HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Medical care

  • G3001

    Administration and supply of tositumomab, 450 mg

  • G3002

    Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)

  • G3003

    Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)

  • G4000

    Dermatology mips specialty set

  • G4001

    Diagnostic radiology mips specialty set

  • G4002

    Electrophysiology cardiac specialist mips specialty set

  • G4003

    Emergency medicine mips specialty set

  • G4004

    Endocrinology mips specialty set

  • G4005

    Family medicine mips specialty set

  • G4006

    Gastro-enterology mips specialty set

  • G4007

    General surgery mips specialty set

  • G4008

    Geriatrics mips specialty set

  • G4009

    Hospitalists mips specialty set

  • G4010

    Infectious disease mips specialty set

  • G4011

    Internal medicine mips specialty set

  • G4012

    Interventional radiology mips specialty set

  • G4013

    Mental/behavioral and psychiatry mips specialty set

  • G4014

    Nephrology mips specialty set

  • G4015

    Neurology mips specialty set

  • G4016

    Neurosurgical mips specialty set

  • G4017

    Nutrition/dietician mips specialty set

  • G4018

    Obstetrics/gynecology mips specialty set

  • G4019

    Oncology/hematology mips specialty set

  • G4020

    Ophthalmology/optometry mips specialty set

  • G4021

    Orthopedic surgery mips specialty set

  • G4022

    Otolaryngology mips specialty set

  • G4023

    Pathology mips specialty set

  • G4024

    Pediatrics mips specialty set

  • G4025

    Physical medicine mips specialty set

  • G4026

    Physical therapy/occupational therapy mips specialty set

  • G4027

    Plastic surgery mips specialty set

  • G4028

    Podiatry mips specialty set

  • G4029

    Preventive medicine mips specialty set

  • G4030

    Pulmonology mips specialty set

  • G4031

    Radiation oncology mips specialty set

  • G4032

    Rheumatology mips specialty set

  • G4033

    Skilled nursing facility mips specialty set

  • G4034

    Speech language pathology mips specialty set

  • G4035

    Thoracic surgery mips specialty set

  • G4036

    Urgent care mips specialty set

  • G4037

    Urology mips specialty set

  • G4038

    Vascular surgery mips specialty set

  • G8126

    Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase

  • G8127

    Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phase

  • G8128

    Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measure

  • G8395

    Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function

  • G8396

    Left ventricular ejection fraction (lvef) not performed or documented

  • G8397

    Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy

  • G8398

    Dilated macular or fundus exam not performed

  • G8399

    Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed