|
C1204 | Technetium tc 99m tilmanocept, diagnostic, up to 0.5 millicuries |
|
C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
|
C1714 | Catheter, transluminal atherectomy, directional |
|
C1715 | Brachytherapy needle |
|
C1716 | Brachytherapy source, non-stranded, gold-198, per source |
|
C1717 | Brachytherapy source, non-stranded, high dose rate iridium-192, per source |
|
C1719 | Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source |
|
C1721 | Cardioverter-defibrillator, dual chamber (implantable) |
|
C1722 | Cardioverter-defibrillator, single chamber (implantable) |
|
C1724 | Catheter, transluminal atherectomy, rotational |
|
C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
|
C1726 | Catheter, balloon dilatation, non-vascular |
|
C1727 | Catheter, balloon tissue dissector, non-vascular (insertable) |
|
C1728 | Catheter, brachytherapy seed administration |
|
C1729 | Catheter, drainage |
|
C1730 | Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) |
|
C1731 | Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes) |
|
C1732 | Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping |
|
C1733 | Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip |
|
C1750 | Catheter, hemodialysis/peritoneal, long-term |
|
C1751 | Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
|
C1752 | Catheter, hemodialysis/peritoneal, short-term |
|
C1753 | Catheter, intravascular ultrasound |
|
C1754 | Catheter, intradiscal |
|
C1755 | Catheter, intraspinal |
|
C1756 | Catheter, pacing, transesophageal |
|
C1757 | Catheter, thrombectomy/embolectomy |
|
C1758 | Catheter, ureteral |
|
C1759 | Catheter, intracardiac echocardiography |
|
C1760 | Closure device, vascular (implantable/insertable) |
|
C1762 | Connective tissue, human (includes fascia lata) |
|
C1763 | Connective tissue, non-human (includes synthetic) |
|
C1764 | Event recorder, cardiac (implantable) |
|
C1765 | Adhesion barrier |
|
C1766 | Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away |
|
C1767 | Generator, neurostimulator (implantable), non-rechargeable |
|
C1768 | Graft, vascular |
|
C1769 | Guide wire |
|
C1770 | Imaging coil, magnetic resonance (insertable) |
|
C1771 | Repair device, urinary, incontinence, with sling graft |
|
C1772 | Infusion pump, programmable (implantable) |
|
C1773 | Retrieval device, insertable (used to retrieve fractured medical devices) |
|
C1776 | Joint device (implantable) |
|
C1777 | Lead, cardioverter-defibrillator, endocardial single coil (implantable) |
|
C1778 | Lead, neurostimulator (implantable) |
|
C1779 | Lead, pacemaker, transvenous vdd single pass |
|
C1780 | Lens, intraocular (new technology) |
|
C1781 | Mesh (implantable) |
|
C1782 | Morcellator |
|
C1783 | Ocular implant, aqueous drainage assist device |
|
C1784 | Ocular device, intraoperative, detached retina |
|
C1785 | Pacemaker, dual chamber, rate-responsive (implantable) |
|
C1786 | Pacemaker, single chamber, rate-responsive (implantable) |
|
C1787 | Patient programmer, neurostimulator |
|
C1788 | Port, indwelling (implantable) |
|
C1789 | Prosthesis, breast (implantable) |
|
C1813 | Prosthesis, penile, inflatable |
|
C1814 | Retinal tamponade device, silicone oil |
|
C1815 | Prosthesis, urinary sphincter (implantable) |
|
C1816 | Receiver and/or transmitter, neurostimulator (implantable) |
|
C1817 | Septal defect implant system, intracardiac |
|
C1818 | Integrated keratoprosthesis |
|
C1819 | Surgical tissue localization and excision device (implantable) |
|
C1820 | Generator, neurostimulator (implantable), with rechargeable battery and charging system |
|
C1821 | Interspinous process distraction device (implantable) |
|
C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system |
|
C1830 | Powered bone marrow biopsy needle |
|
C1840 | Lens, intraocular (telescopic) |
|
C1841 | Retinal prosthesis, includes all internal and external components |
|
C1842 | Retinal prosthesis, includes all internal and external components; add-on to c1841 |
|
C1874 | Stent, coated/covered, with delivery system |
|
C1875 | Stent, coated/covered, without delivery system |
|
C1876 | Stent, non-coated/non-covered, with delivery system |
|
C1877 | Stent, non-coated/non-covered, without delivery system |
|
C1878 | Material for vocal cord medialization, synthetic (implantable) |
|
C1880 | Vena cava filter |
|
C1881 | Dialysis access system (implantable) |
|
C1882 | Cardioverter-defibrillator, other than single or dual chamber (implantable) |
|
C1883 | Adapter/extension, pacing lead or neurostimulator lead (implantable) |
|
C1884 | Embolization protective system |
|
C1885 | Catheter, transluminal angioplasty, laser |
|
C1887 | Catheter, guiding (may include infusion/perfusion capability) |
|
C1888 | Catheter, ablation, non-cardiac, endovascular (implantable) |
|
C1889 | Implantable/insertable device for device intensive procedure, not otherwise classified |
|
C1891 | Infusion pump, non-programmable, permanent (implantable) |
|
