Procedure code directory

Page 12 of 14, in code order. Codes 99448 to J0897.

• 99448Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes$50.55
• 99449Telephone or internet assessment with verbal and written report by consulting physician, more than 30 minutes$70.73
• 99451Telephone, internet, or electronic health record assessment and management with written report by consulting physician, $34.10
• 99452Telephone or internet referral service, 30 minutes$28.58
• 99453Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment$20.35
• 99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transm$47.97
• 99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes$48.61
• 99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes$39.11
• 99459Pelvic exam$22.03
• 99473Education and training to self measure blood pressure$15.21
• 99474Self measured blood pressure measurements$15.78
• 99483Assessment of and care planning for patient with impaired thought processing, typically 60 minutes$251.08
• 99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health car$50.05
• 99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time dir$124.70
• 99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staf$67.00
• 99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per cale$59.70
• 99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care$79.68
• 99492Initial psychiatric collaborative care management, first calendar month, first 70 minutes$146.82
• 99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes$124.05
• 99494Psychiatric collaborative care management per calendar month, each additional 30 minutes$52.67
• 99495Transitional care management services for problem of at least moderate complexity$182.24
• 99496Transitional care management services for problem of high complexity$252.87
• 99497Advance care planning, first 30 minutes$73.95
• 99498Advance care planning, each additional 30 minutes$65.58
• A0425Ground mileage, per statute mile$9.46
• A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)$327.62
• A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$522.48
• A0428Ambulance service, basic life support, non-emergency transport, (bls)$261.47
• A0429Ambulance service, basic life support, emergency transport (bls-emergency)$446.93
• A0430Ambulance service, conventional air services, transport, one way (fixed wing)$5195.78
• A0431Ambulance service, conventional air services, transport, one way (rotary wing)$5614.16
• A0433Advanced life support, level 2 (als 2)$752.44
• A0434Specialty care transport (sct)$919.21
• A0435Fixed wing air mileage, per statute mile$14.65
• A0436Rotary wing air mileage, per statute mile$38.43
• A2001Innovamatrix ac, per square centimeter$1098.64
• A2019Kerecis omega3 marigen shield, per square centimeter$795.05
• A4561Pessary, reusable, rubber, any type$27.12
• A4562Pessary, reusable, non rubber, any type$66.33
• A4565Slings$10.28
• A4648Tissue marker, implantable, any type, each$222.95
• A9500Technetium tc-99m sestamibi, diagnostic, per study dose$110.81
• A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose$181.87
• A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries$38.41
• A9505Thallium tl-201 thallous chloride, diagnostic, per millicurie$40.08
• A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries$1025.91
• A9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries$39.75
• A9538Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries$63.52
• A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries$164.49
• A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries$321.77
• A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries$526.83
• A9561Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries$47.93
• A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries$680.09
• A9573Injection, gadopiclenol, 1 ml$5.15
• A9575Injection, gadoterate meglumine, 0.1 ml$0.12
• A9576Injection, gadoteridol, (prohance multipack), per ml$1.46
• A9577Injection, gadobenate dimeglumine (multihance), per ml$1.72
• A9578Injection, gadobenate dimeglumine (multihance multipack), per ml$1.74
• A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml$1.47
• A9581Injection, gadoxetate disodium, 1 ml$14.12
• A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries$2604.28
• A9585Injection, gadobutrol, 0.1 ml$0.31
• A9586Florbetapir f18, diagnostic, per study dose, up to 10 millicuries$3145.27
• A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie$84.81
• A9592Copper cu-64, dotatate, diagnostic, 1 millicurie$1130.06
• A9595Piflufolastat f-18, diagnostic, 1 millicurie$626.38
• A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie$1030.04
• A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie$255.39
• A9608Flotufolastat f 18, diagnostic, 1 millicurie$824.55
• A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie$1071.71
• C1747Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)$1598.22
• C7513Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, inc$963.47
• C9088Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg$0.73
• C9290Injection, bupivacaine liposome, 1 mg$1.39
• C9600Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; s$6038.52
• C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants$7015.36
• G0008Administration of influenza virus vaccine$29.05
• G0009Administration of pneumococcal vaccine$29.85
• G0010Administration of hepatitis b vaccine$30.96
• G0019Community health integration services performed by certified or trained auxiliary personnel, including a community healt$78.48
• G0022Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g00$52.97
