Official Disability Guidelines
CPT Procedure Code Index "9" CPT Codes
Medicine/Evaluation & Management

90281  Human ig, im
  Immune globulin (Ig), human, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90283  Human ig, iv
  Immune globulin (IgIV), human, for intravenous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90284  Human ig sc
  Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90287  Botulinum antitoxin
  Botulinum antitoxin, equine, any route
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90288  Botulism ig, iv
  Botulism immune globulin, human, for intravenous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90291  Cmv ig, iv
  Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90296  Diphtheria antitoxin
  Diphtheria antitoxin, equine, any route
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90371  Hep b ig, im
  Hepatitis B immune globulin (HBIg), human, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90375  Rabies ig, im/sc
  Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90376  Rabies ig, heat treated
  Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90378  Rsv ig, im, 50mg
  Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90379  Rsv ig, iv
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90384  Rh ig, full-dose, im
  Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90385  Rh ig, minidose, im
  Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90386  Rh ig, iv
  Rho(D) immune globulin (RhIgIV), human, for intravenous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90389  Tetanus ig, im
  Tetanus immune globulin (TIg), human, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90393  Vaccina ig, im
  Vaccinia immune globulin, human, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90396  Varicella-zoster ig, im
  Varicella-zoster immune globulin, human, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90399  Immune globulin
  Unlisted immune globulin
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90460  Imadm any route 1st vac/tox
  Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90461  Inadm any route addl vac/tox
  Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine/toxoid component (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90465  Immune admin 1 inj, < 8 yrs
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90466  Immune admin addl inj, < 8 y
  Medicare Fee Schedule: $11
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90467  Immune admin o or n, < 8 yrs
  Medicare Fee Schedule: $13
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90468  Immune admin o/n, addl < 8 y
  Medicare Fee Schedule: $10
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90470  Immune admin h1n1 im/nasal
  H1N1 immunization administration (intramuscular, intranasal), including counseling when performed
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90471  Immunization admin
  Click Here for Complete Information for this CPT Code

90472  Immunization admin, each add
  Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $11
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90473  Immune admin oral/nasal
  Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)
  Medicare Fee Schedule: $13
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90474  Immune admin oral/nasal addl
  Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $9
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90476  Adenovirus vaccine, type 4
  Adenovirus vaccine, type 4, live, for oral use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90477  Adenovirus vaccine, type 7
  Adenovirus vaccine, type 7, live, for oral use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90581  Anthrax vaccine, sc
  Anthrax vaccine, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90585  Bcg vaccine, percut
  Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90586  Bcg vaccine, intravesical
  Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90632  Hep a vaccine, adult im
  Hepatitis A vaccine, adult dosage, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90633  Hep a vacc, ped/adol, 2 dose
  Hepatitis A vaccine, pediatric/adolescent dosage-2 dose schedule, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90634  Hep a vacc, ped/adol, 3 dose
  Hepatitis A vaccine, pediatric/adolescent dosage-3 dose schedule, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90636  Hep a/hep b vacc, adult im
  Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90644  Meningoccl hib vac 4 dose im
  Meningococcal conjugate vaccine, serogroups C & Y and Hemophilus influenza B vaccine, tetanus toxoid conjugate (Hib-MenCY-TT), 4 dose schedule, when administered to children 2-15 months of age, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90645  Hib vaccine, hboc, im
  Hemophilus influenza b vaccine (Hib), HbOC conjugate (4 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90646  Hib vaccine, prp-d, im
  Hemophilus influenza b vaccine (Hib), PRP-D conjugate, for booster use only, intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90647  Hib vaccine, prp-omp, im
  Hemophilus influenza b vaccine (Hib), PRP-OMP conjugate (3 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90648  Hib vaccine, prp-t, im
  Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90649  H papilloma vacc 3 dose im
  Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18 (quadrivalent), 3 dose schedule, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90650  Hpv vaccine 2 valent im
  Human Papilloma virus (HPV) vaccine, types 16, 18, bivalent, 3 dose schedule, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90655  Flu vaccine no preserv 6-35m
  Influenza virus vaccine, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90656  Flu vaccine no preserv 3 & >
  Influenza virus vaccine, split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90657  Flu vaccine, 3 yrs, im
  Influenza virus vaccine, split virus, when administered to children 6-35 months of age, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90658  Flu vaccine, 3 yrs & >, im
  Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90660  Flu vaccine, nasal
  Influenza virus vaccine, live, for intranasal use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90661  Flu vacc cell cult prsv free
  Influenza virus vaccine, derived from cell cultures, subunit, preservative and antibiotic free, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90662  Flu vacc prsv free inc antig
  Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90663  Flu vacc pandemic h1n1
  Influenza virus vaccine, pandemic formulation, H1N1
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90664  Flu vacc pandemic intranasal
  Influenza virus vaccine, pandemic formulation, live, for intranasal use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90665  Lyme disease vaccine, im
  Lyme disease vaccine, adult dosage, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90666  Flu vac pandem prsrv free im
  Influenza virus vaccine, pandemic formulation, split virus, preservative free, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90667  Flu vac pandemic adjuvant im
  Influenza virus vaccine, pandemic formulation, split virus, adjuvanted, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90668  Flu vac pandemic splt im
  Influenza virus vaccine, pandemic formulation, split virus, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90669  Pneumococcal vacc, ped <5
  Pneumococcal conjugate vaccine, 7 valent, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90670  Pneumococcal vacc 13 val im
  Pneumococcal conjugate vaccine, 13 valent, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90675  Rabies vaccine, im
  Rabies vaccine, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90676  Rabies vaccine, id
  Rabies vaccine, for intradermal use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90680  Rotovirus vacc 3 dose, oral
  Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90681  Rotavirus vacc 2 dose oral
  Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90690  Typhoid vaccine, oral
  Typhoid vaccine, live, oral
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90691  Typhoid vaccine, im
  Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90692  Typhoid vaccine, h-p, sc/id
  Typhoid vaccine, heat- and phenol-inactivated (H-P), for subcutaneous or intradermal use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90693  Typhoid vaccine, akd, sc
  Typhoid vaccine, acetone-killed, dried (AKD), for subcutaneous use (U.S. military)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90696  Dtap-ipv vacc 4-6 yr im
  Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90698  Dtap-hib-ip vaccine, im
  Diphtheria, tetanus toxoids, acellular pertussis vaccine, haemophilus influenza Type B, and poliovirus vaccine, inactivated (DTaP - Hib - IPV), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90700  Dtap vaccine, < 7 yrs, im
  Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90701  Dtp vaccine, im
  Diphtheria, tetanus toxoids, and whole cell pertussis vaccine (DTP), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90702  Dt vaccine < 7, im
  Diphtheria and tetanus toxoids (DT) adsorbed when administered to individuals younger than 7 years, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90703  Tetanus vaccine, im
  Tetanus toxoid adsorbed, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    913.6 Superficial foreign body (splinter) without major open wound and without mention of infection  WC Frequency: 5.40%

90704  Mumps vaccine, sc
  Mumps virus vaccine, live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90705  Measles vaccine, sc
  Measles virus vaccine, live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90706  Rubella vaccine, sc
  Rubella virus vaccine, live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90707  Mmr vaccine, sc
  Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90708  Measles-rubella vaccine, sc
  Measles and rubella virus vaccine, live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90710  Mmrv vaccine, sc
  Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90712  Oral poliovirus vaccine
  Poliovirus vaccine, (any type[s]) (OPV), live, for oral use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90713  Poliovirus, ipv, sc/im
  Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90714  Td vaccine no prsrv >/= 7 im
  Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals 7 years or older, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90715  Tdap vaccine >7 im
  Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90716  Chicken pox vaccine, sc
  Varicella virus vaccine, live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90717  Yellow fever vaccine, sc
  Yellow fever vaccine, live, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90718  Td vaccine > 7, im
  Tetanus and diphtheria toxoids (Td) adsorbed when administered to individuals 7 years or older, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    955.6 Digital nerve  WC Frequency: 7.07%

90719  Diphtheria vaccine, im
  Diphtheria toxoid, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90720  Dtp/hib vaccine, im
  Diphtheria, tetanus toxoids, and whole cell pertussis vaccine and Hemophilus influenza B vaccine (DTP-Hib), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90721  Dtap/hib vaccine, im
  Diphtheria, tetanus toxoids, and acellular pertussis vaccine and Hemophilus influenza B vaccine (DtaP-Hib), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90723  Dtap-hep b-ipv vaccine, im
  Diphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus vaccine, inactivated (DtaP-HepB-IPV), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90725  Cholera vaccine, injectable
  Cholera vaccine for injectable use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90727  Plague vaccine, im
  Plague vaccine, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90732  Pneumococcal vaccine
  Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90733  Meningococcal vaccine, sc
  Meningococcal polysaccharide vaccine (any group(s)), for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90734  Meningococcal vaccine, im
  Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90735  Encephalitis vaccine, sc
  Japanese encephalitis virus vaccine, for subcutaneous use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90736  Zoster vacc, sc
  Zoster (shingles) vaccine, live, for subcutaneous injection
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90738  Inactivated je vacc im
  Japanese encephalitis virus vaccine, inactivated, for intramuscular use
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90740  Hepb vacc, ill pat 3 dose im
  Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (3 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90743  Hep b vacc, adol, 2 dose, im
  Hepatitis B vaccine, adolescent (2 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90744  Hepb vacc ped/adol 3 dose im
  Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90746  Hep b vaccine, adult, im
  Hepatitis B vaccine, adult dosage, for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90747  Hepb vacc, ill pat 4 dose im
  Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (4 dose schedule), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90748  Hep b/hib vaccine, im
  Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib), for intramuscular use
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90749  Vaccine toxoid
  Unlisted vaccine/toxoid
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90760  Hydration iv infusion, init
  Medicare Fee Schedule: $58
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90761  Hydrate iv infusion, add-on
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90765  Ther/proph/diag iv inf, init
  Medicare Fee Schedule: $72
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90766  Ther/proph/dg iv inf, add-on
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90767  Tx/proph/dg addl seq iv inf
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90768  Ther/diag concurrent inf
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90772  Ther/proph/diag inj, sc/im
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90773  Ther/proph/diag inj, ia
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90774  Ther/proph/diag inj, iv push
  Medicare Fee Schedule: $59
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90775  Ther/proph/diag inj add-on
  Medicare Fee Schedule: $25
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90779  Ther/prop/diag inj/inf proc
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90788  Intramuscular injection of antibiotic

Return-To-Work "Best Practice" Guidelines
All cases: 1 day

  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    034.0 Streptococcal sore throat
    523 Gingival and periodontal diseases
    523.4 Chronic periodontitis
    711.0 Pyogenic arthritis

90801  Psychiatric diagnostic interview
  Click Here for Complete Information for this CPT Code

90802  Intac psy dx interview
  Interactive psychiatric diagnostic interview examination using play equipment, physical devices, language interpreter, or other mechanisms of communication
  Medicare Fee Schedule: $174
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90804  Psytx, office, 20-30 min
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 20 to 30 minutes face-to-face with the patient;
  Medicare Fee Schedule: $68
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    296 Episodic mood disorders  WC Frequency: 13.60%
    296.2 Major depressive disorder, single episode  WC Frequency: 13.28%
    296.3 Major depressive disorder, recurrent episode  WC Frequency: 16.40%
    300 Anxiety, dissociative and somatoform disorders  WC Frequency: 10.46%
    300.0 Anxiety states  WC Frequency: 12.82%
    300.4 Dysthymic disorder  WC Frequency: 9.64%
    307 Special symptoms or syndromes, not elsewhere classified  WC Frequency: 23.21%
    307.8 Pain disorders related to psychological factors  WC Frequency: 23.49%
    307.89 Other  WC Frequency: 25.32%
    309 Adjustment reaction  WC Frequency: 14.24%
    309.0 Adjustment disorder with depressed mood  WC Frequency: 13.17%
    309.2 With predominant disturbance of other emotions  WC Frequency: 17.01%
    309.28 Adjustment disorder with mixed anxiety and depressed mood  WC Frequency: 17.28%
    309.8 Other specified adjustment reactions  WC Frequency: 11.52%
    309.81 Posttraumatic stress disorder  WC Frequency: 11.57%
    311 Depressive disorder, not elsewhere classified  WC Frequency: 17.22%

90805  Psytx, off, 20-30 min w/e&m
  Click Here for Complete Information for this CPT Code

90806  Individual psychotherapy, office or outpatient, approx. 45-50 minutes
  Click Here for Complete Information for this CPT Code

90807  Individual psychotherapy, office or outpatient, approx. 45-50 minutes, with medical evaluation and management services
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $105
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    290-319 Mental disorders
    296 Episodic mood disorders  WC Frequency: 11.87%
    296.2 Major depressive disorder, single episode  WC Frequency: 11.97%
    296.3 Major depressive disorder, recurrent episode  WC Frequency: 13.28%
    300 Anxiety, dissociative and somatoform disorders  WC Frequency: 9.01%
    309 Adjustment reaction  WC Frequency: 6.98%
    309.8 Other specified adjustment reactions  WC Frequency: 9.96%
    309.81 Posttraumatic stress disorder  WC Frequency: 10.28%
    311 Depressive disorder, not elsewhere classified  WC Frequency: 7.49%

90808  Psytx, office, 75-80 min
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 75 to 80 minutes face-to-face with the patient;
  Medicare Fee Schedule: $134
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    296 Episodic mood disorders  WC Frequency: 8.53%
    296.2 Major depressive disorder, single episode  WC Frequency: 8.68%
    300 Anxiety, dissociative and somatoform disorders  WC Frequency: 6.68%
    300.4 Dysthymic disorder  WC Frequency: 7.61%
    309 Adjustment reaction  WC Frequency: 12.32%
    309.0 Adjustment disorder with depressed mood  WC Frequency: 17.05%
    309.2 With predominant disturbance of other emotions  WC Frequency: 14.10%
    309.28 Adjustment disorder with mixed anxiety and depressed mood  WC Frequency: 14.95%
    309.8 Other specified adjustment reactions  WC Frequency: 9.03%
    309.81 Posttraumatic stress disorder  WC Frequency: 9.00%
    311 Depressive disorder, not elsewhere classified  WC Frequency: 8.48%

90809  Psytx, off, 75-80, w/e&m
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $147
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90810  Intac psytx, off, 20-30 min
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 20 to 30 minutes face-to-face with the patient;
  Medicare Fee Schedule: $71
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90811  Intac psytx, 20-30, w/e&m
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 20 to 30 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90812  Intac psytx, off, 45-50 min
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patient;
  Medicare Fee Schedule: $100
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90813  Intac psytx, 45-50 min w/e&m
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $114
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90814  Intac psytx, off, 75-80 min
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 75 to 80 minutes face-to-face with the patient;
  Medicare Fee Schedule: $142
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90815  Intac psytx, 75-80 w/e&m
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $157
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90816  Psytx, hosp, 20-30 min
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 20 to 30 minutes face-to-face with the patient;
  Medicare Fee Schedule: $61
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90817  Psytx, hosp, 20-30 min w/e&m
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 20 to 30 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $68
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90818  Individual psychotherapy, inpatient hospital, approx. 45-50 minutes
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 45 to 50 minutes face-to-face with the patient;
  Medicare Fee Schedule: $89
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    290-319 Mental disorders

90819  Individual psychotherapy, inpatient hospital, approx. 45-50 minutes, with medical evaluation and management services
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $97
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    290-319 Mental disorders