C1892 | Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away |
|
C1893 | Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away |
|
C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
|
C1895 | Lead, cardioverter-defibrillator, endocardial dual coil (implantable) |
|
C1896 | Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable) |
|
C1897 | Lead, neurostimulator test kit (implantable) |
|
C1898 | Lead, pacemaker, other than transvenous vdd single pass |
|
C1899 | Lead, pacemaker/cardioverter-defibrillator combination (implantable) |
|
C1900 | Lead, left ventricular coronary venous system |
|
C2613 | Lung biopsy plug with delivery system |
|
C2614 | Probe, percutaneous lumbar discectomy |
|
C2615 | Sealant, pulmonary, liquid |
|
C2616 | Brachytherapy source, non-stranded, yttrium-90, per source |
|
C2617 | Stent, non-coronary, temporary, without delivery system |
|
C2618 | Probe/needle, cryoablation |
|
C2619 | Pacemaker, dual chamber, non rate-responsive (implantable) |
|
C2620 | Pacemaker, single chamber, non rate-responsive (implantable) |
|
C2621 | Pacemaker, other than single or dual chamber (implantable) |
|
C2622 | Prosthesis, penile, non-inflatable |
|
C2623 | Catheter, transluminal angioplasty, drug-coated, non-laser |
|
C2624 | Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components |
|
C2625 | Stent, non-coronary, temporary, with delivery system |
|
C2626 | Infusion pump, non-programmable, temporary (implantable) |
|
C2627 | Catheter, suprapubic/cystoscopic |
|
C2628 | Catheter, occlusion |
|
C2629 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser |
|
C2630 | Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip |
|
C2631 | Repair device, urinary, incontinence, without sling graft |
|
C2636 | Brachytherapy linear source, non-stranded, palladium-103, per 1 mm |
|
C2637 | Brachytherapy source, non-stranded, ytterbium-169, per source |
|
C2638 | Brachytherapy source, stranded, iodine-125, per source |
|
C2639 | Brachytherapy source, non-stranded, iodine-125, per source |
|
C2640 | Brachytherapy source, stranded, palladium-103, per source |
|
C2641 | Brachytherapy source, non-stranded, palladium-103, per source |
|
C2642 | Brachytherapy source, stranded, cesium-131, per source |
|
C2643 | Brachytherapy source, non-stranded, cesium-131, per source |
|
C2644 | Brachytherapy source, cesium-131 chloride solution, per millicurie |
|
C2645 | Brachytherapy planar source, palladium-103, per square millimeter |
|
C2698 | Brachytherapy source, stranded, not otherwise specified, per source |
|
C2699 | Brachytherapy source, non-stranded, not otherwise specified, per source |
|
C5271 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
|
C5272 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) |
|
C5273 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
|
C5274 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) |
|
C5275 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
|
C5276 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) |
|
C5277 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
|
C5278 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) |
|
C8900 | Magnetic resonance angiography with contrast, abdomen |
|
C8901 | Magnetic resonance angiography without contrast, abdomen |
|
C8902 | Magnetic resonance angiography without contrast followed by with contrast, abdomen |
|
C8903 | Magnetic resonance imaging with contrast, breast; unilateral |
|
C8904 | Magnetic resonance imaging without contrast, breast; unilateral |
|
C8905 | Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral |
|
C8906 | Magnetic resonance imaging with contrast, breast; bilateral |
|
C8907 | Magnetic resonance imaging without contrast, breast; bilateral |
|
C8908 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral |
|
C8909 | Magnetic resonance angiography with contrast, chest (excluding myocardium) |
|
C8910 | Magnetic resonance angiography without contrast, chest (excluding myocardium) |
|
C8911 | Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) |
|
C8912 | Magnetic resonance angiography with contrast, lower extremity |
|
C8913 | Magnetic resonance angiography without contrast, lower extremity |
|
C8914 | Magnetic resonance angiography without contrast followed by with contrast, lower extremity |
|
C8918 | Magnetic resonance angiography with contrast, pelvis |
|
C8919 | Magnetic resonance angiography without contrast, pelvis |
|
C8920 | Magnetic resonance angiography without contrast followed by with contrast, pelvis |
|
C8921 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete |
|
C8922 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study |
|
C8923 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography |
|
C8924 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study |
|
C8925 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report |
|
C8926 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report |
|
