FLORIDA HEALTH CARE PLANS INCHEALTH INSURANCE ISSUERFFS - SELF PAYEINGROUPFFSSTERILE SUPPLY0272RC2026STERILE SUPPLYDERIVED22.539999-12-31INSTITUTIONAL1700978558npi170097855821FFSCT SCAN0350RC2026CT SCANDERIVED1385.719999-12-31INSTITUTIONAL1700978558npi170097855821FFSPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED45.009999-12-31PROFESSIONAL1548829179npi154882917915FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED139.209999-12-31PROFESSIONAL1447723416npi115430408711DERIVED186.659999-12-31PROFESSIONAL1841618782npi155834024011FFSPHARMACY0250RC2026PHARMACYDERIVED8.979999-12-31INSTITUTIONAL1700978558npi170097855821FFSDRUGS/OTHER0259RC2026DRUGS/OTHERDERIVED147.769999-12-31INSTITUTIONAL1700978558npi170097855821FFSIV THERAPY0260RC2026IV THERAPYDERIVED773.679999-12-31INSTITUTIONAL1700978558npi170097855821FFSCT SCAN/BODY0352RC2026CT SCAN/BODYDERIVED5031.849999-12-31INSTITUTIONAL1700978558npi170097855821FFSRESPIRATORY SVC0410RC2026RESPIRATORY SVCDERIVED269.859999-12-31INSTITUTIONAL1700978558npi170097855821FFSEMERG ROOM0450RC2026EMERG ROOMDERIVED1243.299999-12-31INSTITUTIONAL1700978558npi170097855821FFSPULMONARY FUNC0460RC2026PULMONARY FUNCDERIVED113.799999-12-31INSTITUTIONAL1700978558npi170097855821FFSRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsDERIVED52.019999-12-31PROFESSIONAL1841618782npi155834024011FFSMRI,LOW EXT OTHR THAN JNT;W/OUT CONT,F/BY CONT MAT73720CPT2026MRI,LOW EXT OTHR THAN JNT;W/OUT CONT,F/BY CONT MATFEE SCHEDULE110.129999-12-31PROFESSIONAL1457886046npi106340072921FFSTESTING OF AUTONOMIC NERVOUS95921CPT2026TESTING OF AUTONOMIC NERVOUSDERIVED79.429999-12-31PROFESSIONAL1508863572npi145735843411FFSTESTING OF AUTONOMIC NERVOUS95923CPT2026TESTING OF AUTONOMIC NERVOUSDERIVED107.459999-12-31PROFESSIONAL1508863572npi145735843411FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED123.559999-12-31PROFESSIONAL1952355497npi155834024011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED120.169999-12-31PROFESSIONAL1285390328npi190250287511FFSIV SOLUTIONS0258RC2026IV SOLUTIONSDERIVED53.579999-12-31INSTITUTIONAL1700978558npi170097855821FFSLAB/CHEMISTRY0301RC2026LAB/CHEMISTRYDERIVED1121.739999-12-31INSTITUTIONAL1700978558npi170097855821FFSLAB/IMMUNOLOGY0302RC2026LAB/IMMUNOLOGYDERIVED86.219999-12-31INSTITUTIONAL1700978558npi170097855821FFSLAB/BACT-MICRO0306RC2026LAB/BACT-MICRODERIVED673.579999-12-31INSTITUTIONAL1700978558npi170097855821FFSCARDIOLOGY-ECHOCARDIOLOGY0483RC2026CARDIOLOGY-ECHOCARDIOLOGYDERIVED1238.469999-12-31INSTITUTIONAL1700978558npi170097855821FFSTELEMETRY0732RC2026TELEMETRYDERIVED659.459999-12-31INSTITUTIONAL1700978558npi170097855821FFSCOMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUD93923CPT2026COMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUDDERIVED273.049999-12-31PROFESSIONAL1508863572npi145735843411FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED78.219999-12-31PROFESSIONAL1508863572npi145735843411FFSMED-SURG-GY/2BED0121RC2026MED-SURG-GY/2BEDDERIVED3032.009999-12-31INSTITUTIONAL1700978558npi170097855821FFSLAB/HEMOTOLOGY0305RC2026LAB/HEMOTOLOGYDERIVED482.999999-12-31INSTITUTIONAL1700978558npi170097855821FFSLAB/UROLOGY0307RC2026LAB/UROLOGYDERIVED73.899999-12-31INSTITUTIONAL1700978558npi170097855821FFSDRUG/DETAIL CODE0636RC2026DRUG/DETAIL CODEDERIVED971.609999-12-31INSTITUTIONAL1700978558npi170097855821FFSRadiologic examination, pelvis; 1 or 2 views72170CPT2026Radiologic examination, pelvis; 1 or 2 viewsDERIVED27.449999-12-31PROFESSIONAL1841618782npi155834024011FFSRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED33.199999-12-31PROFESSIONAL1952355497npi155834024011FFSX-RAY EXAM OF FOOT73630CPT2026X-RAY EXAM OF FOOTFEE SCHEDULE8.919999-12-31PROFESSIONAL1457886046npi106340072921FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEFEE SCHEDULE64.339999-12-31PROFESSIONAL1306844360npi124528353022BUNDLECAT SCAN OF CHEST71250CPT2026CAT SCAN OF CHESTFEE SCHEDULE242.329999-12-31PROFESSIONAL1730151903npi179077231721CAPITATIONProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681MEDIPASSEINGROUPFFSECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISFEE SCHEDULE69.799999-12-31PROFESSIONAL1487181590npi138691610411SELECT,$200IP,$25SP,$60EEINGROUPFFSBRONCHOSCOPY,RIGID/FLEX,INCL FLR GUIDNCE;DIAGNSTC31622CPT2026BRONCHOSCOPY,RIGID/FLEX,INCL FLR GUIDNCE;DIAGNSTCDERIVED102.349999-12-31PROFESSIONAL1023067584npi178010052922FFSMediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)39402CPT2026Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)DERIVED666.089999-12-31PROFESSIONAL1023067584npi178010052922SMAG GOLD HMO GYMHIOS56503FL3020001GROUPFFSMRI, JNT UPP EXT;W/OUT CONTRAST73221CPT2026MRI, JNT UPP EXT;W/OUT