90821  Psytx, hosp, 75-80 min
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 75 to 80 minutes face-to-face with the patient;
  Medicare Fee Schedule: $132
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90822  Psytx, hosp, 75-80 min w/e&m
  Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $141
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90823  Intac psytx, hosp, 20-30 min
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 20 to 30 minutes face-to-face with the patient;
  Medicare Fee Schedule: $66
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90824  Intac psytx, hsp 20-30 w/e&m
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 20 to 30 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $74
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90826  Intac psytx, hosp, 45-50 min
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 45 to 50 minutes face-to-face with the patient;
  Medicare Fee Schedule: $96
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90827  Intac psytx, hsp 45-50 w/e&m
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $102
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90828  Intac psytx, hosp, 75-80 min
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 75 to 80 minutes face-to-face with the patient;
  Medicare Fee Schedule: $137
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90829  Intac psytx, hsp 75-80 w/e&m
  Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management services
  Medicare Fee Schedule: $145
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90845  Psychoanalysis
  Psychoanalysis
  Medicare Fee Schedule: $84
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90846  Family psytx w/o patient
  Family psychotherapy (without the patient present)
  Medicare Fee Schedule: $90
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90847  Family psytx w/patient
  Family psychotherapy (conjoint psychotherapy) (with patient present)
  Medicare Fee Schedule: $114
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90849  Multiple family group psytx
  Multiple-family group psychotherapy
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90853  Group psychotherapy
  Group psychotherapy (other than of a multiple-family group)
  Medicare Fee Schedule: $33
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    296 Episodic mood disorders  WC Frequency: 5.83%
    296.2 Major depressive disorder, single episode  WC Frequency: 5.92%
    309.81 Posttraumatic stress disorder  WC Frequency: 5.14%
    311 Depressive disorder, not elsewhere classified  WC Frequency: 6.86%

90857  Intac group psytx
  Interactive group psychotherapy
  Medicare Fee Schedule: $38
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90862  Medication management
  Click Here for Complete Information for this CPT Code

90865  Narcosynthesis
  Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview)
  Medicare Fee Schedule: $157
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90867  Tcranial magn stim tx plan
  Therapeutic repetitive transcranial magnetic stimulation treatment; planning
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90868  Tcranial magn stim tx deli
  Therapeutic repetitive transcranial magnetic stimulation treatment; delivery and management, per session
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90870  Electroconvulsive therapy
  Electroconvulsive therapy (includes necessary monitoring)
  Medicare Fee Schedule: $145
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90875  Psychophysiological therapy
  Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); approximately 20-30 minutes
  Medicare Fee Schedule: $67
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90876  Psychophysiological therapy
  Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); approximately 45-50 minutes
  Medicare Fee Schedule: $99
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90880  Hypnotherapy
  Hypnotherapy
  Medicare Fee Schedule: $106
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90882  Environmental manipulation
  Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90885  Psy evaluation of records
  Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes
  Medicare Fee Schedule: $46
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90887  Consultation with family
  Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patient
  Medicare Fee Schedule: $81
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90889  Preparation of report
  Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other physicians, agencies, or insurance carriers
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90899  Psychiatric service/therapy
  Unlisted psychiatric service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90901  Biofeedback train, any meth
  Biofeedback training by any modality
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90911  Biofeedback peri/uro/rectal
  Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry
  Medicare Fee Schedule: $88
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90918  Code for end stage renal disease services including dialysis for children under two years of age per month
  Medicare Fee Schedule: $614
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90919  Code for end stage renal disease services including dialysis for children between two and eleven years old per month
  Medicare Fee Schedule: $449
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90920  Code for end stage renal disease services including dialysis for patients between 12 and 19 years old per month

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $387
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90921  Code for end stage renal disease services including dialysis for patients 20 years and older per month

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $239
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90922  Code for end stage renal disease services including dialysis for children under two years old for less than one month
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90923  Code for end stage renal disease services including dialysis for children between two and eleven years old for less than one month
  Medicare Fee Schedule: $15
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90924  Code for end stage renal disease services including dialysis for children between 12 and 19 years old for less than one month

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $13
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90925  Code for end stage renal disease services including dialysis for children between 20 years and older for less than one month

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $8
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90935  Hemodialysis, one evaluation
  Hemodialysis procedure with single physician evaluation

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90937  Hemodialysis, repeated eval
  Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $113
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90940  Hemodialysis access study
  Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90945  Dialysis other than hemodialysis with single evaluation
  Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $71
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90947  Dialysis other than hemodialysis with multiple evaluations
  Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescription

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $115
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90951  Esrd serv 4 visits p mo <2
  End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90952  Esrd serv 2-3 vsts p mo <2
  End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90953  Esrd serv 1 visit p mo <2
  End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90954  Esrd serv 4 vsts p mo 2-11
  End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90955  Esrd srv 2-3 vsts p mo 2-11
  End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90956  Esrd srv 1 visit p mo 2-11
  End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90957  Esrd srv 4 vsts p mo 12-19
  End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90958  Esrd srv 2-3 vsts p mo 12-19
  End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90959  Esrd serv 1 vst p mo 12-19
  End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90960  Esrd srv 4 visits p mo 20+
  End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90961  Esrd srv 2-3 vsts p mo 20+
  End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face physician visits per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90962  Esrd serv 1 visit p mo 20+
  End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face physician visit per month
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90963  Esrd home pt serv p mo <2
  End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90964  Esrd home pt serv p mo 2-11
  End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90965  Esrd home pt serv p mo 12-19
  End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90966  Esrd home pt serv p mo 20+
  End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90967  Esrd home pt serv p day <2
  End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90968  Esrd home pt srv p day 2-11
  End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90969  Esrd home pt srv p day 12-19
  End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90970  Esrd home pt serv p day 20+
  End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90989  Dialysis training course for patient and/or helper
  Dialysis training, patient, including helper where applicable, any mode, completed course
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90993  Incomplete dialysis training course for patient and/or helper
  Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

90997  Hemoperfusion
  Hemoperfusion (eg, with activated charcoal or resin)
  Medicare Fee Schedule: $91
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

90999  Unlisted dialysis procedure
  Unlisted dialysis procedure, inpatient or outpatient

Return-To-Work "Best Practice" Guidelines
Ongoing dialysis: 1 day
Initial dialysis, without hospitalization, based on shunt location, clerical/modified work: 9 days
Initial dialysis, without hospitalization, manual work: 28 days
Initial dialysis, with hospitalization, clerical/modified work: 14 days
Initial dialysis, with hospitalization, manual work: 28 days

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    585 Chronic renal failure
    586 Renal failure, unspecified

91000  Esophageal intubation
  Medicare Fee Schedule: $112
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91010  Esophagus motility study
  Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; 2-dimensional data
  Medicare Fee Schedule: $190
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91011  Esophagus motility study
  Medicare Fee Schedule: $263
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91012  Esophagus motility study
  Medicare Fee Schedule: $268
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91013  Esophgl motil w/stim/perfus
  Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 2-dimensional data study (eg, stimulant, acid or alkali perfusion) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91020  Gastric motility studies
  Gastric motility (manometric) studies
  Medicare Fee Schedule: $241
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91022  Duodenal motility study
  Duodenal motility (manometric) study
  Medicare Fee Schedule: $177
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91030  Acid perfusion of esophagus
  Esophagus, acid perfusion (Bernstein) test for esophagitis
  Medicare Fee Schedule: $147
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91034  Gastroesophageal reflux test
  Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation
  Medicare Fee Schedule: $197
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91035  G-esoph reflx tst w/electrod
  Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation
  Medicare Fee Schedule: $493
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91037  Esoph imped function test
  Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation;
  Medicare Fee Schedule: $169
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91038  Esoph imped funct test > 1h
  Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)
  Medicare Fee Schedule: $152
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91040  Esoph balloon distension tst
  Esophageal balloon distension provocation study
  Medicare Fee Schedule: $393
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91052  Gastric analysis test
  Medicare Fee Schedule: $145
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91055  Gastric intubation for smear
  Medicare Fee Schedule: $130
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91065  Breath hydrogen test
  Breath hydrogen test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit)
  Medicare Fee Schedule: $58
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91100  Pass intestine bleeding tube
  Medicare Fee Schedule: $125
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91105  Gastric intubation treatment
  Medicare Fee Schedule: $81
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91110  Gi tract capsule endoscopy
  Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with physician interpretation and report
  Medicare Fee Schedule: $921
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91111  Esophageal capsule endoscopy
  Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with physician interpretation and report
  Medicare Fee Schedule: $747
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91117  Colon motility 6 hr study
  Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretation and report
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91120  Rectal sensation test
  Rectal sensation, tone, and compliance test (ie, response to graded balloon distention)
  Medicare Fee Schedule: $384
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91122  Anal pressure record
  Anorectal manometry
  Medicare Fee Schedule: $217
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91123  Irrigate fecal impaction
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91132  Electrogastrography
  Electrogastrography, diagnostic, transcutaneous;
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91133  Electrogastrography w/test
  Electrogastrography, diagnostic, transcutaneous; with provocative testing
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

91299  Gastroenterology procedure
  Unlisted diagnostic gastroenterology procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92002  Eye exam, new patient
  Click Here for Complete Information for this CPT Code

92004  Eye exam, new patient
  Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits
  Medicare Fee Schedule: $125
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    364 Disorders of iris and ciliary body  WC Frequency: 5.17%
    871 Open wound of eyeball  WC Frequency: 5.57%
    871.6 Penetration of eyeball with (nonmagnetic) foreign body  WC Frequency: 9.47%
    921.3 Contusion of eyeball  WC Frequency: 6.28%

92012  Eye exam established pat
  Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient
  Medicare Fee Schedule: $61
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    364 Disorders of iris and ciliary body  WC Frequency: 15.05%
    364.0 Acute and subacute iridocyclitis  WC Frequency: 16.12%
    364.00 Acute and subacute iridocyclitis, unspecified  WC Frequency: 17.00%
    364.3 Unspecified iridocyclitis  WC Frequency: 11.19%
    366 Cataract  WC Frequency: 30.90%
    369 Blindness and low vision  WC Frequency: 35.29%
    370.0 Corneal ulcer  WC Frequency: 11.56%
    370.20 Superficial keratitis, unspecified  WC Frequency: 9.49%
    371 Corneal opacity and other disorders of cornea  WC Frequency: 16.32%
    372.39 Other  WC Frequency: 9.13%
    871 Open wound of eyeball  WC Frequency: 5.43%
    921.3 Contusion of eyeball  WC Frequency: 7.72%
    940.2 Alkaline chemical burn of cornea and conjunctival sac  WC Frequency: 8.82%

92014  Eye exam & treatment
  Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits
  Medicare Fee Schedule: $92
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    366 Cataract  WC Frequency: 34.54%
    366.2 Traumatic cataract  WC Frequency: 33.33%
    369 Blindness and low vision  WC Frequency: 38.23%
    379.2 Disorders of vitreous body  WC Frequency: 20.27%

92015  Refraction
  Determination of refractive state
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92018  New eye exam & treatment
  Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete
  Medicare Fee Schedule: $133
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92019  Eye exam & treatment
  Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited
  Medicare Fee Schedule: $68
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92020  Special eye evaluation
  Gonioscopy (separate procedure)
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92025  Corneal topography
  Computerized corneal topography, unilateral or bilateral, with interpretation and report
  Medicare Fee Schedule: $31
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92060  Special eye evaluation
  Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure)
  Medicare Fee Schedule: $57
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92065  Orthoptic/pleoptic training
  Orthoptic and/or pleoptic training, with continuing medical direction and evaluation
  Medicare Fee Schedule: $48
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92070  Fitting of contact lens
  Fitting of contact lens for treatment of disease, including supply of lens
  Medicare Fee Schedule: $63
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92081  Visual field examination(s)
  Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)
  Medicare Fee Schedule: $51
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92082  Visual field examination(s)
  Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33)
  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92083  Visual field examination(s)
  Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30 degrees, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2)
  Medicare Fee Schedule: $79
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    369 Blindness and low vision  WC Frequency: 22.05%

92100  Serial tonometry exam(s)
  Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment of acute elevation of intraocular pressure)
  Medicare Fee Schedule: $84
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92120  Tonography & eye evaluation
  Tonography with interpretation and report, recording indentation tonometer method or perilimbal suction method
  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92130  Water provocation tonography
  Tonography with water provocation
  Medicare Fee Schedule: $77
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92132  Cmptr ophth dx img ant segmt
  Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92133  Cmptr ophth img optic nerve
  Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92134  Cptr ophth dx img post segmt
  Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92135  Opthalmic dx imaging
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92136  Ophthalmic biometry
  Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation
  Medicare Fee Schedule: $79
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92140  Glaucoma provocative tests
  Provocative tests for glaucoma, with interpretation and report, without tonography
  Medicare Fee Schedule: $54
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92225  Special eye exam, initial
  Ophthalmoscopy, extended, with retinal drawing (eg, for retinal detachment, melanoma), with interpretation and report; initial
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    379.2 Disorders of vitreous body  WC Frequency: 20.27%

92226  Special eye exam, subsequent
  Ophthalmoscopy, extended, with retinal drawing (eg, for retinal detachment, melanoma), with interpretation and report; subsequent
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92227  Remote dx retinal imaging
  Remote imaging for detection of retinal disease (eg, retinopathy in a patient with diabetes) with analysis and report under physician supervision, unilateral or bilateral
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92228  Remote retinal imaging mgmt
  Remote imaging for monitoring and management of active retinal disease (eg, diabetic retinopathy) with physician review, interpretation and report, unilateral or bilateral
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92230  Eye exam with photos
  Fluorescein angioscopy with interpretation and report
  Medicare Fee Schedule: $51
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92235  Eye exam with photos
  Fluorescein angiography (includes multiframe imaging) with interpretation and report
  Medicare Fee Schedule: $122
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92240  Icg angiography
  Indocyanine-green angiography (includes multiframe imaging) with interpretation and report
  Medicare Fee Schedule: $215
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92250  Eye exam with photos
  Fundus photography with interpretation and report
  Medicare Fee Schedule: $68
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92260  Ophthalmoscopy/dynamometry
  Ophthalmodynamometry
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92265  Eye muscle evaluation
  Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report
  Medicare Fee Schedule: $71
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92270  Electro-oculography
  Electro-oculography with interpretation and report
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92275  Electroretinography
  Electroretinography with interpretation and report
  Medicare Fee Schedule: $134
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92283  Color vision examination
  Color vision examination, extended, eg, anomaloscope or equivalent
  Medicare Fee Schedule: $45
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92284  Dark adaptation eye exam
  Dark adaptation examination with interpretation and report
  Medicare Fee Schedule: $57
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92285  Eye photography
  External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography)
  Medicare Fee Schedule: $39
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92286  Internal eye photography
  Special anterior segment photography with interpretation and report; with specular endothelial microscopy and cell count
  Medicare Fee Schedule: $108
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92287  Internal eye photography
  Special anterior segment photography with interpretation and report; with fluorescein angiography
  Medicare Fee Schedule: $106
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92310  Contact lens fitting
  Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia
  Medicare Fee Schedule: $86
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92311  Contact lens fitting
  Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eye
  Medicare Fee Schedule: $91
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92312  Contact lens fitting
  Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyes
  Medicare Fee Schedule: $106
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92313  Contact lens fitting
  Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens
  Medicare Fee Schedule: $92
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92314  Prescription of contact lens
  Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for aphakia
  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92315  Prescription of contact lens
  Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, 1 eye
  Medicare Fee Schedule: $68
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92316  Prescription of contact lens
  Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes
  Medicare Fee Schedule: $90
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92317  Prescription of contact lens
  Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens
  Medicare Fee Schedule: $72
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92325  Modification of contact lens
  Modification of contact lens (separate procedure), with medical supervision of adaptation
  Medicare Fee Schedule: $33
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92326  Replacement of contact lens
  Replacement of contact lens
  Medicare Fee Schedule: $31
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92340  Fitting of spectacles
  Fitting of spectacles, except for aphakia; monofocal
  Medicare Fee Schedule: $31
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92341  Fitting of spectacles
  Fitting of spectacles, except for aphakia; bifocal
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92342  Fitting of spectacles
  Fitting of spectacles, except for aphakia; multifocal, other than bifocal
  Medicare Fee Schedule: $39
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92352  Special spectacles fitting
  Fitting of spectacle prosthesis for aphakia; monofocal
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92353  Special spectacles fitting
  Fitting of spectacle prosthesis for aphakia; multifocal
  Medicare Fee Schedule: $42
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92354  Special spectacles fitting
  Fitting of spectacle mounted low vision aid; single element system
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92355  Special spectacles fitting
  Fitting of spectacle mounted low vision aid; telescopic or other compound lens system
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92358  Eye prosthesis service
  Prosthesis service for aphakia, temporary (disposable or loan, including materials)
  Medicare Fee Schedule: $11
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92370  Repair & adjust spectacles
  Repair and refitting spectacles; except for aphakia
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92371  Repair & adjust spectacles
  Repair and refitting spectacles; spectacle prosthesis for aphakia
  Medicare Fee Schedule: $10
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92499  Eye service or procedure
  Unlisted ophthalmological service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92502  Ear and throat examination
  Otolaryngologic examination under general anesthesia
  Medicare Fee Schedule: $89
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92504  Ear microscopy examination
  Binocular microscopy (separate diagnostic procedure)
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92506  Speech/hearing evaluation
  Evaluation of speech, language, voice, communication, and/or auditory processing
  Medicare Fee Schedule: $158
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    310 Specific nonpsychotic mental disorders due to brain damage  WC Frequency: 5.10%

