HCPCS Deletions - 2006
Code/Mod Short Description
QB MD prvdg svc in rural HPSA
QQ SOI submitted
QU MD providing svc urban HPSA
A4254 Battery for glucose monitor
A4260 Levonorgestrel implant
A4643 High dose contrast MRI
A4644 Contrast 100-199 MGs iodine
A4645 Contrast 200-299 MGs iodine
A4646 Contrast 300-399 MGs iodine
A4647 Supp- paramagnetic contr mat
A4656 Needle any size
A5119 Skin barrier wipes box pr 50
A5509 Direct heat form shoe insert
A5511 Custom fab molded shoe inser
A6551 Neg press wound ther canistr
A9511 Technetium TC 99m depreotide
A9513 Technetium tc-99m mebrofenin
A9514 Technetiumtc99mpyrophosphate
A9515 Technetium tc-99m pentetate
A9519 Technetiumtc-99mmacroag albu
A9520 Technetiumtc-99m sulfur clld
A9522 Indium111ibritumomabtiuxetan
A9523 Yttrium90ibritumomabtiuxetan
A9525 Low/iso-osmolar contrast mat
A9533 I-131 tositumomab diagnostic
A9534 I-131 tositumomab therapeut
B4184 Parenteral sol lipids 10%
B4186 Parenteral sol lipids 20%
C1079 CO 57/58 per 0.5 uCi
C1080 I-131 tositumomab, dx
C1081 I-131 tositumomab, tx
C1082 In-111 ibritumomab tiuxetan
C1083 Yttrium 90 ibritumomab tiuxe
C1091 IN111 oxyquinoline,per0.5mCi
C1092 IN 111 pentetate per 0.5 mCi
C1093 TC99M fanolesomab
C1122 Tc 99M ARCITUMOMAB PER VIAL
C1200 TC 99M Sodium Glucoheptonat
C1201 TC 99M SUCCIMER, PER Vial
C1305 Apligraf
C1775 FDG, per dose (4-40 mCi/ml)
C9000 Na chromateCr51, per 0.25mCi
C9007 Baclofen Intrathecal kit-1am
C9008 Baclofen Refill Kit-500mcg
C9009 Baclofen Refill Kit-2000mcg
C9013 Co 57 cobaltous chloride
C9102 51 Na Chromate, 50mCi
C9103 Na Iothalamate I-125, 10 uCi
C9105 Hep B imm glob, per 1 ml
C9112 Perflutren lipid micro, 2ml
C9123 Transcyte, per 247 sq cm
C9127 Paclitaxel protein pr
C9128 Inj pegaptanib sodium
C9129 Inj clofarabine
C9200 Orcel, per 36 cm2
C9201 Dermagraft, per 37.5 sq cm
C9202 Octafluoropropane
C9203 Perflexane lipid micro
C9205 Oxaliplatin
C9206 Integra, per cm2
C9211 Inj, alefacept, IV
C9212 Inj, alefacept, IM
C9218 Injection, azacitidine
C9223 Inj adenosine, tx dx
C9226 Ziconotide intrathecal inf
C9400 Thallous chloride, brand
C9401 Strontium-89 chloride,brand
C9402 Th I131 so iodide cap, brand
C9403 Dx I131 so iodide cap, brand
C9404 Dx I131 so iodide sol, brand
C9405 Th I131 so iodide sol, brand
C9410 Dexrazoxane HCl inj, brand
C9411 Pamidronate disodium, brand
C9413 Sodium hyaluronate inj, bran
C9414 Etoposide oral, brand
C9415 Doxorubic hcl chemo, brand
C9417 Bleomycin sulfate inj, brand
C9418 Cisplatin inj, brand
C9419 Inj cladribine, brand
C9420 Cyclophosphamide inj, brand
C9421 Cyclophosphamide lyo, brand
C9422 Cytarabine hcl inj, brand
C9423 Dacarbazine inj, brand
C9424 Daunorubicin, brand
C9425 Etoposide inj, brand
C9426 Floxuridine inj, brand
C9427 Ifosfamide inj, brand
C9428 Mesna injection, brand
C9429 Idarubicin hcl inj, brand
C9430 Leuprolide acetate inj, bran
C9431 Paclitaxel inj, brand
C9432 Mitomycin inj, brand
C9433 Thiotepa inj, brand
C9435 Gonadorelin hydroch, brand
C9436 Azathioprine parenteral,brnd
C9437 Carmus bischl nitro inj
C9438 Cyclosporine oral, brand
C9439 Diethylstilbestrol injection
C9440 Vinorelbine tar,brand
C9704 Inj inert subs upper GI
C9713 Non-contact laser vap prosta
C9718 Kyphoplasty, first vertebra
C9719 Kyphoplasty, each addl