• G0023Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or $76.96
• G0024Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)$51.25
• G0068Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inot$78.73
• G0069Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biolog$29.26
• G0070Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or bio$219.38
• G0089Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusio$26.90
• G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination$37.86
• G0102Prostate cancer screening; digital rectal examination$22.66
• G0103Prostate cancer screening; prostate specific antigen test (psa)$18.89
• G0105Colorectal cancer screening; colonoscopy on individual at high risk$287.76
• G0108Diabetes outpatient self-management training services, individual, per 30 minutes$53.63
• G0109Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes$15.50
• G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk$295.44
• G0123Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin lay$19.83
• G0124Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin lay$23.85
• G0127Trimming of dystrophic nails, any number$17.81
• G0136Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes$16.63
• G0141Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring i$24.39
• G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin lay$25.95
• G0166External counterpulsation, per treatment session$103.31
• G0168Wound closure utilizing tissue adhesive(s) only$69.12
• G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of$40.20
• G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of ca$52.34
• G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participati$103.01
• G0182Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidi$97.91
• G0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minut$12.17
• G0238Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 $10.50
• G0239Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or $13.67
• G0246Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss$34.54
• G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protectiv$67.85
• G0249Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chro$87.99
• G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart va$8.26
• G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or witho$292.85
• G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing$49.73
• G0270Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change$26.66
• G0277Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval$182.01
• G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)$33.24
• G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy $8.75
• G0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility det$24.73
• G0306Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count$7.60
• G0307Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)$6.33
• G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the prim$28.58
• G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the $27.01
• G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the$27.69
• G0323Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social$43.42
• G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous$17.64
• G0339Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or fi$2840.40
• G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custo$2145.82
• G0372Physician service required to establish and document the need for a power mobility device$7.68
• G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 1$32.81
• G0397Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greate$67.11
• G0398Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart r$127.41
• G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow,$67.71
• G0400Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels$178.46
• G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 mon$158.02
• G0403Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination w$14.18
• G0405Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial p$7.90
• G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via tele$39.14
• G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via$63.68
• G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via tele$95.76
• G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method$245.93
• G0420Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour$97.90
• G0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session$126.65
• G0423Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session$129.83
• G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient $87.96
• G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient $122.81
• G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the $177.59
• G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit$151.05
• G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$117.95
• G0442Annual alcohol misuse screening, 5 to 15 minutes$17.96
• G0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes$23.95
• G0444Annual depression screening, 5 to 15 minutes$17.80
• G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes$24.56
• G0447Face-to-face behavioral counseling for obesity, 15 minutes$24.83
• G0452Molecular pathology procedure; physician interpretation and report$46.03
• G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, ($32.00
• G0454Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitione$8.41
• G0471Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing fa$10.56
• G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)$45.12
• G0475Hiv antigen/antibody, combination assay, screening$23.57
• G0476Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, $34.35