92507  Speech/hearing therapy
  Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual
  Medicare Fee Schedule: $65
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92508  Speech/hearing therapy
  Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals
  Medicare Fee Schedule: $30
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92511  Nasopharyngoscopy
  Nasopharyngoscopy with endoscope (separate procedure)
  Medicare Fee Schedule: $144
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92512  Nasal function studies
  Nasal function studies (eg, rhinomanometry)
  Medicare Fee Schedule: $57
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92516  Facial nerve function test
  Facial nerve function studies (eg, electroneuronography)
  Medicare Fee Schedule: $60
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92520  Laryngeal function studies
  Laryngeal function studies (ie, aerodynamic testing and acoustic testing)
  Medicare Fee Schedule: $63
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92526  Oral function therapy
  Treatment of swallowing dysfunction and/or oral function for feeding
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92531  Spontaneous nystagmus study
  Spontaneous nystagmus, including gaze
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92532  Positional nystagmus test
  Positional nystagmus test
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92533  Caloric vestibular test
  Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92534  Optokinetic nystagmus test
  Optokinetic nystagmus test
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92540  Basic vestibular evaluation
  Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92541  Spontaneous nystagmus test
  Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording
  Medicare Fee Schedule: $58
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    386 Vertiginous syndromes and other disorders of vestibular system  WC Frequency: 38.00%

92542  Positional nystagmus test
  Positional nystagmus test, minimum of 4 positions, with recording
  Medicare Fee Schedule: $61
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    386 Vertiginous syndromes and other disorders of vestibular system  WC Frequency: 36.00%

92543  Caloric vestibular test
  Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests), with recording
  Medicare Fee Schedule: $29
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    386 Vertiginous syndromes and other disorders of vestibular system  WC Frequency: 30.00%

92544  Optokinetic nystagmus test
  Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording
  Medicare Fee Schedule: $49
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    386 Vertiginous syndromes and other disorders of vestibular system  WC Frequency: 36.00%

92545  Oscillating tracking test
  Oscillating tracking test, with recording
  Medicare Fee Schedule: $47
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    386 Vertiginous syndromes and other disorders of vestibular system  WC Frequency: 36.00%

92546  Sinusoidal rotational test
  Sinusoidal vertical axis rotational testing
  Medicare Fee Schedule: $80
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92547  Supplemental electrical test
  Use of vertical electrodes (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92548  Posturography
  Computerized dynamic posturography
  Medicare Fee Schedule: $87
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92550  Tympanometry & reflex thresh
  Tympanometry and reflex threshold measurements
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92551  Pure tone hearing test, air
  Screening test, pure tone, air only
  Medicare Fee Schedule: $10
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    388 Other disorders of ear  WC Frequency: 7.93%

92552  Pure tone audiometry, air
  Pure tone audiometry (threshold); air only
  Medicare Fee Schedule: $23
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    388 Other disorders of ear  WC Frequency: 13.49%
    389 Hearing loss  WC Frequency: 11.79%

92553  Audiometry, air & bone
  Pure tone audiometry (threshold); air and bone
  Medicare Fee Schedule: $29
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    389 Hearing loss  WC Frequency: 7.69%

92555  Speech threshold audiometry
  Speech audiometry threshold;
  Medicare Fee Schedule: $16
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92556  Speech audiometry, complete
  Speech audiometry threshold; with speech recognition
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92557  Comprehensive hearing test
  Click Here for Complete Information for this CPT Code

92559  Group audiometric testing
  Audiometric testing of groups
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92560  Bekesy audiometry, screen
  Bekesy audiometry; screening
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92561  Bekesy audiometry, diagnosis
  Bekesy audiometry; diagnostic
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92562  Loudness balance test
  Loudness balance test, alternate binaural or monaural
  Medicare Fee Schedule: $27
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92563  Tone decay hearing test
  Tone decay test
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92564  Sisi hearing test
  Short increment sensitivity index (SISI)
  Medicare Fee Schedule: $18
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92565  Stenger test, pure tone
  Stenger test, pure tone
  Medicare Fee Schedule: $10
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92567  Tympanometry
  Tympanometry (impedance testing)
  Medicare Fee Schedule: $21
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    384 Other disorders of tympanic membrane  WC Frequency: 29.03%
    384.2 Perforation of tympanic membrane  WC Frequency: 29.50%
    386 Vertiginous syndromes and other disorders of vestibular system  WC Frequency: 38.00%
    388 Other disorders of ear  WC Frequency: 21.42%
    388.1 Noise effects on inner ear  WC Frequency: 26.80%
    388.12 Noise-induced hearing loss  WC Frequency: 31.25%
    388.3 Tinnitus  WC Frequency: 20.61%
    388.30 Tinnitus, unspecified  WC Frequency: 22.61%
    389 Hearing loss  WC Frequency: 38.97%
    389.1 Sensorineural hearing loss  WC Frequency: 40.19%
    389.10 Sensorineural hearing loss, unspecified  WC Frequency: 41.46%
    389.9 Unspecified hearing loss  WC Frequency: 34.48%
    872.6 Other specified parts of ear, without mention of complication  WC Frequency: 27.77%
    872.61 Ear drum  WC Frequency: 37.73%

92568  Acoustic reflex testing
  Acoustic reflex testing, threshold
  Medicare Fee Schedule: $7
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    388 Other disorders of ear  WC Frequency: 6.34%
    389 Hearing loss  WC Frequency: 16.92%
    389.1 Sensorineural hearing loss  WC Frequency: 15.68%

92569  Acoustic reflex decay test
  Medicare Fee Schedule: $7
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92570  Acoustic immitance testing
  Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92571  Filtered speech hearing test
  Filtered speech test
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92572  Staggered spondaic word test
  Staggered spondaic word test
  Medicare Fee Schedule: $23
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92575  Sensorineural acuity test
  Sensorineural acuity level test
  Medicare Fee Schedule: $42
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92576  Synthetic sentence test
  Synthetic sentence identification test
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92577  Stenger test, speech
  Stenger test, speech
  Medicare Fee Schedule: $12
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92579  Visual audiometry (vra)
  Visual reinforcement audiometry (VRA)
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92582  Conditioning play audiometry
  Conditioning play audiometry
  Medicare Fee Schedule: $43
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92583  Select picture audiometry
  Select picture audiometry
  Medicare Fee Schedule: $29
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92584  Electrocochleography
  Electrocochleography
  Medicare Fee Schedule: $52
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92585  Auditor evoke potent, compre
  Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive
  Medicare Fee Schedule: $98
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92586  Auditor evoke potent, limit
  Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited
  Medicare Fee Schedule: $58
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92587  Evoked auditory test
  Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products)
  Medicare Fee Schedule: $33
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92588  Evoked auditory test
  Evoked otoacoustic emissions; comprehensive or diagnostic evaluation (comparison of transient and/or distortion product otoacoustic emissions at multiple levels and frequencies)
  Medicare Fee Schedule: $58
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92590  Hearing aid exam, one ear
  Hearing aid examination and selection; monaural
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92591  Hearing aid exam, both ears
  Hearing aid examination and selection; binaural
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92592  Hearing aid check, one ear
  Hearing aid check; monaural
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92593  Hearing aid check, both ears
  Hearing aid check; binaural
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92594  Electro hearng aid test, one
  Electroacoustic evaluation for hearing aid; monaural
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92595  Electro hearng aid tst, both
  Electroacoustic evaluation for hearing aid; binaural
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92596  Ear protector evaluation
  Ear protector attenuation measurements
  Medicare Fee Schedule: $38
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92597  Oral speech device eval
  Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech
  Medicare Fee Schedule: $98
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92601  Cochlear implt f/up exam < 7
  Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming
  Medicare Fee Schedule: $187
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92602  Reprogram cochlear implt < 7
  Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming
  Medicare Fee Schedule: $129
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92603  Cochlear implt f/up exam 7 >
  Diagnostic analysis of cochlear implant, age 7 years or older; with programming
  Medicare Fee Schedule: $123
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92604  Reprogram cochlear implt 7 >
  Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming
  Medicare Fee Schedule: $82
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92605  Eval for nonspeech device rx
  Evaluation for prescription of non-speech-generating augmentative and alternative communication device
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92606  Non-speech device service
  Therapeutic service(s) for the use of non-speech-generating device, including programming and modification
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92607  Ex for speech device rx, 1hr
  Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour
  Medicare Fee Schedule: $164
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92608  Ex for speech device rx addl
  Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92609  Use of speech device service
  Therapeutic services for the use of speech-generating device, including programming and modification
  Medicare Fee Schedule: $88
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92610  Evaluate swallowing function
  Evaluation of oral and pharyngeal swallowing function
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92611  Motion fluoroscopy/swallow
  Motion fluoroscopic evaluation of swallowing function by cine or video recording
  Medicare Fee Schedule: $73
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92612  Endoscopy swallow tst (fees)
  Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording;
  Medicare Fee Schedule: $153
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92613  Endoscopy swallow tst (fees)
  Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording; physician interpretation and report only
  Medicare Fee Schedule: $38
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92614  Laryngoscopic sensory test
  Flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or video recording;
  Medicare Fee Schedule: $135
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92615  Eval laryngoscopy sense tst
  Flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or video recording; physician interpretation and report only
  Medicare Fee Schedule: $33
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92616  Fees w/laryngeal sense test
  Flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording;
  Medicare Fee Schedule: $184
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92617  Interprt fees/laryngeal test
  Flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; physician interpretation and report only
  Medicare Fee Schedule: $41
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92620  Auditory function, 60 min
  Evaluation of central auditory function, with report; initial 60 minutes
  Medicare Fee Schedule: $73
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92621  Auditory function, + 15 min
  Evaluation of central auditory function, with report; each additional 15 minutes
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92625  Tinnitus assessment
  Assessment of tinnitus (includes pitch, loudness matching, and masking)
  Medicare Fee Schedule: $71
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92626  Eval aud rehab status
  Evaluation of auditory rehabilitation status; first hour
  Medicare Fee Schedule: $72
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92627  Eval aud status rehab add-on
  Evaluation of auditory rehabilitation status; each additional 15 minutes (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92630  Aud rehab pre-ling hear loss
  Auditory rehabilitation; prelingual hearing loss
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92633  Aud rehab postling hear loss
  Auditory rehabilitation; postlingual hearing loss
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92640  Aud brainstem implt programg
  Diagnostic analysis with programming of auditory brainstem implant, per hour
  Medicare Fee Schedule: $53
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92700  Ent procedure/service
  Unlisted otorhinolaryngological service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92950  Heart/lung resuscitation cpr
  Cardiopulmonary resuscitation (eg, in cardiac arrest)
  Medicare Fee Schedule: $277
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    427 Cardiac dysrhythmias  WC Frequency: 37.03%
    427.5 Cardiac arrest  WC Frequency: 61.29%
    798 Sudden death, cause unknown  WC Frequency: 16.33%
    798.2 Death occurring in less than 24 hours from onset of symptoms, not otherwise explained  WC Frequency: 24.35%

92953  Temporary external pacing
  Temporary transcutaneous pacing
  Medicare Fee Schedule: $12
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92960  Cardioversion electric, ext
  Cardioversion, elective, electrical conversion of arrhythmia; external
  Medicare Fee Schedule: $255
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92961  Cardioversion, electric, int
  Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)
  Medicare Fee Schedule: $280
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92970  Cardioassist, internal
  Cardioassist-method of circulatory assist; internal
  Medicare Fee Schedule: $201
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92971  Cardioassist, external
  Cardioassist-method of circulatory assist; external
  Medicare Fee Schedule: $111
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92973  Percut coronary thrombectomy
  Percutaneous transluminal coronary thrombectomy (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
Clerical/modified work: 28 days
Manual work: 56 days
Heavy manual work: 56 days

  Medicare Fee Schedule: $202
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92974  Cath place, cardio brachytx
  Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $186
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92975  Dissolve clot, heart vessel
  Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography
  Medicare Fee Schedule: $443
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92977  Dissolve clot, heart vessel
  Thrombolysis, coronary; by intravenous infusion
  Medicare Fee Schedule: $82
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92978  Intravasc us, heart add-on
  Intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92979  Intravasc us, heart add-on
  Intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92980  Insert intracoronary stent
  Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; single vessel
  Medicare Fee Schedule: $920
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92981  Insert intracoronary stent
  Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic intervention, any method; each additional vessel (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
All cases: 10 to 14 days

  Medicare Fee Schedule: $256
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92982  Percutaneous coronary balloon angioplasty, single vessel
  Percutaneous transluminal coronary balloon angioplasty; single vessel
  Medicare Fee Schedule: $683
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    413 Angina pectoris
    414.0 Coronary atherosclerosis

92984  Percutaneous coronary balloon angioplasty, each additional vessel
  Percutaneous transluminal coronary balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $183
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    413 Angina pectoris
    414.0 Coronary atherosclerosis

92986  Revision of aortic valve
  Percutaneous balloon valvuloplasty; aortic valve
  Medicare Fee Schedule: $1,519
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92987  Revision of mitral valve
  Percutaneous balloon valvuloplasty; mitral valve
  Medicare Fee Schedule: $1,569
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92990  Revision of pulmonary valve
  Percutaneous balloon valvuloplasty; pulmonary valve
  Medicare Fee Schedule: $1,161
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92992  Revision of heart chamber
  Atrial septectomy or septostomy; transvenous method, balloon (eg, Rashkind type) (includes cardiac catheterization)

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92993  Revision of heart chamber
  Atrial septectomy or septostomy; blade method (Park septostomy) (includes cardiac catheterization)

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92995  Coronary atherectomy
  Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty; single vessel

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $752
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92996  Coronary atherectomy add-on
  Percutaneous transluminal coronary atherectomy, by mechanical or other method, with or without balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $196
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92997  Pul art balloon repr, percut
  Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $669
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

92998  Pul art balloon repr, percut
  Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
All cases: 7 to 14 days

  Medicare Fee Schedule: $343
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93000  Electrocardiogram, complete
  Click Here for Complete Information for this CPT Code

93005  Electrocardiogram, tracing
  Click Here for Complete Information for this CPT Code

93010  Electrocardiogram report
  Click Here for Complete Information for this CPT Code

93012  Transmission of ecg
  Medicare Fee Schedule: $164
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93014  Report on transmitted ecg
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93015  Cardiac stress test using maximal or submaximal treadmill or bicycle exercise with electrocardiographic monitoring, physician supervision, with interpretation and report
  Click Here for Complete Information for this CPT Code

93016  Cardiac stress test using maximal or submaximal treadmill or bicycle exercise with electrocardiographic monitoring, physician supervision, without interpretation and report
  Click Here for Complete Information for this CPT Code

93017  Cardiovascular stress test
  Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report
  Medicare Fee Schedule: $62
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93018  Cardiac stress test using maximal or submaximal treadmill or bicycle exercise with interpretation and report only
  Click Here for Complete Information for this CPT Code