C8927 | Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis |
|
C8928 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report |
|
C8929 | Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
|
C8930 | Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision |
|
C8931 | Magnetic resonance angiography with contrast, spinal canal and contents |
|
C8932 | Magnetic resonance angiography without contrast, spinal canal and contents |
|
C8933 | Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents |
|
C8934 | Magnetic resonance angiography with contrast, upper extremity |
|
C8935 | Magnetic resonance angiography without contrast, upper extremity |
|
C8936 | Magnetic resonance angiography without contrast followed by with contrast, upper extremity |
|
C8957 | Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump |
|
C9014 | Injection, cerliponase alfa, 1 mg |
|
C9015 | Injection, c-1 esterase inhibitor (human), haegarda, 10 units |
|
C9016 | Injection, triptorelin extended release, 3.75 mg |
|
C9024 | Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine |
|
C9028 | Injection, inotuzumab ozogamicin, 0.1 mg |
|
C9029 | Injection, guselkumab, 1 mg |
|
C9030 | Injection, copanlisib, 1 mg |
|
C9031 | Lutetium Lu 177, dotatate, therapeutic, 1 mCi |
|
C9032 | Injection, voretigene neparvovec-rzyl, 1 billion vector genome |
|
C9033 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg |
|
C9034 | Injection, dexamethasone 9%, intraocular, 1 mcg |
|
C9113 | Injection, pantoprazole sodium, per vial |
|
C9132 | Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity |
|
C9248 | Injection, clevidipine butyrate, 1 mg |
|
C9250 | Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml |
|
C9257 | Injection, bevacizumab, 0.25 mg |
|
C9285 | Lidocaine 70 mg/tetracaine 70 mg, per patch |
|
C9352 | Microporous collagen implantable tube (neuragen nerve guide), per centimeter length |
|
C9353 | Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length |
|
C9354 | Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter |
|
C9355 | Collagen nerve cuff (neuromatrix), per 0.5 centimeter length |
|
C9356 | Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter |
|
C9363 | Skin substitute, integra meshed bilayer wound matrix, per square centimeter |
|
C9364 | Porcine implant, permacol, per square centimeter |
|
C9399 | Unclassified drugs or biologicals |
|
C9447 | Injection, phenylephrine and ketorolac, 4 ml vial |
|
C9460 | Injection, cangrelor, 1 mg |
|
C9462 | Injection, delafloxacin, 1 mg |
|
C9463 | Injection, aprepitant, 1 mg |
|
C9464 | Injection, aprepitant, 1 mg |
|
C9465 | Hyaluronan or derivative, Durolane, for intra-articular injection, per dose |
|
C9466 | Injection, benralizumab, 1 mg |
|
C9467 | Injection, rituximab and hyaluronidase, 10 mg |
|
C9468 | Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, Rebinyn, 1 i.u. |
|
C9482 | Injection, sotalol hydrochloride, 1 mg |
|
C9488 | Injection, conivaptan hydrochloride, 1 mg |
|
C9492 | Injection, durvalumab, 10 mg |
|
C9493 | Injection, edaravone, 1 mg |
|
C9497 | Loxapine, inhalation powder, 10 mg |
|
C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
|
C9601 | Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
|
C9602 | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
|
C9603 | Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
|
C9604 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
|
C9605 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) |
|
C9606 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel |
|
C9607 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel |
|
C9608 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) |
|
C9725 | Placement of endorectal intracavitary applicator for high intensity brachytherapy |
|
C9726 | Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure |
|
C9727 | Insertion of implants into the soft palate; minimum of three implants |
|
C9734 | Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance |
|
C9738 | Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure) |
|
C9739 | Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants |
|
C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants |
|
C9741 | Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report |
|
C9744 | Ultrasound, abdominal, with contrast |
|
C9745 | Nasal endoscopy, surgical; balloon dilation of eustachian tube |
|
C9746 | Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed |
|
C9747 | Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance |
|
C9748 | Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy |
|
C9749 | Repair of nasal vestibular lateral wall stenosis with implant(s) |
|
C9750 | Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system (includes device and electrode) |
|
C9898 | Radiolabeled product provided during a hospital inpatient stay |
|
C9899 | Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage |
|
Q5108 | Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg |
