| HCPCS Additions - 2006 | ||
| Code/Mod | Short Description | Added Date |
| AQ | Physician service HPSA area | 20060101 |
| BL | Spec acquisition blood prods | 20050701 |
| CR | Catastrophe/disaster related | 20050821 |
| FB | Item provided without cost | 20060101 |
| GR | Service by va resident | 20060101 |
| GS | Epo/darbepoietin reduced 25% | 20060101 |
| J1 | CAP no-pay for prescript num | 20060101 |
| J2 | CAP restock of emerg drugs | 20060101 |
| J3 | CAP drug unavail thru cap | 20060101 |
| P1 | Normal healthy patient | 20060101 |
| P2 | Patient w/mild syst disease | 20060101 |
| P3 | Patient w/severe sys disease | 20060101 |
| P4 | Pt w/sev sys dis threat life | 20060101 |
| P5 | Pt not expect surv w/o oper | 20060101 |
| P6 | Brain-dead pt organs removed | 20060101 |
| QR | Item/serv in medicare study | 20050101 |
| A0998 | Ambulance response/treatment | 20060101 |
| A4218 | Sterile saline or water | 20060101 |
| A4233 | Alkalin batt for glucose mon | 20060101 |
| A4234 | J-cell batt for glucose mon | 20060101 |
| A4235 | Lithium batt for glucose mon | 20060101 |
| A4236 | Silvr oxide batt glucose mon | 20060101 |
| A4363 | Ostomy clamp, replacement | 20060101 |
| A4411 | Ost skn barr extnd =4sq | 20060101 |
| A4412 | Ost pouch drain high output | 20060101 |
| A4604 | Tubing with heating element | 20060101 |
| A5120 | Skin barrier, wipe or swab | 20060101 |
| A5512 | Multi den insert direct form | 20060101 |
| A5513 | Multi den insert custom mold | 20060101 |
| A6457 | Tubular dressing | 20060101 |
| A6513 | Compress burn mask face/neck | 20060101 |
| A6530 | Compression stocking BK18-30 | 20060101 |
| A6531 | Compression stocking BK30-40 | 20060101 |
| A6532 | Compression stocking BK40-50 | 20060101 |
| A6533 | Gc stocking thighlngth 18-30 | 20060101 |
| A6534 | Gc stocking thighlngth 30-40 | 20060101 |
| A6535 | Gc stocking thighlngth 40-50 | 20060101 |
| A6536 | Gc stocking full lngth 18-30 | 20060101 |
| A6537 | Gc stocking full lngth 30-40 | 20060101 |
| A6538 | Gc stocking full lngth 40-50 | 20060101 |
| A6539 | Gc stocking waistlngth 18-30 | 20060101 |
| A6540 | Gc stocking waistlngth 30-40 | 20060101 |
| A6541 | Gc stocking waistlngth 40-50 | 20060101 |
| A6542 | Gc stocking custom made | 20060101 |
| A6543 | Gc stocking lymphedema | 20060101 |
| A6544 | Gc stocking garter belt | 20060101 |
| A6549 | G compression stocking | 20060101 |
| A9275 | Disp home glucose monitor | 20060101 |
| A9281 | Reaching/grabbing device | 20060101 |
| A9282 | Wig any type | 20060101 |
| A9535 | Injection, methylene blue | 20060101 |
| A9536 | Tc99m depreotide | 20060101 |
| A9537 | Tc99m mebrofenin | 20060101 |
| A9538 | Tc99m pyrophosphate | 20060101 |
| A9539 | Tc99m pentetate | 20060101 |
| A9540 | Tc99m MAA | 20060101 |
| A9541 | Tc99m sulfur colloid | 20060101 |
| A9542 | In111 ibritumomab, dx | 20060101 |
| A9543 | Y90 ibritumomab, rx | 20060101 |
| A9544 | I131 tositumomab, dx | 20060101 |
| A9545 | I131 tositumomab, rx | 20060101 |
| A9546 | Co57/58 | 20060101 |
| A9547 | In111 oxyquinoline | 20060101 |
| A9548 | In111 pentetate | 20060101 |
| A9549 | Tc99m arcitumomab | 20060101 |
| A9550 | Tc99m gluceptate | 20060101 |
| A9551 | Tc99m succimer | 20060101 |
| A9552 | F18 fdg | 20060101 |
| A9553 | Cr51 chromate | 20060101 |
| A9554 | I125 iothalamate, dx | 20060101 |
| A9555 | Rb82 rubidium | 20060101 |
| A9556 | Ga67 gallium | 20060101 |
| A9557 | Tc99m bicisate | 20060101 |