93024  Ergonovine provocation test
  Click Here for Complete Information for this CPT Code

93025  Microvolt t-wave assess
  Microvolt T-wave alternans for assessment of ventricular arrhythmias
  Medicare Fee Schedule: $182
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93040  Rhythm ECG with report
  Rhythm ECG, 1-3 leads; with interpretation and report
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93041  Rhythm ECG, tracing
  Rhythm ECG, 1-3 leads; tracing only without interpretation and report
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93042  Rhythm ECG, report
  Rhythm ECG, 1-3 leads; interpretation and report only
  Medicare Fee Schedule: $8
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    994.8 Electrocution and nonfatal effects of electric current  WC Frequency: 6.36%

93224  ECG monitor/report, 24 hrs
  External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, physician review and interpretation
  Medicare Fee Schedule: $117
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93225  ECG monitor/record, 24 hrs
  External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)
  Medicare Fee Schedule: $43
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93226  ECG monitor/report, 24 hrs
  External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report
  Medicare Fee Schedule: $42
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93227  ECG monitor/review, 24 hrs
  External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; physician review and interpretation
  Medicare Fee Schedule: $31
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93228  Remote 30 day ecg rev/report
  External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; physician review and interpretation with report
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93229  Remote 30 day ecg tech supp
  External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; technical support for connection and patient instructions for use, attended surveillance, analysis and physician prescribed transmission of daily and emergent data reports
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93230  ECG monitor/report, 24 hrs
  Medicare Fee Schedule: $116
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93231  Ecg monitor/record, 24 hrs
  Medicare Fee Schedule: $39
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93232  ECG monitor/report, 24 hrs
  Medicare Fee Schedule: $48
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93233  ECG monitor/review, 24 hrs
  Medicare Fee Schedule: $29
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93235  ECG monitor/report, 24 hrs
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93236  ECG monitor/report, 24 hrs
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93237  ECG monitor/review, 24 hrs
  Medicare Fee Schedule: $26
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93268  ECG record/review
  External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, physician review and interpretation
  Medicare Fee Schedule: $248
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93270  ECG recording
  External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording, and disconnection)
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93271  Ecg/monitoring and analysis
  External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; transmission download and analysis
  Medicare Fee Schedule: $205
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93272  Ecg/review, interpret only
  External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; physician review and interpretation
  Medicare Fee Schedule: $29
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93278  ECG/signal-averaged
  Signal-averaged electrocardiography (SAECG), with or without ECG
  Medicare Fee Schedule: $37
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93279  Pm device progr eval sngl
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; single lead pacemaker system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93280  Pm device progr eval dual
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; dual lead pacemaker system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93281  Pm device progr eval multi
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; multiple lead pacemaker system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93282  Icd device prog eval 1 sngl
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; single lead implantable cardioverter-defibrillator system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93283  Icd device progr eval dual
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; dual lead implantable cardioverter-defibrillator system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93284  Icd device progr eval mult
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; multiple lead implantable cardioverter-defibrillator system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93285  Ilr device eval progr
  Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; implantable loop recorder system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93286  Pre-op pm device eval
  Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead pacemaker system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93287  Pre-op icd device eval
  Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead implantable cardioverter-defibrillator system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93288  Pm device eval in person
  Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93289  Icd device interrogate
  Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead implantable cardioverter-defibrillator system, including analysis of heart rhythm derived data elements
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93290  Icm device eval
  Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable cardiovascular monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93291  Ilr device interrogate
  Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable loop recorder system, including heart rhythm derived data analysis
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93292  Wcd device interrogate
  Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; wearable defibrillator system
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93293  Pm phone r-strip device eval
  Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with physician analysis, review and report(s), up to 90 days
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93294  Pm device interrogate remote
  Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system with interim physician analysis, review(s) and report(s)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93295  Icd device interrogat remote
  Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable cardioverter-defibrillator system with interim physician analysis, review(s) and report(s)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93296  Pm/icd remote tech serv
  Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system or implantable cardioverter-defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93297  Icm device interrogat remote
  Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors, physician analysis, review(s) and report(s)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93298  Ilr device interrogat remote
  Interrogation device evaluation(s), (remote) up to 30 days; implantable loop recorder system, including analysis of recorded heart rhythm data, physician analysis, review(s) and report(s)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93299  Icm/ilr remote tech serv
  Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular monitor system or implantable loop recorder system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93303  Echo transthoracic
  Transthoracic echocardiography for congenital cardiac anomalies; complete
  Medicare Fee Schedule: $234
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93304  Echo transthoracic
  Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study
  Medicare Fee Schedule: $154
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93306  Tte w/doppler complete
  Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93307  Echo exam of heart
  Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography
  Medicare Fee Schedule: $187
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93308  Echo exam of heart
  Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study
  Medicare Fee Schedule: $125
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93312  Echo transesophageal
  Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report
  Medicare Fee Schedule: $382
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93313  Echo transesophageal
  Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93314  Echo transesophageal
  Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only
  Medicare Fee Schedule: $333
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93315  Echo transesophageal
  Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93316  Echo transesophageal
  Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only
  Medicare Fee Schedule: $48
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93317  Echo transesophageal
  Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93318  Echo transesophageal intraop
  Echocardiography, transesophageal (TEE) 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
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93320  Doppler echo exam, heart
  Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete
  Medicare Fee Schedule: $83
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93321  Doppler echo exam, heart
  Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)
  Medicare Fee Schedule: $33
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93325  Doppler color flow add-on
  Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93350  Echo transthoracic
  Echocardiography, transthoracic, 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;
  Medicare Fee Schedule: $257
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93351  Stress tte complete
  Echocardiography, transthoracic, 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
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93352  Admin ecg contrast agent
  Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93451  Right heart cath
  Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93452  Left hrt cath w/ventrclgrphy
  Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93453  R&l hrt cath w/ventriclgrphy
  Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93454  Coronary artery angio s&i
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93455  Coronary art/grft angio s&i
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93456  Rhrt coronary artery angio
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93457  Rhrt art/grft angio
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93458  Lhrt artery/ventricle angio
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93459  Lhrt art/grft angio
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93460  R&l hrt art/ventricle angio
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93461  R&l hrt art/ventricle angio
  Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93462  Lhrt cath trnsptl puncture
  Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93463  Drug admin & hemodynmic meas
  Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93464  Exercise w/hemodynamic meas
  Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93501  Catheterization of the right heart

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93503  Insertion of Swan-Ganz catheter for monitoring purposes
  Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes
  Medicare Fee Schedule: $136
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93505  Biopsy of heart lining
  Endomyocardial biopsy
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93508  Cath placement, angiography
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93510  Catheterization of the left heart

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93511  Catheterization of the left heart by cutdown

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93514  Catheterization of the left heart by ventricular pressure

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93524  Catheterization of left heart through septum and retrograde left heart catheterization

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93526  Catheterization of right heart and retrograde of left heart

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440.9 Generalized and unspecified atherosclerosis

93527  Catheterization of right and left hearts through intact septum

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93528  Catheterization of right heart with left ventricular puncture

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93529  Catheterization  of right and left hearts through existing septal opening

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93530  Catheterization of right heart for congenital cardiac anomalies
  Right heart catheterization, for congenital cardiac anomalies

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93531  Catheterization of right heart with retrograde left heart catheterization for congenital anomalies
  Combined right heart catheterization and retrograde left heart catheterization, for congenital cardiac anomalies

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93532  Catheterization or right heart and transseptal left heart catheterization through intact septum without retrograde left heart catheterization, for congenital anomalies
  Combined right heart catheterization and transseptal left heart catheterization through intact septum with or without retrograde left heart catheterization, for congenital cardiac anomalies

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93533  Catheterization of left and right heart through existing septal opening, for congenital anomalies
  Combined right heart catheterization and transseptal left heart catheterization through existing septal opening, with or without retrograde left heart catheterization, for congenital cardiac anomalies

Return-To-Work "Best Practice" Guidelines
Cardiac catheterization: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93539  Injection procedure during cardiac catheterization for selective opacification of arterial conduits
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93540  Injection procedure during cardiac catheterization for selective opacification of aortocoronary venous bypass grafts
  Medicare Fee Schedule: $26
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93541  Injection procedure during cardiac catheterization for pulmonary angiography
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93542  Angiocardiography, right ventricle or right atria, Angiocardiography, left ventricle or left atria
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    424.0 Mitral valve disorders

93543  Injection for heart x-rays
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    410 Acute myocardial infarction  WC Frequency: 50.00%

93544  Injection procedure during cardiac catheterization for aortography
  Medicare Fee Schedule: $15
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93545  Injection procedure during cardiac catheterization for selective coronary angiography
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    410 Acute myocardial infarction  WC Frequency: 52.50%
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93555  Imaging supervision, interpretation and report during cardiac catheterization
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93556  Imaging, cardiac cath
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93561  Indicator dilution studies including arterial and/or vein catheterization with cardiac output measurement
  Indicator dilution studies such as dye or thermal dilution, including arterial and/or venous catheterization; with cardiac output measurement (separate procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93562  Indicator dilution studies including arterial and/or vein catheterization following cardiac output measurement
  Indicator dilution studies such as dye or thermal dilution, including arterial and/or venous catheterization; subsequent measurement of cardiac output
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    440 Atherosclerosis
    440.9 Generalized and unspecified atherosclerosis

93563  Inject congenital card cath
  Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93564  Inject hrt congntl art/grft
  Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aortocoronary saphenous vein, free radial artery, or free mammary artery graft) to one or more coronary arteries and in situ arterial conduits (eg, internal mammary), whether native or used for bypass to one or more coronary arteries during congenital heart catheterization, when performed (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93565  Inject l ventr/atrial angio
  Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93566  Inject r ventr/atrial angio
  Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93567  Inject suprvlv aortography
  Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93568  Inject pulm art hrt cath
  Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for pulmonary angiography (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93571  Heart flow reserve measure
  Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93572  Heart flow reserve measure
  Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; each additional vessel (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93580  Transcath closure of asd
  Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant
  Medicare Fee Schedule: $1,097
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93581  Transcath closure of vsd
  Percutaneous transcatheter closure of a congenital ventricular septal defect with implant
  Medicare Fee Schedule: $1,497
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93600  Bundle of His recording
  Bundle of His recording
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93602  Intra-atrial recording
  Intra-atrial recording
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93603  Right ventricular recording
  Right ventricular recording
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93609  Map tachycardia, add-on
  Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93610  Intra-atrial pacing
  Intra-atrial pacing
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93612  Intraventricular pacing
  Intraventricular pacing
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93613  Electrophys map 3d, add-on
  Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $429
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93615  Esophageal recording
  Esophageal recording of atrial electrogram with or without ventricular electrogram(s);
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93616  Esophageal recording
  Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93618  Heart rhythm pacing
  Induction of arrhythmia by electrical pacing
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93619  Electrophysiology evaluation
  Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93620  Electrophysiology evaluation
  Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93621  Electrophysiology evaluation
  Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93622  Electrophysiology evaluation
  Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93623  Stimulation, pacing heart
  Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93624  Electrophysiologic study
  Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93631  Heart pacing, mapping
  Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93640  Evaluation heart device
  Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement;
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93641  Electrophysiology evaluation
  Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93642  Electrophysiology evaluation
  Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)
  Medicare Fee Schedule: $489
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93650  Ablation (surgical removal) of catheter of atrioventricular function
  Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement
  Medicare Fee Schedule: $655
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    427.0 Paroxysmal supraventricular tachycardia
    427.3 Atrial fibrillation and flutter
    427.4 Ventricular fibrillation and flutter

93651  Ablation (surgical removal) of catheter arrythmogenic focus
  Intracardiac catheter ablation of arrhythmogenic focus; for treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathways, accessory atrioventricular connections or other atrial foci, singly or in combination
  Medicare Fee Schedule: $994
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    427.0 Paroxysmal supraventricular tachycardia
    427.3 Atrial fibrillation and flutter
    427.4 Ventricular fibrillation and flutter

93652  Ablation (surgical removal) of catheter arrythmogenic focus for treatment of ventricular tachycardia
  Intracardiac catheter ablation of arrhythmogenic focus; for treatment of ventricular tachycardia
  Medicare Fee Schedule: $1,082
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    427.0 Paroxysmal supraventricular tachycardia
    427.3 Atrial fibrillation and flutter
    427.4 Ventricular fibrillation and flutter

93660  Tilt table evaluation
  Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention
  Medicare Fee Schedule: $190
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93662  Intracardiac ecg (ice)
  Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93668  Peripheral vascular rehab
  Peripheral arterial disease (PAD) rehabilitation, per session
  Medicare Fee Schedule: $16
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93701  Bioimpedance, thoracic
  Bioimpedance-derived physiologic cardiovascular analysis
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93720  Total body plethysmography
  Plethysmography, total body; with interpretation and report
  Medicare Fee Schedule: $54
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93721  Plethysmography tracing
  Plethysmography, total body; tracing only, without interpretation and report
  Medicare Fee Schedule: $45
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93722  Plethysmography report
  Plethysmography, total body; interpretation and report only
  Medicare Fee Schedule: $9
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93724  Analyze pacemaker system
  Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpretation of recordings)
  Medicare Fee Schedule: $334
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93727  Analyze ilr system
  Medicare Fee Schedule: $45
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93731  Analyze pacemaker system
  Medicare Fee Schedule: $49
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93732  Analyze pacemaker system
  Medicare Fee Schedule: $82
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93733  Telephone analy, pacemaker
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93734  Analyze pacemaker system
  Medicare Fee Schedule: $42
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93735  Analyze pacemaker system
  Medicare Fee Schedule: $67
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93736  Telephonic analy, pacemaker
  Medicare Fee Schedule: $42
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93740  Temperature gradient studies
  Temperature gradient studies
  Medicare Fee Schedule: $8
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93741  Analyze ht pace device sngl
  Medicare Fee Schedule: $72
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93742  Analyze ht pace device sngl
  Medicare Fee Schedule: $82
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93743  Analyze ht pace device dual
  Medicare Fee Schedule: $88
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93744  Analyze ht pace device dual
  Medicare Fee Schedule: $100
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93745  Set-up cardiovert-defibrill
  Initial set-up and programming by a physician of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electronic ECG, transmission of data to data repository, patient instruction in wearing system and patient reporting of problems or events
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93750  Interrogation vad in person
  Interrogation of ventricular assist device (VAD), in person, with physician analysis of device parameters (eg, drivelines, alarms, power surges), review of device function (eg, flow and volume status, septum status, recovery), with programming, if performed, and report
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93760  Cephalic thermogram
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93762  Peripheral thermogram
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93770  Measure venous pressure
  Determination of venous pressure
  Medicare Fee Schedule: $8
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93784  Ambulatory BP monitoring
  Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; including recording, scanning analysis, interpretation and report
  Medicare Fee Schedule: $74
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93786  Ambulatory BP recording
  Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; recording only
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93788  Ambulatory BP analysis
  Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; scanning analysis with report
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93790  Review/report BP recording
  Ambulatory blood pressure monitoring, utilizing a system such as magnetic tape and/or computer disk, for 24 hours or longer; physician review with interpretation and report
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93797  Cardiac rehab
  Physician services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session)
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93798  Cardiac rehab/monitor
  Physician services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93799  Cardiovascular procedure
  Unlisted cardiovascular service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93875  Extracranial study
  Noninvasive physiologic studies of extracranial arteries, complete bilateral study (eg, periorbital flow direction with arterial compression, ocular pneumoplethysmography, Doppler ultrasound spectral analysis)
  Medicare Fee Schedule: $108
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93880  Extracranial study
  Duplex scan of extracranial arteries; complete bilateral study
  Medicare Fee Schedule: $265
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93882  Extracranial study
  Duplex scan of extracranial arteries; unilateral or limited study
  Medicare Fee Schedule: $178
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93886  Intracranial study
  Transcranial Doppler study of the intracranial arteries; complete study
  Medicare Fee Schedule: $312
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93888  Intracranial study
  Transcranial Doppler study of the intracranial arteries; limited study
  Medicare Fee Schedule: $215
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93890  Tcd, vasoreactivity study
  Transcranial Doppler study of the intracranial arteries; vasoreactivity study
  Medicare Fee Schedule: $285
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93892  Tcd, emboli detect w/o inj
  Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection
  Medicare Fee Schedule: $310
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93893  Tcd, emboli detect w/inj
  Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injection
  Medicare Fee Schedule: $299
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93922  Extremity study
  Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurements at 1-2 levels)
  Medicare Fee Schedule: $132
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93923  Extremity study
  Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more level(s), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)
  Medicare Fee Schedule: $201
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    353 Nerve root and plexus disorders  WC Frequency: 7.40%
    353.0 Brachial plexus lesions  WC Frequency: 13.33%