• G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish be$110.33
• G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish be$152.51
• G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish be$193.45
• G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish be$240.71
• G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using o$177.57
• G0499Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to $27.64
• G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastr$7.46
• G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately i$54.10
• G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient a$205.18
• G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient$186.15
• G0513Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpa$61.53
• G0514Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpa$61.07
• G0519Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi model$148.71
• G0520Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model$274.70
• G0522Management of a new patient with dementia, low complexity, for use in cmmi model$235.00
• G0523Management of a new patient with dementia, moderate to high complexity, for use in cmmi model$395.12
• G2010Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), includi$11.93
• G2011Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, $15.58
• G2012Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care profe$13.77
• G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counse$225.81
• G2068Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance$281.73
• G2074Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and $204.11
• G2076Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and in$195.81
• G2077Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of serv$121.19
• G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid tr$39.17
• G2080Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a med$35.16
• G2083Office or other outpatient visit for the evaluation and management of an established patient that requires the supervisi$1215.85
• G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and co$367.01
• G2088Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and co$49.83
• G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuin$15.87
• G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primar$31.02
• G2214Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care m$52.38
• G2252Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care profe$25.76
• G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of$78.32
• G3003Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care profes$28.16
• G6001Ultrasonic guidance for placement of radiation therapy fields$174.98
• G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy$35.24
• G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational b$227.55
• G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational b$222.63
• G6014Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational b$226.32
• G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated bea$350.25
• G6017Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positio$83.68
• G9886Behavioral counseling for diabetes prevention, in-person, group, 60 minutes$24.50
• G9887Behavioral counseling for diabetes prevention, distance learning, 60 minutes$24.50
• J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a phys$42.28
• J0131Injection, acetaminophen, not otherwise specified,10 mg$0.05
• J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)$0.50
• J0171Injection, adrenalin, epinephrine, 0.1 mg$0.78
• J0174Injection, lecanemab-irmb, 1 mg$1.30
• J0175Injection, donanemab-azbt, 2 mg$4.03
• J0177Injection, aflibercept hd, 1 mg$329.49
• J0178Injection, aflibercept, 1 mg$822.26
• J0179Injection, brolucizumab-dbll, 1 mg$322.73
• J0185Injection, aprepitant, 1 mg$1.68
• J0248Injection, remdesivir, 1 mg$6.12
• J0278Injection, amikacin sulfate, 100 mg$0.80
• J0280Injection, aminophyllin, up to 250 mg$7.77
• J0290Injection, ampicillin sodium, 500 mg$0.90
• J0461Injection, atropine sulfate, 0.01 mg$0.08
• J0475Injection, baclofen, 10 mg$168.72
• J0485Injection, belatacept, 1 mg$3.74
• J0490Injection, belimumab, 10 mg$48.65
• J0491Injection, anifrolumab-fnia, 1 mg$16.80
• J0517Injection, benralizumab, 1 mg$162.87
• J0585Injection, onabotulinumtoxina, 1 unit$6.13
• J0586Injection, abobotulinumtoxina, 5 units$8.02
• J0587Injection, rimabotulinumtoxinb, 100 units$12.72
• J0588Injection, incobotulinumtoxin a, 1 unit$5.09
• J0612Injection, calcium gluconate, not otherwise specified, 10 mg$0.04
• J0640Injection, leucovorin calcium, per 50 mg$4.41
• J0665Injection, bupivicaine, not otherwise specified, 0.5 mg$0.01
• J0670Injection, mepivacaine hydrochloride, per 10 ml$3.32
• J0690Injection, cefazolin sodium, 500 mg$0.78
• J0692Injection, cefepime hydrochloride, 500 mg$1.25
• J0696Injection, ceftriaxone sodium, per 250 mg$0.45
• J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$6.91
• J0713Injection, ceftazidime, per 500 mg$1.63
• J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision o$4.54
• J0735Injection, clonidine hydrochloride, 1 mg$17.39
• J0775Injection, collagenase, clostridium histolyticum, 0.01 mg$67.07
• J0872Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg$0.23
• J0875Injection, dalbavancin, 5 mg$15.07
• J0878Injection, daptomycin, 1 mg$0.05
• J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)$2.92
• J0885Injection, epoetin alfa, (for non-esrd use), 1000 units$8.01
• J0894Injection, decitabine, 1 mg$1.57
• J0896Injection, luspatercept-aamt, 0.25 mg$39.63
• J0897Injection, denosumab, 1 mg$25.41