| A9558 | Xe133 xenon 10mci | 20060101 |
| A9559 | Co57 cyano | 20060101 |
| A9560 | Tc99m labeled rbc | 20060101 |
| A9561 | Tc99m oxidronate | 20060101 |
| A9562 | Tc99m mertiatide | 20060101 |
| A9563 | P32 Na phosphate | 20060101 |
| A9564 | P32 chromic phosphate | 20060101 |
| A9565 | In111 pentetreotide | 20060101 |
| A9566 | Tc99m fanolesomab | 20060101 |
| A9567 | Technetium TC-99m aerosol | 20060101 |
| A9698 | Non-rad contrast materialNOC | 20060101 |
| B4185 | Parenteral sol 10 gm lipids | 20060101 |
| C2637 | Brachytx, Ytterbium-169 | 20051001 |
| C9224 | Injection, galsulfase | 20050531 |
| C9225 | Fluocinolone acetonide | 20051001 |
| C9723 | Dyn IR Perf Img | 20050401 |
| C9724 | EPS gast cardia plic | 20050401 |
| C9725 | Place endorectal app | 20051001 |
| E0170 | Commode chair electric | 20060101 |
| E0171 | Commode chair non-electric | 20060101 |
| E0172 | Seat lift mechanism toilet | 20060101 |
| E0485 | Oral device/appliance prefab | 20060101 |
| E0486 | Oral device/appliance cusfab | 20060101 |
| E0641 | Multi-position stnd fram sys | 20060101 |
| E0642 | Dynamic standing frame | 20060101 |
| E0705 | Transfer board or device | 20060101 |
| E0762 | Trans elec jt stim dev sys | 20060101 |
| E0764 | Functional neuromuscularstim | 20060101 |
| E0911 | HD trapeze bar attach to bed | 20060101 |
| E0912 | HD trapeze bar free standing | 20060101 |
| E1392 | Portable oxygen concentrator | 20060101 |
| E1812 | Knee ext/flex w act res ctrl | 20060101 |
| E2207 | Crutch and cane holder | 20060101 |
| E2208 | Cylinder tank carrier | 20060101 |
| E2209 | Arm trough each | 20060101 |
| E2210 | Wheelchair bearings | 20060101 |
| E2211 | Pneumatic propulsion tire | 20060101 |
| E2212 | Pneumatic prop tire tube | 20060101 |
| E2213 | Pneumatic prop tire insert | 20060101 |
| E2214 | Pneumatic caster tire each | 20060101 |
| E2215 | Pneumatic caster tire tube | 20060101 |
| E2216 | Foam filled propulsion tire | 20060101 |
| E2217 | Foam filled caster tire each | 20060101 |
| E2218 | Foam propulsion tire each | 20060101 |
| E2219 | Foam caster tire any size ea | 20060101 |
| E2220 | Solid propulsion tire each | 20060101 |
| E2221 | Solid caster tire each | 20060101 |
| E2222 | Solid caster integrated whl | 20060101 |
| E2223 | Valve replacement only each | 20060101 |
| E2224 | Propulsion whl excludes tire | 20060101 |
| E2225 | Caster wheel excludes tire | 20060101 |
| E2226 | Caster fork replacement only | 20060101 |
| E2371 | Gr27 sealed leadacid battery | 20060101 |
| E2372 | Gr27 non-sealed leadacid | 20060101 |
| G0235 | PET not otherwise specified | 20060101 |
| G0332 | Preadmin IV immunoglobulin | 20060101 |
| G0333 | Dispense fee initial 30 day | 20060101 |
| G0372 | MD service required for PMD | 20051025 |
| G0375 | Smoke/tobacco counselng 3-10 | 20050323 |
| G0376 | Smoke/tobacco counseling >10 | 20050323 |
| G0378 | Hospital observation per hr | 20060101 |
| G0379 | Direct admit hospital observ | 20060101 |
| G8006 | AMI pt recd aspirin at arriv | 20060101 |
| G8007 | AMI pt did not receiv aspiri | 20060101 |
| G8008 | AMI pt ineligible for aspiri | 20060101 |
| G8009 | AMI pt recd Bblock at arr | 20060101 |
| G8010 | AMI pt did not rec bblock | 20060101 |
| G8011 | AMI pt inelig Bbloc at arriv | 20060101 |
| G8012 | Pneum pt recv antibiotic 4 h | 20060101 |
| G8013 | Pneum pt w/o antibiotic 4 hr | 20060101 |
| G8014 | Pneum pt not elig antibiotic | 20060101 |
| G8015 | Diabetic pt w/ HBA1c>9% | 20060101 |