93924  Extremity study
  Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at rest with ankle/brachial indices immediately after and at timed intervals following performance of a standardized protocol on a motorized treadmill plus recording of time of onset of claudication or other symptoms, maximal walking time, and time to recovery) complete bilateral study
  Medicare Fee Schedule: $251
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93925  Lower extremity study
  Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study
  Medicare Fee Schedule: $333
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93926  Lower extremity study
  Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study
  Medicare Fee Schedule: $216
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93930  Upper extremity study
  Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study
  Medicare Fee Schedule: $264
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93931  Upper extremity study
  Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study
  Medicare Fee Schedule: $178
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93965  Extremity study
  Noninvasive physiologic studies of extremity veins, complete bilateral study (eg, Doppler waveform analysis with responses to compression and other maneuvers, phleborheography, impedance plethysmography)
  Medicare Fee Schedule: $130
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93970  Extremity study
  Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study
  Medicare Fee Schedule: $271
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    453 Other venous embolism and thrombosis  WC Frequency: 15.38%
    453.8 Of other specified veins  WC Frequency: 15.25%

93971  Extremity study
  Click Here for Complete Information for this CPT Code

93975  Vascular study
  Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study
  Medicare Fee Schedule: $401
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93976  Vascular study
  Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study
  Medicare Fee Schedule: $223
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93978  Vascular study
  Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study
  Medicare Fee Schedule: $262
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93979  Vascular study
  Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study
  Medicare Fee Schedule: $187
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93980  Penile vascular study
  Duplex scan of arterial inflow and venous outflow of penile vessels; complete study
  Medicare Fee Schedule: $196
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93981  Penile vascular study
  Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study
  Medicare Fee Schedule: $133
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93982  Aneurysm pressure sens study
  Noninvasive physiologic study of implanted wireless pressure sensor in aneurysmal sac following endovascular repair, complete study including recording, analysis of pressure and waveform tracings, interpretation and report
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

93990  Doppler flow testing
  Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)
  Medicare Fee Schedule: $215
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94002  Vent mgmt inpat, init day
  Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day
  Medicare Fee Schedule: $94
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94003  Vent mgmt inpat, subq day
  Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day
  Medicare Fee Schedule: $67
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94004  Vent mgmt nf per day
  Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day
  Medicare Fee Schedule: $49
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94005  Home vent mgmt supervision
  Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94010  Breathing capacity test
  Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation
  Medicare Fee Schedule: $35
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    493 Asthma  WC Frequency: 15.72%
    493.9 Asthma, unspecified  WC Frequency: 15.12%
    506 Respiratory conditions due to chemical fumes and vapors  WC Frequency: 10.54%
    506.0 Bronchitis and pneumonitis due to fumes and vapors  WC Frequency: 10.88%
    987.8 Other specified gases, fumes, or vapors  WC Frequency: 5.56%

94011  Spirometry up to 2 yrs old
  Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94012  Spirmtry w/brnchdil inf-2 yr
  Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94013  Meas lung vol thru 2 yrs
  Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94014  Patient recorded spirometry
  Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibration and physician review and interpretation
  Medicare Fee Schedule: $52
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94015  Patient recorded spirometry
  Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration)
  Medicare Fee Schedule: $26
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94016  Review patient spirometry
  Patient-initiated spirometric recording per 30-day period of time; physician review and interpretation only
  Medicare Fee Schedule: $26
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94060  Evaluation of wheezing
  Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    493 Asthma  WC Frequency: 15.09%
    493.9 Asthma, unspecified  WC Frequency: 13.44%
    501 Asbestosis  WC Frequency: 11.48%
    506 Respiratory conditions due to chemical fumes and vapors  WC Frequency: 8.26%
    506.0 Bronchitis and pneumonitis due to fumes and vapors  WC Frequency: 10.88%

94070  Evaluation of wheezing
  Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)
  Medicare Fee Schedule: $65
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94150  Vital capacity test
  Vital capacity, total (separate procedure)
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94200  Lung function test (MBC/MVV)
  Maximum breathing capacity, maximal voluntary ventilation
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94240  Residual lung capacity
  Functional residual capacity or residual volume: helium method, nitrogen open circuit method, or other method
  Medicare Fee Schedule: $43
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94250  Expired gas collection
  Expired gas collection, quantitative, single procedure (separate procedure)
  Medicare Fee Schedule: $24
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94260  Thoracic gas volume
  Thoracic gas volume
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94350  Lung nitrogen washout curve
  Determination of maldistribution of inspired gas: multiple breath nitrogen washout curve including alveolar nitrogen or helium equilibration time
  Medicare Fee Schedule: $35
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94360  Measure airflow resistance
  Determination of resistance to airflow, oscillatory or plethysmographic methods
  Medicare Fee Schedule: $49
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94370  Breath airway closing volume
  Determination of airway closing volume, single breath tests
  Medicare Fee Schedule: $33
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94375  Respiratory flow volume loop
  Respiratory flow volume loop
  Medicare Fee Schedule: $40
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94400  CO2 breathing response curve
  Breathing response to CO2 (CO2 response curve)
  Medicare Fee Schedule: $57
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94450  Hypoxia response curve
  Breathing response to hypoxia (hypoxia response curve)
  Medicare Fee Schedule: $56
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94452  Hast w/report
  High altitude simulation test (HAST), with physician interpretation and report;
  Medicare Fee Schedule: $56
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94453  Hast w/oxygen titrate
  High altitude simulation test (HAST), with physician interpretation and report; with supplemental oxygen titration
  Medicare Fee Schedule: $77
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94610  Surfactant admin thru tube
  Intrapulmonary surfactant administration by a physician through endotracheal tube
  Medicare Fee Schedule: $67
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94620  Pulmonary stress test/simple
  Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry)
  Medicare Fee Schedule: $59
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94621  Pulm stress test/complex
  Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake, and electrocardiographic recordings)
  Medicare Fee Schedule: $180
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94640  Airway inhalation treatment
  Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    493 Asthma  WC Frequency: 13.20%
    506 Respiratory conditions due to chemical fumes and vapors  WC Frequency: 7.97%
    506.0 Bronchitis and pneumonitis due to fumes and vapors  WC Frequency: 9.32%

94642  Aerosol inhalation treatment
  Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94644  Cbt, 1st hour
  Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94645  Cbt, each addl hour
  Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94660  Pos airway pressure, CPAP
  Continuous positive airway pressure ventilation (CPAP), initiation and management
  Medicare Fee Schedule: $61
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94662  Neg press ventilation, cnp
  Continuous negative pressure ventilation (CNP), initiation and management
  Medicare Fee Schedule: $37
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94664  Aerosol or vapor inhalations
  Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    493 Asthma  WC Frequency: 27.04%
    493.9 Asthma, unspecified  WC Frequency: 26.89%
    506 Respiratory conditions due to chemical fumes and vapors  WC Frequency: 23.64%
    506.0 Bronchitis and pneumonitis due to fumes and vapors  WC Frequency: 24.87%
    506.3 Other acute and subacute respiratory conditions due to fumes and vapors  WC Frequency: 30.43%
    786 Symptoms involving respiratory system and other chest symptoms  WC Frequency: 17.02%
    983 Toxic effect of corrosive aromatics, acids, and caustic alkalis  WC Frequency: 12.94%
    987 Toxic effect of other gases, fumes, or vapors  WC Frequency: 12.71%
    987.6 Chlorine gas  WC Frequency: 22.43%
    987.8 Other specified gases, fumes, or vapors  WC Frequency: 11.53%
    987.9 Unspecified gas, fume, or vapor  WC Frequency: 12.53%
    989.8 Other substances, chiefly nonmedicinal as to source  WC Frequency: 9.61%

94667  Chest wall manipulation
  Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94668  Chest wall manipulation
  Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94680  Exhaled air analysis, o2
  Oxygen uptake, expired gas analysis; rest and exercise, direct, simple
  Medicare Fee Schedule: $54
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94681  Exhaled air analysis, o2/co2
  Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted
  Medicare Fee Schedule: $53
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94690  Exhaled air analysis
  Oxygen uptake, expired gas analysis; rest, indirect (separate procedure)
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94720  Monoxide diffusing capacity
  Carbon monoxide diffusing capacity (eg, single breath, steady state)
  Medicare Fee Schedule: $56
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    493 Asthma  WC Frequency: 11.32%
    493.9 Asthma, unspecified  WC Frequency: 12.60%
    501 Asbestosis  WC Frequency: 12.16%
    506 Respiratory conditions due to chemical fumes and vapors  WC Frequency: 5.12%

94725  Membrane diffusion capacity
  Membrane diffusion capacity
  Medicare Fee Schedule: $51
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94750  Pulmonary compliance study
  Pulmonary compliance study (eg, plethysmography, volume and pressure measurements)
  Medicare Fee Schedule: $75
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94760  Measure blood oxygen level
  Click Here for Complete Information for this CPT Code

94761  Measure blood oxygen level
  Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94762  Measure blood oxygen level
  Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94770  Exhaled carbon dioxide test
  Carbon dioxide, expired gas determination by infrared analyzer
  Medicare Fee Schedule: $38
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94772  Breath recording, infant
  Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94774  Ped home apnea rec, compl
  Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; includes monitor attachment, download of data, physician review, interpretation, and preparation of a report
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94775  Ped home apnea rec, hk-up
  Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and disconnection)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94776  Ped home apnea rec, downld
  Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analyses by computer only
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94777  Ped home apnea rec, report
  Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; physician review, interpretation and preparation of report only
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

94799  Pulmonary service/procedure
  Unlisted pulmonary service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95004  Percut allergy skin tests
  Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95010  Percut allergy titrate test
  Percutaneous tests (scratch, puncture, prick) sequential and incremental, with drugs, biologicals or venoms, immediate type reaction, including test interpretation and report by a physician, specify number of tests
  Medicare Fee Schedule: $17
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95012  Exhaled nitric oxide meas
  Nitric oxide expired gas determination
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95015  Id allergy titrate-drug/bug
  Intracutaneous (intradermal) tests, sequential and incremental, with drugs, biologicals, or venoms, immediate type reaction, including test interpretation and report by a physician, specify number of tests
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95024  Id allergy test, drug/bug
  Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report by a physician, specify number of tests
  Medicare Fee Schedule: $8
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95027  Id allergy titrate-airborne
  Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report by a physician, specify number of tests
  Medicare Fee Schedule: $9
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95028  Id allergy test-delayed type
  Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests
  Medicare Fee Schedule: $11
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95044  Allergy patch tests
  Patch or application test(s) (specify number of tests)
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95052  Photo patch test
  Photo patch test(s) (specify number of tests)
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95056  Photosensitivity tests
  Photo tests
  Medicare Fee Schedule: $46
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95060  Eye allergy tests
  Ophthalmic mucous membrane tests
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95065  Nose allergy test
  Direct nasal mucous membrane test
  Medicare Fee Schedule: $25
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95070  Bronchial allergy tests
  Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with histamine, methacholine, or similar compounds
  Medicare Fee Schedule: $31
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95071  Bronchial allergy tests
  Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with antigens or gases, specify
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95075  Ingestion challenge test
  Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance such as metabisulfite)
  Medicare Fee Schedule: $63
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95115  Immunotherapy, one injection
  Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection
  Medicare Fee Schedule: $9
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95117  Immunotherapy injections
  Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections
  Medicare Fee Schedule: $11
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95120  Immunotherapy, one injection
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; single injection
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95125  Immunotherapy, many antigens
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; 2 or more injections
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95130  Immunotherapy, insect venom
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; single stinging insect venom
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95131  Immunotherapy, insect venoms
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; 2 stinging insect venoms
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95132  Immunotherapy, insect venoms
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; 3 stinging insect venoms
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95133  Immunotherapy, insect venoms
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; 4 stinging insect venoms
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95134  Immunotherapy, insect venoms
  Professional services for allergen immunotherapy in prescribing physicians office or institution, including provision of allergenic extract; 5 stinging insect venoms
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95144  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials)
  Medicare Fee Schedule: $13
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95145  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom
  Medicare Fee Schedule: $16
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95146  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms
  Medicare Fee Schedule: $27
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95147  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms
  Medicare Fee Schedule: $27
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95148  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms
  Medicare Fee Schedule: $38
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95149  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms
  Medicare Fee Schedule: $50
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95165  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)
  Medicare Fee Schedule: $12
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95170  Antigen therapy services
  Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses)
  Medicare Fee Schedule: $10
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95180  Rapid desensitization
  Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum)
  Medicare Fee Schedule: $138
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95199  Allergy immunology services
  Unlisted allergy/clinical immunologic service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95250  Glucose monitoring, cont
  Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; sensor placement, hook-up, calibration of monitor, patient training, removal of sensor, and printout of recording
  Medicare Fee Schedule: $133
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95251  Gluc monitor, cont, phys i&r
  Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; interpretation and report
  Medicare Fee Schedule: $43
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95800  Slp stdy unattended
  Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95801  Slp stdy unatnd w/anal
  Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95803  Actigraphy testing
  Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95805  Multiple sleep latency test
  Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness
  Medicare Fee Schedule: $352
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95806  Sleep study, unattended
  Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)
  Medicare Fee Schedule: $223
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95807  Sleep study, attended
  Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist
  Medicare Fee Schedule: $526
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95808  Polysomnography, 1-3
  Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist
  Medicare Fee Schedule: $711
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95810  Polysomnography, 4 or more
  Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
  Medicare Fee Schedule: $825
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95811  Polysomnography w/cpap
  Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
  Medicare Fee Schedule: $913
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95812  Eeg, 41-60 minutes
  Electroencephalogram (EEG) extended monitoring; 41-60 minutes
  Medicare Fee Schedule: $269
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95813  Eeg, over 1 hour
  Electroencephalogram (EEG) extended monitoring; greater than 1 hour
  Medicare Fee Schedule: $321
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95816  Eeg, awake and drowsy
  Electroencephalogram (EEG); including recording awake and drowsy
  Medicare Fee Schedule: $246
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95819  Electroencephalogram (EEG)
  Electroencephalogram (EEG); including recording awake and asleep
  Medicare Fee Schedule: $278
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    310 Specific nonpsychotic mental disorders due to brain damage  WC Frequency: 7.25%
    310.2 Postconcussion syndrome  WC Frequency: 7.04%

95822  Eeg, coma or sleep only
  Electroencephalogram (EEG); recording in coma or sleep only
  Medicare Fee Schedule: $256
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95824  Eeg, cerebral death only
  Electroencephalogram (EEG); cerebral death evaluation only
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95827  Eeg, all night recording
  Electroencephalogram (EEG); all night recording
  Medicare Fee Schedule: $482
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95829  Surgery electrocorticogram
  Electrocorticogram at surgery (separate procedure)
  Medicare Fee Schedule: $1,211
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95830  Insert electrodes for EEG
  Insertion by physician of sphenoidal electrodes for electroencephalographic (EEG) recording
  Medicare Fee Schedule: $182
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95831  Limb muscle testing, manual
  Muscle testing, manual (separate procedure) with report; extremity (excluding hand) or trunk
  Medicare Fee Schedule: $25
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95832  Hand muscle testing, manual
  Muscle testing, manual (separate procedure) with report; hand, with or without comparison with normal side
  Medicare Fee Schedule: $25
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95833  Body muscle testing, manual
  Muscle testing, manual (separate procedure) with report; total evaluation of body, excluding hands
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95834  Body muscle testing, manual
  Muscle testing, manual (separate procedure) with report; total evaluation of body, including hands
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95851  Range of motion measurements
  Click Here for Complete Information for this CPT Code

