri an/pos pnl pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar orthosis, sagittal control, with rigid anterior and posterior panels,"
} ]
}, {
"code": "L0627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from l-1 to below l-5 vertebra, produces intracavitary"
} ]
}, {
"code": "L0627",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pressure to reduce load on the intervertebral discs, includes straps, closures,"
} ]
}, {
"code": "L0627",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "may include padding, shoulder straps, pendulous abdomen design, prefabricated"
} ]
}, {
"code": "L0627",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "item that has been trimmed, bent, molded, assembled, or otherwise customized to"
} ]
}, {
"code": "L0627",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0628",
"display": "Lso flex no ri stays pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior"
} ]
}, {
"code": "L0628",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary"
} ]
}, {
"code": "L0628",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pressure to reduce load on the intervertebral discs, includes straps, closures,"
} ]
}, {
"code": "L0628",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "may include stays, shoulder straps, pendulous abdomen design, prefabricated,"
} ]
}, {
"code": "L0628",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0629",
"display": "Lso flex w/rigid stays cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior"
} ]
}, {
"code": "L0629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary"
} ]
}, {
"code": "L0629",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pressure to reduce load on the intervertebral discs, includes straps, closures,"
} ]
}, {
"code": "L0629",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "may include stays, shoulder straps, pendulous abdomen design, custom fabricated"
} ]
}, {
"code": "L0630",
"display": "Lso r post pnl sj-t9 pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s),"
} ]
}, {
"code": "L0630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, produces"
} ]
}, {
"code": "L0630",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on the intervertebral discs, includes"
} ]
}, {
"code": "L0630",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "straps, closures, may include padding, stays, shoulder straps, pendulous"
} ]
}, {
"code": "L0630",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "abdomen design, prefabricated item that has been trimmed, bent, molded,"
} ]
}, {
"code": "L0630",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "assembled, or otherwise customized to fit a specific patient by an individual"
} ]
}, {
"code": "L0630",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "with expertise"
} ]
}, {
"code": "L0631",
"display": "Lso sag r an/pos pnl pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior"
} ]
}, {
"code": "L0631",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "panels, posterior extends from sacrococcygeal junction to t-9 vertebra,"
} ]
}, {
"code": "L0631",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "produces intracavitary pressure to reduce load on the intervertebral discs,"
} ]
}, {
"code": "L0631",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "includes straps, closures, may include padding, shoulder straps, pendulous"
} ]
}, {
"code": "L0631",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "abdomen design, prefabricated item that has been trimmed, bent, molded,"
} ]
}, {
"code": "L0631",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "assembled, or otherwise customized to fit a specific patient by an individual"
} ]
}, {
"code": "L0631",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "with expertise"
} ]
}, {
"code": "L0632",
"display": "Lso sag rigid frame cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior"
} ]
}, {
"code": "L0632",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "panels, posterior extends from sacrococcygeal junction to t-9 vertebra,"
} ]
}, {
"code": "L0632",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "produces intracavitary pressure to reduce load on the intervertebral discs,"
} ]
}, {
"code": "L0632",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "includes straps, closures, may include padding, shoulder straps, pendulous"
} ]
}, {
"code": "L0632",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "abdomen design, custom fabricated"
} ]
}, {
"code": "L0633",
"display": "Lso sc r pos/lat pnl pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior"
} ]
}, {
"code": "L0633",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra,"
} ]
}, {
"code": "L0633",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "lateral strength provided by rigid lateral frame/panels, produces intracavitary"
} ]
}, {
"code": "L0633",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pressure to reduce load on intervertebral discs, includes straps, closures, may"
} ]
}, {
"code": "L0633",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "include padding, stays, shoulder straps, pendulous abdomen design,"
} ]
}, {
"code": "L0633",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L0633",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0634",
"display": "Lso flexion control custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior"
} ]
}, {
"code": "L0634",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra,"
} ]
}, {
"code": "L0634",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "lateral strength provided by rigid lateral frame/panel(s), produces"
} ]
}, {
"code": "L0634",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on intervertebral discs, includes straps,"
} ]
}, {
"code": "L0634",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "closures, may include padding, stays, shoulder straps, pendulous abdomen"
} ]
}, {
"code": "L0634",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "design, custom fabricated"
} ]
}, {
"code": "L0635",
"display": "Lso sagit rigid panel prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid"
} ]
}, {
"code": "L0635",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior frame/panel(s), lateral articulating design to flex the lumbar spine,"
} ]
}, {
"code": "L0635",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, lateral"
} ]
}, {
"code": "L0635",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "strength provided by rigid lateral frame/panel(s), produces intracavitary"
} ]
}, {
"code": "L0635",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "pressure to reduce load on intervertebral discs, includes straps, closures, may"
} ]
}, {
"code": "L0635",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "include padding, anterior panel, pendulous abdomen design, prefabricated,"
} ]
}, {
"code": "L0635",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L0636",
"display": "Lso sagittal rigid panel cus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid"
} ]
}, {
"code": "L0636",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior frame/panels, lateral articulating design to flex the lumbar spine,"
} ]
}, {
"code": "L0636",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, lateral"
} ]
}, {
"code": "L0636",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "strength provided by rigid lateral frame/panels, produces intracavitary"
} ]
}, {
"code": "L0636",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "pressure to reduce load on intervertebral discs, includes straps, closures, may"
} ]
}, {
"code": "L0636",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "include padding, anterior panel, pendulous abdomen design, custom fabricated"
} ]
}, {
"code": "L0637",
"display": "Lso sc r ant/pos pnl pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and"
} ]
}, {
"code": "L0637",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior frame/panels, posterior extends from sacrococcygeal junction to t-9"
} ]
}, {
"code": "L0637",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "vertebra, lateral strength provided by rigid lateral frame/panels, produces"
} ]
}, {
"code": "L0637",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on intervertebral discs, includes straps,"
} ]
}, {
"code": "L0637",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "closures, may include padding, shoulder straps, pendulous abdomen design,"
} ]
}, {
"code": "L0637",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L0637",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L0638",
"display": "Lso sag-coronal panel custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and"
} ]
}, {
"code": "L0638",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior frame/panels, posterior extends from sacrococcygeal junction to t-9"
} ]
}, {
"code": "L0638",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "vertebra, lateral strength provided by rigid lateral frame/panels, produces"
} ]
}, {
"code": "L0638",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on intervertebral discs, includes straps,"
} ]
}, {
"code": "L0638",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "closures, may include padding, shoulder straps, pendulous abdomen design,"
} ]
}, {
"code": "L0638",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "L0639",
"display": "Lso s/c shell/panel prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s),"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, anterior"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "extends from symphysis pubis to xyphoid, produces intracavitary pressure to"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reduce load on the intervertebral discs, overall strength is provided by"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "overlapping rigid material and stabilizing closures, includes straps, closures,"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "may include soft interface, pendulous abdomen design, prefabricated item that"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "has been trimmed, bent, molded, assembled, or otherwise customized to fit a"
} ]
}, {
"code": "L0639",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "specific patient by an individual with expertise"
} ]
}, {
"code": "L0640",
"display": "Lso s/c shell/panel custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s),"
} ]
}, {
"code": "L0640",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, anterior"
} ]
}, {
"code": "L0640",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "extends from symphysis pubis to xyphoid, produces intracavitary pressure to"
} ]
}, {
"code": "L0640",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reduce load on the intervertebral discs, overall strength is provided by"
} ]
}, {
"code": "L0640",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "overlapping rigid material and stabilizing closures, includes straps, closures,"
} ]
}, {
"code": "L0640",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "may include soft interface, pendulous abdomen design, custom fabricated"
} ]
}, {
"code": "L0641",
"display": "Lo rig pos pnl l1-l5 pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior"
} ]
}, {
"code": "L0641",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extends from l-1 to below l-5 vertebra, produces intracavitary pressure to"
} ]
}, {
"code": "L0641",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reduce load on the intervertebral discs, includes straps, closures, may include"
} ]
}, {
"code": "L0641",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "padding, stays, shoulder straps, pendulous abdomen design, prefabricated,"
} ]
}, {
"code": "L0641",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0642",
"display": "Lo sag ri an/pos pnl pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar orthosis, sagittal control, with rigid anterior and posterior panels,"
} ]
}, {
"code": "L0642",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from l-1 to below l-5 vertebra, produces intracavitary"
} ]
}, {
"code": "L0642",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pressure to reduce load on the intervertebral discs, includes straps, closures,"
} ]
}, {
"code": "L0642",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "may include padding, shoulder straps, pendulous abdomen design, prefabricated,"
} ]
}, {
"code": "L0642",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0643",
"display": "Lso sag ctr rigi pos pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s),"
} ]
}, {
"code": "L0643",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, produces"
} ]
}, {
"code": "L0643",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on the intervertebral discs, includes"
} ]
}, {
"code": "L0643",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "straps, closures, may include padding, stays, shoulder straps, pendulous"
} ]
}, {
"code": "L0643",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "abdomen design, prefabricated, off-the-shelf"
} ]
}, {
"code": "L0648",
"display": "Lso sag r an/pos pnl pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior"
} ]
}, {
"code": "L0648",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "panels, posterior extends from sacrococcygeal junction to t-9 vertebra,"
} ]
}, {
"code": "L0648",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "produces intracavitary pressure to reduce load on the intervertebral discs,"
} ]
}, {
"code": "L0648",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "includes straps, closures, may include padding, shoulder straps, pendulous"
} ]
}, {
"code": "L0648",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "abdomen design, prefabricated, off-the-shelf"
} ]
}, {
"code": "L0649",
"display": "Lso sc r pos/lat pnl pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior"
} ]
}, {
"code": "L0649",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra,"
} ]
}, {
"code": "L0649",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "lateral strength provided by rigid lateral frame/panels, produces intracavitary"
} ]
}, {
"code": "L0649",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pressure to reduce load on intervertebral discs, includes straps, closures, may"
} ]
}, {
"code": "L0649",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "include padding, stays, shoulder straps, pendulous abdomen design,"
} ]
}, {
"code": "L0649",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L0650",
"display": "Lso sc r ant/pos pnl pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and"
} ]
}, {
"code": "L0650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9"
} ]
}, {
"code": "L0650",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "vertebra, lateral strength provided by rigid lateral frame/panel(s), produces"
} ]
}, {
"code": "L0650",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "intracavitary pressure to reduce load on intervertebral discs, includes straps,"
} ]
}, {
"code": "L0650",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "closures, may include padding, shoulder straps, pendulous abdomen design,"
} ]
}, {
"code": "L0650",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L0651",
"display": "Lso sag-co shell pnl pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s),"
} ]
}, {
"code": "L0651",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "posterior extends from sacrococcygeal junction to t-9 vertebra, anterior"
} ]
}, {
"code": "L0651",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "extends from symphysis pubis to xyphoid, produces intracavitary pressure to"
} ]
}, {
"code": "L0651",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "reduce load on the intervertebral discs, overall strength is provided by"
} ]
}, {
"code": "L0651",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "overlapping rigid material and stabilizing closures, includes straps, closures,"
} ]
}, {
"code": "L0651",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "may include soft interface, pendulous abdomen design, prefabricated,"
} ]
}, {
"code": "L0651",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L0700",
"display": "Ctlso a-p-l control molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral"
} ]
}, {
"code": "L0700",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, molded to patient model, (minerva type)"
} ]
}, {
"code": "L0710",
"display": "Ctlso a-p-l control w/ inter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ctlso, anterior-posterior-lateral-control, molded to patient model, with"
} ]
}, {
"code": "L0710",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface material, (minerva type)"
} ]
}, {
"code": "L0810",
"display": "Halo cervical into jckt vest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Halo procedure, cervical halo incorporated into jacket vest"
} ]
}, {
"code": "L0820",
"display": "Halo cervical into body jack",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Halo procedure, cervical halo incorporated into plaster body jacket"
} ]
}, {
"code": "L0830",
"display": "Halo cerv into milwaukee typ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Halo procedure, cervical halo incorporated into milwaukee type orthosis"
} ]
}, {
"code": "L0859",
"display": "Mri compatible system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to halo procedure, magnetic resonance image compatible systems, rings"
} ]
}, {
"code": "L0859",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and pins, any material"
} ]
}, {
"code": "L0861",
"display": "Halo repl liner/interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to halo procedure, replacement liner/interface material"
} ]
}, {
"code": "L0970",
"display": "Tlso corset front",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, corset front"
} ]
}, {
"code": "L0972",
"display": "Lso corset front",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lso, corset front"
} ]
}, {
"code": "L0974",
"display": "Tlso full corset",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tlso, full corset"
} ]
}, {
"code": "L0976",
"display": "Lso full corset",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lso, full corset"
} ]
}, {
"code": "L0978",
"display": "Axillary crutch extension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Axillary crutch extension"
} ]
}, {
"code": "L0980",
"display": "Peroneal straps pair pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peroneal straps, prefabricated, off-the-shelf, pair"
} ]
}, {
"code": "L0982",
"display": "Stocking sup grips 4 pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)"
} ]
}, {
"code": "L0984",
"display": "Protect body sock ea pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Protective body sock, prefabricated, off-the-shelf, each"
} ]
}, {
"code": "L0999",
"display": "Add to spinal orthosis nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to spinal orthosis, not otherwise specified"
} ]
}, {
"code": "L1000",
"display": "Ctlso milwauke initial model",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of"
} ]
}, {
"code": "L1000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "furnishing initial orthosis, including model"
} ]
}, {
"code": "L1001",
"display": "Ctlso infant immobilizer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cervical thoracic lumbar sacral orthosis, immobilizer, infant size,"
} ]
}, {
"code": "L1001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1005",
"display": "Tension based scoliosis orth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tension based scoliosis orthosis and accessory pads, includes fitting and"
} ]
}, {
"code": "L1005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustment"
} ]
}, {
"code": "L1006",
"display": "Scoliosis orth sag/ cor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame,"
} ]
}, {
"code": "L1006",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extends from axilla to trochanter, includes all accessory pads, straps and"
} ]
}, {
"code": "L1006",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interface, prefabricated item that has been trimmed, bent, molded, assembled,"
} ]
}, {
"code": "L1006",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "or otherwise customized to fit a specific patient by an individual with"
} ]
}, {
"code": "L1006",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "expertise"
} ]
}, {
"code": "L1010",
"display": "Ctlso axilla sling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis"
} ]
}, {
"code": "L1010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "orthosis, axilla sling"
} ]
}, {
"code": "L1020",
"display": "Kyphosis pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, kyphosis pad"
} ]
}, {
"code": "L1025",
"display": "Kyphosis pad floating",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, kyphosis pad, floating"
} ]
}, {
"code": "L1030",
"display": "Lumbar bolster pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, lumbar bolster pad"
} ]
}, {
"code": "L1040",
"display": "Lumbar or lumbar rib pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad"
} ]
}, {
"code": "L1050",
"display": "Sternal pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, sternal pad"
} ]
}, {
"code": "L1060",
"display": "Thoracic pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, thoracic pad"
} ]
}, {
"code": "L1070",
"display": "Trapezius sling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, trapezius sling"
} ]
}, {
"code": "L1080",
"display": "Outrigger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, outrigger"
} ]
}, {
"code": "L1085",
"display": "Outrigger bil w/ vert extens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical"
} ]
}, {
"code": "L1085",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extensions"
} ]
}, {
"code": "L1090",
"display": "Lumbar sling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, lumbar sling"
} ]
}, {
"code": "L1100",
"display": "Ring flange plastic/leather",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather"
} ]
}, {
"code": "L1110",
"display": "Ring flange plas/leather mol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather,"
} ]
}, {
"code": "L1110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "molded to patient model"
} ]
}, {
"code": "L1120",
"display": "Covers for upright each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to ctlso, scoliosis orthosis, cover for upright, each"
} ]
}, {
"code": "L1200",
"display": "Furnsh initial orthosis only",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial"
} ]
}, {
"code": "L1200",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "orthosis only"
} ]
}, {
"code": "L1210",
"display": "Lateral thoracic extension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), lateral thoracic extension"
} ]
}, {
"code": "L1220",
"display": "Anterior thoracic extension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), anterior thoracic extension"
} ]
}, {
"code": "L1230",
"display": "Milwaukee type superstructur",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), milwaukee type superstructure"
} ]
}, {
"code": "L1240",
"display": "Lumbar derotation pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), lumbar derotation pad"
} ]
}, {
"code": "L1250",
"display": "Anterior asis pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), anterior asis pad"
} ]
}, {
"code": "L1260",
"display": "Anterior thoracic derotation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), anterior thoracic derotation pad"
} ]
}, {
"code": "L1270",
"display": "Abdominal pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), abdominal pad"
} ]
}, {
"code": "L1280",
"display": "Rib gusset (elastic) each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), rib gusset (elastic), each"
} ]
}, {
"code": "L1290",
"display": "Lateral trochanteric pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to tlso, (low profile), lateral trochanteric pad"
} ]
}, {
"code": "L1300",
"display": "Body jacket mold to patient",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other scoliosis procedure, body jacket molded to patient model"
} ]
}, {
"code": "L1310",
"display": "Post-operative body jacket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Other scoliosis procedure, post-operative body jacket"
} ]
}, {
"code": "L1320",
"display": "Pectus carinatum ortho cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential"
} ]
}, {
"code": "L1320",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frame with anterior and posterior rigid pads, custom fabricated"
} ]
}, {
"code": "L1499",
"display": "Spinal orthosis nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spinal orthosis, not otherwise specified"
} ]
}, {
"code": "L1600",
"display": "Ho flex frejka w/cov pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, flexible, frejka type with"
} ]
}, {
"code": "L1600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cover, prefabricated item that has been trimmed, bent, molded, assembled, or"
} ]
}, {
"code": "L1600",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "otherwise customized to fit a specific patient by an inidividual with expertise"
} ]
}, {
"code": "L1610",
"display": "Ho frejka cov only pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, flexible, (frejka cover only),"
} ]
}, {
"code": "L1610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L1610",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L1620",
"display": "Ho flex pavlik harns pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, flexible, (pavlik harness),"
} ]
}, {
"code": "L1620",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L1620",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L1630",
"display": "Abduct control hip semi-flex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type),"
} ]
}, {
"code": "L1630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "L1640",
"display": "Pelv band/spread bar thigh c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, static, pelvic band or spreader"
} ]
}, {
"code": "L1640",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bar, thigh cuffs, custom fabricated"
} ]
}, {
"code": "L1650",
"display": "Ho abduction hip adjustable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled"
} ]
}, {
"code": "L1650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "type), prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1652",
"display": "Ho bi thighcuffs w sprdr bar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar,"
} ]
}, {
"code": "L1652",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adult size, prefabricated, includes fitting and adjustment, prefabricated item"
} ]
}, {
"code": "L1652",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "that has been trimmed, bent, molded, assembled, or otherwise customized to fit"
} ]
}, {
"code": "L1652",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "a specific patient by an individual with expertise"
} ]
}, {
"code": "L1653",
"display": "Ho abduction static ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar,"
} ]
}, {
"code": "L1653",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adult size, prefabricated, off the shelf"
} ]
}, {
"code": "L1660",
"display": "Ho abduction static plastic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, static, plastic, prefabricated,"
} ]
}, {
"code": "L1660",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L1680",
"display": "Pelvic & hip control thigh c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joints, dynamic, pelvic control,"
} ]
}, {
"code": "L1680",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustable hip motion control, thigh cuffs (rancho hip action type), custom"
} ]
}, {
"code": "L1680",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L1681",
"display": "Ho bilateral hip abduction",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion,"
} ]
}, {
"code": "L1681",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension, abduction control of hip joint, postoperative hip abduction type,"
} ]
}, {
"code": "L1681",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L1681",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L1685",
"display": "Post-op hip abduct custom fa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joint, postoperative hip abduction type,"
} ]
}, {
"code": "L1685",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "L1686",
"display": "Ho post-op hip abduction",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip orthosis, abduction control of hip joint, postoperative hip abduction type,"
} ]
}, {
"code": "L1686",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1690",
"display": "Combination bilateral ho",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction"
} ]
}, {
"code": "L1690",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and internal rotation control, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1700",
"display": "Leg perthes orth toronto typ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Legg perthes orthosis, (toronto type), custom fabricated"
} ]
}, {
"code": "L1710",
"display": "Legg perthes orth newington",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Legg perthes orthosis, (newington type), custom fabricated"
} ]
}, {
"code": "L1720",
"display": "Legg perthes orthosis trilat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated"
} ]
}, {
"code": "L1730",
"display": "Legg perthes orth scottish r",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Legg perthes orthosis, (scottish rite type), custom fabricated"
} ]
}, {
"code": "L1755",
"display": "Legg perthes patten bottom t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Legg perthes orthosis, (patten bottom type), custom fabricated"
} ]
}, {
"code": "L1810",
"display": "Ko elastic with joints",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, elastic with joints, prefabricated item that has been trimmed,"
} ]
}, {
"code": "L1810",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bent, molded, assembled, or otherwise customized to fit a specific patient by"
} ]
}, {
"code": "L1810",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "an individual with expertise"
} ]
}, {
"code": "L1812",
"display": "Ko elastic w/joints pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, elastic with joints, prefabricated, off-the-shelf"
} ]
}, {
"code": "L1820",
"display": "Ko elas w/ condyle pads & jo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, elastic with condylar pads and joints, with or without patellar"
} ]
}, {
"code": "L1820",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, prefabricated item that has been trimmed, bent, molded, assembled, or"
} ]
}, {
"code": "L1820",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "otherwise customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L1821",
"display": "Ko elas w/ condyle pads otf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, elastic with condylar pads and joints, with or without patellar"
} ]
}, {
"code": "L1821",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, prefabricated, off the shelf"
} ]
}, {
"code": "L1830",
"display": "Ko immob canvas long pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf"
} ]
}, {
"code": "L1831",
"display": "Knee orth pos locking joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, locking knee joint(s), positional orthosis, prefabricated,"
} ]
}, {
"code": "L1831",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L1832",
"display": "Ko adj jnt pos r sup pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, adjustable knee joints (unicentric or polycentric), positional"
} ]
}, {
"code": "L1832",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "orthosis, rigid support, prefabricated item that has been trimmed, bent,"
} ]
}, {
"code": "L1832",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "molded, assembled, or otherwise customized to fit a specific patient by an"
} ]
}, {
"code": "L1832",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "individual with expertise"
} ]
}, {
"code": "L1833",
"display": "Ko adj jnt pos r sup pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, adjustable knee joints (unicentric or polycentric), positional"
} ]
}, {
"code": "L1833",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "orthosis, rigid support, prefabricated, off-the shelf"
} ]
}, {
"code": "L1834",
"display": "Ko w/0 joint rigid molded to",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, without knee joint, rigid, custom fabricated"
} ]
}, {
"code": "L1836",
"display": "Ko rigid w/o joints pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, rigid, without joint(s), includes soft interface material,"
} ]
}, {
"code": "L1836",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L1840",
"display": "Ko derot ant cruciate custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom"
} ]
}, {
"code": "L1840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L1843",
"display": "Ko single upright pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, single upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "L1843",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "L1843",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, prefabricated item that has"
} ]
}, {
"code": "L1843",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "been trimmed, bent, molded, assembled, or otherwise customized to fit a"
} ]
}, {
"code": "L1843",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "specific patient by an individual with expertise"
} ]
}, {
"code": "L1844",
"display": "Ko w/adj jt rot cntrl molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, single upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "L1844",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "L1844",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, custom fabricated"
} ]
}, {
"code": "L1845",
"display": "Ko double upright pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, double upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "L1845",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "L1845",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, prefabricated item that has"
} ]
}, {
"code": "L1845",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "been trimmed, bent, molded, assembled, or otherwise customized to fit a"
} ]
}, {
"code": "L1845",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "specific patient by an individual with expertise"
} ]
}, {
"code": "L1846",
"display": "Ko w adj flex/ext rotat mold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, double upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "L1846",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "L1846",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, custom fabricated"
} ]
}, {
"code": "L1847",
"display": "Ko dbl upright w/air pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, double upright with adjustable joint, with inflatable air"
} ]
}, {
"code": "L1847",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "support chamber(s), prefabricated item that has been trimmed, bent, molded,"
} ]
}, {
"code": "L1847",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "assembled, or otherwise customized to fit a specific patient by an individual"
} ]
}, {
"code": "L1847",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with expertise"
} ]
}, {
"code": "L1848",
"display": "Ko dbl upright w/air pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, double upright with adjustable joint, with inflatable air"
} ]
}, {
"code": "L1848",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "support chamber(s), prefabricated, off-the-shelf"
} ]
}, {
"code": "L1850",
"display": "Ko swedish type pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, swedish type, prefabricated, off-the-shelf"
} ]
}, {
"code": "L1851",
"display": "Ko single upright prefab ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "L1851",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "L1851",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
} ]
}, {
"code": "L1852",
"display": "Ko double upright prefab ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and"
} ]
}, {
"code": "L1852",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension joint (unicentric or polycentric), medial-lateral and rotation"
} ]
}, {
"code": "L1852",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"
} ]
}, {
"code": "L1860",
"display": "Ko supracondylar socket mold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee orthosis, modification of supracondylar prosthetic socket, custom"
} ]
}, {
"code": "L1860",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated (sk)"
} ]
}, {
"code": "L1900",
"display": "Afo sprng wir drsflx calf bd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom"
} ]
}, {
"code": "L1900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L1902",
"display": "Afo ankle gauntlet pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle orthosis, ankle gauntlet or similar, with or without joints,"
} ]
}, {
"code": "L1902",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L1904",
"display": "Afo molded ankle gauntlet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle orthosis, ankle gauntlet or similar, with or without joints, custom"
} ]
}, {
"code": "L1904",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L1906",
"display": "Afo multilig ank sup pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, multiligamentous ankle support, prefabricated,"
} ]
}, {
"code": "L1906",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L1907",
"display": "Afo supramalleolar custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle orthosis, supramalleolar with straps, with or without interface/pads,"
} ]
}, {
"code": "L1907",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "L1910",
"display": "Afo sing bar clasp attach sh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter,"
} ]
}, {
"code": "L1910",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1920",
"display": "Afo sing upright w/ adjust s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, single upright with static or adjustable stop (phelps or"
} ]
}, {
"code": "L1920",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "perlstein type), custom fabricated"
} ]
}, {
"code": "L1930",
"display": "Afo plastic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, plastic or other material, prefabricated, includes fitting"
} ]
}, {
"code": "L1930",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and adjustment"
} ]
}, {
"code": "L1932",
"display": "Afo rig ant tib prefab tcf/=",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Afo, rigid anterior tibial section, total carbon fiber or equal material,"
} ]
}, {
"code": "L1932",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1940",
"display": "Afo molded to patient plasti",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, plastic or other material, custom fabricated"
} ]
}, {
"code": "L1945",
"display": "Afo molded plas rig ant tib",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction),"
} ]
}, {
"code": "L1945",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "L1950",
"display": "Afo spiral molded to pt plas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, spiral, (institute of rehabilitative medicine type),"
} ]
}, {
"code": "L1950",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plastic, custom fabricated"
} ]
}, {
"code": "L1951",
"display": "Afo spiral prefabricated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, spiral, (institute of rehabilitative medicine type),"
} ]
}, {
"code": "L1951",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plastic or other material, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L1960",
"display": "Afo pos solid ank plastic mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated"
} ]
}, {
"code": "L1970",
"display": "Afo plastic molded w/ankle j",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, plastic with ankle joint, custom fabricated"
} ]
}, {
"code": "L1971",
"display": "Afo w/ankle joint, prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, plastic or other material with ankle joint, prefabricated,"
} ]
}, {
"code": "L1971",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L1980",
"display": "Afo sing solid stirrup calf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup,"
} ]
}, {
"code": "L1980",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calf band/cuff (single bar 'bk' orthosis), custom fabricated"
} ]
}, {
"code": "L1990",
"display": "Afo doub solid stirrup calf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup,"
} ]
}, {
"code": "L1990",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calf band/cuff (double bar 'bk' orthosis), custom fabricated"
} ]
}, {
"code": "L2000",
"display": "Kafo sing fre stirr thi/calf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup,"
} ]
}, {
"code": "L2000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated"
} ]
}, {
"code": "L2005",
"display": "Kafo sng/dbl mechanical act",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, any material, single or double upright, stance"
} ]
}, {
"code": "L2005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, automatic lock and swing phase release, any type activation, includes"
} ]
}, {
"code": "L2005",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "ankle joint, any type, custom fabricated"
} ]
}, {
"code": "L2006",
"display": "Kaf sng/dbl swg/stn mcpr cus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot device, any material, single or double upright, swing and"
} ]
}, {
"code": "L2006",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stance phase microprocessor control with adjustability, includes all components"
} ]
}, {
"code": "L2006",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(e.g., sensors, batteries, charger), any type activation, with or without ankle"
} ]
}, {
"code": "L2006",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "joint(s), custom fabricated"
} ]
}, {
"code": "L2010",
"display": "Kafo sng solid stirrup w/o j",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and"
} ]
}, {
"code": "L2010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom"
} ]
}, {
"code": "L2010",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L2020",
"display": "Kafo dbl solid stirrup band/",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and"
} ]
}, {
"code": "L2020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calf bands/cuffs (double bar 'ak' orthosis), custom fabricated"
} ]
}, {
"code": "L2030",
"display": "Kafo dbl solid stirrup w/o j",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and"
} ]
}, {
"code": "L2030",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom"
} ]
}, {
"code": "L2030",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L2034",
"display": "Kafo pla sin up w/wo k/a cus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, full plastic, single upright, with or without free"
} ]
}, {
"code": "L2034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "motion knee, medial lateral rotation control, with or without free motion"
} ]
}, {
"code": "L2034",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "ankle, custom fabricated"
} ]
}, {
"code": "L2035",
"display": "Kafo plastic pediatric size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, full plastic, static (pediatric size), without free"
} ]
}, {
"code": "L2035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "motion ankle, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L2036",
"display": "Kafo plas doub free knee mol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, full plastic, double upright, with or without free"
} ]
}, {
"code": "L2036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "motion knee, with or without free motion ankle, custom fabricated"
} ]
}, {
"code": "L2037",
"display": "Kafo plas sing free knee mol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, full plastic, single upright, with or without free"
} ]
}, {
"code": "L2037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "motion knee, with or without free motion ankle, custom fabricated"
} ]
}, {
"code": "L2038",
"display": "Kafo w/o joint multi-axis an",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, full plastic, with or without free motion knee,"
} ]
}, {
"code": "L2038",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multi-axis ankle, custom fabricated"
} ]
}, {
"code": "L2040",
"display": "Hkafo torsion bil rot straps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip knee ankle foot orthosis, torsion control, bilateral rotation straps,"
} ]
}, {
"code": "L2040",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pelvic band/belt, custom fabricated"
} ]
}, {
"code": "L2050",
"display": "Hkafo torsion cable hip pelv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip"
} ]
}, {
"code": "L2050",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joint, pelvic band/belt, custom fabricated"
} ]
}, {
"code": "L2060",
"display": "Hkafo torsion ball bearing j",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball"
} ]
}, {
"code": "L2060",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bearing hip joint, pelvic band/ belt, custom fabricated"
} ]
}, {
"code": "L2070",
"display": "Hkafo torsion unilat rot str",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip knee ankle foot orthosis, torsion control, unilateral rotation straps,"
} ]
}, {
"code": "L2070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pelvic band/belt, custom fabricated"
} ]
}, {
"code": "L2080",
"display": "Hkafo unilat torsion cable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip"
} ]
}, {
"code": "L2080",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joint, pelvic band/belt, custom fabricated"
} ]
}, {
"code": "L2090",
"display": "Hkafo unilat torsion ball br",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball"
} ]
}, {
"code": "L2090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bearing hip joint, pelvic band/ belt, custom fabricated"
} ]
}, {
"code": "L2106",
"display": "Afo tib fx cast plaster mold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis,"
} ]
}, {
"code": "L2106",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thermoplastic type casting material, custom fabricated"
} ]
}, {
"code": "L2108",
"display": "Afo tib fx cast molded to pt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom"
} ]
}, {
"code": "L2108",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L2112",
"display": "Afo tibial fracture soft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft,"
} ]
}, {
"code": "L2112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L2114",
"display": "Afo tib fx semi-rigid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid,"
} ]
}, {
"code": "L2114",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L2116",
"display": "Afo tibial fracture rigid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid,"
} ]
}, {
"code": "L2116",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L2126",
"display": "Kafo fem fx cast thermoplas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis,"
} ]
}, {
"code": "L2126",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thermoplastic type casting material, custom fabricated"
} ]
}, {
"code": "L2128",
"display": "Kafo fem fx cast molded to p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis,"
} ]
}, {
"code": "L2128",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated"
} ]
}, {
"code": "L2132",
"display": "Kafo femoral fx cast soft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated,"
} ]
}, {
"code": "L2132",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L2134",
"display": "Kafo fem fx cast semi-rigid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid,"
} ]
}, {
"code": "L2134",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L2136",
"display": "Kafo femoral fx cast rigid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated,"
} ]
}, {
"code": "L2136",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L2180",
"display": "Plas shoe insert w ank joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, plastic shoe insert with ankle"
} ]
}, {
"code": "L2180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joints"
} ]
}, {
"code": "L2182",
"display": "Drop lock knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, drop lock knee joint"
} ]
}, {
"code": "L2184",
"display": "Limited motion knee joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, limited motion knee joint"
} ]
}, {
"code": "L2186",
"display": "Adj motion knee jnt lerman t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, adjustable motion knee joint,"
} ]
}, {
"code": "L2186",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lerman type"
} ]
}, {
"code": "L2188",
"display": "Quadrilateral brim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, quadrilateral brim"
} ]
}, {
"code": "L2190",
"display": "Waist belt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, waist belt"
} ]
}, {
"code": "L2192",
"display": "Pelvic band & belt thigh fla",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh"
} ]
}, {
"code": "L2192",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "flange, and pelvic belt"
} ]
}, {
"code": "L2200",
"display": "Limited ankle motion ea jnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, limited ankle motion, each joint"
} ]
}, {
"code": "L2210",
"display": "Dorsiflexion assist each joi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each"
} ]
}, {
"code": "L2210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joint"
} ]
}, {
"code": "L2220",
"display": "Dorsi & plantar flex ass/res",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, dorsiflexion and plantar flexion assist/resist,"
} ]
}, {
"code": "L2220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each joint"
} ]
}, {
"code": "L2230",
"display": "Split flat caliper stirr & p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, split flat caliper stirrups and plate attachment"
} ]
}, {
"code": "L2232",
"display": "Rocker bottom, contact afo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, rocker bottom for total contact ankle"
} ]
}, {
"code": "L2232",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "foot orthosis, for custom fabricated orthosis only"
} ]
}, {
"code": "L2240",
"display": "Round caliper and plate atta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, round caliper and plate attachment"
} ]
}, {
"code": "L2250",
"display": "Foot plate molded stirrup at",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, foot plate, molded to patient model, stirrup"
} ]
}, {
"code": "L2250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "attachment"
} ]
}, {
"code": "L2260",
"display": "Reinforced solid stirrup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, reinforced solid stirrup (scott-craig type)"
} ]
}, {
"code": "L2265",
"display": "Long tongue stirrup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, long tongue stirrup"
} ]
}, {
"code": "L2270",
"display": "Varus/valgus strap padded/li",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined"
} ]
}, {
"code": "L2270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or malleolus pad"
} ]
}, {
"code": "L2275",
"display": "Plastic mod low ext pad/line",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, varus/valgus correction, plastic modification,"
} ]
}, {
"code": "L2275",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "padded/lined"
} ]
}, {
"code": "L2280",
"display": "Molded inner boot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, molded inner boot"
} ]
}, {
"code": "L2300",
"display": "Abduction bar jointed adjust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, abduction bar (bilateral hip involvement),"
} ]
}, {
"code": "L2300",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "jointed, adjustable"
} ]
}, {
"code": "L2310",
"display": "Abduction bar-straight",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, abduction bar-straight"
} ]
}, {
"code": "L2320",
"display": "Non-molded lacer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, non-molded lacer, for custom fabricated orthosis"
} ]
}, {
"code": "L2320",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only"
} ]
}, {
"code": "L2330",
"display": "Lacer molded to patient mode",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, lacer molded to patient model, for custom"
} ]
}, {
"code": "L2330",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated orthosis only"
} ]
}, {
"code": "L2335",
"display": "Anterior swing band",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, anterior swing band"
} ]
}, {
"code": "L2340",
"display": "Pre-tibial shell molded to p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pre-tibial shell, molded to patient model"
} ]
}, {
"code": "L2350",
"display": "Prosthetic type socket molde",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, prosthetic type, (bk) socket, molded to patient"
} ]
}, {
"code": "L2350",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "model, (used for 'ptb' 'afo' orthoses)"
} ]
}, {
"code": "L2360",
"display": "Extended steel shank",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, extended steel shank"
} ]
}, {
"code": "L2370",
"display": "Patten bottom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, patten bottom"
} ]
}, {
"code": "L2375",
"display": "Torsion ank & half solid sti",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, torsion control, ankle joint and half solid stirrup"
} ]
}, {
"code": "L2380",
"display": "Torsion straight knee joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, torsion control, straight knee joint, each joint"
} ]
}, {
"code": "L2385",
"display": "Straight knee joint heavy du",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, straight knee joint, heavy duty, each joint"
} ]
}, {
"code": "L2387",
"display": "Add le poly knee custom kafo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, polycentric knee joint, for custom fabricated knee"
} ]
}, {
"code": "L2387",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ankle foot orthosis, each joint"
} ]
}, {
"code": "L2390",
"display": "Offset knee joint each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, offset knee joint, each joint"
} ]
}, {
"code": "L2395",
"display": "Offset knee joint heavy duty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, offset knee joint, heavy duty, each joint"
} ]
}, {
"code": "L2397",
"display": "Suspension sleeve lower ext",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, suspension sleeve"
} ]
}, {
"code": "L2405",
"display": "Knee joint drop lock ea jnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to knee joint, drop lock, each"
} ]
}, {
"code": "L2415",
"display": "Knee joint cam lock each joi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to knee lock with integrated release mechanism (bail, cable, or"
} ]
}, {
"code": "L2415",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal), any material, each joint"
} ]
}, {
"code": "L2425",
"display": "Knee disc/dial lock/adj flex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to knee joint, disc or dial lock for adjustable knee flexion, each"
} ]
}, {
"code": "L2425",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joint"
} ]
}, {
"code": "L2430",
"display": "Knee jnt ratchet lock ea jnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to knee joint, ratchet lock for active and progressive knee extension,"
} ]
}, {
"code": "L2430",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each joint"
} ]
}, {
"code": "L2492",
"display": "Knee lift loop drop lock rin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to knee joint, lift loop for drop lock ring"
} ]
}, {
"code": "L2500",
"display": "Thi/glut/ischia wgt bearing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight"
} ]
}, {
"code": "L2500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bearing, ring"
} ]
}, {
"code": "L2510",
"display": "Th/wght bear quad-lat brim m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded"
} ]
}, {
"code": "L2510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to patient model"
} ]
}, {
"code": "L2520",
"display": "Th/wght bear quad-lat brim c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom"
} ]
}, {
"code": "L2520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fitted"
} ]
}, {
"code": "L2525",
"display": "Th/wght bear nar m-l brim mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, ischial containment/narrow"
} ]
}, {
"code": "L2525",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "m-l brim molded to patient model"
} ]
}, {
"code": "L2526",
"display": "Th/wght bear nar m-l brim cu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, ischial containment/narrow"
} ]
}, {
"code": "L2526",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "m-l brim, custom fitted"
} ]
}, {
"code": "L2530",
"display": "Thigh/wght bear lacer non-mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh-weight bearing, lacer, non-molded"
} ]
}, {
"code": "L2540",
"display": "Thigh/wght bear lacer molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, lacer, molded to patient"
} ]
}, {
"code": "L2540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "model"
} ]
}, {
"code": "L2550",
"display": "Thigh/wght bear high roll cu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thigh/weight bearing, high roll cuff"
} ]
}, {
"code": "L2570",
"display": "Hip clevis type 2 posit jnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, hip joint, clevis type two"
} ]
}, {
"code": "L2570",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "position joint, each"
} ]
}, {
"code": "L2580",
"display": "Pelvic control pelvic sling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, pelvic sling"
} ]
}, {
"code": "L2600",
"display": "Hip clevis/thrust bearing fr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust"
} ]
}, {
"code": "L2600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bearing, free, each"
} ]
}, {
"code": "L2610",
"display": "Hip clevis/thrust bearing lo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, hip joint, clevis or thrust"
} ]
}, {
"code": "L2610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bearing, lock, each"
} ]
}, {
"code": "L2620",
"display": "Pelvic control hip heavy dut",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, hip joint, heavy duty, each"
} ]
}, {
"code": "L2622",
"display": "Hip joint adjustable flexion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each"
} ]
}, {
"code": "L2624",
"display": "Hip adj flex ext abduct cont",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, hip joint, adjustable flexion,"
} ]
}, {
"code": "L2624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension, abduction control, each"
} ]
}, {
"code": "L2627",
"display": "Plastic mold recipro hip & c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, plastic, molded to patient model,"
} ]
}, {
"code": "L2627",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reciprocating hip joint and cables"
} ]
}, {
"code": "L2628",
"display": "Metal frame recipro hip & ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, metal frame, reciprocating hip"
} ]
}, {
"code": "L2628",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joint and cables"
} ]
}, {
"code": "L2630",
"display": "Pelvic control band & belt u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, band and belt, unilateral"
} ]
}, {
"code": "L2640",
"display": "Pelvic control band & belt b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic control, band and belt, bilateral"
} ]
}, {
"code": "L2650",
"display": "Pelv & thor control gluteal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, pelvic and thoracic control, gluteal pad, each"
} ]
}, {
"code": "L2660",
"display": "Thoracic control thoracic ba",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thoracic control, thoracic band"
} ]
}, {
"code": "L2670",
"display": "Thorac cont paraspinal uprig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thoracic control, paraspinal uprights"
} ]
}, {
"code": "L2680",
"display": "Thorac cont lat support upri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, thoracic control, lateral support uprights"
} ]
}, {
"code": "L2750",
"display": "Plating chrome/nickel pr bar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, plating chrome or nickel, per bar"
} ]
}, {
"code": "L2755",
"display": "Carbon graphite lamination",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, high strength, lightweight material, all"
} ]
}, {
"code": "L2755",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hybrid lamination/prepreg composite, per segment, for custom fabricated"
} ]
}, {
"code": "L2755",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "orthosis only"
} ]
}, {
"code": "L2760",
"display": "Extension per extension per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, extension, per extension, per bar (for"
} ]
}, {
"code": "L2760",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lineal adjustment for growth)"
} ]
}, {
"code": "L2768",
"display": "Ortho sidebar disconnect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthotic side bar disconnect device, per bar"
} ]
}, {
"code": "L2780",
"display": "Non-corrosive finish",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, non-corrosive finish, per bar"
} ]
}, {
"code": "L2785",
"display": "Drop lock retainer each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, drop lock retainer, each"
} ]
}, {
"code": "L2795",
"display": "Knee control full kneecap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, knee control, full kneecap"
} ]
}, {
"code": "L2800",
"display": "Knee cap medial or lateral p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, knee control, knee cap, medial or lateral"
} ]
}, {
"code": "L2800",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pull, for use with custom fabricated orthosis only"
} ]
}, {
"code": "L2810",
"display": "Knee control condylar pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, knee control, condylar pad"
} ]
}, {
"code": "L2820",
"display": "Soft interface below knee se",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, soft interface for molded plastic, below"
} ]
}, {
"code": "L2820",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "knee section"
} ]
}, {
"code": "L2830",
"display": "Soft interface above knee se",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, soft interface for molded plastic, above"
} ]
}, {
"code": "L2830",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "knee section"
} ]
}, {
"code": "L2840",
"display": "Tibial length sock fx or equ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, tibial length sock, fracture or equal,"
} ]
}, {
"code": "L2840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L2850",
"display": "Femoral lgth sock fx or equa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity orthosis, femoral length sock, fracture or equal,"
} ]
}, {
"code": "L2850",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L2861",
"display": "Torsion mechanism knee/ankle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity joint, knee or ankle, concentric adjustable torsion"
} ]
}, {
"code": "L2861",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "style mechanism for custom fabricated orthotics only, each"
} ]
}, {
"code": "L2999",
"display": "Lower extremity orthosis nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity orthoses, not otherwise specified"
} ]
}, {
"code": "L3000",
"display": "Ft insert ucb berkeley shell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell,"
} ]
}, {
"code": "L3000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L3001",
"display": "Foot insert remov molded spe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, molded to patient model, spenco, each"
} ]
}, {
"code": "L3002",
"display": "Foot insert plastazote or eq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, molded to patient model, plastazote or equal, each"
} ]
}, {
"code": "L3003",
"display": "Foot insert silicone gel eac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, molded to patient model, silicone gel, each"
} ]
}, {
"code": "L3010",
"display": "Foot longitudinal arch suppo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, molded to patient model, longitudinal arch support,"
} ]
}, {
"code": "L3010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L3020",
"display": "Foot longitud/metatarsal sup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, molded to patient model, longitudinal/ metatarsal"
} ]
}, {
"code": "L3020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "support, each"
} ]
}, {
"code": "L3030",
"display": "Foot arch support remov prem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert, removable, formed to patient foot, each"
} ]
}, {
"code": "L3031",
"display": "Foot lamin/prepreg composite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, insert/plate, removable, addition to lower extremity orthosis, high"
} ]
}, {
"code": "L3031",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "strength, lightweight material, all hybrid lamination/prepreg composite, each"
} ]
}, {
"code": "L3040",
"display": "Ft arch suprt premold longit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, arch support, removable, premolded, longitudinal, each"
} ]
}, {
"code": "L3050",
"display": "Foot arch supp premold metat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, arch support, removable, premolded, metatarsal, each"
} ]
}, {
"code": "L3060",
"display": "Foot arch supp longitud/meta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, arch support, removable, premolded, longitudinal/ metatarsal, each"
} ]
}, {
"code": "L3070",
"display": "Arch suprt att to sho longit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, arch support, non-removable attached to shoe, longitudinal, each"
} ]
}, {
"code": "L3080",
"display": "Arch supp att to shoe metata",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, arch support, non-removable attached to shoe, metatarsal, each"
} ]
}, {
"code": "L3090",
"display": "Arch supp att to shoe long/m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal,"
} ]
}, {
"code": "L3090",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L3100",
"display": "Hallus-valgus nt dyn pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hallus-valgus night dynamic splint, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3140",
"display": "Abduction rotation bar shoe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, abduction rotation bar, including shoes"
} ]
}, {
"code": "L3150",
"display": "Abduct rotation bar w/o shoe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, abduction rotation bar, without shoes"
} ]
}, {
"code": "L3160",
"display": "Shoe styled positioning dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, adjustable shoe-styled positioning device"
} ]
}, {
"code": "L3161",
"display": "Foot, adductus position, adj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, adductus positioning device, adjustable"
} ]
}, {
"code": "L3170",
"display": "Foot plas heel stabi pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, plastic, silicone or equal, heel stabilizer, prefabricated,"
} ]
}, {
"code": "L3170",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf, each"
} ]
}, {
"code": "L3201",
"display": "Oxford w supinat/pronat inf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, oxford with supinator or pronator, infant"
} ]
}, {
"code": "L3202",
"display": "Oxford w/ supinat/pronator c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, oxford with supinator or pronator, child"
} ]
}, {
"code": "L3203",
"display": "Oxford w/ supinator/pronator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, oxford with supinator or pronator, junior"
} ]
}, {
"code": "L3204",
"display": "Hightop w/ supp/pronator inf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, hightop with supinator or pronator, infant"
} ]
}, {
"code": "L3206",
"display": "Hightop w/ supp/pronator chi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, hightop with supinator or pronator, child"
} ]
}, {
"code": "L3207",
"display": "Hightop w/ supp/pronator jun",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, hightop with supinator or pronator, junior"
} ]
}, {
"code": "L3208",
"display": "Surgical boot each infant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical boot, each, infant"
} ]
}, {
"code": "L3209",
"display": "Surgical boot each child",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical boot, each, child"
} ]
}, {
"code": "L3211",
"display": "Surgical boot each junior",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical boot, each, junior"
} ]
}, {
"code": "L3212",
"display": "Benesch boot pair infant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Benesch boot, pair, infant"
} ]
}, {
"code": "L3213",
"display": "Benesch boot pair child",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Benesch boot, pair, child"
} ]
}, {
"code": "L3214",
"display": "Benesch boot pair junior",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Benesch boot, pair, junior"
} ]
}, {
"code": "L3215",
"display": "Orthopedic ftwear ladies oxf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, ladies shoe, oxford, each"
} ]
}, {
"code": "L3216",
"display": "Orthoped ladies shoes dpth i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, ladies shoe, depth inlay, each"
} ]
}, {
"code": "L3217",
"display": "Ladies shoes hightop depth i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, ladies shoe, hightop, depth inlay, each"
} ]
}, {
"code": "L3219",
"display": "Orthopedic mens shoes oxford",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, mens shoe, oxford, each"
} ]
}, {
"code": "L3221",
"display": "Orthopedic mens shoes dpth i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, mens shoe, depth inlay, each"
} ]
}, {
"code": "L3222",
"display": "Mens shoes hightop depth inl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, mens shoe, hightop, depth inlay, each"
} ]
}, {
"code": "L3224",
"display": "Woman's shoe oxford brace",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace"
} ]
}, {
"code": "L3224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(orthosis)"
} ]
}, {
"code": "L3225",
"display": "Man's shoe oxford brace",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace"
} ]
}, {
"code": "L3225",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(orthosis)"
} ]
}, {
"code": "L3230",
"display": "Custom shoes depth inlay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, custom shoe, depth inlay, each"
} ]
}, {
"code": "L3250",
"display": "Custom mold shoe remov prost",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe,"
} ]
}, {
"code": "L3250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L3251",
"display": "Shoe molded to pt silicone s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, shoe molded to patient model, silicone shoe, each"
} ]
}, {
"code": "L3252",
"display": "Shoe molded plastazote cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, shoe molded to patient model, plastazote (or similar), custom fabricated,"
} ]
}, {
"code": "L3252",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L3253",
"display": "Shoe molded plastazote cust",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot, molded shoe plastazote (or similar) custom fitted, each"
} ]
}, {
"code": "L3254",
"display": "Orth foot non-stndard size/w",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-standard size or width"
} ]
}, {
"code": "L3255",
"display": "Orth foot non-standard size/",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-standard size or length"
} ]
}, {
"code": "L3257",
"display": "Orth foot add charge split s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic footwear, additional charge for split size"
} ]
}, {
"code": "L3260",
"display": "Ambulatory surgical boot eac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical boot/shoe, each"
} ]
}, {
"code": "L3265",
"display": "Plastazote sandal each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plastazote sandal, each"
} ]
}, {
"code": "L3300",
"display": "Sho lift taper to metatarsal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lift, elevation, heel, tapered to metatarsals, per inch"
} ]
}, {
"code": "L3310",
"display": "Shoe lift elev heel/sole neo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lift, elevation, heel and sole, neoprene, per inch"
} ]
}, {
"code": "L3320",
"display": "Shoe lift elev heel/sole cor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lift, elevation, heel and sole, cork, per inch"
} ]
}, {
"code": "L3330",
"display": "Lifts elevation metal extens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lift, elevation, metal extension (skate)"
} ]
}, {
"code": "L3332",
"display": "Shoe lifts tapered to one-ha",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lift, elevation, inside shoe, tapered, up to one-half inch"
} ]
}, {
"code": "L3334",
"display": "Shoe lifts elevation heel /i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lift, elevation, heel, per inch"
} ]
}, {
"code": "L3340",
"display": "Shoe wedge sach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel wedge, sach"
} ]
}, {
"code": "L3350",
"display": "Shoe heel wedge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel wedge"
} ]
}, {
"code": "L3360",
"display": "Shoe sole wedge outside sole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sole wedge, outside sole"
} ]
}, {
"code": "L3370",
"display": "Shoe sole wedge between sole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sole wedge, between sole"
} ]
}, {
"code": "L3380",
"display": "Shoe clubfoot wedge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clubfoot wedge"
} ]
}, {
"code": "L3390",
"display": "Shoe outflare wedge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Outflare wedge"
} ]
}, {
"code": "L3400",
"display": "Shoe metatarsal bar wedge ro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metatarsal bar wedge, rocker"
} ]
}, {
"code": "L3410",
"display": "Shoe metatarsal bar between",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metatarsal bar wedge, between sole"
} ]
}, {
"code": "L3420",
"display": "Full sole/heel wedge btween",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Full sole and heel wedge, between sole"
} ]
}, {
"code": "L3430",
"display": "Sho heel count plast reinfor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, counter, plastic reinforced"
} ]
}, {
"code": "L3440",
"display": "Heel leather reinforced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, counter, leather reinforced"
} ]
}, {
"code": "L3450",
"display": "Shoe heel sach cushion type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, sach cushion type"
} ]
}, {
"code": "L3455",
"display": "Shoe heel new leather standa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, new leather, standard"
} ]
}, {
"code": "L3460",
"display": "Shoe heel new rubber standar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, new rubber, standard"
} ]
}, {
"code": "L3465",
"display": "Shoe heel thomas with wedge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, thomas with wedge"
} ]
}, {
"code": "L3470",
"display": "Shoe heel thomas extend to b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, thomas extended to ball"
} ]
}, {
"code": "L3480",
"display": "Shoe heel pad & depress for",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, pad and depression for spur"
} ]
}, {
"code": "L3485",
"display": "Shoe heel pad removable for",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Heel, pad, removable for spur"
} ]
}, {
"code": "L3500",
"display": "Ortho shoe add leather insol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, insole, leather"
} ]
}, {
"code": "L3510",
"display": "Orthopedic shoe add rub insl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, insole, rubber"
} ]
}, {
"code": "L3520",
"display": "O shoe add felt w leath insl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, insole, felt covered with leather"
} ]
}, {
"code": "L3530",
"display": "Ortho shoe add half sole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, sole, half"
} ]
}, {
"code": "L3540",
"display": "Ortho shoe add full sole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, sole, full"
} ]
}, {
"code": "L3550",
"display": "O shoe add standard toe tap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, toe tap standard"
} ]
}, {
"code": "L3560",
"display": "O shoe add horseshoe toe tap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, toe tap, horseshoe"
} ]
}, {
"code": "L3570",
"display": "O shoe add instep extension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, special extension to instep (leather with eyelets)"
} ]
}, {
"code": "L3580",
"display": "O shoe add instep velcro clo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, convert instep to velcro closure"
} ]
}, {
"code": "L3590",
"display": "O shoe convert to sof counte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, convert firm shoe counter to soft counter"
} ]
}, {
"code": "L3595",
"display": "Ortho shoe add march bar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe addition, march bar"
} ]
}, {
"code": "L3600",
"display": "Trans shoe calip plate exist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer of an orthosis from one shoe to another, caliper plate, existing"
} ]
}, {
"code": "L3610",
"display": "Trans shoe caliper plate new",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer of an orthosis from one shoe to another, caliper plate, new"
} ]
}, {
"code": "L3620",
"display": "Trans shoe solid stirrup exi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer of an orthosis from one shoe to another, solid stirrup, existing"
} ]
}, {
"code": "L3630",
"display": "Trans shoe solid stirrup new",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer of an orthosis from one shoe to another, solid stirrup, new"
} ]
}, {
"code": "L3640",
"display": "Shoe dennis browne splint bo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transfer of an orthosis from one shoe to another, dennis browne splint"
} ]
}, {
"code": "L3640",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(riveton), both shoes"
} ]
}, {
"code": "L3649",
"display": "Orthopedic shoe modifica nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthopedic shoe, modification, addition or transfer, not otherwise specified"
} ]
}, {
"code": "L3650",
"display": "So 8 abd restraint pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, figure of eight design abduction restrainer, prefabricated,"
} ]
}, {
"code": "L3650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L3660",
"display": "So 8 ab rstr can/web pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, figure of eight design abduction restrainer, canvas and"
} ]
}, {
"code": "L3660",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "webbing, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3670",
"display": "So acro/clav can web pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated,"
} ]
}, {
"code": "L3670",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L3671",
"display": "So cap design w/o jnts cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, shoulder joint design, without joints, may include soft"
} ]
}, {
"code": "L3671",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface, straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3674",
"display": "So airplane w/wo joint cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, abduction positioning (airplane design), thoracic component"
} ]
}, {
"code": "L3674",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and support bar, with or without nontorsion joint/turnbuckle, may include soft"
} ]
}, {
"code": "L3674",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interface, straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3675",
"display": "So vest canvas/web pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, vest type abduction restrainer, canvas webbing type or"
} ]
}, {
"code": "L3675",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3677",
"display": "So hard plas stabili pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, shoulder joint design, without joints, may include soft"
} ]
}, {
