Revised & Updated CPT Codes For January 2014
The following new HCPCS/CPT code(s) will be effective from the dates of services from January 01, 2014. The alpha, for example T, N, Q2, followed by the short description denotes the Ambulatory Payment Classification (APC) status indicator.
Integumentary System
10030 Guide cathet fluid drainage T
19081 Bx breast 1st lesion strtctc T
19082 Bx breast add lesion strtctc N
19083 Bx breast 1st lesion us imag T
19084 Bx breast add lesion us imag N
19085 Bx breast 1st lesion mr imag T
19086 Bx breast add lesion mr imag N
19281 Perq device breast 1st imag Q2
19282 Perq device breast ea imag N
19283 Perq dev breast 1st strtctc Q2
19284 Perq dev breast add strtctc N
19285 Perq dev breast 1st us imag Q2
19286 Perq dev breast add us imag N
19287 Perq dev breast 1st mr guide Q2
19288 Perq dev breast add mr guide N
Musculoskeletal System
23333 Remove shoulder fb deep T
23334 Shoulder prosthesis removal T
23335 Shoulder prosthesis removal C
Cardiovascular System
33366 Trcath replace aortic valve C
34841 Endovasc visc aorta 1 graft C
34842 Endovasc visc aorta 2 graft C
34843 Endovasc visc aorta 3 graft C
34844 Endovasc visc aorta 4 graft C
34845 Visc & infraren abd 1 prosth C
34846 Visc & infraren abd 2 prosth C
34847 Visc & infraren abd 3 prosth C
34848 Visc & infraren abd 4+ prost C
37217 Stent placemt retro carotid C
37236 Open/perq place stent 1st T
37237 Open/perq place stent ea add T
37238 Open/perq place stent same T
37239 Open/perq place stent ea add T
37241 Vasc embolize/occlude venous T
37242 Vasc embolize/occlude artery T
37243 Vasc embolize/occlude organ T
37244 Vasc embolize/occlude bleed T
Digestive System
43191 Esophagoscopy rigid trnso dx T
43192 Esophagoscp rig trnso inject T
43193 Esophagoscp rig trnso biopsy T
43194 Esophagoscp rig trnso rem fb T
43195 Esophagoscopy rigid balloon T
43196 Esophagoscp guide wire dilat T
43197 Esophagoscopy flex dx brush T
43198 Esophagosc flex trnsn biopsy T
43211 Esophagoscop mucosal resect T
43212 Esophagoscop stent placement T
43213 Esophagoscopy retro balloon T
43214 Esophagosc dilate balloon 3
43229 Esophagoscopy lesion ablate T
43233 Egd balloon dil esoph3
43253 Egd us transmural injxn/mark T
43254 Egd endo mucosal resection T
43266 Egd endoscopic stent place T
43270 Egd lesion ablation T
43274 Ercp duct stent placement T
43275 Ercp remove forgn body duct T
43276 Ercp stent exchange w/dilate T
43277 Ercp ea duct/ampulla dilate T
43278 Ercp lesion ablate w/dilate T
49405 Image cath fluid colxn visc T
49406 Image cath fluid peri/retro T
49407 Image cath fluid trns/vgnl T
Urinary System
52356 Cysto/uretero w/lithotripsy T
Nervous System
64616 Chemodenerv musc neck dyston T
64617 Chemodener muscle larynx emg T
64642 Chemodenerv 1 extremity 1-4 T
64643 Chemodenerv 1 extrem 1-4 ea N
64644 Chemodenerv 1 extrem 5/> mus T
64645 Chemodenerv 1 extrem 5/> ea N
64646 Chemodenerv trunk musc 1-5 T
64647 Chemodenerv trunk musc 6/> T
Eye and Ocular Adnexa
66183 Insert ant drainage device T
Radiation Oncology
77293 Respirator motion mgmt simul N
Pathology and Laboratory
80155 Drug screen quant caffeine A
80159 Drug screen quant clozapine A
80169 Drug screen quant everolimus A
80171 Drug screen quant gabapentin A
80175 Drug screen quan lamotrigine A
80177 Drug scrn quan levetiracetam A
80180 Drug scrn quan mycophenolate A
80183 Drug scrn quant oxcarbazepin A
80199 Drug screen quant tiagabine A
80203 Drug screen quant zonisamide A
81287 Mgmt gene methylation anal A
