| G0008 | Admin influenza virus vac |
| G0009 | Admin pneumococcal vaccine |
| G0010 | Admin hepatitis b vaccine |
| G0027 | Semen analysis |
| G0101 | Ca screen;pelvic/breast exam |
| G0102 | Prostate ca screening; dre |
| G0103 | Psa screening |
| G0104 | Ca screen;flexi sigmoidscope |
| G0105 | Colorectal scrn; hi risk ind |
| G0106 | Colon ca screen;barium enema |
| G0108 | Diab manage trn per indiv |
| G0109 | Diab manage trn ind/group |
| G0117 | Glaucoma scrn hgh risk direc |
| G0118 | Glaucoma scrn hgh risk direc |
| G0120 | Colon ca scrn; barium enema |
| G0121 | Colon ca scrn not hi rsk ind |
| G0122 | Colon ca scrn; barium enema |
| G0123 | Screen cerv/vag thin layer |
| G0124 | Screen c/v thin layer by md |
| G0127 | Trim nail(s) |
| G0128 | Corf skilled nursing service |
| G0129 | Partial hosp prog service |
| G0130 | Single energy x-ray study |
| G0141 | Scr c/v cyto,autosys and md |
| G0143 | Scr c/v cyto,thinlayer,rescr |
| G0144 | Scr c/v cyto,thinlayer,rescr |
| G0145 | Scr c/v cyto,thinlayer,rescr |
| G0147 | Scr c/v cyto, automated sys |
| G0148 | Scr c/v cyto, autosys, rescr |
| G0151 | Hhcp-serv of pt,ea 15 min |
| G0152 | Hhcp-serv of ot,ea 15 min |
| G0153 | Hhcp-svs of s/l path,ea 15mn |
| G0154 | Hhcp-svs of rn,ea 15 min |
| G0155 | Hhcp-svs of csw,ea 15 min |
| G0156 | Hhcp-svs of aide,ea 15 min |
| G0157 | Hhc pt assistant ea 15 |
| G0158 | Hhc ot assistant ea 15 |
| G0159 | Hhc pt maint ea 15 min |
| G0160 | Hhc occup therapy ea 15 |
| G0161 | Hhc slp ea 15 min |
| G0162 | Hhc rn e&m plan svs, 15 min |
| G0163 | Hhc lpn/rn obs/asses ea 15 |
| G0164 | Hhc lis nurse train ea 15 |
| G0166 | Extrnl counterpulse, per tx |
| G0168 | Wound closure by adhesive |
| G0173 | Linear acc stereo radsur com |
| G0175 | Opps service,sched team conf |
| G0176 | Opps/php;activity therapy |
| G0177 | Opps/php; train & educ serv |
| G0179 | Md recertification hha pt |
| G0180 | Md certification hha patient |
| G0181 | Home health care supervision |
| G0182 | Hospice care supervision |
| G0186 | Dstry eye lesn,fdr vssl tech |
| G0202 | Screeningmammographydigital |
| G0204 | Diagnosticmammographydigital |
| G0206 | Diagnosticmammographydigital |
| G0219 | Pet img wholbod melano nonco |
| G0235 | Pet not otherwise specified |
| G0237 | Therapeutic procd strg endur |
| G0238 | Oth resp proc, indiv |
| G0239 | Oth resp proc, group |
| G0245 | Initial foot exam pt lops |
| G0246 | Followup eval of foot pt lop |
| G0247 | Routine footcare pt w lops |
| G0248 | Demonstrate use home inr mon |
| G0249 | Provide inr test mater/equip |
| G0250 | Md inr test revie inter mgmt |
| G0251 | Linear acc based stero radio |
| G0252 | Pet imaging initial dx |
| G0255 | Current percep threshold tst |
| G0257 | Unsched dialysis esrd pt hos |
| G0259 | Inject for sacroiliac joint |
| G0260 | Inj for sacroiliac jt anesth |
| G0268 | Removal of impacted wax md |
| G0269 | Occlusive device in vein art |
| G0270 | Mnt subs tx for change dx |
| G0271 | Group mnt 2 or more 30 mins |
| G0275 | Renal angio, cardiac cath |
| G0278 | Iliac art angio,cardiac cath |
| G0281 | Elec stim unattend for press |
| G0282 | Elect stim wound care not pd |
| G0283 | Elec stim other than wound |
| G0288 | Recon, cta for surg plan |
| G0289 | Arthro, loose body + chondro |
| G0290 | Drug-eluting stents, single |
| G0291 | Drug-eluting stents,each add |
| G0293 | Non-cov surg proc,clin trial |
| G0294 | Non-cov proc, clinical trial |
| G0295 | Electromagnetic therapy onc |
| G0302 | Pre-op service lvrs complete |
| G0303 | Pre-op service lvrs 10-15dos |
| G0304 | Pre-op service lvrs 1-9 dos |
| G0305 | Post op service lvrs min 6 |
| G0306 | Cbc/diffwbc w/o platelet |
| G0307 | Cbc without platelet |
| G0328 | Fecal blood scrn immunoassay |