"code": "L3677",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface, straps, prefabricated item that has been trimmed, bent, molded,"
} ]
}, {
"code": "L3677",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "assembled, or otherwise customized to fit a specific patient by an individual"
} ]
}, {
"code": "L3677",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with expertise"
} ]
}, {
"code": "L3678",
"display": "So hard plas stabili pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder orthosis, shoulder joint design, without joints, may include soft"
} ]
}, {
"code": "L3678",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface, straps, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3702",
"display": "Eo w/o joints cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis, without joints, may include soft interface, straps, custom"
} ]
}, {
"code": "L3702",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3710",
"display": "Eo elas w/metal jnts pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3720",
"display": "Forearm/arm cuffs free motio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom"
} ]
}, {
"code": "L3720",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated"
} ]
}, {
"code": "L3730",
"display": "Forearm/arm cuffs ext/flex a",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion"
} ]
}, {
"code": "L3730",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assist, custom fabricated"
} ]
}, {
"code": "L3740",
"display": "Cuffs adj lock w/ active con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock"
} ]
}, {
"code": "L3740",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with active control, custom fabricated"
} ]
}, {
"code": "L3760",
"display": "Eo adj jt prefab custom fit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated,"
} ]
}, {
"code": "L3760",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "item that has been trimmed, bent, molded, assembled, or otherwise customized to"
} ]
}, {
"code": "L3760",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L3761",
"display": "Eo, adj lock joint prefab ot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated,"
} ]
}, {
"code": "L3761",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "off-the-shelf"
} ]
}, {
"code": "L3762",
"display": "Eo rigid w/o joints pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow orthosis, rigid, without joints, includes soft interface material,"
} ]
}, {
"code": "L3762",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L3763",
"display": "Ewho rigid w/o jnts cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow wrist hand orthosis, rigid, without joints, may include soft interface,"
} ]
}, {
"code": "L3763",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3764",
"display": "Ewho w/joint(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic"
} ]
}, {
"code": "L3764",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bands, turnbuckles, may include soft interface, straps, custom fabricated,"
} ]
}, {
"code": "L3764",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L3765",
"display": "Ewhfo rigid w/o jnts cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow wrist hand finger orthosis, rigid, without joints, may include soft"
} ]
}, {
"code": "L3765",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface, straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3766",
"display": "Ewhfo w/joint(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow wrist hand finger orthosis, includes one or more nontorsion joints,"
} ]
}, {
"code": "L3766",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elastic bands, turnbuckles, may include soft interface, straps, custom"
} ]
}, {
"code": "L3766",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3806",
"display": "Whfo w/joint(s) custom fab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, includes one or more nontorsion joint(s),"
} ]
}, {
"code": "L3806",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "turnbuckles, elastic bands/springs, may include soft interface material,"
} ]
}, {
"code": "L3806",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3807",
"display": "Whfo w/o joints pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, without joint(s), prefabricated item that has been"
} ]
}, {
"code": "L3807",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trimmed, bent, molded, assembled, or otherwise customized to fit a specific"
} ]
}, {
"code": "L3807",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient by an individual with expertise"
} ]
}, {
"code": "L3808",
"display": "Whfo, rigid w/o joints",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, rigid without joints, may include soft interface"
} ]
}, {
"code": "L3808",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material; straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3809",
"display": "Whfo w/o joints pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any"
} ]
}, {
"code": "L3809",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "type"
} ]
}, {
"code": "L3891",
"display": "Torsion mechanism wrist/elbo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity joint, wrist or elbow, concentric adjustable"
} ]
}, {
"code": "L3891",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "torsion style mechanism for custom fabricated orthotics only, each"
} ]
}, {
"code": "L3900",
"display": "Hinge extension/flex wrist/f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/"
} ]
}, {
"code": "L3900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "flexion, finger flexion/extension, wrist or finger driven, custom fabricated"
} ]
}, {
"code": "L3901",
"display": "Hinge ext/flex wrist finger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/"
} ]
}, {
"code": "L3901",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "flexion, finger flexion/extension, cable driven, custom fabricated"
} ]
}, {
"code": "L3904",
"display": "Whfo electric custom fitted",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, external powered, electric, custom fabricated"
} ]
}, {
"code": "L3905",
"display": "Who w/nontorsion jnt(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand orthosis, includes one or more nontorsion joints, elastic bands,"
} ]
}, {
"code": "L3905",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "turnbuckles, may include soft interface, straps, custom fabricated, includes"
} ]
}, {
"code": "L3905",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fitting and adjustment"
} ]
}, {
"code": "L3906",
"display": "Who w/o joints cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand orthosis, without joints, may include soft interface, straps, custom"
} ]
}, {
"code": "L3906",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3908",
"display": "Who cock-up nonmolde pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand orthosis, wrist extension control cock-up, non molded,"
} ]
}, {
"code": "L3908",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L3912",
"display": "Hfo flexion glove pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis (hfo), flexion glove with elastic finger control,"
} ]
}, {
"code": "L3912",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L3913",
"display": "Hfo w/o joints cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis, without joints, may include soft interface, straps,"
} ]
}, {
"code": "L3913",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3915",
"display": "Who nontorsion jnts pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands,"
} ]
}, {
"code": "L3915",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "turnbuckles, may include soft interface, straps, prefabricated item that has"
} ]
}, {
"code": "L3915",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "been trimmed, bent, molded, assembled, or otherwise customized to fit a"
} ]
}, {
"code": "L3915",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "specific patient by an individual with expertise"
} ]
}, {
"code": "L3916",
"display": "Who nontorsion jnts pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands,"
} ]
}, {
"code": "L3916",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3917",
"display": "Metacarp fx orthosis pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been"
} ]
}, {
"code": "L3917",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "trimmed, bent, molded, assembled, or otherwise customized to fit a specific"
} ]
}, {
"code": "L3917",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient by an individual with expertise"
} ]
}, {
"code": "L3918",
"display": "Metacarp fx orthosis pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3919",
"display": "Ho w/o joints cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand orthosis, without joints, may include soft interface, straps, custom"
} ]
}, {
"code": "L3919",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3921",
"display": "Hfo w/joint(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis, includes one or more nontorsion joints, elastic bands,"
} ]
}, {
"code": "L3921",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "turnbuckles, may include soft interface, straps, custom fabricated, includes"
} ]
}, {
"code": "L3921",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fitting and adjustment"
} ]
}, {
"code": "L3923",
"display": "Hfo without joints pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis, without joints, may include soft interface, straps,"
} ]
}, {
"code": "L3923",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L3923",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L3924",
"display": "Hfo without joints pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis, without joints, may include soft interface, straps,"
} ]
}, {
"code": "L3924",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L3925",
"display": "Fo pip dip jnt/sprng pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip),"
} ]
}, {
"code": "L3925",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non torsion joint/spring, extension/flexion, may include soft interface"
} ]
}, {
"code": "L3925",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "material, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3927",
"display": "Fo pip dip no jt spr pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip),"
} ]
}, {
"code": "L3927",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without joint/spring, extension/flexion (e.g., static or ring type), may"
} ]
}, {
"code": "L3927",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "include soft interface material, prefabricated, off-the-shelf"
} ]
}, {
"code": "L3929",
"display": "Hfo nontorsion jnts pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles,"
} ]
}, {
"code": "L3929",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elastic bands/springs, may include soft interface material, straps,"
} ]
}, {
"code": "L3929",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L3929",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L3930",
"display": "Hfo nontorsion jnts pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles,"
} ]
}, {
"code": "L3930",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "elastic bands/springs, may include soft interface material, straps,"
} ]
}, {
"code": "L3930",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L3931",
"display": "Whfo nontorsion joint prefab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist hand finger orthosis, includes one or more nontorsion joint(s),"
} ]
}, {
"code": "L3931",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "turnbuckles, elastic bands/springs, may include soft interface material,"
} ]
}, {
"code": "L3931",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "straps, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3933",
"display": "Fo w/o joints cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Finger orthosis, without joints, may include soft interface, custom fabricated,"
} ]
}, {
"code": "L3933",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes fitting and adjustment"
} ]
}, {
"code": "L3935",
"display": "Fo nontorsion joint cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Finger orthosis, nontorsion joint, may include soft interface, custom"
} ]
}, {
"code": "L3935",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3956",
"display": "Add joint upper ext orthosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition of joint to upper extremity orthosis, any material; per joint"
} ]
}, {
"code": "L3960",
"display": "Sewho airplan desig abdu pos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand orthosis, abduction positioning, airplane design,"
} ]
}, {
"code": "L3960",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3961",
"display": "Sewho cap design w/o jnts cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may"
} ]
}, {
"code": "L3961",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "include soft interface, straps, custom fabricated, includes fitting and"
} ]
}, {
"code": "L3961",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "adjustment"
} ]
}, {
"code": "L3962",
"display": "Sewho erbs palsey design abd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design,"
} ]
}, {
"code": "L3962",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3967",
"display": "Sewho airplane w/o jnts cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand orthosis, abduction positioning (airplane design),"
} ]
}, {
"code": "L3967",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thoracic component and support bar, without joints, may include soft interface,"
} ]
}, {
"code": "L3967",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3971",
"display": "Sewho cap design w/jnt(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more"
} ]
}, {
"code": "L3971",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nontorsion joints, elastic bands, turnbuckles, may include soft interface,"
} ]
}, {
"code": "L3971",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3973",
"display": "Sewho airplane w/jnt(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand orthosis, abduction positioning (airplane design),"
} ]
}, {
"code": "L3973",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thoracic component and support bar, includes one or more nontorsion joints,"
} ]
}, {
"code": "L3973",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "elastic bands, turnbuckles, may include soft interface, straps, custom"
} ]
}, {
"code": "L3973",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3975",
"display": "Sewhfo cap design w/o jnt cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints,"
} ]
}, {
"code": "L3975",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "may include soft interface, straps, custom fabricated, includes fitting and"
} ]
}, {
"code": "L3975",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "adjustment"
} ]
}, {
"code": "L3976",
"display": "Sewhfo airplane w/o jnts cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane"
} ]
}, {
"code": "L3976",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "design), thoracic component and support bar, without joints, may include soft"
} ]
}, {
"code": "L3976",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interface, straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3977",
"display": "Sewhfo cap desgn w/jnt(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or"
} ]
}, {
"code": "L3977",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "more nontorsion joints, elastic bands, turnbuckles, may include soft interface,"
} ]
}, {
"code": "L3977",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "straps, custom fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3978",
"display": "Sewhfo airplane w/jnt(s) cf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane"
} ]
}, {
"code": "L3978",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "design), thoracic component and support bar, includes one or more nontorsion"
} ]
}, {
"code": "L3978",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "joints, elastic bands, turnbuckles, may include soft interface, straps, custom"
} ]
}, {
"code": "L3978",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "fabricated, includes fitting and adjustment"
} ]
}, {
"code": "L3980",
"display": "Up ext fx orthos humeral nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and"
} ]
}, {
"code": "L3980",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustment"
} ]
}, {
"code": "L3981",
"display": "Ue fx orth shoul cap forearm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder"
} ]
}, {
"code": "L3981",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cap design, with or without joints, forearm section, may include soft"
} ]
}, {
"code": "L3981",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interface, straps, includes fitting and adjustments"
} ]
}, {
"code": "L3982",
"display": "Upper ext fx orthosis rad/ul",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes"
} ]
}, {
"code": "L3982",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fitting and adjustment"
} ]
}, {
"code": "L3984",
"display": "Upper ext fx orthosis wrist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and"
} ]
}, {
"code": "L3984",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustment"
} ]
}, {
"code": "L3995",
"display": "Sock fracture or equal each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity orthosis, sock, fracture or equal, each"
} ]
}, {
"code": "L3999",
"display": "Upper limb orthosis nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper limb orthosis, not otherwise specified"
} ]
}, {
"code": "L4000",
"display": "Repl girdle milwaukee orth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace girdle for spinal orthosis (ctlso or so)"
} ]
}, {
"code": "L4002",
"display": "Replace strap, any orthosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement strap, any orthosis, includes all components, any length, any type"
} ]
}, {
"code": "L4010",
"display": "Replace trilateral socket br",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace trilateral socket brim"
} ]
}, {
"code": "L4020",
"display": "Replace quadlat socket brim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace quadrilateral socket brim, molded to patient model"
} ]
}, {
"code": "L4030",
"display": "Replace socket brim cust fit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace quadrilateral socket brim, custom fitted"
} ]
}, {
"code": "L4040",
"display": "Replace molded thigh lacer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace molded thigh lacer, for custom fabricated orthosis only"
} ]
}, {
"code": "L4045",
"display": "Replace non-molded thigh lac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace non-molded thigh lacer, for custom fabricated orthosis only"
} ]
}, {
"code": "L4050",
"display": "Replace molded calf lacer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace molded calf lacer, for custom fabricated orthosis only"
} ]
}, {
"code": "L4055",
"display": "Replace non-molded calf lace",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace non-molded calf lacer, for custom fabricated orthosis only"
} ]
}, {
"code": "L4060",
"display": "Replace high roll cuff",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace high roll cuff"
} ]
}, {
"code": "L4070",
"display": "Replace prox & dist upright",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace proximal and distal upright for kafo"
} ]
}, {
"code": "L4080",
"display": "Repl met band kafo-afo prox",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace metal bands kafo, proximal thigh"
} ]
}, {
"code": "L4090",
"display": "Repl met band kafo-afo calf/",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace metal bands kafo-afo, calf or distal thigh"
} ]
}, {
"code": "L4100",
"display": "Repl leath cuff kafo prox th",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace leather cuff kafo, proximal thigh"
} ]
}, {
"code": "L4110",
"display": "Repl leath cuff kafo-afo cal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace leather cuff kafo-afo, calf or distal thigh"
} ]
}, {
"code": "L4130",
"display": "Replace pretibial shell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace pretibial shell"
} ]
}, {
"code": "L4205",
"display": "Ortho dvc repair per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of orthotic device, labor component, per 15 minutes"
} ]
}, {
"code": "L4210",
"display": "Orth dev repair/repl minor p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of orthotic device, repair or replace minor parts"
} ]
}, {
"code": "L4350",
"display": "Ankle control ortho pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle control orthosis, stirrup style, rigid, includes any type interface"
} ]
}, {
"code": "L4350",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., pneumatic, gel), prefabricated, off-the-shelf"
} ]
}, {
"code": "L4360",
"display": "Pneumat walking boot pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walking boot, pneumatic and/or vacuum, with or without joints, with or without"
} ]
}, {
"code": "L4360",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface material, prefabricated item that has been trimmed, bent, molded,"
} ]
}, {
"code": "L4360",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "assembled, or otherwise customized to fit a specific patient by an individual"
} ]
}, {
"code": "L4360",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with expertise"
} ]
}, {
"code": "L4361",
"display": "Pneuma/vac walk boot pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walking boot, pneumatic and/or vacuum, with or without joints, with or without"
} ]
}, {
"code": "L4361",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interface material, prefabricated, off-the-shelf"
} ]
}, {
"code": "L4370",
"display": "Pneum full leg splnt pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumatic full leg splint, prefabricated, off-the-shelf"
} ]
}, {
"code": "L4386",
"display": "Non-pneum walk boot pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walking boot, non-pneumatic, with or without joints, with or without interface"
} ]
}, {
"code": "L4386",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, prefabricated item that has been trimmed, bent, molded, assembled, or"
} ]
}, {
"code": "L4386",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "otherwise customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L4387",
"display": "Non-pneum walk boot pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Walking boot, non-pneumatic, with or without joints, with or without interface"
} ]
}, {
"code": "L4387",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, prefabricated, off-the-shelf"
} ]
}, {
"code": "L4392",
"display": "Replace afo soft interface",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement, soft interface material, static afo"
} ]
}, {
"code": "L4394",
"display": "Replace foot drop spint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replace soft interface material, foot drop splint"
} ]
}, {
"code": "L4396",
"display": "Static or dynami afo pre cst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static or dynamic ankle foot orthosis, including soft interface material,"
} ]
}, {
"code": "L4396",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustable for fit, for positioning, may be used for minimal ambulation,"
} ]
}, {
"code": "L4396",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prefabricated item that has been trimmed, bent, molded, assembled, or otherwise"
} ]
}, {
"code": "L4396",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "customized to fit a specific patient by an individual with expertise"
} ]
}, {
"code": "L4397",
"display": "Static or dynami afo pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Static or dynamic ankle foot orthosis, including soft interface material,"
} ]
}, {
"code": "L4397",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustable for fit, for positioning, may be used for minimal ambulation,"
} ]
}, {
"code": "L4397",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prefabricated, off-the-shelf"
} ]
}, {
"code": "L4398",
"display": "Foot drop splint pre ots",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf"
} ]
}, {
"code": "L4631",
"display": "Afo, walk boot type, cus fab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom,"
} ]
}, {
"code": "L4631",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anterior tibial shell, soft interface, custom arch support, plastic or other"
} ]
}, {
"code": "L4631",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "material, includes straps and closures, custom fabricated"
} ]
}, {
"code": "L5000",
"display": "Sho insert w arch toe filler",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial foot, shoe insert with longitudinal arch, toe filler"
} ]
}, {
"code": "L5010",
"display": "Mold socket ank hgt w/ toe f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial foot, molded socket, ankle height, with toe filler"
} ]
}, {
"code": "L5020",
"display": "Tibial tubercle hgt w/ toe f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial foot, molded socket, tibial tubercle height, with toe filler"
} ]
}, {
"code": "L5050",
"display": "Ank symes mold sckt sach ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle, symes, molded socket, sach foot"
} ]
}, {
"code": "L5060",
"display": "Symes met fr leath socket ar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle, symes, metal frame, molded leather socket, articulated ankle/foot"
} ]
}, {
"code": "L5100",
"display": "Molded socket shin sach foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below knee, molded socket, shin, sach foot"
} ]
}, {
"code": "L5105",
"display": "Plast socket jts/thgh lacer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below knee, plastic socket, joints and thigh lacer, sach foot"
} ]
}, {
"code": "L5150",
"display": "Mold sckt ext knee shin sach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee disarticulation (or through knee), molded socket, external knee joints,"
} ]
}, {
"code": "L5150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shin, sach foot"
} ]
}, {
"code": "L5160",
"display": "Mold socket bent knee shin s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee disarticulation (or through knee), molded socket, bent knee configuration,"
} ]
}, {
"code": "L5160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "external knee joints, shin, sach foot"
} ]
}, {
"code": "L5200",
"display": "Kne sing axis fric shin sach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above knee, molded socket, single axis constant friction knee, shin, sach foot"
} ]
}, {
"code": "L5210",
"display": "No knee/ankle joints w/ ft b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no"
} ]
}, {
"code": "L5210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ankle joints, each"
} ]
}, {
"code": "L5220",
"display": "No knee joint with artic ali",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above knee, short prosthesis, no knee joint ('stubbies'), with articulated"
} ]
}, {
"code": "L5220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ankle/foot, dynamically aligned, each"
} ]
}, {
"code": "L5230",
"display": "Fem focal defic constant fri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above knee, for proximal femoral focal deficiency, constant friction knee,"
} ]
}, {
"code": "L5230",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shin, sach foot"
} ]
}, {
"code": "L5250",
"display": "Hip canad sing axi cons fric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip disarticulation, canadian type; molded socket, hip joint, single axis"
} ]
}, {
"code": "L5250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "constant friction knee, shin, sach foot"
} ]
}, {
"code": "L5270",
"display": "Tilt table locking hip sing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip disarticulation, tilt table type; molded socket, locking hip joint, single"
} ]
}, {
"code": "L5270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "axis constant friction knee, shin, sach foot"
} ]
}, {
"code": "L5280",
"display": "Hemipelvect canad sing axis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant"
} ]
}, {
"code": "L5280",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "friction knee, shin, sach foot"
} ]
}, {
"code": "L5301",
"display": "Bk mold socket sach ft endo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below knee, molded socket, shin, sach foot, endoskeletal system"
} ]
}, {
"code": "L5312",
"display": "Knee disart, sach ft, endo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Knee disarticulation (or through knee), molded socket, single axis knee, pylon,"
} ]
}, {
"code": "L5312",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sach foot, endoskeletal system"
} ]
}, {
"code": "L5321",
"display": "Ak open end sach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above knee, molded socket, open end, sach foot, endoskeletal system, single"
} ]
}, {
"code": "L5321",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "axis knee"
} ]
}, {
"code": "L5331",
"display": "Hip disart canadian sach ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip disarticulation, canadian type, molded socket, endoskeletal system, hip"
} ]
}, {
"code": "L5331",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "joint, single axis knee, sach foot"
} ]
}, {
"code": "L5341",
"display": "Hemipelvectomy canadian sach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint,"
} ]
}, {
"code": "L5341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single axis knee, sach foot"
} ]
}, {
"code": "L5400",
"display": "Postop dress & 1 cast chg bk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid"
} ]
}, {
"code": "L5400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, including fitting, alignment, suspension, and one cast change, below"
} ]
}, {
"code": "L5400",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "knee"
} ]
}, {
"code": "L5410",
"display": "Postop dsg bk ea add cast ch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid"
} ]
}, {
"code": "L5410",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, including fitting, alignment and suspension, below knee, each"
} ]
}, {
"code": "L5410",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "additional cast change and realignment"
} ]
}, {
"code": "L5420",
"display": "Postop dsg & 1 cast chg ak/d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid"
} ]
}, {
"code": "L5420",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, including fitting, alignment and suspension and one cast change 'ak'"
} ]
}, {
"code": "L5420",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or knee disarticulation"
} ]
}, {
"code": "L5430",
"display": "Postop dsg ak ea add cast ch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid"
} ]
}, {
"code": "L5430",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation,"
} ]
}, {
"code": "L5430",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "each additional cast change and realignment"
} ]
}, {
"code": "L5450",
"display": "Postop app non-wgt bear dsg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of non-weight bearing"
} ]
}, {
"code": "L5450",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rigid dressing, below knee"
} ]
}, {
"code": "L5460",
"display": "Postop app non-wgt bear dsg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of non-weight bearing"
} ]
}, {
"code": "L5460",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rigid dressing, above knee"
} ]
}, {
"code": "L5500",
"display": "Init bk ptb plaster direct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover,"
} ]
}, {
"code": "L5500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sach foot, plaster socket, direct formed"
} ]
}, {
"code": "L5505",
"display": "Init ak ischal plstr direct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial, above knee - knee disarticulation, ischial level socket, non-alignable"
} ]
}, {
"code": "L5505",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system, pylon, no cover, sach foot, plaster socket, direct formed"
} ]
}, {
"code": "L5510",
"display": "Prep bk ptb plaster molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no"
} ]
}, {
"code": "L5510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cover, sach foot, plaster socket, molded to model"
} ]
}, {
"code": "L5520",
"display": "Perp bk ptb thermopls direct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no"
} ]
}, {
"code": "L5520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cover, sach foot, thermoplastic or equal, direct formed"
} ]
}, {
"code": "L5530",
"display": "Prep bk ptb thermopls molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no"
} ]
}, {
"code": "L5530",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cover, sach foot, thermoplastic or equal, molded to model"
} ]
}, {
"code": "L5535",
"display": "Prep bk ptb open end socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach"
} ]
}, {
"code": "L5535",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "foot, prefabricated, adjustable open end socket"
} ]
}, {
"code": "L5540",
"display": "Prep bk ptb laminated socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no"
} ]
}, {
"code": "L5540",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cover, sach foot, laminated socket, molded to model"
} ]
}, {
"code": "L5560",
"display": "Prep ak ischial plast molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, above knee- knee disarticulation, ischial level socket,"
} ]
}, {
"code": "L5560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-alignable system, pylon, no cover, sach foot, plaster socket, molded to"
} ]
}, {
"code": "L5560",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "model"
} ]
}, {
"code": "L5570",
"display": "Prep ak ischial direct form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, above knee - knee disarticulation, ischial level socket,"
} ]
}, {
"code": "L5570",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-alignable system, pylon, no cover, sach foot, thermoplastic or equal,"
} ]
}, {
"code": "L5570",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "direct formed"
} ]
}, {
"code": "L5580",
"display": "Prep ak ischial thermo mold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, above knee - knee disarticulation ischial level socket,"
} ]
}, {
"code": "L5580",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-alignable system, pylon, no cover, sach foot, thermoplastic or equal,"
} ]
}, {
"code": "L5580",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "molded to model"
} ]
}, {
"code": "L5585",
"display": "Prep ak ischial open end",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, above knee - knee disarticulation, ischial level socket,"
} ]
}, {
"code": "L5585",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open"
} ]
}, {
"code": "L5585",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "end socket"
} ]
}, {
"code": "L5590",
"display": "Prep ak ischial laminated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, above knee - knee disarticulation ischial level socket,"
} ]
}, {
"code": "L5590",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-alignable system, pylon no cover, sach foot, laminated socket, molded to"
} ]
}, {
"code": "L5590",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "model"
} ]
}, {
"code": "L5595",
"display": "Hip disartic sach thermopls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot,"
} ]
}, {
"code": "L5595",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thermoplastic or equal, molded to patient model"
} ]
}, {
"code": "L5600",
"display": "Hip disart sach laminat mold",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot,"
} ]
}, {
"code": "L5600",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "laminated socket, molded to patient model"
} ]
}, {
"code": "L5610",
"display": "Above knee hydracadence",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, endoskeletal system, above knee, hydracadence"
} ]
}, {
"code": "L5610",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "L5611",
"display": "Ak 4 bar link w/fric swing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, endoskeletal system, above knee - knee"
} ]
}, {
"code": "L5611",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation, 4 bar linkage, with friction swing phase control"
} ]
}, {
"code": "L5613",
"display": "Ak 4 bar ling w/hydraul swig",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, endoskeletal system, above knee-knee"
} ]
}, {
"code": "L5613",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation, 4 bar linkage, with hydraulic swing phase control"
} ]
}, {
"code": "L5614",
"display": "4-bar link above knee w/swng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, exoskeletal system, above knee-knee"
} ]
}, {
"code": "L5614",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation, 4 bar linkage, with pneumatic swing phase control"
} ]
}, {
"code": "L5615",
"display": "Ak 4 bar link hydl swg/stanc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid"
} ]
}, {
"code": "L5615",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing and stance phase control"
} ]
}, {
"code": "L5616",
"display": "Ak univ multiplex sys frict",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, endoskeletal system, above knee, universal"
} ]
}, {
"code": "L5616",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "multiplex system, friction swing phase control"
} ]
}, {
"code": "L5617",
"display": "Ak/bk self-aligning unit ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, quick change self-aligning unit, above knee or"
} ]
}, {
"code": "L5617",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "below knee, each"
} ]
}, {
"code": "L5618",
"display": "Test socket symes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, test socket, symes"
} ]
}, {
"code": "L5620",
"display": "Test socket below knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, test socket, below knee"
} ]
}, {
"code": "L5622",
"display": "Test socket knee disarticula",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, test socket, knee disarticulation"
} ]
}, {
"code": "L5624",
"display": "Test socket above knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, test socket, above knee"
} ]
}, {
"code": "L5626",
"display": "Test socket hip disarticulat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, test socket, hip disarticulation"
} ]
}, {
"code": "L5628",
"display": "Test socket hemipelvectomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, test socket, hemipelvectomy"
} ]
}, {
"code": "L5629",
"display": "Below knee acrylic socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, acrylic socket"
} ]
}, {
"code": "L5630",
"display": "Syme typ expandabl wall sckt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, symes type, expandable wall socket"
} ]
}, {
"code": "L5631",
"display": "Ak/knee disartic acrylic soc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee or knee disarticulation, acrylic socket"
} ]
}, {
"code": "L5632",
"display": "Symes type ptb brim design s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, symes type, 'ptb' brim design socket"
} ]
}, {
"code": "L5634",
"display": "Symes type poster opening so",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, symes type, posterior opening (canadian) socket"
} ]
}, {
"code": "L5636",
"display": "Symes type medial opening so",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, symes type, medial opening socket"
} ]
}, {
"code": "L5637",
"display": "Below knee total contact",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, total contact"
} ]
}, {
"code": "L5638",
"display": "Below knee leather socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, leather socket"
} ]
}, {
"code": "L5639",
"display": "Below knee wood socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, wood socket"
} ]
}, {
"code": "L5640",
"display": "Knee disarticulat leather so",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, knee disarticulation, leather socket"
} ]
}, {
"code": "L5642",
"display": "Above knee leather socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, leather socket"
} ]
}, {
"code": "L5643",
"display": "Hip flex inner socket ext fr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, hip disarticulation, flexible inner socket,"
} ]
}, {
"code": "L5643",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "external frame"
} ]
}, {
"code": "L5644",
"display": "Above knee wood socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, wood socket"
} ]
}, {
"code": "L5645",
"display": "Bk flex inner socket ext fra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, flexible inner socket, external frame"
} ]
}, {
"code": "L5646",
"display": "Below knee cushion socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, air, fluid, gel or equal, cushion"
} ]
}, {
"code": "L5646",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "socket"
} ]
}, {
"code": "L5647",
"display": "Below knee suction socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee suction socket"
} ]
}, {
"code": "L5648",
"display": "Above knee cushion socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, air, fluid, gel or equal, cushion"
} ]
}, {
"code": "L5648",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "socket"
} ]
}, {
"code": "L5649",
"display": "Isch containmt/narrow m-l so",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, ischial containment/narrow m-l socket"
} ]
}, {
"code": "L5650",
"display": "Tot contact ak/knee disart s",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Additions to lower extremity, total contact, above knee or knee disarticulation"
} ]
}, {
"code": "L5650",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "socket"
} ]
}, {
"code": "L5651",
"display": "Ak flex inner socket ext fra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, flexible inner socket, external frame"
} ]
}, {
"code": "L5652",
"display": "Suction susp ak/knee disart",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, suction suspension, above knee or knee"
} ]
}, {
"code": "L5652",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation socket"
} ]
}, {
"code": "L5653",
"display": "Knee disart expand wall sock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, knee disarticulation, expandable wall socket"
} ]
}, {
"code": "L5654",
"display": "Socket insert symes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast,"
} ]
}, {
"code": "L5654",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plastazote or equal)"
} ]
}, {
"code": "L5655",
"display": "Socket insert below knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, socket insert, below knee (kemblo, pelite,"
} ]
}, {
"code": "L5655",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "aliplast, plastazote or equal)"
} ]
}, {
"code": "L5656",
"display": "Socket insert knee articulat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, socket insert, knee disarticulation (kemblo,"
} ]
}, {
"code": "L5656",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pelite, aliplast, plastazote or equal)"
} ]
}, {
"code": "L5658",
"display": "Socket insert above knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, socket insert, above knee (kemblo, pelite,"
} ]
}, {
"code": "L5658",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "aliplast, plastazote or equal)"
} ]
}, {
"code": "L5661",
"display": "Multi-durometer symes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, socket insert, multi-durometer symes"
} ]
}, {
"code": "L5665",
"display": "Multi-durometer below knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, socket insert, multi-durometer, below knee"
} ]
}, {
"code": "L5666",
"display": "Below knee cuff suspension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, cuff suspension"
} ]
}, {
"code": "L5668",
"display": "Bk molded distal cushion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, molded distal cushion"
} ]
}, {
"code": "L5670",
"display": "Bk molded supracondylar susp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, molded supracondylar suspension ('pts'"
} ]
}, {
"code": "L5670",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or similar)"
} ]
}, {
"code": "L5671",
"display": "Bk/ak locking mechanism",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee / above knee suspension locking"
} ]
}, {
"code": "L5671",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism (shuttle, lanyard or equal), excludes socket insert"
} ]
}, {
"code": "L5672",
"display": "Bk removable medial brim sus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, removable medial brim suspension"
} ]
}, {
"code": "L5673",
"display": "Socket insert w lock mech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee/above knee, custom fabricated from"
} ]
}, {
"code": "L5673",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "existing mold or prefabricated, socket insert, silicone gel, elastomeric or"
} ]
}, {
"code": "L5673",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "equal, for use with locking mechanism"
} ]
}, {
"code": "L5676",
"display": "Bk knee joints single axis p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Additions to lower extremity, below knee, knee joints, single axis, pair"
} ]
}, {
"code": "L5677",
"display": "Bk knee joints polycentric p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Additions to lower extremity, below knee, knee joints, polycentric, pair"
} ]
}, {
"code": "L5678",
"display": "Bk joint covers pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Additions to lower extremity, below knee, joint covers, pair"
} ]
}, {
"code": "L5679",
"display": "Socket insert w/o lock mech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee/above knee, custom fabricated from"
} ]
}, {
"code": "L5679",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "existing mold or prefabricated, socket insert, silicone gel, elastomeric or"
} ]
}, {
"code": "L5679",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "equal, not for use with locking mechanism"
} ]
}, {
"code": "L5680",
"display": "Bk thigh lacer non-molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, thigh lacer, nonmolded"
} ]
}, {
"code": "L5681",
"display": "Intl custm cong/latyp insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee/above knee, custom fabricated socket"
} ]
}, {
"code": "L5681",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "insert for congenital or atypical traumatic amputee, silicone gel, elastomeric"
} ]
}, {
"code": "L5681",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or equal, for use with or without locking mechanism, initial only (for other"
} ]
}, {
"code": "L5681",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "than initial, use code l5673 or l5679)"
} ]
}, {
"code": "L5682",
"display": "Bk thigh lacer glut/ischia m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded"
} ]
}, {
"code": "L5683",
"display": "Initial custom socket insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee/above knee, custom fabricated socket"
} ]
}, {
"code": "L5683",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "insert for other than congenital or atypical traumatic amputee, silicone gel,"
} ]
}, {
"code": "L5683",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "elastomeric or equal, for use with or without locking mechanism, initial only"
} ]
}, {
"code": "L5683",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "(for other than initial, use code l5673 or l5679)"
} ]
}, {
"code": "L5684",
"display": "Bk fork strap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, fork strap"
} ]
}, {
"code": "L5685",
"display": "Below knee sus/seal sleeve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve,"
} ]
}, {
"code": "L5685",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with or without valve, any material, each"
} ]
}, {
"code": "L5686",
"display": "Bk back check",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, back check (extension control)"
} ]
}, {
"code": "L5688",
"display": "Bk waist belt webbing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, waist belt, webbing"
} ]
}, {
"code": "L5690",
"display": "Bk waist belt padded and lin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, below knee, waist belt, padded and lined"
} ]
}, {
"code": "L5692",
"display": "Ak pelvic control belt light",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, pelvic control belt, light"
} ]
}, {
"code": "L5694",
"display": "Ak pelvic control belt pad/l",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, pelvic control belt, padded and lined"
} ]
}, {
"code": "L5695",
"display": "Ak sleeve susp neoprene/equa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee, pelvic control, sleeve suspension,"
} ]
}, {
"code": "L5695",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neoprene or equal, each"
} ]
}, {
"code": "L5696",
"display": "Ak/knee disartic pelvic join",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee or knee disarticulation, pelvic joint"
} ]
}, {
"code": "L5697",
"display": "Ak/knee disartic pelvic band",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee or knee disarticulation, pelvic band"
} ]
}, {
"code": "L5698",
"display": "Ak/knee disartic silesian ba",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, above knee or knee disarticulation, silesian"
} ]
}, {
"code": "L5698",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bandage"
} ]
}, {
"code": "L5699",
"display": "Shoulder harness",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, shoulder harness"
} ]
}, {
"code": "L5700",
"display": "Replace socket below knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement, socket, below knee, molded to patient model"
} ]
}, {
"code": "L5701",
"display": "Replace socket above knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement, socket, above knee/knee disarticulation, including attachment"
} ]
}, {
"code": "L5701",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plate, molded to patient model"
} ]
}, {
"code": "L5702",
"display": "Replace socket hip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement, socket, hip disarticulation, including hip joint, molded to"
} ]
}, {
"code": "L5702",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient model"
} ]
}, {
"code": "L5703",
"display": "Symes ankle w/o (sach) foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ankle, symes, molded to patient model, socket without solid ankle cushion heel"
} ]
}, {
"code": "L5703",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(sach) foot, replacement only"
} ]
}, {
"code": "L5704",
"display": "Custom shape cover bk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom shaped protective cover, below knee"
} ]
}, {
"code": "L5705",
"display": "Custom shape cover ak",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom shaped protective cover, above knee"
} ]
}, {
"code": "L5706",
"display": "Custom shape cvr knee disart",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom shaped protective cover, knee disarticulation"
} ]
}, {
"code": "L5707",
"display": "Custom shape cvr hip disart",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom shaped protective cover, hip disarticulation"
} ]
}, {
"code": "L5710",
"display": "Kne-shin exo sng axi mnl loc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, manual lock"
} ]
}, {
"code": "L5711",
"display": "Knee-shin exo mnl lock ultra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light"
} ]
}, {
"code": "L5711",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "L5712",
"display": "Knee-shin exo frict swg & st",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, friction swing and stance"
} ]
}, {
"code": "L5712",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "phase control (safety knee)"
} ]
}, {
"code": "L5714",
"display": "Knee-shin exo variable frict",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, variable friction swing"
} ]
}, {
"code": "L5714",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "phase control"
} ]
}, {
"code": "L5716",
"display": "Knee-shin exo mech stance ph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase"
} ]
}, {
"code": "L5716",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lock"
} ]
}, {
"code": "L5718",
"display": "Knee-shin exo frct swg & sta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, polycentric, friction swing and stance"
} ]
}, {
"code": "L5718",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "phase control"
} ]
}, {
"code": "L5722",
"display": "Knee-shin pneum swg frct exo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction"
} ]
}, {
"code": "L5722",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stance phase control"
} ]
}, {
"code": "L5724",
"display": "Knee-shin exo fluid swing ph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, fluid swing phase control"
} ]
}, {
"code": "L5726",
"display": "Knee-shin ext jnts fld swg e",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, external joints fluid"
} ]
}, {
"code": "L5726",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing phase control"
} ]
}, {
"code": "L5728",
"display": "Knee-shin fluid swg & stance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, fluid swing and stance"
} ]
}, {
"code": "L5728",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "phase control"
} ]
}, {
"code": "L5780",
"display": "Knee-shin pneum/hydra pneum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic"
} ]
}, {
"code": "L5780",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing phase control"
} ]
}, {
"code": "L5781",
"display": "Lower limb pros vacuum pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower limb prosthesis, vacuum pump, residual limb volume management"
} ]
}, {
"code": "L5781",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and moisture evacuation system"
} ]
}, {
"code": "L5782",
"display": "Hd low limb pros vacuum pump",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower limb prosthesis, vacuum pump, residual limb volume management"
} ]
}, {
"code": "L5782",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and moisture evacuation system, heavy duty"
} ]
}, {
"code": "L5783",
"display": "Add low ext mec limb vol sys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity, user adjustable, mechanical, residual limb volume"
} ]
}, {
"code": "L5783",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management system"
} ]
}, {
"code": "L5785",
"display": "Exoskeletal bk ultralt mater",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal system, below knee, ultra-light material (titanium,"
} ]
}, {
"code": "L5785",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "carbon fiber or equal)"
} ]
}, {
"code": "L5790",
"display": "Exoskeletal ak ultra-light m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal system, above knee, ultra-light material (titanium,"
} ]
}, {
"code": "L5790",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "carbon fiber or equal)"
} ]
}, {
"code": "L5795",
"display": "Exoskel hip ultra-light mate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, exoskeletal system, hip disarticulation, ultra-light material"
} ]
}, {
"code": "L5795",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(titanium, carbon fiber or equal)"
} ]
}, {
"code": "L5810",
"display": "Endoskel knee-shin mnl lock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, manual lock"
} ]
}, {
"code": "L5811",
"display": "Endo knee-shin mnl lck ultra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light"
} ]
}, {
"code": "L5811",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "L5812",
"display": "Endo knee-shin frct swg & st",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, friction swing and stance"
} ]
}, {
"code": "L5812",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "phase control (safety knee)"
} ]
}, {
"code": "L5814",
"display": "Endo knee-shin hydral swg ph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase"
} ]
}, {
"code": "L5814",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, mechanical stance phase lock"
} ]
}, {
"code": "L5816",
"display": "Endo knee-shin polyc mch sta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase"
} ]
}, {
"code": "L5816",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lock"
} ]
}, {
"code": "L5818",
"display": "Endo knee-shin frct swg & st",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, polycentric, friction swing, and"
} ]
}, {
"code": "L5818",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stance phase control"
} ]
}, {
"code": "L5822",
"display": "Endo knee-shin pneum swg frc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction"
} ]
}, {
"code": "L5822",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stance phase control"
} ]
}, {
"code": "L5824",
"display": "Endo knee-shin fluid swing p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, fluid swing phase control"
} ]
}, {
"code": "L5826",
"display": "Miniature knee joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase"
} ]
}, {
"code": "L5826",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, with miniature high activity frame"
} ]
}, {
"code": "L5828",
"display": "Endo knee-shin fluid swg/sta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, fluid swing and stance"
} ]
}, {
"code": "L5828",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "phase control"
} ]
}, {
"code": "L5830",
"display": "Endo knee-shin pneum/swg pha",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase"
} ]
}, {
"code": "L5830",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control"
} ]
}, {
"code": "L5840",
"display": "Multi-axial knee/shin system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic"
} ]
}, {
"code": "L5840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "swing phase control"
} ]
}, {
"code": "L5841",
"display": "Addition endoskletl knee-shi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and"
} ]
}, {
"code": "L5841",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stance phase control"
} ]
}, {
"code": "L5845",
"display": "Knee-shin sys stance flexion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable"
} ]
}, {
"code": "L5848",
"display": "Knee-shin sys hydraul stance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to endoskeletal knee-shin system, fluid stance extension, dampening"
} ]
}, {
"code": "L5848",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "feature, with or without adjustability"
} ]
}, {
"code": "L5850",
"display": "Endo ak/hip knee extens assi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, above knee or hip disarticulation, knee"
} ]
}, {
"code": "L5850",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension assist"
} ]
}, {
"code": "L5855",
"display": "Mech hip extension assist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, hip disarticulation, mechanical hip extension"
} ]
}, {
"code": "L5855",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assist"
} ]
}, {
"code": "L5856",
"display": "Elec knee-shin swing/stance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, endoskeletal knee-shin system,"
} ]
}, {
"code": "L5856",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microprocessor control feature, swing and stance phase, includes electronic"
} ]
}, {
"code": "L5856",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "sensor(s), any type"
} ]
}, {
"code": "L5857",
"display": "Elec knee-shin swing only",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, endoskeletal knee-shin system,"
} ]
}, {
"code": "L5857",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microprocessor control feature, swing phase only, includes electronic"
} ]
}, {
"code": "L5857",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "sensor(s), any type"
} ]
}, {
"code": "L5858",
"display": "Stance phase only",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, endoskeletal knee shin system,"
} ]
}, {
"code": "L5858",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microprocessor control feature, stance phase only, includes electronic"
} ]
}, {
"code": "L5858",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "sensor(s), any type"
} ]
}, {
"code": "L5859",
"display": "Knee-shin pro flex/ext cont",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered"
} ]
}, {
"code": "L5859",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and programmable flexion/extension assist control, includes any type motor(s)"
} ]
}, {
"code": "L5910",
"display": "Endo below knee alignable sy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, below knee, alignable system"
} ]
}, {
"code": "L5920",
"display": "Endo ak/hip alignable system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, above knee or hip disarticulation, alignable"
} ]
}, {
"code": "L5920",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "system"
} ]
}, {
"code": "L5925",
"display": "Above knee manual lock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, above knee, knee disarticulation or hip"
} ]
}, {
"code": "L5925",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation, manual lock"
} ]
}, {
"code": "L5926",
"display": "Endoskel posit rotat unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, endoskeletal, knee disarticulation,"
} ]
}, {
"code": "L5926",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "above knee, hip disarticulation, positional rotation unit, any type"
} ]
}, {
"code": "L5930",
"display": "High activity knee frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, high activity knee control frame"
} ]
}, {
"code": "L5940",
"display": "Endo bk ultra-light material",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, below knee, ultra-light material (titanium,"
} ]
}, {
"code": "L5940",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "carbon fiber or equal)"
} ]
}, {
"code": "L5950",
"display": "Endo ak ultra-light material",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, above knee, ultra-light material (titanium,"
} ]
}, {
"code": "L5950",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "carbon fiber or equal)"
} ]
}, {
"code": "L5960",
"display": "Endo hip ultra-light materia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, hip disarticulation, ultra-light material"
} ]
}, {
"code": "L5960",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(titanium, carbon fiber or equal)"
} ]
}, {
"code": "L5961",
"display": "Endo poly hip, pneu/hyd/rot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic"
} ]
}, {
"code": "L5961",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "control, rotation control, with or without flexion and/or extension control"
} ]
}, {
"code": "L5962",
"display": "Below knee flex cover system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, below knee, flexible protective outer surface"
} ]
}, {
"code": "L5962",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "covering system"
} ]
}, {
"code": "L5964",
"display": "Above knee flex cover system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, above knee, flexible protective outer surface"
} ]
}, {
"code": "L5964",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "covering system"
} ]
}, {
"code": "L5966",
"display": "Hip flexible cover system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal system, hip disarticulation, flexible protective outer"
} ]
}, {
"code": "L5966",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "surface covering system"
} ]
}, {
"code": "L5968",
"display": "Multiaxial ankle w dorsiflex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower limb prosthesis, multiaxial ankle with swing phase active"
} ]
}, {
"code": "L5968",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dorsiflexion feature"
} ]
}, {
"code": "L5969",
"display": "Ak/ft power asst incl motors",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition, endoskeletal ankle-foot or ankle system, power assist, includes any"
} ]
}, {
"code": "L5969",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "type motor(s)"
} ]
}, {
"code": "L5970",
"display": "Foot external keel sach foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, foot, external keel, sach foot"
} ]
}, {
"code": "L5971",
"display": "Sach foot, replacement",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prosthesis, solid ankle cushion heel (sach) foot,"
} ]
}, {
"code": "L5971",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "L5972",
"display": "Flexible keel foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, foot, flexible keel"
} ]
}, {
"code": "L5973",
"display": "Ank-foot sys dors-plant flex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion"
} ]
}, {
"code": "L5973",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or plantar flexion control, includes power source"
} ]
}, {
"code": "L5974",
"display": "Foot single axis ankle/foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, foot, single axis ankle/foot"
} ]
}, {
"code": "L5975",
"display": "Combo ankle/foot prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prosthesis, combination single axis ankle and flexible keel"
} ]
}, {
"code": "L5975",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "foot"
} ]
}, {
"code": "L5976",
"display": "Energy storing foot",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, energy storing foot (seattle carbon copy ii or"
} ]
}, {
"code": "L5976",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal)"
} ]
}, {
"code": "L5978",
"display": "Ft prosth multiaxial ankl/ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, foot, multiaxial ankle/foot"
} ]
}, {
"code": "L5979",
"display": "Multi-axial ankle/ft prosth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one"
} ]
}, {
"code": "L5979",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "piece system"
} ]
}, {
"code": "L5980",
"display": "Flex foot system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, flex foot system"
} ]
}, {
"code": "L5981",
"display": "Flex-walk sys low ext prosth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, flex-walk system or equal"
} ]
}, {
"code": "L5982",
"display": "Exoskeletal axial rotation u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All exoskeletal lower extremity prostheses, axial rotation unit"
} ]
}, {
"code": "L5984",
"display": "Endoskeletal axial rotation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All endoskeletal lower extremity prosthesis, axial rotation unit, with or"
} ]
}, {
"code": "L5984",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "without adjustability"
} ]
}, {
"code": "L5985",
"display": "Lwr ext dynamic prosth pylon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All endoskeletal lower extremity prostheses, dynamic prosthetic pylon"
} ]
}, {
"code": "L5986",
"display": "Multi-axial rotation unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)"
} ]
}, {
"code": "L5987",
"display": "Shank ft w vert load pylon",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All lower extremity prosthesis, shank foot system with vertical loading pylon"
} ]
}, {
"code": "L5988",
"display": "Vertical shock reducing pylo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower limb prosthesis, vertical shock reducing pylon feature"
} ]
}, {
"code": "L5990",
"display": "User adjustable heel height",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prosthesis, user adjustable heel height"
} ]
}, {
"code": "L5991",
"display": "Low pros ext osseo connector",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lower extremity prostheses, osseointegrated external prosthetic"
} ]
}, {
"code": "L5991",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "connector"
} ]
}, {
"code": "L5999",
"display": "Lowr extremity prosthes nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lower extremity prosthesis, not otherwise specified"
} ]
}, {
"code": "L6000",
"display": "Part hand thumb rem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial hand, thumb remaining"
} ]
}, {
"code": "L6010",
"display": "Part hand little/ring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial hand, little and/or ring finger remaining"
} ]
}, {
"code": "L6020",
"display": "Part hand no fingers",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial hand, no finger remaining"
} ]
}, {
"code": "L6025",
"display": "Part hand disart myoelectric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcarpal/metacarpal or partial hand disarticulation prosthesis, external"
} ]
}, {
"code": "L6025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "power, self-suspended, inner socket with removable forearm section, electrodes"
} ]
}, {
"code": "L6025",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and cables, two batteries, charger, myoelectric control of terminal device"
} ]
}, {
"code": "L6026",
"display": "Part hand myo exclu term dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcarpal/metacarpal or partial hand disarticulation prosthesis, external"
} ]
}, {
"code": "L6026",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "power, self-suspended, inner socket with removable forearm section, electrodes"
} ]
}, {
"code": "L6026",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and cables, two batteries, charger, myoelectric control of terminal device,"
} ]
}, {
"code": "L6026",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "excludes terminal device(s)"
} ]
}, {
"code": "L6050",
"display": "Wrst mld sck flx hng tri pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad"
} ]
}, {
"code": "L6055",
"display": "Wrst mold sock w/exp interfa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist disarticulation, molded socket with expandable interface, flexible elbow"
} ]
}, {
"code": "L6055",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hinges, triceps pad"
} ]
}, {
"code": "L6100",
"display": "Elb mold sock flex hinge pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, molded socket, flexible elbow hinge, triceps pad"
} ]
}, {
"code": "L6110",
"display": "Elbow mold sock suspension t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, molded socket, (muenster or northwestern suspension types)"
} ]
}, {
"code": "L6120",
"display": "Elbow mold doub splt soc ste",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, molded double wall split socket, step-up hinges, half cuff"
} ]
}, {
"code": "L6130",
"display": "Elbow stump activated lock h",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, molded double wall split socket, stump activated locking hinge,"
} ]
}, {
"code": "L6130",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "half cuff"
} ]
}, {
"code": "L6200",
"display": "Elbow mold outsid lock hinge",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow disarticulation, molded socket, outside locking hinge, forearm"
} ]
}, {
"code": "L6205",
"display": "Elbow molded w/ expand inter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow disarticulation, molded socket with expandable interface, outside locking"
} ]
}, {
"code": "L6205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hinges, forearm"
} ]
}, {
"code": "L6250",
"display": "Elbow inter loc elbow forarm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above elbow, molded double wall socket, internal locking elbow, forearm"
} ]
}, {
"code": "L6300",
"display": "Shlder disart int lock elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section,"
} ]
}, {
"code": "L6300",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "internal locking elbow, forearm"
} ]
}, {
"code": "L6310",
"display": "Shoulder passive restor comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder disarticulation, passive restoration (complete prosthesis)"
} ]
}, {
"code": "L6320",
"display": "Shoulder passive restor cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder disarticulation, passive restoration (shoulder cap only)"
} ]
}, {
"code": "L6350",
"display": "Thoracic intern lock elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interscapular thoracic, molded socket, shoulder bulkhead, humeral section,"
} ]
}, {
"code": "L6350",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "internal locking elbow, forearm"
} ]
}, {
"code": "L6360",
"display": "Thoracic passive restor comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interscapular thoracic, passive restoration (complete prosthesis)"
} ]
}, {
"code": "L6370",
"display": "Thoracic passive restor cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interscapular thoracic, passive restoration (shoulder cap only)"
} ]
}, {
"code": "L6380",
"display": "Postop dsg cast chg wrst/elb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid"
} ]
}, {
"code": "L6380",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dressing, including fitting alignment and suspension of components, and one"
} ]
}, {
"code": "L6380",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cast change, wrist disarticulation or below elbow"
} ]
}, {
"code": "L6382",
"display": "Postop dsg cast chg elb dis/",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid dressing"
} ]
}, {
"code": "L6382",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including fitting alignment and suspension of components, and one cast change,"
} ]
}, {
"code": "L6382",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "elbow disarticulation or above elbow"
} ]
}, {
"code": "L6384",
"display": "Postop dsg cast chg shlder/t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of initial rigid dressing"
} ]
}, {
"code": "L6384",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including fitting alignment and suspension of components, and one cast change,"
} ]
}, {
"code": "L6384",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "shoulder disarticulation or interscapular thoracic"
} ]
}, {
"code": "L6386",
"display": "Postop ea cast chg & realign",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, each additional cast change and"
} ]
}, {
"code": "L6386",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "realignment"
} ]
}, {
"code": "L6388",
"display": "Postop applicat rigid dsg on",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Immediate post surgical or early fitting, application of rigid dressing only"
} ]
}, {
"code": "L6400",
"display": "Below elbow prosth tiss shap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, molded socket, endoskeletal system, including soft prosthetic"
} ]
}, {
"code": "L6400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tissue shaping"
} ]
}, {
"code": "L6450",
"display": "Elb disart prosth tiss shap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow disarticulation, molded socket, endoskeletal system, including soft"
} ]
}, {
"code": "L6450",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prosthetic tissue shaping"
} ]
}, {
"code": "L6500",
"display": "Above elbow prosth tiss shap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above elbow, molded socket, endoskeletal system, including soft prosthetic"
} ]
}, {
"code": "L6500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "tissue shaping"
} ]
}, {
"code": "L6550",
"display": "Shldr disar prosth tiss shap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder disarticulation, molded socket, endoskeletal system, including soft"
} ]
}, {
"code": "L6550",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prosthetic tissue shaping"
} ]
}, {
"code": "L6570",
"display": "Scap thorac prosth tiss shap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interscapular thoracic, molded socket, endoskeletal system, including soft"
} ]
}, {
"code": "L6570",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prosthetic tissue shaping"
} ]
}, {
"code": "L6580",
"display": "Wrist/elbow bowden cable mol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, wrist disarticulation or below elbow, single wall plastic socket,"
} ]
}, {
"code": "L6580",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff,"
} ]
}, {
"code": "L6580",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "bowden cable control, usmc or equal pylon, no cover, molded to patient model"
} ]
}, {
"code": "L6582",
"display": "Wrist/elbow bowden cbl dir f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, wrist disarticulation or below elbow, single wall socket, friction"
} ]
}, {
"code": "L6582",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden"
} ]
}, {
"code": "L6582",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cable control, usmc or equal pylon, no cover, direct formed"
} ]
}, {
"code": "L6584",
"display": "Elbow fair lead cable molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, elbow disarticulation or above elbow, single wall plastic socket,"
} ]
}, {
"code": "L6584",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "friction wrist, locking elbow, figure of eight harness, fair lead cable"
} ]
}, {
"code": "L6584",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control, usmc or equal pylon, no cover, molded to patient model"
} ]
}, {
"code": "L6586",
"display": "Elbow fair lead cable dir fo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, elbow disarticulation or above elbow, single wall socket, friction"
} ]
}, {
"code": "L6586",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or"
} ]
}, {
"code": "L6586",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "equal pylon, no cover, direct formed"
} ]
}, {
"code": "L6588",
"display": "Shdr fair lead cable molded",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, shoulder disarticulation or interscapular thoracic, single wall"
} ]
}, {
"code": "L6588",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "plastic socket, shoulder joint, locking elbow, friction wrist, chest strap,"
} ]
}, {
"code": "L6588",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "fair lead cable control, usmc or equal pylon, no cover, molded to patient model"
} ]
}, {
"code": "L6590",
"display": "Shdr fair lead cable direct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preparatory, shoulder disarticulation or interscapular thoracic, single wall"
} ]
}, {
"code": "L6590",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead"
} ]
}, {
"code": "L6590",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cable control, usmc or equal pylon, no cover, direct formed"
} ]
}, {
"code": "L6600",
"display": "Polycentric hinge pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity additions, polycentric hinge, pair"
} ]
}, {
"code": "L6605",
"display": "Single pivot hinge pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity additions, single pivot hinge, pair"
} ]
}, {
"code": "L6610",
"display": "Flexible metal hinge pair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity additions, flexible metal hinge, pair"
} ]
}, {
"code": "L6611",
"display": "Additional switch, ext power",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, external powered, additional switch,"
} ]
}, {
"code": "L6611",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any type"
} ]
}, {
"code": "L6615",
"display": "Disconnect locking wrist uni",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, disconnect locking wrist unit"
} ]
}, {
"code": "L6616",
"display": "Disconnect insert locking wr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, additional disconnect insert for locking wrist unit,"
} ]
}, {
"code": "L6616",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L6620",
"display": "Flexion/extension wrist unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, flexion/extension wrist unit, with or without friction"
} ]
}, {
"code": "L6621",
"display": "Flex/ext wrist w/wo friction",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity prosthesis addition, flexion/extension wrist with or without"
} ]
}, {
"code": "L6621",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "friction, for use with external powered terminal device"
} ]
}, {
"code": "L6623",
"display": "Spring-ass rot wrst w/ latch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, spring assisted rotational wrist unit with latch"
} ]
}, {
"code": "L6623",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "release"
} ]
}, {
"code": "L6624",
"display": "Flex/ext/rotation wrist unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, flexion/extension and rotation wrist unit"
} ]
}, {
"code": "L6625",