| G8016 | Diabetic pt w/ HBA1c<or=9% | 20060101 |
| G8017 | DM pt inelig for HBA1c measu | 20060101 |
| G8018 | Care not provided for HbA1c | 20060101 |
| G8019 | Diabetic pt w/LDL>= 100mg/dl | 20060101 |
| G8020 | Diab pt w/LDL< 100mg/dl | 20060101 |
| G8021 | Diab pt inelig for LDL meas | 20060101 |
| G8022 | Care not provided for LDL | 20060101 |
| G8023 | DM pt w BP>=140/80 | 20060101 |
| G8024 | Diabetic pt wBP<140/80 | 20060101 |
| G8025 | Diabetic pt inelig for BP me | 20060101 |
| G8026 | Diabet pt w no care re BP me | 20060101 |
| G8027 | HF p w/LVSD on ACE-I/ARB | 20060101 |
| G8028 | HF pt w/LVSD not on ACE-I/AR | 20060101 |
| G8029 | HF pt not elig for ACE-I/ARB | 20060101 |
| G8030 | HF pt w/LVSD on Bblocker | 20060101 |
| G8031 | HF pt w/LVSD not on Bblocker | 20060101 |
| G8032 | HF pt not elig for Bblocker | 20060101 |
| G8033 | PMI-CAD pt on Bblocker | 20060101 |
| G8034 | PMI-CAD pt not on Bblocker | 20060101 |
| G8035 | PMI-CAD pt inelig Bblocker | 20060101 |
| G8036 | AMI-CAD pt doc on antiplatel | 20060101 |
| G8037 | AMI-CAD pt not docu on antip | 20060101 |
| G8038 | AMI-CAD inelig antiplate mea | 20060101 |
| G8039 | CAD pt w/LDL>100mg/dl | 20060101 |
| G8040 | CAD pt w/LDL<or=100mg/dl | 20060101 |
| G8041 | CAD pt not eligible for LDL | 20060101 |
| G8051 | Osteoporosis assess | 20060101 |
| G8052 | Osteopor pt not assess | 20060101 |
| G8053 | Pt inelig for osteopor meas | 20060101 |
| G8054 | Falls assess not docum 12 mo | 20060101 |
| G8055 | Falls assess w/ 12 mon | 20060101 |
| G8056 | Not elig for falls assessmen | 20060101 |
| G8057 | Hearing assess receive | 20060101 |
| G8058 | Pt w/o hearing assess | 20060101 |
| G8059 | Pt inelig for hearing assess | 20060101 |
| G8060 | Urinary incont pt assess | 20060101 |
| G8061 | Pt not assess for urinary in | 20060101 |
| G8062 | Pt not elig for urinary inco | 20060101 |
| G8075 | ESRD pt w/ dialy of URR>=65% | 20060101 |
| G8076 | ESRD pt w/ dialy of URR<65% | 20060101 |
| G8077 | ESRD pt not elig for URR/KtV | 20060101 |
| G8078 | ESRD pt w/Hct>or=33 | 20060101 |
| G8079 | ESRD pt w/Hct<33 | 20060101 |
| G8080 | ESRD pt inelig for HCT/Hgb | 20060101 |
| G8081 | ESRD pt w/ auto AV fistula | 20060101 |
| G8082 | ESRD pt w other fistula | 20060101 |
| G8093 | COPD pt rec smoking cessat | 20060101 |
| G8094 | COPD pt w/o smoke cessat int | 20060101 |
| G8099 | Osteopo pt given Ca+VitD sup | 20060101 |
| G8100 | Osteop pt inelig for Ca+VitD | 20060101 |
| G8103 | New dx osteo pt w/antiresorp | 20060101 |
| G8104 | Osteo pt inelig for antireso | 20060101 |
| G8106 | Bone dens meas test perf | 20060101 |
| G8107 | Bone dens meas test inelig | 20060101 |
| G8108 | Pt receiv influenza vacc | 20060101 |
| G8109 | Pt w/o influenza vacc | 20060101 |
| G8110 | Pt inelig for influenza vacc | 20060101 |
| G8111 | Pt receiv mammogram | 20060101 |
| G8112 | Pt not doc mammogram | 20060101 |
| G8113 | Pt ineligible mammography | 20060101 |
| G8114 | Care not provided for mamogr | 20060101 |
| G8115 | Pt receiv pneumo vacc | 20060101 |
| G8116 | Pt did not rec pneumo vacc | 20060101 |
| G8117 | Pt was inelig for pneumo vac | 20060101 |
| G8126 | Pt treat w/antidepress12wks | 20060101 |
| G8127 | Pt not treat w/antidepres12w | 20060101 |
| G8128 | Pt inelig for antidepres med | 20060101 |
| G8129 | Pt treat w/antidepres for 6m | 20060101 |
| G8130 | Pt not treat w/antidepres 6m | 20060101 |
| G8131 | Pt inelig for antidepres med | 20060101 |