81504 Oncology tissue of origin A
81507 Fetal aneuploidy trisom risk A
87661 Trichomonas vaginalis amplif A
88343 Immunohisto antibod add slid E
Medicine
92521 Evaluation of speech fluency A
92522 Evaluate speech production A
92523 Speech sound lang comprehen A
92524 Behavral qualit analys voice A
93582 Perq transcath closure pda T
93583 Perq transcath septal reduxn C
94669 Mechanical chest wall oscill S
97610 Low frequency non-thermal us T
Interprofessional Telephone Consultative Services
99446 Interprof phone/online 5-10 E
99447 Interprof phone/online 11-20 E
99448 Interprof phone/online 21-30 E
99449 Interprof phone/online 31/> E
99481 Tot body syst hypothermia N
99482 Selective head hypothermia N
HCPCS Level II Codes
A4555 CA Tx E-Stim Electr/Transduc E
A7047 Resp Suction Oral Interface N
A9520 Tc99 Tilmanocept diag 0.5mci G
A9575 Inj Gadoterate Meglumi 0.1mL N
A9599 Radiopha dx beta amyloid pet N
C5271 Low cost skin substitute app T
C5272 Low cost skin substitute app N
C5273 Low cost skin substitute app T
C5274 Low cost skin substitute app N
C5275 Low cost skin substitute app T
C5276 Low cost skin substitute app N
C5277 Low cost skin substitute app T
C5278 Low cost skin substitute app N
C9133 Factor IX recombinant G
C9441 Inj, ferric carboxymaltose G
C9497 Loxapine, inhalation powder G
C9737 Lap esoph augmentation T
D0393 Trtmnt simulation 3d image E
D0394 Digital sub 2 or more images E
D0395 Fusion 2 or more 3d images E
D0601 Caries risk assess low risk E
D0602 Caries risk assess mod risk E
D0603 Caries risk assess high risk E
D1999 Unspecified preventive proc E
D2921 Reattach tooth fragment E
D2941 Int therapeutic restoration E
D2949 Restorative foundation E
D3355 Pulpal regeneration initial E
D3356 Pulpal regeneration interim E
D3357 Pulpal regeneration complete E
D3427 Periradicular surgery E
D3428 Bone graft peri per tooth E
D3429 Bone graft peri each addl E
D3431 Biological materials E
D3432 Guided tissue regeneration E
D4921 Gingival irrigation per quad E
D5863 Overdenture complete max E
D5864 Overdenture partial max E
D5865 Overdenture complete mandib E
D5866 Overdenture partial mandib E
D5994 Peridontal medicament E
D6011 Second stage implant surgery E
D6013 Surgical place mini implant E
D6052 Semi precision attach abut E
D8694 Repair fixed retainers E
D9985 Sales tax E
E0766 Elec Stim Cancer Treatment Y
E1352 O2 flow reg pos inspir press Y
G0461 Immunohisto/cyto chem 1st st X
G0462 Immunohisto/cyto chem add N
G0463 Hospital outpt clinic visit Q3
G9188 Beta not given no reason M
G9189 Beta pres or already taking M
G9190 Medical reason for no beta M
G9191 Pt reason for no beta M
G9192 System reason for no beta M
G9193 Doc not eligible for dep med M
G9194 Mdd pt treated for 180d M
G9195 Mdd pt not treated for 180d M
G9196 Med reason for no ceph M
G9197 Order for ceph M
G9198 No order for ceph no reason M
G9199 Doc reason for no vte M
G9200 No reason for no vte M
G9201 Vte given upon admission M
G9202 Hep c aby pos M
G9203 Hep c rna done prior to med M
G9204 No reason for no hep c rna M
G9205 Hep c antiviral started M
G9206 Hep c therapy started M
G9207 Hep c genotype prior to med M
G9208 No reason for no hep c geno M
G9209 Hep c rna 4to12 wk after med M
G9210 No hepc rna after med docrsn M
G9211 No hepc rna after med no rsn M
G9212 Doc of dsm-iv init eval M
G9213 No doc of dsm-iv M
G9214 Cd4 count documented M
G9215 No cd4 count no reason M
G9216 No pcp proph at dx no reason M
G9217 No pcp proph low cd4 norsn M
G9218 No pcp prop low at cd4 norsn M