"display": "Rotation wrst w/ cable lock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, rotation wrist unit with cable lock"
} ]
}, {
"code": "L6628",
"display": "Quick disconn hook adapter o",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, quick disconnect hook adapter, otto bock or equal"
} ]
}, {
"code": "L6629",
"display": "Lamination collar w/ couplin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, quick disconnect lamination collar with coupling"
} ]
}, {
"code": "L6629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "piece, otto bock or equal"
} ]
}, {
"code": "L6630",
"display": "Stainless steel any wrist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, stainless steel, any wrist"
} ]
}, {
"code": "L6632",
"display": "Latex suspension sleeve each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, latex suspension sleeve, each"
} ]
}, {
"code": "L6635",
"display": "Lift assist for elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, lift assist for elbow"
} ]
}, {
"code": "L6637",
"display": "Nudge control elbow lock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, nudge control elbow lock"
} ]
}, {
"code": "L6638",
"display": "Elec lock on manual pw elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition to prosthesis, electric locking feature, only for use"
} ]
}, {
"code": "L6638",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "with manually powered elbow"
} ]
}, {
"code": "L6640",
"display": "Shoulder abduction joint pai",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity additions, shoulder abduction joint, pair"
} ]
}, {
"code": "L6641",
"display": "Excursion amplifier pulley t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, excursion amplifier, pulley type"
} ]
}, {
"code": "L6642",
"display": "Excursion amplifier lever ty",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, excursion amplifier, lever type"
} ]
}, {
"code": "L6645",
"display": "Shoulder flexion-abduction j",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, shoulder flexion-abduction joint, each"
} ]
}, {
"code": "L6646",
"display": "Multipo locking shoulder jnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, shoulder joint, multipositional locking, flexion,"
} ]
}, {
"code": "L6646",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adjustable abduction friction control, for use with body powered or external"
} ]
}, {
"code": "L6646",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "powered system"
} ]
}, {
"code": "L6647",
"display": "Shoulder lock actuator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, shoulder lock mechanism, body powered actuator"
} ]
}, {
"code": "L6648",
"display": "Ext pwrd shlder lock/unlock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, shoulder lock mechanism, external powered actuator"
} ]
}, {
"code": "L6650",
"display": "Shoulder universal joint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, shoulder universal joint, each"
} ]
}, {
"code": "L6655",
"display": "Standard control cable extra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, standard control cable, extra"
} ]
}, {
"code": "L6660",
"display": "Heavy duty control cable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, heavy duty control cable"
} ]
}, {
"code": "L6665",
"display": "Teflon or equal cable lining",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, teflon, or equal, cable lining"
} ]
}, {
"code": "L6670",
"display": "Hook to hand cable adapter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, hook to hand, cable adapter"
} ]
}, {
"code": "L6672",
"display": "Harness chest/shlder saddle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, harness, chest or shoulder, saddle type"
} ]
}, {
"code": "L6675",
"display": "Harness figure of 8 sing con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, harness, (e.g., figure of eight type), single cable"
} ]
}, {
"code": "L6675",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "design"
} ]
}, {
"code": "L6676",
"display": "Harness figure of 8 dual con",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, harness, (e.g., figure of eight type), dual cable"
} ]
}, {
"code": "L6676",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "design"
} ]
}, {
"code": "L6677",
"display": "Ue triple control harness",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, harness, triple control, simultaneous operation of"
} ]
}, {
"code": "L6677",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "terminal device and elbow"
} ]
}, {
"code": "L6680",
"display": "Test sock wrist disart/bel e",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, test socket, wrist disarticulation or below elbow"
} ]
}, {
"code": "L6682",
"display": "Test sock elbw disart/above",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, test socket, elbow disarticulation or above elbow"
} ]
}, {
"code": "L6684",
"display": "Test socket shldr disart/tho",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, test socket, shoulder disarticulation or"
} ]
}, {
"code": "L6684",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interscapular thoracic"
} ]
}, {
"code": "L6686",
"display": "Suction socket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, suction socket"
} ]
}, {
"code": "L6687",
"display": "Frame typ socket bel elbow/w",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, frame type socket, below elbow or wrist"
} ]
}, {
"code": "L6687",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation"
} ]
}, {
"code": "L6688",
"display": "Frame typ sock above elb/dis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, frame type socket, above elbow or elbow"
} ]
}, {
"code": "L6688",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disarticulation"
} ]
}, {
"code": "L6689",
"display": "Frame typ socket shoulder di",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, frame type socket, shoulder disarticulation"
} ]
}, {
"code": "L6690",
"display": "Frame typ sock interscap-tho",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, frame type socket, interscapular-thoracic"
} ]
}, {
"code": "L6691",
"display": "Removable insert each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, removable insert, each"
} ]
}, {
"code": "L6692",
"display": "Silicone gel insert or equal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, silicone gel insert or equal, each"
} ]
}, {
"code": "L6693",
"display": "Lockingelbow forearm cntrbal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity addition, locking elbow, forearm counterbalance"
} ]
}, {
"code": "L6694",
"display": "Elbow socket ins use w/lock",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom"
} ]
}, {
"code": "L6694",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated from existing mold or prefabricated, socket insert, silicone gel,"
} ]
}, {
"code": "L6694",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "elastomeric or equal, for use with locking mechanism"
} ]
}, {
"code": "L6695",
"display": "Elbow socket ins use w/o lck",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom"
} ]
}, {
"code": "L6695",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated from existing mold or prefabricated, socket insert, silicone gel,"
} ]
}, {
"code": "L6695",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "elastomeric or equal, not for use with locking mechanism"
} ]
}, {
"code": "L6696",
"display": "Cus elbo skt in for con/atyp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom"
} ]
}, {
"code": "L6696",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated socket insert for congenital or atypical traumatic amputee, silicone"
} ]
}, {
"code": "L6696",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "gel, elastomeric or equal, for use with or without locking mechanism, initial"
} ]
}, {
"code": "L6696",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "only (for other than initial, use code l6694 or l6695)"
} ]
}, {
"code": "L6697",
"display": "Cus elbo skt in not con/atyp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, custom"
} ]
}, {
"code": "L6697",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "fabricated socket insert for other than congenital or atypical traumatic"
} ]
}, {
"code": "L6697",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "amputee, silicone gel, elastomeric or equal, for use with or without locking"
} ]
}, {
"code": "L6697",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mechanism, initial only (for other than initial, use code l6694 or l6695)"
} ]
}, {
"code": "L6698",
"display": "Below/above elbow lock mech",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/above elbow, lock"
} ]
}, {
"code": "L6698",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanism, excludes socket insert"
} ]
}, {
"code": "L6703",
"display": "Term dev, passive hand mitt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, passive hand/mitt, any material, any size"
} ]
}, {
"code": "L6704",
"display": "Term dev, sport/rec/work att",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, sport/recreational/work attachment, any material, any size"
} ]
}, {
"code": "L6706",
"display": "Term dev mech hook vol open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hook, mechanical, voluntary opening, any material, any size,"
} ]
}, {
"code": "L6706",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lined or unlined"
} ]
}, {
"code": "L6707",
"display": "Term dev mech hook vol close",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hook, mechanical, voluntary closing, any material, any size,"
} ]
}, {
"code": "L6707",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lined or unlined"
} ]
}, {
"code": "L6708",
"display": "Term dev mech hand vol open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hand, mechanical, voluntary opening, any material, any size"
} ]
}, {
"code": "L6709",
"display": "Term dev mech hand vol close",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hand, mechanical, voluntary closing, any material, any size"
} ]
}, {
"code": "L6711",
"display": "Ped term dev, hook, vol open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hook, mechanical, voluntary opening, any material, any size,"
} ]
}, {
"code": "L6711",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lined or unlined, pediatric"
} ]
}, {
"code": "L6712",
"display": "Ped term dev, hook, vol clos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hook, mechanical, voluntary closing, any material, any size,"
} ]
}, {
"code": "L6712",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lined or unlined, pediatric"
} ]
}, {
"code": "L6713",
"display": "Ped term dev, hand, vol open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hand, mechanical, voluntary opening, any material, any size,"
} ]
}, {
"code": "L6713",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pediatric"
} ]
}, {
"code": "L6714",
"display": "Ped term dev, hand, vol clos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hand, mechanical, voluntary closing, any material, any size,"
} ]
}, {
"code": "L6714",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pediatric"
} ]
}, {
"code": "L6715",
"display": "Term device, multi art digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, multiple articulating digit, includes motor(s), initial issue"
} ]
}, {
"code": "L6715",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or replacement"
} ]
}, {
"code": "L6721",
"display": "Hook/hand, hvy dty, vol open",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any"
} ]
}, {
"code": "L6721",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, any size, lined or unlined"
} ]
}, {
"code": "L6722",
"display": "Hook/hand, hvy dty, vol clos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any"
} ]
}, {
"code": "L6722",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, any size, lined or unlined"
} ]
}, {
"code": "L6805",
"display": "Term dev modifier wrist unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to terminal device, modifier wrist unit"
} ]
}, {
"code": "L6810",
"display": "Term dev precision pinch dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to terminal device, precision pinch device"
} ]
}, {
"code": "L6880",
"display": "Elec hand ind art digits",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric hand, switch or myoelectric controlled, independently articulating"
} ]
}, {
"code": "L6880",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "digits, any grasp pattern or combination of grasp patterns, includes motor(s)"
} ]
}, {
"code": "L6881",
"display": "Term dev auto grasp feature",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Automatic grasp feature, addition to upper limb electric prosthetic terminal"
} ]
}, {
"code": "L6881",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "L6882",
"display": "Microprocessor control uplmb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microprocessor control feature, addition to upper limb prosthetic terminal"
} ]
}, {
"code": "L6882",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "L6883",
"display": "Replc sockt below e/w disa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement socket, below elbow/wrist disarticulation, molded to patient model,"
} ]
}, {
"code": "L6883",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use with or without external power"
} ]
}, {
"code": "L6884",
"display": "Replc sockt above elbow disa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement socket, above elbow/elbow disarticulation, molded to patient model,"
} ]
}, {
"code": "L6884",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use with or without external power"
} ]
}, {
"code": "L6885",
"display": "Replc sockt shldr dis/interc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Replacement socket, shoulder disarticulation/interscapular thoracic, molded to"
} ]
}, {
"code": "L6885",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient model, for use with or without external power"
} ]
}, {
"code": "L6890",
"display": "Prefab glove for term device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, glove for terminal device, any"
} ]
}, {
"code": "L6890",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, prefabricated, includes fitting and adjustment"
} ]
}, {
"code": "L6895",
"display": "Custom glove for term device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, glove for terminal device, any"
} ]
}, {
"code": "L6895",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material, custom fabricated"
} ]
}, {
"code": "L6900",
"display": "Hand restorat thumb/1 finger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand restoration (casts, shading and measurements included), partial hand, with"
} ]
}, {
"code": "L6900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "glove, thumb or one finger remaining"
} ]
}, {
"code": "L6905",
"display": "Hand restoration multiple fi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand restoration (casts, shading and measurements included), partial hand, with"
} ]
}, {
"code": "L6905",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "glove, multiple fingers remaining"
} ]
}, {
"code": "L6910",
"display": "Hand restoration no fingers",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand restoration (casts, shading and measurements included), partial hand, with"
} ]
}, {
"code": "L6910",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "glove, no fingers remaining"
} ]
}, {
"code": "L6915",
"display": "Hand restoration replacmnt g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand restoration (shading, and measurements included), replacement glove for"
} ]
}, {
"code": "L6915",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "above"
} ]
}, {
"code": "L6920",
"display": "Wrist disarticul switch ctrl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist disarticulation, external power, self-suspended inner socket, removable"
} ]
}, {
"code": "L6920",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "forearm shell, otto bock or equal, switch, cables, two batteries and one"
} ]
}, {
"code": "L6920",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "charger, switch control of terminal device"
} ]
}, {
"code": "L6925",
"display": "Wrist disart myoelectronic c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wrist disarticulation, external power, self-suspended inner socket, removable"
} ]
}, {
"code": "L6925",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "forearm shell, otto bock or equal electrodes, cables, two batteries and one"
} ]
}, {
"code": "L6925",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "charger, myoelectronic control of terminal device"
} ]
}, {
"code": "L6930",
"display": "Below elbow switch control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, external power, self-suspended inner socket, removable forearm"
} ]
}, {
"code": "L6930",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell, otto bock or equal switch, cables, two batteries and one charger, switch"
} ]
}, {
"code": "L6930",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "control of terminal device"
} ]
}, {
"code": "L6935",
"display": "Below elbow myoelectronic ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Below elbow, external power, self-suspended inner socket, removable forearm"
} ]
}, {
"code": "L6935",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell, otto bock or equal electrodes, cables, two batteries and one charger,"
} ]
}, {
"code": "L6935",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "myoelectronic control of terminal device"
} ]
}, {
"code": "L6940",
"display": "Elbow disarticulation switch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow disarticulation, external power, molded inner socket, removable humeral"
} ]
}, {
"code": "L6940",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell, outside locking hinges, forearm, otto bock or equal switch, cables, two"
} ]
}, {
"code": "L6940",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "batteries and one charger, switch control of terminal device"
} ]
}, {
"code": "L6945",
"display": "Elbow disart myoelectronic c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elbow disarticulation, external power, molded inner socket, removable humeral"
} ]
}, {
"code": "L6945",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell, outside locking hinges, forearm, otto bock or equal electrodes, cables,"
} ]
}, {
"code": "L6945",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "two batteries and one charger, myoelectronic control of terminal device"
} ]
}, {
"code": "L6950",
"display": "Above elbow switch control",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above elbow, external power, molded inner socket, removable humeral shell,"
} ]
}, {
"code": "L6950",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "internal locking elbow, forearm, otto bock or equal switch, cables, two"
} ]
}, {
"code": "L6950",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "batteries and one charger, switch control of terminal device"
} ]
}, {
"code": "L6955",
"display": "Above elbow myoelectronic ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Above elbow, external power, molded inner socket, removable humeral shell,"
} ]
}, {
"code": "L6955",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "internal locking elbow, forearm, otto bock or equal electrodes, cables, two"
} ]
}, {
"code": "L6955",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "batteries and one charger, myoelectronic control of terminal device"
} ]
}, {
"code": "L6960",
"display": "Shldr disartic switch contro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder disarticulation, external power, molded inner socket, removable"
} ]
}, {
"code": "L6960",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm,"
} ]
}, {
"code": "L6960",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "otto bock or equal switch, cables, two batteries and one charger, switch"
} ]
}, {
"code": "L6960",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "control of terminal device"
} ]
}, {
"code": "L6965",
"display": "Shldr disartic myoelectronic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shoulder disarticulation, external power, molded inner socket, removable"
} ]
}, {
"code": "L6965",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm,"
} ]
}, {
"code": "L6965",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "otto bock or equal electrodes, cables, two batteries and one charger,"
} ]
}, {
"code": "L6965",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "myoelectronic control of terminal device"
} ]
}, {
"code": "L6970",
"display": "Interscapular-thor switch ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interscapular-thoracic, external power, molded inner socket, removable shoulder"
} ]
}, {
"code": "L6970",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock"
} ]
}, {
"code": "L6970",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or equal switch, cables, two batteries and one charger, switch control of"
} ]
}, {
"code": "L6970",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "terminal device"
} ]
}, {
"code": "L6975",
"display": "Interscap-thor myoelectronic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interscapular-thoracic, external power, molded inner socket, removable shoulder"
} ]
}, {
"code": "L6975",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock"
} ]
}, {
"code": "L6975",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or equal electrodes, cables, two batteries and one charger, myoelectronic"
} ]
}, {
"code": "L6975",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "control of terminal device"
} ]
}, {
"code": "L7007",
"display": "Adult electric hand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric hand, switch or myoelectric controlled, adult"
} ]
}, {
"code": "L7008",
"display": "Pediatric electric hand",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric hand, switch or myoelectric, controlled, pediatric"
} ]
}, {
"code": "L7009",
"display": "Adult electric hook",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric hook, switch or myoelectric controlled, adult"
} ]
}, {
"code": "L7040",
"display": "Prehensile actuator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prehensile actuator, switch controlled"
} ]
}, {
"code": "L7045",
"display": "Pediatric electric hook",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electric hook, switch or myoelectric controlled, pediatric"
} ]
}, {
"code": "L7170",
"display": "Electronic elbow hosmer swit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, hosmer or equal, switch controlled"
} ]
}, {
"code": "L7180",
"display": "Electronic elbow sequential",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, microprocessor sequential control of elbow and terminal device"
} ]
}, {
"code": "L7181",
"display": "Electronic elbo simultaneous",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, microprocessor simultaneous control of elbow and terminal"
} ]
}, {
"code": "L7181",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "L7185",
"display": "Electron elbow adolescent sw",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, adolescent, variety village or equal, switch controlled"
} ]
}, {
"code": "L7186",
"display": "Electron elbow child switch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, child, variety village or equal, switch controlled"
} ]
}, {
"code": "L7190",
"display": "Elbow adolescent myoelectron",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, adolescent, variety village or equal, myoelectronically"
} ]
}, {
"code": "L7190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "controlled"
} ]
}, {
"code": "L7191",
"display": "Elbow child myoelectronic ct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic elbow, child, variety village or equal, myoelectronically controlled"
} ]
}, {
"code": "L7259",
"display": "Electronic wrist rotator any",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic wrist rotator, any type"
} ]
}, {
"code": "L7260",
"display": "Electron wrist rotator otto",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic wrist rotator, otto bock or equal"
} ]
}, {
"code": "L7261",
"display": "Electron wrist rotator utah",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic wrist rotator, for utah arm"
} ]
}, {
"code": "L7360",
"display": "Six volt bat otto bock/eq ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Six volt battery, each"
} ]
}, {
"code": "L7362",
"display": "Battery chrgr six volt otto",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery charger, six volt, each"
} ]
}, {
"code": "L7364",
"display": "Twelve volt battery utah/equ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Twelve volt battery, each"
} ]
}, {
"code": "L7366",
"display": "Battery chrgr 12 volt utah/e",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery charger, twelve volt, each"
} ]
}, {
"code": "L7367",
"display": "Replacemnt lithium ionbatter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lithium ion battery, rechargeable, replacement"
} ]
}, {
"code": "L7368",
"display": "Lithium ion battery charger",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lithium ion battery charger, replacement only"
} ]
}, {
"code": "L7400",
"display": "Add ue prost be/wd, ultlite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/wrist disarticulation,"
} ]
}, {
"code": "L7400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ultralight material (titanium, carbon fiber or equal)"
} ]
}, {
"code": "L7401",
"display": "Add ue prost a/e ultlite mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, above elbow disarticulation, ultralight"
} ]
}, {
"code": "L7401",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material (titanium, carbon fiber or equal)"
} ]
}, {
"code": "L7402",
"display": "Add ue prost s/d ultlite mat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, shoulder disarticulation/interscapular"
} ]
}, {
"code": "L7402",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thoracic, ultralight material (titanium, carbon fiber or equal)"
} ]
}, {
"code": "L7403",
"display": "Add ue prost b/e acrylic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, below elbow/wrist disarticulation,"
} ]
}, {
"code": "L7403",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "acrylic material"
} ]
}, {
"code": "L7404",
"display": "Add ue prost a/e acrylic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, above elbow disarticulation, acrylic"
} ]
}, {
"code": "L7404",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "material"
} ]
}, {
"code": "L7405",
"display": "Add ue prost s/d acrylic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to upper extremity prosthesis, shoulder disarticulation/interscapular"
} ]
}, {
"code": "L7405",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "thoracic, acrylic material"
} ]
}, {
"code": "L7499",
"display": "Upper extremity prosthes nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper extremity prosthesis, not otherwise specified"
} ]
}, {
"code": "L7510",
"display": "Prosthetic device repair rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of prosthetic device, repair or replace minor parts"
} ]
}, {
"code": "L7520",
"display": "Repair prosthesis per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair prosthetic device, labor component, per 15 minutes"
} ]
}, {
"code": "L7600",
"display": "Prosthetic donning sleeve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic donning sleeve, any material, each"
} ]
}, {
"code": "L7700",
"display": "Pros soc insert gasket/seal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gasket or seal, for use with prosthetic socket insert, any type, each"
} ]
}, {
"code": "L7900",
"display": "Male vacuum erection system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Male vacuum erection system"
} ]
}, {
"code": "L7902",
"display": "Tension ring, vac erect dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tension ring, for vacuum erection device, any type, replacement only, each"
} ]
}, {
"code": "L8000",
"display": "Mastectomy bra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, mastectomy bra, without integrated breast prosthesis form,"
} ]
}, {
"code": "L8000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any size, any type"
} ]
}, {
"code": "L8001",
"display": "Breast prosthesis bra & form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, mastectomy bra, with integrated breast prosthesis form,"
} ]
}, {
"code": "L8001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unilateral, any size, any type"
} ]
}, {
"code": "L8002",
"display": "Brst prsth bra & bilat form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, mastectomy bra, with integrated breast prosthesis form,"
} ]
}, {
"code": "L8002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "bilateral, any size, any type"
} ]
}, {
"code": "L8010",
"display": "Mastectomy sleeve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, mastectomy sleeve"
} ]
}, {
"code": "L8015",
"display": "Ext breastprosthesis garment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External breast prosthesis garment, with mastectomy form, post mastectomy"
} ]
}, {
"code": "L8020",
"display": "Mastectomy form",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, mastectomy form"
} ]
}, {
"code": "L8030",
"display": "Breast prosthes w/o adhesive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, silicone or equal, without integral adhesive"
} ]
}, {
"code": "L8031",
"display": "Breast prosthesis w adhesive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, silicone or equal, with integral adhesive"
} ]
}, {
"code": "L8032",
"display": "Reusable nipple prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nipple prosthesis, prefabricated, reusable, any type, each"
} ]
}, {
"code": "L8033",
"display": "Nipple prosthesis custom, ea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nipple prosthesis, custom fabricated, reusable, any material, any type, each"
} ]
}, {
"code": "L8035",
"display": "Custom breast prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Custom breast prosthesis, post mastectomy, molded to patient model"
} ]
}, {
"code": "L8039",
"display": "Breast prosthesis nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast prosthesis, not otherwise specified"
} ]
}, {
"code": "L8040",
"display": "Nasal prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8041",
"display": "Midfacial prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Midfacial prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8042",
"display": "Orbital prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orbital prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8043",
"display": "Upper facial prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Upper facial prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8044",
"display": "Hemi-facial prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hemi-facial prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8045",
"display": "Auricular prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Auricular prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8046",
"display": "Partial facial prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial facial prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8047",
"display": "Nasal septal prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal septal prosthesis, provided by a non-physician"
} ]
}, {
"code": "L8048",
"display": "Unspec maxillofacial prosth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unspecified maxillofacial prosthesis, by report, provided by a non-physician"
} ]
}, {
"code": "L8049",
"display": "Repair maxillofacial prosth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair or modification of maxillofacial prosthesis, labor component, 15 minute"
} ]
}, {
"code": "L8049",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "increments, provided by a non-physician"
} ]
}, {
"code": "L8300",
"display": "Truss single w/ standard pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Truss, single with standard pad"
} ]
}, {
"code": "L8310",
"display": "Truss double w/ standard pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Truss, double with standard pads"
} ]
}, {
"code": "L8320",
"display": "Truss addition to std pad wa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Truss, addition to standard pad, water pad"
} ]
}, {
"code": "L8330",
"display": "Truss add to std pad scrotal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Truss, addition to standard pad, scrotal pad"
} ]
}, {
"code": "L8400",
"display": "Sheath below knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sheath, below knee, each"
} ]
}, {
"code": "L8410",
"display": "Sheath above knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sheath, above knee, each"
} ]
}, {
"code": "L8415",
"display": "Sheath upper limb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sheath, upper limb, each"
} ]
}, {
"code": "L8417",
"display": "Pros sheath/sock w gel cushn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sheath/sock, including a gel cushion layer, below knee or above"
} ]
}, {
"code": "L8417",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "knee, each"
} ]
}, {
"code": "L8420",
"display": "Prosthetic sock multi ply bk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sock, multiple ply, below knee, each"
} ]
}, {
"code": "L8430",
"display": "Prosthetic sock multi ply ak",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sock, multiple ply, above knee, each"
} ]
}, {
"code": "L8435",
"display": "Pros sock multi ply upper lm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sock, multiple ply, upper limb, each"
} ]
}, {
"code": "L8440",
"display": "Shrinker below knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic shrinker, below knee, each"
} ]
}, {
"code": "L8460",
"display": "Shrinker above knee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic shrinker, above knee, each"
} ]
}, {
"code": "L8465",
"display": "Shrinker upper limb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic shrinker, upper limb, each"
} ]
}, {
"code": "L8470",
"display": "Pros sock single ply bk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sock, single ply, fitting, below knee, each"
} ]
}, {
"code": "L8480",
"display": "Pros sock single ply ak",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sock, single ply, fitting, above knee, each"
} ]
}, {
"code": "L8485",
"display": "Pros sock single ply upper l",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic sock, single ply, fitting, upper limb, each"
} ]
}, {
"code": "L8499",
"display": "Unlisted misc prosthetic ser",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unlisted procedure for miscellaneous prosthetic services"
} ]
}, {
"code": "L8500",
"display": "Artificial larynx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artificial larynx, any type"
} ]
}, {
"code": "L8501",
"display": "Tracheostomy speaking valve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy speaking valve"
} ]
}, {
"code": "L8505",
"display": "Artificial larynx, accessory",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artificial larynx replacement battery / accessory, any type"
} ]
}, {
"code": "L8507",
"display": "Trach-esoph voice pros pt in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheo-esophageal voice prosthesis, patient inserted, any type, each"
} ]
}, {
"code": "L8509",
"display": "Trach-esoph voice pros md in",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheo-esophageal voice prosthesis, inserted by a licensed health care"
} ]
}, {
"code": "L8509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "provider, any type"
} ]
}, {
"code": "L8510",
"display": "Voice amplifier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Voice amplifier"
} ]
}, {
"code": "L8511",
"display": "Indwelling trach insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insert for indwelling tracheoesophageal prosthesis, with or without valve,"
} ]
}, {
"code": "L8511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only, each"
} ]
}, {
"code": "L8512",
"display": "Gel cap for trach voice pros",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gelatin capsules or equivalent, for use with tracheoesophageal voice"
} ]
}, {
"code": "L8512",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prosthesis, replacement only, per 10"
} ]
}, {
"code": "L8513",
"display": "Trach pros cleaning device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or"
} ]
}, {
"code": "L8513",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "equal, replacement only, each"
} ]
}, {
"code": "L8514",
"display": "Repl trach puncture dilator",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheoesophageal puncture dilator, replacement only, each"
} ]
}, {
"code": "L8515",
"display": "Gel cap app device for trach",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gelatin capsule, application device for use with tracheoesophageal voice"
} ]
}, {
"code": "L8515",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prosthesis, each"
} ]
}, {
"code": "L8600",
"display": "Implant breast silicone/eq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable breast prosthesis, silicone or equal"
} ]
}, {
"code": "L8603",
"display": "Collagen imp urinary 2.5 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe,"
} ]
}, {
"code": "L8603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes shipping and necessary supplies"
} ]
}, {
"code": "L8604",
"display": "Dextranomer/hyaluronic acid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant,"
} ]
}, {
"code": "L8604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "urinary tract, 1 ml, includes shipping and necessary supplies"
} ]
}, {
"code": "L8605",
"display": "Inj bulking agent anal canal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal"
} ]
}, {
"code": "L8605",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "canal, 1 ml, includes shipping and necessary supplies"
} ]
}, {
"code": "L8606",
"display": "Synthetic implnt urinary 1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe,"
} ]
}, {
"code": "L8606",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes shipping and necessary supplies"
} ]
}, {
"code": "L8607",
"display": "Inj vocal cord bulking agent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injectable bulking agent for vocal cord medialization, 0.1 ml, includes"
} ]
}, {
"code": "L8607",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "shipping and necessary supplies"
} ]
}, {
"code": "L8608",
"display": "Arg ii ext com/sup/acc misc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous external component, supply or accessory for use with the argus ii"
} ]
}, {
"code": "L8608",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "retinal prosthesis system"
} ]
}, {
"code": "L8609",
"display": "Artificial cornea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artificial cornea"
} ]
}, {
"code": "L8610",
"display": "Ocular implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ocular implant"
} ]
}, {
"code": "L8612",
"display": "Aqueous shunt prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aqueous shunt"
} ]
}, {
"code": "L8613",
"display": "Ossicular implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ossicula implant"
} ]
}, {
"code": "L8614",
"display": "Cochlear device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cochlear device, includes all internal and external components"
} ]
}, {
"code": "L8615",
"display": "Coch implant headset replace",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Headset/headpiece for use with cochlear implant device, replacement"
} ]
}, {
"code": "L8616",
"display": "Coch implant microphone repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microphone for use with cochlear implant device, replacement"
} ]
}, {
"code": "L8617",
"display": "Coch implant trans coil repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transmitting coil for use with cochlear implant device, replacement"
} ]
}, {
"code": "L8618",
"display": "Coch implant tran cable repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transmitter cable for use with cochlear implant device or auditory"
} ]
}, {
"code": "L8618",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "osseointegrated device, replacement"
} ]
}, {
"code": "L8619",
"display": "Coch imp ext proc/contr rplc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cochlear implant, external speech processor and controller, integrated system,"
} ]
}, {
"code": "L8619",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement"
} ]
}, {
"code": "L8621",
"display": "Repl zinc air battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zinc air battery for use with cochlear implant device and auditory"
} ]
}, {
"code": "L8621",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "osseointegrated sound processors, replacement, each"
} ]
}, {
"code": "L8622",
"display": "Repl alkaline battery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alkaline battery for use with cochlear implant device, any size, replacement,"
} ]
}, {
"code": "L8622",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each"
} ]
}, {
"code": "L8623",
"display": "Lith ion batt cid,non-earlvl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lithium ion battery for use with cochlear implant device speech processor,"
} ]
}, {
"code": "L8623",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "other than ear level, replacement, each"
} ]
}, {
"code": "L8624",
"display": "Lith ion batt cid, ear level",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lithium ion battery for use with cochlear implant or auditory osseointegrated"
} ]
}, {
"code": "L8624",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device speech processor, ear level, replacement, each"
} ]
}, {
"code": "L8625",
"display": "Charger coch impl/aoi battry",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External recharging system for battery for use with cochlear implant or"
} ]
}, {
"code": "L8625",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "auditory osseointegrated device, replacement only, each"
} ]
}, {
"code": "L8627",
"display": "Cid ext speech process repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cochlear implant, external speech processor, component, replacement"
} ]
}, {
"code": "L8628",
"display": "Cid ext controller repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cochlear implant, external controller component, replacement"
} ]
}, {
"code": "L8629",
"display": "Cid transmit coil and cable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transmitting coil and cable, integrated, for use with cochlear implant device,"
} ]
}, {
"code": "L8629",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement"
} ]
}, {
"code": "L8630",
"display": "Metacarpophalangeal implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metacarpophalangeal joint implant"
} ]
}, {
"code": "L8631",
"display": "Mcp joint repl 2 pc or more",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g.,"
} ]
}, {
"code": "L8631",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon),"
} ]
}, {
"code": "L8631",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "for surgical implantation (all sizes, includes entire system)"
} ]
}, {
"code": "L8641",
"display": "Metatarsal joint implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metatarsal joint implant"
} ]
}, {
"code": "L8642",
"display": "Hallux implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hallux implant"
} ]
}, {
"code": "L8658",
"display": "Interphalangeal joint spacer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interphalangeal joint spacer, silicone or equal, each"
} ]
}, {
"code": "L8659",
"display": "Interphalangeal joint repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g.,"
} ]
}, {
"code": "L8659",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for"
} ]
}, {
"code": "L8659",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "surgical implantation, any size"
} ]
}, {
"code": "L8670",
"display": "Vascular graft, synthetic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vascular graft material, synthetic, implant"
} ]
}, {
"code": "L8678",
"display": "Ext sply implt neurostim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulator supplies (external) for use with implantable"
} ]
}, {
"code": "L8678",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neurostimulator, per month"
} ]
}, {
"code": "L8679",
"display": "Imp neurosti pls gn any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator, pulse generator, any type"
} ]
}, {
"code": "L8680",
"display": "Implt neurostim elctr each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator electrode, each"
} ]
}, {
"code": "L8681",
"display": "Pt prgrm for implt neurostim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient programmer (external) for use with implantable programmable"
} ]
}, {
"code": "L8681",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neurostimulator pulse generator, replacement only"
} ]
}, {
"code": "L8682",
"display": "Implt neurostim radiofq rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator radiofrequency receiver"
} ]
}, {
"code": "L8683",
"display": "Radiofq trsmtr for implt neu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiofrequency transmitter (external) for use with implantable neurostimulator"
} ]
}, {
"code": "L8683",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "radiofrequency receiver"
} ]
}, {
"code": "L8684",
"display": "Radiof trsmtr implt scrl neu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radiofrequency transmitter (external) for use with implantable sacral root"
} ]
}, {
"code": "L8684",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neurostimulator receiver for bowel and bladder management, replacement"
} ]
}, {
"code": "L8685",
"display": "Implt nrostm pls gen sng rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator pulse generator, single array, rechargeable,"
} ]
}, {
"code": "L8685",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes extension"
} ]
}, {
"code": "L8686",
"display": "Implt nrostm pls gen sng non",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator pulse generator, single array, non-rechargeable,"
} ]
}, {
"code": "L8686",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes extension"
} ]
}, {
"code": "L8687",
"display": "Implt nrostm pls gen dua rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator pulse generator, dual array, rechargeable, includes"
} ]
}, {
"code": "L8687",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extension"
} ]
}, {
"code": "L8688",
"display": "Implt nrostm pls gen dua non",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantable neurostimulator pulse generator, dual array, non-rechargeable,"
} ]
}, {
"code": "L8688",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes extension"
} ]
}, {
"code": "L8689",
"display": "External recharg sys intern",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External recharging system for battery (internal) for use with implantable"
} ]
}, {
"code": "L8689",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neurostimulator, replacement only"
} ]
}, {
"code": "L8690",
"display": "Aud osseo dev, int/ext comp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Auditory osseointegrated device, includes all internal and external components"
} ]
}, {
"code": "L8691",
"display": "Aoi snd proc repl excl actua",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Auditory osseointegrated device, external sound processor, excludes"
} ]
}, {
"code": "L8691",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transducer/actuator, replacement only, each"
} ]
}, {
"code": "L8692",
"display": "Non-osseointegrated snd proc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Auditory osseointegrated device, external sound processor, used without"
} ]
}, {
"code": "L8692",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "osseointegration, body worn, includes headband or other means of external"
} ]
}, {
"code": "L8692",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "attachment"
} ]
}, {
"code": "L8693",
"display": "Aud osseo dev, abutment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Auditory osseointegrated device abutment, any length, replacement only"
} ]
}, {
"code": "L8694",
"display": "Aoi transducer/actuator repl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Auditory osseointegrated device, transducer/actuator, replacement only, each"
} ]
}, {
"code": "L8695",
"display": "External recharg sys extern",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External recharging system for battery (external) for use with implantable"
} ]
}, {
"code": "L8695",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neurostimulator, replacement only"
} ]
}, {
"code": "L8696",
"display": "Ext antenna phren nerve stim",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antenna (external) for use with implantable diaphragmatic/phrenic nerve"
} ]
}, {
"code": "L8696",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stimulation device, replacement, each"
} ]
}, {
"code": "L8698",
"display": "Misc used with tot art heart",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous component, supply or accessory for use with total artificial"
} ]
}, {
"code": "L8698",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "heart system"
} ]
}, {
"code": "L8699",
"display": "Prosthetic implant nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic implant, not otherwise specified"
} ]
}, {
"code": "L8701",
"display": "Ewh s/d uprt micro sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered upper extremity range of motion assist device, elbow, wrist, hand with"
} ]
}, {
"code": "L8701",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "single or double upright(s), includes microprocessor, sensors, all components"
} ]
}, {
"code": "L8701",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and accessories, custom fabricated"
} ]
}, {
"code": "L8702",
"display": "Ewhf s/d uprt micro sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Powered upper extremity range of motion assist device, elbow, wrist, hand,"
} ]
}, {
"code": "L8702",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "finger, single or double upright(s), includes microprocessor, sensors, all"
} ]
}, {
"code": "L8702",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "components and accessories, custom fabricated"
} ]
}, {
"code": "L8720",
"display": "Ext low ext sens prosthe mec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "External lower extremity sensory prosthetic device, cutaneous stimulation of"
} ]
}, {
"code": "L8720",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mechanoreceptors proximal to the ankle, per leg"
} ]
}, {
"code": "L8721",
"display": "Receptor sole l8720 replace",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receptor sole for use with l8720, replacement, each"
} ]
}, {
"code": "L9900",
"display": "O&p supply/accessory/service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orthotic and prosthetic supply, accessory, and/or service component of another"
} ]
}, {
"code": "L9900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hcpcs \"l\" code"
} ]
}, {
"code": "M0001",
"display": "Advancing cancer care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Advancing cancer care mips value pathways"
} ]
}, {
"code": "M0002",
"display": "Opt care kidney hlth mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Optimal care for kidney health mips value pathways"
} ]
}, {
"code": "M0003",
"display": "Opt care episod neuro mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Optimal care for patients with episodic neurological conditions mips value"
} ]
}, {
"code": "M0003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathways"
} ]
}, {
"code": "M0004",
"display": "Qual care neurologic cnd mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Quality care for patients with neurological conditions mips value pathway"
} ]
}, {
"code": "M0005",
"display": "Value in primary care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Value in primary care mips value pathway"
} ]
}, {
"code": "M0010",
"display": "Eom meos payment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enhancing oncology model (eom) monthly enhanced oncology services (meos)"
} ]
}, {
"code": "M0010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "payment for eom enhanced services"
} ]
}, {
"code": "M0064",
"display": "Visit for drug monitoring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brief office visit for the sole purpose of monitoring or changing drug"
} ]
}, {
"code": "M0064",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescriptions used in the treatment of mental psychoneurotic and personality"
} ]
}, {
"code": "M0064",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "disorders"
} ]
}, {
"code": "M0075",
"display": "Cellular therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cellular therapy"
} ]
}, {
"code": "M0076",
"display": "Prolotherapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prolotherapy"
} ]
}, {
"code": "M0100",
"display": "Intragastric hypothermia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intragastric hypothermia using gastric freezing"
} ]
}, {
"code": "M0201",
"display": "Pne flu hepb cov home admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine"
} ]
}, {
"code": "M0201",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inside a patient's home; reported only once per individual home per date of"
} ]
}, {
"code": "M0201",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service when such vaccine administration(s) are performed at the patient's home"
} ]
}, {
"code": "M0220",
"display": "Tixagev and cilgav inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only,"
} ]
}, {
"code": "M0220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for certain adults and pediatric individuals (12 years of age and older"
} ]
}, {
"code": "M0220",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "weighing at least 40kg) with no known sars-cov-2 exposure, who either have"
} ]
}, {
"code": "M0220",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "moderate to severely compromised immune systems or for whom vaccination with"
} ]
}, {
"code": "M0220",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "any available covid-19 vaccine is not recommended due to a history of severe"
} ]
}, {
"code": "M0220",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s),"
} ]
}, {
"code": "M0220",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "includes injection and post administration monitoring"
} ]
}, {
"code": "M0221",
"display": "Tixagev and cilgav inj hm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only,"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for certain adults and pediatric individuals (12 years of age and older"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "weighing at least 40kg) with no known sars-cov-2 exposure, who either have"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "moderate to severely compromised immune systems or for whom vaccination with"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "any available covid-19 vaccine is not recommended due to a history of severe"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s),"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "includes injection and post administration monitoring in the home or residence;"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00800"
} ],
"designation": [ {
"value": "this includes a beneficiary's home that has been made provider-based to the"
} ]
}, {
"code": "M0221",
"property": [ {
"code": "seqNum",
"valueString": "00900"
} ],
"designation": [ {
"value": "hospital during the covid-19 public health emergency"
} ]
}, {
"code": "M0222",
"display": "Bebtelovimab injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous injection, bebtelovimab, includes injection and post administration"
} ]
}, {
"code": "M0222",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitoring"
} ]
}, {
"code": "M0223",
"display": "Bebtelovimab injection home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous injection, bebtelovimab, includes injection and post administration"
} ]
}, {
"code": "M0223",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitoring in the home or residence; this includes a beneficiary's home that"
} ]
}, {
"code": "M0223",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "has been made provider-based to the hospital during the covid-19 public health"
} ]
}, {
"code": "M0223",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "emergency"
} ]
}, {
"code": "M0224",
"display": "Pemivibart infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for"
} ]
}, {
"code": "M0224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "certain adults and adolescents (12 years of age and older weighing at least 40"
} ]
}, {
"code": "M0224",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "kg) with no known sars-cov-2 exposure, who either have moderate-to-severe"
} ]
}, {
"code": "M0224",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "immune compromise due to a medical condition or receipt of immunosuppressive"
} ]
}, {
"code": "M0224",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medications or treatments, includes infusion and post administration monitoring"
} ]
}, {
"code": "M0239",
"display": "Bamlanivimab-xxxx infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, bamlanivimab-xxxx, includes infusion and post"
} ]
}, {
"code": "M0239",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administration monitoring"
} ]
}, {
"code": "M0240",
"display": "Casiri and imdev repeat",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab"
} ]
}, {
"code": "M0240",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes infusion or injection, and post administration monitoring, subsequent"
} ]
}, {
"code": "M0240",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "repeat doses"
} ]
}, {
"code": "M0241",
"display": "Casiri and imdev repeat hm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab"
} ]
}, {
"code": "M0241",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes infusion or injection, and post administration monitoring in the home"
} ]
}, {
"code": "M0241",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or residence; this includes a beneficiary's home that has been made"
} ]
}, {
"code": "M0241",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "provider-based to the hospital during the covid-19 public health emergency,"
} ]
}, {
"code": "M0241",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "subsequent repeat doses"
} ]
}, {
"code": "M0243",
"display": "Casirivi and imdevi inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab"
} ]
}, {
"code": "M0243",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes infusion or injection, and post administration monitoring"
} ]
}, {
"code": "M0244",
"display": "Casirivi and imdevi inj hm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion or subcutaneous injection, casirivimab and imdevimab"
} ]
}, {
"code": "M0244",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes infusion or injection, and post administration monitoring in the home"
} ]
}, {
"code": "M0244",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or residence; this includes a beneficiary's home that has been made"
} ]
}, {
"code": "M0244",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "provider-based to the hospital during the covid-19 public health emergency"
} ]
}, {
"code": "M0245",
"display": "Bamlan and etesev infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post"
} ]
}, {
"code": "M0245",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administration monitoring"
} ]
}, {
"code": "M0246",
"display": "Bamlan and etesev infus home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post"
} ]
}, {
"code": "M0246",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administration monitoring in the home or residence; this includes a"
} ]
}, {
"code": "M0246",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "beneficiary's home that has been made provider based to the hospital during the"
} ]
}, {
"code": "M0246",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "covid 19 public health emergency"
} ]
}, {
"code": "M0247",
"display": "Sotrovimab infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, sotrovimab, includes infusion and post administration"
} ]
}, {
"code": "M0247",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitoring"
} ]
}, {
"code": "M0248",
"display": "Sotrovimab inf, home admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, sotrovimab, includes infusion and post administration"
} ]
}, {
"code": "M0248",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "monitoring in the home or residence; this includes a beneficiary's home that"
} ]
}, {
"code": "M0248",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "has been made provider-based to the hospital during the covid-19 public health"
} ]
}, {
"code": "M0248",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "emergency"
} ]
}, {
"code": "M0249",
"display": "Adm tocilizu covid-19 1st",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, tocilizumab, for hospitalized adults and pediatric"
} ]
}, {
"code": "M0249",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients (2 years of age and older) with covid-19 who are receiving systemic"
} ]
}, {
"code": "M0249",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "corticosteroids and require supplemental oxygen, non-invasive or invasive"
} ]
}, {
"code": "M0249",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only,"
} ]
}, {
"code": "M0249",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "includes infusion and post administration monitoring, first dose"
} ]
}, {
"code": "M0250",
"display": "Adm tocilizu covid-19 2nd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intravenous infusion, tocilizumab, for hospitalized adults and pediatric"
} ]
}, {
"code": "M0250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patients (2 years of age and older) with covid-19 who are receiving systemic"
} ]
}, {
"code": "M0250",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "corticosteroids and require supplemental oxygen, non-invasive or invasive"
} ]
}, {
"code": "M0250",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only,"
} ]
}, {
"code": "M0250",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "includes infusion and post administration monitoring, second dose"
} ]
}, {
"code": "M0300",
"display": "Iv chelationtherapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv chelation therapy (chemical endarterectomy)"
} ]
}, {
"code": "M0301",
"display": "Fabric wrapping of aneurysm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fabric wrapping of abdominal aneurysm"
} ]
}, {
"code": "M1000",
"display": "Pain scr as mod to sevr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pain screened as moderate to severe"
} ]
}, {
"code": "M1001",
"display": "Pln to adrs pain doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plan of care to address moderate to severe pain documented on or before the"
} ]
}, {
"code": "M1001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "date of the second visit with a clinician"
} ]
}, {
"code": "M1002",
"display": "Pln to adrs pain not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plan of care for moderate to severe pain not documented on or before the date"
} ]
}, {
"code": "M1002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of the second visit with a clinician, reason not given"
} ]
}, {
"code": "M1003",
"display": "Tb scr 12 mo pri fst bio dz",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tb screening performed and results interpreted within twelve months prior to"
} ]
}, {
"code": "M1003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiation of first-time biologic and/or immune response modifier therapy"
} ]
}, {
"code": "M1004",
"display": "Doc med rsn no srn tb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason for not screening for tb or interpreting"
} ]
}, {
"code": "M1004",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "results (i.e., patient positive for tb and documentation of past treatment;"
} ]
}, {
"code": "M1004",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient who has recently completed a course of anti-tb therapy)"
} ]
}, {
"code": "M1005",
"display": "Tb scr no perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tb screening not performed or results not interpreted, reason not given"
} ]
}, {
"code": "M1006",
"display": "Dz not ases, no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disease activity not assessed, reason not given"
} ]
}, {
"code": "M1007",
"display": ">=50% total pt outpt ra enct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": ">=50% of total number of a patient's outpatient ra encounters assessed"
} ]
}, {
"code": "M1008",
"display": "<50% total pt outpt ra encts",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "<50% of total number of a patient's outpatient ra encounters assessed"
} ]
}, {
"code": "M1009",
"display": "Dc eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1009",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1010",
"display": "Dc eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1011",
"display": "Dc eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1012",
"display": "Dc eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1012",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1013",
"display": "Dc eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1014",
"display": "Dc epi care doc medrec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1014",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1015",
"display": "Dc eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Discharge/discontinuation of the episode of care documented in the medical"
} ]
}, {
"code": "M1015",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1016",
"display": "Pt dx meop or sur steri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Female patients unable to bear children"
} ]
}, {
"code": "M1017",
"display": "Pt admt to palitve serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient admitted to palliative care services"
} ]
}, {
"code": "M1018",
"display": "Pt dx hst cr pt sk lg cr scr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with an active diagnosis or history of cancer (except basal cell and"
} ]
}, {
"code": "M1018",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung"
} ]
}, {
"code": "M1018",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "cancer screening patients"
} ]
}, {
"code": "M1019",
"display": "Adl pt mj dep ds rs 12 phq<5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia"
} ]
}, {
"code": "M1019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who reached remission at twelve months as demonstrated by a twelve month (+/-60"
} ]
}, {
"code": "M1019",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "days) phq-9 or phq-9m score of less than 5"
} ]
}, {
"code": "M1020",
"display": "Adl pt mj dep ds no rs 12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia"
} ]
}, {
"code": "M1020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who did not reach remission at twelve months as demonstrated by a twelve month"
} ]
}, {
"code": "M1020",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score"
} ]
}, {
"code": "M1020",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "was not assessed or is greater than or equal to 5"
} ]
}, {
"code": "M1021",
"display": "Pt uc in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had only urgent care visits during the performance period"
} ]
}, {
"code": "M1022",
"display": "Pt hospice during perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were in hospice at any time during the performance period"
} ]
}, {
"code": "M1023",
"display": "Adl pt mj dep ds rs 6 phq<5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia"
} ]
}, {
"code": "M1023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who reached remission at six months as demonstrated by a six month (+/-60 days)"
} ]
}, {
"code": "M1023",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "phq-9 or phq-9m score of less than five"
} ]
}, {
"code": "M1024",
"display": "Adl pt mj dep ds no rs 6 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adolescent patients 12 to 17 years of age with major depression or dysthymia"
} ]
}, {
"code": "M1024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who did not reach remission at six months as demonstrated by a six month (+/-60"
} ]
}, {
"code": "M1024",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was"
} ]
}, {
"code": "M1024",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "not assessed or is greater than or equal to five"
} ]
}, {
"code": "M1025",
"display": "Pt hospice during perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were in hospice at any time during the performance period"
} ]
}, {
"code": "M1026",
"display": "Pt hospice during perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were in hospice at any time during the performance period"
} ]
}, {
"code": "M1027",
"display": "Img head (ct or mri) obtnd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imaging of the head (ct or mri) was obtained"
} ]
}, {
"code": "M1028",
"display": "Doc of pt prm hda dx and otr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patients with primary headache diagnosis and imaging other"
} ]
}, {
"code": "M1028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "than ct or mri obtained"
} ]
}, {
"code": "M1029",
"display": "Doc sysm rsn img hd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imaging of the head (ct or mri) was not obtained, reason not given"
} ]
}, {
"code": "M1030",
"display": "Pt clin ind img hd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with clinical indications for imaging of the head"
} ]
}, {
"code": "M1031",
"display": "Pt clin ind img hd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with no clinical indications for imaging of the head"
} ]
}, {
"code": "M1032",
"display": "Adt tkng pharmthry for oud",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adults currently taking pharmacotherapy for oud"
} ]
}, {
"code": "M1033",
"display": "Pharmthry for oud afr 6.30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacotherapy for oud initiated after june 30th of performance period"
} ]
}, {
"code": "M1034",
"display": "Adt 180 dys pharmthry oud",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adults who have at least 180 days of continuous pharmacotherapy with a"
} ]
}, {
"code": "M1034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medication prescribed for oud without a gap of more than seven days"
} ]
}, {
"code": "M1035",
"display": "Adt pd out mat pr 180 dys tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adults who are deliberately phased out of medication assisted treatment (mat)"
} ]
}, {
"code": "M1035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to 180 days of continuous treatment"
} ]
}, {
"code": "M1036",
"display": "Adt no 180 dys pharmthry oud",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adults who have not had at least 180 days of continuous pharmacotherapy with a"
} ]
}, {
"code": "M1036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medication prescribed for oud without a gap of more than seven days"
} ]
}, {
"code": "M1037",
"display": "Pt dx lum sp reg cacr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of lumbar spine region cancer at the time of the"
} ]
}, {
"code": "M1037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "M1038",
"display": "Pt dx lum sp reg fract",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of lumbar spine region fracture at the time of the"
} ]
}, {
"code": "M1038",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "M1039",
"display": "Pt dx lum sp reg inf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of lumbar spine region infection at the time of the"
} ]
}, {
"code": "M1039",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "procedure"
} ]
}, {
"code": "M1040",
"display": "Pt dx lum idi or cong scol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of lumbar idiopathic or congenital scoliosis"
} ]
}, {
"code": "M1041",
"display": "Pt cr ft inf lm or pt id sl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had cancer, acute fracture or infection related to the lumbar spine or"
} ]
}, {
"code": "M1041",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
} ]
}, {
"code": "M1042",
"display": "Ftl st mea sco ot odi 3 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measurement with score was obtained utilizing the oswestry"
} ]
}, {
"code": "M1042",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disability index (odi version 2.1a) patient reported outcome tool within three"
} ]
}, {
"code": "M1042",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "months preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "M1043",
"display": "Fs no odi 9-15mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status was not measured by the oswestry disability index (odi"
} ]
}, {
"code": "M1043",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "version 2.1a) at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "M1044",
"display": "Ftl st mea odi 3 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status was measured by the oswestry disability index (odi version"
} ]
}, {
"code": "M1044",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.1a) patient reported outcome tool within three months preoperatively and at"
} ]
}, {
"code": "M1044",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "M1045",
"display": "Fs oks 9-15mo >= 37 >= 71",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measured by the oxford knee score (oks) at one year (9 to 15"
} ]
}, {
"code": "M1045",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "months) postoperatively was greater than or equal to 37 or knee injury and"
} ]
}, {
"code": "M1045",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "osteoarthritis outcome score joint replacement (koos, jr.) was greater than or"
} ]
}, {
"code": "M1045",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "equal to 71"
} ]
}, {
"code": "M1046",
"display": "Fs oks 9-15mo < 37 < 71",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measured by the oxford knee score (oks) at one year (9 to 15"
} ]
}, {
"code": "M1046",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "months) postoperatively was less than 37 or the knee injury and osteoarthritis"
} ]
}, {
"code": "M1046",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "outcome score joint replacement (koos, jr.) was less than 71 postoperatively"
} ]
}, {
"code": "M1047",
"display": "Fs msrd oks pre and post",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status was measured by the oxford knee score (oks) patient reported"
} ]
}, {
"code": "M1047",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "outcome tool within three months preoperatively and at one year (9 to 15"
} ]
}, {
"code": "M1047",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "months) postoperatively"
} ]
}, {
"code": "M1048",
"display": "Fsm wth scr odi pre and post",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status measurement with score was obtained utilizing the oswestry"
} ]
}, {
"code": "M1048",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disability index (odi version 2.1a) patient reported outcome tool within three"
} ]
}, {
"code": "M1048",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "months preoperatively and at three months (6 to 20 weeks) postoperatively"
} ]
}, {
"code": "M1049",
"display": "Fs wth scr no odi pre and p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status was not measured by the oswestry disability index (odi"
} ]
}, {
"code": "M1049",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "version 2.1a) at three months (6 - 20 weeks) postoperatively"
} ]
}, {
"code": "M1050",
"display": "Fs msrd odi pre and post",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status was measured by the oswestry disability index (odi version"
} ]
}, {
"code": "M1050",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.1a) patient reported outcome tool within three months preoperatively and at"
} ]
}, {
"code": "M1050",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "three months (6 to 20 weeks) postoperatively"
} ]
}, {
"code": "M1051",
"display": "Pt w/cancer scoliosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had cancer, acute fracture or infection related to the lumbar spine or"
} ]
}, {
"code": "M1051",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient had neuromuscular, idiopathic or congenital lumbar scoliosis"
} ]
}, {
"code": "M1052",
"display": "Lg pn not meas w/ vas 1yr po",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain was not measured by the visual analog scale (vas) or numeric pain"
} ]
}, {
"code": "M1052",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "scale at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "M1053",
"display": "Pre and post vas wthn 3 mos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leg pain was measured by the visual analog scale (vas) within three months"
} ]
}, {
"code": "M1053",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preoperatively and at one year (9 to 15 months) postoperatively"
} ]
}, {
"code": "M1054",
"display": "Pt uc in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had only urgent care visits during the performance period"
} ]
}, {
"code": "M1055",
"display": "Aspirin used",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin or another antiplatelet therapy used"
} ]
}, {
"code": "M1056",
"display": "Presc antico med in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescribed anticoagulant medication during the performance period, history of"
} ]
}, {
"code": "M1056",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "gi bleeding, history of intracranial bleeding, bleeding disorder and specific"
} ]
}, {
"code": "M1056",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "provider documented reasons: allergy to aspirin or anti-platelets, use of"
} ]
}, {
"code": "M1056",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled"
} ]
}, {
"code": "M1056",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "hypertension > 180/110 mmhg or gastroesophageal reflux disease"
} ]
}, {
"code": "M1057",
"display": "Aspirin not used, no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aspirin or another antiplatelet therapy not used, reason not given"
} ]
}, {
"code": "M1058",
"display": "Pt prm nurs hm res in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was a permanent nursing home resident at any time during the"
} ]
}, {
"code": "M1058",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "M1059",
"display": "Pt no prm nurs hm res in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient was in hospice or receiving palliative care at any time during the"
} ]
}, {
"code": "M1059",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "M1060",
"display": "Pt died in pp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient died prior to the end of the performance period"
} ]
}, {
"code": "M1061",
"display": "Pt preg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient pregnancy"
} ]
}, {
"code": "M1062",
"display": "Pt imcomprmd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient immunocompromised"
} ]
}, {
"code": "M1063",
"display": "Pt rec hg dos imsup thpy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients receiving high doses of immunosuppressive therapy"
} ]
}, {
"code": "M1064",
"display": "Shing vac doc adm or pv rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shingrix vaccine documented as administered or previously received"
} ]
}, {
"code": "M1065",
"display": "Shing vac no adm clinc rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shingrix vaccine was not administered for reasons documented by clinician (e.g."