95852  Range of motion measurements
  Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side
  Medicare Fee Schedule: $13
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95857  Tensilon test
  Cholinesterase inhibitor challenge test for myasthenia gravis
  Medicare Fee Schedule: $43
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95860  Needle electromyography, one extremity
  Click Here for Complete Information for this CPT Code

95861  Needle electromyography, two extremities
  Click Here for Complete Information for this CPT Code

95863  Muscle test, 3 limbs
  Needle electromyography; 3 extremities with or without related paraspinal areas
  Medicare Fee Schedule: $150
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95864  Muscle test, 4 limbs
  Needle electromyography; 4 extremities with or without related paraspinal areas
  Medicare Fee Schedule: $166
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95865  Muscle test, larynx
  Needle electromyography; larynx
  Medicare Fee Schedule: $115
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95866  Muscle test, hemidiaphragm
  Needle electromyography; hemidiaphragm
  Medicare Fee Schedule: $102
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95867  Muscle test cran nerv unilat
  Needle electromyography; cranial nerve supplied muscle(s), unilateral
  Medicare Fee Schedule: $75
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95868  Muscle test cran nerve bilat
  Needle electromyography; cranial nerve supplied muscles, bilateral
  Medicare Fee Schedule: $103
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95869  Muscle test, thor paraspinal
  Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12)
  Medicare Fee Schedule: $54
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95870  Muscle test, nonparaspinal
  Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters
  Medicare Fee Schedule: $53
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95872  Muscle test, one fiber
  Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied
  Medicare Fee Schedule: $179
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95873  Guide nerv destr, elec stim
  Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $51
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95874  Guide nerv destr, needle emg
  Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $52
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95875  Limb exercise test
  Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s)
  Medicare Fee Schedule: $96
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95900  Nerve conduction study, motor
  Click Here for Complete Information for this CPT Code

95903  Motor nerve conduction test
  Click Here for Complete Information for this CPT Code

95904  Nerve conduction study, sensory
  Click Here for Complete Information for this CPT Code

95905  Motor/sens nrve conduct test
  Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95920  Intraop nerve test add-on
  Intraoperative neurophysiology testing, per hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $157
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95921  Autonomic nerv function test
  Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio
  Medicare Fee Schedule: $79
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95922  Autonomic nerv function test
  Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuver and at least 5 minutes of passive tilt
  Medicare Fee Schedule: $101
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95923  Autonomic nerv function test
  Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential
  Medicare Fee Schedule: $117
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95925  Somatosensory short-latency testing
  Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs
  Medicare Fee Schedule: $142
  WC Ranking: 91
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    320-389 Diseases of the nervous system and sense organs

95926  Somatosensory testing
  Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs
  Medicare Fee Schedule: $136
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95927  Somatosensory testing
  Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head
  Medicare Fee Schedule: $138
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95928  C motor evoked, uppr limbs
  Central motor evoked potential study (transcranial motor stimulation); upper limbs
  Medicare Fee Schedule: $210
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95929  C motor evoked, lwr limbs
  Central motor evoked potential study (transcranial motor stimulation); lower limbs
  Medicare Fee Schedule: $222
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95930  Visual evoked potential test
  Visual evoked potential (VEP) testing central nervous system, checkerboard or flash
  Medicare Fee Schedule: $114
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95933  Blink reflex test
  Orbicularis oculi (blink) reflex, by electrodiagnostic testing
  Medicare Fee Schedule: $67
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95934  H-reflex test
  Click Here for Complete Information for this CPT Code

95936  H-reflex test
  H-reflex, amplitude and latency study; record muscle other than gastrocnemius/soleus muscle
  Medicare Fee Schedule: $45
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95937  Neuromuscular junction test
  Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method
  Medicare Fee Schedule: $63
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95950  Ambulatory eeg monitoring
  Monitoring for identification and lateralization of cerebral seizure focus, electroencephalographic (eg, 8 channel EEG) recording and interpretation, each 24 hours
  Medicare Fee Schedule: $263
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95951  EEG monitoring/videorecord
  Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, combined electroencephalographic (EEG) and video recording and interpretation (eg, for presurgical localization), each 24 hours
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95953  EEG monitoring/computer
  Monitoring for localization of cerebral seizure focus by computerized portable 16 or more channel EEG, electroencephalographic (EEG) recording and interpretation, each 24 hours, unattended
  Medicare Fee Schedule: $420
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95954  EEG monitoring/giving drugs
  Pharmacological or physical activation requiring physician attendance during EEG recording of activation phase (eg, thiopental activation test)
  Medicare Fee Schedule: $284
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95955  EEG during surgery
  Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)
  Medicare Fee Schedule: $152
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95956  Eeg monitoring, cable/radio
  Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, electroencephalographic (EEG) recording and interpretation, each 24 hours, attended by a technologist or nurse
  Medicare Fee Schedule: $731
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95957  EEG digital analysis
  Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)
  Medicare Fee Schedule: $304
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95958  EEG monitoring/function test
  Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring
  Medicare Fee Schedule: $421
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95961  Electrode stimulation, brain
  Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of physician attendance
  Medicare Fee Schedule: $252
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95962  Electrode stim, brain add-on
  Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additional hour of physician attendance (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $221
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95965  Meg, spontaneous
  Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95966  Meg, evoked, single
  Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95967  Meg, evoked, each addÆl
  Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, each additional modality (eg, sensory, motor, language, or visual cortex localization) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95970  Analyze neurostim, no prog
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple or complex brain, spinal cord, or peripheral (ie, cranial nerve, peripheral nerve, autonomic nerve, neuromuscular) neurostimulator pulse generator/transmitter, without reprogramming
  Medicare Fee Schedule: $52
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95971  Analyze neurostim, simple
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple spinal cord, or peripheral (ie, peripheral nerve, autonomic nerve, neuromuscular) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming
  Medicare Fee Schedule: $55
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95972  Analyze neurostim, complex
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, first hour
  Medicare Fee Schedule: $107
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    337 Disorders of the autonomic nervous system  WC Frequency: 7.47%
    337.2 Reflex sympathetic dystrophy  WC Frequency: 7.60%
    337.21 Reflex sympathetic dystrophy of the upper limb  WC Frequency: 7.72%
    337.22 Reflex sympathetic dystrophy of the lower limb  WC Frequency: 8.04%

95973  Analyze neurostim, complex
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, each additional 30 minutes after first hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $59
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95974  Cranial neurostim, complex
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, with or without nerve interface testing, first hour
  Medicare Fee Schedule: $176
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95975  Cranial neurostim, complex
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, each additional 30 minutes after first hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $97
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95978  Analyze neurostim brain/1h
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, battery status, electrode selectability and polarity, impedance and patient compliance measurements), complex deep brain neurostimulator pulse generator/transmitter, with initial or subsequent programming; first hour
  Medicare Fee Schedule: $210
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95979  Analyz neurostim brain addon
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, battery status, electrode selectability and polarity, impedance and patient compliance measurements), complex deep brain neurostimulator pulse generator/transmitter, with initial or subsequent programming; each additional 30 minutes after first hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $93
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95980  Io anal gast n-stim init
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; intraoperative, with programming
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95981  Io anal gast n-stim subsq
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; subsequent, without reprogramming
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95982  Io ga n-stim subsq w/reprog
  Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; subsequent, with reprogramming
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95990  Spin/brain pump refil & main
  Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular);
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95991  Spin/brain pump refil & main
  Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular); administered by physician
  Medicare Fee Schedule: $93
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95992  Canalith repositioning proc
  Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

95999  Neurological procedure
  Unlisted neurological or neuromuscular diagnostic procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96000  Motion analysis, video/3d
  Comprehensive computer-based motion analysis by video-taping and 3D kinematics;
  Medicare Fee Schedule: $94
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96001  Motion test w/ft press meas
  Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking
  Medicare Fee Schedule: $106
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96002  Dynamic surface emg
  Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96003  Dynamic fine wire emg
  Dynamic fine wire electromyography, during walking or other functional activities, 1 muscle
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96004  Phys review of motion tests
  Physician review and interpretation of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report
  Medicare Fee Schedule: $106
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96020  Functional brain mapping
  Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or psychologist, with review of test results and report
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96040  Genetic counseling, 30 min
  Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family
  Medicare Fee Schedule: $37
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96101  Psycho testing by psych/phys
  Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI, Rorschach, WAIS), per hour of the psychologist's or physician's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
  Medicare Fee Schedule: $86
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96102  Psycho testing by technician
  Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI and WAIS), with qualified health care professional interpretation and report, administered by technician, per hour of technician time, face-to-face
  Medicare Fee Schedule: $65
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96103  Psycho testing admin by comp
  Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI), administered by a computer, with qualified health care professional interpretation and report
  Medicare Fee Schedule: $70
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96105  Assessment of aphasia
  Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96110  Developmental test, lim
  Developmental testing; limited (eg, Developmental Screening Test II, Early Language Milestone Screen), with interpretation and report
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96111  Developmental test, extend
  Developmental testing; extended (includes assessment of motor, language, social, adaptive and/or cognitive functioning by standardized developmental instruments) with interpretation and report
  Medicare Fee Schedule: $131
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96116  Neurobehavioral status exam
  Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities), per hour of the psychologist's or physician's time, both face-to-face time with the patient and time interpreting test results and preparing the report
  Medicare Fee Schedule: $98
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96118  Neuropsych tst by psych/phys
  Neuropsychological testing (eg, Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test), per hour of the psychologist's or physician's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
  Medicare Fee Schedule: $108
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96119  Neuropsych testing by tec
  Neuropsychological testing (eg, Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test), with qualified health care professional interpretation and report, administered by technician, per hour of technician time, face-to-face
  Medicare Fee Schedule: $86
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96120  Neuropsych tst admin w/comp
  Neuropsychological testing (eg, Wisconsin Card Sorting Test), administered by a computer, with qualified health care professional interpretation and report
  Medicare Fee Schedule: $93
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96125  Cognitive test by hc pro
  Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96150  Assess hlth/behave, init
  Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment
  Medicare Fee Schedule: $23
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96151  Assess hlth/behave, subseq
  Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; re-assessment
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96152  Intervene hlth/behave, indiv
  Health and behavior intervention, each 15 minutes, face-to-face; individual
  Medicare Fee Schedule: $21
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96153  Intervene hlth/behave, group
  Health and behavior intervention, each 15 minutes, face-to-face; group (2 or more patients)
  Medicare Fee Schedule: $5
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96154  Interv hlth/behav, fam w/pt
  Health and behavior intervention, each 15 minutes, face-to-face; family (with the patient present)
  Medicare Fee Schedule: $21
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96155  Interv hlth/behav fam no pt
  Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present)
  Medicare Fee Schedule: $21
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96360  Hydration iv infusion init
  Intravenous infusion, hydration; initial, 31 minutes to 1 hour
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96361  Hydrate iv infusion add-on
  Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96365  Ther/proph/diag iv inf init
  Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96366  Ther/proph/diag iv inf addon
  Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96367  Tx/proph/dg addl seq iv inf
  Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96368  Ther/diag concurrent inf
  Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96369  Sc ther infusion up to 1 hr
  Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96370  Sc ther infusion addl hr
  Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96371  Sc ther infusion reset pump
  Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96372  Ther/proph/diag inj sc/im
  Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96373  Ther/proph/diag inj ia
  Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96374  Ther/proph/diag inj iv push
  Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96375  Tx/pro/dx inj new drug addon
  Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96376  Tx/pro/dx inj same drug adon
  Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96379  Ther/prop/diag inj/inf proc
  Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96400  Chemotherapy, administered subcutaneous or into muscles
  Click Here for Complete Information for this CPT Code

96401  Chemo, anti-neopl, sq/im
  Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $79
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96402  Chemo hormon antineopl sq/im
  Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96405  Chemotherapy, administered intralesional, up to seven lesions
  Click Here for Complete Information for this CPT Code

96406  Chemotherapy, administered intralesional, more than seven lesions
  Click Here for Complete Information for this CPT Code

96408  Chemotherapy, administered through the veins, push technique
  Click Here for Complete Information for this CPT Code

96409  Chemo, iv push, sngl drug
  Chemotherapy administration; intravenous, push technique, single or initial substance/drug

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $116
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96410  Chemotherapy, administered through the veins, infusion technique, up to one hour
  Click Here for Complete Information for this CPT Code

96411  Chemo, iv push, addl drug
  Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $66
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96412  Chemotherapy, administered through the veins, infusion technique, one to eight hours
  Click Here for Complete Information for this CPT Code

96413  Chemo, iv infusion, 1 hr
  Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $150
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96414  Chemotherapy, administered through the veins, infusion technique, over eight hours
  Click Here for Complete Information for this CPT Code

96415  Chemo, iv infusion, addl hr
  Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96416  Chemo prolong infuse w/pump
  Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $165
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96417  Chemo iv infus each addl seq
  Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)

Return-To-Work "Best Practice" Guidelines
Chemotherapy: 1-7 days

  Medicare Fee Schedule: $76
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96420  Chemotherapy, administered through the arteries, push technique
  Click Here for Complete Information for this CPT Code

96422  Chemotherapy, administered through the arteries, infusion technique, up to one hour
  Click Here for Complete Information for this CPT Code

96423  Chemotherapy, administered through the arteries, infusion technique, one to eight hours
  Click Here for Complete Information for this CPT Code

96425  Chemotherapy, administered through the arteries, infusion technique, up to eight hours
  Click Here for Complete Information for this CPT Code

96440  Chemotherapy, administered into pleural space, requiring release of fluid from the chest (thoracentesis)
  Click Here for Complete Information for this CPT Code

96445  Chemotherapy, administered into peritoneal cavity, including surgical puncture to release fluid (peritoneocentesis)
  Click Here for Complete Information for this CPT Code

96446  Chemotx admn prtl cavity
  Chemotherapy administration into the peritoneal cavity via indwelling port or catheter
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96450  Chemotherapy, administered into CNS, requiring spinal puncture
  Click Here for Complete Information for this CPT Code

96502  Complete mastoidectomy
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    383 Mastoiditis and related conditions
    383.9 Unspecified mastoiditis

96520  Refilling and maintenance of portable pump for chemotherapy
  Click Here for Complete Information for this CPT Code

96521  Refill/maint, portable pump
  Refilling and maintenance of portable pump
  Medicare Fee Schedule: $129
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96522  Refill/maint pump/resvr syst
  Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)
  Medicare Fee Schedule: $113
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96523  Irrig drug delivery device
  Irrigation of implanted venous access device for drug delivery systems
  Medicare Fee Schedule: $26
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96530  Refilling and maintenance of implant pump for chemotherapy
  Click Here for Complete Information for this CPT Code

96542  Subarachnoid or intraventricular chemotherapy injection
  Click Here for Complete Information for this CPT Code

96545  Provision of chemotherapy agent
  Click Here for Complete Information for this CPT Code

96549  Unlisted chemotherapy procedure
  Click Here for Complete Information for this CPT Code

96567  Photodynamic therapy
  Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa (eg, lip) by activation of photosensitive drug(s), each phototherapy exposure session
  Medicare Fee Schedule: $143
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    362.50 Macular degeneration (senile), unspecified
    362.52 Exudative senile macular degeneration

96570  Photodynamic tx, 30 min
  Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)
  Medicare Fee Schedule: $61
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96571  Photodynamic tx, addl 15 min
  Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)
  Medicare Fee Schedule: $30
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96900  Ultraviolet light therapy
  Actinotherapy (ultraviolet light)
  Medicare Fee Schedule: $22
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96902  Trichogram
  Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality
  Medicare Fee Schedule: $20
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96904  Whole body photography
  Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma
  Medicare Fee Schedule: $70
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96910  Photochemotherapy with UV-B
  Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B
  Medicare Fee Schedule: $77
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96912  Photochemotherapy with UV-A
  Photochemotherapy; psoralens and ultraviolet A (PUVA)
  Medicare Fee Schedule: $100
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96913  Photochemotherapy, UV-A or B
  Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings)
  Medicare Fee Schedule: $142
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96920  Laser tx, skin < 250 sq cm
  Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm
  Medicare Fee Schedule: $180
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96921  Laser tx, skin 250-500 sq cm
  Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm
  Medicare Fee Schedule: $178
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96922  Laser tx, skin > 500 sq cm
  Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm
  Medicare Fee Schedule: $257
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