| G0329 | Electromagntic tx for ulcers |
| G0333 | Dispense fee initial 30 day |
| G0337 | Hospice evaluation preelecti |
| G0339 | Robot lin-radsurg com, first |
| G0340 | Robt lin-radsurg fractx 2-5 |
| G0341 | Percutaneous islet celltrans |
| G0342 | Laparoscopy islet cell trans |
| G0343 | Laparotomy islet cell transp |
| G0364 | Bone marrow aspirate &biopsy |
| G0365 | Vessel mapping hemo access |
| G0372 | Md service required for pmd |
| G0378 | Hospital observation per hr |
| G0379 | Direct refer hospital observ |
| G0380 | Lev 1 hosp type b ed visit |
| G0381 | Lev 2 hosp type b ed visit |
| G0382 | Lev 3 hosp type b ed visit |
| G0383 | Lev 4 hosp type b ed visit |
| G0384 | Lev 5 hosp type b ed visit |
| G0389 | Ultrasound exam aaa screen |
| G0390 | Trauma respons w/hosp criti |
| G0396 | Alcohol/subs interv 15-30mn |
| G0397 | Alcohol/subs interv >30 min |
| G0398 | Home sleep test/type 2 porta |
| G0399 | Home sleep test/type 3 porta |
| G0400 | Home sleep test/type 4 porta |
| G0402 | Initial preventive exam |
| G0403 | Ekg for initial prevent exam |
| G0404 | Ekg tracing for initial prev |
| G0405 | Ekg interpret & report preve |
| G0406 | Inpt/tele follow up 15 |
| G0407 | Inpt/tele follow up 25 |
| G0408 | Inpt/tele follow up 35 |
| G0409 | Corf related serv 15 mins ea |
| G0410 | Grp psych partial hosp 45-50 |
| G0411 | Inter active grp psych parti |
| G0412 | Open tx iliac spine uni/bil |
| G0413 | Pelvic ring fracture uni/bil |
| G0414 | Pelvic ring fx treat int fix |
| G0415 | Open tx post pelvic fxcture |
| G0416 | Sat biopsy 10-20 |
| G0417 | Sat biopsy prostate 21-40 |
| G0418 | Sat biopsy prostate 41-60 |
| G0419 | Sat biopsy prostate: >60 |
| G0420 | Ed svc ckd ind per session |
| G0421 | Ed svc ckd grp per session |
| G0422 | Intens cardiac rehab w/exerc |
| G0423 | Intens cardiac rehab no exer |
| G0424 | Pulmonary rehab w exer |
| G0425 | Inpt/ed teleconsult30 |
| G0426 | Inpt/ed teleconsult50 |
| G0427 | Inpt/ed teleconsult70 |
| G0428 | Collagen meniscus implant |
| G0429 | Dermal filler injection(s) |
| G0430 | Drug screen multi class |
| G0431 | Drug screen multiple class |
| G0432 | Eia hiv-1/hiv-2 screen |
| G0433 | Elisa hiv-1/hiv-2 screen |
| G0434 | Drug screen multi drug class |
| G0435 | Oral hiv-1/hiv-2 screen |
| G0436 | Tobacco-use counsel 3-10 min |
| G0437 | Tobacco-use counsel>10min |
| G0438 | Ppps, initial visit |
| G0439 | Ppps, subseq visit |
| G0440 | Skin/dermal subs init 25or< |
| G0441 | Skin/dermal subs each additi |
| G0442 | Annual alcohol screen 15 min |
| G0443 | Brief alcohol misuse counsel |
| G0444 | Depression screen annual |
| G0445 | High inten beh couns std 30m |
| G0446 | Intens behave ther cardio dx |
| G0447 | Behavior counsel obesity 15m |
| G0448 | Place perm pacing cardiovert |
| G0451 | Devlopment test interpt&rep |
| G0452 | Molecular pathology interpr |
| G0453 | Cont intraop neuro monitor |
| G0454 | Md document visit by npp |
| G0455 | Fecal microbiota prep instil |
| G0456 | Neg pre wound <=50 sq cm |
| G0457 | Neg pres wound >50 sq cm |
| G0458 | Ldr prostate brachy comp rat |
| G0459 | Telehealth inpt pharm mgmt |
| G0460 | Autologous prp for ulcers |
| G0461 | Immunohisto/cyto chem 1st st |
| G0462 | Immunohisto/cyto chem add |
| G0463 | Hospital outpt clinic visit |
| G0908 | Hgb > 12 g/dl |
| G0909 | Hbg not doc |
| G0910 | Hgb <= 12 g/dl |
| G0911 | Assess activity symptoms |
| G0912 | No assess activity symptoms |
| G0913 | Improve visual funct |
| G0914 | Survey not complete |
| G0915 | No improve visual funct |
| G0916 | Satisfy with care |
| G0917 | Satisfy survey not complete |
| G0918 | No satisfy with care |
| G0919 | Flu immunize not avail |
| G0920 | Type loc act doc |
| G0921 | Doc pt reas no assess |
| G0922 | Type loc act not doc |