} ]
}, {
"code": "M1065",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient administered vaccine other than shingrix, patient allergy or other"
} ]
}, {
"code": "M1065",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical reasons, patient declined or other patient reasons, vaccine not"
} ]
}, {
"code": "M1065",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "available or other system reasons)"
} ]
}, {
"code": "M1066",
"display": "Shing vac no doc no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shingrix vaccine not documented as administered, reason not given"
} ]
}, {
"code": "M1067",
"display": "Hspc pt prv time meam per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services for patient provided any time during the measurement period"
} ]
}, {
"code": "M1068",
"display": "Pt not ambulatory",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adults who are not ambulatory"
} ]
}, {
"code": "M1069",
"display": "Pt scr ft fall rsk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for future fall risk"
} ]
}, {
"code": "M1070",
"display": "Pt not scrn fut fall no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not screened for future fall risk, reason not given"
} ]
}, {
"code": "M1071",
"display": "Pt had add'l sp pcr perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had any additional spine procedures performed on the same date as the"
} ]
}, {
"code": "M1071",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lumbar discectomy/laminotomy"
} ]
}, {
"code": "M1106",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1107",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1107",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1107",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1108",
"display": "Oc ni pt home prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1108",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1108",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1109",
"display": "Oc ni pt dc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1109",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1109",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1110",
"display": "Oc not p pt selfdc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1111",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1112",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1112",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1113",
"display": "Oc ni pt home prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1113",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1113",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1114",
"display": "Oc ni pt dc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1114",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1114",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1115",
"display": "Oc ni pt selfdc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1115",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1116",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1117",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1117",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1117",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1118",
"display": "Oc ni pt home prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1118",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1118",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1119",
"display": "Oc ni pt dc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1119",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1119",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1120",
"display": "Oc ni pt selfdc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1120",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1121",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1122",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1122",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1122",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1123",
"display": "Oc ni pt home prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1123",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1123",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1124",
"display": "Oc ni pt dc 1-2 vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1124",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1124",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1125",
"display": "Oc ni pt selfdc 1-2 vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1125",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1126",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1127",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1127",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1127",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1128",
"display": "Oc ni pt home prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1128",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1128",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1129",
"display": "Oc ni pt dc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1129",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1129",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1130",
"display": "Oc ni pt selfdc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1130",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1131",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1131",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1131",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1132",
"display": "Oc ni pt home prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1132",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1132",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1133",
"display": "Oc ni pt dc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1133",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1133",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1134",
"display": "Oc ni pt selfdc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1134",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1135",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1136",
"display": "Start eoc doc med rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "The start of an episode of care documented in the medical record"
} ]
}, {
"code": "M1137",
"display": "Docu dx degen neuro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating patient has a diagnosis of a degenerative neurological"
} ]
}, {
"code": "M1137",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "condition such as als, ms, or parkinson's diagnosed at any time before or"
} ]
}, {
"code": "M1137",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the episode of care"
} ]
}, {
"code": "M1138",
"display": "Oc ni pt 1-2 vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program"
} ]
}, {
"code": "M1138",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referred to another provider or facility, consultation only)"
} ]
}, {
"code": "M1139",
"display": "Oc ni pt self dc 1-2 vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not indicated, patient self-discharged early and seen only 1-2"
} ]
}, {
"code": "M1139",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "visits (e.g., financial or insurance reasons, transportation problems, or"
} ]
}, {
"code": "M1139",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reason unknown)"
} ]
}, {
"code": "M1140",
"display": "Oc ni pt dc 1-2 vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not indicated, patient discharged after only 1-2 visits due to"
} ]
}, {
"code": "M1140",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specific medical events, documented in the medical record that make the"
} ]
}, {
"code": "M1140",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment episode impossible such as the patient becomes hospitalized or"
} ]
}, {
"code": "M1140",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "scheduled for surgery for surgery or hospitalized"
} ]
}, {
"code": "M1141",
"display": "Fs no oks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Functional status was not measured by the oxford knee score (oks) or the knee"
} ]
}, {
"code": "M1141",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "injury and osteoarthritis outcome score joint replacement (koos, jr.) at one"
} ]
}, {
"code": "M1141",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "year (9 to 15 months) postoperatively"
} ]
}, {
"code": "M1142",
"display": "Emerge cases",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergent cases"
} ]
}, {
"code": "M1143",
"display": "Ni rehab med chiro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initiated episode of rehabilitation therapy, medical, or chiropractic care for"
} ]
}, {
"code": "M1143",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "neck impairment"
} ]
}, {
"code": "M1144",
"display": "Oc no ind pt 1-2 vis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program"
} ]
}, {
"code": "M1144",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referred to another provider or facility, consultation only"
} ]
}, {
"code": "M1145",
"display": "Mfn drug add-on, per dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with"
} ]
}, {
"code": "M1145",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "line items that have the jw modifier)"
} ]
}, {
"code": "M1146",
"display": "Ongoing care not ind",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not clinically indicated because the patient needed a home program"
} ]
}, {
"code": "M1146",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only, referral to another provider or facility, or consultation only, as"
} ]
}, {
"code": "M1146",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "documented in the medical record"
} ]
}, {
"code": "M1147",
"display": "Care not poss med rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not medically possible because the patient was discharged early"
} ]
}, {
"code": "M1147",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "due to specific medical events, documented in the medical record, such as the"
} ]
}, {
"code": "M1147",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient became hospitalized or scheduled for surgery"
} ]
}, {
"code": "M1148",
"display": "Pt self dschg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ongoing care not possible because the patient self-discharged early (e.g.,"
} ]
}, {
"code": "M1148",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "financial or insurance reasons, transportation problems, or reason unknown)"
} ]
}, {
"code": "M1149",
"display": "No neck fs prom incap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient unable to complete the neck fs prom at initial evaluation and/or"
} ]
}, {
"code": "M1149",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "discharge due to blindness, illiteracy, severe mental incapacity or language"
} ]
}, {
"code": "M1149",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "incompatibility, and an adequate proxy is not available"
} ]
}, {
"code": "M1150",
"display": "Lvef <=40% or mod/sev l vsf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current or prior left ventricular ejection fraction (lvef) less than or equal"
} ]
}, {
"code": "M1150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 40% or documentation of moderately or severely depressed left ventricular"
} ]
}, {
"code": "M1150",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "systolic function"
} ]
}, {
"code": "M1151",
"display": "Pt w/ hx trnsplt or lvad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a history of heart transplant or with a left ventricular assist"
} ]
}, {
"code": "M1151",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device (lvad)"
} ]
}, {
"code": "M1152",
"display": "Pt w/ hx trnsplt or lvad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a history of heart transplant or with a left ventricular assist"
} ]
}, {
"code": "M1152",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device (lvad)"
} ]
}, {
"code": "M1153",
"display": "Pt w/ dx osteo doe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient with diagnosis of osteoporosis on date of encounter"
} ]
}, {
"code": "M1154",
"display": "Hospc serv dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services provided to patient any time during the measurement period"
} ]
}, {
"code": "M1155",
"display": "Pt anphx due to pneum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had anaphylaxis due to the pneumococcal vaccine any time during or"
} ]
}, {
"code": "M1155",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "before the measurement period"
} ]
}, {
"code": "M1156",
"display": "Pt recd actv chemo any time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received active chemotherapy any time during the measurement period"
} ]
}, {
"code": "M1157",
"display": "Pt recd bone mar trnsplt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received bone marrow transplant any time during the measurement period"
} ]
}, {
"code": "M1158",
"display": "Pt hx immcomp prior/dur pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had history of immunocompromising conditions prior to or during the"
} ]
}, {
"code": "M1158",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measurement period"
} ]
}, {
"code": "M1159",
"display": "Hospc serv dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services provided to patient any time during the measurement period"
} ]
}, {
"code": "M1160",
"display": "Pt anphx due to mengb bef 13",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had anaphylaxis due to the meningococcal vaccine any time on or before"
} ]
}, {
"code": "M1160",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the patient's 13th birthday"
} ]
}, {
"code": "M1161",
"display": "Pt anphx due to dtp bef 13",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any"
} ]
}, {
"code": "M1161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "time on or before the patient's 13th birthday"
} ]
}, {
"code": "M1162",
"display": "Pt enceph due to dtp bef 13",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine"
} ]
}, {
"code": "M1162",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any time on or before the patient's 13th birthday"
} ]
}, {
"code": "M1163",
"display": "Pt anphx due to hpv bef 13",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had anaphylaxis due to the hpv vaccine any time on or before the"
} ]
}, {
"code": "M1163",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient's 13th birthday"
} ]
}, {
"code": "M1164",
"display": "Pt w/ dementia any time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with dementia any time during the patient's history through the end of"
} ]
}, {
"code": "M1164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the measurement period"
} ]
}, {
"code": "M1165",
"display": "Pt use hspc dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who use hospice services any time during the measurement period"
} ]
}, {
"code": "M1166",
"display": "Path rpt tis spec wle/reexc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathology report for tissue specimens produced from wide local excisions or"
} ]
}, {
"code": "M1166",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "re-excisions"
} ]
}, {
"code": "M1167",
"display": "Hspc dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In hospice or using hospice services during the measurement period"
} ]
}, {
"code": "M1168",
"display": "Pt recd flu vax 7/1-6/30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received an influenza vaccine on or between july 1 of the year prior to"
} ]
}, {
"code": "M1168",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the measurement period and june 30 of the measurement period"
} ]
}, {
"code": "M1169",
"display": "Doc med rsn no flu vax",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not administering influenza vaccine"
} ]
}, {
"code": "M1169",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., prior anaphylaxis due to the influenza vaccine)"
} ]
}, {
"code": "M1170",
"display": "Pt w/o flu vax 7/1-6/30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive an influenza vaccine on or between july 1 of the year"
} ]
}, {
"code": "M1170",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to the measurement period and june 30 of the measurement period"
} ]
}, {
"code": "M1171",
"display": "Pt recd 1 td/tdap 9yrs prior",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received at least one td vaccine or one tdap vaccine between nine years"
} ]
}, {
"code": "M1171",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to the encounter and the end of the measurement period"
} ]
}, {
"code": "M1172",
"display": "Doc med rsn no td/tdap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not administering td or tdap vaccine"
} ]
}, {
"code": "M1172",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., prior anaphylaxis due to the td or tdap vaccine or history of"
} ]
}, {
"code": "M1172",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "encephalopathy within seven days after a previous dose of a td-containing"
} ]
}, {
"code": "M1172",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "vaccine)"
} ]
}, {
"code": "M1173",
"display": "Pt no rec td/tdap 9yrs prior",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive at least one td vaccine or one tdap vaccine between"
} ]
}, {
"code": "M1173",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nine years prior to the encounter and the end of the measurement period"
} ]
}, {
"code": "M1174",
"display": "Pt w 2 hzv on/aft 50",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received at least two doses of the herpes zoster recombinant vaccine"
} ]
}, {
"code": "M1174",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(at least 28 days apart) anytime on or after the patient's 50th birthday before"
} ]
}, {
"code": "M1174",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or during the measurement period"
} ]
}, {
"code": "M1175",
"display": "Doc med rsn no hzv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not administering zoster vaccine (e.g.,"
} ]
}, {
"code": "M1175",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior anaphylaxis due to the zoster vaccine)"
} ]
}, {
"code": "M1176",
"display": "No 2 hzv on/aft age 50",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive two doses of the herpes zoster recombinant vaccine (at"
} ]
}, {
"code": "M1176",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "least 28 days apart) anytime on or after the patient's 50th birthday before or"
} ]
}, {
"code": "M1176",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period"
} ]
}, {
"code": "M1177",
"display": "Pt recd pcv on/aft 19",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received any pneumococcal conjugate or polysaccharide vaccine on or"
} ]
}, {
"code": "M1177",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after their 19th birthday and before the end of the measurement period"
} ]
}, {
"code": "M1178",
"display": "Doc med rsn no pcv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not administering pneumococcal vaccine"
} ]
}, {
"code": "M1178",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., prior anaphylaxis due to the pneumococcal vaccine)"
} ]
}, {
"code": "M1179",
"display": "No pcv recd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive any pneumococcal conjugate or polysaccharide vaccine,"
} ]
}, {
"code": "M1179",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "on or after their 19th birthday and before or during measurement period"
} ]
}, {
"code": "M1180",
"display": "Pt imm ckpt inhib therapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients on immune checkpoint inhibitor therapy"
} ]
}, {
"code": "M1181",
"display": "Gr 2 or> dia or gr2 or> col",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Grade 2 or above diarrhea and/or grade 2 or above colitis"
} ]
}, {
"code": "M1182",
"display": "Not elg pre ex ibd/uc/crohn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients not eligible due to pre-existing inflammatory bowel disease (ibd)"
} ]
}, {
"code": "M1182",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., ulcerative colitis, crohn's disease)"
} ]
}, {
"code": "M1183",
"display": "Doc imm ckpt inhib hld",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of immune checkpoint inhibitor therapy held and corticosteroids"
} ]
}, {
"code": "M1183",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or immunosuppressants prescribed or administered"
} ]
}, {
"code": "M1184",
"display": "Doc med rsn no cst/ist rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing or administering"
} ]
}, {
"code": "M1184",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "corticosteroid or immunosuppressant treatment (e.g., allergy, intolerance,"
} ]
}, {
"code": "M1184",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "infectious etiology, pancreatic insufficiency, hyperthyroidism, prior bowel"
} ]
}, {
"code": "M1184",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "surgical interventions, celiac disease, receiving other medication, awaiting"
} ]
}, {
"code": "M1184",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "diagnostic workup results for alternative etiologies, other medical"
} ]
}, {
"code": "M1184",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "reasons/contraindication)"
} ]
}, {
"code": "M1185",
"display": "Imm ckpt inhib not hld no rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of immune checkpoint inhibitor therapy not held and/or"
} ]
}, {
"code": "M1185",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "corticosteroids or immunosuppressants prescribed or administered was not"
} ]
}, {
"code": "M1185",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "performed, reason not given"
} ]
}, {
"code": "M1186",
"display": "Pt w/ rx for hspc/plltv care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have an order for or are receiving hospice or palliative care"
} ]
}, {
"code": "M1187",
"display": "Pt w/ esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of end stage renal disease (esrd)"
} ]
}, {
"code": "M1188",
"display": "Pt w/ ckd stg 5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of chronic kidney disease (ckd) stage 5"
} ]
}, {
"code": "M1189",
"display": "Doc khe pef w/efgr/uacr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of a kidney health evaluation defined by an estimated glomerular"
} ]
}, {
"code": "M1189",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed"
} ]
}, {
"code": "M1190",
"display": "Doc khe not pef w/efgr/uacr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of a kidney health evaluation was not performed or defined by an"
} ]
}, {
"code": "M1190",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio"
} ]
}, {
"code": "M1190",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(uacr)"
} ]
}, {
"code": "M1191",
"display": "Hspc svc any time in meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services provided to patient any time during the measurement period"
} ]
}, {
"code": "M1192",
"display": "Pt w/ dx sq cell ca of esoph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with an existing diagnosis of squamous cell carcinoma of the esophagus"
} ]
}, {
"code": "M1193",
"display": "Rpts w/ imp/con mmr/msi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical pathology reports that contain impression or conclusion of or"
} ]
}, {
"code": "M1193",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recommendation for testing of mmr by immunohistochemistry, msi by dna-based"
} ]
}, {
"code": "M1193",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "testing status, or both"
} ]
}, {
"code": "M1194",
"display": "Med rsn no imp/con mmr/msi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) surgical pathology reports did not contain"
} ]
}, {
"code": "M1194",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "impression or conclusion of or recommendation for testing of mmr by"
} ]
}, {
"code": "M1194",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "immunohistochemistry, msi by dna-based testing status, or both tests were not"
} ]
}, {
"code": "M1194",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "included (e.g., patient will not be treated with checkpoint inhibitor therapy,"
} ]
}, {
"code": "M1194",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "no residual carcinoma is present in the sample [tissue exhausted or status post"
} ]
}, {
"code": "M1194",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "neoadjuvant treatment], insufficient tumor for testing)"
} ]
}, {
"code": "M1195",
"display": "Rpt wo imp/con mmr/msi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical pathology reports that do not contain impression or conclusion of or"
} ]
}, {
"code": "M1195",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recommendation for testing of mmr by immunohistochemistry, msi by dna-based"
} ]
}, {
"code": "M1195",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "testing status, or both, reason not given"
} ]
}, {
"code": "M1196",
"display": "Ixv nrs vrs iqa >=4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or"
} ]
}, {
"code": "M1196",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "itchyquant assessment score of greater than or equal to 4"
} ]
}, {
"code": "M1197",
"display": "Isa reduced >=3 fr ixv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Itch severity assessment score is reduced by 3 or more points from the initial"
} ]
}, {
"code": "M1197",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(index) assessment score to the follow-up visit score"
} ]
}, {
"code": "M1198",
"display": "Isa not red 3pts /no assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Itch severity assessment score was not reduced by at least 3 points from"
} ]
}, {
"code": "M1198",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initial (index) score to the follow-up visit score or assessment was not"
} ]
}, {
"code": "M1198",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "completed during the follow-up encounter"
} ]
}, {
"code": "M1199",
"display": "Pt rec'g rrt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients receiving rrt"
} ]
}, {
"code": "M1200",
"display": "Ace-i/arb rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period"
} ]
}, {
"code": "M1201",
"display": "Med rsn no ace-i/arb rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or"
} ]
}, {
"code": "M1201",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "arb therapy during the measurement period (e.g., pregnancy, history of"
} ]
}, {
"code": "M1201",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of"
} ]
}, {
"code": "M1201",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or"
} ]
}, {
"code": "M1201",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "arb therapy), other medical reasons)"
} ]
}, {
"code": "M1202",
"display": "Pt rsn no ace-i/arb rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not prescribing ace inhibitor or arb"
} ]
}, {
"code": "M1202",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "therapy during the measurement period, (e.g., patient declined, other patient"
} ]
}, {
"code": "M1202",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reasons)"
} ]
}, {
"code": "M1203",
"display": "No rsn ace-i/arb rx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ace inhibitor or arb therapy not prescribed during the measurement period,"
} ]
}, {
"code": "M1203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason not given"
} ]
}, {
"code": "M1204",
"display": "Ixv nrs vrs iqa >=4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or"
} ]
}, {
"code": "M1204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "itchyquant assessment score of greater than or equal to 4"
} ]
}, {
"code": "M1205",
"display": "Isa reduced >=3",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Itch severity assessment score is reduced by 3 or more points from the initial"
} ]
}, {
"code": "M1205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(index) assessment score to the follow-up visit score"
} ]
}, {
"code": "M1206",
"display": "Isa not red 3pts/no assess",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Itch severity assessment score was not reduced by at least 3 points from"
} ]
}, {
"code": "M1206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initial (index) score to the follow-up visit score or assessment was not"
} ]
}, {
"code": "M1206",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "completed during the follow-up encounter"
} ]
}, {
"code": "M1207",
"display": "Pt scrn sdoh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is screened for food insecurity, housing instability, transportation"
} ]
}, {
"code": "M1207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "needs, utility difficulties, and interpersonal safety"
} ]
}, {
"code": "M1208",
"display": "Pt no scrn sdoh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient is not screened for food insecurity, housing instability,"
} ]
}, {
"code": "M1208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transportation needs, utility difficulties, and interpersonal safety"
} ]
}, {
"code": "M1209",
"display": ">=2 same hi-rsk med w/o diag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least two orders for high-risk medications from the same drug class, (table"
} ]
}, {
"code": "M1209",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4), without appropriate diagnoses"
} ]
}, {
"code": "M1210",
"display": ">=2 same meds tbl4 not ord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "At least two orders for high-risk medications from the same drug class, (table"
} ]
}, {
"code": "M1210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4), not ordered"
} ]
}, {
"code": "M1211",
"display": "Gsa level>9.0%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent glycemic status assessment (hba1c or gmi) level > 9.0%"
} ]
}, {
"code": "M1212",
"display": "Missing gsa not perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glycemic status assessment (hba1c or gmi) level is missing, or was not"
} ]
}, {
"code": "M1212",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performed during the measurement period"
} ]
}, {
"code": "M1213",
"display": "No hx spiro prs spiro>=70%",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No history of spirometry results with confirmed airflow obstruction (fev1/fvc <"
} ]
}, {
"code": "M1213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "70%) and present spirometry is >= 70%"
} ]
}, {
"code": "M1214",
"display": "Spiro results wth obs doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%)"
} ]
}, {
"code": "M1214",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented and reviewed"
} ]
}, {
"code": "M1215",
"display": "Med rsn for no doc spiro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not documenting and reviewing spirometry"
} ]
}, {
"code": "M1215",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "results (e.g., patients with dementia or tracheostomy)"
} ]
}, {
"code": "M1216",
"display": "No spiro doc no res doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%)"
} ]
}, {
"code": "M1216",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "documented and/or no spirometry performed with results documented during the"
} ]
}, {
"code": "M1216",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "encounter"
} ]
}, {
"code": "M1217",
"display": "Sys rsn no doc spiro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of system reason(s) for not documenting and reviewing spirometry"
} ]
}, {
"code": "M1217",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "results (e.g., spirometry equipment not available at the time of the encounter)"
} ]
}, {
"code": "M1218",
"display": "Pt copd symptoms",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)"
} ]
}, {
"code": "M1219",
"display": "Anphx due to vax",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anaphylaxis due to the vaccine on or before the date of the encounter"
} ]
}, {
"code": "M1220",
"display": "Dre wth interp rtnopthy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated retinal eye exam with interpretation by an ophthalmologist or"
} ]
}, {
"code": "M1220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "optometrist or artificial intelligence (ai) interpretation documented and"
} ]
}, {
"code": "M1220",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reviewed; with evidence of retinopathy"
} ]
}, {
"code": "M1221",
"display": "Dre w/o rtnopthy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dilated retinal eye exam with interpretation by an ophthalmologist or"
} ]
}, {
"code": "M1221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "optometrist or artificial intelligence (ai) interpretation documented and"
} ]
}, {
"code": "M1221",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "reviewed; without evidence of retinopathy"
} ]
}, {
"code": "M1222",
"display": "Glaucoma pln of care not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glaucoma plan of care not documented, reason not otherwise specified"
} ]
}, {
"code": "M1223",
"display": "Glaucoma plan of care doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glaucoma plan of care documented"
} ]
}, {
"code": "M1224",
"display": "Iop dec <20% from base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intraocular pressure (iop) reduced by a value less than 20% from the"
} ]
}, {
"code": "M1224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pre-intervention level"
} ]
}, {
"code": "M1225",
"display": "Iop dec>=20% from base",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intraocular pressure (iop) reduced by a value of greater than or equal to 20%"
} ]
}, {
"code": "M1225",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "from the pre-intervention level"
} ]
}, {
"code": "M1226",
"display": "Iop not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iop measurement not documented, reason not otherwise specified"
} ]
}, {
"code": "M1227",
"display": "Eb therapy prescribed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Evidence-based therapy was prescribed"
} ]
}, {
"code": "M1228",
"display": "Pt + hcv aby +vir w/ rx 3 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient, who has a reactive hcv antibody test, and has a follow up hcv viral"
} ]
}, {
"code": "M1228",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "test that detected hcv viremia, has hcv treatment initiated within 3 months of"
} ]
}, {
"code": "M1228",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the reactive hcv antibody test"
} ]
}, {
"code": "M1229",
"display": "Pt w/ +hcv +vir ref win 1 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient, who has a reactive hcv antibody test, and has a follow up hcv viral"
} ]
}, {
"code": "M1229",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "test that detected hcv viremia, is referred within 1 month of the reactive hcv"
} ]
}, {
"code": "M1229",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "antibody test to a clinician who treats hcv infection"
} ]
}, {
"code": "M1230",
"display": "Pt hcv rctv aby no f/u tst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has a reactive hcv antibody test and does not have a follow up hcv"
} ]
}, {
"code": "M1230",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viral test, or patient has a reactive hcv antibody test and has a follow up hcv"
} ]
}, {
"code": "M1230",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "viral test that detects hcv viremia and is not referred to a clinician who"
} ]
}, {
"code": "M1230",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treats hcv infection within 1 month and does not have hcv treatment initiated"
} ]
}, {
"code": "M1230",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "within 3 months of the reactive hcv antibody test, reason not given"
} ]
}, {
"code": "M1231",
"display": "Pt hcv tst no reactive res",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receives hcv antibody test with nonreactive result"
} ]
}, {
"code": "M1232",
"display": "Pt hcv tst reactive result",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient receives hcv antibody test with reactive result"
} ]
}, {
"code": "M1233",
"display": "Pt no hcv aby or result",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient does not receive hcv antibody test or patient does receive hcv antibody"
} ]
}, {
"code": "M1233",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "test but results not documented, reason not given"
} ]
}, {
"code": "M1234",
"display": "Pt hcv rctv aby f/u neg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient has a reactive hcv antibody test, and has a follow up hcv viral test"
} ]
}, {
"code": "M1234",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "that does not detect hcv viremia"
} ]
}, {
"code": "M1235",
"display": "Doc pt hcv aby rna tst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation or patient report of hcv antibody test or hcv rna test which"
} ]
}, {
"code": "M1235",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "occurred prior to the performance period"
} ]
}, {
"code": "M1236",
"display": "Baseline mrs > 2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Baseline mrs > 2"
} ]
}, {
"code": "M1237",
"display": "Pt rsn no scrn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient reason for not screening for food insecurity, housing instability,"
} ]
}, {
"code": "M1237",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transportation needs, utility difficulties, and interpersonal safety (e.g.,"
} ]
}, {
"code": "M1237",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient declined or other patient reasons)"
} ]
}, {
"code": "M1238",
"display": "Doc 2nd recom hzv 2-6 mo int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation that administration of second recombinant zoster vaccine could"
} ]
}, {
"code": "M1238",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not occur during the performance period due to the recommended 2-6 month"
} ]
}, {
"code": "M1238",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "interval between doses (i.e, first dose received after october 31)"
} ]
}, {
"code": "M1239",
"display": "Pt no resp heard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not respond to the question of patient felt heard and understood by"
} ]
}, {
"code": "M1239",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "this provider and team"
} ]
}, {
"code": "M1240",
"display": "Pt no resp best int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not respond to the question of patient felt this provider and team"
} ]
}, {
"code": "M1240",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "put my best interests first when making recommendations about my care"
} ]
}, {
"code": "M1241",
"display": "Pt no resp seen as person",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not respond to the question of patient felt this provider and team"
} ]
}, {
"code": "M1241",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "saw me as a person, not just someone with a medical problem"
} ]
}, {
"code": "M1242",
"display": "Pt no resp imprt to me",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not respond to the question of patient felt this provider and team"
} ]
}, {
"code": "M1242",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "understood what is important to me in my life"
} ]
}, {
"code": "M1243",
"display": "Pt othr thn true heard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient provided a response other than \"completely true\" for the question of"
} ]
}, {
"code": "M1243",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient felt heard and understood by this provider and team"
} ]
}, {
"code": "M1244",
"display": "Pt othr thn true best int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient provided a response other than \"completely true\" for the question of"
} ]
}, {
"code": "M1244",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient felt this provider and team put my best interests first when making"
} ]
}, {
"code": "M1244",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "recommendations about my care"
} ]
}, {
"code": "M1245",
"display": "Pt othr thn true person",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient provided a response other than \"completely true\" for the question of"
} ]
}, {
"code": "M1245",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient felt this provider and team saw me as a person, not just someone with a"
} ]
}, {
"code": "M1245",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "medical problem"
} ]
}, {
"code": "M1246",
"display": "Pt othr thn true imprt to me",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient provided a response other than \"completely true\" for the question of"
} ]
}, {
"code": "M1246",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient felt this provider and team understood what is important to me in my"
} ]
}, {
"code": "M1246",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "life"
} ]
}, {
"code": "M1247",
"display": "Pt resp true best int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient responded \"completely true\" for the question of patient felt this"
} ]
}, {
"code": "M1247",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "provider and team put my best interests first when making recommendations about"
} ]
}, {
"code": "M1247",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "my care"
} ]
}, {
"code": "M1248",
"display": "Pt resp true seen as person",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient responded \"completely true\" for the question of patient felt this"
} ]
}, {
"code": "M1248",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "provider and team saw me as a person, not just someone with a medical problem"
} ]
}, {
"code": "M1249",
"display": "Pt resp true imprt to me",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient responded \"completely true\" for the question of patient felt this"
} ]
}, {
"code": "M1249",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "provider and team understood what is important to me in my life"
} ]
}, {
"code": "M1250",
"display": "Pt resp true heard",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient responded as \"completely true\" for the question of patient felt heard"
} ]
}, {
"code": "M1250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and understood by this provider and team"
} ]
}, {
"code": "M1251",
"display": "Pts proxy cmplt hu surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients for whom a proxy completed the entire hu survey on their behalf for"
} ]
}, {
"code": "M1251",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any reason (no patient involvement)"
} ]
}, {
"code": "M1252",
"display": "Pts no cmplt hu survey",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not complete at least one of the four patient experience hu"
} ]
}, {
"code": "M1252",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "survey items and return the hu survey within 60 days of the ambulatory"
} ]
}, {
"code": "M1252",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "palliative care visit"
} ]
}, {
"code": "M1253",
"display": "Pts hu surv no amb plltv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who respond on the patient experience hu survey that they did not"
} ]
}, {
"code": "M1253",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "receive care by the listed ambulatory palliative care provider in the last 60"
} ]
}, {
"code": "M1253",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "days (disavowal)"
} ]
}, {
"code": "M1254",
"display": "Pts deceased prior hu surv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were deceased when the hu survey reached them"
} ]
}, {
"code": "M1255",
"display": "Pts w/ othr rsn vst,+prg tst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have another reason for visiting the clinic [not prenatal or"
} ]
}, {
"code": "M1255",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "postpartum care] and have a positive pregnancy test but have not established"
} ]
}, {
"code": "M1255",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek"
} ]
}, {
"code": "M1255",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "prenatal services elsewhere)"
} ]
}, {
"code": "M1256",
"display": "Prior history of known cvd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prior history of known cvd"
} ]
}, {
"code": "M1257",
"display": "Cvd risk assess not perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was"
} ]
}, {
"code": "M1257",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not documented), reason not otherwise specified"
} ]
}, {
"code": "M1258",
"display": "Cvd risk assess perf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cvd risk assessment performed, have a documented calculated risk score"
} ]
}, {
"code": "M1259",
"display": "Pt stat doc <= 1 yr dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient status documented within the first year of initiating dialysis"
} ]
}, {
"code": "M1260",
"display": "Pt not doc <= 1 yr dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient status not documented within the first year of initiating dialysis"
} ]
}, {
"code": "M1261",
"display": "Pts on wtlist bef dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients that were on the kidney or kidney-pancreas waitlist prior to"
} ]
}, {
"code": "M1261",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiation of dialysis"
} ]
}, {
"code": "M1262",
"display": "Pts transplt bef dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a transplant prior to initiation of dialysis"
} ]
}, {
"code": "M1263",
"display": "Pts hosp dialysis dt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients in hospice on their initiation of dialysis date or during the month of"
} ]
}, {
"code": "M1263",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation"
} ]
}, {
"code": "M1264",
"display": "Pts 75+ dialysis dt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients age 75 or older on their initiation of dialysis date"
} ]
}, {
"code": "M1265",
"display": "Cms 2728 completed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cms medical evidence form 2728 for dialysis patients: initial form completed"
} ]
}, {
"code": "M1266",
"display": "Pts admit snf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients admitted to a skilled nursing facility (snf)"
} ]
}, {
"code": "M1267",
"display": "Pt no act kid transplt wtlst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients not observed in active status on any kidney or kidney-pancreas"
} ]
}, {
"code": "M1267",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transplant waitlist as of the last day of each month during the measurement"
} ]
}, {
"code": "M1267",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "M1268",
"display": "Pt ac stat kid trnsplt wtlst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients observed in active status on any kidney or kidney-pancreas transplant"
} ]
}, {
"code": "M1268",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "waitlist as of the last day of each month during the measurement period"
} ]
}, {
"code": "M1269",
"display": "Rec'd esrd mcp lst day of mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receiving esrd mcp dialysis services by the provider on the last day of the"
} ]
}, {
"code": "M1269",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reporting month"
} ]
}, {
"code": "M1270",
"display": "Pts no kid transplt wtlst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients not on any kidney or kidney-pancreas transplant waitlist as of the"
} ]
}, {
"code": "M1270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "last day of each month during the measurement period"
} ]
}, {
"code": "M1271",
"display": "Pts dem any time/dur mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with dementia at any time prior to or during the month"
} ]
}, {
"code": "M1272",
"display": "Pts kid transplt wtlst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients observed on any kidney or kidney-pancreas transplant waitlist as of"
} ]
}, {
"code": "M1272",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the last day of each month during the measurement period"
} ]
}, {
"code": "M1273",
"display": "Pts snf 1 yr dialysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were admitted to a skilled nursing facility (snf) within one year"
} ]
}, {
"code": "M1273",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of dialysis initiation according to the cms-2728 form"
} ]
}, {
"code": "M1274",
"display": "Pts snf exl mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were admitted to a skilled nursing facility (snf) during the month"
} ]
}, {
"code": "M1274",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of evaluation were excluded from that month"
} ]
}, {
"code": "M1275",
"display": "Pts hosp exl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients determined to be in hospice were excluded from month of evaluation and"
} ]
}, {
"code": "M1275",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the remainder of reporting period"
} ]
}, {
"code": "M1276",
"display": "Calc bmi out nrm param nof/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi documented outside normal parameters, no follow-up plan documented, no"
} ]
}, {
"code": "M1276",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reason given"
} ]
}, {
"code": "M1277",
"display": "Colorectal ca screen doc rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening results documented and reviewed"
} ]
}, {
"code": "M1278",
"display": "Pre-htn or htn doc, f/u indc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevated or hypertensive blood pressure reading documented, and the indicated"
} ]
}, {
"code": "M1278",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up is documented"
} ]
}, {
"code": "M1279",
"display": "Pre-htn/htn, no f/u, not gvn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Elevated or hypertensive blood pressure reading documented, indicated follow-up"
} ]
}, {
"code": "M1279",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not documented, reason not given"
} ]
}, {
"code": "M1280",
"display": "Bilat mast/hx bi /unilat mas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Women who had a bilateral mastectomy or who have a history of a bilateral"
} ]
}, {
"code": "M1280",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mastectomy or for whom there is evidence of a right and a left unilateral"
} ]
}, {
"code": "M1280",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mastectomy"
} ]
}, {
"code": "M1281",
"display": "Bp scrn no perf at interval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood pressure reading not documented, reason not given"
} ]
}, {
"code": "M1282",
"display": "Pt scrn tbco id as non user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for tobacco use and identified as a tobacco non-user"
} ]
}, {
"code": "M1283",
"display": "Pt scrn tbco and id as user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for tobacco use and identified as a tobacco user"
} ]
}, {
"code": "M1284",
"display": "Pt 66+ snp or ltc pos > 90d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients age 66 or older in institutional special needs plans (snp) or residing"
} ]
}, {
"code": "M1284",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in long term care with pos code 32, 33, 34, 54, or 56 for more than 90"
} ]
}, {
"code": "M1284",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "consecutive days during the measurement period"
} ]
}, {
"code": "M1285",
"display": "Scrn mam perf rslts not doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening, diagnostic, film, digital or digital breast tomosynthesis (3d)"
} ]
}, {
"code": "M1285",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mammography results were not documented and reviewed, reason not otherwise"
} ]
}, {
"code": "M1285",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "M1286",
"display": "Bmi doc onl fup not cmpltd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented as being outside of normal parameters, follow-up plan is not"
} ]
}, {
"code": "M1286",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "completed for documented medical reason"
} ]
}, {
"code": "M1287",
"display": "Calc bmi blw low param f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented below normal parameters and a follow-up plan is documented"
} ]
}, {
"code": "M1288",
"display": "Doc rsn no hbp scrn or f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documented reason for not screening or recommending a follow-up for high blood"
} ]
}, {
"code": "M1288",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pressure"
} ]
}, {
"code": "M1289",
"display": "No pt tbco cess interv rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as tobacco user did not receive tobacco cessation"
} ]
}, {
"code": "M1289",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intervention during the measurement period or in the six months prior to the"
} ]
}, {
"code": "M1289",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "measurement period (counseling and/or pharmacotherapy)"
} ]
}, {
"code": "M1290",
"display": "Pt not eli d/t act dig htn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not eligible due to active diagnosis of hypertension"
} ]
}, {
"code": "M1291",
"display": "Pt 66+ frailty and med dem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "M1291",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and a dispensed medication for dementia"
} ]
}, {
"code": "M1291",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "M1292",
"display": "Pt 66+ frail inpt adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients 66 years of age and older with at least one claim/encounter for"
} ]
}, {
"code": "M1292",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "frailty during the measurement period and an advanced illness diagnosis during"
} ]
}, {
"code": "M1292",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the measurement period or the year prior to the measurement period"
} ]
}, {
"code": "M1293",
"display": "Calc bmi abv up param f/u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented above normal parameters and a follow-up plan is documented"
} ]
}, {
"code": "M1294",
"display": "Bp scrn perf rec interval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Normal blood pressure reading documented, follow-up not required"
} ]
}, {
"code": "M1295",
"display": "Pt hx tot col or colon ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis or past history of total colectomy or colorectal"
} ]
}, {
"code": "M1295",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cancer"
} ]
}, {
"code": "M1296",
"display": "Calc bmi norm parameters",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi is documented within normal parameters and no follow-up plan is required"
} ]
}, {
"code": "M1297",
"display": "Bmi not doc medrsn ptref",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi not documented due to medical reason or patient refusal of height or weight"
} ]
}, {
"code": "M1297",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "measurement"
} ]
}, {
"code": "M1298",
"display": "Doc pt preg dur msrmt pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient pregnancy anytime during the measurement period prior"
} ]
}, {
"code": "M1298",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to and including the current encounter"
} ]
}, {
"code": "M1299",
"display": "Flu immunize order/admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization administered or previously received"
} ]
}, {
"code": "M1300",
"display": "Flu imm no admin doc rea",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization was not administered for reasons documented by clinician"
} ]
}, {
"code": "M1300",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., patient allergy or other medical reasons, patient declined or other"
} ]
}, {
"code": "M1300",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "patient reasons, vaccine not available or other system reasons)"
} ]
}, {
"code": "M1301",
"display": "Pt recv tbco cess interv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient identified as a tobacco user received tobacco cessation intervention"
} ]
}, {
"code": "M1301",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period or in the six months prior to the measurement"
} ]
}, {
"code": "M1301",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period (counseling and/or pharmacotherapy)"
} ]
}, {
"code": "M1302",
"display": "Scrn mam perf rslts doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening, diagnostic, film digital or digital breast tomosynthesis (3d)"
} ]
}, {
"code": "M1302",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mammography results documented and reviewed"
} ]
}, {
"code": "M1303",
"display": "Hospc serv dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice services provided to patient any time during the measurement period"
} ]
}, {
"code": "M1304",
"display": "No pneum vax admin 19+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on"
} ]
}, {
"code": "M1304",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or after their 19th birthday and before the end of the measurement period"
} ]
}, {
"code": "M1305",
"display": "Pneum vax admin 19+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received any pneumococcal conjugate or polysaccharide vaccine on or"
} ]
}, {
"code": "M1305",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "after their 19th birthday and before the end of the measurement period"
} ]
}, {
"code": "M1306",
"display": "Pt anphx due to pneum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient had anaphylaxis due to the pneumococcal vaccine any time during or"
} ]
}, {
"code": "M1306",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "before the measurement period"
} ]
}, {
"code": "M1307",
"display": "Doc pt pal or hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation stating the patient has received or is currently receiving"
} ]
}, {
"code": "M1307",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "palliative or hospice care"
} ]
}, {
"code": "M1308",
"display": "Flu immunize no admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza immunization was not administered, reason not given"
} ]
}, {
"code": "M1309",
"display": "Pall serv during meas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palliative care services provided to patient any time during the measurement"
} ]
}, {
"code": "M1309",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "M1310",
"display": "Pt scr tob & cess int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient screened for tobacco use and received tobacco cessation intervention"
} ]
}, {
"code": "M1310",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period or in the six months prior to the measurement"
} ]
}, {
"code": "M1310",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period (counseling, pharmacotherapy, or both), if identified as a tobacco user"
} ]
}, {
"code": "M1311",
"display": "Aphlx to vax bef enc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anaphylaxis due to the vaccine on or before the date of the encounter"
} ]
}, {
"code": "M1312",
"display": "No pt tbco scrn rng",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient not screened for tobacco use"
} ]
}, {
"code": "M1313",
"display": "No tob scr/cess int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tobacco screening not performed or tobacco cessation intervention not provided"
} ]
}, {
"code": "M1313",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "during the measurement period or in the six months prior to the measurement"
} ]
}, {
"code": "M1313",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "M1314",
"display": "Bmi not calculated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bmi not documented and no reason is given"
} ]
}, {
"code": "M1315",
"display": "Crc no doc no rsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colorectal cancer screening results were not documented and reviewed; reason"
} ]
}, {
"code": "M1315",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "not otherwise specified"
} ]
}, {
"code": "M1316",
"display": "Tobacco non-user",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Current tobacco non-user"
} ]
}, {
"code": "M1317",
"display": "Pts counsl cpt opt out",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are counseled on connection with a csp and explicitly opt out"
} ]
}, {
"code": "M1318",
"display": "Pts no csp doc contact",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have documented contact with a csp for at least one of"
} ]
}, {
"code": "M1318",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "their screened positive hrsns within 60 days after screening or documentation"
} ]
}, {
"code": "M1318",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "that there was no contact with a csp"
} ]
}, {
"code": "M1319",
"display": "Pts csp doc contact",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had documented contact with a csp for at least one of their"
} ]
}, {
"code": "M1319",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "screened positive hrsns within 60 days after screening"
} ]
}, {
"code": "M1320",
"display": "Pts scrn + hrsn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who screened positive for at least 1 of the 5 hrsns"
} ]
}, {
"code": "M1321",
"display": "Pts no 7wk inj,no iop,iop>25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were not seen within 7 weeks following the date of injection for"
} ]
}, {
"code": "M1321",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow up or who did not have a documented iop or no plan of care documented if"
} ]
}, {
"code": "M1321",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the iop was >25 mm hg"
} ]
}, {
"code": "M1322",
"display": "Pts 7wk inj, scrn iop =<25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients seen within 7 weeks following the date of injection and are screened"
} ]
}, {
"code": "M1322",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for elevated intraocular pressure (iop) with tonometry with documented iop =<25"
} ]
}, {
"code": "M1322",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mm hg for injected eye"
} ]
}, {
"code": "M1323",
"display": "Pts 7wk inj, scrn iop >25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients seen within 7 weeks following the date of injection and are screened"
} ]
}, {
"code": "M1323",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for elevated intraocular pressure (iop) with tonometry with documented iop >25"
} ]
}, {
"code": "M1323",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "mm hg and a plan of care was documented"
} ]
}, {
"code": "M1324",
"display": "Pts intravitreal/pci",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had an intravitreal or periocular corticosteroid injection (e.g.,"
} ]
}, {
"code": "M1324",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone"
} ]
}, {
"code": "M1324",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "intravitreal implant, or fluocinolone intravitreal implant)"
} ]
}, {
"code": "M1325",
"display": "Doc med rsn not seen",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were not seen for reasons documented by clinician for patient or"
} ]
}, {
"code": "M1325",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medical reasons (e.g., inadequate time for follow-up, patients who received a"
} ]
}, {
"code": "M1325",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prior intravitreal or periocular steroid injection within the last six (6)"
} ]
}, {
"code": "M1325",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "months and had a subsequent iop evaluation with iop <25mm hg within seven (7)"
} ]
}, {
"code": "M1325",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "weeks of treatment)"
} ]
}, {
"code": "M1326",
"display": "Pts dx hypotony",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of hypotony"
} ]
}, {
"code": "M1327",
"display": "Pts no eval ini xm no 8 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were not appropriately evaluated during the initial exam and/or"
} ]
}, {
"code": "M1327",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who were not re-evaluated within 8 weeks"
} ]
}, {
"code": "M1328",
"display": "Pts dx acute vitreous hem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a diagnosis of acute vitreous hemorrhage"
} ]
}, {
"code": "M1329",
"display": "Pts act pvd 2 wks 8 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a post-operative encounter of the eye with the acute pvd within 2"
} ]
}, {
"code": "M1329",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weeks before the initial encounter or 8 weeks after initial acute pvd encounter"
} ]
}, {
"code": "M1330",
"display": "Doc pts rsn no f/u xm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not having a follow up exam (e.g.,"
} ]
}, {
"code": "M1330",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inadequate time for follow up)"
} ]
}, {
"code": "M1331",
"display": "Pts eval ini xm 8 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were appropriately evaluated during the initial exam and were"
} ]
}, {
"code": "M1331",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "re-evaluated no later than 8 weeks from initial exam"
} ]
}, {
"code": "M1332",
"display": "Pts no eval ini xm no 2 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were not appropriately evaluated during the initial exam and/or"
} ]
}, {
"code": "M1332",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who were not re-evaluated within 2 weeks"
} ]
}, {
"code": "M1333",
"display": "Acute vitreous hemorrhage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acute vitreous hemorrhage"
} ]
}, {
"code": "M1334",
"display": "Pts act pvd 2 wks 2 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with a post-operative encounter of the eye with the acute pvd within 2"
} ]
}, {
"code": "M1334",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "weeks before the initial encounter or 2 weeks after initial acute pvd encounter"
} ]
}, {
"code": "M1335",
"display": "Doc pts rsn no f/u xm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reason(s) for not having a follow up exam (e.g.,"
} ]
}, {
"code": "M1335",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "inadequate time for follow up)"
} ]
}, {
"code": "M1336",
"display": "Pts eval ini xm 2 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were appropriately evaluated during the initial exam and were"
} ]
}, {
"code": "M1336",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "re-evaluated no later than 2 weeks"
} ]
}, {
"code": "M1337",
"display": "Acute pvd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acute pvd"
} ]
}, {
"code": "M1338",
"display": "Pt f/u 30-180 dys no + imprv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had follow-up assessment 30 to 180 days after the index assessment"
} ]
}, {
"code": "M1338",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who did not demonstrate positive improvement or maintenance of functioning"
} ]
}, {
"code": "M1338",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "scores during the performance period"
} ]
}, {
"code": "M1339",
"display": "Pts f/u 30-180 dys + improv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had follow-up assessment 30 to 180 days after the index assessment"
} ]
}, {
"code": "M1339",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "who demonstrated positive improvement or maintenance of functioning scores"
} ]
}, {
"code": "M1339",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "during the performance period"
} ]
}, {
"code": "M1340",
"display": "Indx whodas 2.0 or sds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Index assessment completed using the 12-item whodas 2.0 or sds during the"
} ]
}, {
"code": "M1340",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "denominator identification period"
} ]
}, {
"code": "M1341",
"display": "Pt no f/u 30-180 dys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a follow-up assessment or did not have an assessment"
} ]
}, {
"code": "M1341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "within 30 to 180 days after the index assessment during the performance period"
} ]
}, {
"code": "M1342",
"display": "Pts died perf per",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the performance period"
} ]
}, {
"code": "M1343",
"display": "Pt pam lvl 4 base or srt lin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are at pam level 4 at baseline or patients who are flagged with"
} ]
}, {
"code": "M1343",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extreme straight line response sets on the pam or with excessive missing"
} ]
}, {
"code": "M1343",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "responses"
} ]
}, {
"code": "M1344",
"display": "No bsln/2nd pam score 4-12mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a baseline pam score and/or a second score within 4"
} ]
}, {
"code": "M1344",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 12 months of baseline pam score"
} ]
}, {
"code": "M1345",
"display": "Pt bsln pam, 2nd scr 4-12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a baseline pam score and a second score within 4 to 12 month"
} ]
}, {
"code": "M1345",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of baseline pam score"
} ]
}, {
"code": "M1346",
"display": "No pam inc 6 pts 4-12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a net increase in pam score of at least 6 points"
} ]
}, {
"code": "M1346",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "within a 4 to 12 month period"
} ]
}, {
"code": "M1347",
"display": "Pt pam incr 3 pt 4-12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who achieved a net increase in pam score of at least 3 points in a 4"
} ]
}, {
"code": "M1347",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 12 month period (passing)"
} ]
}, {
"code": "M1348",
"display": "Pam incr 6 pt 4-12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who achieved a net increase in pam score of at least 6-points in a 4"
} ]
}, {
"code": "M1348",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 12 month period (excellent)"
} ]
}, {
"code": "M1349",
"display": "No pam inc 3 pts 4-12 mo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a net increase in pam score of at least 3 points"
} ]
}, {
"code": "M1349",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "within a 4 to 12 month period"
} ]
}, {
"code": "M1350",
"display": "Pt w/ suic saf pln init rev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a completed suicide safety plan initiated, reviewed or updated"
} ]
}, {
"code": "M1350",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in collaboration with their clinician (concurrent or within 24 hours) of the"
} ]
}, {
"code": "M1350",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "index clinical encounter"
} ]
}, {
"code": "M1351",
"display": "Pt cmplt suicd saf pln 120dy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a suicide safety plan initiated, reviewed, or updated and"
} ]
}, {
"code": "M1351",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "reviewed and updated in collaboration with the patient and their clinician"
} ]
}, {
"code": "M1351",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "concurrent or within 24 hours of clinical encounter and within 120 days after"
} ]
}, {
"code": "M1351",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "initiation"
} ]
}, {
"code": "M1352",
"display": "Suicd c-ssrs assessment, equ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent"
} ]
}, {
"code": "M1352",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment"
} ]
}, {
"code": "M1353",
"display": "Pts no cmplt suicd saf pln",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a completed suicide safety plan initiated, reviewed"
} ]
}, {
"code": "M1353",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or updated in collaboration with their clinician (concurrent or within 24"
} ]
}, {
"code": "M1353",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "hours) of the index clinical encounter"
} ]
}, {
"code": "M1354",
"display": "Pt no suicd saf pln 120dy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a suicide safety plan initiated, reviewed, or updated"
} ]
}, {
"code": "M1354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or reviewed and updated in collaboration with the patient and their clinician"
} ]
}, {
"code": "M1354",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "concurrent or within 24 hours of clinical encounter and within 120 days after"
} ]
}, {
"code": "M1354",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "initiation"
} ]
}, {
"code": "M1355",
"display": "Suicd based cln eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suicide risk based on their clinician's evaluation or a clinician-rated tool"
} ]
}, {
"code": "M1356",
"display": "Pt died dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the measurement period"
} ]
}, {
"code": "M1357",
"display": "Pt w/red suic idea 120 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a reduction in suicidal ideation and/or behavior upon"
} ]
}, {
"code": "M1357",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up assessment within 120 days of index assessment"
} ]
}, {
"code": "M1358",
"display": "Pts no ,
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a reduction in suicidal ideation and/or behavior upon"
} ]
}, {
"code": "M1358",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "follow-up assessment within 120 days of index assessment"
} ]
}, {
"code": "M1359",
"display": "Indx suicd idea, no 0 scr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Index assessment during the denominator period when the suicidal ideation"
} ]
}, {
"code": "M1359",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and/or behavior symptoms or increased suicide risk by clinician determination"
} ]
}, {
"code": "M1359",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "occurs and a non-zero c-ssrs score is obtained"
} ]
}, {
"code": "M1360",
"display": "Suicd c-ssrs assessment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suicidal ideation and/or behavior symptoms based on the c-ssrs"
} ]
}, {
"code": "M1361",
"display": "Suicd based cln eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Suicide risk based on their clinician's evaluation or a clinician-rated tool"
} ]
}, {
"code": "M1362",
"display": "Pt died dur meas pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the measurement period"
} ]
}, {
"code": "M1363",
"display": "Pts no f/u 120 dys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a follow-up assessment within 120 days of the index"
} ]
}, {
"code": "M1363",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment"
} ]
}, {
"code": "M1364",
"display": "Ascvd risk >=20pct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Calculated 10-year ascvd risk score of >= 20 percent during the performance"
} ]
}, {
"code": "M1364",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "period"