C9720 HE ESW tx, tennis elbow
C9721 HE ESW tx, plantar fasciitis
C9722 KV imaging w/IR tracking
E0169 Seatlift incorp commodechair
E0590 Dispensing fee dme neb drug
E0752 Neurostimulator electrode
E0754 Pulsegenerator pt programmer
E0756 Implantable pulse generator
E0757 Implantable RF receiver
E0758 External RF transmitter
E0759 Replace rdfrquncy transmittr
E0953 Pneumatic tire
E0954 Wheelchair semi-pneumatic ca
E0972 Transfer board or device
E0996 Wheelchair tire solid
E1000 Wheelchair tire pneumatic ca
E1001 Wheelchair wheel
E1019 HD feature power seat
E1021 Ex hd feature power seat
E1025 Pedwc lat/thor sup nocontour
E1026 Pedwc contoured lat/thor sup
E1027 Ped wc lat/ant support
E1210 Whlchr moto ful arm leg rest
E1211 Wheelchair motorized w/ det
E1212 Wheelchair motorized w full
E1213 Wheelchair motorized w/ det
G0110 Nett pulm-rehab educ; ind
G0111 Nett pulm-rehab educ; group
G0112 Nett;nutrition guid, initial
G0113 Nett;nutrition guid,subseqnt
G0114 Nett; psychosocial consult
G0115 Nett; psychological testing
G0116 Nett; psychosocial counsel
G0242 Multisource photon ster plan
G0244 Observ care by facility topt
G0258 IV infusion during obs stay
G0263 Adm with CHF, CP, asthma
G0264 Assmt otr CHF, CP, asthma
G0279 Excorp shock tx, elbow epi
G0280 Excorp shock tx other than
G0338 Linear accelerator stero pln
G0345 IV infuse hydration, initial
G0346 Each additional infuse hour
G0347 IV infusion therapy/diagnost
G0348 Each additional hr up to 8hr
G0349 Additional sequential infuse
G0350 Concurrent infusion
G0351 Therapeutic/diagnostic injec
G0353 IV push,single orinitial dru
G0354 Each addition sequential IV
G0355 Chemo adminisrate subcut/IM
G0356 Hormonal anti-neoplastic
G0357 IV push single/initial subst
G0358 IV push each additional drug
G0359 Chemotherapy IV one hr initi
G0360 Each additional hr 1-8 hrs
G0361 Prolong chemo infuse>8hrs pu
G0362 Each add sequential infusion
G0363 Irrigate implanted venous de
G0369 Pharm fee 1st month transpla
G0370 Pharmacy fee oral cancer etc
G0371 Pharm dispense inhalation 30
G0374 Pharm dispense inhalation 90
G9021 Chemo assess nausea vomit L1
G9022 Chemo assess nausea vomit L2
G9023 Chemo assess nausea vomit L3
G9024 Chemo assess nausea vomit L4
G9025 Chemo assessment pain level1
G9026 Chemo assessment pain level2
G9027 Chemo assessment pain level3
G9028 Chemo assessment pain level4
G9029 Chemo assess for fatigue L1
G9030 Chemo assess for fatigue L2
G9031 Chemo assess for fatigue L3
G9032 Chemo assess for fatigue L4
J0880 Darbepoetin alfa injection
J1563 IV immune globulin
J1564 Immune globulin 10 mg
J1750 Iron dextran
J2324 Nesiritide
J7051 Sterile saline/water
J7616 Albuterol compound solution
J7617 Levalbuterol compounded sol
K0064 Zero pressure tube flat free
K0066 Solid tire any size each
K0067 Pneumatic tire any size each
K0068 Pneumatic tire tube each
K0074 Pneumatic caster tire each
K0075 Semi-pneumatic caster tire
K0076 Solid caster tire each
K0078 Pneumatic caster tire tube
K0102 Crutch and cane holder
K0104 Cylinder tank carrier
K0106 Arm trough each
K0415 RX antiemetic drg, oral NOS
K0416 Rx antiemetic drg,rectal NOS
K0452 Wheelchair bearings
K0600 Functional neuromuscularstim
K0618 TLSO 2 piece rigid shell
K0619 TLSO 3 piece rigid shell
K0620 Tubular elastic dressing