96999  Dermatological procedure
  Unlisted special dermatological service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97001  Pt evaluation
  Click Here for Complete Information for this CPT Code

97002  Pt re-evaluation
  Click Here for Complete Information for this CPT Code

97003  Ot evaluation
  Click Here for Complete Information for this CPT Code

97004  Ot re-evaluation
  Click Here for Complete Information for this CPT Code

97005  Athletic train eval
  Athletic training evaluation
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97006  Athletic train reeval
  Athletic training re-evaluation
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97010  Application of hot or cold packs, each 15 minutes
  Click Here for Complete Information for this CPT Code

97012  Application of mechanical traction not requiring direct contact with the provider
  Click Here for Complete Information for this CPT Code

97014  Application of electrical stimulation, without direct provider contact, each 15 minutes
  Click Here for Complete Information for this CPT Code

97016  Vasopneumatic device therapy
  Application of a modality to 1 or more areas; vasopneumatic devices
  Medicare Fee Schedule: $16
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97018  Paraffin bath therapy
  Click Here for Complete Information for this CPT Code

97022  Whirlpool therapy
  Click Here for Complete Information for this CPT Code

97024  Diathermy eg, microwave
  Application of a modality to 1 or more areas; diathermy (eg, microwave)
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97026  Infrared therapy
  Application of a modality to 1 or more areas; infrared
  Medicare Fee Schedule: $5
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97028  Ultraviolet therapy
  Application of a modality to 1 or more areas; ultraviolet
  Medicare Fee Schedule: $6
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97032  Electrical stimulation with direct provider contact, each 15 minutes
  Click Here for Complete Information for this CPT Code

97033  Iontophoresis, each 15 minutes
  Click Here for Complete Information for this CPT Code

97034  Contrast bath therapy
  Application of a modality to 1 or more areas; contrast baths, each 15 minutes
  Medicare Fee Schedule: $16
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    337 Disorders of the autonomic nervous system  WC Frequency: 6.62%
    337.2 Reflex sympathetic dystrophy  WC Frequency: 6.52%
    337.21 Reflex sympathetic dystrophy of the upper limb  WC Frequency: 7.72%

97035  Ultrasound, each 15 minutes
  Click Here for Complete Information for this CPT Code

97036  Hydrotherapy
  Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97039  Physical therapy treatment
  Unlisted modality (specify type and time if constant attendance)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    337.21 Reflex sympathetic dystrophy of the upper limb  WC Frequency: 6.09%

97110  Therapeutic exercises and treatment for strength and movement recovery
  Click Here for Complete Information for this CPT Code

97112  Re-learning neuromuscular movement
  Click Here for Complete Information for this CPT Code

97113  Electrical stimulation with direct provider contact (aquatic)
  Click Here for Complete Information for this CPT Code

97116  Gait training therapy
  Click Here for Complete Information for this CPT Code

97124  Massage, each 15 minutes, without direct provider contact
  Click Here for Complete Information for this CPT Code

97139  Unlisted therapeutic procedure, each 15 minutes
  Click Here for Complete Information for this CPT Code

97140  Manual therapy techniques, each 15 minutes, requiring direct contact with physician or therapist
  Click Here for Complete Information for this CPT Code

97150  Group therapeutic procedures
  Click Here for Complete Information for this CPT Code

97265  Mobilization of joints
  Medicare Fee Schedule: n/a
  WC Ranking: 18
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    710-739 Diseases of the musculoskeletal system and connective tissue
    800-899 Injury and poisoning

97530  Therapeutic activities that involve working directly with the provider
  Click Here for Complete Information for this CPT Code

97532  Cognitive skills development
  Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact by the provider, each 15 minutes
  Medicare Fee Schedule: $25
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97533  Sensory integration
  Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact by the provider, each 15 minutes
  Medicare Fee Schedule: $27
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97535  Self care mngment training
  Click Here for Complete Information for this CPT Code

97537  Community/work reintegration
  Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contact by provider, each 15 minutes
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97542  Wheelchair mngment training
  Wheelchair management (eg, assessment, fitting, training), each 15 minutes
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97545  Conditioning and work hardening, first two hours
  Work hardening/conditioning; initial 2 hours
  Medicare Fee Schedule: $0
  WC Ranking: 5
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    710-739 Diseases of the musculoskeletal system and connective tissue
    800-999 Injury and poisoning

97546  Conditioning and work hardening, each additional hour following the first two hours
  Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  WC Ranking: 3
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    710-739 Diseases of the musculoskeletal system and connective tissue
    800-999 Injury and poisoning

97597  Active wound care/20 cm or <
  Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less
  Medicare Fee Schedule: $66
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97598  Active wound care > 20 cm
  Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $80
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97602  Wound(s) care non-selective
  Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    903 Injury to blood vessels of upper extremity  WC Frequency: 10.56%

97605  Neg press wound tx, < 50 cm
  Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters
  Medicare Fee Schedule: $37
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97606  Neg press wound tx, > 50 cm
  Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters
  Medicare Fee Schedule: $40
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97750  Physical performance test
  Click Here for Complete Information for this CPT Code

97755  Assistive technology assess
  Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact by provider, with written report, each 15 minutes
  Medicare Fee Schedule: $35
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97760  Orthotic mgmt and training
  Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97761  Prosthetic training
  Prosthetic training, upper and/or lower extremity(s), each 15 minutes
  Medicare Fee Schedule: $30
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97762  C/o for orthotic/prosth use
  Checkout for orthotic/prosthetic use, established patient, each 15 minutes
  Medicare Fee Schedule: $38
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97780  Acupuncture, without electrical stimulation
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    726.32 Lateral epicondylitis
    729.1 Mylagia and myositis, unspecified

97781  Acupuncture, with electrical stimulation
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    726.32 Lateral epicondylitis
    729.1 Mylagia and myositis, unspecified

97799  Unlisted rehabilitation procedure
  Unlisted physical medicine/rehabilitation service or procedure
  Medicare Fee Schedule: $0
  WC Ranking: 4
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    710-739 Diseases of the musculoskeletal system and connective tissue
    800-999 Injury and poisoning

97802  Medical nutrition, indiv, in
  Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes
  Medicare Fee Schedule: $23
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97803  Med nutrition, indiv, subseq
  Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97804  Medical nutrition, group
  Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes
  Medicare Fee Schedule: $13
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97810  Acupunct w/o stimul 15 min
  Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97811  Acupunct w/o stimul addl 15m
  Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $26
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97813  Acupunct w/stimul 15 min
  Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient
  Medicare Fee Schedule: $36
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

97814  Acupunct w/stimul addl 15m
  Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $29
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98925  Osteopathic manipulation
  Osteopathic manipulative treatment (OMT); 1-2 body regions involved
  Medicare Fee Schedule: $28
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    296 Episodic mood disorders  WC Frequency: 5.50%
    296.2 Major depressive disorder, single episode  WC Frequency: 5.52%
    300 Anxiety, dissociative and somatoform disorders  WC Frequency: 6.97%
    300.4 Dysthymic disorder  WC Frequency: 9.64%
    307 Special symptoms or syndromes, not elsewhere classified  WC Frequency: 9.52%
    307.8 Pain disorders related to psychological factors  WC Frequency: 9.63%
    307.89 Other  WC Frequency: 9.74%
    309.2 With predominant disturbance of other emotions  WC Frequency: 6.63%
    722.2 Displacement of intervertebral disc, site unspecified, without myelopathy  WC Frequency: 5.04%
    739 Nonallopathic lesions, not elsewhere classified  WC Frequency: 6.21%

98926  Osteopathic manipulation
  Osteopathic manipulative treatment (OMT); 3-4 body regions involved
  Medicare Fee Schedule: $39
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98927  Osteopathic manipulation
  Osteopathic manipulative treatment (OMT); 5-6 body regions involved
  Medicare Fee Schedule: $51
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98928  Osteopathic manipulation
  Osteopathic manipulative treatment (OMT); 7-8 body regions involved
  Medicare Fee Schedule: $60
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98929  Osteopathic manipulation
  Osteopathic manipulative treatment (OMT); 9-10 body regions involved
  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98940  Chiropractic manipulation
  Click Here for Complete Information for this CPT Code

98941  Chiropractic manipulation
  Click Here for Complete Information for this CPT Code

98942  Chiropractic manipulation
  Chiropractic manipulative treatment (CMT); spinal, 5 regions
  Medicare Fee Schedule: $47
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98943  Chiropractic manipulation
  Click Here for Complete Information for this CPT Code

98960  Self-mgmt educ & train, 1 pt
  Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98961  Self-mgmt educ/train, 2-4 pt
  Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients
  Medicare Fee Schedule: $9
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98962  Self-mgmt educ/train, 5-8 pt
  Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 5-8 patients
  Medicare Fee Schedule: $7
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98966  Hc pro phone call 5-10 min
  Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98967  Hc pro phone call 11-20 min
  Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98968  Hc pro phone call 21-30 min
  Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

98969  Online service by hc pro
  Online assessment and management service provided by a qualified nonphysician health care professional to an established patient, guardian, or health care provider not originating from a related assessment and management service provided within the previous 7 days, using the Internet or similar electronic communications network
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99000  Specimen handling
  Handling and/or conveyance of specimen for transfer from the physician's office to a laboratory
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99001  Specimen handling
  Handling and/or conveyance of specimen for transfer from the patient in other than a physician's office to a laboratory (distance may be indicated)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99002  Device handling
  Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such as orthotics, protectives, prosthetics are fabricated by an outside laboratory or shop but which items have been designed, and are to be fitted and adjusted by the attending physician
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99024  Postop follow-up visit
  Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99026  In-hospital on call service
  Hospital mandated on call service; in-hospital, each hour
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99027  Out-of-hosp on call service
  Hospital mandated on call service; out-of-hospital, each hour
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99050  Medical services after hrs
  Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99051  Med serv, eve/wkend/holiday
  Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99053  Med serv 10pm-8am, 24 hr fac
  Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99056  Med service out of office
  Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99058  Office emergency care
  Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    940.0 Chemical burn of eyelids and periocular area  WC Frequency: 5.27%

99060  Out of office emerg med serv
  Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office services, in addition to basic service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99070  Extra supplies or materials provided by the doctor above those included in the office visit
  Click Here for Complete Information for this CPT Code

99071  Patient education materials
  Educational supplies, such as books, tapes, and pamphlets, provided by the physician for the patient's education at cost to physician
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99075  Medical testimony
  Medical testimony
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99078  Group health education
  Physician educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99080  Special reports above what is usually included in medical communications
  Click Here for Complete Information for this CPT Code

99082  Unusual physician travel
  Unusual travel (eg, transportation and escort of patient)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99090  Computer data analysis
  Analysis of clinical data stored in computers (eg, ECGs, blood pressures, hematologic data)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99091  Collect/review data from pt
  Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, requiring a minimum of 30 minutes of time
  Medicare Fee Schedule: $53
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99100  Special anesthesia service
  Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99116  Anesthesia with hypothermia
  Anesthesia complicated by utilization of total body hypothermia (List separately in addition to code for primary anesthesia procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99135  Special anesthesia procedure
  Anesthesia complicated by utilization of controlled hypotension (List separately in addition to code for primary anesthesia procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99140  Emergency anesthesia
  Anesthesia complicated by emergency conditions (specify) (List separately in addition to code for primary anesthesia procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99143  Mod cs by same phys, < 5 yrs
  Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; younger than 5 years of age, first 30 minutes intra-service time
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99144  Mod cs by same phys, 5 yrs +
  Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; age 5 years or older, first 30 minutes intra-service time
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99145  Mod cs by same phys add-on
  Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intra-service time (List separately in addition to code for primary service)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99148  Mod cs diff phys < 5 yrs
  Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; younger than 5 years of age, first 30 minutes intra-service time
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99149  Mod cs diff phys 5 yrs +
  Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; age 5 years or older, first 30 minutes intra-service time
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99150  Mod cs diff phys add-on
  Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician other than the health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intra-service time (List separately in addition to code for primary service)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99170  Coloscopic examination of a child for suspected trauma
  Anogenital examination with colposcopic magnification in childhood for suspected trauma
  Medicare Fee Schedule: $126
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    180 Malignant neoplasm of cervix uteri

99172  Ocular function screen
  Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudoisochromatic plates, and field of vision (may include all or some screening of the determination[s] for contrast sensitivity, vision under glare)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99173  Visual acuity screen
  Screening test of visual acuity, quantitative, bilateral
  Medicare Fee Schedule: $3
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99174  Ocular photoscreening
  Ocular photoscreening with interpretation and report, bilateral
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99175  Induction of vomiting
  Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison
  Medicare Fee Schedule: $16
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99183  Hyperbaric oxygen therapy
  Physician attendance and supervision of hyperbaric oxygen therapy, per session
  Medicare Fee Schedule: $193
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99185  Regional hypothermia
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99186  Total body hypothermia
  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99190  Special pump services
  Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99191  Special pump services
  Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99192  Special pump services
  Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99195  Phlebotomy
  Phlebotomy, therapeutic (separate procedure)
  Medicare Fee Schedule: $99
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99199  Unlisted procedure, report, or service
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99201  Office/outpatient visit, new
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99202  Doctor's office visit for the evaluation of a new patient for expanded problem-focused history, examination and simple medical decision  
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99203  Doctor's office visit for the evaluation of a new patient for detailed history, examination, and medical decision of low complexity
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99204  Doctor's visit for the evaluation of a new patient for a history, examination, and a moderately complex medical decision
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99205  Doctor's visit for the evaluation for comprehensive job, examination, and highly complex medical decision
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99211  Doctor's office visit for the evaluation of an established patient with minimal problems not necessarily requiring the presence of a physician
  Click Here for Complete Information for this CPT Code

99212  Doctor's visit for the evaluation of an established patient for a problem-focused examination and a simple medical decision
  Click Here for Complete Information for this CPT Code

99213  Doctor's visit for the evaluation of an established patient for expanded examination and history of a problem requiring a fairly simple medical decision
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99214  Doctor's visit for the evaluation of an established patient for a detailed history, examination, and a medical decision of moderate complexity
  Click Here for Complete Information for this CPT Code

99215  Office/outpatient visit, est
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99217  Observation care discharge
  Observation care discharge day management (This code is to be utilized by the physician to report all services provided to a patient on discharge from "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])
  Medicare Fee Schedule: $70
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99218  Observation care
  Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of low severity.
  Medicare Fee Schedule: $66
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    718.5 Ankylosis of joint  WC Frequency: 5.77%
    733.8 Malunion and nonunion of fracture  WC Frequency: 5.33%
    812.2 Shaft or unspecified part, closed  WC Frequency: 6.63%
    824.4 Bimalleolar, closed  WC Frequency: 6.47%

99219  Observation care
  Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of moderate severity.
  Medicare Fee Schedule: $108
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99220  Observation care
  Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of high severity.
  Medicare Fee Schedule: $152
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99221  Initial hospital care
  Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Physicians typically spend 30 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: $95
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    808 Fracture of pelvis  WC Frequency: 6.34%

99222  Initial hospital care
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99223  Initial hospital care
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99224  Subsequent observation care
  Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99225  Subsequent observation care
  Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99226  Subsequent observation care
  Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99231  Subsequent hospital care
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99232  Subsequent hospital care
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99233  Subsequent hospital care
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99234  Observ/hosp same date
  Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of low severity.
  Medicare Fee Schedule: $132
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    733.82 Nonunion of fracture  WC Frequency: 5.40%

99235  Observ/hosp same date
  Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of moderate severity.
  Medicare Fee Schedule: $174
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99236  Observ/hosp same date
  Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of high severity.
  Medicare Fee Schedule: $217
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99238  Hospital discharge day
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99239  Hospital discharge day
  Hospital discharge day management; more than 30 minutes
  Medicare Fee Schedule: $101
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    820 Fracture of neck of femur  WC Frequency: 6.43%
    820.2 Pertrochanteric fracture, closed  WC Frequency: 8.24%