} ]
}, {
"code": "M1365",
"display": "Hosp+pall care spec code 17",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient encounter during the performance period with hospice and palliative"
} ]
}, {
"code": "M1365",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care specialty code 17"
} ]
}, {
"code": "M1366",
"display": "Focus on women's health mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Focusing on women's health mips value pathway"
} ]
}, {
"code": "M1367",
"display": "Qual care ent disorder mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Quality care for the treatment of ear, nose, and throat disorders mips value"
} ]
}, {
"code": "M1367",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pathway"
} ]
}, {
"code": "M1368",
"display": "Prev trt inf d/o hiv/hep mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prevention and treatment of infectious disorders including hepatitis c and hiv"
} ]
}, {
"code": "M1368",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mips value pathway"
} ]
}, {
"code": "M1369",
"display": "Qualcare mental hlth/sud mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Quality care in mental health and substance use disorders mips value pathway"
} ]
}, {
"code": "M1370",
"display": "Rehab support msk care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rehabilitative support for musculoskeletal care mips value pathway"
} ]
}, {
"code": "M1371",
"display": "Mst rec gsa<7",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent glycemic status assessment (hba1c or gmi) level < 7.0%"
} ]
}, {
"code": "M1372",
"display": "Mst rec gsa >=7 and<8",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent glycemic status assessment (hba1c or gmi) level >= 7.0% and < 8.0%"
} ]
}, {
"code": "M1373",
"display": "Mst rec gsa >=8 and <=9",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most recent glycemic status assessment (hba1c or gmi) level >= 8.0% and <= 9.0%"
} ]
}, {
"code": "M1374",
"display": "Ra dx enc 90 days dur per pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "An additional encounter with an ra diagnosis during the performance period or"
} ]
}, {
"code": "M1374",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior performance period that is at least 90 days before or after an encounter"
} ]
}, {
"code": "M1374",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with an ra diagnosis during the performance period"
} ]
}, {
"code": "M1375",
"display": "Ra dx enc 90 days dur per pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "An additional encounter with an ra diagnosis during the performance period or"
} ]
}, {
"code": "M1375",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior performance period that is at least 90 days before or after an encounter"
} ]
}, {
"code": "M1375",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with an ra diagnosis during the performance period"
} ]
}, {
"code": "M1376",
"display": "Ra dx enc 90 days dur per pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "An additional encounter with an ra diagnosis during the performance period or"
} ]
}, {
"code": "M1376",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior performance period that is at least 90 days before or after an encounter"
} ]
}, {
"code": "M1376",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "with an ra diagnosis during the performance period"
} ]
}, {
"code": "M1377",
"display": "Fu colscop 10 yr doc w/ disc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Recommended follow-up interval for repeat colonoscopy of 10 years documented"
} ]
}, {
"code": "M1377",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in colonoscopy report and communicated with patient"
} ]
}, {
"code": "M1378",
"display": "Med rsn no 10 yr fu colscope",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not recommending a 10 year follow-up"
} ]
}, {
"code": "M1378",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interval (e.g., inadequate prep, familial or personal history of colonic"
} ]
}, {
"code": "M1378",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "polyps, patient had no adenoma and age is >= 66 years old, or life expectancy <"
} ]
}, {
"code": "M1378",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "10 years, other medical reasons)"
} ]
}, {
"code": "M1379",
"display": "10 yr fu no rec rsn not giv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "A 10 year follow-up interval for colonoscopy not recommended, reason not"
} ]
}, {
"code": "M1379",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "otherwise specified"
} ]
}, {
"code": "M1380",
"display": "2 rx in perf pd any com meds",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filled at least two prescriptions during the performance period for any"
} ]
}, {
"code": "M1380",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "combination of the qualifying oral antipsychotic medications listed under"
} ]
}, {
"code": "M1380",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "\"denominator note\" or the long-acting injectable antipsychotic medications"
} ]
}, {
"code": "M1380",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "listed under \"denominator note\""
} ]
}, {
"code": "M1381",
"display": "Pt sec strk wthin 5 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with secondary stroke (e.g., a subsequent stroke that may occur with"
} ]
}, {
"code": "M1381",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vasospasm in the setting of subarachnoid hemorrhage) within 5 days of the"
} ]
}, {
"code": "M1381",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "initial procedure"
} ]
}, {
"code": "M1382",
"display": "Enc dur perf pd pos 11",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient encounter during the performance period with place of service code 11"
} ]
}, {
"code": "M1383",
"display": "Acute pvd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acute pvd"
} ]
}, {
"code": "M1384",
"display": "Pt died dur perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the performance period"
} ]
}, {
"code": "M1385",
"display": "Pt rsn not seen 2nd pam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reasons for patients who were not seen for the second"
} ]
}, {
"code": "M1385",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pam survey (e.g., less than four months between baseline pam assessment and"
} ]
}, {
"code": "M1385",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "follow-up"
} ]
}, {
"code": "M1386",
"display": "Exc sx melmn or mlnm is",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with an excisional surgery for melanoma or melanoma in situ in the"
} ]
}, {
"code": "M1386",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "past 5 years with an initial ajcc staging of 0, i, or ii at the start of the"
} ]
}, {
"code": "M1386",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "M1387",
"display": "Pt died dur perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the performance period"
} ]
}, {
"code": "M1388",
"display": "Pt doc exm rec melmn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with documentation of an exam performed for recurrence of melanoma"
} ]
}, {
"code": "M1390",
"display": "Pt no doc exm for rec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who do not have a documented exam performed for recurrence of melanoma"
} ]
}, {
"code": "M1390",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or no documentation within the performance period"
} ]
}, {
"code": "M1391",
"display": "All pt dx w/ rec mlnm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All patients who were diagnosed with recurrent melanoma during the current"
} ]
}, {
"code": "M1391",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "M1392",
"display": "Pt rsn no exm or lst to fu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of patient reasons for no examination, i.e., refusal of"
} ]
}, {
"code": "M1392",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "examination or lost to follow-up (documentation must include information that"
} ]
}, {
"code": "M1392",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "the clinician was unable to reach the patient by phone, mail or secure"
} ]
}, {
"code": "M1392",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "electronic mail - at least one method must be documented)"
} ]
}, {
"code": "M1393",
"display": "Pr no dx rec mlnm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who were not diagnosed with recurrent melanoma during the current"
} ]
}, {
"code": "M1393",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performance period"
} ]
}, {
"code": "M1394",
"display": "Stg i-iii br ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stages i-iii breast cancer"
} ]
}, {
"code": "M1395",
"display": "Init chemo w/def dur ec grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients receiving an initial chemotherapy regimen with a defined duration with"
} ]
}, {
"code": "M1395",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the eligible clinician or group"
} ]
}, {
"code": "M1396",
"display": "Pt ther clin trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients on a therapeutic clinical trial"
} ]
}, {
"code": "M1397",
"display": "Pt w/ recur/prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with recurrence/disease progression"
} ]
}, {
"code": "M1398",
"display": "Bslne and fu promis doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with baseline and follow-up promis surveys documented in the medical"
} ]
}, {
"code": "M1398",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1399",
"display": "Pt lve prac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who leave the practice during the follow-up period"
} ]
}, {
"code": "M1400",
"display": "Pt died dur perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the follow-up period"
} ]
}, {
"code": "M1401",
"display": "Stg i-iii br ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stages i-iii breast cancer"
} ]
}, {
"code": "M1402",
"display": "Init chemo w/def dur ec grp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients receiving an initial chemotherapy regimen with a defined duration with"
} ]
}, {
"code": "M1402",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "the eligible clinician or group"
} ]
}, {
"code": "M1403",
"display": "Bslne and fu promis doc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with baseline and follow-up promis surveys documented in the medical"
} ]
}, {
"code": "M1403",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "record"
} ]
}, {
"code": "M1404",
"display": "Pt ther clin trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients on a therapeutic clinical trial"
} ]
}, {
"code": "M1405",
"display": "Pt w/ recur/prog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with recurrence/disease progression"
} ]
}, {
"code": "M1406",
"display": "Pt lve prac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who leave the practice during the follow-up period"
} ]
}, {
"code": "M1407",
"display": "Pt died dur perf pd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who died during the follow-up period"
} ]
}, {
"code": "M1408",
"display": "Gmln brca bef dx ca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who have germline brca testing completed before diagnosis of"
} ]
}, {
"code": "M1408",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "epithelial ovarian, fallopian tube, or primary peritoneal cancer"
} ]
}, {
"code": "M1409",
"display": "Recd gmln brca1/brca2 couns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who received germline testing for brca1 and brca2 or genetic"
} ]
}, {
"code": "M1409",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "counseling completed within 6 months of diagnosis"
} ]
}, {
"code": "M1410",
"display": "No gmln brca1/brca2 couns",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have germline testing for brca1 and brca2 or genetic"
} ]
}, {
"code": "M1410",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "counseling completed within 6 months of diagnosis"
} ]
}, {
"code": "M1411",
"display": "1st ln ici no chemo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Currently on first-line immune checkpoint inhibitors without chemotherapy"
} ]
}, {
"code": "M1412",
"display": "Met nsclc w/ egfr alk oth ab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients with metastatic nsclc with epidermal growth factor receptor (egfr)"
} ]
}, {
"code": "M1412",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mutations, alk genomic tumor aberrations, or other targetable genomic"
} ]
}, {
"code": "M1412",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "abnormalities with approved first-line targeted therapy, such as nsclc with"
} ]
}, {
"code": "M1412",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "ros1 rearrangement, braf v600e mutation, ntrk 1/2/3 gene fusion, met ex14"
} ]
}, {
"code": "M1412",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "skipping mutation, and ret rearrangement"
} ]
}, {
"code": "M1413",
"display": "Pos pdl1 bef init ici tx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who had a positive pd-l1 biomarker expression test result prior to the"
} ]
}, {
"code": "M1413",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "initiation of first-line immune checkpoint inhibitor therapy"
} ]
}, {
"code": "M1414",
"display": "Med rsn no pdl1 bef 1st ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Documentation of medical reason(s) for not performing the pd-l1 biomarker"
} ]
}, {
"code": "M1414",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "expression test prior to initiation of first-line immune checkpoint inhibitor"
} ]
}, {
"code": "M1414",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapy (e.g., patient is in an urgent or emergent situation where delay of"
} ]
}, {
"code": "M1414",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "treatment would jeopardize the patient's health status; other medical"
} ]
}, {
"code": "M1414",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "reasons/contraindication)"
} ]
}, {
"code": "M1415",
"display": "No pos pdl1 bef ici ther",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who did not have a positive pd-l1 biomarker expression test result"
} ]
}, {
"code": "M1415",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prior to the initiation of first-line immune checkpoint inhibitor therapy"
} ]
}, {
"code": "M1416",
"display": "Pt rec hosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient received hospice services any time during the performance period"
} ]
}, {
"code": "M1417",
"display": "Pt up to date cov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are up to date on their covid-19 vaccinations as defined by cdc"
} ]
}, {
"code": "M1417",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "recommendations on current vaccination"
} ]
}, {
"code": "M1418",
"display": "Med rsn not up to date cov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are not up to date on their covid-19 vaccinations as defined by"
} ]
}, {
"code": "M1418",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cdc recommendations on current vaccination because of a medical"
} ]
}, {
"code": "M1418",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "contraindication documented by clinician"
} ]
}, {
"code": "M1419",
"display": "Pt not up to date cov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patients who are not up to date on their covid-19 vaccinations as defined by"
} ]
}, {
"code": "M1419",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cdc recommendations on current vaccination"
} ]
}, {
"code": "M1420",
"display": "Complete ophthalmologic mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete ophthalmologic care mips value pathway"
} ]
}, {
"code": "M1421",
"display": "Dermatological care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermatological care mips value pathway"
} ]
}, {
"code": "M1422",
"display": "Gastroenterology care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastroenterology care mips value pathway"
} ]
}, {
"code": "M1423",
"display": "Opt care urologic cnd mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Optimal care for patients with urologic conditions mips value pathway"
} ]
}, {
"code": "M1424",
"display": "Pulmonology care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pulmonology care mips value pathway"
} ]
}, {
"code": "M1425",
"display": "Surgical care mvp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical care mips value pathway"
} ]
}, {
"code": "P2028",
"display": "Cephalin floculation test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cephalin floculation, blood"
} ]
}, {
"code": "P2029",
"display": "Congo red blood test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Congo red, blood"
} ]
}, {
"code": "P2031",
"display": "Hair analysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hair analysis (excluding arsenic)"
} ]
}, {
"code": "P2033",
"display": "Blood thymol turbidity",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thymol turbidity, blood"
} ]
}, {
"code": "P2038",
"display": "Blood mucoprotein",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mucoprotein, blood (seromucoid) (medical necessity procedure)"
} ]
}, {
"code": "P3000",
"display": "Screen pap by tech w md supv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening papanicolaou smear, cervical or vaginal, up to three smears, by"
} ]
}, {
"code": "P3000",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "technician under physician supervision"
} ]
}, {
"code": "P3001",
"display": "Screening pap smear by phys",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening papanicolaou smear, cervical or vaginal, up to three smears,"
} ]
}, {
"code": "P3001",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "requiring interpretation by physician"
} ]
}, {
"code": "P7001",
"display": "Culture bacterial urine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Culture, bacterial, urine; quantitative, sensitivity study"
} ]
}, {
"code": "P9010",
"display": "Whole blood for transfusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood (whole), for transfusion, per unit"
} ]
}, {
"code": "P9011",
"display": "Blood split unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood, split unit"
} ]
}, {
"code": "P9012",
"display": "Cryoprecipitate each unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cryoprecipitate, each unit"
} ]
}, {
"code": "P9016",
"display": "Rbc leukocytes reduced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, leukocytes reduced, each unit"
} ]
}, {
"code": "P9017",
"display": "Plasma 1 donor frz w/in 8 hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fresh frozen plasma (single donor), frozen within 8 hours of collection, each"
} ]
}, {
"code": "P9017",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "unit"
} ]
}, {
"code": "P9019",
"display": "Platelets, each unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, each unit"
} ]
}, {
"code": "P9020",
"display": "Plaelet rich plasma unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelet rich plasma, each unit"
} ]
}, {
"code": "P9021",
"display": "Red blood cells unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, each unit"
} ]
}, {
"code": "P9022",
"display": "Washed red blood cells unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, washed, each unit"
} ]
}, {
"code": "P9023",
"display": "Frozen plasma, pooled, sd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit"
} ]
}, {
"code": "P9025",
"display": "Plasma cryo redu path each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plasma, cryoprecipitate reduced, pathogen reduced, each unit"
} ]
}, {
"code": "P9026",
"display": "Cryo fib comp path redu each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cryoprecipitated fibrinogen complex, pathogen reduced, each unit"
} ]
}, {
"code": "P9027",
"display": "Rbc o2 co2 reduced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit"
} ]
}, {
"code": "P9031",
"display": "Platelets leukocytes reduced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, leukocytes reduced, each unit"
} ]
}, {
"code": "P9032",
"display": "Platelets, irradiated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, irradiated, each unit"
} ]
}, {
"code": "P9033",
"display": "Platelets leukoreduced irrad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, leukocytes reduced, irradiated, each unit"
} ]
}, {
"code": "P9034",
"display": "Platelets, pheresis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, each unit"
} ]
}, {
"code": "P9035",
"display": "Platelet pheres leukoreduced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, leukocytes reduced, each unit"
} ]
}, {
"code": "P9036",
"display": "Platelet pheresis irradiated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, irradiated, each unit"
} ]
}, {
"code": "P9037",
"display": "Plate pheres leukoredu irrad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, leukocytes reduced, irradiated, each unit"
} ]
}, {
"code": "P9038",
"display": "Rbc irradiated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, irradiated, each unit"
} ]
}, {
"code": "P9039",
"display": "Rbc deglycerolized",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, deglycerolized, each unit"
} ]
}, {
"code": "P9040",
"display": "Rbc leukoreduced irradiated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, leukocytes reduced, irradiated, each unit"
} ]
}, {
"code": "P9041",
"display": "Albumin (human),5%, 50ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, albumin (human), 5%, 50 ml"
} ]
}, {
"code": "P9043",
"display": "Plasma protein fract,5%,50ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, plasma protein fraction (human), 5%, 50 ml"
} ]
}, {
"code": "P9044",
"display": "Cryoprecipitatereducedplasma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plasma, cryoprecipitate reduced, each unit"
} ]
}, {
"code": "P9045",
"display": "Albumin (human), 5%, 250 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, albumin (human), 5%, 250 ml"
} ]
}, {
"code": "P9046",
"display": "Albumin (human), 25%, 20 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, albumin (human), 25%, 20 ml"
} ]
}, {
"code": "P9047",
"display": "Albumin (human), 25%, 50ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, albumin (human), 25%, 50 ml"
} ]
}, {
"code": "P9048",
"display": "Plasmaprotein fract,5%,250ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion, plasma protein fraction (human), 5%, 250 ml"
} ]
}, {
"code": "P9050",
"display": "Granulocytes, pheresis unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Granulocytes, pheresis, each unit"
} ]
}, {
"code": "P9051",
"display": "Blood, l/r, cmv-neg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit"
} ]
}, {
"code": "P9052",
"display": "Platelets, hla-m, l/r, unit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit"
} ]
}, {
"code": "P9053",
"display": "Plt, pher, l/r cmv-neg, irr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit"
} ]
}, {
"code": "P9054",
"display": "Blood, l/r, froz/degly/wash",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed,"
} ]
}, {
"code": "P9054",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each unit"
} ]
}, {
"code": "P9055",
"display": "Plt, aph/pher, l/r, cmv-neg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit"
} ]
}, {
"code": "P9056",
"display": "Blood, l/r, irradiated",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Whole blood, leukocytes reduced, irradiated, each unit"
} ]
}, {
"code": "P9057",
"display": "Rbc, frz/deg/wsh, l/r, irrad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated,"
} ]
}, {
"code": "P9057",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "each unit"
} ]
}, {
"code": "P9058",
"display": "Rbc, l/r, cmv-neg, irrad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit"
} ]
}, {
"code": "P9059",
"display": "Plasma, frz between 8-24hour",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fresh frozen plasma between 8-24 hours of collection, each unit"
} ]
}, {
"code": "P9060",
"display": "Fr frz plasma donor retested",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fresh frozen plasma, donor retested, each unit"
} ]
}, {
"code": "P9070",
"display": "Pathogen reduced plasma pool",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plasma, pooled multiple donor, pathogen reduced, frozen, each unit"
} ]
}, {
"code": "P9071",
"display": "Pathogen reduced plasma sing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Plasma (single donor), pathogen reduced, frozen, each unit"
} ]
}, {
"code": "P9072",
"display": "Plate path red/rapid bac tes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit"
} ]
}, {
"code": "P9073",
"display": "Platelets pheresis path redu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, pathogen-reduced, each unit"
} ]
}, {
"code": "P9099",
"display": "Blood component/product noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Blood component or product not otherwise classified"
} ]
}, {
"code": "P9100",
"display": "Pathogen test for platelets",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathogen(s) test for platelets"
} ]
}, {
"code": "P9603",
"display": "One-way allow prorated miles",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Travel allowance one way in connection with medically necessary laboratory"
} ]
}, {
"code": "P9603",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specimen collection drawn from home bound or nursing home bound patient;"
} ]
}, {
"code": "P9603",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prorated miles actually travelled"
} ]
}, {
"code": "P9604",
"display": "One-way allow prorated trip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Travel allowance one way in connection with medically necessary laboratory"
} ]
}, {
"code": "P9604",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specimen collection drawn from home bound or nursing home bound patient;"
} ]
}, {
"code": "P9604",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "prorated trip charge"
} ]
}, {
"code": "P9612",
"display": "Catheterize for urine spec",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheterization for collection of specimen, single patient, all places of"
} ]
}, {
"code": "P9612",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "service"
} ]
}, {
"code": "P9615",
"display": "Urine specimen collect mult",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Catheterization for collection of specimen(s) (multiple patients)"
} ]
}, {
"code": "Q0035",
"display": "Cardiokymography",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiokymography"
} ]
}, {
"code": "Q0081",
"display": "Infusion ther other than che",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infusion therapy, using other than chemotherapeutic drugs, per visit"
} ]
}, {
"code": "Q0083",
"display": "Chemo by other than infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chemotherapy administration by other than infusion technique only (e.g.,"
} ]
}, {
"code": "Q0083",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subcutaneous, intramuscular, push), per visit"
} ]
}, {
"code": "Q0084",
"display": "Chemotherapy by infusion",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chemotherapy administration by infusion technique only, per visit"
} ]
}, {
"code": "Q0085",
"display": "Chemo by both infusion and o",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chemotherapy administration by both infusion technique and other technique(s)"
} ]
}, {
"code": "Q0085",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., subcutaneous, intramuscular, push), per visit"
} ]
}, {
"code": "Q0091",
"display": "Obtaining screen pap smear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening papanicolaou smear; obtaining, preparing and conveyance of cervical"
} ]
}, {
"code": "Q0091",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or vaginal smear to laboratory"
} ]
}, {
"code": "Q0092",
"display": "Set up port xray equipment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Set-up portable x-ray equipment"
} ]
}, {
"code": "Q0111",
"display": "Wet mounts/ w preparations",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wet mounts, including preparations of vaginal, cervical or skin specimens"
} ]
}, {
"code": "Q0112",
"display": "Potassium hydroxide preps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "All potassium hydroxide (koh) preparations"
} ]
}, {
"code": "Q0113",
"display": "Pinworm examinations",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pinworm examinations"
} ]
}, {
"code": "Q0114",
"display": "Fern test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fern test"
} ]
}, {
"code": "Q0115",
"display": "Post-coital mucous exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Post-coital direct, qualitative examinations of vaginal or cervical mucous"
} ]
}, {
"code": "Q0138",
"display": "Ferumoxytol, non-esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd"
} ]
}, {
"code": "Q0138",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use)"
} ]
}, {
"code": "Q0139",
"display": "Ferumoxytol, esrd use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd"
} ]
}, {
"code": "Q0139",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "on dialysis)"
} ]
}, {
"code": "Q0144",
"display": "Azithromycin dihydrate, oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Azithromycin dihydrate, oral, capsules/powder, 1 gram"
} ]
}, {
"code": "Q0155",
"display": "Dronabinol (syndros) 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for"
} ]
}, {
"code": "Q0155",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use as a complete therapeutic substitute for an iv anti-emetic at the time of"
} ]
}, {
"code": "Q0155",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0161",
"display": "Chlorpromazine hcl 5mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription"
} ]
}, {
"code": "Q0161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic"
} ]
}, {
"code": "Q0161",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0162",
"display": "Ondansetron oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a"
} ]
}, {
"code": "Q0162",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete therapeutic substitute for an iv anti-emetic at the time of"
} ]
}, {
"code": "Q0162",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0163",
"display": "Diphenhydramine hcl 50mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription"
} ]
}, {
"code": "Q0163",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic"
} ]
}, {
"code": "Q0163",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "at time of chemotherapy treatment not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0164",
"display": "Prochlorperazine maleate 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic,"
} ]
}, {
"code": "Q0164",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use as a complete therapeutic substitute for an iv anti-emetic at the time"
} ]
}, {
"code": "Q0164",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0166",
"display": "Granisetron hcl 1 mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic,"
} ]
}, {
"code": "Q0166",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use as a complete therapeutic substitute for an iv anti-emetic at the time"
} ]
}, {
"code": "Q0166",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of chemotherapy treatment, not to exceed a 24 hour dosage regimen"
} ]
}, {
"code": "Q0167",
"display": "Dronabinol 2.5mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a"
} ]
}, {
"code": "Q0167",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete therapeutic substitute for an iv anti-emetic at the time of"
} ]
}, {
"code": "Q0167",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0169",
"display": "Promethazine hcl 12.5mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription"
} ]
}, {
"code": "Q0169",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic"
} ]
}, {
"code": "Q0169",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0173",
"display": "Trimethobenzamide hcl 250mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription"
} ]
}, {
"code": "Q0173",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic"
} ]
}, {
"code": "Q0173",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0174",
"display": "Thiethylperazine maleate10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic,"
} ]
}, {
"code": "Q0174",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for use as a complete therapeutic substitute for an iv anti-emetic at the time"
} ]
}, {
"code": "Q0174",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0175",
"display": "Perphenazine 4mg oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a"
} ]
}, {
"code": "Q0175",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "complete therapeutic substitute for an iv anti-emetic at the time of"
} ]
}, {
"code": "Q0175",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0177",
"display": "Hydroxyzine pamoate 25mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for"
} ]
}, {
"code": "Q0177",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use as a complete therapeutic substitute for an iv anti-emetic at the time of"
} ]
}, {
"code": "Q0177",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0180",
"display": "Dolasetron mesylate oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for"
} ]
}, {
"code": "Q0180",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use as a complete therapeutic substitute for an iv anti-emetic at the time of"
} ]
}, {
"code": "Q0180",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 24 hour dosage regimen"
} ]
}, {
"code": "Q0181",
"display": "Unspecified oral anti-emetic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unspecified oral dosage form, fda approved prescription anti-emetic, for use as"
} ]
}, {
"code": "Q0181",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "a complete therapeutic substitute for a iv anti-emetic at the time of"
} ]
}, {
"code": "Q0181",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "chemotherapy treatment, not to exceed a 48 hour dosage regimen"
} ]
}, {
"code": "Q0220",
"display": "Tixagev and cilgav, 300mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only,"
} ]
}, {
"code": "Q0220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for certain adults and pediatric individuals (12 years of age and older"
} ]
}, {
"code": "Q0220",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "weighing at least 40kg) with no known sars-cov-2 exposure, who either have"
} ]
}, {
"code": "Q0220",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "moderate to severely compromised immune systems or for whom vaccination with"
} ]
}, {
"code": "Q0220",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "any available covid-19 vaccine is not recommended due to a history of severe"
} ]
}, {
"code": "Q0220",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s),"
} ]
}, {
"code": "Q0220",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "300 mg"
} ]
}, {
"code": "Q0221",
"display": "Tixagev and cilgav, 600mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only,"
} ]
}, {
"code": "Q0221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for certain adults and pediatric individuals (12 years of age and older"
} ]
}, {
"code": "Q0221",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "weighing at least 40kg) with no known sars-cov-2 exposure, who either have"
} ]
}, {
"code": "Q0221",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "moderate to severely compromised immune systems or for whom vaccination with"
} ]
}, {
"code": "Q0221",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "any available covid-19 vaccine is not recommended due to a history of severe"
} ]
}, {
"code": "Q0221",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s),"
} ]
}, {
"code": "Q0221",
"property": [ {
"code": "seqNum",
"valueString": "00700"
} ],
"designation": [ {
"value": "600 mg"
} ]
}, {
"code": "Q0222",
"display": "Bebtelovimab 175 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bebtelovimab, 175 mg"
} ]
}, {
"code": "Q0224",
"display": "Inj, pemivibart, 4500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pemivibart, for the pre-exposure prophylaxis only, for certain"
} ]
}, {
"code": "Q0224",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adults and adolescents (12 years of age and older weighing at least 40 kg) with"
} ]
}, {
"code": "Q0224",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "no known sars-cov-2 exposure, and who either have moderate-to-severe immune"
} ]
}, {
"code": "Q0224",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "compromise due to a medical condition or receipt of immunosuppressive"
} ]
}, {
"code": "Q0224",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "medications or treatments, and are unlikely to mount an adequate immune"
} ]
}, {
"code": "Q0224",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "response to covid-19 vaccination, 4500 mg"
} ]
}, {
"code": "Q0239",
"display": "Bamlanivimab-xxxx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bamlanivimab-xxxx, 700 mg"
} ]
}, {
"code": "Q0240",
"display": "Casirivi and imdevi 600 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, casirivimab and imdevimab, 600 mg"
} ]
}, {
"code": "Q0243",
"display": "Casirivimab and imdevimab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, casirivimab and imdevimab, 2400 mg"
} ]
}, {
"code": "Q0244",
"display": "Casirivi and imdevi 1200 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, casirivimab and imdevimab, 1200 mg"
} ]
}, {
"code": "Q0245",
"display": "Bamlanivimab and etesevima",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bamlanivimab and etesevimab, 2100 mg"
} ]
}, {
"code": "Q0247",
"display": "Sotrovimab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sotrovimab, 500 mg"
} ]
}, {
"code": "Q0249",
"display": "Tocilizumab for covid-19",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years"
} ]
}, {
"code": "Q0249",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of age and older) with covid-19 who are receiving systemic corticosteroids and"
} ]
}, {
"code": "Q0249",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "require supplemental oxygen, non-invasive or invasive mechanical ventilation,"
} ]
}, {
"code": "Q0249",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "or extracorporeal membrane oxygenation (ecmo) only, 1 mg"
} ]
}, {
"code": "Q0477",
"display": "Pwr module pt cable lvad rpl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power module patient cable for use with electric or electric/pneumatic"
} ]
}, {
"code": "Q0477",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular assist device, replacement only"
} ]
}, {
"code": "Q0478",
"display": "Power adapter, combo vad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power adapter for use with electric or electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0478",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, vehicle type"
} ]
}, {
"code": "Q0479",
"display": "Power module combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power module for use with electric or electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0479",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, replacement only"
} ]
}, {
"code": "Q0480",
"display": "Driver pneumatic vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Driver for use with pneumatic ventricular assist device, replacement only"
} ]
}, {
"code": "Q0481",
"display": "Microprcsr cu elec vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microprocessor control unit for use with electric ventricular assist device,"
} ]
}, {
"code": "Q0481",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0482",
"display": "Microprcsr cu combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microprocessor control unit for use with electric/pneumatic combination"
} ]
}, {
"code": "Q0482",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular assist device, replacement only"
} ]
}, {
"code": "Q0483",
"display": "Monitor elec vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitor/display module for use with electric ventricular assist device,"
} ]
}, {
"code": "Q0483",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0484",
"display": "Monitor elec or comb vad rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitor/display module for use with electric or electric/pneumatic ventricular"
} ]
}, {
"code": "Q0484",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assist device, replacement only"
} ]
}, {
"code": "Q0485",
"display": "Monitor cable elec vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitor control cable for use with electric ventricular assist device,"
} ]
}, {
"code": "Q0485",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0486",
"display": "Mon cable elec/pneum vad rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitor control cable for use with electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0486",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, replacement only"
} ]
}, {
"code": "Q0487",
"display": "Leads any type vad, rep only",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Leads (pneumatic/electrical) for use with any type electric/pneumatic"
} ]
}, {
"code": "Q0487",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular assist device, replacement only"
} ]
}, {
"code": "Q0488",
"display": "Pwr pack base elec vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power pack base for use with electric ventricular assist device, replacement"
} ]
}, {
"code": "Q0488",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only"
} ]
}, {
"code": "Q0489",
"display": "Pwr pck base combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power pack base for use with electric/pneumatic ventricular assist device,"
} ]
}, {
"code": "Q0489",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0490",
"display": "Emr pwr source elec vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency power source for use with electric ventricular assist device,"
} ]
}, {
"code": "Q0490",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0491",
"display": "Emr pwr source combo vad rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency power source for use with electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0491",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, replacement only"
} ]
}, {
"code": "Q0492",
"display": "Emr pwr cbl elec vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency power supply cable for use with electric ventricular assist device,"
} ]
}, {
"code": "Q0492",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0493",
"display": "Emr pwr cbl combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency power supply cable for use with electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0493",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, replacement only"
} ]
}, {
"code": "Q0494",
"display": "Emr hd pmp elec/combo, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency hand pump for use with electric or electric/pneumatic ventricular"
} ]
}, {
"code": "Q0494",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assist device, replacement only"
} ]
}, {
"code": "Q0495",
"display": "Charger elec/combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery/power pack charger for use with electric or electric/pneumatic"
} ]
}, {
"code": "Q0495",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular assist device, replacement only"
} ]
}, {
"code": "Q0496",
"display": "Battery elec/combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery, other than lithium-ion, for use with electric or electric/pneumatic"
} ]
}, {
"code": "Q0496",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular assist device, replacement only"
} ]
}, {
"code": "Q0497",
"display": "Bat clps elec/comb vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery clips for use with electric or electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0497",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, replacement only"
} ]
}, {
"code": "Q0498",
"display": "Holster elec/combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Holster for use with electric or electric/pneumatic ventricular assist device,"
} ]
}, {
"code": "Q0498",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0499",
"display": "Belt/vest elec/combo vad rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Belt/vest/bag for use to carry external peripheral components of any type"
} ]
}, {
"code": "Q0499",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ventricular assist device, replacement only"
} ]
}, {
"code": "Q0500",
"display": "Filters elec/combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Filters for use with electric or electric/pneumatic ventricular assist device,"
} ]
}, {
"code": "Q0500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "replacement only"
} ]
}, {
"code": "Q0501",
"display": "Shwr cov elec/combo vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shower cover for use with electric or electric/pneumatic ventricular assist"
} ]
}, {
"code": "Q0501",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device, replacement only"
} ]
}, {
"code": "Q0502",
"display": "Mobility cart pneum vad, rep",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mobility cart for pneumatic ventricular assist device, replacement only"
} ]
}, {
"code": "Q0503",
"display": "Battery pneum vad replacemnt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery for pneumatic ventricular assist device, replacement only, each"
} ]
}, {
"code": "Q0504",
"display": "Pwr adpt pneum vad, rep veh",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Power adapter for pneumatic ventricular assist device, replacement only,"
} ]
}, {
"code": "Q0504",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "vehicle type"
} ]
}, {
"code": "Q0506",
"display": "Lith-ion batt elec/pneum vad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery, lithium-ion, for use with electric or electric/pneumatic ventricular"
} ]
}, {
"code": "Q0506",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assist device, replacement only"
} ]
}, {
"code": "Q0507",
"display": "Misc sup/acc ext vad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous supply or accessory for use with an external ventricular assist"
} ]
}, {
"code": "Q0507",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "Q0508",
"display": "Mis sup/acc imp vad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous supply or accessory for use with an implanted ventricular assist"
} ]
}, {
"code": "Q0508",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "Q0509",
"display": "Mis sup/ac imp vad nopay med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous supply or accessory for use with any implanted ventricular assist"
} ]
}, {
"code": "Q0509",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device for which payment was not made under medicare part a"
} ]
}, {
"code": "Q0510",
"display": "Dispens fee immunosupressive",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supply fee for initial immunosuppressive drug(s), first month"
} ]
}, {
"code": "Q0510",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "following transplant"
} ]
}, {
"code": "Q0511",
"display": "Sup fee antiem,antica,immuno",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive"
} ]
}, {
"code": "Q0511",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "drug(s); for the first prescription in a 30-day period"
} ]
}, {
"code": "Q0512",
"display": "Px sup fee anti-can sub pres",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive"
} ]
}, {
"code": "Q0512",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "drug(s); for a subsequent prescription in a 30-day period"
} ]
}, {
"code": "Q0513",
"display": "Disp fee inhal drugs/30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy dispensing fee for inhalation drug(s); per 30 days"
} ]
}, {
"code": "Q0514",
"display": "Disp fee inhal drugs/90 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy dispensing fee for inhalation drug(s); per 90 days"
} ]
}, {
"code": "Q0515",
"display": "Sermorelin acetate injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sermorelin acetate, 1 microgram"
} ]
}, {
"code": "Q0516",
"display": "Supply fee hiv prep oral 30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved"
} ]
}, {
"code": "Q0516",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription oral drug, per 30-days"
} ]
}, {
"code": "Q0517",
"display": "Supply fee hiv prep oral 60",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved"
} ]
}, {
"code": "Q0517",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription oral drug, per 60-days"
} ]
}, {
"code": "Q0518",
"display": "Supply fee hiv prep oral 90",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved"
} ]
}, {
"code": "Q0518",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription oral drug, per 90-days"
} ]
}, {
"code": "Q0519",
"display": "Supply fee hiv prep inj 30",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved"
} ]
}, {
"code": "Q0519",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription injectable drug, per 30-days"
} ]
}, {
"code": "Q0520",
"display": "Supply fee hiv prep inj 60",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved"
} ]
}, {
"code": "Q0520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription injectable drug, per 60-days"
} ]
}, {
"code": "Q0521",
"display": "Supply fee hiv prep fda appr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved"
} ]
}, {
"code": "Q0521",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "prescription"
} ]
}, {
"code": "Q1004",
"display": "Ntiol category 4",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "New technology intraocular lens category 4 as defined in federal register notice"
} ]
}, {
"code": "Q1005",
"display": "Ntiol category 5",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "New technology intraocular lens category 5 as defined in federal register notice"
} ]
}, {
"code": "Q2004",
"display": "Bladder calculi irrig sol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Irrigation solution for treatment of bladder calculi, for example renacidin,"
} ]
}, {
"code": "Q2004",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per 500 ml"
} ]
}, {
"code": "Q2009",
"display": "Fosphenytoin inj pe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosphenytoin, 50 mg phenytoin equivalent"
} ]
}, {
"code": "Q2017",
"display": "Teniposide, 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, teniposide, 50 mg"
} ]
}, {
"code": "Q2026",
"display": "Radiesse injection",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, radiesse, 0.1 ml"
} ]
}, {
"code": "Q2028",
"display": "Inj, sculptra, 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sculptra, 0.5 mg"
} ]
}, {
"code": "Q2034",
"display": "Agriflu vaccine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza virus vaccine, split virus, for intramuscular use (agriflu)"
} ]
}, {
"code": "Q2035",
"display": "Afluria vacc, 3 yrs & >, im",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years"
} ]
}, {
"code": "Q2035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of age and older, for intramuscular use (afluria)"
} ]
}, {
"code": "Q2036",
"display": "Flulaval vacc, 3 yrs & >, im",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years"
} ]
}, {
"code": "Q2036",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of age and older, for intramuscular use (flulaval)"
} ]
}, {
"code": "Q2037",
"display": "Fluvirin vacc, 3 yrs & >, im",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years"
} ]
}, {
"code": "Q2037",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of age and older, for intramuscular use (fluvirin)"
} ]
}, {
"code": "Q2038",
"display": "Fluzone vacc, 3 yrs & >, im",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza virus vaccine, split virus, when administered to individuals 3 years"
} ]
}, {
"code": "Q2038",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of age and older, for intramuscular use (fluzone)"
} ]
}, {
"code": "Q2039",
"display": "Influenza virus vaccine, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Influenza virus vaccine, not otherwise specified"
} ]
}, {
"code": "Q2040",
"display": "Tisagenlecleucel car-pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tisagenlecleucel, up to 250 million car-positive viable t cells, including"
} ]
}, {
"code": "Q2040",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "leukapheresis and dose preparation procedures, per infusion"
} ]
}, {
"code": "Q2041",
"display": "Axicabtagene ciloleucel car+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive"
} ]
}, {
"code": "Q2041",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viable t cells, including leukapheresis and dose preparation procedures, per"
} ]
}, {
"code": "Q2041",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapeutic dose"
} ]
}, {
"code": "Q2042",
"display": "Tisagenlecleucel car-pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tisagenlecleucel, up to 600 million car-positive viable t cells, including"
} ]
}, {
"code": "Q2042",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "leukapheresis and dose preparation procedures, per therapeutic dose"
} ]
}, {
"code": "Q2043",
"display": "Sipuleucel-t auto cd54+",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with"
} ]
}, {
"code": "Q2043",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pap-gm-csf, including leukapheresis and all other preparatory procedures, per"
} ]
}, {
"code": "Q2043",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "infusion"
} ]
}, {
"code": "Q2049",
"display": "Imported lipodox inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg"
} ]
}, {
"code": "Q2050",
"display": "Doxorubicin inj 10mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg"
} ]
}, {
"code": "Q2052",
"display": "Home ivig, services/supplies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services, supplies and accessories used in the home for the administration of"
} ]
}, {
"code": "Q2052",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "intravenous immune globulin (ivig)"
} ]
}, {
"code": "Q2053",
"display": "Brexucabtagene car pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive"
} ]
}, {
"code": "Q2053",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viable t cells, including leukapheresis and dose preparation procedures, per"
} ]
}, {
"code": "Q2053",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapeutic dose"
} ]
}, {
"code": "Q2054",
"display": "Lisocabtagene mara car pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive"
} ]
}, {
"code": "Q2054",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viable t cells, including leukapheresis and dose preparation procedures, per"
} ]
}, {
"code": "Q2054",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "therapeutic dose"
} ]
}, {
"code": "Q2055",
"display": "Idecabtagene vicleucel car",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen"
} ]
}, {
"code": "Q2055",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(bcma) directed car-positive t cells, including leukapheresis and dose"
} ]
}, {
"code": "Q2055",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preparation procedures, per therapeutic dose"
} ]
}, {
"code": "Q2056",
"display": "Ciltacabtagene car-pos t",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation"
} ]
}, {
"code": "Q2056",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "antigen (bcma) directed car-positive t cells, including leukapheresis and dose"
} ]
}, {
"code": "Q2056",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "preparation procedures, per therapeutic dose"
} ]
}, {
"code": "Q3001",
"display": "Brachytherapy radioelements",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Radioelements for brachytherapy, any type, each"
} ]
}, {
"code": "Q3014",
"display": "Telehealth facility fee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth originating site facility fee"
} ]
}, {
"code": "Q3027",
"display": "Inj beta interferon im 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon beta-1a, 1 mcg for intramuscular use"
} ]
}, {
"code": "Q3028",
"display": "Inj beta interferon sq 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, interferon beta-1a, 1 mcg for subcutaneous use"
} ]
}, {
"code": "Q3031",
"display": "Collagen skin test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Collagen skin test"
} ]
}, {
"code": "Q4001",
"display": "Cast sup body cast plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Casting supplies, body cast adult, with or without head, plaster"
} ]
}, {
"code": "Q4002",
"display": "Cast sup body cast fiberglas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, body cast adult, with or without head, fiberglass"
} ]
}, {
"code": "Q4003",
"display": "Cast sup shoulder cast plstr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, shoulder cast, adult (11 years +), plaster"
} ]
}, {
"code": "Q4004",
"display": "Cast sup shoulder cast fbrgl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, shoulder cast, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4005",
"display": "Cast sup long arm adult plst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm cast, adult (11 years +), plaster"
} ]
}, {
"code": "Q4006",
"display": "Cast sup long arm adult fbrg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm cast, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4007",
"display": "Cast sup long arm ped plster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm cast, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4008",
"display": "Cast sup long arm ped fbrgls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm cast, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4009",
"display": "Cast sup sht arm adult plstr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm cast, adult (11 years +), plaster"
} ]
}, {
"code": "Q4010",
"display": "Cast sup sht arm adult fbrgl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm cast, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4011",
"display": "Cast sup sht arm ped plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm cast, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4012",
"display": "Cast sup sht arm ped fbrglas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm cast, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4013",
"display": "Cast sup gauntlet plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years"
} ]
}, {
"code": "Q4013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "+), plaster"
} ]
}, {
"code": "Q4014",
"display": "Cast sup gauntlet fiberglass",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years"
} ]
}, {
"code": "Q4014",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "+), fiberglass"
} ]
}, {
"code": "Q4015",
"display": "Cast sup gauntlet ped plster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10"
} ]
}, {
"code": "Q4015",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "years), plaster"
} ]
}, {
"code": "Q4016",
"display": "Cast sup gauntlet ped fbrgls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10"
} ]
}, {
"code": "Q4016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "years), fiberglass"
} ]
}, {
"code": "Q4017",
"display": "Cast sup lng arm splint plst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm splint, adult (11 years +), plaster"
} ]
}, {
"code": "Q4018",
"display": "Cast sup lng arm splint fbrg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm splint, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4019",
"display": "Cast sup lng arm splnt ped p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm splint, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4020",
"display": "Cast sup lng arm splnt ped f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long arm splint, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4021",
"display": "Cast sup sht arm splint plst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm splint, adult (11 years +), plaster"
} ]
}, {
"code": "Q4022",
"display": "Cast sup sht arm splint fbrg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm splint, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4023",
"display": "Cast sup sht arm splnt ped p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm splint, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4024",
"display": "Cast sup sht arm splnt ped f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short arm splint, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4025",
"display": "Cast sup hip spica plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, hip spica (one or both legs), adult (11 years +), plaster"
} ]
}, {
"code": "Q4026",
"display": "Cast sup hip spica fiberglas",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4027",
"display": "Cast sup hip spica ped plstr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4028",
"display": "Cast sup hip spica ped fbrgl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4029",
"display": "Cast sup long leg plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cast, adult (11 years +), plaster"
} ]
}, {
"code": "Q4030",
"display": "Cast sup long leg fiberglass",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cast, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4031",
"display": "Cast sup lng leg ped plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cast, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4032",
"display": "Cast sup lng leg ped fbrgls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cast, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4033",
"display": "Cast sup lng leg cylinder pl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cylinder cast, adult (11 years +), plaster"
} ]
}, {
"code": "Q4034",
"display": "Cast sup lng leg cylinder fb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4035",
"display": "Cast sup lngleg cylndr ped p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4036",
"display": "Cast sup lngleg cylndr ped f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4037",
"display": "Cast sup shrt leg plaster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg cast, adult (11 years +), plaster"
} ]
}, {
"code": "Q4038",
"display": "Cast sup shrt leg fiberglass",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg cast, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4039",
"display": "Cast sup shrt leg ped plster",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg cast, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4040",
"display": "Cast sup shrt leg ped fbrgls",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg cast, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4041",
"display": "Cast sup lng leg splnt plstr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg splint, adult (11 years +), plaster"
} ]
}, {
"code": "Q4042",
"display": "Cast sup lng leg splnt fbrgl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg splint, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4043",
"display": "Cast sup lng leg splnt ped p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg splint, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4044",
"display": "Cast sup lng leg splnt ped f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, long leg splint, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4045",
"display": "Cast sup sht leg splnt plstr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg splint, adult (11 years +), plaster"
} ]
}, {
"code": "Q4046",
"display": "Cast sup sht leg splnt fbrgl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg splint, adult (11 years +), fiberglass"
} ]
}, {
"code": "Q4047",
"display": "Cast sup sht leg splnt ped p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg splint, pediatric (0-10 years), plaster"
} ]
}, {
"code": "Q4048",
"display": "Cast sup sht leg splnt ped f",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, short leg splint, pediatric (0-10 years), fiberglass"
} ]
}, {
"code": "Q4049",
"display": "Finger splint, static",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Finger splint, static"
} ]
}, {
"code": "Q4050",
"display": "Cast supplies unlisted",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cast supplies, for unlisted types and materials of casts"
} ]
}, {
"code": "Q4051",
"display": "Splint supplies misc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners,"
} ]
}, {
"code": "Q4051",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "padding and other supplies)"
} ]
}, {
"code": "Q4074",
"display": "Iloprost non-comp unit dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iloprost, inhalation solution, fda-approved final product, non-compounded,"
} ]
}, {
"code": "Q4074",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administered through dme, unit dose form, up to 20 micrograms"
} ]
}, {
"code": "Q4081",
"display": "Epoetin alfa, 100 units esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin alfa, 100 units (for esrd on dialysis)"
} ]
}, {
"code": "Q4082",
"display": "Drug/bio noc part b drug cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Drug or biological, not otherwise classified, part b drug competitive"
} ]
}, {
"code": "Q4082",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "acquisition program (cap)"
} ]
}, {
"code": "Q4100",
"display": "Skin substitute, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin substitute, not otherwise specified"
} ]
}, {
"code": "Q4101",
"display": "Apligraf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Apligraf, per square centimeter"
} ]
}, {
"code": "Q4102",
"display": "Oasis wound matrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oasis wound matrix, per square centimeter"
} ]
}, {
"code": "Q4103",
"display": "Oasis burn matrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oasis burn matrix, per square centimeter"
} ]
}, {
"code": "Q4104",
"display": "Integra bmwd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integra bilayer matrix wound dressing (bmwd), per square centimeter"
} ]
}, {
"code": "Q4105",
"display": "Integra drt or omnigraft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integra dermal regeneration template (drt) or integra omnigraft dermal"
} ]
}, {
"code": "Q4105",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "regeneration matrix, per square centimeter"
} ]
}, {
"code": "Q4106",
"display": "Dermagraft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermagraft, per square centimeter"
} ]
}, {
"code": "Q4107",
"display": "Graftjacket",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Graftjacket, per square centimeter"
} ]
}, {
"code": "Q4108",
"display": "Integra matrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integra matrix, per square centimeter"
} ]
}, {
"code": "Q4110",
"display": "Primatrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Primatrix, per square centimeter"
} ]
}, {
"code": "Q4111",
"display": "Gammagraft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gammagraft, per square centimeter"
} ]
}, {
"code": "Q4112",
"display": "Cymetra injectable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cymetra, injectable, 1 cc"
} ]
}, {
"code": "Q4113",
"display": "Graftjacket xpress",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Graftjacket xpress, injectable, 1 cc"
} ]
}, {
"code": "Q4114",
"display": "Integra flowable wound matri",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integra flowable wound matrix, injectable, 1 cc"
} ]
}, {
"code": "Q4115",
"display": "Alloskin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alloskin, per square centimeter"
} ]
}, {
"code": "Q4116",
"display": "Alloderm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alloderm, per square centimeter"
} ]
}, {
"code": "Q4117",
"display": "Hyalomatrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyalomatrix, per square centimeter"
} ]
}, {
"code": "Q4118",
"display": "Matristem micromatrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Matristem micromatrix, 1 mg"
} ]
}, {
"code": "Q4119",
"display": "Matristem wound matrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Matristem wound matrix, per square centimeter"
} ]
}, {
"code": "Q4120",
"display": "Matristem burn matrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Matristem burn matrix, per square centimeter"
} ]
}, {
"code": "Q4121",
"display": "Theraskin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Theraskin, per square centimeter"
} ]
}, {
"code": "Q4122",
"display": "Dermacell, awm, porous sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermacell, dermacell awm or dermacell awm porous, per square centimeter"
} ]
}, {
"code": "Q4123",
"display": "Alloskin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alloskin rt, per square centimeter"
} ]
}, {
"code": "Q4124",
"display": "Oasis tri-layer wound matrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oasis ultra tri-layer wound matrix, per square centimeter"
} ]
}, {
"code": "Q4125",
"display": "Arthroflex",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthroflex, per square centimeter"
} ]
}, {
"code": "Q4126",
"display": "Memoderm/derma/tranz/integup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Memoderm, dermaspan, tranzgraft or integuply, per square centimeter"
} ]
}, {
"code": "Q4127",
"display": "Talymed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Talymed, per square centimeter"
} ]
}, {
"code": "Q4128",
"display": "Flexhd/allopatchhd/sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flex hd, or allopatch hd, per square centimeter"
} ]
}, {
"code": "Q4129",
"display": "Unite biomatrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unite biomatrix, per square centimeter"
} ]
}, {
"code": "Q4130",
"display": "Strattice tm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Strattice tm, per square centimeter"
} ]
}, {
"code": "Q4131",
"display": "Epifix or epicord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Epifix or epicord, per square centimeter"
} ]
}, {
"code": "Q4132",
"display": "Grafix core, grafixpl core",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Grafix core and grafixpl core, per square centimeter"
} ]
}, {
"code": "Q4133",
"display": "Grafix stravix prime pl sqcm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter"
} ]
}, {
"code": "Q4134",
"display": "Hmatrix",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hmatrix, per square centimeter"
} ]
}, {
"code": "Q4135",
"display": "Mediskin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mediskin, per square centimeter"
} ]
}, {
"code": "Q4136",
"display": "Ezderm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ez-derm, per square centimeter"
} ]
}, {
"code": "Q4137",
"display": "Amnioexcel biodexcel 1sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioexcel, amnioexcel plus or biodexcel, per square centimeter"
} ]
}, {
"code": "Q4138",
"display": "Biodfence dryflex, 1cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biodfence dryflex, per square centimeter"
} ]
}, {
"code": "Q4139",
"display": "Amnio or biodmatrix, inj 1cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniomatrix or biodmatrix, injectable, 1 cc"
} ]
}, {
"code": "Q4140",
"display": "Biodfence 1cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biodfence, per square centimeter"
} ]
}, {
"code": "Q4141",
"display": "Alloskin ac, 1 cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alloskin ac, per square centimeter"
} ]
}, {
"code": "Q4142",
"display": "Xcm biologic tiss matrix 1cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xcm biologic tissue matrix, per square centimeter"
} ]
}, {
"code": "Q4143",
"display": "Repriza, 1cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repriza, per square centimeter"
} ]
}, {
"code": "Q4145",
"display": "Epifix, inj, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Epifix, injectable, 1 mg"
} ]
}, {
"code": "Q4146",
"display": "Tensix, 1cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tensix, per square centimeter"
} ]
}, {
"code": "Q4147",
"display": "Architect ecm px fx 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Architect, architect px, or architect fx, extracellular matrix, per square"
} ]
}, {
"code": "Q4147",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "centimeter"
} ]
}, {
"code": "Q4148",
"display": "Neox neox rt or clarix cord",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter"
} ]
}, {
"code": "Q4149",
"display": "Excellagen, 0.1 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Excellagen, 0.1 cc"
} ]
}, {
"code": "Q4150",
"display": "Allowrap ds or dry 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Allowrap ds or dry, per square centimeter"
} ]
}, {
"code": "Q4151",
"display": "Amnioband, guardian 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioband or guardian, per square centimeter"
} ]
}, {
"code": "Q4152",
"display": "Dermapure 1 square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermapure, per square centimeter"
} ]
}, {
"code": "Q4153",
"display": "Dermavest, plurivest sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermavest and plurivest, per square centimeter"
} ]
}, {
"code": "Q4154",
"display": "Biovance 1 square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biovance, per square centimeter"
} ]
}, {
"code": "Q4155",
"display": "Neoxflo or clarixflo 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neoxflo or clarixflo, 1 mg"
} ]
}, {
"code": "Q4156",
"display": "Neox 100 or clarix 100",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neox 100 or clarix 100, per square centimeter"
} ]
}, {
"code": "Q4157",
"display": "Revitalon 1 square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revitalon, per square centimeter"
} ]
}, {
"code": "Q4158",
"display": "Kerecis omega3, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Kerecis omega3, per square centimeter"
} ]
}, {
"code": "Q4159",
"display": "Affinity1 square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Affinity, per square centimeter"
} ]
}, {
"code": "Q4160",
"display": "Nushield 1 square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nushield, per square centimeter"
} ]
}, {
"code": "Q4161",
"display": "Bio-connekt per square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bio-connekt wound matrix, per square centimeter"
} ]
}, {
"code": "Q4162",
"display": "Wndex flw, bioskn flw, 0.5cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Woundex flow, bioskin flow, 0.5 cc"
} ]
}, {
"code": "Q4163",
"display": "Woundex, bioskin, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Woundex, bioskin, per square centimeter"
} ]
}, {
"code": "Q4164",
"display": "Helicoll, per square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Helicoll, per square centimeter"
} ]
}, {
"code": "Q4165",
"display": "Keramatrix, kerasorb sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Keramatrix or kerasorb, per square centimeter"
} ]
}, {
"code": "Q4166",
"display": "Cytal, per square centimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cytal, per square centimeter"
} ]
}, {
"code": "Q4167",
"display": "Truskin, per sq centimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Truskin, per square centimeter"
} ]
}, {
"code": "Q4168",