| G8152 | Pt w/AB 1 hr prior to incisi | 20060101 |
| G8153 | Pt not doc for AB 1 hr prior | 20060101 |
| G8154 | Pt ineligi for AB therapy | 20060101 |
| G8155 | Pt recd thromboemb prophylax | 20060101 |
| G8156 | Pt did not rec thromboembo | 20060101 |
| G8157 | Pt ineligi for thrombolism | 20060101 |
| G8158 | Pt recd CABG w/ IMA | 20060101 |
| G8159 | Pt w/CABG w/o IMA | 20060101 |
| G8160 | Pt inelig for CABG w/IMA | 20060101 |
| G8161 | Iso CABG pt rec preop bblock | 20060101 |
| G8162 | Iso CABG pt w/o preop Bblock | 20060101 |
| G8163 | Iso CABG pt inelig for preo | 20060101 |
| G8164 | Iso CABG pt w/prolng intub | 20060101 |
| G8165 | Iso CABG pt w/o prolng intub | 20060101 |
| G8166 | Iso CABG req surg rexpo | 20060101 |
| G8167 | Iso CABG w/o surg explo | 20060101 |
| G8170 | CEA/ext bypass pt on aspirin | 20060101 |
| G8171 | Pt w/carot endarct/ext bypas | 20060101 |
| G8172 | CEA/ext bypass pt not on asp | 20060101 |
| G8182 | CAD pt care not prov LDL | 20060101 |
| G8183 | HF/atrial fib pt on warfarin | 20060101 |
| G8184 | HF/atrial fib pt inelig warf | 20060101 |
| G8185 | Osteoarth pt w/ assess pain | 20060101 |
| G8186 | Osteoarth pt inelig assess | 20060101 |
| G9033 | Amantadine HCL oral brand | 20041201 |
| G9041 | Low vision rehab occupationa | 20060101 |
| G9042 | Low vision rehab orient/mobi | 20060101 |
| G9043 | Low vision lowvision therapi | 20060101 |
| G9044 | Low vision rehabilate teache | 20060101 |
| G9050 | Oncology work-up evaluation | 20060101 |
| G9051 | Oncology treatment decision | 20060101 |
| G9052 | Onc surveillance for disease | 20060101 |
| G9053 | Onc expectant management pt | 20060101 |
| G9054 | Onc supervision palliative | 20060101 |
| G9055 | Onc visit unspecified NOS | 20060101 |
| G9056 | Onc prac mgmt adheres guide | 20060101 |
| G9057 | Onc pract mgmt differs guide | 20060101 |
| G9058 | Onc prac mgmt disagree w/gui | 20060101 |
| G9059 | Onc prac mgmt pt opt alterna | 20060101 |
| G9060 | Onc prac mgmt dif pt comorb | 20060101 |
| G9061 | Onc prac cond noadd by guide | 20060101 |
| G9062 | Onc prac guide differs nos | 20060101 |
| G9063 | Onc dx nsclc stgI no dx prog | 20060101 |
| G9064 | Onc dx nsclc stg2 no dx prog | 20060101 |
| G9065 | Onc dx nsclc stg3A nodx prog | 20060101 |
| G9066 | Onc dx nsclc stg3B-4 metasta | 20060101 |
| G9067 | Onc dx nsclc dx unknown nos | 20060101 |
| G9068 | Onc dx nsclc/sclc limited | 20060101 |
| G9069 | Onc dx sclc/nsclc ext at dx | 20060101 |
| G9070 | Onc dx sclc/nsclc ext unknwn | 20060101 |
| G9071 | Onc dx brst stg1 2B no dx pr | 20060101 |
| G9072 | Onc dx brst stg1-2 noprogres | 20060101 |
| G9073 | Onc dx brst stg3-w/progres | 20060101 |
| G9074 | Onc dx brst stg3-noprogress | 20060101 |
| G9075 | Onc dx brst metastic/ recur | 20060101 |
| G9076 | Onc dx brst unknown NOS | 20060101 |
| G9077 | Onc dx prostate T1no progres | 20060101 |
| G9078 | Onc dx prostate T2no progres | 20060101 |
| G9079 | Onc dx prostate T3b-T4noprog | 20060101 |
| G9080 | Onc dx prostate w/rise PSA | 20060101 |
| G9081 | Onc dx prostate mets no cast | 20060101 |
| G9082 | Onc dx prostate castrate met | 20060101 |
| G9083 | Onc dx prostate unknown NOS | 20060101 |
| G9084 | Onc dx colon t1-3,n1-2,no pr | 20060101 |
| G9085 | Onc dx colon T4, N0 w/o prog | 20060101 |
| G9086 | Onc dx colon T1-4 no dx prog | 20060101 |
| G9087 | Onc dx colon radiolg evid dx | 20060101 |
| G9088 | Onc dx colon m1/mets w/o rad | 20060101 |