G9219 No oder pjp for med reason M
G9220 No order for pjp for medrsn M
G9221 Pjp proph prescribed M
G9222 Pjp proph ordered low cd4 M
G9223 Pjp proph ordered cd4 low M
G9224 Medrsn no foot exam M
G9225 Norsn no foot exam M
G9226 3 comp foot exam completed M
G9227 Docrsn no care plan M
G9228 Gc chl syp documented M
G9229 Ptrsn no gc chl syp test M
G9230 Norsn for gc chl syp test M
G9231 Doc esrd dia trans preg M
G9232 Docrsn no comm comorb M
G9233 Tkr composite M
G9234 Tkr intent M
G9235 Gs mg composite M
G9236 Op rad mg composite M
G9237 Gs mg intent M
G9238 Op rad mg intent M
G9239 Docrsn for catheter M
G9240 Doc pt w cath maint dia M
G9241 Doc pt w out cath maint dia M
G9242 Doc viral load >=200 M
G9243 Doc viral load <200 M
G9244 Antiviral not ordered M
G9245 Antiviral ordered M
G9246 No med visit in 24mo M
G9247 1 med visit in 24mo M
G9248 No med visit 6mo M
G9249 Med visit w in 6mo M
G9250 Doc of pain comfort 48hr M
G9251 Doc no pain comfort 48hr M
G9252 Neo detect scrn colo M
G9253 No neo detect scrn colo M
G9254 Doc pt dischg >2d M
G9255 Doc pt dischg <=2d M
G9256 Doc death after cas M
G9257 Doc stroke after cas M
G9258 Doc stroke after cea M
G9259 Doc surv no stroke after cas M
G9260 Doc death after cea M
G9261 Doc surv no stroke after cea M
G9262 Doc death in hosp aaa repair M
G9263 Doc surv in hosp aaa repair M
G9264 Docrsn for cath maint dia M
G9265 Doc cath >90d for maint dia M
G9266 Norsn pt cath >=90d M
G9267 Doc comp or mort w in 30d M
G9268 Doc comp or mort w in 90d M
G9269 Doc no comp or mort w in 30d M
G9270 Doc no comp or mort w in 90d M
G9271 LDL under 100 M
G9272 LDL 100 and over M
G9273 Sys<140 and dia<90 M
G9274 BP out of nrml limits M
G9275 Doc of non tobacco user M
G9276 Doc of tobacco user M
G9277 Doc daily aspirin or contra M
G9278 Doc no daily aspirin M
G9279 Pne scrn done doc vac done M
G9280 Pne not given norsn M
G9281 Pne scrn done doc not ind M
G9282 Doc medrsn no histo type M
G9283 Hist type doc on report M
G9284 No hist type doc on report M
G9285 Site not small cell lung ca M
G9286 Doc antibio order w in 7d M
G9287 No doc antibio order w in 7d M
G9288 Doc medrsn no hist type rpt M
G9289 Doc type nsm lung ca M
G9290 No doc type nsm lung ca M
G9291 Not nsm lung ca M
G9292 Medrsn no pt category M
G9293 No pt category on report M
G9294 Pt cat and thck on report M
G9295 Non cutaneous loc M
G9296 Doc share dec prior proc M
G9297 No doc share dec prior proc M
G9298 Eval risk vte card 30d prior M
G9299 No eval risk vte card prior M
G9300 Doc medrsn no compl antibio M
G9301 Doc compl inf antibio M
G9302 Norsn incomp inf antibio M
G9303 Norsn no pros info op rpt M
G9304 Pros info op rpt M
G9305 No interv req for leak M
G9306 Interv req for leak M
G9307 No ret for surg w in 30d M
G9308 Unplnd ret to surg w in 30d M
G9309 No unplnd hosp readm in 30d M
G9310 Unplnd hosp readm in 30d M
G9311 No surg site infection M
G9312 Surgical site infection M
G9313 Docrsn not first line amox M
G9314 Norsn not first line amox M
G9315 Doc first line amox M
G9316 Doc comm risk calc M
G9317 No doc comm risk calc M
G9318 Image std nomenclature M
G9319 Image not std nomenclature M
G9320 Medrsn no std nomenclature M
G9321 Doc count of ct in 12mo M
G9322 No doc count of ct in 12mo M
G9323 Mdrsn no doc cnt of ct M
G9324 Not all data norsn M
G9325 Medrsn no ct rpt to reg M
G9326 Norsn no ct rpt to reg M
G9327 Ct rpt to reg M
G9328 Medrsn no dicom format doc M
G9329 Norsn no dicom format doc M
G9340 Dicom format doc on rpt M