"display": "Amnioband, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioband, 1 mg"
} ]
}, {
"code": "Q4169",
"display": "Artacent wound, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent wound, per square centimeter"
} ]
}, {
"code": "Q4170",
"display": "Cygnus, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cygnus, per square centimeter"
} ]
}, {
"code": "Q4171",
"display": "Interfyl, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interfyl, 1 mg"
} ]
}, {
"code": "Q4172",
"display": "Puraply or puraply am",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Puraply or puraply am, per square centimeter"
} ]
}, {
"code": "Q4173",
"display": "Palingen or palingen xplus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palingen or palingen xplus, per square centimeter"
} ]
}, {
"code": "Q4174",
"display": "Palingen or promatrx",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palingen or promatrx, 0.36 mg per 0.25 cc"
} ]
}, {
"code": "Q4175",
"display": "Miroderm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miroderm, per square centimeter"
} ]
}, {
"code": "Q4176",
"display": "Neopatch or therion, 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neopatch or therion, per square centimeter"
} ]
}, {
"code": "Q4177",
"display": "Floweramnioflo, 0.1 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Floweramnioflo, 0.1 cc"
} ]
}, {
"code": "Q4178",
"display": "Floweramniopatch, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Floweramniopatch, per square centimeter"
} ]
}, {
"code": "Q4179",
"display": "Flowerderm, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flowerderm, per square centimeter"
} ]
}, {
"code": "Q4180",
"display": "Revita, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revita, per square centimeter"
} ]
}, {
"code": "Q4181",
"display": "Amnio wound, per square cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnio wound, per square centimeter"
} ]
}, {
"code": "Q4182",
"display": "Transcyte, per sq centimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcyte, per square centimeter"
} ]
}, {
"code": "Q4183",
"display": "Surgigraft, 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgigraft, per square centimeter"
} ]
}, {
"code": "Q4184",
"display": "Cellesta or duo per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cellesta or cellesta duo, per square centimeter"
} ]
}, {
"code": "Q4185",
"display": "Cellesta flowab amnion 0.5cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cellesta flowable amnion (25 mg per cc); per 0.5 cc"
} ]
}, {
"code": "Q4186",
"display": "Epifix 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Epifix, per square centimeter"
} ]
}, {
"code": "Q4187",
"display": "Epicord 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Epicord, per square centimeter"
} ]
}, {
"code": "Q4188",
"display": "Amnioarmor 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioarmor, per square centimeter"
} ]
}, {
"code": "Q4189",
"display": "Artacent ac, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent ac, 1 mg"
} ]
}, {
"code": "Q4190",
"display": "Artacent ac 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent ac, per square centimeter"
} ]
}, {
"code": "Q4191",
"display": "Restorigin 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Restorigin, per square centimeter"
} ]
}, {
"code": "Q4192",
"display": "Restorigin, 1 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Restorigin, 1 cc"
} ]
}, {
"code": "Q4193",
"display": "Coll-e-derm 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coll-e-derm, per square centimeter"
} ]
}, {
"code": "Q4194",
"display": "Novachor 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Novachor, per square centimeter"
} ]
}, {
"code": "Q4195",
"display": "Puraply 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Puraply, per square centimeter"
} ]
}, {
"code": "Q4196",
"display": "Puraply am 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Puraply am, per square centimeter"
} ]
}, {
"code": "Q4197",
"display": "Puraply xt 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Puraply xt, per square centimeter"
} ]
}, {
"code": "Q4198",
"display": "Genesis amnio membrane 1sqcm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genesis amniotic membrane, per square centimeter"
} ]
}, {
"code": "Q4199",
"display": "Cygnus matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cygnus matrix, per square centimeter"
} ]
}, {
"code": "Q4200",
"display": "Skin te 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Skin te, per square centimeter"
} ]
}, {
"code": "Q4201",
"display": "Matrion 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Matrion, per square centimeter"
} ]
}, {
"code": "Q4202",
"display": "Keroxx (2.5g/cc), 1cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Keroxx (2.5g/cc), 1cc"
} ]
}, {
"code": "Q4203",
"display": "Derma-gide, 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Derma-gide, per square centimeter"
} ]
}, {
"code": "Q4204",
"display": "Xwrap 1 sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xwrap, per square centimeter"
} ]
}, {
"code": "Q4205",
"display": "Membrane graft or wrap sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Membrane graft or membrane wrap, per square centimeter"
} ]
}, {
"code": "Q4206",
"display": "Fluid flow or fluid gf 1 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluid flow or fluid gf, 1 cc"
} ]
}, {
"code": "Q4208",
"display": "Novafix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Novafix, per square cenitmeter"
} ]
}, {
"code": "Q4209",
"display": "Surgraft per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgraft, per square centimeter"
} ]
}, {
"code": "Q4210",
"display": "Axolotl graf dualgraf sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Axolotl graft or axolotl dualgraft, per square centimeter"
} ]
}, {
"code": "Q4211",
"display": "Amnion bio or axobio sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnion bio or axobiomembrane, per square centimeter"
} ]
}, {
"code": "Q4212",
"display": "Allogen, per cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Allogen, per cc"
} ]
}, {
"code": "Q4213",
"display": "Ascent, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ascent, 0.5 mg"
} ]
}, {
"code": "Q4214",
"display": "Cellesta cord per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cellesta cord, per square centimeter"
} ]
}, {
"code": "Q4215",
"display": "Axolotl ambient, cryo 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Axolotl ambient or axolotl cryo, 0.1 mg"
} ]
}, {
"code": "Q4216",
"display": "Artacent cord per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent cord, per square centimeter"
} ]
}, {
"code": "Q4217",
"display": "Woundfix biowound plus xplus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound"
} ]
}, {
"code": "Q4217",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "xplus, per square centimeter"
} ]
}, {
"code": "Q4218",
"display": "Surgicord per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgicord, per square centimeter"
} ]
}, {
"code": "Q4219",
"display": "Surgigraft dual per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgigraft-dual, per square centimeter"
} ]
}, {
"code": "Q4220",
"display": "Bellacell hd, surederm sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bellacell hd or surederm, per square centimeter"
} ]
}, {
"code": "Q4221",
"display": "Amniowrap2 per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniowrap2, per square centimeter"
} ]
}, {
"code": "Q4222",
"display": "Progenamatrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Progenamatrix, per square centimeter"
} ]
}, {
"code": "Q4224",
"display": "Hhf10-p per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Human health factor 10 amniotic patch (hhf10-p), per square centimeter"
} ]
}, {
"code": "Q4225",
"display": "Amnio or derma tl, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniobind or dermabind tl, per square centimeter"
} ]
}, {
"code": "Q4226",
"display": "Myown harv prep proc sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Myown skin, includes harvesting and preparation procedures, per square"
} ]
}, {
"code": "Q4226",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "centimeter"
} ]
}, {
"code": "Q4227",
"display": "Amniocore per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniocore, per square centimeter"
} ]
}, {
"code": "Q4228",
"display": "Bionextpatch, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bionextpatch, per square centimeter"
} ]
}, {
"code": "Q4229",
"display": "Cogenex amnio memb per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cogenex amniotic membrane, per square centimeter"
} ]
}, {
"code": "Q4230",
"display": "Cogenex flow amnion 0.5 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cogenex flowable amnion, per 0.5 cc"
} ]
}, {
"code": "Q4231",
"display": "Corplex p, per cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Corplex p, per cc"
} ]
}, {
"code": "Q4232",
"display": "Corplex, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Corplex, per square centimeter"
} ]
}, {
"code": "Q4233",
"display": "Surfactor /nudyn per 0.5 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surfactor or nudyn, per 0.5 cc"
} ]
}, {
"code": "Q4234",
"display": "Xcellerate, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xcellerate, per square centimeter"
} ]
}, {
"code": "Q4235",
"display": "Amniorepair or altiply sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniorepair or altiply, per square centimeter"
} ]
}, {
"code": "Q4236",
"display": "Carepatch per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Carepatch, per square centimeter"
} ]
}, {
"code": "Q4237",
"display": "Cryo-cord, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cryo-cord, per square centimeter"
} ]
}, {
"code": "Q4238",
"display": "Derm-maxx, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Derm-maxx, per square centimeter"
} ]
}, {
"code": "Q4239",
"display": "Amnio-maxx or lite per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnio-maxx or amnio-maxx lite, per square centimeter"
} ]
}, {
"code": "Q4240",
"display": "Corecyte topical only 0.5 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Corecyte, for topical use only, per 0.5 cc"
} ]
}, {
"code": "Q4241",
"display": "Polycyte, topical only 0.5cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Polycyte, for topical use only, per 0.5 cc"
} ]
}, {
"code": "Q4242",
"display": "Amniocyte plus, per 0.5 cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniocyte plus, per 0.5 cc"
} ]
}, {
"code": "Q4244",
"display": "Procenta, per 200 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procenta, per 200 mg"
} ]
}, {
"code": "Q4245",
"display": "Amniotext, per cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniotext, per cc"
} ]
}, {
"code": "Q4246",
"display": "Coretext or protext, per cc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coretext or protext, per cc"
} ]
}, {
"code": "Q4247",
"display": "Amniotext patch, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniotext patch, per square centimeter"
} ]
}, {
"code": "Q4248",
"display": "Dermacyte amn mem allo sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermacyte amniotic membrane allograft, per square centimeter"
} ]
}, {
"code": "Q4249",
"display": "Amniply, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniply, for topical use only, per square centimeter"
} ]
}, {
"code": "Q4250",
"display": "Amnioamp-mp per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioamp-mp, per square centimeter"
} ]
}, {
"code": "Q4251",
"display": "Vim, per square centimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vim, per square centimeter"
} ]
}, {
"code": "Q4252",
"display": "Vendaje, per square centimet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vendaje, per square centimeter"
} ]
}, {
"code": "Q4253",
"display": "Zenith amniotic membrane psc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zenith amniotic membrane, per square centimeter"
} ]
}, {
"code": "Q4254",
"display": "Novafix dl per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Novafix dl, per square centimeter"
} ]
}, {
"code": "Q4255",
"display": "Reguard, topical use per sq",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reguard, for topical use only, per square centimeter"
} ]
}, {
"code": "Q4256",
"display": "Mlg complet, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mlg-complete, per square centimeter"
} ]
}, {
"code": "Q4257",
"display": "Relese, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Relese, per square centimeter"
} ]
}, {
"code": "Q4258",
"display": "Enverse, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enverse, per square centimeter"
} ]
}, {
"code": "Q4259",
"display": "Celera per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Celera dual layer or celera dual membrane, per square centimeter"
} ]
}, {
"code": "Q4260",
"display": "Signature apatch, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Signature apatch, per square centimeter"
} ]
}, {
"code": "Q4261",
"display": "Tag, per square centimeter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tag, per square centimeter"
} ]
}, {
"code": "Q4262",
"display": "Dual layer impax, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dual layer impax membrane, per square centimeter"
} ]
}, {
"code": "Q4263",
"display": "Surgraft tl, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgraft tl, per square centimeter"
} ]
}, {
"code": "Q4264",
"display": "Cocoon membrane, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cocoon membrane, per square centimeter"
} ]
}, {
"code": "Q4265",
"display": "Neostim tl per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neostim tl, per square centimeter"
} ]
}, {
"code": "Q4266",
"display": "Neostim per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neostim membrane, per square centimeter"
} ]
}, {
"code": "Q4267",
"display": "Neostim dl per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Neostim dl, per square centimeter"
} ]
}, {
"code": "Q4268",
"display": "Surgraft ft per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgraft ft, per square centimeter"
} ]
}, {
"code": "Q4269",
"display": "Surgraft xt per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgraft xt, per square centimeter"
} ]
}, {
"code": "Q4270",
"display": "Complete sl per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete sl, per square centimeter"
} ]
}, {
"code": "Q4271",
"display": "Complete ft per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete ft, per square centimeter"
} ]
}, {
"code": "Q4272",
"display": "Esano a, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esano a, per square centimeter"
} ]
}, {
"code": "Q4273",
"display": "Esano aaa, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esano aaa, per square centimeter"
} ]
}, {
"code": "Q4274",
"display": "Esano ac, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esano ac, per square centimeter"
} ]
}, {
"code": "Q4275",
"display": "Esano aca, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esano aca, per square centimeter"
} ]
}, {
"code": "Q4276",
"display": "Orion, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Orion, per square centimeter"
} ]
}, {
"code": "Q4277",
"display": "Woundplus e-grat, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Woundplus membrane or e-graft, per square centimeter"
} ]
}, {
"code": "Q4278",
"display": "Epieffect, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Epieffect, per square centimeter"
} ]
}, {
"code": "Q4279",
"display": "Vendaje ac, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vendaje ac, per square centimeter"
} ]
}, {
"code": "Q4280",
"display": "Xcell amnio matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xcell amnio matrix, per square centimeter"
} ]
}, {
"code": "Q4281",
"display": "Barrera slor dl per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Barrera sl or barrera dl, per square centimeter"
} ]
}, {
"code": "Q4282",
"display": "Cygnus dual per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cygnus dual, per square centimeter"
} ]
}, {
"code": "Q4283",
"display": "Biovance tri or 3l, sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Biovance tri-layer or biovance 3l, per square centimeter"
} ]
}, {
"code": "Q4284",
"display": "Dermabind sl, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermabind sl, per square centimeter"
} ]
}, {
"code": "Q4285",
"display": "Nudyn dl or dl mesh pr sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nudyn dl or nudyn dl mesh, per square centimeter"
} ]
}, {
"code": "Q4286",
"display": "Nudyn sl or slw, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nudyn sl or nudyn slw, per square centimeter"
} ]
}, {
"code": "Q4287",
"display": "Dermabind dl, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermabind dl, per square centimeter"
} ]
}, {
"code": "Q4288",
"display": "Dermabind ch, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermabind ch, per square centimeter"
} ]
}, {
"code": "Q4289",
"display": "Revoshield+ amnio, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Revoshield + amniotic barrier, per square centimeter"
} ]
}, {
"code": "Q4290",
"display": "Membrane wrap hydr per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Membrane wrap-hydro, per square centimeter"
} ]
}, {
"code": "Q4291",
"display": "Lamellas xt, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lamellas xt, per square centimeter"
} ]
}, {
"code": "Q4292",
"display": "Lamellas, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lamellas, per square centimeter"
} ]
}, {
"code": "Q4293",
"display": "Acesso dl, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acesso dl, per square centimeter"
} ]
}, {
"code": "Q4294",
"display": "Amnio quad-core, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnio quad-core, per square centimeter"
} ]
}, {
"code": "Q4295",
"display": "Amnio tri-core, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnio tri-core amniotic, per square centimeter"
} ]
}, {
"code": "Q4296",
"display": "Rebound matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rebound matrix, per square centimeter"
} ]
}, {
"code": "Q4297",
"display": "Emerge matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emerge matrix, per square centimeter"
} ]
}, {
"code": "Q4298",
"display": "Amnicore pro, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnicore pro, per square centimeter"
} ]
}, {
"code": "Q4299",
"display": "Amnicore pro+, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnicore pro+, per square centimeter"
} ]
}, {
"code": "Q4300",
"display": "Acesso tl, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acesso tl, per square centimeter"
} ]
}, {
"code": "Q4301",
"display": "Activate matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Activate matrix, per square centimeter"
} ]
}, {
"code": "Q4302",
"display": "Complete aca, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete aca, per square centimeter"
} ]
}, {
"code": "Q4303",
"display": "Complete aa, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete aa, per square centimeter"
} ]
}, {
"code": "Q4304",
"display": "Grafix plus, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Grafix plus, per square centimeter"
} ]
}, {
"code": "Q4305",
"display": "Amer am ac tri-lay per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "American amnion ac tri-layer, per square centimeter"
} ]
}, {
"code": "Q4306",
"display": "Americ amnion ac per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "American amnion ac, per square centimeter"
} ]
}, {
"code": "Q4307",
"display": "American amnion, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "American amnion, per square centimeter"
} ]
}, {
"code": "Q4308",
"display": "Sanopellis, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sanopellis, per square centimeter"
} ]
}, {
"code": "Q4309",
"display": "Via matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Via matrix, per square centimeter"
} ]
}, {
"code": "Q4310",
"display": "Procenta, per 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procenta, per 100 mg"
} ]
}, {
"code": "Q4311",
"display": "Acesso, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acesso, per square centimeter"
} ]
}, {
"code": "Q4312",
"display": "Acesso ac, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acesso ac, per square centimeter"
} ]
}, {
"code": "Q4313",
"display": "Dermabind fm, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermabind fm, per square centimeter"
} ]
}, {
"code": "Q4314",
"display": "Reeva, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reeva ft, per square cenitmeter"
} ]
}, {
"code": "Q4315",
"display": "Regenelink amniotic mem allo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Regenelink amniotic membrane allograft, per square centimeter"
} ]
}, {
"code": "Q4316",
"display": "Amchoplast, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amchoplast, per square centimeter"
} ]
}, {
"code": "Q4317",
"display": "Vitograft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vitograft, per square centimeter"
} ]
}, {
"code": "Q4318",
"display": "E-graft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "E-graft, per square centimeter"
} ]
}, {
"code": "Q4319",
"display": "Sanograft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sanograft, per square centimeter"
} ]
}, {
"code": "Q4320",
"display": "Pellograft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pellograft, per square centimeter"
} ]
}, {
"code": "Q4321",
"display": "Renograft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Renograft, per square centimeter"
} ]
}, {
"code": "Q4322",
"display": "Caregraft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Caregraft, per square centimeter"
} ]
}, {
"code": "Q4323",
"display": "Alloply, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alloply, per square centimeter"
} ]
}, {
"code": "Q4324",
"display": "Amniotx, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniotx, per square centimeter"
} ]
}, {
"code": "Q4325",
"display": "Acapatch, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Acapatch, per square centimeter"
} ]
}, {
"code": "Q4326",
"display": "Woundplus, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Woundplus, per square centimeter"
} ]
}, {
"code": "Q4327",
"display": "Duoamnion, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Duoamnion, per square centimeter"
} ]
}, {
"code": "Q4328",
"display": "Most, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Most, per square centimeter"
} ]
}, {
"code": "Q4329",
"display": "Singlay, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Singlay, per square centimeter"
} ]
}, {
"code": "Q4330",
"display": "Total, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Total, per square centimeter"
} ]
}, {
"code": "Q4331",
"display": "Axolotl graft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Axolotl graft, per square centimeter"
} ]
}, {
"code": "Q4332",
"display": "Axolotl dualgraft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Axolotl dualgraft, per square centimeter"
} ]
}, {
"code": "Q4333",
"display": "Ardeograft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ardeograft, per square centimeter"
} ]
}, {
"code": "Q4334",
"display": "Amnioplast 1, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioplast 1, per square centimeter"
} ]
}, {
"code": "Q4335",
"display": "Amnioplast 2, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amnioplast 2, per square centimeter"
} ]
}, {
"code": "Q4336",
"display": "Artecent c, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent c, per square centimeter"
} ]
}, {
"code": "Q4337",
"display": "Artecent trident, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent trident, per square centimeter"
} ]
}, {
"code": "Q4338",
"display": "Artacent velos, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent velos, per square centimeter"
} ]
}, {
"code": "Q4339",
"display": "Artacent vericlen, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artacent vericlen, per square centimeter"
} ]
}, {
"code": "Q4340",
"display": "Simpligraft, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Simpligraft, per square centimeter"
} ]
}, {
"code": "Q4341",
"display": "Simplimax, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Simplimax, per square centimeter"
} ]
}, {
"code": "Q4342",
"display": "Theramend, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Theramend, per square centimeter"
} ]
}, {
"code": "Q4343",
"display": "Dermacyte ac matrx per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dermacyte ac matrix amniotic membrane allograft, per square centimeter"
} ]
}, {
"code": "Q4344",
"display": "Tri membrane wrap, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tri-membrane wrap, per square centimeter"
} ]
}, {
"code": "Q4345",
"display": "Matrix hd allogrft per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Matrix hd allograft dermis, per square centimeter"
} ]
}, {
"code": "Q4346",
"display": "Shelter dm matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Shelter dm matrix, per square centimeter"
} ]
}, {
"code": "Q4347",
"display": "Rampart dl matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rampart dl matrix, per square centimeter"
} ]
}, {
"code": "Q4348",
"display": "Sentry sl matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sentry sl matrix, per square centimeter"
} ]
}, {
"code": "Q4349",
"display": "Mantle dl matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mantle dl matrix, per square centimeter"
} ]
}, {
"code": "Q4350",
"display": "Palisade dm matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Palisade dm matrix, per square centimeter"
} ]
}, {
"code": "Q4351",
"display": "Enclose tl matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enclose tl matrix, per square centimeter"
} ]
}, {
"code": "Q4352",
"display": "Overlay sl matrix, per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Overlay sl matrix, per square centimeter"
} ]
}, {
"code": "Q4353",
"display": "Xceed tl matrix per sq cm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Xceed tl matrix, per square centimeter"
} ]
}, {
"code": "Q5001",
"display": "Hospice or home hlth in home",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice or home health care provided in patient's home/residence"
} ]
}, {
"code": "Q5002",
"display": "Hospice/home hlth in asst lv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice or home health care provided in assisted living facility"
} ]
}, {
"code": "Q5003",
"display": "Hospice in lt/non-skilled nf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care provided in nursing long term care facility (ltc) or non-skilled"
} ]
}, {
"code": "Q5003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nursing facility (nf)"
} ]
}, {
"code": "Q5004",
"display": "Hospice in snf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care provided in skilled nursing facility (snf)"
} ]
}, {
"code": "Q5005",
"display": "Hospice, inpatient hospital",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care provided in inpatient hospital"
} ]
}, {
"code": "Q5006",
"display": "Hospice in hospice facility",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care provided in inpatient hospice facility"
} ]
}, {
"code": "Q5007",
"display": "Hospice in ltch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care provided in long term care facility"
} ]
}, {
"code": "Q5008",
"display": "Hospice in inpatient psych",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care provided in inpatient psychiatric facility"
} ]
}, {
"code": "Q5009",
"display": "Hospice/home hlth, place nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice or home health care provided in place not otherwise specified (nos)"
} ]
}, {
"code": "Q5010",
"display": "Hospice home care in hospice",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice home care provided in a hospice facility"
} ]
}, {
"code": "Q5101",
"display": "Injection, zarxio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram"
} ]
}, {
"code": "Q5102",
"display": "Inj., infliximab biosimilar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab, biosimilar, 10 mg"
} ]
}, {
"code": "Q5103",
"display": "Injection, inflectra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg"
} ]
}, {
"code": "Q5104",
"display": "Injection, renflexis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab-abda, biosimilar, (renflexis), 10 mg"
} ]
}, {
"code": "Q5105",
"display": "Inj retacrit esrd on dialysi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis),"
} ]
}, {
"code": "Q5105",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "100 units"
} ]
}, {
"code": "Q5106",
"display": "Inj retacrit non-esrd use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000"
} ]
}, {
"code": "Q5106",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "units"
} ]
}, {
"code": "Q5107",
"display": "Inj mvasi 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg"
} ]
}, {
"code": "Q5108",
"display": "Injection, fulphila",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg"
} ]
}, {
"code": "Q5109",
"display": "Injection, ixifi, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg"
} ]
}, {
"code": "Q5110",
"display": "Nivestym",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram"
} ]
}, {
"code": "Q5111",
"display": "Injection, udenyca 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg"
} ]
}, {
"code": "Q5112",
"display": "Inj ontruzant 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg"
} ]
}, {
"code": "Q5113",
"display": "Inj herzuma 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg"
} ]
}, {
"code": "Q5114",
"display": "Inj ogivri 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg"
} ]
}, {
"code": "Q5115",
"display": "Inj truxima 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab-abbs, biosimilar, (truxima), 10 mg"
} ]
}, {
"code": "Q5116",
"display": "Inj., trazimera, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg"
} ]
}, {
"code": "Q5117",
"display": "Inj., kanjinti, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg"
} ]
}, {
"code": "Q5118",
"display": "Inj., zirabev, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg"
} ]
}, {
"code": "Q5119",
"display": "Inj ruxience, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg"
} ]
}, {
"code": "Q5120",
"display": "Inj pegfilgrastim-bmez 0.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg"
} ]
}, {
"code": "Q5121",
"display": "Inj. avsola, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, infliximab-axxq, biosimilar, (avsola), 10 mg"
} ]
}, {
"code": "Q5122",
"display": "Inj, nyvepria",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg"
} ]
}, {
"code": "Q5123",
"display": "Inj. riabni, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, rituximab-arrx, biosimilar, (riabni), 10 mg"
} ]
}, {
"code": "Q5124",
"display": "Inj. byooviz, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg"
} ]
}, {
"code": "Q5125",
"display": "Inj, releuko 1 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram"
} ]
}, {
"code": "Q5126",
"display": "Inj alymsys 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg"
} ]
}, {
"code": "Q5127",
"display": "Inj, stimufend, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg"
} ]
}, {
"code": "Q5128",
"display": "Inj, cimerli, 0.1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg"
} ]
}, {
"code": "Q5129",
"display": "Inj, vegzelma, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg"
} ]
}, {
"code": "Q5130",
"display": "Inj, fylnetra, 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg"
} ]
}, {
"code": "Q5131",
"display": "Inj, idacio, 20 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-aacf (idacio), biosimilar, 20 mg"
} ]
}, {
"code": "Q5132",
"display": "Inj, abrilada, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-afzb (abrilada), biosimilar, 10 mg"
} ]
}, {
"code": "Q5133",
"display": "Inj, tofidence, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg"
} ]
}, {
"code": "Q5134",
"display": "Inj, tyruko, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg"
} ]
}, {
"code": "Q5135",
"display": "Inj, tyenne, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg"
} ]
}, {
"code": "Q5136",
"display": "Inj. denosumab-bbdz, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg"
} ]
}, {
"code": "Q5137",
"display": "Inj, wezlana, sub cu, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg"
} ]
}, {
"code": "Q5138",
"display": "Inj, wezlana, iv, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg"
} ]
}, {
"code": "Q5139",
"display": "Inj, eculizumab-aeeb, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg"
} ]
}, {
"code": "Q5140",
"display": "Inj adalimumab-fkjp, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-fkjp, biosimilar, 1 mg"
} ]
}, {
"code": "Q5141",
"display": "Inj adalimumab-aaty, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-aaty, biosimilar, 1 mg"
} ]
}, {
"code": "Q5142",
"display": "Inj adalimumab-ryvk, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-ryvk biosimilar, 1 mg"
} ]
}, {
"code": "Q5143",
"display": "Inj adalimumab-adbm, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-adbm, biosimilar, 1 mg"
} ]
}, {
"code": "Q5144",
"display": "Inj, idacio, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-aacf (idacio), biosimilar, 1 mg"
} ]
}, {
"code": "Q5145",
"display": "Inj, abrilada, 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg"
} ]
}, {
"code": "Q5146",
"display": "Inj, hercessi, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg"
} ]
}, {
"code": "Q9001",
"display": "Chaplain assessment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assessment by chaplain services"
} ]
}, {
"code": "Q9002",
"display": "Chaplain counsel individu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Counseling, individual, by chaplain services"
} ]
}, {
"code": "Q9003",
"display": "Chaplain counsel group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Counseling, group, by chaplain services"
} ]
}, {
"code": "Q9004",
"display": "Va whole health partner serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Department of veterans affairs whole health partner services"
} ]
}, {
"code": "Q9950",
"display": "Inj sulf hexa lipid microsph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sulfur hexafluoride lipid microspheres, per ml"
} ]
}, {
"code": "Q9951",
"display": "Locm >= 400 mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9953",
"display": "Inj fe-based mr contrast,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, iron-based magnetic resonance contrast agent, per ml"
} ]
}, {
"code": "Q9954",
"display": "Oral mr contrast, 100 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oral magnetic resonance contrast agent, per 100 ml"
} ]
}, {
"code": "Q9955",
"display": "Inj perflexane lip micros,ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, perflexane lipid microspheres, per ml"
} ]
}, {
"code": "Q9956",
"display": "Inj octafluoropropane mic,ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, octafluoropropane microspheres, per ml"
} ]
}, {
"code": "Q9957",
"display": "Inj perflutren lip micros,ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, perflutren lipid microspheres, per ml"
} ]
}, {
"code": "Q9958",
"display": "Hocm <=149 mg/ml iodine, 1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9959",
"display": "Hocm 150-199mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9960",
"display": "Hocm 200-249mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9961",
"display": "Hocm 250-299mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9962",
"display": "Hocm 300-349mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9963",
"display": "Hocm 350-399mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9964",
"display": "Hocm>= 400mg/ml iodine, 1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "High osmolar contrast material, 400 or greater mg/ml iodine concentration, per"
} ]
}, {
"code": "Q9964",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ml"
} ]
}, {
"code": "Q9965",
"display": "Locm 100-199mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9966",
"display": "Locm 200-299mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9967",
"display": "Locm 300-399mg/ml iodine,1ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml"
} ]
}, {
"code": "Q9968",
"display": "Visualization adjunct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, non-radioactive, non-contrast, visualization adjunct (e.g.,"
} ]
}, {
"code": "Q9968",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "methylene blue, isosulfan blue), 1 mg"
} ]
}, {
"code": "Q9969",
"display": "Non-heu tc-99m add-on/dose",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per"
} ]
}, {
"code": "Q9969",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "study dose"
} ]
}, {
"code": "Q9970",
"display": "Inj ferric carboxymaltos 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric carboxymaltose, 1mg"
} ]
}, {
"code": "Q9972",
"display": "Epoetin beta esrd use",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin beta, 1 microgram, (for esrd on dialysis)"
} ]
}, {
"code": "Q9973",
"display": "Epoetin beta non esrd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, epoetin beta, 1 microgram, (non-esrd use)"
} ]
}, {
"code": "Q9974",
"display": "Morphine epidural/intratheca",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate, preservative-free for epidural or intrathecal use,"
} ]
}, {
"code": "Q9974",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "10 mg"
} ]
}, {
"code": "Q9975",
"display": "Factor viii fc fusion recomb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, factor viii fc fusion protein (recombinant), per iu"
} ]
}, {
"code": "Q9976",
"display": "Inj ferric pyrophosphate cit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ferric pyrophosphate citrate solution, 0.1 mg of iron"
} ]
}, {
"code": "Q9977",
"display": "Compounded drug noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compounded drug, not otherwise classified"
} ]
}, {
"code": "Q9978",
"display": "Netupitant palonosetron oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Netupitant 300 mg and palonosetron 0.5 mg"
} ]
}, {
"code": "Q9979",
"display": "Injection, alemtuzumab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, alemtuzumab, 1 mg"
} ]
}, {
"code": "Q9980",
"display": "Genvisc, inj, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 mg"
} ]
}, {
"code": "Q9981",
"display": "Rolapitant, oral, 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rolapitant, oral, 1 mg"
} ]
}, {
"code": "Q9982",
"display": "Flutemetamol f18 diagnostic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries"
} ]
}, {
"code": "Q9983",
"display": "Florbetaben f18 diagnostic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries"
} ]
}, {
"code": "Q9984",
"display": "Kyleena, 19.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg"
} ]
}, {
"code": "Q9985",
"display": "Inj hydroxyprogst capoat nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg"
} ]
}, {
"code": "Q9986",
"display": "Makena, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydroxyprogesterone caproate, (makena), 10 mg"
} ]
}, {
"code": "Q9987",
"display": "Pathogen test for platelets",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pathogen(s) test for platelets"
} ]
}, {
"code": "Q9988",
"display": "Platelets, pathogen reduced",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Platelets, pheresis, pathogen-reduced, each unit"
} ]
}, {
"code": "Q9989",
"display": "Ustekinumab, iv inject,1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ustekinumab, for intravenous injection, 1 mg"
} ]
}, {
"code": "Q9991",
"display": "Buprenorph xr 100 mg or less",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine extended-release (sublocade), less than or equal to"
} ]
}, {
"code": "Q9991",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "100 mg"
} ]
}, {
"code": "Q9992",
"display": "Buprenorphine xr over 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, buprenorphine extended-release (sublocade), greater than 100 mg"
} ]
}, {
"code": "Q9993",
"display": "Inj., triamcinolone ext rel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, triamcinolone acetonide, preservative-free, extended-release,"
} ]
}, {
"code": "Q9993",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "microsphere formulation, 1 mg"
} ]
}, {
"code": "Q9994",
"display": "Enzyme cartridge enteral nut",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In-line cartridge containing digestive enzyme(s) for enteral feeding, each"
} ]
}, {
"code": "Q9995",
"display": "Inj., emicizumab-kxwh 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, emicizumab-kxwh, 0.5 mg"
} ]
}, {
"code": "Q9996",
"display": "Ustekinumab- ttwe sub cu inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg"
} ]
}, {
"code": "Q9997",
"display": "Ustekinumab-ttwe iv inj 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg"
} ]
}, {
"code": "Q9998",
"display": "Ustekinumab-aekn inj",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ustekinumab-aekn (selarsdi), 1 mg"
} ]
}, {
"code": "R0070",
"display": "Transport portable x-ray",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transportation of portable x-ray equipment and personnel to home or nursing"
} ]
}, {
"code": "R0070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "home, per trip to facility or location, one patient seen"
} ]
}, {
"code": "R0075",
"display": "Transport port x-ray multipl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transportation of portable x-ray equipment and personnel to home or nursing"
} ]
}, {
"code": "R0075",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "home, per trip to facility or location, more than one patient seen"
} ]
}, {
"code": "R0076",
"display": "Transport portable ekg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transportation of portable ekg to facility or location, per patient"
} ]
}, {
"code": "S0012",
"display": "Butorphanol tartrate, nasal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Butorphanol tartrate, nasal spray, 25 mg"
} ]
}, {
"code": "S0013",
"display": "Esketamine, nasal spray",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Esketamine, nasal spray, 1 mg"
} ]
}, {
"code": "S0014",
"display": "Tacrine hydrochloride, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tacrine hydrochloride, 10 mg"
} ]
}, {
"code": "S0017",
"display": "Injection, aminocaproic acid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aminocaproic acid, 5 grams"
} ]
}, {
"code": "S0020",
"display": "Injection, bupivicaine hydro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bupivicaine hydrochloride, 30 ml"
} ]
}, {
"code": "S0021",
"display": "Injection, cefoperazone sod",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefoperazone sodium, 1 gram"
} ]
}, {
"code": "S0023",
"display": "Injection, cimetidine hydroc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cimetidine hydrochloride, 300 mg"
} ]
}, {
"code": "S0028",
"display": "Injection, famotidine, 20 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, famotidine, 20 mg"
} ]
}, {
"code": "S0030",
"display": "Injection, metronidazole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, metronidazole, 500 mg"
} ]
}, {
"code": "S0032",
"display": "Injection, nafcillin sodium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, nafcillin sodium, 2 grams"
} ]
}, {
"code": "S0034",
"display": "Injection, ofloxacin, 400 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ofloxacin, 400 mg"
} ]
}, {
"code": "S0039",
"display": "Injection, sulfamethoxazole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, sulfamethoxazole and trimethoprim, 10 ml"
} ]
}, {
"code": "S0040",
"display": "Injection, ticarcillin disod",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams"
} ]
}, {
"code": "S0073",
"display": "Injection, aztreonam, 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, aztreonam, 500 mg"
} ]
}, {
"code": "S0074",
"display": "Injection, cefotetan disodiu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, cefotetan disodium, 500 mg"
} ]
}, {
"code": "S0077",
"display": "Injection, clindamycin phosp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, clindamycin phosphate, 300 mg"
} ]
}, {
"code": "S0078",
"display": "Injection, fosphenytoin sodi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, fosphenytoin sodium, 750 mg"
} ]
}, {
"code": "S0080",
"display": "Injection, pentamidine iseth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pentamidine isethionate, 300 mg"
} ]
}, {
"code": "S0081",
"display": "Injection, piperacillin sodi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, piperacillin sodium, 500 mg"
} ]
}, {
"code": "S0088",
"display": "Imatinib 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Imatinib, 100 mg"
} ]
}, {
"code": "S0090",
"display": "Sildenafil citrate, 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sildenafil citrate, 25 mg"
} ]
}, {
"code": "S0091",
"display": "Granisetron 1mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare"
} ]
}, {
"code": "S0091",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "statute, use q0166)"
} ]
}, {
"code": "S0092",
"display": "Hydromorphone 250 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)"
} ]
}, {
"code": "S0093",
"display": "Morphine 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, morphine sulfate, 500 mg (loading dose for infusion pump)"
} ]
}, {
"code": "S0104",
"display": "Zidovudine, oral, 100 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Zidovudine, oral, 100 mg"
} ]
}, {
"code": "S0106",
"display": "Bupropion hcl sr 60 tablets",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets"
} ]
}, {
"code": "S0108",
"display": "Mercaptopurine 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mercaptopurine, oral, 50 mg"
} ]
}, {
"code": "S0109",
"display": "Methadone oral 5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Methadone, oral, 5 mg"
} ]
}, {
"code": "S0117",
"display": "Tretinoin topical 5 g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tretinoin, topical, 5 grams"
} ]
}, {
"code": "S0119",
"display": "Ondansetron 4 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute,"
} ]
}, {
"code": "S0119",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use hcpcs q code)"
} ]
}, {
"code": "S0122",
"display": "Inj menotropins 75 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, menotropins, 75 iu"
} ]
}, {
"code": "S0126",
"display": "Inj follitropin alfa 75 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, follitropin alfa, 75 iu"
} ]
}, {
"code": "S0128",
"display": "Inj follitropin beta 75 iu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, follitropin beta, 75 iu"
} ]
}, {
"code": "S0132",
"display": "Inj ganirelix acetat 250 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, ganirelix acetate, 250 mcg"
} ]
}, {
"code": "S0136",
"display": "Clozapine, 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clozapine, 25 mg"
} ]
}, {
"code": "S0137",
"display": "Didanosine, 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Didanosine (ddi), 25 mg"
} ]
}, {
"code": "S0138",
"display": "Finasteride, 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Finasteride, 5 mg"
} ]
}, {
"code": "S0139",
"display": "Minoxidil, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minoxidil, 10 mg"
} ]
}, {
"code": "S0140",
"display": "Saquinavir, 200 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Saquinavir, 200 mg"
} ]
}, {
"code": "S0142",
"display": "Colistimethate inh sol mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colistimethate sodium, inhalation solution administered through dme,"
} ]
}, {
"code": "S0142",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "concentrated form, per mg"
} ]
}, {
"code": "S0144",
"display": "Inj, propofol, 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, propofol, 10 mg"
} ]
}, {
"code": "S0145",
"display": "Peg interferon alfa-2a/180",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegylated interferon alfa-2a, 180 mcg per ml"
} ]
}, {
"code": "S0148",
"display": "Peg interferon alfa-2b/10",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pegylated interferon alfa-2b, 10 mcg"
} ]
}, {
"code": "S0155",
"display": "Epoprostenol dilutant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sterile dilutant for epoprostenol, 50 ml"
} ]
}, {
"code": "S0156",
"display": "Exemestane, 25 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exemestane, 25 mg"
} ]
}, {
"code": "S0157",
"display": "Becaplermin gel 1%, 0.5 gm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Becaplermin gel 0.01%, 0.5 gm"
} ]
}, {
"code": "S0160",
"display": "Dextroamphetamine",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dextroamphetamine sulfate, 5 mg"
} ]
}, {
"code": "S0164",
"display": "Injection pantroprazole",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, pantoprazole sodium, 40 mg"
} ]
}, {
"code": "S0166",
"display": "Inj olanzapine 2.5mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, olanzapine, 2.5 mg"
} ]
}, {
"code": "S0169",
"display": "Calcitrol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Calcitrol, 0.25 microgram"
} ]
}, {
"code": "S0170",
"display": "Anastrozole 1 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anastrozole, oral, 1 mg"
} ]
}, {
"code": "S0171",
"display": "Bumetanide 0.5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Injection, bumetanide, 0.5 mg"
} ]
}, {
"code": "S0172",
"display": "Chlorambucil 2 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chlorambucil, oral, 2 mg"
} ]
}, {
"code": "S0174",
"display": "Dolasetron 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare"
} ]
}, {
"code": "S0174",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "statute, use q0180)"
} ]
}, {
"code": "S0175",
"display": "Flutamide 125 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flutamide, oral, 125 mg"
} ]
}, {
"code": "S0176",
"display": "Hydroxyurea 500 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hydroxyurea, oral, 500 mg"
} ]
}, {
"code": "S0177",
"display": "Levamisole 50 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Levamisole hydrochloride, oral, 50 mg"
} ]
}, {
"code": "S0178",
"display": "Lomustine 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lomustine, oral, 10 mg"
} ]
}, {
"code": "S0179",
"display": "Megestrol 20 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Megestrol acetate, oral, 20 mg"
} ]
}, {
"code": "S0182",
"display": "Procarbazine, oral",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procarbazine hydrochloride, oral, 50 mg"
} ]
}, {
"code": "S0183",
"display": "Prochlorperazine 5 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the"
} ]
}, {
"code": "S0183",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medicare statute, use q0164)"
} ]
}, {
"code": "S0187",
"display": "Tamoxifen 10 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tamoxifen citrate, oral, 10 mg"
} ]
}, {
"code": "S0189",
"display": "Testosterone pellet 75 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Testosterone pellet, 75 mg"
} ]
}, {
"code": "S0190",
"display": "Mifepristone, oral, 200 mg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mifepristone, oral, 200 mg"
} ]
}, {
"code": "S0191",
"display": "Misoprostol, oral, 200 mcg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Misoprostol, oral, 200 mcg"
} ]
}, {
"code": "S0194",
"display": "Vitamin suppl 100 caps",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dialysis/stress vitamin supplement, oral, 100 capsules"
} ]
}, {
"code": "S0195",
"display": "Pneumo vaccine 5-9 yrs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from"
} ]
}, {
"code": "S0195",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "five years to nine years of age who have not previously received the vaccine"
} ]
}, {
"code": "S0197",
"display": "Prenatal vitamins 30 day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prenatal vitamins, 30-day supply"
} ]
}, {
"code": "S0199",
"display": "Med abortion inc all ex drug",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medically induced abortion by oral ingestion of medication including all"
} ]
}, {
"code": "S0199",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "associated services and supplies (e.g., patient counseling, office visits,"
} ]
}, {
"code": "S0199",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy,"
} ]
}, {
"code": "S0199",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "ultrasound to confirm completion of abortion) except drugs"
} ]
}, {
"code": "S0201",
"display": "Partial hospitalization serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Partial hospitalization services, less than 24 hours, per diem"
} ]
}, {
"code": "S0207",
"display": "Paramedicintercep nonhospals",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Paramedic intercept, non-hospital-based als service (non-voluntary),"
} ]
}, {
"code": "S0207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "non-transport"
} ]
}, {
"code": "S0208",
"display": "Paramed intrcept nonvol",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Paramedic intercept, hospital-based als service (non-voluntary), non-transport"
} ]
}, {
"code": "S0209",
"display": "Wc van mileage per mi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wheelchair van, mileage, per mile"
} ]
}, {
"code": "S0215",
"display": "Nonemerg transp mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; mileage, per mile"
} ]
}, {
"code": "S0220",
"display": "Medical conference by physic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical conference by a physician with interdisciplinary team of health"
} ]
}, {
"code": "S0220",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professionals or representatives of community agencies to coordinate activities"
} ]
}, {
"code": "S0220",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of patient care (patient is present); approximately 30 minutes"
} ]
}, {
"code": "S0221",
"display": "Medical conference, 60 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical conference by a physician with interdisciplinary team of health"
} ]
}, {
"code": "S0221",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professionals or representatives of community agencies to coordinate activities"
} ]
}, {
"code": "S0221",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "of patient care (patient is present); approximately 60 minutes"
} ]
}, {
"code": "S0250",
"display": "Comp geriatr assmt team",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive geriatric assessment and treatment planning performed by"
} ]
}, {
"code": "S0250",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "assessment team"
} ]
}, {
"code": "S0255",
"display": "Hospice refer visit nonmd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice referral visit (advising patient and family of care options) performed"
} ]
}, {
"code": "S0255",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "by nurse, social worker, or other designated staff"
} ]
}, {
"code": "S0257",
"display": "End of life counseling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Counseling and discussion regarding advance directives or end of life care"
} ]
}, {
"code": "S0257",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "planning and decisions, with patient and/or surrogate (list separately in"
} ]
}, {
"code": "S0257",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "addition to code for appropriate evaluation and management service)"
} ]
}, {
"code": "S0260",
"display": "H&p for surgery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "History and physical (outpatient or office) related to surgical procedure (list"
} ]
}, {
"code": "S0260",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "separately in addition to code for appropriate evaluation and management"
} ]
}, {
"code": "S0260",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "service)"
} ]
}, {
"code": "S0265",
"display": "Genetic counsel 15 mins",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic counseling, under physician supervision, each 15 minutes"
} ]
}, {
"code": "S0270",
"display": "Home std case rate 30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician management of patient home care, standard monthly case rate (per 30"
} ]
}, {
"code": "S0270",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days)"
} ]
}, {
"code": "S0271",
"display": "Home hospice case 30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician management of patient home care, hospice monthly case rate (per 30"
} ]
}, {
"code": "S0271",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "days)"
} ]
}, {
"code": "S0272",
"display": "Home episodic case 30 days",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician management of patient home care, episodic care monthly case rate (per"
} ]
}, {
"code": "S0272",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "30 days)"
} ]
}, {
"code": "S0273",
"display": "Md home visit outside cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physician visit at member's home, outside of a capitation arrangement"
} ]
}, {
"code": "S0274",
"display": "Nurse practr visit outs cap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nurse practitioner visit at member's home, outside of a capitation arrangement"
} ]
}, {
"code": "S0280",
"display": "Medical home, initial plan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical home program, comprehensive care coordination and planning, initial plan"
} ]
}, {
"code": "S0281",
"display": "Medical home, maintenance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical home program, comprehensive care coordination and planning, maintenance"
} ]
}, {
"code": "S0281",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "of plan"
} ]
}, {
"code": "S0285",
"display": "Cnslt before screen colonosc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Colonoscopy consultation performed prior to a screening colonoscopy procedure"
} ]
}, {
"code": "S0302",
"display": "Completed epsdt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Completed early periodic screening diagnosis and treatment (epsdt) service"
} ]
}, {
"code": "S0302",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(list in addition to code for appropriate evaluation and management service)"
} ]
}, {
"code": "S0310",
"display": "Hospitalist visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospitalist services (list separately in addition to code for appropriate"
} ]
}, {
"code": "S0310",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation and management service)"
} ]
}, {
"code": "S0311",
"display": "Comp mgmt care coord adv ill",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive management and care coordination for advanced illness, per"
} ]
}, {
"code": "S0311",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "calendar month"
} ]
}, {
"code": "S0315",
"display": "Disease management program",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disease management program; initial assessment and initiation of the program"
} ]
}, {
"code": "S0316",
"display": "Follow-up/reassessment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disease management program, follow-up/reassessment"
} ]
}, {
"code": "S0317",
"display": "Disease mgmt per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disease management program; per diem"
} ]
}, {
"code": "S0320",
"display": "Rn telephone calls to dmp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telephone calls by a registered nurse to a disease management program member"
} ]
}, {
"code": "S0320",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for monitoring purposes; per month"
} ]
}, {
"code": "S0340",
"display": "Lifestyle mod 1st stage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lifestyle modification program for management of coronary artery disease,"
} ]
}, {
"code": "S0340",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including all supportive services; first quarter / stage"
} ]
}, {
"code": "S0341",
"display": "Lifestyle mod 2 or 3 stage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lifestyle modification program for management of coronary artery disease,"
} ]
}, {
"code": "S0341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including all supportive services; second or third quarter / stage"
} ]
}, {
"code": "S0342",
"display": "Lifestyle mod 4th stage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lifestyle modification program for management of coronary artery disease,"
} ]
}, {
"code": "S0342",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including all supportive services; fourth quarter / stage"
} ]
}, {
"code": "S0353",
"display": "Cancer treatmentplan initial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Treatment planning and care coordination management for cancer, initial"
} ]
}, {
"code": "S0353",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment"
} ]
}, {
"code": "S0354",
"display": "Cancer treatment plan change",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Treatment planning and care coordination management for cancer, established"
} ]
}, {
"code": "S0354",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patient with a change of regimen"
} ]
}, {
"code": "S0390",
"display": "Rout foot care per visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Routine foot care; removal and/or trimming of corns, calluses and/or nails and"
} ]
}, {
"code": "S0390",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "preventive maintenance in specific medical conditions (e.g., diabetes), per"
} ]
}, {
"code": "S0390",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "visit"
} ]
}, {
"code": "S0395",
"display": "Impression casting ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Impression casting of a foot performed by a practitioner other than the"
} ]
}, {
"code": "S0395",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "manufacturer of the orthotic"
} ]
}, {
"code": "S0400",
"display": "Global eswl kidney",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Global fee for extracorporeal shock wave lithotripsy treatment of kidney"
} ]
}, {
"code": "S0400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "stone(s)"
} ]
}, {
"code": "S0500",
"display": "Dispos cont lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable contact lens, per lens"
} ]
}, {
"code": "S0504",
"display": "Singl prscrp lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Single vision prescription lens (safety, athletic, or sunglass), per lens"
} ]
}, {
"code": "S0506",
"display": "Bifoc prscp lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bifocal vision prescription lens (safety, athletic, or sunglass), per lens"
} ]
}, {
"code": "S0508",
"display": "Trifoc prscrp lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trifocal vision prescription lens (safety, athletic, or sunglass), per lens"
} ]
}, {
"code": "S0510",
"display": "Non-prscrp lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-prescription lens (safety, athletic, or sunglass), per lens"
} ]
}, {
"code": "S0512",
"display": "Daily cont lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Daily wear specialty contact lens, per lens"
} ]
}, {
"code": "S0514",
"display": "Color cont lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Color contact lens, per lens"
} ]
}, {
"code": "S0515",
"display": "Scleral lens liquid bandage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scleral lens, liquid bandage device, per lens"
} ]
}, {
"code": "S0516",
"display": "Safety frames",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Safety eyeglass frames"
} ]
}, {
"code": "S0518",
"display": "Sunglass frames",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sunglasses frames"
} ]
}, {
"code": "S0580",
"display": "Polycarb lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Polycarbonate lens (list this code in addition to the basic code for the lens)"
} ]
}, {
"code": "S0581",
"display": "Nonstnd lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nonstandard lens (list this code in addition to the basic code for the lens)"
} ]
}, {
"code": "S0590",
"display": "Misc integral lens serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Integral lens service, miscellaneous services reported separately"
} ]
}, {
"code": "S0592",
"display": "Comp cont lens eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive contact lens evaluation"
} ]
}, {
"code": "S0595",
"display": "New lenses in pts old frame",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing new spectacle lenses for patient supplied frame"
} ]
}, {
"code": "S0596",
"display": "Phakic iol refractive error",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Phakic intraocular lens for correction of refractive error"
} ]
}, {
"code": "S0601",
"display": "Screening proctoscopy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening proctoscopy"
} ]
}, {
"code": "S0610",
"display": "Annual gynecological examina",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual gynecological examination, new patient"
} ]
}, {
"code": "S0612",
"display": "Annual gynecological examina",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual gynecological examination, established patient"
} ]
}, {
"code": "S0613",
"display": "Ann breast exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Annual gynecological examination; clinical breast examination without pelvic"
} ]
}, {
"code": "S0613",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation"
} ]
}, {
"code": "S0618",
"display": "Audiometry for hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Audiometry for hearing aid evaluation to determine the level and degree of"
} ]
}, {
"code": "S0618",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hearing loss"
} ]
}, {
"code": "S0620",
"display": "Routine ophthalmological exa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Routine ophthalmological examination including refraction; new patient"
} ]
}, {
"code": "S0621",
"display": "Routine ophthalmological exa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Routine ophthalmological examination including refraction; established patient"
} ]
}, {
"code": "S0622",
"display": "Phys exam for college",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physical exam for college, new or established patient (list separately in"
} ]
}, {
"code": "S0622",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "addition to appropriate evaluation and management code)"
} ]
}, {
"code": "S0630",
"display": "Removal of sutures",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Removal of sutures; by a physician other than the physician who originally"
} ]
}, {
"code": "S0630",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "closed the wound"
} ]
}, {
"code": "S0800",
"display": "Laser in situ keratomileusis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laser in situ keratomileusis (lasik)"
} ]
}, {
"code": "S0810",
"display": "Photorefractive keratectomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Photorefractive keratectomy (prk)"
} ]
}, {
"code": "S0812",
"display": "Phototherap keratect",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Phototherapeutic keratectomy (ptk)"
} ]
}, {
"code": "S1001",
"display": "Deluxe item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Deluxe item, patient aware (list in addition to code for basic item)"
} ]
}, {
"code": "S1002",
"display": "Custom item",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Customized item (list in addition to code for basic item)"
} ]
}, {
"code": "S1015",
"display": "Iv tubing extension set",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iv tubing extension set"
} ]
}, {
"code": "S1016",
"display": "Non-pvc intravenous administ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs"
} ]
}, {
"code": "S1016",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "that are not stable in pvc e.g., paclitaxel"
} ]
}, {
"code": "S1030",
"display": "Gluc monitor purchase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous noninvasive glucose monitoring device, purchase (for physician"
} ]
}, {
"code": "S1030",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "interpretation of data, use cpt code)"
} ]
}, {
"code": "S1031",
"display": "Gluc monitor rental",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Continuous noninvasive glucose monitoring device, rental, including sensor,"
} ]
}, {
"code": "S1031",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sensor replacement, and download to monitor (for physician interpretation of"
} ]
}, {
"code": "S1031",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "data, use cpt code)"
} ]
}, {
"code": "S1034",
"display": "Art pancreas system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Artificial pancreas device system (e.g., low glucose suspend (lgs) feature)"
} ]
}, {
"code": "S1034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including continuous glucose monitor, blood glucose device, insulin pump and"
} ]
}, {
"code": "S1034",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "computer algorithm that communicates with all of the devices"
} ]
}, {
"code": "S1035",
"display": "Art pancreas inv disp sensor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial"
} ]
}, {
"code": "S1035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pancreas device system"
} ]
}, {
"code": "S1036",
"display": "Art pancreas ext transmitter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transmitter; external, for use with artificial pancreas device system"
} ]
}, {
"code": "S1037",
"display": "Art pancreas ext receiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Receiver (monitor); external, for use with artificial pancreas device system"
} ]
}, {
"code": "S1040",
"display": "Cranial remolding orthosis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cranial remolding orthosis, pediatric, rigid, with soft interface material,"
} ]
}, {
"code": "S1040",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "custom fabricated, includes fitting and adjustment(s)"
} ]
}, {
"code": "S1090",
"display": "Mometasone sinus implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mometasone furoate sinus implant, 370 micrograms"
} ]
}, {
"code": "S1091",
"display": "Stent non-coronary propel",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stent, non-coronary, temporary, with delivery system (propel)"
} ]
}, {
"code": "S2053",
"display": "Transplantation of small int",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transplantation of small intestine and liver allografts"
} ]
}, {
"code": "S2054",
"display": "Transplantation of multivisc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transplantation of multivisceral organs"
} ]
}, {
"code": "S2055",
"display": "Harvesting of donor multivis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Harvesting of donor multivisceral organs, with preparation and maintenance of"
} ]
}, {
"code": "S2055",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "allografts; from cadaver donor"
} ]
}, {
"code": "S2060",
"display": "Lobar lung transplantation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lobar lung transplantation"
} ]
}, {
"code": "S2061",
"display": "Donor lobectomy (lung)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Donor lobectomy (lung) for transplantation, living donor"
} ]
}, {
"code": "S2065",
"display": "Simult panc kidn trans",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Simultaneous pancreas kidney transplantation"
} ]
}, {
"code": "S2066",
"display": "Breast gap flap reconst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast reconstruction with gluteal artery perforator (gap) flap, including"
} ]
}, {
"code": "S2066",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "harvesting of the flap, microvascular transfer, closure of donor site and"
} ]
}, {
"code": "S2066",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "shaping the flap into a breast, unilateral"
} ]
}, {
"code": "S2067",
"display": "Breast \"stacked\" diep/gap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast reconstruction of a single breast with \"stacked\" deep inferior"
} ]
}, {
"code": "S2067",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap)"
} ]
}, {
"code": "S2067",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "flap(s), including harvesting of the flap(s), microvascular transfer, closure"
} ]
}, {
"code": "S2067",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "of donor site(s) and shaping the flap into a breast, unilateral"
} ]
}, {
"code": "S2068",
"display": "Breast diep or siea flap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Breast reconstruction with deep inferior epigastric perforator (diep) flap or"
} ]
}, {
"code": "S2068",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "superficial inferior epigastric artery (siea) flap, including harvesting of the"
} ]
}, {
"code": "S2068",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "flap, microvascular transfer, closure of donor site and shaping the flap into a"
} ]
}, {
"code": "S2068",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "breast, unilateral"
} ]
}, {
"code": "S2070",
"display": "Cysto laser tx ureteral calc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser"
} ]
}, {
"code": "S2070",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment of ureteral calculi (includes ureteral catheterization)"
} ]
}, {
"code": "S2079",
"display": "Lap esophagomyotomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laparoscopic esophagomyotomy (heller type)"
} ]
}, {
"code": "S2080",
"display": "Laup",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laser-assisted uvulopalatoplasty (laup)"
} ]
}, {
"code": "S2083",
"display": "Adjustment gastric band",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adjustment of gastric band diameter via subcutaneous port by injection or"
} ]
}, {
"code": "S2083",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "aspiration of saline"
} ]
}, {
"code": "S2095",
"display": "Transcath emboliz microspher",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transcatheter occlusion or embolization for tumor destruction, percutaneous,"
} ]
}, {
"code": "S2095",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "any method, using yttrium-90 microspheres"
} ]
}, {
"code": "S2102",
"display": "Islet cell tissue transplant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Islet cell tissue transplant from pancreas; allogeneic"
} ]
}, {
"code": "S2103",
"display": "Adrenal tissue transplant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adrenal tissue transplant to brain"
} ]
}, {
"code": "S2107",
"display": "Adoptive immunotherapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adoptive immunotherapy i.e. development of specific anti-tumor reactivity"
} ]
}, {
"code": "S2107",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., tumor-infiltrating lymphocyte therapy) per course of treatment"
} ]
}, {
"code": "S2112",
"display": "Knee arthroscp harv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)"
} ]
}, {
"code": "S2115",
"display": "Periacetabular osteotomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Osteotomy, periacetabular, with internal fixation"
} ]
}, {
"code": "S2117",
"display": "Arthroereisis, subtalar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthroereisis, subtalar"