| G9089 | Onc dx colon extent unknown | 20060101 |
| G9090 | Onc dx rectal T1-2 no progr | 20060101 |
| G9091 | Onc dx rectal T3 N0 no prog | 20060101 |
| G9092 | Onc dx rectal T1-3,N1-2noprg | 20060101 |
| G9093 | Onc dx rectal T4,N,M0 no prg | 20060101 |
| G9094 | Onc dx rectal M1 w/mets prog | 20060101 |
| G9095 | Onc dx rectal extent unknwn | 20060101 |
| G9096 | Onc dx esophag T1-T3 noprog | 20060101 |
| G9097 | Onc dx esophageal T4 no prog | 20060101 |
| G9098 | Onc dx esophageal mets recur | 20060101 |
| G9099 | Onc dx esophageal unknown | 20060101 |
| G9100 | Onc dx gastric no recurrence | 20060101 |
| G9101 | Onc dx gastric p R1-R2noprog | 20060101 |
| G9102 | Onc dx gastric unresectable | 20060101 |
| G9103 | Onc dx gastric recurrent | 20060101 |
| G9104 | Onc dx gastric unknown NOS | 20060101 |
| G9105 | Onc dx pancreatc p R0 res no | 20060101 |
| G9106 | Onc dx pancreatc p R1/R2 no | 20060101 |
| G9107 | Onc dx pancreatic unresectab | 20060101 |
| G9108 | Onc dx pancreatic unknwn NOS | 20060101 |
| G9109 | Onc dx head/neck T1-T2no prg | 20060101 |
| G9110 | Onc dx head/neck T3-4 noprog | 20060101 |
| G9111 | Onc dx head/neck M1 mets rec | 20060101 |
| G9112 | Onc dx head/neck ext unknown | 20060101 |
| G9113 | Onc dx ovarian stg1A-B no pr | 20060101 |
| G9114 | Onc dx ovarian stg1A-B or 2 | 20060101 |
| G9115 | Onc dx ovarian stg3/4 noprog | 20060101 |
| G9116 | Onc dx ovarian recurrence | 20060101 |
| G9117 | Onc dx ovarian unknown NOS | 20060101 |
| G9118 | Onc dx NHL stg 1-2 not relap | 20060101 |
| G9119 | Onc dx NHL stg 3-4 not relap | 20060101 |
| G9120 | Onc dx NHL trans to lg Bcell | 20060101 |
| G9121 | Onc NHLstg 1-2 no relap no | 20060101 |
| G9122 | Onc dx NHL stg 3/4no relap | 20060101 |
| G9123 | Onc dx NHL lge Bcell relap | 20060101 |
| G9124 | Onc dx NHL relapse/refractor | 20060101 |
| G9125 | Onc dx NHL stg unknown | 20060101 |
| G9126 | Onc dx ovarian stg IA/B | 20060101 |
| G9127 | Onc dx multi myeloma stage I | 20060101 |
| G9128 | Onc dx mult myeloma stg2 hig | 20060101 |
| G9129 | Onc dx mult myeloma unkwn op | 20060101 |
| G9130 | Onc dx multi myeloma unknown | 20060101 |
| J0132 | Acetylcysteine injection | 20060101 |
| J0133 | Acyclovir injection | 20060101 |
| J0278 | Amikacin sulfate injection | 20060101 |
| J0365 | Aprotonin, 10,000 kiu | 20060101 |
| J0480 | Basiliximab | 20060101 |
| J0795 | Corticorelin ovine triflutal | 20060101 |
| J0881 | Darbepoetin alfa, non-esrd | 20060101 |
| J0882 | Darbepoetin alfa, esrd use | 20060101 |
| J0885 | Epoetin alfa, non-esrd | 20060101 |
| J0886 | Epoetin alfa, esrd | 20060101 |
| J1162 | Digoxin immune fab (ovine) | 20060101 |
| J1265 | Dopamine injection | 20060101 |
| J1430 | Ethanolamine oleate 100 mg | 20060101 |
| J1451 | Fomepizole, 15 mg | 20060101 |
| J1566 | Immune globulin, powder | 20060101 |
| J1567 | Immune globulin, liquid | 20060101 |
| J1640 | Hemin, 1 mg | 20060101 |
| J1675 | Histrelin acetate | 20060101 |
| J1751 | Iron dextran 165 injection | 20060101 |
| J1752 | Iron dextran 267 injection | 20060101 |
| J1945 | Lepirudin | 20060101 |
| J2278 | Ziconotide injection | 20060101 |
| J2325 | Nesiritide injection | 20060101 |
| J2425 | Palifermin injection | 20060101 |
| J2503 | Pegaptanib sodium injection | 20060101 |
| J2504 | Pegademase bovine, 25 iu | 20060101 |
| J2513 | Pentastarch 10% solution | 20060101 |
| J2805 | Sincalide injection | 20060101 |
| J2850 | Inj secretin synthetic human | 20060101 |