99241  Office consultation
  Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $51
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    296 Episodic mood disorders  WC Frequency: 5.07%
    300 Anxiety, dissociative and somatoform disorders  WC Frequency: 5.81%
    311 Depressive disorder, not elsewhere classified  WC Frequency: 6.99%
    337 Disorders of the autonomic nervous system  WC Frequency: 5.98%
    337.2 Reflex sympathetic dystrophy  WC Frequency: 5.86%
    337.21 Reflex sympathetic dystrophy of the upper limb  WC Frequency: 6.09%
    355 Mononeuritis of lower limb  WC Frequency: 5.80%
    718.8 Other joint derangement, not elsewhere classified  WC Frequency: 5.47%
    733.8 Malunion and nonunion of fracture  WC Frequency: 5.55%
    733.82 Nonunion of fracture  WC Frequency: 5.67%
    733.92 Chondromalacia  WC Frequency: 5.24%

99242  Office consultation
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99243  Office consultation with detailed history, exam, and medical decision of low complexity
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99244  Office consultation with comprehensive history, examination and moderately complex medical decision
  Click Here for Complete Information for this CPT Code

99245  Office consultation with comprehensive history, examination and highly complex medical decision
  Click Here for Complete Information for this CPT Code

99251  Inpatient consultation
  Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 20 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: $52
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99252  Initial inpatient consult
  Inpatient consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 40 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: $80
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    808 Fracture of pelvis  WC Frequency: 7.36%
    820 Fracture of neck of femur  WC Frequency: 6.86%
    820.2 Pertrochanteric fracture, closed  WC Frequency: 8.76%
    820.21 Intertrochanteric section  WC Frequency: 10.71%
    897 Traumatic amputation of leg(s) (complete) (partial)  WC Frequency: 35.84%

99253  Initial inpatient consult
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99254  Initial inpatient consult
  Click Here for Complete Information for this CPT Code

99255  Inpatient consultation
  Inpatient consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 110 minutes at the bedside and on the patient's hospital floor or unit.
  Medicare Fee Schedule: $213
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99281  Emergency dept visit
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99282  Emergency dept visit
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99283  Emergency room visit for history and examination of expanded problem with moderately complex medical decision
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99284  Emergency dept visit
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99285  Emergency dept visit
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99288  Direct advanced life support
  Physician direction of emergency medical systems (EMS) emergency care, advanced life support
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99289  Ped crit care transport
  Medicare Fee Schedule: $234
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99290  Ped crit care transport addl
  Medicare Fee Schedule: $119
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99291  Critical care, first hour
  Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
  Medicare Fee Schedule: $266
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    309 Adjustment reaction  WC Frequency: 5.20%
    309.8 Other specified adjustment reactions  WC Frequency: 7.16%
    309.81 Posttraumatic stress disorder  WC Frequency: 7.39%
    427 Cardiac dysrhythmias  WC Frequency: 31.48%
    798 Sudden death, cause unknown  WC Frequency: 15.84%
    798.2 Death occurring in less than 24 hours from onset of symptoms, not otherwise explained  WC Frequency: 24.35%
    805.0 Cervical, closed  WC Frequency: 17.21%
    805.2 Dorsal [thoracic], closed  WC Frequency: 5.42%
    808 Fracture of pelvis  WC Frequency: 6.85%
    821 Fracture of other and unspecified parts of femur  WC Frequency: 6.58%
    852 Subarachnoid, subdural, and extradural hemorrhage, following injury  WC Frequency: 34.72%
    852.2 Subdural hemorrhage following injury without mention of open intracranial wound  WC Frequency: 33.33%

99292  Critical care, addÆl 30 min
  Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)
  Medicare Fee Schedule: $121
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99293  Ped critical care, initial
  Medicare Fee Schedule: $787
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99294  Ped critical care, subseq
  Medicare Fee Schedule: $387
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99295  Neonate crit care, initial
  Medicare Fee Schedule: $912
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99296  Neonate critical care subseq
  Medicare Fee Schedule: $384
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99298  Ic for lbw infant < 1500 gm
  Medicare Fee Schedule: $136
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99299  Ic, lbw infant 1500-2500 gm
  Medicare Fee Schedule: $130
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99300  Ic, infant pbw 2501-5000 gm
  Medicare Fee Schedule: $125
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99304  Nursing facility care, init
  Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Physicians typically spend 25 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99305  Nursing facility care, init
  Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Physicians typically spend 35 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99306  Nursing facility care, init
  Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Physicians typically spend 45 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $105
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99307  Nursing fac care, subseq
  Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 10 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $34
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99308  Nursing fac care, subseq
  Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 15 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $56
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99309  Nursing fac care, subseq
  Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient has developed a significant complication or a significant new problem. Physicians typically spend 25 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $78
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99310  Nursing fac care, subseq
  Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 35 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $98
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99315  Nursing fac discharge day
  Nursing facility discharge day management; 30 minutes or less
  Medicare Fee Schedule: $60
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99316  Nursing fac discharge day
  Nursing facility discharge day management; more than 30 minutes
  Medicare Fee Schedule: $79
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99318  Annual nursing fac assessmnt
  Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 30 minutes at the bedside and on the patient's facility floor or unit.
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99324  Domicil/r-home visit new pat
  Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 20 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $57
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99325  Domicil/r-home visit new pat
  Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $82
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99326  Domicil/r-home visit new pat
  Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $118
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99327  Domicil/r-home visit new pat
  Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Physicians typically spend 60 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $155
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99328  Domicil/r-home visit new pat
  Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Physicians typically spend 75 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $192
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99334  Domicil/r-home visit est pat
  Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self-limited or minor. Physicians typically spend 15 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99335  Domicil/r-home visit est pat
  Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 25 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $68
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99336  Domicil/r-home visit est pat
  Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $105
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99337  Domicil/r-home visit est pat
  Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 60 minutes with the patient and/or family or caregiver.
  Medicare Fee Schedule: $155
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99339  Domicil/r-home care supervis
  Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes
  Medicare Fee Schedule: $72
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99340  Domicil/r-home care supervis
  Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more
  Medicare Fee Schedule: $100
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99341  Home visit, new patient
  Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $57
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99342  Home visit, new patient
  Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $82
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99343  Home visit, new patient
  Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $119
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99344  Home visit, new patient
  Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $155
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99345  Home visit, new patient
  Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Physicians typically spend 75 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $191
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99347  Home visit, est patient
  Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 15 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $44
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99348  Home visit, est patient
  Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $69
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99349  Home visit for the evaluation of an established patient for detailed history, examination and moderately complex medical decision
  Click Here for Complete Information for this CPT Code

99350  Home visit, est patient
  Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 60 minutes face-to-face with the patient and/or family.
  Medicare Fee Schedule: $155
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99354  Prolonged service, office
  Prolonged physician service in the office or other outpatient setting requiring direct (face-to-face) patient contact beyond the usual service; first hour (List separately in addition to code for office or other outpatient Evaluation and Management service)
  Medicare Fee Schedule: $95
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99355  Prolonged service, office
  Prolonged physician service in the office or other outpatient setting requiring direct (face-to-face) patient contact beyond the usual service; each additional 30 minutes (List separately in addition to code for prolonged physician service)
  Medicare Fee Schedule: $96
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99356  Prolonged service, inpatient
  Prolonged physician service in the inpatient setting, requiring unit/floor time beyond the usual service; first hour (List separately in addition to code for inpatient Evaluation and Management service)
  Medicare Fee Schedule: $87
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99357  Prolonged service, inpatient
  Prolonged physician service in the inpatient setting, requiring unit/floor time beyond the usual service; each additional 30 minutes (List separately in addition to code for prolonged physician service)
  Medicare Fee Schedule: $87
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99358  Prolonged serv, w/o contact
  Prolonged evaluation and management service before and/or after direct (face-to-face) patient care; first hour
  Medicare Fee Schedule: $102
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99359  Prolonged serv, w/o contact
  Prolonged evaluation and management service before and/or after direct (face-to-face) patient care; each additional 30 minutes (List separately in addition to code for prolonged physician service)
  Medicare Fee Schedule: $49
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99360  Physician standby services
  Physician standby service, requiring prolonged physician attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG)
  Medicare Fee Schedule: $47
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99361  Physician/team conference
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99362  Physician/team conference
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99363  Anticoag mgmt, init
  Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; initial 90 days of therapy (must include a minimum of 8 INR measurements)
  Medicare Fee Schedule: $114
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99364  Anticoag mgmt, subseq
  Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; each subsequent 90 days of therapy (must include a minimum of 3 INR measurements)
  Medicare Fee Schedule: $40
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99366  Team conf w/pat by hc pro
  Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professional
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99367  Team conf w/o pat by phys
  Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99368  Team conf w/o pat by hc pro
  Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99371  Physician phone consultation
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99372  Physician phone consultation
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99373  Physician phone consultation
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99374  Home health care supervision
  Physician supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99375  Home health care supervision
  Physician supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more
  Medicare Fee Schedule: $97
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99377  Hospice care supervision
  Physician supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99378  Hospice care supervision
  Physician supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more
  Medicare Fee Schedule: $97
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99379  Nursing fac care supervision
  Physician supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 15-29 minutes
  Medicare Fee Schedule: $64
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99380  Nursing fac care supervision
  Physician supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more
  Medicare Fee Schedule: $96
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99381  Init pm e/m, new pat, inf
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)
  Medicare Fee Schedule: $85
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99382  Init pm e/m, new pat 1-4 yrs
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years)
  Medicare Fee Schedule: $92
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99383  Prev visit, new, age 5-11
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years)
  Medicare Fee Schedule: $92
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99384  Prev visit, new, age 12-17
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)
  Medicare Fee Schedule: $100
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99385  Prev visit, new, age 18-39
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
  Medicare Fee Schedule: $100
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99386  Prev visit, new, age 40-64
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years
  Medicare Fee Schedule: $117
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99387  Init pm e/m, new pat 65+ yrs
  Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
  Medicare Fee Schedule: $129
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99391  Per pm reeval, est pat, inf
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)
  Medicare Fee Schedule: $73
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99392  Prev visit, est, age 1-4
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)
  Medicare Fee Schedule: $81
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99393  Prev visit, est, age 5-11
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)
  Medicare Fee Schedule: $81
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99394  Prev visit, est, age 12-17
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)
  Medicare Fee Schedule: $89
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99395  Prev visit, est, age 18-39
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years
  Medicare Fee Schedule: $89
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99396  Prev visit, est, age 40-64
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years
  Medicare Fee Schedule: $97
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99397  Per pm reeval est pat 65+ yr
  Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
  Medicare Fee Schedule: $109
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99401  Preventive counseling, indiv
  Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes
  Medicare Fee Schedule: $32
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99402  Preventive counseling, indiv
  Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes
  Medicare Fee Schedule: $56
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99403  Preventive counseling, indiv
  Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes
  Medicare Fee Schedule: $79
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99404  Preventive counseling, indiv
  Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes
  Medicare Fee Schedule: $102
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99406  Behav chng smoking 3-10 min
  Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99407  Behav chng smoking > 10 min
  Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99408  Audit/dast 15-30 min
  Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99409  Audit/dast over 30 min
  Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99411  Preventive counseling, group
  Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes
  Medicare Fee Schedule: $14
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99412  Preventive counseling, group
  Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes
  Medicare Fee Schedule: $19
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99420  Health risk assessment test
  Administration and interpretation of health risk assessment instrument (eg, health hazard appraisal)
  Medicare Fee Schedule: $9
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99429  Unlisted preventive service
  Unlisted preventive medicine service
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99431  Initial care, normal newborn
  Medicare Fee Schedule: $56
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99432  Newborn care, not in hosp
  Medicare Fee Schedule: $88
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99433  Normal newborn care/hospital
  Medicare Fee Schedule: $30
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99435  Newborn discharge day hosp
  Medicare Fee Schedule: $77
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99436  Attendance, birth
  Medicare Fee Schedule: $72
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99440  Newborn resuscitation
  Medicare Fee Schedule: $141
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99441  Phone e/m by phys 5-10 min
  Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99442  Phone e/m by phys 11-20 min
  Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99443  Phone e/m by phys 21-30 min
  Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99444  Online e/m by phys
  Online evaluation and management service provided by a physician to an established patient, guardian, or health care provider not originating from a related E/M service provided within the previous 7 days, using the Internet or similar electronic communications network
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99450  Basic life disability exam
  Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with "chain of custody" protocols; and Completion of necessary documentation/certificates.
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99455  Examination for work-related or medical disability
  Click Here for Complete Information for this CPT Code

99456  Work-related or medical disability exam by someone other than the treating physician with history, examination, diagnosis, assessment, development of future treatment plan and completion of report
  Click Here for Complete Information for this CPT Code

99460  Init nb em per day hosp
  Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99461  Init nb em per day non-fac
  Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99462  Sbsq nb em per day hosp
  Subsequent hospital care, per day, for evaluation and management of normal newborn
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99463  Same day nb discharge
  Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99464  Attendance at delivery
  Attendance at delivery (when requested by the delivering physician) and initial stabilization of newborn
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99465  Nb resuscitation
  Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99466  Ped crit care transport
  Critical care services delivered by a physician, face-to-face, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; first 30-74 minutes of hands-on care during transport
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99467  Ped crit care transport addl
  Critical care services delivered by a physician, face-to-face, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; each additional 30 minutes (List separately in addition to code for primary service)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99468  Neonate crit care initial
  Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99469  Neonate crit care subsq
  Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99471  Ped critical care initial
  Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99472  Ped critical care subsq
  Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99475  Ped crit care age 2-5 init
  Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99476  Ped crit care age 2-5 subsq
  Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99477  Init day hosp neonate care
  Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99478  Ic lbw inf < 1500 gm subsq
  Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99479  Ic lbw inf 1500-2500 g subsq
  Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99480  Ic inf pbw 2501-5000 g subsq
  Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99499  Unlisted evaluation
  Click Here for Complete Information for this CPT Code

99500  Home visit, prenatal
  Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99501  Home visit, postnatal
  Home visit for postnatal assessment and follow-up care
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99502  Home visit, nb care
  Home visit for newborn care and assessment
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99503  Home visit, resp therapy
  Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99504  Home visit mech ventilator
  Home visit for mechanical ventilation care
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99505  Home visit for care of colostomy (surgical incision of the colon)
  Home visit for stoma care and maintenance including colostomy and cystostomy

Return-To-Work "Best Practice" Guidelines
All cases: 1 day

  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    153 Malignant neoplasm of colon
    153.9 Colon, unspecified
    239.0 Digestive system
    562.10 Diverticulosis of colon (without mention of hemorrhage)
    562.11 Diverticulitis of colon without mention of hemorrhage
    562.13 Diverticulitis of colon with hemorrhage
    568.0 Peritoneal adhesions

99506  Home visit, im injection
  Home visit for intramuscular injections
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99507  Home visit, cath maintain
  Home visit for care and maintenance of catheter(s) (eg, urinary, drainage, and enteral)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99509  Home visit day life activity
  Home visit for assistance with activities of daily living and personal care
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99510  Home visit, sing/m/fam couns
  Home visit for individual, family, or marriage counseling
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99511  Home visit, fecal/enema mgmt
  Home visit for fecal impaction management and enema administration
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99512  Home visit for hemodialysis
  Home visit for hemodialysis
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99556  Home administration of antibiotics

Return-To-Work "Best Practice" Guidelines
All cases: 1 day

  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    034.0 Streptococcal sore throat
    523 Gingival and periodontal diseases
    523.4 Chronic periodontitis
    711.0 Pyogenic arthritis

99600  Home visit nos
  Unlisted home visit service or procedure
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99601  Home infusion/visit, 2 hrs
  Home infusion/specialty drug administration, per visit (up to 2 hours);
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99602  Home infusion, each addtl hr
  Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)
  Medicare Fee Schedule: $0
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99605  Mtms by pharm np 15 min
  Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99606  Mtms by pharm est 15 min
  Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

99607  Mtms by pharm addl 15 min
  Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes (List separately in addition to code for primary service)
  Medicare Fee Schedule: n/a
  ICD9 Diagnosis Codes (click on link to ODG duration guidelines):
    001-999 ICD9 Major Categories

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