} ]
}, {
"code": "S2118",
"display": "Total hip resurfacing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Metal-on-metal total hip resurfacing, including acetabular and femoral"
} ]
}, {
"code": "S2118",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "components"
} ]
}, {
"code": "S2120",
"display": "Low density lipoprotein(ldl)",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal"
} ]
}, {
"code": "S2120",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ldl precipitation"
} ]
}, {
"code": "S2140",
"display": "Cord blood harvesting",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cord blood harvesting for transplantation, allogeneic"
} ]
}, {
"code": "S2142",
"display": "Cord blood-derived stem-cell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cord blood-derived stem-cell transplantation, allogeneic"
} ]
}, {
"code": "S2150",
"display": "Bmt harv/transpl 28d pkg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic"
} ]
}, {
"code": "S2150",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "or autologous, harvesting, transplantation, and related complications;"
} ]
}, {
"code": "S2150",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "including: pheresis and cell preparation/storage; marrow ablative therapy;"
} ]
}, {
"code": "S2150",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "drugs, supplies, hospitalization with outpatient follow-up; medical/surgical,"
} ]
}, {
"code": "S2150",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "diagnostic, emergency, and rehabilitative services; and the number of days of"
} ]
}, {
"code": "S2150",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "pre-and post-transplant care in the global definition"
} ]
}, {
"code": "S2152",
"display": "Solid organ transpl pkg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Solid organ(s), complete or segmental, single organ or combination of organs;"
} ]
}, {
"code": "S2152",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "deceased or living donor(s), procurement, transplantation, and related"
} ]
}, {
"code": "S2152",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "complications; including: drugs; supplies; hospitalization with outpatient"
} ]
}, {
"code": "S2152",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "follow-up; medical/surgical, diagnostic, emergency, and rehabilitative"
} ]
}, {
"code": "S2152",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "services, and the number of days of pre- and post-transplant care in the global"
} ]
}, {
"code": "S2152",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "definition"
} ]
}, {
"code": "S2202",
"display": "Echosclerotherapy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Echosclerotherapy"
} ]
}, {
"code": "S2205",
"display": "Minimally invasive direct co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minimally invasive direct coronary artery bypass surgery involving"
} ]
}, {
"code": "S2205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mini-thoracotomy or mini-sternotomy surgery, performed under direct vision;"
} ]
}, {
"code": "S2205",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "using arterial graft(s), single coronary arterial graft"
} ]
}, {
"code": "S2206",
"display": "Minimally invasive direct co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minimally invasive direct coronary artery bypass surgery involving"
} ]
}, {
"code": "S2206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mini-thoracotomy or mini-sternotomy surgery, performed under direct vision;"
} ]
}, {
"code": "S2206",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "using arterial graft(s), two coronary arterial grafts"
} ]
}, {
"code": "S2207",
"display": "Minimally invasive direct co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minimally invasive direct coronary artery bypass surgery involving"
} ]
}, {
"code": "S2207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mini-thoracotomy or mini-sternotomy surgery, performed under direct vision;"
} ]
}, {
"code": "S2207",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "using venous graft only, single coronary venous graft"
} ]
}, {
"code": "S2208",
"display": "Minimally invasive direct co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minimally invasive direct coronary artery bypass surgery involving"
} ]
}, {
"code": "S2208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mini-thoracotomy or mini-sternotomy surgery, performed under direct vision;"
} ]
}, {
"code": "S2208",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "using single arterial and venous graft(s), single venous graft"
} ]
}, {
"code": "S2209",
"display": "Minimally invasive direct co",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Minimally invasive direct coronary artery bypass surgery involving"
} ]
}, {
"code": "S2209",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "mini-thoracotomy or mini-sternotomy surgery, performed under direct vision;"
} ]
}, {
"code": "S2209",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "using two arterial grafts and single venous graft"
} ]
}, {
"code": "S2225",
"display": "Myringotomy laser-assist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Myringotomy, laser-assisted"
} ]
}, {
"code": "S2230",
"display": "Implant semi-imp hear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantation of magnetic component of semi-implantable hearing device on"
} ]
}, {
"code": "S2230",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "ossicles in middle ear"
} ]
}, {
"code": "S2235",
"display": "Implant auditory brain imp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Implantation of auditory brain stem implant"
} ]
}, {
"code": "S2260",
"display": "Induced abortion 17-24 weeks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Induced abortion, 17 to 24 weeks"
} ]
}, {
"code": "S2265",
"display": "Induced abortion 25-28 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Induced abortion, 25 to 28 weeks"
} ]
}, {
"code": "S2266",
"display": "Induced abortion 29-31 wks",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Induced abortion, 29 to 31 weeks"
} ]
}, {
"code": "S2267",
"display": "Induced abortion 32 or more",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Induced abortion, 32 weeks or greater"
} ]
}, {
"code": "S2300",
"display": "Arthroscopy, shoulder, surgi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy"
} ]
}, {
"code": "S2325",
"display": "Hip core decompression",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hip core decompression"
} ]
}, {
"code": "S2340",
"display": "Chemodenervation of abductor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chemodenervation of abductor muscle(s) of vocal cord"
} ]
}, {
"code": "S2341",
"display": "Chemodenerv adduct vocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chemodenervation of adductor muscle(s) of vocal cord"
} ]
}, {
"code": "S2342",
"display": "Nasal endoscop po debrid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nasal endoscopy for post-operative debridement following functional endoscopic"
} ]
}, {
"code": "S2342",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral"
} ]
}, {
"code": "S2348",
"display": "Decompress disc rf lumbar",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Decompression procedure, percutaneous, of nucleus pulposus of intervertebral"
} ]
}, {
"code": "S2348",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "disc, using radiofrequency energy, single or multiple levels, lumbar"
} ]
}, {
"code": "S2350",
"display": "Diskectomy, anterior, with d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s),"
} ]
}, {
"code": "S2350",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including osteophytectomy; lumbar, single interspace"
} ]
}, {
"code": "S2351",
"display": "Diskectomy, anterior, with d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s),"
} ]
}, {
"code": "S2351",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including osteophytectomy; lumbar, each additional interspace (list separately"
} ]
}, {
"code": "S2351",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "in addition to code for primary procedure)"
} ]
}, {
"code": "S2360",
"display": "Vertebroplast cerv 1st",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral"
} ]
}, {
"code": "S2360",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "injection; cervical"
} ]
}, {
"code": "S2361",
"display": "Vertebroplast cerv addl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Each additional cervical vertebral body (list separately in addition to code"
} ]
}, {
"code": "S2361",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for primary procedure)"
} ]
}, {
"code": "S2400",
"display": "Fetal surg congen hernia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal"
} ]
}, {
"code": "S2400",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "occlusion, procedure performed in utero"
} ]
}, {
"code": "S2401",
"display": "Fetal surg urin trac obstr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair, urinary tract obstruction in the fetus, procedure performed in utero"
} ]
}, {
"code": "S2402",
"display": "Fetal surg cong cyst malf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair, congenital cystic adenomatoid malformation in the fetus, procedure"
} ]
}, {
"code": "S2402",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "performed in utero"
} ]
}, {
"code": "S2403",
"display": "Fetal surg pulmon sequest",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair, extralobar pulmonary sequestration in the fetus, procedure performed in"
} ]
}, {
"code": "S2403",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "utero"
} ]
}, {
"code": "S2404",
"display": "Fetal surg myelomeningo",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair, myelomeningocele in the fetus, procedure performed in utero"
} ]
}, {
"code": "S2405",
"display": "Fetal surg sacrococ teratoma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero"
} ]
}, {
"code": "S2409",
"display": "Fetal surg noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair, congenital malformation of fetus, procedure performed in utero, not"
} ]
}, {
"code": "S2409",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "otherwise classified"
} ]
}, {
"code": "S2411",
"display": "Fetoscop laser ther ttts",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome"
} ]
}, {
"code": "S2900",
"display": "Robotic surgical system",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surgical techniques requiring use of robotic surgical system (list separately"
} ]
}, {
"code": "S2900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "in addition to code for primary procedure)"
} ]
}, {
"code": "S3000",
"display": "Bilat dil retinal exam",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetic indicator; retinal eye exam, dilated, bilateral"
} ]
}, {
"code": "S3005",
"display": "Eval self-assess depression",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Performance measurement, evaluation of patient self assessment, depression"
} ]
}, {
"code": "S3600",
"display": "Stat lab",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stat laboratory request (situations other than s3601)"
} ]
}, {
"code": "S3601",
"display": "Stat lab home/nf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency stat laboratory charge for patient who is homebound or residing in a"
} ]
}, {
"code": "S3601",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nursing facility"
} ]
}, {
"code": "S3620",
"display": "Newborn metabolic screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Newborn metabolic screening panel, includes test kit, postage and the"
} ]
}, {
"code": "S3620",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "laboratory tests specified by the state for inclusion in this panel (e.g.,"
} ]
}, {
"code": "S3620",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d;"
} ]
}, {
"code": "S3620",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "phenylalanine (pku); and thyroxine, total)"
} ]
}, {
"code": "S3630",
"display": "Eosinophil blood count",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eosinophil count, blood, direct"
} ]
}, {
"code": "S3645",
"display": "Hiv-1 antibody testing of or",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hiv-1 antibody testing of oral mucosal transudate"
} ]
}, {
"code": "S3650",
"display": "Saliva test, hormone level;",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Saliva test, hormone level; during menopause"
} ]
}, {
"code": "S3652",
"display": "Saliva test, hormone level;",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Saliva test, hormone level; to assess preterm labor risk"
} ]
}, {
"code": "S3655",
"display": "Antisperm antibodies test",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Antisperm antibodies test (immunobead)"
} ]
}, {
"code": "S3708",
"display": "Gastrointestinal fat absorpt",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gastrointestinal fat absorption study"
} ]
}, {
"code": "S3721",
"display": "Pca3 testing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prostate cancer antigen 3 (pca3) testing"
} ]
}, {
"code": "S3722",
"display": "Dose optimization auc - 5fu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dose optimization by area under the curve (auc) analysis, for infusional"
} ]
}, {
"code": "S3722",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "5-fluorouracil"
} ]
}, {
"code": "S3800",
"display": "Genetic testing als",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for amyotrophic lateral sclerosis (als)"
} ]
}, {
"code": "S3840",
"display": "Dna analysis ret-oncogene",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dna analysis for germline mutations of the ret proto-oncogene for"
} ]
}, {
"code": "S3840",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "susceptibility to multiple endocrine neoplasia type 2"
} ]
}, {
"code": "S3841",
"display": "Gene test retinoblastoma",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for retinoblastoma"
} ]
}, {
"code": "S3842",
"display": "Gene test hippel-lindau",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for von hippel-lindau disease"
} ]
}, {
"code": "S3844",
"display": "Dna analysis deafness",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital,"
} ]
}, {
"code": "S3844",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "profound deafness"
} ]
}, {
"code": "S3845",
"display": "Gene test alpha-thalassemia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for alpha-thalassemia"
} ]
}, {
"code": "S3846",
"display": "Gene test beta-thalassemia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for hemoglobin e beta-thalassemia"
} ]
}, {
"code": "S3849",
"display": "Gene test niemann-pick",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for niemann-pick disease"
} ]
}, {
"code": "S3850",
"display": "Gene test sickle cell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for sickle cell anemia"
} ]
}, {
"code": "S3852",
"display": "Dna analysis apoe alzheimer",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease"
} ]
}, {
"code": "S3853",
"display": "Gene test myo musclr dyst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for myotonic muscular dystrophy"
} ]
}, {
"code": "S3854",
"display": "Gene profile panel breast",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gene expression profiling panel for use in the management of breast cancer"
} ]
}, {
"code": "S3854",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment"
} ]
}, {
"code": "S3855",
"display": "Gene test presenilin-1 gene",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing for detection of mutations in the presenilin - 1 gene"
} ]
}, {
"code": "S3861",
"display": "Genetic test brugada",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a)"
} ]
}, {
"code": "S3861",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and variants for suspected brugada syndrome"
} ]
}, {
"code": "S3865",
"display": "Comp genet test hyp cardiomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive gene sequence analysis for hypertrophic cardiomyopathy"
} ]
}, {
"code": "S3866",
"display": "Spec gene test hyp cardiomy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy"
} ]
}, {
"code": "S3866",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(hcm) in an individual with a known hcm mutation in the family"
} ]
}, {
"code": "S3870",
"display": "Cgh test developmental delay",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comparative genomic hybridization (cgh) microarray testing for developmental"
} ]
}, {
"code": "S3870",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "delay, autism spectrum disorder and/or intellectual disability"
} ]
}, {
"code": "S3890",
"display": "Fecal dna analysis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dna analysis, fecal, for colorectal cancer screening"
} ]
}, {
"code": "S3900",
"display": "Surface emg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Surface electromyography (emg)"
} ]
}, {
"code": "S3902",
"display": "Ballistocardiogram",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ballistocardiogram"
} ]
}, {
"code": "S3904",
"display": "Masters two step",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Masters two step"
} ]
}, {
"code": "S4005",
"display": "Interim labor facility globa",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interim labor facility global (labor occurring but not resulting in delivery)"
} ]
}, {
"code": "S4011",
"display": "Ivf package",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In vitro fertilization; including but not limited to identification and"
} ]
}, {
"code": "S4011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "incubation of mature oocytes, fertilization with sperm, incubation of"
} ]
}, {
"code": "S4011",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "embryo(s), and subsequent visualization for determination of development"
} ]
}, {
"code": "S4013",
"display": "Compl gift case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete cycle, gamete intrafallopian transfer (gift), case rate"
} ]
}, {
"code": "S4014",
"display": "Compl zift case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete cycle, zygote intrafallopian transfer (zift), case rate"
} ]
}, {
"code": "S4015",
"display": "Complete ivf nos case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complete in vitro fertilization cycle, not otherwise specified, case rate"
} ]
}, {
"code": "S4016",
"display": "Frozen ivf case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Frozen in vitro fertilization cycle, case rate"
} ]
}, {
"code": "S4017",
"display": "Ivf canc a stim case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incomplete cycle, treatment cancelled prior to stimulation, case rate"
} ]
}, {
"code": "S4018",
"display": "F emb trns canc case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Frozen embryo transfer procedure cancelled before transfer, case rate"
} ]
}, {
"code": "S4020",
"display": "Ivf canc a aspir case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In vitro fertilization procedure cancelled before aspiration, case rate"
} ]
}, {
"code": "S4021",
"display": "Ivf canc p aspir case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "In vitro fertilization procedure cancelled after aspiration, case rate"
} ]
}, {
"code": "S4022",
"display": "Asst oocyte fert case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assisted oocyte fertilization, case rate"
} ]
}, {
"code": "S4023",
"display": "Incompl donor egg case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Donor egg cycle, incomplete, case rate"
} ]
}, {
"code": "S4025",
"display": "Donor serv ivf case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Donor services for in vitro fertilization (sperm or embryo), case rate"
} ]
}, {
"code": "S4026",
"display": "Procure donor sperm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procurement of donor sperm from sperm bank"
} ]
}, {
"code": "S4027",
"display": "Store prev froz embryos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Storage of previously frozen embryos"
} ]
}, {
"code": "S4028",
"display": "Microsurg epi sperm asp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Microsurgical epididymal sperm aspiration (mesa)"
} ]
}, {
"code": "S4030",
"display": "Sperm procure init visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sperm procurement and cryopreservation services; initial visit"
} ]
}, {
"code": "S4031",
"display": "Sperm procure subs visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sperm procurement and cryopreservation services; subsequent visit"
} ]
}, {
"code": "S4035",
"display": "Stimulated iui case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stimulated intrauterine insemination (iui), case rate"
} ]
}, {
"code": "S4037",
"display": "Cryo embryo transf case rate",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cryopreserved embryo transfer, case rate"
} ]
}, {
"code": "S4040",
"display": "Monit store cryo embryo 30 d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Monitoring and storage of cryopreserved embryos, per 30 days"
} ]
}, {
"code": "S4042",
"display": "Ovulation mgmt per cycle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Management of ovulation induction (interpretation of diagnostic tests and"
} ]
}, {
"code": "S4042",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "studies, non-face-to-face medical management of the patient), per cycle"
} ]
}, {
"code": "S4981",
"display": "Insert levonorgestrel ius",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insertion of levonorgestrel-releasing intrauterine system"
} ]
}, {
"code": "S4988",
"display": "Penile contractur devic manu",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Penile contracture device, manual, greater than 3 lbs traction force"
} ]
}, {
"code": "S4989",
"display": "Contracept iud",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive intrauterine device (e.g., progestacert iud), including implants"
} ]
}, {
"code": "S4989",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "and supplies"
} ]
}, {
"code": "S4990",
"display": "Nicotine patch legend",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nicotine patches, legend"
} ]
}, {
"code": "S4991",
"display": "Nicotine patch nonlegend",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nicotine patches, non-legend"
} ]
}, {
"code": "S4993",
"display": "Contraceptive pills for bc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contraceptive pills for birth control"
} ]
}, {
"code": "S4995",
"display": "Smoking cessation gum",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Smoking cessation gum"
} ]
}, {
"code": "S5000",
"display": "Prescription drug, generic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescription drug, generic"
} ]
}, {
"code": "S5001",
"display": "Prescription drug,brand name",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prescription drug, brand name"
} ]
}, {
"code": "S5010",
"display": "5% dextrose and 0.45% saline",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose and 0.45% normal saline, 1000 ml"
} ]
}, {
"code": "S5011",
"display": "5% dextrose in lactated ring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose in lactated ringer's, 1000 ml"
} ]
}, {
"code": "S5012",
"display": "5% dextrose with potassium",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose with potassium chloride, 1000 ml"
} ]
}, {
"code": "S5013",
"display": "5%dextrose/0.45%saline1000ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate,"
} ]
}, {
"code": "S5013",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1000 ml"
} ]
}, {
"code": "S5014",
"display": "D5w/0.45ns w kcl and mgs04",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate,"
} ]
}, {
"code": "S5014",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1500 ml"
} ]
}, {
"code": "S5035",
"display": "Hit routine device maint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, routine service of infusion device (e.g., pump"
} ]
}, {
"code": "S5035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "maintenance)"
} ]
}, {
"code": "S5036",
"display": "Hit device repair",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, repair of infusion device (e.g., pump repair)"
} ]
}, {
"code": "S5100",
"display": "Adult daycare services 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Day care services, adult; per 15 minutes"
} ]
}, {
"code": "S5101",
"display": "Adult day care per half day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Day care services, adult; per half day"
} ]
}, {
"code": "S5102",
"display": "Adult day care per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Day care services, adult; per diem"
} ]
}, {
"code": "S5105",
"display": "Centerbased day care perdiem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Day care services, center-based; services not included in program fee, per diem"
} ]
}, {
"code": "S5108",
"display": "Homecare train pt 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home care training to home care client, per 15 minutes"
} ]
}, {
"code": "S5109",
"display": "Homecare train pt session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home care training to home care client, per session"
} ]
}, {
"code": "S5110",
"display": "Family homecare training 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home care training, family; per 15 minutes"
} ]
}, {
"code": "S5111",
"display": "Family homecare train/sessio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home care training, family; per session"
} ]
}, {
"code": "S5115",
"display": "Nonfamily homecare train/15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home care training, non-family; per 15 minutes"
} ]
}, {
"code": "S5116",
"display": "Nonfamily hc train/session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home care training, non-family; per session"
} ]
}, {
"code": "S5120",
"display": "Chore services per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chore services; per 15 minutes"
} ]
}, {
"code": "S5121",
"display": "Chore services per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Chore services; per diem"
} ]
}, {
"code": "S5125",
"display": "Attendant care service /15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Attendant care services; per 15 minutes"
} ]
}, {
"code": "S5126",
"display": "Attendant care service /diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Attendant care services; per diem"
} ]
}, {
"code": "S5130",
"display": "Homaker service nos per 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Homemaker service, nos; per 15 minutes"
} ]
}, {
"code": "S5131",
"display": "Homemaker service nos /diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Homemaker service, nos; per diem"
} ]
}, {
"code": "S5135",
"display": "Adult companioncare per 15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Companion care, adult (e.g., iadl/adl); per 15 minutes"
} ]
}, {
"code": "S5136",
"display": "Adult companioncare per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Companion care, adult (e.g., iadl/adl); per diem"
} ]
}, {
"code": "S5140",
"display": "Adult foster care per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foster care, adult; per diem"
} ]
}, {
"code": "S5141",
"display": "Adult foster care per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foster care, adult; per month"
} ]
}, {
"code": "S5145",
"display": "Child fostercare th per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foster care, therapeutic, child; per diem"
} ]
}, {
"code": "S5146",
"display": "Ther fostercare child /month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Foster care, therapeutic, child; per month"
} ]
}, {
"code": "S5150",
"display": "Unskilled respite care /15m",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unskilled respite care, not hospice; per 15 minutes"
} ]
}, {
"code": "S5151",
"display": "Unskilled respitecare /diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Unskilled respite care, not hospice; per diem"
} ]
}, {
"code": "S5160",
"display": "Emer response sys instal&tst",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency response system; installation and testing"
} ]
}, {
"code": "S5161",
"display": "Emer rspns sys serv permonth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency response system; service fee, per month (excludes installation and"
} ]
}, {
"code": "S5161",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "testing)"
} ]
}, {
"code": "S5162",
"display": "Emer rspns system purchase",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Emergency response system; purchase only"
} ]
}, {
"code": "S5165",
"display": "Home modifications per serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home modifications; per service"
} ]
}, {
"code": "S5170",
"display": "Homedelivered prepared meal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home delivered meals, including preparation; per meal"
} ]
}, {
"code": "S5175",
"display": "Laundry serv,ext,prof,/order",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Laundry service, external, professional; per order"
} ]
}, {
"code": "S5180",
"display": "Hh respiratory thrpy in eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home health respiratory therapy, initial evaluation"
} ]
}, {
"code": "S5181",
"display": "Hh respiratory thrpy nos/day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home health respiratory therapy, nos, per diem"
} ]
}, {
"code": "S5185",
"display": "Med reminder serv per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medication reminder service, non-face-to-face; per month"
} ]
}, {
"code": "S5190",
"display": "Wellness assessment by nonph",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Wellness assessment, performed by non-physician"
} ]
}, {
"code": "S5199",
"display": "Personal care item nos each",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Personal care item, nos, each"
} ]
}, {
"code": "S5497",
"display": "Hit cath care noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, catheter care / maintenance, not otherwise classified;"
} ]
}, {
"code": "S5497",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S5497",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S5497",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S5498",
"display": "Hit simple cath care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, catheter care / maintenance, simple (single lumen),"
} ]
}, {
"code": "S5498",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S5498",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination and all necessary supplies and equipment, (drugs and nursing"
} ]
}, {
"code": "S5498",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S5501",
"display": "Hit complex cath care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, catheter care / maintenance, complex (more than one"
} ]
}, {
"code": "S5501",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "lumen), includes administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S5501",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S5501",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S5502",
"display": "Hit interim cath care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, catheter care / maintenance, implanted access device,"
} ]
}, {
"code": "S5502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "includes administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S5502",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination and all necessary supplies and equipment, (drugs and nursing"
} ]
}, {
"code": "S5502",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem (use this code for interim maintenance of"
} ]
}, {
"code": "S5502",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "vascular access not currently in use)"
} ]
}, {
"code": "S5517",
"display": "Hit declotting kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, all supplies necessary for restoration of catheter"
} ]
}, {
"code": "S5517",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "patency or declotting"
} ]
}, {
"code": "S5518",
"display": "Hit cath repair kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, all supplies necessary for catheter repair"
} ]
}, {
"code": "S5520",
"display": "Hit picc insert kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, all supplies (including catheter) necessary for a"
} ]
}, {
"code": "S5520",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "peripherally inserted central venous catheter (picc) line insertion"
} ]
}, {
"code": "S5521",
"display": "Hit midline cath insert kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, all supplies (including catheter) necessary for a"
} ]
}, {
"code": "S5521",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "midline catheter insertion"
} ]
}, {
"code": "S5522",
"display": "Hit picc insert no supp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, insertion of peripherally inserted central venous"
} ]
}, {
"code": "S5522",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "catheter (picc), nursing services only (no supplies or catheter included)"
} ]
}, {
"code": "S5523",
"display": "Hip midline cath insert kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, insertion of midline venous catheter, nursing services"
} ]
}, {
"code": "S5523",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "only (no supplies or catheter included)"
} ]
}, {
"code": "S5550",
"display": "Insulin rapid 5 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin, rapid onset, 5 units"
} ]
}, {
"code": "S5551",
"display": "Insulin most rapid 5 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin, most rapid onset (lispro or aspart); 5 units"
} ]
}, {
"code": "S5552",
"display": "Insulin intermed 5 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin, intermediate acting (nph or lente); 5 units"
} ]
}, {
"code": "S5553",
"display": "Insulin long acting 5 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin, long acting; 5 units"
} ]
}, {
"code": "S5560",
"display": "Insulin reuse pen 1.5 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin delivery device, reusable pen; 1.5 ml size"
} ]
}, {
"code": "S5561",
"display": "Insulin reuse pen 3 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin delivery device, reusable pen; 3 ml size"
} ]
}, {
"code": "S5565",
"display": "Insulin cartridge 150 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin cartridge for use in insulin delivery device other than pump; 150 units"
} ]
}, {
"code": "S5566",
"display": "Insulin cartridge 300 u",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin cartridge for use in insulin delivery device other than pump; 300 units"
} ]
}, {
"code": "S5570",
"display": "Insulin dispos pen 1.5 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin delivery device, disposable pen (including insulin); 1.5 ml size"
} ]
}, {
"code": "S5571",
"display": "Insulin dispos pen 3 ml",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin delivery device, disposable pen (including insulin); 3 ml size"
} ]
}, {
"code": "S8030",
"display": "Tantalum ring application",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scleral application of tantalum ring(s) for localization of lesions for proton"
} ]
}, {
"code": "S8030",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "beam therapy"
} ]
}, {
"code": "S8032",
"display": "Low dose ct lung screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Low-dose computed tomography for lung cancer screening"
} ]
}, {
"code": "S8035",
"display": "Magnetic source imaging",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic source imaging"
} ]
}, {
"code": "S8037",
"display": "Mrcp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance cholangiopancreatography (mrcp)"
} ]
}, {
"code": "S8040",
"display": "Topographic brain mapping",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Topographic brain mapping"
} ]
}, {
"code": "S8042",
"display": "Mri low field",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Magnetic resonance imaging (mri), low-field"
} ]
}, {
"code": "S8055",
"display": "Us guidance fetal reduct",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultrasound guidance for multifetal pregnancy reduction(s), technical component"
} ]
}, {
"code": "S8055",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(only to be used when the physician doing the reduction procedure does not"
} ]
}, {
"code": "S8055",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "perform the ultrasound, guidance is included in the cpt code for multifetal"
} ]
}, {
"code": "S8055",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "pregnancy reduction - 59866)"
} ]
}, {
"code": "S8080",
"display": "Scintimammography",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scintimammography (radioimmunoscintigraphy of the breast), unilateral,"
} ]
}, {
"code": "S8080",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including supply of radiopharmaceutical"
} ]
}, {
"code": "S8085",
"display": "Fluorine-18 fluorodeoxygluco",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence"
} ]
}, {
"code": "S8085",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "detection system (non-dedicated pet scan)"
} ]
}, {
"code": "S8092",
"display": "Electron beam computed tomog",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electron beam computed tomography (also known as ultrafast ct, cine ct)"
} ]
}, {
"code": "S8096",
"display": "Portable peak flow meter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Portable peak flow meter"
} ]
}, {
"code": "S8097",
"display": "Asthma kit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Asthma kit (including but not limited to portable peak expiratory flow meter,"
} ]
}, {
"code": "S8097",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "instructional video, brochure, and/or spacer)"
} ]
}, {
"code": "S8100",
"display": "Spacer without mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Holding chamber or spacer for use with an inhaler or nebulizer; without mask"
} ]
}, {
"code": "S8101",
"display": "Spacer with mask",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Holding chamber or spacer for use with an inhaler or nebulizer; with mask"
} ]
}, {
"code": "S8110",
"display": "Peak expiratory flow rate (p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Peak expiratory flow rate (physician services)"
} ]
}, {
"code": "S8120",
"display": "O2 contents gas cubic ft",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen contents, gaseous, 1 unit equals 1 cubic foot"
} ]
}, {
"code": "S8121",
"display": "O2 contents liquid lb",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oxygen contents, liquid, 1 unit equals 1 pound"
} ]
}, {
"code": "S8130",
"display": "Interferential stim 2 chan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interferential current stimulator, 2 channel"
} ]
}, {
"code": "S8131",
"display": "Interferential stim 4 chan",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Interferential current stimulator, 4 channel"
} ]
}, {
"code": "S8185",
"display": "Flutter device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Flutter device"
} ]
}, {
"code": "S8186",
"display": "Swivel adaptor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Swivel adapter"
} ]
}, {
"code": "S8189",
"display": "Trach supply noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tracheostomy supply, not otherwise classified"
} ]
}, {
"code": "S8210",
"display": "Mucus trap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mucus trap"
} ]
}, {
"code": "S8262",
"display": "Mandib ortho repos device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mandibular orthopedic repositioning device, each"
} ]
}, {
"code": "S8265",
"display": "Haberman feeder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Haberman feeder for cleft lip/palate"
} ]
}, {
"code": "S8270",
"display": "Enuresis alarm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enuresis alarm, using auditory buzzer and/or vibration device"
} ]
}, {
"code": "S8301",
"display": "Infect control supplies nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infection control supplies, not otherwise specified"
} ]
}, {
"code": "S8415",
"display": "Supplies for home delivery",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supplies for home delivery of infant"
} ]
}, {
"code": "S8420",
"display": "Custom gradient sleev/glov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (sleeve and glove combination), custom made"
} ]
}, {
"code": "S8421",
"display": "Ready gradient sleev/glov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (sleeve and glove combination), ready made"
} ]
}, {
"code": "S8422",
"display": "Custom grad sleeve med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (sleeve), custom made, medium weight"
} ]
}, {
"code": "S8423",
"display": "Custom grad sleeve heavy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (sleeve), custom made, heavy weight"
} ]
}, {
"code": "S8424",
"display": "Ready gradient sleeve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (sleeve), ready made"
} ]
}, {
"code": "S8425",
"display": "Custom grad glove med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (glove), custom made, medium weight"
} ]
}, {
"code": "S8426",
"display": "Custom grad glove heavy",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (glove), custom made, heavy weight"
} ]
}, {
"code": "S8427",
"display": "Ready gradient glove",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (glove), ready made"
} ]
}, {
"code": "S8428",
"display": "Ready gradient gauntlet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure aid (gauntlet), ready made"
} ]
}, {
"code": "S8429",
"display": "Gradient pressure wrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Gradient pressure exterior wrap"
} ]
}, {
"code": "S8430",
"display": "Padding for comprssn bdg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Padding for compression bandage, roll"
} ]
}, {
"code": "S8431",
"display": "Compression bandage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Compression bandage, roll"
} ]
}, {
"code": "S8450",
"display": "Splint digit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Splint, prefabricated, digit (specify digit by use of modifier)"
} ]
}, {
"code": "S8451",
"display": "Splint wrist or ankle",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Splint, prefabricated, wrist or ankle"
} ]
}, {
"code": "S8452",
"display": "Splint elbow",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Splint, prefabricated, elbow"
} ]
}, {
"code": "S8460",
"display": "Camisole post-mast",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Camisole, post-mastectomy"
} ]
}, {
"code": "S8490",
"display": "100 insulin syringes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin syringes (100 syringes, any size)"
} ]
}, {
"code": "S8930",
"display": "Auricular electrostimulation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electrical stimulation of auricular acupuncture points; each 15 minutes of"
} ]
}, {
"code": "S8930",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "personal one-on-one contact with the patient"
} ]
}, {
"code": "S8940",
"display": "Hippotherapy per session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Equestrian/hippotherapy, per session"
} ]
}, {
"code": "S8948",
"display": "Low-level laser trmt 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Application of a modality (requiring constant provider attendance) to one or"
} ]
}, {
"code": "S8948",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "more areas; low-level laser; each 15 minutes"
} ]
}, {
"code": "S8950",
"display": "Complex lymphedema therapy,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Complex lymphedema therapy, each 15 minutes"
} ]
}, {
"code": "S8990",
"display": "Pt or manip for maint",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physical or manipulative therapy performed for maintenance rather than"
} ]
}, {
"code": "S8990",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "restoration"
} ]
}, {
"code": "S8999",
"display": "Resuscitation bag",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Resuscitation bag (for use by patient on artificial respiration during power"
} ]
}, {
"code": "S8999",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "failure or other catastrophic event)"
} ]
}, {
"code": "S9001",
"display": "Home uterine monitor with or",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home uterine monitor with or without associated nursing services"
} ]
}, {
"code": "S9002",
"display": "Intra-vag motion sens biofk",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intra-vaginal motion sensor system, provides biofeedback for pelvic floor"
} ]
}, {
"code": "S9002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "muscle rehabilitation device"
} ]
}, {
"code": "S9007",
"display": "Ultrafiltration monitor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ultrafiltration monitor"
} ]
}, {
"code": "S9015",
"display": "Automated eeg monitoring",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Automated eeg monitoring"
} ]
}, {
"code": "S9024",
"display": "Paranasal sinus ultrasound",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Paranasal sinus ultrasound"
} ]
}, {
"code": "S9025",
"display": "Omnicardiogram/cardiointegra",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Omnicardiogram/cardiointegram"
} ]
}, {
"code": "S9034",
"display": "Eswl for gallstones",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp,"
} ]
}, {
"code": "S9034",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "use 43265)"
} ]
}, {
"code": "S9055",
"display": "Procuren or other growth fac",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Procuren or other growth factor preparation to promote wound healing"
} ]
}, {
"code": "S9056",
"display": "Coma stimulation per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Coma stimulation per diem"
} ]
}, {
"code": "S9061",
"display": "Medical supplies and equipme",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home administration of aerosolized drug therapy (e.g., pentamidine);"
} ]
}, {
"code": "S9061",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, all"
} ]
}, {
"code": "S9061",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "necessary supplies and equipment (drugs and nursing visits coded separately),"
} ]
}, {
"code": "S9061",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "per diem"
} ]
}, {
"code": "S9083",
"display": "Urgent care center global",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Global fee urgent care centers"
} ]
}, {
"code": "S9088",
"display": "Services provided in urgent",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided in an urgent care center (list in addition to code for"
} ]
}, {
"code": "S9088",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "service)"
} ]
}, {
"code": "S9090",
"display": "Vertebral axial decompressio",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vertebral axial decompression, per session"
} ]
}, {
"code": "S9097",
"display": "Home visit wound care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home visit for wound care"
} ]
}, {
"code": "S9098",
"display": "Home phototherapy visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home visit, phototherapy services (e.g., bili-lite), including equipment"
} ]
}, {
"code": "S9098",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "rental, nursing services, blood draw, supplies, and other services, per diem"
} ]
}, {
"code": "S9110",
"display": "Telemonitoring/home per mnth",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telemonitoring of patient in their home, including all necessary equipment;"
} ]
}, {
"code": "S9110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "computer system, connections, and software; maintenance; patient education and"
} ]
}, {
"code": "S9110",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "support; per month"
} ]
}, {
"code": "S9117",
"display": "Back school visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Back school, per visit"
} ]
}, {
"code": "S9122",
"display": "Home health aide or certifie",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home health aide or certified nurse assistant, providing care in the home; per"
} ]
}, {
"code": "S9122",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hour"
} ]
}, {
"code": "S9123",
"display": "Nursing care in home rn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nursing care, in the home; by registered nurse, per hour (use for general"
} ]
}, {
"code": "S9123",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nursing care only, not to be used when cpt codes 99500-99602 can be used)"
} ]
}, {
"code": "S9124",
"display": "Nursing care, in the home; b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nursing care, in the home; by licensed practical nurse, per hour"
} ]
}, {
"code": "S9125",
"display": "Respite care, in the home, p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respite care, in the home, per diem"
} ]
}, {
"code": "S9126",
"display": "Hospice care, in the home, p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice care, in the home, per diem"
} ]
}, {
"code": "S9127",
"display": "Social work visit, in the ho",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Social work visit, in the home, per diem"
} ]
}, {
"code": "S9128",
"display": "Speech therapy, in the home,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech therapy, in the home, per diem"
} ]
}, {
"code": "S9129",
"display": "Occupational therapy, in the",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Occupational therapy, in the home, per diem"
} ]
}, {
"code": "S9131",
"display": "Pt in the home per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Physical therapy; in the home, per diem"
} ]
}, {
"code": "S9140",
"display": "Diabetic management program,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetic management program, follow-up visit to non-md provider"
} ]
}, {
"code": "S9141",
"display": "Diabetic management program,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetic management program, follow-up visit to md provider"
} ]
}, {
"code": "S9145",
"display": "Insulin pump initiation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Insulin pump initiation, instruction in initial use of pump (pump not included)"
} ]
}, {
"code": "S9150",
"display": "Evaluation by ocularist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Evaluation by ocularist"
} ]
}, {
"code": "S9152",
"display": "Speech therapy, re-eval",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech therapy, re-evaluation"
} ]
}, {
"code": "S9208",
"display": "Home mgmt preterm labor",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home management of preterm labor, including administrative services,"
} ]
}, {
"code": "S9208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9208",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "or equipment (drugs and nursing visits coded separately), per diem (do not use"
} ]
}, {
"code": "S9208",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "this code with any home infusion per diem code)"
} ]
}, {
"code": "S9209",
"display": "Home mgmt pprom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home management of preterm premature rupture of membranes (pprom), including"
} ]
}, {
"code": "S9209",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9209",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies or equipment (drugs and nursing visits coded"
} ]
}, {
"code": "S9209",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "separately), per diem (do not use this code with any home infusion per diem"
} ]
}, {
"code": "S9209",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "code)"
} ]
}, {
"code": "S9211",
"display": "Home mgmt gest hypertension",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home management of gestational hypertension, includes administrative services,"
} ]
}, {
"code": "S9211",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination and all necessary supplies"
} ]
}, {
"code": "S9211",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately); per diem (do not use"
} ]
}, {
"code": "S9211",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "this code with any home infusion per diem code)"
} ]
}, {
"code": "S9212",
"display": "Hm postpar hyper per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home management of postpartum hypertension, includes administrative services,"
} ]
}, {
"code": "S9212",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9212",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem (do not use"
} ]
}, {
"code": "S9212",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "this code with any home infusion per diem code)"
} ]
}, {
"code": "S9213",
"display": "Hm preeclamp per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home management of preeclampsia, includes administrative services, professional"
} ]
}, {
"code": "S9213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9213",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(drugs and nursing services coded separately); per diem (do not use this code"
} ]
}, {
"code": "S9213",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "with any home infusion per diem code)"
} ]
}, {
"code": "S9214",
"display": "Hm gest dm per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home management of gestational diabetes, includes administrative services,"
} ]
}, {
"code": "S9214",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9214",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately); per diem (do not use"
} ]
}, {
"code": "S9214",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "this code with any home infusion per diem code)"
} ]
}, {
"code": "S9325",
"display": "Hit pain mgmt per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, pain management infusion; administrative services,"
} ]
}, {
"code": "S9325",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9325",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment, (drugs and nursing visits coded separately), per diem (do not"
} ]
}, {
"code": "S9325",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "use this code with s9326, s9327 or s9328)"
} ]
}, {
"code": "S9326",
"display": "Hit cont pain per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, continuous (twenty-four hours or more) pain management"
} ]
}, {
"code": "S9326",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9326",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination and all necessary supplies and equipment (drugs and nursing visits"
} ]
}, {
"code": "S9326",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "coded separately), per diem"
} ]
}, {
"code": "S9327",
"display": "Hit int pain per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, intermittent (less than twenty-four hours) pain"
} ]
}, {
"code": "S9327",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "management infusion; administrative services, professional pharmacy services,"
} ]
}, {
"code": "S9327",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "care coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9327",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9328",
"display": "Hit pain imp pump diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, implanted pump pain management infusion; administrative"
} ]
}, {
"code": "S9328",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, professional pharmacy services, care coordination, and all necessary"
} ]
}, {
"code": "S9328",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9329",
"display": "Hit chemo per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, chemotherapy infusion; administrative services,"
} ]
}, {
"code": "S9329",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9329",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem (do not use"
} ]
}, {
"code": "S9329",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "this code with s9330 or s9331)"
} ]
}, {
"code": "S9330",
"display": "Hit cont chem diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, continuous (twenty-four hours or more) chemotherapy"
} ]
}, {
"code": "S9330",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9330",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9330",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9331",
"display": "Hit intermit chemo diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy"
} ]
}, {
"code": "S9331",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infusion; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9331",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9331",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9335",
"display": "Ht hemodialysis diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy, hemodialysis; administrative services, professional pharmacy"
} ]
}, {
"code": "S9335",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, care coordination, and all necessary supplies and equipment (drugs"
} ]
}, {
"code": "S9335",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and nursing services coded separately), per diem"
} ]
}, {
"code": "S9336",
"display": "Hit cont anticoag diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, continuous anticoagulant infusion therapy (e.g.,"
} ]
}, {
"code": "S9336",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "heparin), administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9336",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination and all necessary supplies and equipment (drugs and nursing visits"
} ]
}, {
"code": "S9336",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "coded separately), per diem"
} ]
}, {
"code": "S9338",
"display": "Hit immunotherapy diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, immunotherapy, administrative services, professional"
} ]
}, {
"code": "S9338",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9338",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9339",
"display": "Hit periton dialysis diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; peritoneal dialysis, administrative services, professional"
} ]
}, {
"code": "S9339",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination and all necessary supplies and equipment"
} ]
}, {
"code": "S9339",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9340",
"display": "Hit enteral per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; enteral nutrition; administrative services, professional pharmacy"
} ]
}, {
"code": "S9340",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, care coordination, and all necessary supplies and equipment (enteral"
} ]
}, {
"code": "S9340",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9341",
"display": "Hit enteral grav diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; enteral nutrition via gravity; administrative services,"
} ]
}, {
"code": "S9341",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9341",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (enteral formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9342",
"display": "Hit enteral pump diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; enteral nutrition via pump; administrative services, professional"
} ]
}, {
"code": "S9342",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9342",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(enteral formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9343",
"display": "Hit enteral bolus nurs",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; enteral nutrition via bolus; administrative services,"
} ]
}, {
"code": "S9343",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9343",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (enteral formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9345",
"display": "Hit anti-hemophil diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor"
} ]
}, {
"code": "S9345",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "viii); administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9345",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9345",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9346",
"display": "Hit alpha-1-proteinas diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin);"
} ]
}, {
"code": "S9346",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9346",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies and equipment (drugs and nursing visits coded"
} ]
}, {
"code": "S9346",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "separately), per diem"
} ]
}, {
"code": "S9347",
"display": "Hit longterm infusion diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or"
} ]
}, {
"code": "S9347",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "subcutaneous infusion therapy (e.g., epoprostenol); administrative services,"
} ]
}, {
"code": "S9347",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9347",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9348",
"display": "Hit sympathomim diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g.,"
} ]
}, {
"code": "S9348",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "dobutamine); administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9348",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, all necessary supplies and equipment (drugs and nursing visits"
} ]
}, {
"code": "S9348",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "coded separately), per diem"
} ]
}, {
"code": "S9349",
"display": "Hit tocolysis diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, tocolytic infusion therapy; administrative services,"
} ]
}, {
"code": "S9349",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9349",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9351",
"display": "Hit cont antiemetic diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, continuous or intermittent anti-emetic infusion therapy;"
} ]
}, {
"code": "S9351",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9351",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies and equipment (drugs and visits coded separately), per"
} ]
}, {
"code": "S9351",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "diem"
} ]
}, {
"code": "S9353",
"display": "Hit cont insulin diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, continuous insulin infusion therapy; administrative"
} ]
}, {
"code": "S9353",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, professional pharmacy services, care coordination, and all necessary"
} ]
}, {
"code": "S9353",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9355",
"display": "Hit chelation diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, chelation therapy; administrative services, professional"
} ]
}, {
"code": "S9355",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9355",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9357",
"display": "Hit enzyme replace diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, enzyme replacement intravenous therapy; (e.g.,"
} ]
}, {
"code": "S9357",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "imiglucerase); administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9357",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9357",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9359",
"display": "Hit anti-tnf per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g.,"
} ]
}, {
"code": "S9359",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "infliximab); administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9359",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9359",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9361",
"display": "Hit diuretic infus diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, diuretic intravenous therapy; administrative services,"
} ]
}, {
"code": "S9361",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9361",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9363",
"display": "Hit anti-spasmotic diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, anti-spasmotic therapy; administrative services,"
} ]
}, {
"code": "S9363",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9363",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9364",
"display": "Hit tpn total diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, total parenteral nutrition (tpn); administrative"
} ]
}, {
"code": "S9364",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, professional pharmacy services, care coordination, and all necessary"
} ]
}, {
"code": "S9364",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies and equipment including standard tpn formula (lipids, specialty amino"
} ]
}, {
"code": "S9364",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "acid formulas, drugs other than in standard formula and nursing visits coded"
} ]
}, {
"code": "S9364",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "separately), per diem (do not use with home infusion codes s9365-s9368 using"
} ]
}, {
"code": "S9364",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "daily volume scales)"
} ]
}, {
"code": "S9365",
"display": "Hit tpn 1 liter diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, total parenteral nutrition (tpn); one liter per day,"
} ]
}, {
"code": "S9365",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9365",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies and equipment including standard tpn formula (lipids,"
} ]
}, {
"code": "S9365",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "specialty amino acid formulas, drugs other than in standard formula and nursing"
} ]
}, {
"code": "S9365",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9366",
"display": "Hit tpn 2 liter diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, total parenteral nutrition (tpn); more than one liter"
} ]
}, {
"code": "S9366",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "but no more than two liters per day, administrative services, professional"
} ]
}, {
"code": "S9366",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9366",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "including standard tpn formula (lipids, specialty amino acid formulas, drugs"
} ]
}, {
"code": "S9366",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "other than in standard formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9367",
"display": "Hit tpn 3 liter diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, total parenteral nutrition (tpn); more than two liters"
} ]
}, {
"code": "S9367",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "but no more than three liters per day, administrative services, professional"
} ]
}, {
"code": "S9367",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9367",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "including standard tpn formula (lipids, specialty amino acid formulas, drugs"
} ]
}, {
"code": "S9367",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "other than in standard formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9368",
"display": "Hit tpn over 3l diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, total parenteral nutrition (tpn); more than three liters"
} ]
}, {
"code": "S9368",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per day, administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9368",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment including standard tpn"
} ]
}, {
"code": "S9368",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "formula (lipids, specialty amino acid formulas, drugs other than in standard"
} ]
}, {
"code": "S9368",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "formula and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9370",
"display": "Ht inj antiemetic diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy, intermittent anti-emetic injection therapy; administrative"
} ]
}, {
"code": "S9370",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, professional pharmacy services, care coordination, and all necessary"
} ]
}, {
"code": "S9370",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9372",
"display": "Ht inj anticoag diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; intermittent anticoagulant injection therapy (e.g., heparin);"
} ]
}, {
"code": "S9372",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9372",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies and equipment (drugs and nursing visits coded"
} ]
}, {
"code": "S9372",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "separately), per diem (do not use this code for flushing of infusion devices"
} ]
}, {
"code": "S9372",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "with heparin to maintain patency)"
} ]
}, {
"code": "S9373",
"display": "Hit hydra total diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, hydration therapy; administrative services, professional"
} ]
}, {
"code": "S9373",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination, and all necessary supplies and equipment"
} ]
}, {
"code": "S9373",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(drugs and nursing visits coded separately), per diem (do not use with"
} ]
}, {
"code": "S9373",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "hydration therapy codes s9374-s9377 using daily volume scales)"
} ]
}, {
"code": "S9374",
"display": "Hit hydra 1 liter diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, hydration therapy; one liter per day, administrative"
} ]
}, {
"code": "S9374",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, professional pharmacy services, care coordination, and all necessary"
} ]
}, {
"code": "S9374",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9375",
"display": "Hit hydra 2 liter diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, hydration therapy; more than one liter but no more than"
} ]
}, {
"code": "S9375",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "two liters per day, administrative services, professional pharmacy services,"
} ]
}, {
"code": "S9375",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "care coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9375",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9376",
"display": "Hit hydra 3 liter diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, hydration therapy; more than two liters but no more than"
} ]
}, {
"code": "S9376",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "three liters per day, administrative services, professional pharmacy services,"
} ]
}, {
"code": "S9376",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "care coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9376",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9377",
"display": "Hit hydra over 3l diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, hydration therapy; more than three liters per day,"
} ]
}, {
"code": "S9377",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9377",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9379",
"display": "Hit noc per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, infusion therapy, not otherwise classified;"
} ]
}, {
"code": "S9379",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9379",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies and equipment (drugs and nursing visits coded"
} ]
}, {
"code": "S9379",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "separately), per diem"
} ]
}, {
"code": "S9381",
"display": "Hit high risk/escort",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Delivery or service to high risk areas requiring escort or extra protection,"
} ]
}, {
"code": "S9381",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per visit"
} ]
}, {
"code": "S9401",
"display": "Anticoag clinic per session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anticoagulation clinic, inclusive of all services except laboratory tests, per"
} ]
}, {
"code": "S9401",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "session"
} ]
}, {
"code": "S9430",
"display": "Pharmacy comp/disp serv",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pharmacy compounding and dispensing services"
} ]
}, {
"code": "S9432",
"display": "Med food non inborn err meta",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical foods for non-inborn errors of metabolism"
} ]
}, {
"code": "S9433",
"display": "Medical food oral 100% nutr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical food nutritionally complete, administered orally, providing 100% of"
} ]
}, {
"code": "S9433",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "nutritional intake"
} ]
}, {
"code": "S9434",
"display": "Mod solid food suppl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Modified solid food supplements for inborn errors of metabolism"
} ]
}, {
"code": "S9435",
"display": "Medical foods for inborn err",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical foods for inborn errors of metabolism"
} ]
}, {
"code": "S9436",
"display": "Lamaze class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Childbirth preparation/lamaze classes, non-physician provider, per session"
} ]
}, {
"code": "S9437",
"display": "Childbirth refresher class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Childbirth refresher classes, non-physician provider, per session"
} ]
}, {
"code": "S9438",
"display": "Cesarean birth class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cesarean birth classes, non-physician provider, per session"
} ]
}, {
"code": "S9439",
"display": "Vbac class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vbac (vaginal birth after cesarean) classes, non-physician provider, per session"
} ]
}, {
"code": "S9441",
"display": "Asthma education",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Asthma education, non-physician provider, per session"
} ]
}, {
"code": "S9442",
"display": "Birthing class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Birthing classes, non-physician provider, per session"
} ]
}, {
"code": "S9443",
"display": "Lactation class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lactation classes, non-physician provider, per session"
} ]
}, {
"code": "S9444",
"display": "Parenting class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Parenting classes, non-physician provider, per session"
} ]
}, {
"code": "S9445",
"display": "Pt education noc individ",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient education, not otherwise classified, non-physician provider,"
} ]
}, {
"code": "S9445",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "individual, per session"
} ]
}, {
"code": "S9446",
"display": "Pt education noc group",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Patient education, not otherwise classified, non-physician provider, group, per"
} ]
}, {
"code": "S9446",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "session"
} ]
}, {
"code": "S9447",
"display": "Infant safety class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infant safety (including cpr) classes, non-physician provider, per session"
} ]
}, {
"code": "S9449",
"display": "Weight mgmt class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Weight management classes, non-physician provider, per session"
} ]
}, {
"code": "S9451",
"display": "Exercise class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Exercise classes, non-physician provider, per session"