| J3285 | Treprostinil injection | 20060101 |
| J3355 | Urofollitropin, 75 iu | 20060101 |
| J3471 | Ovine, up to 999 USP units | 20060101 |
| J3472 | Ovine, 1000 USP units | 20060101 |
| J7188 | Inj Vonwillebrand factor iu | 20060101 |
| J7189 | Factor viia | 20060101 |
| J7306 | Levonorgestrel implant sys | 20060101 |
| J7341 | Non-human, metabolic tissue | 20060101 |
| J7620 | Albuterol non-compounded | 20060101 |
| J7627 | Budesonide, compounded | 20060101 |
| J7640 | Formoterol injection | 20060101 |
| J8498 | Antiemetic rectal/supp NOS | 20060101 |
| J8515 | Cabergoline, oral 0.25mg | 20060101 |
| J8540 | Oral dexamethasone | 20060101 |
| J8597 | Antiemetic drug oral NOS | 20060101 |
| J9025 | Azacitidine injection | 20060101 |
| J9027 | Clofarabine injection | 20060101 |
| J9175 | Elliotts b solution per ml | 20060101 |
| J9225 | Histrelin implant | 20060101 |
| J9264 | Paclitaxel injection | 20060101 |
| K0730 | Ctrl dose inh drug deliv sys | 20050701 |
| L0491 | TLSO 2 piece rigid shell | 20060101 |
| L0492 | TLSO 3 piece rigid shell | 20060101 |
| L0621 | SIO flex pelvisacral prefab | 20060101 |
| L0622 | SIO flex pelvisacral custom | 20060101 |
| L0623 | SIO panel prefab | 20060101 |
| L0624 | SIO panel custom | 20060101 |
| L0625 | LO flexibl L1-below L5 pre | 20060101 |
| L0626 | LO sag stays/panels pre-fab | 20060101 |
| L0627 | LO sagitt rigid panel prefab | 20060101 |
| L0628 | LO flex w/o rigid stays pre | 20060101 |
| L0629 | LSO flex w/rigid stays cust | 20060101 |
| L0630 | LSO post rigid panel pre | 20060101 |
| L0631 | LSO sag-coro rigid frame pre | 20060101 |
| L0632 | LSO sag rigid frame cust | 20060101 |
| L0633 | LSO flexion control prefab | 20060101 |
| L0634 | LSO flexion control custom | 20060101 |
| L0635 | LSO sagit rigid panel prefab | 20060101 |
| L0636 | LSO sagittal rigid panel cus | 20060101 |
| L0637 | LSO sag-coronal panel prefab | 20060101 |
| L0638 | LSO sag-coronal panel custom | 20060101 |
| L0639 | LSO s/c shell/panel prefab | 20060101 |
| L0640 | LSO s/c shell/panel custom | 20060101 |
| L0859 | MRI compatible system | 20060101 |
| L2034 | KAFO pla sin up w/wo k/a cus | 20060101 |
| L2387 | Add LE poly knee custom KAFO | 20060101 |
| L3671 | SO cap design w/o jnts CF | 20060101 |
| L3672 | SO airplane w/o jnts CF | 20060101 |
| L3673 | SO airplane w/joint CF | 20060101 |
| L3702 | EO w/o joints CF | 20060101 |
| L3763 | EWHO rigid w/o jnts CF | 20060101 |
| L3764 | EWHO w/joint(s) CF | 20060101 |
| L3765 | EWHFO rigid w/o jnts CF | 20060101 |
| L3766 | EWHFO w/joint(s) CF | 20060101 |
| L3905 | WHO w/nontorsion jnt(s) CF | 20060101 |
| L3913 | HFO w/o joints CF | 20060101 |
| L3919 | HO w/o joints CF | 20060101 |
| L3921 | HFO w/joint(s) CF | 20060101 |
| L3933 | FO w/o joints CF | 20060101 |
| L3935 | FO nontorsion joint CF | 20060101 |
| L3961 | SEWHO cap design w/o jnts CF | 20060101 |
| L3967 | SEWHO airplane w/o jnts CF | 20060101 |
| L3971 | SEWHO cap design w/jnt(s) CF | 20060101 |
| L3973 | SEWHO airplane w/jnt(s) CF | 20060101 |
| L3975 | SEWHFO cap design w/o jnt CF | 20060101 |
| L3976 | SEWHFO airplane w/o jnts CF | 20060101 |
| L3977 | SEWHFO cap desgn w/jnt(s) CF | 20060101 |
| L3978 | SEWHFO airplane w/jnt(s) CF | 20060101 |
| L5703 | Symes ankle w/o (SACH) foot | 20060101 |
| L5858 | Stance phase only | 20060101 |
| L5971 | SACH foot, replacement | 20060101 |
| L6621 | Flex/ext wrist w/wo friction | 20060101 |
