HCPCS Service Codes - Medical care

HCPCS Codes for Medical care

• A4216

  Sterile water, saline and/or dextrose, diluent/flush, 10 ml

• A4217

  Sterile water/saline, 500 ml

• A4218

  Sterile saline or water, metered dose dispenser, 10 ml

• A9581

  Injection, gadoxetate disodium, 1 ml

• C8957

  Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump

• C9121

  Injection, argatroban, per 5 mg

• C9132

  Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity

• C9248

  Injection, clevidipine butyrate, 1 mg

• C9285

  Lidocaine 70 mg/tetracaine 70 mg, per patch

• C9290

  Injection, bupivacaine liposome, 1 mg

• C9293

  Injection, glucarpidase, 10 units

• C9399

  Unclassified drugs or biologicals

• C9460

  Injection, cangrelor, 1 mg

• C9738

  Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)

• C9800

  Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies

• C9898

  Radiolabeled product provided during a hospital inpatient stay

• C9899

  Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage

• G0010

  Administration of hepatitis b vaccine

• G0101

  Cervical or vaginal cancer screening; pelvic and clinical breast examination

• G0102

  Prostate cancer screening; digital rectal examination

• G0108

  Diabetes outpatient self-management training services, individual, per 30 minutes

• G0109

  Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes

• G0128

  Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes

• G0151

  Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes

• G0152

  Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes

• G0153

  Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes

• G0154

  Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes

• G0155

  Services of clinical social worker in home health or hospice settings, each 15 minutes

• G0156

  Services of home health/hospice aide in home health or hospice settings, each 15 minutes

• G0157

  Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes

• G0158

  Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes

• G0159

  Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes

• G0160

  Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes

• G0161

  Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes

• G0162

  Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)

• G0163

  Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)

• G0164

  Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes

• G0166

  External counterpulsation, per treatment session

• G0168

  Wound closure utilizing tissue adhesive(s) only

• G0175

  Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

• G0179

  Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period

• G0180

  Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period

• G0181

  Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more

• G0182

  Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more

• G0202

  Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed

• G0235

  Pet imaging, any site, not otherwise specified

• G0237

  Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)

• G0238

  Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)

• G0239

  Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)

• G0245

  Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education