K0628 Multi den insert direct form
K0629 Multi den insert custom mold
K0630 SIO flex pelvisacral prefab
K0631 SIO flex pelvisacral custom
K0632 SIO panel prefab
K0633 SIO panel custom
K0634 LO flexibl L1-below L5 pre
K0635 LO sag stays/panels pre-fab
K0636 LO sagitt rigid panel prefab
K0637 LO flex w/o rigid stays pre
K0638 LSO flex w/rigid stays cust
K0639 LSO post rigid panel pre
K0640 LSO sag-coro rigid frame pre
K0641 LSO sag-cor rigid frame cust
K0642 LSO flexion control prefab
K0643 LSO flexion control custom
K0644 LSO sagit rigid panel prefab
K0645 LSO sagittal rigid panel cus
K0646 LSO sag-coronal panel prefab
K0647 LSO sag-coronal panel custom
K0648 LSO s/c shell/panel prefab
K0649 LSO s/c shell/panel custom
K0670 Stance phase only
K0671 Portable oxygen concentrator
K0731 Lith ion bat CID non-ear lvl
K0732 Lith ion batt CID ear level
L0860 Magnetic resonanc image comp
L1750 Legg perthes sling
L2039 KAFO,plstic,medlat rotat con
L3963 Molded w/ articulating elbow
L8100 Compression stocking BK18-30
L8110 Compression stocking BK30-40
L8120 Compression stocking BK40-50
L8130 Gc stocking thighlngth 18-30
L8140 Gc stocking thighlngth 30-40
L8150 Gc stocking thighlngth 40-50
L8160 Gc stocking full lngth 18-30
L8170 Gc stocking full lngth 30-40
L8180 Gc stocking full lngth 40-50
L8190 Gc stocking waistlngth 18-30
L8195 Gc stocking waistlngth 30-40
L8200 Gc stocking waistlngth 40-50
L8210 Gc stocking custom made
L8220 Gc stocking lymphedema
L8230 Gc stocking garter belt
L8239 G compression stocking  NOS
L8620 Repl lithium ion battery
Q0136 Non esrd epoetin alpha inj
Q0137 Darbepoetin alfa, non-esrd
Q0187 Factor viia recombinant
Q2001 Oral cabergoline 0.5 mg
Q2002 Elliotts b solution per ml
Q2003 Aprotinin, 10,000 kiu
Q2005 Corticorelin ovine triflutat
Q2006 Digoxin immune fab (ovine)
Q2007 Ethanolamine oleate 100 mg
Q2008 Fomepizole, 15 mg
Q2011 Hemin, per 1 mg
Q2012 Pegademase bovine, 25 iu
Q2013 Pentastarch 10% solution
Q2014 Sermorelin acetate, 0.5 mg
Q2018 Urofollitropin, 75 iu
Q2019 Basiliximab
Q2020 Histrelin acetate
Q2021 Lepirudin
Q2022 VonWillebrandFactrCmplxperIU
Q3000 Rubidium RB-82
Q3002 Gallium ga 67
Q3003 Technetium tc99m bicisate
Q3004 Xenon xe 133
Q3005 Technetium tc99m mertiatide
Q3006 Technetium tc99m glucepatate
Q3007 Sodium phosphate p32
Q3008 Indium 111-in pentetreotide
Q3009 Technetium tc99m oxidronate
Q3010 Technetium tc99mlabeledrbcs
Q3011 Chromic phosphate p32
Q3012 Cyanocobalamin cobalt co57
Q4054 Darbepoetin alfa, esrd use
Q4055 Epoetin alfa, esrd use
Q4075 Acyclovir, 5 mg
Q4076 Dopamine hcl, 40 mg
Q4077 Treprostinil, 1 mg
Q9941 IVIG lyophil 1G
Q9942 IVIG lyophil 10 mg
Q9943 IVIG non-lyophil 1G
Q9944 IVIG non-lyophil 10 mg
S0071 Injection, acyclovir sodium
S0072 Injection, amikacin sulfate
S0114 Inj treprostinil 0.5 mg
S0118 Ziconotide inthrathecal 1mcg
S0168 Inj azacitidine 100mg
S0173 Dexamethasone 4 mg
S2082 Lap adjustable gastric band
S2090 Open cryosurg renal
S2091 Perc cryosurg renal
S2215 UGI endoscopy inj implant
S8095 Wig (for medically-induced h
S8434 Interim splint upper extrem
T2006 Amb response & trt, no trans
01964 Anesth, abortion procedures
15342 Cultured skin graft, 25 cm
15343 Culture skn graft addl 25 cm
15350 Skin homograft
15351 Skin homograft add-on