| L6677 | UE triple control harness | 20060101 |
| L6883 | Replc sockt below e/w disa | 20060101 |
| L6884 | Replc sockt above elbow disa | 20060101 |
| L6885 | Replc sockt shldr dis/interc | 20060101 |
| L7400 | Add UE prost be/wd, ultlite | 20060101 |
| L7401 | Add UE prost a/e ultlite mat | 20060101 |
| L7402 | Add UE prost s/d ultlite mat | 20060101 |
| L7403 | Add UE prost b/e acrylic | 20060101 |
| L7404 | Add UE prost a/e acrylic | 20060101 |
| L7405 | Add UE prost s/d acrylic | 20060101 |
| L7600 | Prosthetic donning sleeve | 20060101 |
| L8609 | Artificial cornea | 20060101 |
| L8623 | Lith ion batt CID,non-earlvl | 20060101 |
| L8624 | Lith ion batt CID, ear level | 20060101 |
| L8680 | Implt neurostim elctr each | 20060101 |
| L8681 | Pt prgrm for implt neurostim | 20060101 |
| L8682 | Implt neurostim radiofq rec | 20060101 |
| L8683 | Radiofq trsmtr for implt neu | 20060101 |
| L8684 | Radiof trsmtr implt scrl neu | 20060101 |
| L8685 | Implt nrostm pls gen sng rec | 20060101 |
| L8686 | Implt nrostm pls gen sng non | 20060101 |
| L8687 | Implt nrostm pls gen dua rec | 20060101 |
| L8688 | Implt nrostm pls gen dua non | 20060101 |
| L8689 | External recharging system | 20060101 |
| Q0480 | Driver pneumatic vad, rep | 20051001 |
| Q0481 | Microprcsr cu elec vad, rep | 20051001 |
| Q0482 | Microprcsr cu combo vad, rep | 20051001 |
| Q0483 | Monitor elec vad, rep | 20051001 |
| Q0484 | Monitor elec or comb vad rep | 20051001 |
| Q0485 | Monitor cable elec vad, rep | 20051001 |
| Q0486 | Mon cable elec/pneum vad rep | 20051001 |
| Q0487 | Leads any type vad, rep only | 20051001 |
| Q0488 | Pwr pack base elec vad, rep | 20051001 |
| Q0489 | Pwr pck base combo vad, rep | 20051001 |
| Q0490 | Emr pwr source elec vad, rep | 20051001 |
| Q0491 | Emr pwr source combo vad rep | 20051001 |
| Q0492 | Emr pwr cbl elec vad, rep | 20051001 |
| Q0493 | Emr pwr cbl combo vad, rep | 20051001 |
| Q0494 | Emr hd pmp elec/combo, rep | 20051001 |
| Q0495 | Charger elec/combo vad, rep | 20051001 |
| Q0496 | Battery elec/combo vad, rep | 20051001 |
| Q0497 | Bat clps elec/comb vad, rep | 20051001 |
| Q0498 | Holster elec/combo vad, rep | 20051001 |
| Q0499 | Belt/vest elec/combo vad rep | 20051001 |
| Q0500 | Filters elec/combo vad, rep | 20051001 |
| Q0501 | Shwr cov elec/combo vad, rep | 20051001 |
| Q0502 | Mobility cart pneum vad, rep | 20051001 |
| Q0503 | Battery pneum vad replacemnt | 20051001 |
| Q0504 | Pwr adpt pneum vad, rep veh | 20051001 |
| Q0505 | Miscl supply/accessory vad | 20051001 |
| Q0510 | Dispens fee immunosupressive | 20060101 |
| Q0511 | Sup fee antiem,antica,immuno | 20060101 |
| Q0512 | Px sup fee anti-can sub pres | 20060101 |
| Q0513 | Disp fee inhal drugs/30 days | 20060101 |
| Q0514 | Disp fee inhal drugs/90 days | 20060101 |
| Q0515 | Sermorelin acetate injection | 20060101 |
| Q4079 | Natalizumab injection | 20050101 |
| Q4080 | Iloprost inhalation solution | 20050701 |
| Q9945 | LOCM <=149 mg/ml iodine, 1ml | 20050401 |
| Q9946 | LOCM 150-199mg/ml iodine,1ml | 20050401 |
| Q9947 | LOCM 200-249mg/ml iodine,1ml | 20050401 |
| Q9948 | LOCM 250-299mg/ml iodine,1ml | 20050401 |
| Q9949 | LOCM 300-349mg/ml iodine,1ml | 20050401 |
| Q9950 | LOCM 350-399mg/ml iodine,1ml | 20050401 |
| Q9951 | LOCM >= 400 mg/ml iodine,1ml | 20050401 |
| Q9952 | Inj Gad-base MR contrast,1ml | 20050401 |
| Q9953 | Inj Fe-based MR contrast,1ml | 20050401 |
| Q9954 | Oral MR contrast, 100 ml | 20050401 |