} ]
}, {
"code": "S9452",
"display": "Nutrition class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nutrition classes, non-physician provider, per session"
} ]
}, {
"code": "S9453",
"display": "Smoking cessation class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Smoking cessation classes, non-physician provider, per session"
} ]
}, {
"code": "S9454",
"display": "Stress mgmt class",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Stress management classes, non-physician provider, per session"
} ]
}, {
"code": "S9455",
"display": "Diabetic management program,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetic management program, group session"
} ]
}, {
"code": "S9460",
"display": "Diabetic management program,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetic management program, nurse visit"
} ]
}, {
"code": "S9465",
"display": "Diabetic management program,",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diabetic management program, dietitian visit"
} ]
}, {
"code": "S9470",
"display": "Nutritional counseling, diet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nutritional counseling, dietitian visit"
} ]
}, {
"code": "S9472",
"display": "Cardiac rehabilitation progr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cardiac rehabilitation program, non-physician provider, per diem"
} ]
}, {
"code": "S9473",
"display": "Pulmonary rehabilitation pro",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pulmonary rehabilitation program, non-physician provider, per diem"
} ]
}, {
"code": "S9474",
"display": "Enterostomal therapy by a re",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enterostomal therapy by a registered nurse certified in enterostomal therapy,"
} ]
}, {
"code": "S9474",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per diem"
} ]
}, {
"code": "S9475",
"display": "Ambulatory setting substance",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulatory setting substance abuse treatment or detoxification services, per"
} ]
}, {
"code": "S9475",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "diem"
} ]
}, {
"code": "S9476",
"display": "Vestibular rehab per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vestibular rehabilitation program, non-physician provider, per diem"
} ]
}, {
"code": "S9480",
"display": "Intensive outpatient psychia",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensive outpatient psychiatric services, per diem"
} ]
}, {
"code": "S9482",
"display": "Family stabilization 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Family stabilization services, per 15 minutes"
} ]
}, {
"code": "S9484",
"display": "Crisis intervention per hour",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crisis intervention mental health services, per hour"
} ]
}, {
"code": "S9485",
"display": "Crisis intervention mental h",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crisis intervention mental health services, per diem"
} ]
}, {
"code": "S9490",
"display": "Hit corticosteroid/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, corticosteroid infusion; administrative services,"
} ]
}, {
"code": "S9490",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9490",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9494",
"display": "Hit antibiotic total diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy;"
} ]
}, {
"code": "S9494",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "administrative services, professional pharmacy services, care coordination, and"
} ]
}, {
"code": "S9494",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "all necessary supplies and equipment (drugs and nursing visits coded"
} ]
}, {
"code": "S9494",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "separately), per diem (do not use this code with home infusion codes for hourly"
} ]
}, {
"code": "S9494",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "dosing schedules s9497-s9504)"
} ]
}, {
"code": "S9497",
"display": "Hit antibiotic q3h diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every"
} ]
}, {
"code": "S9497",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "3 hours; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9497",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9497",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9500",
"display": "Hit antibiotic q24h diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every"
} ]
}, {
"code": "S9500",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "24 hours; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9500",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9500",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9501",
"display": "Hit antibiotic q12h diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every"
} ]
}, {
"code": "S9501",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "12 hours; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9501",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9501",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9502",
"display": "Hit antibiotic q8h diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every"
} ]
}, {
"code": "S9502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "8 hours, administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9502",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9502",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9503",
"display": "Hit antibiotic q6h diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6"
} ]
}, {
"code": "S9503",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hours; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9503",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9503",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9504",
"display": "Hit antibiotic q4h diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4"
} ]
}, {
"code": "S9504",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hours; administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9504",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9504",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9529",
"display": "Venipuncture home/snf",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Routine venipuncture for collection of specimen(s), single home bound, nursing"
} ]
}, {
"code": "S9529",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "home, or skilled nursing facility patient"
} ]
}, {
"code": "S9537",
"display": "Ht hem horm inj diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin,"
} ]
}, {
"code": "S9537",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "g-csf, gm-csf); administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9537",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9537",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9538",
"display": "Hit blood products diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home transfusion of blood product(s); administrative services, professional"
} ]
}, {
"code": "S9538",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "pharmacy services, care coordination and all necessary supplies and equipment"
} ]
}, {
"code": "S9538",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "(blood products, drugs, and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9542",
"display": "Ht inj noc per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home injectable therapy, not otherwise classified, including administrative"
} ]
}, {
"code": "S9542",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "services, professional pharmacy services, care coordination, and all necessary"
} ]
}, {
"code": "S9542",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "supplies and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9558",
"display": "Ht inj growth horm diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home injectable therapy; growth hormone, including administrative services,"
} ]
}, {
"code": "S9558",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9558",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9559",
"display": "Hit inj interferon diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home injectable therapy, interferon, including administrative services,"
} ]
}, {
"code": "S9559",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9559",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9560",
"display": "Ht inj hormone diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin),"
} ]
}, {
"code": "S9560",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9560",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9560",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9562",
"display": "Ht inj palivizumab/ab diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home injectable therapy, palivizumab or other monoclonal antibody for rsv,"
} ]
}, {
"code": "S9562",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "including administrative services, professional pharmacy services, care"
} ]
}, {
"code": "S9562",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "coordination, and all necessary supplies and equipment (drugs and nursing"
} ]
}, {
"code": "S9562",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "visits coded separately), per diem"
} ]
}, {
"code": "S9563",
"display": "Ht inj immuno diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home injectable therapy, immunotherapy, including administrative services,"
} ]
}, {
"code": "S9563",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "professional pharmacy services, care coordination, and all necessary supplies"
} ]
}, {
"code": "S9563",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "and equipment (drugs and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9590",
"display": "Ht irrigation diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or"
} ]
}, {
"code": "S9590",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "anatomical cavity); including administrative services, professional pharmacy"
} ]
}, {
"code": "S9590",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "services, care coordination, and all necessary supplies and equipment (drugs"
} ]
}, {
"code": "S9590",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "and nursing visits coded separately), per diem"
} ]
}, {
"code": "S9810",
"display": "Ht pharm per hour",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home therapy; professional pharmacy services for provision of infusion,"
} ]
}, {
"code": "S9810",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specialty drug administration, and/or disease state management, not otherwise"
} ]
}, {
"code": "S9810",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "classified, per hour (do not use this code with any per diem code)"
} ]
}, {
"code": "S9900",
"display": "Christian sci pract visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services by a journal-listed christian science practitioner for the purpose of"
} ]
}, {
"code": "S9900",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "healing, per diem"
} ]
}, {
"code": "S9901",
"display": "Christian sci nurse visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services by a journal-listed christian science nurse, per hour"
} ]
}, {
"code": "S9960",
"display": "Air ambulanc nonemerg fixed",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, conventional air service, nonemergency transport, one way"
} ]
}, {
"code": "S9960",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(fixed wing)"
} ]
}, {
"code": "S9961",
"display": "Air ambulan nonemerg rotary",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ambulance service, conventional air service, nonemergency transport, one way"
} ]
}, {
"code": "S9961",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(rotary wing)"
} ]
}, {
"code": "S9970",
"display": "Health club membership yr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Health club membership, annual"
} ]
}, {
"code": "S9975",
"display": "Transplant related per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transplant related lodging, meals and transportation, per diem"
} ]
}, {
"code": "S9976",
"display": "Lodging per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lodging, per diem, not otherwise classified"
} ]
}, {
"code": "S9977",
"display": "Meals per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Meals, per diem, not otherwise specified"
} ]
}, {
"code": "S9981",
"display": "Med record copy admin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical records copying fee, administrative"
} ]
}, {
"code": "S9982",
"display": "Med record copy per page",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medical records copying fee, per page"
} ]
}, {
"code": "S9986",
"display": "Not medically necessary svc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Not medically necessary service (patient is aware that service not medically"
} ]
}, {
"code": "S9986",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "necessary)"
} ]
}, {
"code": "S9988",
"display": "Serv part of phase i trial",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided as part of a phase i clinical trial"
} ]
}, {
"code": "S9989",
"display": "Services outside us",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided outside of the united states of america (list in addition to"
} ]
}, {
"code": "S9989",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "code(s) for service(s))"
} ]
}, {
"code": "S9990",
"display": "Services provided as part of",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided as part of a phase ii clinical trial"
} ]
}, {
"code": "S9991",
"display": "Services provided as part of",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services provided as part of a phase iii clinical trial"
} ]
}, {
"code": "S9992",
"display": "Transportation costs to and",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transportation costs to and from trial location and local transportation costs"
} ]
}, {
"code": "S9992",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(e.g., fares for taxicab or bus) for clinical trial participant and one"
} ]
}, {
"code": "S9992",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "caregiver/companion"
} ]
}, {
"code": "S9994",
"display": "Lodging costs (e.g. hotel ch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lodging costs (e.g., hotel charges) for clinical trial participant and one"
} ]
}, {
"code": "S9994",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "caregiver/companion"
} ]
}, {
"code": "S9996",
"display": "Meals for clinical trial par",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Meals for clinical trial participant and one caregiver/companion"
} ]
}, {
"code": "S9999",
"display": "Sales tax",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sales tax"
} ]
}, {
"code": "T1000",
"display": "Private duty/independent nsg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Private duty / independent nursing service(s) - licensed, up to 15 minutes"
} ]
}, {
"code": "T1001",
"display": "Nursing assessment/evaluatn",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nursing assessment / evaluation"
} ]
}, {
"code": "T1002",
"display": "Rn services up to 15 minutes",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Rn services, up to 15 minutes"
} ]
}, {
"code": "T1003",
"display": "Lpn/lvn services up to 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lpn/lvn services, up to 15 minutes"
} ]
}, {
"code": "T1004",
"display": "Nsg aide service up to 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services of a qualified nursing aide, up to 15 minutes"
} ]
}, {
"code": "T1005",
"display": "Respite care service 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Respite care services, up to 15 minutes"
} ]
}, {
"code": "T1006",
"display": "Family/couple counseling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or substance abuse services, family/couple counseling"
} ]
}, {
"code": "T1007",
"display": "Treatment plan development",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or substance abuse services, treatment plan development and/or"
} ]
}, {
"code": "T1007",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "modification"
} ]
}, {
"code": "T1009",
"display": "Child sitting services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Child sitting services for children of the individual receiving alcohol and/or"
} ]
}, {
"code": "T1009",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "substance abuse services"
} ]
}, {
"code": "T1010",
"display": "Meals when receive services",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Meals for individuals receiving alcohol and/or substance abuse services (when"
} ]
}, {
"code": "T1010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "meals not included in the program)"
} ]
}, {
"code": "T1012",
"display": "Alcohol/substance abuse skil",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Alcohol and/or substance abuse services, skills development"
} ]
}, {
"code": "T1013",
"display": "Sign lang/oral interpreter",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sign language or oral interpretive services, per 15 minutes"
} ]
}, {
"code": "T1014",
"display": "Telehealth transmit, per min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telehealth transmission, per minute, professional services bill separately"
} ]
}, {
"code": "T1015",
"display": "Clinic service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Clinic visit/encounter, all-inclusive"
} ]
}, {
"code": "T1016",
"display": "Case management",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Case management, each 15 minutes"
} ]
}, {
"code": "T1017",
"display": "Targeted case management",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Targeted case management, each 15 minutes"
} ]
}, {
"code": "T1018",
"display": "School-based iep ser bundled",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "School-based individualized education program (iep) services, bundled"
} ]
}, {
"code": "T1019",
"display": "Personal care ser per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Personal care services, per 15 minutes, not for an inpatient or resident of a"
} ]
}, {
"code": "T1019",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospital, nursing facility, icf/mr or imd, part of the individualized plan of"
} ]
}, {
"code": "T1019",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment (code may not be used to identify services provided by home health"
} ]
}, {
"code": "T1019",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "aide or certified nurse assistant)"
} ]
}, {
"code": "T1020",
"display": "Personal care ser per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Personal care services, per diem, not for an inpatient or resident of a"
} ]
}, {
"code": "T1020",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "hospital, nursing facility, icf/mr or imd, part of the individualized plan of"
} ]
}, {
"code": "T1020",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "treatment (code may not be used to identify services provided by home health"
} ]
}, {
"code": "T1020",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "aide or certified nurse assistant)"
} ]
}, {
"code": "T1021",
"display": "Hh aide or cn aide per visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Home health aide or certified nurse assistant, per visit"
} ]
}, {
"code": "T1022",
"display": "Contracted services per day",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contracted home health agency services, all services provided under contract,"
} ]
}, {
"code": "T1022",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per day"
} ]
}, {
"code": "T1023",
"display": "Program intake assessment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Screening to determine the appropriateness of consideration of an individual"
} ]
}, {
"code": "T1023",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "for participation in a specified program, project or treatment protocol, per"
} ]
}, {
"code": "T1023",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "encounter"
} ]
}, {
"code": "T1024",
"display": "Team evaluation & management",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Evaluation and treatment by an integrated, specialty team contracted to provide"
} ]
}, {
"code": "T1024",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "coordinated care to multiple or severely handicapped children, per encounter"
} ]
}, {
"code": "T1025",
"display": "Ped compr care pkg, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensive, extended multidisciplinary services provided in a clinic setting to"
} ]
}, {
"code": "T1025",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "children with complex medical, physical, mental and psychosocial impairments,"
} ]
}, {
"code": "T1025",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "per diem"
} ]
}, {
"code": "T1026",
"display": "Ped compr care pkg, per hour",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Intensive, extended multidisciplinary services provided in a clinic setting to"
} ]
}, {
"code": "T1026",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "children with complex medical, physical, mental and psychosocial impairments,"
} ]
}, {
"code": "T1026",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "per hour"
} ]
}, {
"code": "T1027",
"display": "Family training & counseling",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Family training and counseling for child development, per 15 minutes"
} ]
}, {
"code": "T1028",
"display": "Home environment assessment",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assessment of home, physical and family environment, to determine suitability"
} ]
}, {
"code": "T1028",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to meet patient's medical needs"
} ]
}, {
"code": "T1029",
"display": "Dwelling lead investigation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Comprehensive environmental lead investigation, not including laboratory"
} ]
}, {
"code": "T1029",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "analysis, per dwelling"
} ]
}, {
"code": "T1030",
"display": "Rn home care per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nursing care, in the home, by registered nurse, per diem"
} ]
}, {
"code": "T1031",
"display": "Lpn home care per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Nursing care, in the home, by licensed practical nurse, per diem"
} ]
}, {
"code": "T1032",
"display": "Sv doula brth wrk per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a doula birth worker, per 15 minutes"
} ]
}, {
"code": "T1033",
"display": "Sv doula brth wrk per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Services performed by a doula birth worker, per diem"
} ]
}, {
"code": "T1040",
"display": "Comm bh clinic svc per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid certified community behavioral health clinic services, per diem"
} ]
}, {
"code": "T1041",
"display": "Comm bh clinic svc per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Medicaid certified community behavioral health clinic services, per month"
} ]
}, {
"code": "T1502",
"display": "Medication admin visit",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of oral, intramuscular and/or subcutaneous medication by health"
} ]
}, {
"code": "T1502",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care agency/professional, per visit"
} ]
}, {
"code": "T1503",
"display": "Med admin, not oral/inject",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Administration of medication, other than oral and/or injectable, by a health"
} ]
}, {
"code": "T1503",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "care agency/professional, per visit"
} ]
}, {
"code": "T1505",
"display": "Elec med comp dev, noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Electronic medication compliance management device, includes all components and"
} ]
}, {
"code": "T1505",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "accessories, not otherwise classified"
} ]
}, {
"code": "T1999",
"display": "Noc retail items andsupplies",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Miscellaneous therapeutic items and supplies, retail purchases, not otherwise"
} ]
}, {
"code": "T1999",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "classified; identify product in \"remarks\""
} ]
}, {
"code": "T2001",
"display": "N-et; patient attend/escort",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; patient attendant/escort"
} ]
}, {
"code": "T2002",
"display": "N-et; per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; per diem"
} ]
}, {
"code": "T2003",
"display": "N-et; encounter/trip",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; encounter/trip"
} ]
}, {
"code": "T2004",
"display": "N-et; commerc carrier pass",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transport; commercial carrier, multi-pass"
} ]
}, {
"code": "T2005",
"display": "N-et; stretcher van",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; stretcher van"
} ]
}, {
"code": "T2007",
"display": "Non-emer transport wait time",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Transportation waiting time, air ambulance and non-emergency vehicle, one-half"
} ]
}, {
"code": "T2007",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "(1/2) hour increments"
} ]
}, {
"code": "T2010",
"display": "Pasrr level i",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preadmission screening and resident review (pasrr) level i identification"
} ]
}, {
"code": "T2010",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "screening, per screen"
} ]
}, {
"code": "T2011",
"display": "Pasrr level ii",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Preadmission screening and resident review (pasrr) level ii evaluation, per"
} ]
}, {
"code": "T2011",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "evaluation"
} ]
}, {
"code": "T2012",
"display": "Habil ed waiver, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, educational; waiver, per diem"
} ]
}, {
"code": "T2013",
"display": "Habil ed waiver per hour",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, educational, waiver; per hour"
} ]
}, {
"code": "T2014",
"display": "Habil prevoc waiver, per d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, prevocational, waiver; per diem"
} ]
}, {
"code": "T2015",
"display": "Habil prevoc waiver per hr",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, prevocational, waiver; per hour"
} ]
}, {
"code": "T2016",
"display": "Habil res waiver per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, residential, waiver; per diem"
} ]
}, {
"code": "T2017",
"display": "Habil res waiver 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, residential, waiver; 15 minutes"
} ]
}, {
"code": "T2018",
"display": "Habil sup empl waiver/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, supported employment, waiver; per diem"
} ]
}, {
"code": "T2019",
"display": "Habil sup empl waiver 15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, supported employment, waiver; per 15 minutes"
} ]
}, {
"code": "T2020",
"display": "Day habil waiver per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Day habilitation, waiver; per diem"
} ]
}, {
"code": "T2021",
"display": "Day habil waiver per 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Day habilitation, waiver; per 15 minutes"
} ]
}, {
"code": "T2022",
"display": "Case management, per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Case management, per month"
} ]
}, {
"code": "T2023",
"display": "Targeted case mgmt per month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Targeted case management; per month"
} ]
}, {
"code": "T2024",
"display": "Serv asmnt/care plan waiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Service assessment/plan of care development, waiver"
} ]
}, {
"code": "T2025",
"display": "Waiver service, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Waiver services; not otherwise specified (nos)"
} ]
}, {
"code": "T2026",
"display": "Special childcare waiver/d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialized childcare, waiver; per diem"
} ]
}, {
"code": "T2027",
"display": "Spec childcare waiver 15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialized childcare, waiver; per 15 minutes"
} ]
}, {
"code": "T2028",
"display": "Special supply, nos waiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialized supply, not otherwise specified, waiver"
} ]
}, {
"code": "T2029",
"display": "Special med equip, noswaiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialized medical equipment, not otherwise specified, waiver"
} ]
}, {
"code": "T2030",
"display": "Assist living waiver/month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assisted living, waiver; per month"
} ]
}, {
"code": "T2031",
"display": "Assist living waiver/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assisted living; waiver, per diem"
} ]
}, {
"code": "T2032",
"display": "Res care, nos waiver/month",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residential care, not otherwise specified (nos), waiver; per month"
} ]
}, {
"code": "T2033",
"display": "Res, nos waiver per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Residential care, not otherwise specified (nos), waiver; per diem"
} ]
}, {
"code": "T2034",
"display": "Crisis interven waiver/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Crisis intervention, waiver; per diem"
} ]
}, {
"code": "T2035",
"display": "Utility services waiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Utility services to support medical equipment and assistive technology/devices,"
} ]
}, {
"code": "T2035",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "waiver"
} ]
}, {
"code": "T2036",
"display": "Camp overnite waiver/session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic camping, overnight, waiver; each session"
} ]
}, {
"code": "T2037",
"display": "Camp day waiver/session",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Therapeutic camping, day, waiver; each session"
} ]
}, {
"code": "T2038",
"display": "Comm trans waiver/service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Community transition, waiver; per service"
} ]
}, {
"code": "T2039",
"display": "Vehicle mod waiver/service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vehicle modifications, waiver; per service"
} ]
}, {
"code": "T2040",
"display": "Financial mgt waiver/15min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Financial management, self-directed, waiver; per 15 minutes"
} ]
}, {
"code": "T2041",
"display": "Support broker waiver/15 min",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supports brokerage, self-directed, waiver; per 15 minutes"
} ]
}, {
"code": "T2042",
"display": "Hospice routine home care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice routine home care; per diem"
} ]
}, {
"code": "T2043",
"display": "Hospice continuous home care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice continuous home care; per hour"
} ]
}, {
"code": "T2044",
"display": "Hospice respite care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice inpatient respite care; per diem"
} ]
}, {
"code": "T2045",
"display": "Hospice general care",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice general inpatient care; per diem"
} ]
}, {
"code": "T2046",
"display": "Hospice long term care, r&b",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hospice long term care, room and board only; per diem"
} ]
}, {
"code": "T2047",
"display": "Hab prevo waiver per 15",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Habilitation, prevocational, waiver; per 15 minutes"
} ]
}, {
"code": "T2048",
"display": "Bh ltc res r&b, per diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Behavioral health; long-term care residential (non-acute care in a residential"
} ]
}, {
"code": "T2048",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "treatment program where stay is typically longer than 30 days), with room and"
} ]
}, {
"code": "T2048",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "board, per diem"
} ]
}, {
"code": "T2049",
"display": "N-et; stretcher van, mileage",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Non-emergency transportation; stretcher van, mileage; per mile"
} ]
}, {
"code": "T2050",
"display": "Financial mgt waiver/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Financial management, self-directed, waiver; per diem"
} ]
}, {
"code": "T2051",
"display": "Support broker waiver/diem",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supports brokerage, self-directed, waiver; per diem"
} ]
}, {
"code": "T2101",
"display": "Breast milk proc/store/dist",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Human breast milk processing, storage and distribution only"
} ]
}, {
"code": "T4521",
"display": "Adult size brief/diaper sm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, brief/diaper, small, each"
} ]
}, {
"code": "T4522",
"display": "Adult size brief/diaper med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, brief/diaper, medium, each"
} ]
}, {
"code": "T4523",
"display": "Adult size brief/diaper lg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, brief/diaper, large, each"
} ]
}, {
"code": "T4524",
"display": "Adult size brief/diaper xl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, brief/diaper, extra large, each"
} ]
}, {
"code": "T4525",
"display": "Adult size pull-on sm",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4525",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "small size, each"
} ]
}, {
"code": "T4526",
"display": "Adult size pull-on med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4526",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "medium size, each"
} ]
}, {
"code": "T4527",
"display": "Adult size pull-on lg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4527",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "large size, each"
} ]
}, {
"code": "T4528",
"display": "Adult size pull-on xl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4528",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extra large size, each"
} ]
}, {
"code": "T4529",
"display": "Ped size brief/diaper sm/med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric sized disposable incontinence product, brief/diaper, small/medium"
} ]
}, {
"code": "T4529",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "size, each"
} ]
}, {
"code": "T4530",
"display": "Ped size brief/diaper lg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric sized disposable incontinence product, brief/diaper, large size, each"
} ]
}, {
"code": "T4531",
"display": "Ped size pull-on sm/med",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4531",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "small/medium size, each"
} ]
}, {
"code": "T4532",
"display": "Ped size pull-on lg",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Pediatric sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4532",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "large size, each"
} ]
}, {
"code": "T4533",
"display": "Youth size brief/diaper",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Youth sized disposable incontinence product, brief/diaper, each"
} ]
}, {
"code": "T4534",
"display": "Youth size pull-on",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Youth sized disposable incontinence product, protective underwear/pull-on, each"
} ]
}, {
"code": "T4535",
"display": "Disposable liner/shield/pad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Disposable liner/shield/guard/pad/undergarment, for incontinence, each"
} ]
}, {
"code": "T4536",
"display": "Reusable pull-on any size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, protective underwear/pull-on, reusable, any size, each"
} ]
}, {
"code": "T4537",
"display": "Reusable underpad bed size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, protective underpad, reusable, bed size, each"
} ]
}, {
"code": "T4538",
"display": "Diaper serv reusable diaper",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Diaper service, reusable diaper, each diaper"
} ]
}, {
"code": "T4539",
"display": "Reuse diaper/brief any size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, diaper/brief, reusable, any size, each"
} ]
}, {
"code": "T4540",
"display": "Reusable underpad chair size",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, protective underpad, reusable, chair size, each"
} ]
}, {
"code": "T4541",
"display": "Large disposable underpad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, disposable underpad, large, each"
} ]
}, {
"code": "T4542",
"display": "Small disposable underpad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, disposable underpad, small size, each"
} ]
}, {
"code": "T4543",
"display": "Adult disp brief/diap abv xl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, protective brief/diaper, above"
} ]
}, {
"code": "T4543",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "extra large, each"
} ]
}, {
"code": "T4544",
"display": "Adlt disp und/pull on abv xl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Adult sized disposable incontinence product, protective underwear/pull-on,"
} ]
}, {
"code": "T4544",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "above extra large, each"
} ]
}, {
"code": "T4545",
"display": "Incon disposable penile wrap",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Incontinence product, disposable, penile wrap, each"
} ]
}, {
"code": "T5001",
"display": "Position seat spec orth need",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Positioning seat for persons with special orthopedic needs"
} ]
}, {
"code": "T5999",
"display": "Supply, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Supply, not otherwise specified"
} ]
}, {
"code": "U0001",
"display": "2019-ncov diagnostic p",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel"
} ]
}, {
"code": "U0002",
"display": "Covid-19 lab test non-cdc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple"
} ]
}, {
"code": "U0002",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "types or subtypes (includes all targets), non-cdc"
} ]
}, {
"code": "U0003",
"display": "Cov-19 amp prb hgh thruput",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious agent detection by nucleic acid (dna or rna); severe acute"
} ]
}, {
"code": "U0003",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease"
} ]
}, {
"code": "U0003",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "[covid-19]), amplified probe technique, making use of high throughput"
} ]
}, {
"code": "U0003",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "technologies as described by cms-2020-01-r"
} ]
}, {
"code": "U0004",
"display": "Cov-19 test non-cdc hgh thru",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple"
} ]
}, {
"code": "U0004",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "types or subtypes (includes all targets), non-cdc, making use of high"
} ]
}, {
"code": "U0004",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "throughput technologies as described by cms-2020-01-r"
} ]
}, {
"code": "U0005",
"display": "Infec agen detec ampli probe",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Infectious agent detection by nucleic acid (dna or rna); severe acute"
} ]
}, {
"code": "U0005",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease"
} ]
}, {
"code": "U0005",
"property": [ {
"code": "seqNum",
"valueString": "00300"
} ],
"designation": [ {
"value": "[covid-19]), amplified probe technique, cdc or non-cdc, making use of high"
} ]
}, {
"code": "U0005",
"property": [ {
"code": "seqNum",
"valueString": "00400"
} ],
"designation": [ {
"value": "throughput technologies, completed within 2 calendar days from date of specimen"
} ]
}, {
"code": "U0005",
"property": [ {
"code": "seqNum",
"valueString": "00500"
} ],
"designation": [ {
"value": "collection (list separately in addition to either hcpcs code u0003 or u0004) as"
} ]
}, {
"code": "U0005",
"property": [ {
"code": "seqNum",
"valueString": "00600"
} ],
"designation": [ {
"value": "described by cms-2020-01-r2"
} ]
}, {
"code": "V2020",
"display": "Vision svcs frames purchases",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Frames, purchases"
} ]
}, {
"code": "V2025",
"display": "Eyeglasses delux frames",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Deluxe frame"
} ]
}, {
"code": "V2100",
"display": "Lens spher single plano 4.00",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, single vision, plano to plus or minus 4.00, per lens"
} ]
}, {
"code": "V2101",
"display": "Single visn sphere 4.12-7.00",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens"
} ]
}, {
"code": "V2102",
"display": "Singl visn sphere 7.12-20.00",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens"
} ]
}, {
"code": "V2103",
"display": "Spherocylindr 4.00d/12-2.00d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to"
} ]
}, {
"code": "V2103",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.00d cylinder, per lens"
} ]
}, {
"code": "V2104",
"display": "Spherocylindr 4.00d/2.12-4d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to"
} ]
}, {
"code": "V2104",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4.00d cylinder, per lens"
} ]
}, {
"code": "V2105",
"display": "Spherocylinder 4.00d/4.25-6d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to"
} ]
}, {
"code": "V2105",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "6.00d cylinder, per lens"
} ]
}, {
"code": "V2106",
"display": "Spherocylinder 4.00d/>6.00d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d"
} ]
}, {
"code": "V2106",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2107",
"display": "Spherocylinder 4.25d/12-2d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere,"
} ]
}, {
"code": "V2107",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": ".12 to 2.00d cylinder, per lens"
} ]
}, {
"code": "V2108",
"display": "Spherocylinder 4.25d/2.12-4d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d"
} ]
}, {
"code": "V2108",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sphere, 2.12 to 4.00d cylinder, per lens"
} ]
}, {
"code": "V2109",
"display": "Spherocylinder 4.25d/4.25-6d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d"
} ]
}, {
"code": "V2109",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sphere, 4.25 to 6.00d cylinder, per lens"
} ]
}, {
"code": "V2110",
"display": "Spherocylinder 4.25d/over 6d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d"
} ]
}, {
"code": "V2110",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2111",
"display": "Spherocylindr 7.25d/.25-2.25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d"
} ]
}, {
"code": "V2111",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sphere, .25 to 2.25d cylinder, per lens"
} ]
}, {
"code": "V2112",
"display": "Spherocylindr 7.25d/2.25-4d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d"
} ]
}, {
"code": "V2112",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sphere, 2.25d to 4.00d cylinder, per lens"
} ]
}, {
"code": "V2113",
"display": "Spherocylindr 7.25d/4.25-6d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d"
} ]
}, {
"code": "V2113",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "sphere, 4.25 to 6.00d cylinder, per lens"
} ]
}, {
"code": "V2114",
"display": "Spherocylinder over 12.00d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens"
} ]
}, {
"code": "V2115",
"display": "Lens lenticular bifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lenticular, (myodisc), per lens, single vision"
} ]
}, {
"code": "V2118",
"display": "Lens aniseikonic single",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aniseikonic lens, single vision"
} ]
}, {
"code": "V2121",
"display": "Lenticular lens, single",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lenticular lens, per lens, single"
} ]
}, {
"code": "V2199",
"display": "Lens single vision not oth c",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Not otherwise classified, single vision lens"
} ]
}, {
"code": "V2200",
"display": "Lens spher bifoc plano 4.00d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, bifocal, plano to plus or minus 4.00d, per lens"
} ]
}, {
"code": "V2201",
"display": "Lens sphere bifocal 4.12-7.0",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens"
} ]
}, {
"code": "V2202",
"display": "Lens sphere bifocal 7.12-20.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens"
} ]
}, {
"code": "V2203",
"display": "Lens sphcyl bifocal 4.00d/.1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d"
} ]
}, {
"code": "V2203",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2204",
"display": "Lens sphcy bifocal 4.00d/2.1",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d"
} ]
}, {
"code": "V2204",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2205",
"display": "Lens sphcy bifocal 4.00d/4.2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d"
} ]
}, {
"code": "V2205",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2206",
"display": "Lens sphcy bifocal 4.00d/ove",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d"
} ]
}, {
"code": "V2206",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2207",
"display": "Lens sphcy bifocal 4.25-7d/.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12"
} ]
}, {
"code": "V2207",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 2.00d cylinder, per lens"
} ]
}, {
"code": "V2208",
"display": "Lens sphcy bifocal 4.25-7/2.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12"
} ]
}, {
"code": "V2208",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 4.00d cylinder, per lens"
} ]
}, {
"code": "V2209",
"display": "Lens sphcy bifocal 4.25-7/4.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25"
} ]
}, {
"code": "V2209",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 6.00d cylinder, per lens"
} ]
}, {
"code": "V2210",
"display": "Lens sphcy bifocal 4.25-7/ov",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over"
} ]
}, {
"code": "V2210",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "6.00d cylinder, per lens"
} ]
}, {
"code": "V2211",
"display": "Lens sphcy bifo 7.25-12/.25-",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25"
} ]
}, {
"code": "V2211",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 2.25d cylinder, per lens"
} ]
}, {
"code": "V2212",
"display": "Lens sphcyl bifo 7.25-12/2.2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere,"
} ]
}, {
"code": "V2212",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.25 to 4.00d cylinder, per lens"
} ]
}, {
"code": "V2213",
"display": "Lens sphcyl bifo 7.25-12/4.2",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere,"
} ]
}, {
"code": "V2213",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4.25 to 6.00d cylinder, per lens"
} ]
}, {
"code": "V2214",
"display": "Lens sphcyl bifocal over 12.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens"
} ]
}, {
"code": "V2215",
"display": "Lens lenticular bifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lenticular (myodisc), per lens, bifocal"
} ]
}, {
"code": "V2218",
"display": "Lens aniseikonic bifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aniseikonic, per lens, bifocal"
} ]
}, {
"code": "V2219",
"display": "Lens bifocal seg width over",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bifocal seg width over 28 mm"
} ]
}, {
"code": "V2220",
"display": "Lens bifocal add over 3.25d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Bifocal add over 3.25d"
} ]
}, {
"code": "V2221",
"display": "Lenticular lens, bifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lenticular lens, per lens, bifocal"
} ]
}, {
"code": "V2299",
"display": "Lens bifocal speciality",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty bifocal (by report)"
} ]
}, {
"code": "V2300",
"display": "Lens sphere trifocal 4.00d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, trifocal, plano to plus or minus 4.00d, per lens"
} ]
}, {
"code": "V2301",
"display": "Lens sphere trifocal 4.12-7.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens"
} ]
}, {
"code": "V2302",
"display": "Lens sphere trifocal 7.12-20",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens"
} ]
}, {
"code": "V2303",
"display": "Lens sphcy trifocal 4.0/.12-",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d"
} ]
}, {
"code": "V2303",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2304",
"display": "Lens sphcy trifocal 4.0/2.25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d"
} ]
}, {
"code": "V2304",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2305",
"display": "Lens sphcy trifocal 4.0/4.25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00"
} ]
}, {
"code": "V2305",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2306",
"display": "Lens sphcyl trifocal 4.00/>6",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d"
} ]
}, {
"code": "V2306",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "cylinder, per lens"
} ]
}, {
"code": "V2307",
"display": "Lens sphcy trifocal 4.25-7/.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12"
} ]
}, {
"code": "V2307",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "to 2.00d cylinder, per lens"
} ]
}, {
"code": "V2308",
"display": "Lens sphc trifocal 4.25-7/2.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere,"
} ]
}, {
"code": "V2308",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.12 to 4.00d cylinder, per lens"
} ]
}, {
"code": "V2309",
"display": "Lens sphc trifocal 4.25-7/4.",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere,"
} ]
}, {
"code": "V2309",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4.25 to 6.00d cylinder, per lens"
} ]
}, {
"code": "V2310",
"display": "Lens sphc trifocal 4.25-7/>6",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere,"
} ]
}, {
"code": "V2310",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "over 6.00d cylinder, per lens"
} ]
}, {
"code": "V2311",
"display": "Lens sphc trifo 7.25-12/.25-",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere,"
} ]
}, {
"code": "V2311",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": ".25 to 2.25d cylinder, per lens"
} ]
}, {
"code": "V2312",
"display": "Lens sphc trifo 7.25-12/2.25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere,"
} ]
}, {
"code": "V2312",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "2.25 to 4.00d cylinder, per lens"
} ]
}, {
"code": "V2313",
"display": "Lens sphc trifo 7.25-12/4.25",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere,"
} ]
}, {
"code": "V2313",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "4.25 to 6.00d cylinder, per lens"
} ]
}, {
"code": "V2314",
"display": "Lens sphcyl trifocal over 12",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens"
} ]
}, {
"code": "V2315",
"display": "Lens lenticular trifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lenticular, (myodisc), per lens, trifocal"
} ]
}, {
"code": "V2318",
"display": "Lens aniseikonic trifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Aniseikonic lens, trifocal"
} ]
}, {
"code": "V2319",
"display": "Lens trifocal seg width > 28",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trifocal seg width over 28 mm"
} ]
}, {
"code": "V2320",
"display": "Lens trifocal add over 3.25d",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Trifocal add over 3.25d"
} ]
}, {
"code": "V2321",
"display": "Lenticular lens, trifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lenticular lens, per lens, trifocal"
} ]
}, {
"code": "V2399",
"display": "Lens trifocal speciality",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty trifocal (by report)"
} ]
}, {
"code": "V2410",
"display": "Lens variab asphericity sing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Variable asphericity lens, single vision, full field, glass or plastic, per lens"
} ]
}, {
"code": "V2430",
"display": "Lens variable asphericity bi",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Variable asphericity lens, bifocal, full field, glass or plastic, per lens"
} ]
}, {
"code": "V2499",
"display": "Variable asphericity lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Variable sphericity lens, other type"
} ]
}, {
"code": "V2500",
"display": "Contact lens pmma spherical",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, pmma, spherical, per lens"
} ]
}, {
"code": "V2501",
"display": "Cntct lens pmma-toric/prism",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, pmma, toric or prism ballast, per lens"
} ]
}, {
"code": "V2502",
"display": "Contact lens pmma bifocal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, pmma, bifocal, per lens"
} ]
}, {
"code": "V2503",
"display": "Cntct lens pmma color vision",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, pmma, color vision deficiency, per lens"
} ]
}, {
"code": "V2510",
"display": "Cntct gas permeable sphericl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, gas permeable, spherical, per lens"
} ]
}, {
"code": "V2511",
"display": "Cntct toric prism ballast",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, gas permeable, toric, prism ballast, per lens"
} ]
}, {
"code": "V2512",
"display": "Cntct lens gas permbl bifocl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, gas permeable, bifocal, per lens"
} ]
}, {
"code": "V2513",
"display": "Contact lens extended wear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, gas permeable, extended wear, per lens"
} ]
}, {
"code": "V2520",
"display": "Contact lens hydrophilic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, spherical, per lens"
} ]
}, {
"code": "V2521",
"display": "Cntct lens hydrophilic toric",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, toric, or prism ballast, per lens"
} ]
}, {
"code": "V2522",
"display": "Cntct lens hydrophil bifocl",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, bifocal, per lens"
} ]
}, {
"code": "V2523",
"display": "Cntct lens hydrophil extend",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, extended wear, per lens"
} ]
}, {
"code": "V2524",
"display": "Cntct lens hydrophil photoch",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, spherical, photochromic additive, per lens"
} ]
}, {
"code": "V2525",
"display": "Cl, hydrophilic, dual focus",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, dual focus, per lens"
} ]
}, {
"code": "V2526",
"display": "Cntct lens blue violet",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, hydrophilic, with blue-violet filter, per lens"
} ]
}, {
"code": "V2530",
"display": "Contact lens gas impermeable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, scleral, gas impermeable, per lens (for contact lens"
} ]
}, {
"code": "V2530",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "modification, see 92325)"
} ]
}, {
"code": "V2531",
"display": "Contact lens gas permeable",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, scleral, gas permeable, per lens (for contact lens modification,"
} ]
}, {
"code": "V2531",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "see 92325)"
} ]
}, {
"code": "V2599",
"display": "Contact lens/es other type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Contact lens, other type"
} ]
}, {
"code": "V2600",
"display": "Hand held low vision aids",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hand held low vision aids and other nonspectacle mounted aids"
} ]
}, {
"code": "V2610",
"display": "Single lens spectacle mount",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Single lens spectacle mounted low vision aids"
} ]
}, {
"code": "V2615",
"display": "Telescop/othr compound lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Telescopic and other compound lens system, including distance vision"
} ]
}, {
"code": "V2615",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "telescopic, near vision telescopes and compound microscopic lens system"
} ]
}, {
"code": "V2623",
"display": "Plastic eye prosth custom",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic eye, plastic, custom"
} ]
}, {
"code": "V2624",
"display": "Polishing artifical eye",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Polishing/resurfacing of ocular prosthesis"
} ]
}, {
"code": "V2625",
"display": "Enlargemnt of eye prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Enlargement of ocular prosthesis"
} ]
}, {
"code": "V2626",
"display": "Reduction of eye prosthesis",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Reduction of ocular prosthesis"
} ]
}, {
"code": "V2627",
"display": "Scleral cover shell",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scleral cover shell"
} ]
}, {
"code": "V2628",
"display": "Fabrication & fitting",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fabrication and fitting of ocular conformer"
} ]
}, {
"code": "V2629",
"display": "Prosthetic eye other type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prosthetic eye, other type"
} ]
}, {
"code": "V2630",
"display": "Anter chamber intraocul lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anterior chamber intraocular lens"
} ]
}, {
"code": "V2631",
"display": "Iris support intraoclr lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Iris supported intraocular lens"
} ]
}, {
"code": "V2632",
"display": "Post chmbr intraocular lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Posterior chamber intraocular lens"
} ]
}, {
"code": "V2700",
"display": "Balance lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Balance lens, per lens"
} ]
}, {
"code": "V2702",
"display": "Deluxe lens feature",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Deluxe lens feature"
} ]
}, {
"code": "V2710",
"display": "Glass/plastic slab off prism",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Slab off prism, glass or plastic, per lens"
} ]
}, {
"code": "V2715",
"display": "Prism lens/es",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Prism, per lens"
} ]
}, {
"code": "V2718",
"display": "Fresnell prism press-on lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Press-on lens, fresnell prism, per lens"
} ]
}, {
"code": "V2730",
"display": "Special base curve",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Special base curve, glass or plastic, per lens"
} ]
}, {
"code": "V2744",
"display": "Tint photochromatic lens/es",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Tint, photochromatic, per lens"
} ]
}, {
"code": "V2745",
"display": "Tint, any color/solid/grad",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Addition to lens; tint, any color, solid, gradient or equal, excludes"
} ]
}, {
"code": "V2745",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "photochromatic, any lens material, per lens"
} ]
}, {
"code": "V2750",
"display": "Anti-reflective coating",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Anti-reflective coating, per lens"
} ]
}, {
"code": "V2755",
"display": "Uv lens/es",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "U-v lens, per lens"
} ]
}, {
"code": "V2756",
"display": "Eye glass case",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Eye glass case"
} ]
}, {
"code": "V2760",
"display": "Scratch resistant coating",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Scratch resistant coating, per lens"
} ]
}, {
"code": "V2761",
"display": "Mirror coating",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Mirror coating, any type, solid, gradient or equal, any lens material, per lens"
} ]
}, {
"code": "V2762",
"display": "Polarization, any lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Polarization, any lens material, per lens"
} ]
}, {
"code": "V2770",
"display": "Occluder lens/es",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Occluder lens, per lens"
} ]
}, {
"code": "V2780",
"display": "Oversize lens/es",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Oversize lens, per lens"
} ]
}, {
"code": "V2781",
"display": "Progressive lens per lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Progressive lens, per lens"
} ]
}, {
"code": "V2782",
"display": "Lens, 1.54-1.65 p/1.60-1.79g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate,"
} ]
}, {
"code": "V2782",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "per lens"
} ]
}, {
"code": "V2783",
"display": "Lens, >= 1.66 p/>=1.80 g",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lens, index greater than or equal to 1.66 plastic or greater than or equal to"
} ]
}, {
"code": "V2783",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "1.80 glass, excludes polycarbonate, per lens"
} ]
}, {
"code": "V2784",
"display": "Lens polycarb or equal",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Lens, polycarbonate or equal, any index, per lens"
} ]
}, {
"code": "V2785",
"display": "Corneal tissue processing",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Processing, preserving and transporting corneal tissue"
} ]
}, {
"code": "V2786",
"display": "Occupational multifocal lens",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Specialty occupational multifocal lens, per lens"
} ]
}, {
"code": "V2787",
"display": "Astigmatism-correct function",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Astigmatism correcting function of intraocular lens"
} ]
}, {
"code": "V2788",
"display": "Presbyopia-correct function",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Presbyopia correcting function of intraocular lens"
} ]
}, {
"code": "V2790",
"display": "Amniotic membrane",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Amniotic membrane for surgical reconstruction, per procedure"
} ]
}, {
"code": "V2797",
"display": "Vis item/svc in other code",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vision supply, accessory and/or service component of another hcpcs vision code"
} ]
}, {
"code": "V2799",
"display": "Misc vision item or service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Vision item or service, miscellaneous"
} ]
}, {
"code": "V5008",
"display": "Hearing screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing screening"
} ]
}, {
"code": "V5010",
"display": "Assessment for hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assessment for hearing aid"
} ]
}, {
"code": "V5011",
"display": "Hearing aid fitting/checking",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Fitting/orientation/checking of hearing aid"
} ]
}, {
"code": "V5014",
"display": "Hearing aid repair/modifying",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair/modification of a hearing aid"
} ]
}, {
"code": "V5020",
"display": "Conformity evaluation",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Conformity evaluation"
} ]
}, {
"code": "V5030",
"display": "Body-worn hearing aid air",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, monaural, body worn, air conduction"
} ]
}, {
"code": "V5040",
"display": "Body-worn hearing aid bone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, monaural, body worn, bone conduction"
} ]
}, {
"code": "V5050",
"display": "Hearing aid monaural in ear",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, monaural, in the ear"
} ]
}, {
"code": "V5060",
"display": "Behind ear hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, monaural, behind the ear"
} ]
}, {
"code": "V5070",
"display": "Glasses air conduction",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glasses, air conduction"
} ]
}, {
"code": "V5080",
"display": "Glasses bone conduction",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Glasses, bone conduction"
} ]
}, {
"code": "V5090",
"display": "Hearing aid dispensing fee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing fee, unspecified hearing aid"
} ]
}, {
"code": "V5095",
"display": "Implant mid ear hearing pros",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Semi-implantable middle ear hearing prosthesis"
} ]
}, {
"code": "V5100",
"display": "Body-worn bilat hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, bilateral, body worn"
} ]
}, {
"code": "V5110",
"display": "Hearing aid dispensing fee",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing fee, bilateral"
} ]
}, {
"code": "V5120",
"display": "Body-worn binaur hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Binaural, body"
} ]
}, {
"code": "V5130",
"display": "In ear binaural hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Binaural, in the ear"
} ]
}, {
"code": "V5140",
"display": "Behind ear binaur hearing ai",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Binaural, behind the ear"
} ]
}, {
"code": "V5150",
"display": "Glasses binaural hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Binaural, glasses"
} ]
}, {
"code": "V5160",
"display": "Dispensing fee binaural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing fee, binaural"
} ]
}, {
"code": "V5170",
"display": "Within ear cros hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, cros, in the ear"
} ]
}, {
"code": "V5171",
"display": "Hearing aid monaural ite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing device, monaural, in the ear (ite)"
} ]
}, {
"code": "V5172",
"display": "Hearing aid monaural itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing device, monaural, in the canal (itc)"
} ]
}, {
"code": "V5180",
"display": "Behind ear cros hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, cros, behind the ear"
} ]
}, {
"code": "V5181",
"display": "Hearing aid monaural bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing device, monaural, behind the ear (bte)"
} ]
}, {
"code": "V5190",
"display": "Hearing aid monaural glasses",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing, monaural, glasses"
} ]
}, {
"code": "V5200",
"display": "Disp fee contralateral monau",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing fee, contralateral, monaural"
} ]
}, {
"code": "V5210",
"display": "In ear bicros hearing aid",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, bicros, in the ear"
} ]
}, {
"code": "V5211",
"display": "Hearing aid binaural ite/ite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, ite/ite"
} ]
}, {
"code": "V5212",
"display": "Hearing aid binaural ite/itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, ite/itc"
} ]
}, {
"code": "V5213",
"display": "Hearing aid binaural ite/bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, ite/bte"
} ]
}, {
"code": "V5214",
"display": "Hearing aid binaural itc/itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, itc/itc"
} ]
}, {
"code": "V5215",
"display": "Hearing aid binaural itc/bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, itc/bte"
} ]
}, {
"code": "V5220",
"display": "Behind ear bicros hearing ai",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, bicros, behind the ear"
} ]
}, {
"code": "V5221",
"display": "Hearing aid binaural bte/bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, bte/bte"
} ]
}, {
"code": "V5230",
"display": "Hearing aid binaural glasses",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, contralateral routing system, binaural, glasses"
} ]
}, {
"code": "V5240",
"display": "Disp fee contralateral binau",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing fee, contralateral routing system, binaural"
} ]
}, {
"code": "V5241",
"display": "Dispensing fee, monaural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dispensing fee, monaural hearing aid, any type"
} ]
}, {
"code": "V5242",
"display": "Hearing aid, monaural, cic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, analog, monaural, cic (completely in the ear canal)"
} ]
}, {
"code": "V5243",
"display": "Hearing aid, monaural, itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, analog, monaural, itc (in the canal)"
} ]
}, {
"code": "V5244",
"display": "Hearing aid, prog, mon, cic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable analog, monaural, cic"
} ]
}, {
"code": "V5245",
"display": "Hearing aid, prog, mon, itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable, analog, monaural, itc"
} ]
}, {
"code": "V5246",
"display": "Hearing aid, prog, mon, ite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable analog, monaural, ite (in the ear)"
} ]
}, {
"code": "V5247",
"display": "Hearing aid, prog, mon, bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable analog, monaural, bte (behind the ear)"
} ]
}, {
"code": "V5248",
"display": "Hearing aid, binaural, cic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, analog, binaural, cic"
} ]
}, {
"code": "V5249",
"display": "Hearing aid, binaural, itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, analog, binaural, itc"
} ]
}, {
"code": "V5250",
"display": "Hearing aid, prog, bin, cic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable analog, binaural, cic"
} ]
}, {
"code": "V5251",
"display": "Hearing aid, prog, bin, itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable analog, binaural, itc"
} ]
}, {
"code": "V5252",
"display": "Hearing aid, prog, bin, ite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable, binaural, ite"
} ]
}, {
"code": "V5253",
"display": "Hearing aid, prog, bin, bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digitally programmable, binaural, bte"
} ]
}, {
"code": "V5254",
"display": "Hearing id, digit, mon, cic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, monaural, cic"
} ]
}, {
"code": "V5255",
"display": "Hearing aid, digit, mon, itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, monaural, itc"
} ]
}, {
"code": "V5256",
"display": "Hearing aid, digit, mon, ite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, monaural, ite"
} ]
}, {
"code": "V5257",
"display": "Hearing aid, digit, mon, bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, monaural, bte"
} ]
}, {
"code": "V5258",
"display": "Hearing aid, digit, bin, cic",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, binaural, cic"
} ]
}, {
"code": "V5259",
"display": "Hearing aid, digit, bin, itc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, binaural, itc"
} ]
}, {
"code": "V5260",
"display": "Hearing aid, digit, bin, ite",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, binaural, ite"
} ]
}, {
"code": "V5261",
"display": "Hearing aid, digit, bin, bte",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, digital, binaural, bte"
} ]
}, {
"code": "V5262",
"display": "Hearing aid, disp, monaural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, disposable, any type, monaural"
} ]
}, {
"code": "V5263",
"display": "Hearing aid, disp, binaural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, disposable, any type, binaural"
} ]
}, {
"code": "V5264",
"display": "Ear mold/insert",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ear mold/insert, not disposable, any type"
} ]
}, {
"code": "V5265",
"display": "Ear mold/insert, disp",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ear mold/insert, disposable, any type"
} ]
}, {
"code": "V5266",
"display": "Battery for hearing device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Battery for use in hearing device"
} ]
}, {
"code": "V5267",
"display": "Hearing aid sup/access/dev",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid or assistive listening device/supplies/accessories, not otherwise"
} ]
}, {
"code": "V5267",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "specified"
} ]
}, {
"code": "V5268",
"display": "Ald telephone amplifier",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, telephone amplifier, any type"
} ]
}, {
"code": "V5269",
"display": "Alerting device, any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, alerting, any type"
} ]
}, {
"code": "V5270",
"display": "Ald, tv amplifier, any type",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, television amplifier, any type"
} ]
}, {
"code": "V5271",
"display": "Ald, tv caption decoder",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, television caption decoder"
} ]
}, {
"code": "V5272",
"display": "Tdd",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, tdd"
} ]
}, {
"code": "V5273",
"display": "Ald for cochlear implant",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, for use with cochlear implant"
} ]
}, {
"code": "V5274",
"display": "Ald unspecified",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, not otherwise specified"
} ]
}, {
"code": "V5275",
"display": "Ear impression",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Ear impression, each"
} ]
}, {
"code": "V5281",
"display": "Ald fm/dm system, monaural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm system, monaural, (1 receiver,"
} ]
}, {
"code": "V5281",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transmitter, microphone), any type"
} ]
}, {
"code": "V5282",
"display": "Ald fm/dm system binaural",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm system, binaural, (2 receivers,"
} ]
}, {
"code": "V5282",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "transmitter, microphone), any type"
} ]
}, {
"code": "V5283",
"display": "Ald neck, loop ind receiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm neck, loop induction receiver"
} ]
}, {
"code": "V5284",
"display": "Ald fm/dm ear level receiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm, ear level receiver"
} ]
}, {
"code": "V5285",
"display": "Ald fm/dm aud input receiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm, direct audio input receiver"
} ]
}, {
"code": "V5286",
"display": "Ald blu tooth fm/dm receiver",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal blue tooth fm/dm receiver"
} ]
}, {
"code": "V5287",
"display": "Ald fm/dm receiver, nos",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm receiver, not otherwise specified"
} ]
}, {
"code": "V5288",
"display": "Ald fm/dm transmitter ald",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm transmitter assistive listening"
} ]
}, {
"code": "V5288",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "device"
} ]
}, {
"code": "V5289",
"display": "Ald fm/dm adapt/boot couplin",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, personal fm/dm adapter/boot coupling device for"
} ]
}, {
"code": "V5289",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "receiver, any type"
} ]
}, {
"code": "V5290",
"display": "Ald transmitter microphone",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Assistive listening device, transmitter microphone, any type"
} ]
}, {
"code": "V5298",
"display": "Hearing aid noc",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing aid, not otherwise classified"
} ]
}, {
"code": "V5299",
"display": "Hearing service",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Hearing service, miscellaneous"
} ]
}, {
"code": "V5336",
"display": "Repair communication device",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Repair/modification of augmentative communicative system or device (excludes"
} ]
}, {
"code": "V5336",
"property": [ {
"code": "seqNum",
"valueString": "00200"
} ],
"designation": [ {
"value": "adaptive hearing aid)"
} ]
}, {
"code": "V5362",
"display": "Speech screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Speech screening"
} ]
}, {
"code": "V5363",
"display": "Language screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Language screening"
} ]
}, {
"code": "V5364",
"display": "Dysphagia screening",
"property": [ {
"code": "seqNum",
"valueString": "00100"
} ],
"designation": [ {
"value": "Dysphagia screening"
} ]
} ],
"caseSensitive": true,
"version": "2025-01",
"contact": [ {
"name": "U.S. Centers for Medicare & Medicaid Services (CMS)",
"telecom": [ {
"value": "https://www.cms.gov/",
"system": "url"
}, {
"value": "hcpcs@cms.hhs.gov",
"system": "email"
} ]
} ]
}