15810 Salabrasion
15811 Salabrasion
16010 Treatment of burn(s)
16015 Treatment of burn(s)
21493 Treat hyoid bone fracture
21494 Treat hyoid bone fracture
31585 Treat larynx fracture
31586 Treat larynx fracture
32520 Remove lung & revise chest
32522 Remove lung & revise chest
32525 Remove lung & revise chest
33918 Repair pulmonary atresia
33919 Repair pulmonary atresia
37720 Removal of leg vein
37730 Removal of leg veins
42325 Create salivary cyst drain
42326 Create salivary cyst drain
43638 Removal of stomach, partial
43639 Removal of stomach, partial
44200 Laparoscopy, enterolysis
44201 Laparoscopy, jejunostomy
44239 Laparoscope proc, rectum
69410 Inset middle ear (baffle)
76375 3d/holograph reconstr add-on
78160 Plasma iron turnover
78162 Radioiron absorption exam
78170 Red cell iron utilization
78172 Total body iron estimation
78455 Venous thrombosis study
82273 Test for blood, other source
83715 Assay of blood lipoproteins
83716 Assay of blood lipoproteins
86064 B cells, total count
86379 Nk cells, total count
86585 TB tine test
86587 Stem cells, total count
90780 IV infusion therapy, 1 hour
90781 IV infusion, additional hour
90782 Injection, sc/im
90783 Injection, ia
90784 Injection, iv
90788 Injection of antibiotic
90799 Ther/prophylactic/dx inject
90871 Electroconvulsive therapy
90939 Hemodialysis study, transcut
92330 Fitting of artificial eye
92335 Fitting of artificial eye
92390 Supply of spectacles
92391 Supply of contact lenses
92392 Supply of low vision aids
92393 Supply of artificial eye
92395 Supply of spectacles
92396 Supply of contact lenses
92510 Rehab for ear implant
95858 Tensilon test & myogram
96100 Psychological testing
96115 Neurobehavior status exam
96117 Neuropsych test battery
96400 Chemotherapy, sc/im
96408 Chemotherapy, push technique
96410 Chemotherapy,infusion method
96412 Chemo, infuse method add-on
96414 Chemo, infuse method add-on
96520 Port pump refill & main
96530 Syst pump refill & main
96545 Provide chemotherapy agent
97020 Microwave therapy
97504 Orthotic training
97520 Prosthetic training
97703 Prosthetic checkout
99052 Medical services at night
99054 Medical servcs, unusual hrs
99141 Sedation, iv/im or inhalant
99142 Sedation, oral/rectal/nasal
99261 Follow-up inpatient consult
99262 Follow-up inpatient consult
99263 Follow-up inpatient consult
99271 Confirmatory consultation
99272 Confirmatory consultation
99273 Confirmatory consultation
99274 Confirmatory consultation
99275 Confirmatory consultation
99301 Nursing facility care
99302 Nursing facility care
99303 Nursing facility care
99311 Nursing fac care, subseq
99312 Nursing fac care, subseq
99313 Nursing fac care, subseq
99321 Rest home visit, new patient
99322 Rest home visit, new patient
99323 Rest home visit, new patient
99331 Rest home visit, est pat
99332 Rest home visit, est pat
99333 Rest home visit, est pat
0010T Tb test, gamma interferon
0020T Extracorp shock wave tx, ft
0023T Phenotype drug test, hiv 1
0033T Endovasc taa repr incl subcl
0034T Endovasc taa repr w/o subcl
0035T Insert endovasc prosth, taa
0036T Endovasc prosth, taa, add-on
0037T Artery transpose/endovas taa
0038T Rad endovasc taa rpr w/cover
0039T Rad s/i, endovasc taa repair
0040T Rad s/i, endovasc taa prosth
12/1/2005