| Q9955 | Inj perflexane lip micros,ml | 20050401 |
| Q9956 | Inj octafluoropropane mic,ml | 20050401 |
| Q9957 | Inj perflutren lip micros,ml | 20050401 |
| Q9958 | HOCM <=149 mg/ml iodine, 1ml | 20050701 |
| Q9959 | HOCM 150-199mg/ml iodine,1ml | 20050701 |
| Q9960 | HOCM 200-249mg/ml iodine,1ml | 20050701 |
| Q9961 | HOCM 250-299mg/ml iodine,1ml | 20050701 |
| Q9962 | HOCM 300-349mg/ml iodine,1ml | 20050701 |
| Q9963 | HOCM 350-399mg/ml iodine,1ml | 20050701 |
| Q9964 | HOCM>= 400mg/ml iodine, 1ml | 20050701 |
| S0133 | Histrelin implant | 20050701 |
| S0142 | Colistimethate inh sol mg | 20050401 |
| S0143 | Aztreonam, inh sol gram | 20050401 |
| S0145 | Peg interferon alfa-2A/180 | 20050701 |
| S0146 | Peg interferon alfa-2b/10 | 20050701 |
| S0197 | Prenatal vitamins 30 day | 20050401 |
| S0198 | Inj pegaptanib 0.3 mg | 20050701 |
| S0265 | Genetic counsel 15 mins | 20050701 |
| S0595 | New lenses in pts old frame | 20050401 |
| S0613 | Ann breast exam | 20050701 |
| S0625 | Digital screening retina | 20050401 |
| S2068 | Breast DIEP flap reconstruct | 20060101 |
| S2075 | Lap inc/vent hernia repair | 20051001 |
| S2076 | Lap umbilical hernia repair | 20051001 |
| S2077 | Lap mesh implant hern rep | 20051001 |
| S2078 | Lap supracerv hysterectomy | 20060101 |
| S2079 | Lap esophagomyotomy | 20060101 |
| S2114 | Arthrosc sh tenodesis biceps | 20051001 |
| S2117 | Arthroereisis, subtalar | 20051001 |
| S2900 | Robotic surgical system | 20050701 |
| S3005 | Eval self-assess depression | 20050401 |
| S3626 | Maternal serum quad screen | 20051001 |
| S3854 | Gene profile panel breast | 20060101 |
| S8270 | Enuresis alarm | 20050701 |
| S8940 | Hippotherapy per session | 20050401 |
| V2788 | Presbyopia-correct function | 20060101 |
| 27 | Mult outpat e/m enc samedate | 20060101 |
| 63 | Proc perform on infants <4kg | 20060101 |
| 01965 | Anesth, inc/missed ab proc | 20060101 |
| 01966 | Anesth, induced ab procedure | 20060101 |
| 15040 | Harvest cultured skin graft | 20060101 |
| 15110 | Epidrm autogrft trnk/arm/leg | 20060101 |
| 15111 | Epidrm autogrft t/a/l add-on | 20060101 |
| 15115 | Epidrm a-grft face/nck/hf/g | 20060101 |
| 15116 | Epidrm a-grft f/n/hf/g addl | 20060101 |
| 15130 | Derm autograft, trnk/arm/leg | 20060101 |
| 15131 | Derm autograft t/a/l add-on | 20060101 |
| 15135 | Derm autograft face/nck/hf/g | 20060101 |
| 15136 | Derm autograft, f/n/hf/g add | 20060101 |
| 15150 | Cult epiderm grft t/arm/leg | 20060101 |
| 15151 | Cult epiderm grft t/a/l addl | 20060101 |
| 15152 | Cult epiderm graft t/a/l +% | 20060101 |
| 15155 | Cult epiderm graft, f/n/hf/g | 20060101 |
| 15156 | Cult epidrm grft f/n/hfg add | 20060101 |
| 15157 | Cult epiderm grft f/n/hfg +% | 20060101 |
| 15170 | Acell graft trunk/arms/legs | 20060101 |
| 15171 | Acell graft t/arm/leg add-on | 20060101 |
| 15175 | Acellular graft, f/n/hf/g | 20060101 |
| 15176 | Acell graft, f/n/hf/g add-on | 20060101 |
| 15300 | Apply skinallogrft, t/arm/lg | 20060101 |
| 15301 | Apply sknallogrft t/a/l addl | 20060101 |
| 15320 | Apply skin allogrft f/n/hf/g | 20060101 |
| 15321 | Aply sknallogrft f/n/hfg add | 20060101 |
| 15330 | Aply acell alogrft t/arm/leg | 20060101 |
| 15331 | Aply acell grft t/a/l add-on | 20060101 |
| 15335 | Apply acell graft, f/n/hf/g | 20060101 |
| 15336 | Aply acell grft f/n/hf/g add | 20060101 |
| 15340 | Apply cult skin substitute | 20060101 |
| 15341 | Apply cult skin sub add-on | 20060101 |
| 15360 | <||