G9341 Srch for ct w in 12 mos M
G9342 No srch for ct in 12mo norsn M
G9343 Medrsn no dicom srch M
G9344 Sysrsn no dicom srch M
G9345 Follow up pulm nod M
G9346 No follow up pulm nod M
G9347 No follow up pulm nod norsn M
G9348 Docrsn no sinus ct dx M
G9349 Doc sinus ct 28d M
G9350 No doc sinus ct 28d or dx M
G9351 Doc >1 sinus ct w 90d dx M
G9352 Not >1 sinus ct w 90d dx M
G9353 Medrsn >1 sinus ct w 90d dx M
G9354 Norsn >1 sinus ct w 90d dx M
G9355 No early ind/delivery M
G9356 Early ind/delivery M
G9357 Pp eval/edu perf M
G9358 Pp eval/edu not perf M
G9359 Doc of neg or man pos tb scn M
G9360 No doc of neg or man pos tb M
J0151 Inj Adenosine Diag 1mg N
J0401 Inj Aripiprazole Ext Rel 1mg K
J0717 Certolizumab pegol inj 1mg K
J1442 Inj, Filgrastim G-CSF 1mcg K
J1446 Inj, tbo-filgrastim, 5 mcg E
J1556 Inj, Imm Glob Bivigam, 500mg G
J1602 Golimumab for iv use 1mg K
J3060 Inj, Taliglucerace Alfa 10 u G
J3489 Zoledronic Acid 1mg K
J7301 Skyla 13.5mg E
J7316 Inj, Ocriplasmin, 0.125 mg G
J7508 Tacrolimus ex rel oral 0.1mg G
J9047 Injection, Carfilzomib, 1 mg G
J9262 Inj, Omacetaxine Mep, 0.01mg G
J9306 Injection, Pertuzumab, 1 mg G
J9354 Inj, Ado-trastuzumab Emt 1mg G
J9371 Inj, vincristine sul lip 1mg G
J9400 Inj, ziv-aflibercept, 1mg G
L0455 TLSO flex trnk sj-t9 pre ots A
L0457 TLSO flex trnk sj-ss pre ots A
L0467 TLSO r fram soft pre ots A
L0469 TLSO rig fram pelvic pre ots A
L0641 LO rig pos pnl L1-L5 pre ots A
L0642 LO sag ri an/pos pnl pre ots A
L0643 LSO sag ctr rigi pos pre ots A
L0648 LSO sag r an/pos pnl pre ots A
L0649 LSO sc r pos/lat pnl pre ots A
L0650 LSO sc r ant/pos pnl pre ots A
L0651 LSO sag-co shell pnl pre ots A
L1812 Ko elastic w/joints pre ots A
L1833 Ko adj jnt pos r sup pre ots A
L1848 Ko dbl upright w/air pre ots A
L3678 So hard plas stabili pre ots A
L3809 Whfo w/o joints pre ots A
L3916 Who nontorsion jnts pre ots A
L3918 Metacarp fx orthosis pre ots A
L3924 Hfo without joints pre ots A
L3930 Hfo nontorsion jnts pre ots A
L4361 Pneuma/vac walk boot pre ots A
L4387 Non-pneum walk boot pre ots A
L4397 Static or dynami afo pre ots A
L5969 Ak/ft Power Asst Incl Motors A
L8679 Imp Neurosti Pls Gn Any Type A
Q0161 Chlorpromazine hcl 5mg oral N
Q2028 Inj, Sculptra, 0.5mg B
Q3027 Inj beta interferon im 1 mcg K
Q3028 Inj beta interferon sq 1 mcg E
Q4137 Amnioexcel or biodexcel, 1cm N
Q4138 BioDfence DryFlex, 1cm N
Q4139 Amnio or biodmatrix, inj 1cc N
Q4140 Biodfence 1cm N
Q4141 Alloskin ac, 1 cm N
Q4142 Xcm biologic tiss matrix 1cm N
Q4143 Repriza, 1cm N
Q4145 Epifix, inj, 1mg N
Q4146 Tensix, 1cm N
Q4147 Architect ecm, 1cm N
Q4148 Neox 1k, 1cm N
Q4149 Excellagen, 0.1 cc N
S9960 Air ambulanc nonemerg fixed E
S9961 Air ambulan nonemerg rotary E
T4544 Adlt disp und/pull on abv xl E
Category II Codes
9001F Aortic aneurysm<5cm diam ct E
9002F Aortic aneurysm 5-5.4cm diam E
9003F Aortic anrysm5.5-5.9cm diam M
9004F Aortic anrysm 6/> cm diam M
9005F Asympt carot/vrtbrbas sten E
9006F Sympt sten-tia/strk<120days M
9007F Other carot sten 120 days/> M
90673 Flu vacc riv3 no preserv L
Category III Codes
0335T Extraosseous joint stblztion T
0336T Lap ablat uterine fibroids T
0337T Endothel fxnassmnt non-invas S
0338T Trnscth renal symp denrv unl S
0339T Trnscth renal symp denrv bil S
0340T Ablate pulm tumors + extnsn T
0341T Quant pupillometry w/ rprt N
0342T Thxp apheresis w/ hdl delip S
0343T Transcath mtral vlve repair C
0344T Transcath mtral vlve repair C
0345T Transcath mtral vlve repair C
0346T Ultrasound elastography N
Source: https://www.gpo.gov/