CONTRASTDERIVED291.479999-12-31PROFESSIONAL1457886046npi124527167511FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED14.219999-12-31PROFESSIONAL1841805462npi132625496211FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED167.099999-12-31PROFESSIONAL1841805462npi132625496211DERIVED186.659999-12-31PROFESSIONAL1235498460npi155834024011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED126.919999-12-31PROFESSIONAL1841805462npi132625496211FFSINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED0.319999-12-31PROFESSIONAL1841805462npi132625496211FFSINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED0.109999-12-31PROFESSIONAL1841805462npi132625496211FFSRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsDERIVED34.809999-12-31PROFESSIONAL1235498460npi155834024011CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; free84439CPT2026Thyroxine; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681SMAG SILVER HMO GYMHIOS56503FL2900001GROUPFFSCAT SCAN OF HEAD OR BRAIN70450CPT2026CAT SCAN OF HEAD OR BRAINFEE SCHEDULE65.699999-12-31PROFESSIONAL1174520134npi107378504423DERIVED1559.639999-12-31INSTITUTIONAL1700978558npi170097855823FFSASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED66.709999-12-31INSTITUTIONAL1700978558npi170097855823FFSSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED78.949999-12-31INSTITUTIONAL1700978558npi170097855823FFSC-reactive protein;86140CPT2026C-reactive protein;DERIVED82.469999-12-31INSTITUTIONAL1700978558npi170097855823FFSCulture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)87040CPT2026Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)DERIVED103.979999-12-31INSTITUTIONAL1700978558npi170097855823FFSPsychiatric diagnostic evaluation90791CPT2026Psychiatric diagnostic evaluationFEE SCHEDULE145.979999-12-31PROFESSIONAL1801858329npi180185832911FEE SCHEDULE145.972021-05-31PROFESSIONAL1801858329npi180185832911FFSPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRFEE SCHEDULE140.742021-05-31PROFESSIONAL1801858329npi180185832911FEE SCHEDULE140.749999-12-31PROFESSIONAL1801858329npi180185832911FFSElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED248.659999-12-31INSTITUTIONAL1700978558npi170097855823FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTFEE SCHEDULE111.799999-12-31PROFESSIONAL1689748345npi199208800911FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED30.959999-12-31PROFESSIONAL1427162189npi194263226011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED157.979999-12-31PROFESSIONAL1558380444npi154858460011FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingDERIVED652.519999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE144.849999-12-31PROFESSIONAL1386826527npi120588085323FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingDERIVED752.609999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE246.929999-12-31PROFESSIONAL1396782074npi120588085323DERIVED860.279999-12-31INSTITUTIONAL1700978558npi170097855823FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making99285CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision makingFEE SCHEDULE356.929999-12-31PROFESSIONAL1609281088npi120588085323FFSINJECTION ACETAMINOPHEN, 10 MGJ0131HCPCS2026INJECTION ACETAMINOPHEN, 10 MGDERIVED32.389999-12-31INSTITUTIONAL1700978558npi170097855823FFSNORMAL SALINE SOLUTION INFUSION, 1000 CCJ7030HCPCS2026NORMAL SALINE SOLUTION INFUSION, 1000 CCDERIVED21.879999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED28.499999-12-31INSTITUTIONAL1700978558npi170097855823FFSPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED12.559999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED9.349999-12-31PROFESSIONAL1558380444npi154858460011FFSCT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMD70496CPT2026CT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMDDERIVED1784.999999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE133.309999-12-31PROFESSIONAL1992906259npi107378504423FFSCT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMD70498CPT2026CT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMDDERIVED1784.999999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE133.309999-12-31PROFESSIONAL1992906259npi107378504423FFSLactate (lactic acid)83605CPT2026Lactate (lactic acid)DERIVED85.739999-12-31INSTITUTIONAL1700978558npi170097855823FFSGonadotropin, chorionic (hCG); qualitative84703CPT2026Gonadotropin, chorionic (hCG); qualitativeDERIVED46.229999-12-31INSTITUTIONAL1700978558npi170097855823FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED141.029999-12-31INSTITUTIONAL1700978558npi170097855823FFSElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyFEE SCHEDULE16.849999-12-31PROFESSIONAL1609281088npi120588085323FFSRadiologic examination, chest; single view71045CPT2026Radiologic examination, chest; single viewFEE SCHEDULE13.919999-12-31PROFESSIONAL1750518759npi107378504423DERIVED305.879999-12-31INSTITUTIONAL1700978558npi170097855823FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED3.489999-12-31PROFESSIONAL1558380444npi154858460011FFSCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateDERIVED61.449999-12-31INSTITUTIONAL1700978558npi170097855823FFSINF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE R87636CPT2026INF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE RDERIVED215.429999-12-31INSTITUTIONAL1700978558npi170097855823FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED99.289999-12-31PROFESSIONAL1427162189npi194263226011DERIVED118.209999-12-31PROFESSIONAL1821093105npi10934936370211FEE SCHEDULE89.839999-12-31PROFESSIONAL1689748345npi199208800911DERIVED110.649999-12-31PROFESSIONAL1558380444npi154858460011FFSINJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGJ0696HCPCS2026INJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGDERIVED17.189999-12-31INSTITUTIONAL1700978558npi170097855823FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED192.259999-12-31INSTITUTIONAL1700978558npi170097855823FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED61.689999-12-31INSTITUTIONAL1700978558npi170097855823FFSThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED69.649999-12-31INSTITUTIONAL1700978558npi170097855823FFSBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED5.219999-12-31PROFESSIONAL1427162189npi194263226011FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED533.749999-12-31INSTITUTIONAL1700978558npi170097855823FFSADDL INTRAV SEQTL INFUS NEW DRUG/SUBS;UP TO 1HR96367CPT2026ADDL INTRAV SEQTL INFUS NEW DRUG/SUBS;UP TO 1HRDERIVED150.419999-12-31INSTITUTIONAL1700978558npi170097855823FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED126.859999-12-31PROFESSIONAL1427162189npi194263226011DERIVED132.899999-12-31PROFESSIONAL1457313421npi132625496211FFSCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED160.009999-12-31PROFESSIONAL1609849496npi187157203211CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFolic acid; serum82746CPT2026Folic acid; serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBLOOD TYPING, SEROLOGIC; RH (D)86901CPT2026BLOOD TYPING, SEROLOGIC; RH (D)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED30.039999-12-31PROFESSIONAL1154361129npi155830204211CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED63.319999-12-31PROFESSIONAL1154361129npi155830204211CAPITATIONTUBING USED WITH PAPDA7037HCPCS2026TUBING USED WITH PAPDDERIVED11.139999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin, chorionic (hCG); quantitative84702CPT2026Gonadotropin, chorionic (hCG); quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA);86038CPT2026Antinuclear antibodies (ANA);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE87491CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED14.059999-12-31PROFESSIONAL1154361129npi155830204211CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED147.429999-12-31PROFESSIONAL1811963341npi155830204211CAPITATIONBLOOD TYPING, SEROLOGIC; ABO86900CPT2026BLOOD TYPING, SEROLOGIC; ABODERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE87591CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED80.379999-12-31PROFESSIONAL1154361129npi155830204211CAPITATIONWATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIA7046HCPCS2026WATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIDERIVED12.839999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE87088CPT2026CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSusceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate87186CPT2026Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681LARGE GROUP HMOEIN590704726GROUPFFSPEDS/2BED0123RC2026PEDS/2BEDDERIVED1013.189999-12-31INSTITUTIONAL1063426823npi106342682321FFSNURSERY/NEWBORN0171RC2026NURSERY/NEWBORNDERIVED1698.739999-12-31INSTITUTIONAL1063426823npi106342682321FFSINTENSIVE CARE OR (ICU)0200RC2026INTENSIVE CARE OR (ICU)DERIVED1902.439999-12-31INSTITUTIONAL1063426823npi106342682321FFSINFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARG0202UCPT2026INFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARGDERIVED923.949999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED981.339999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED879.949999-12-31INSTITUTIONAL1063426823npi106342682323FFSPOST ICU0206RC2026POST ICUDERIVED1392.649999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED2785.289999-12-31INSTITUTIONAL1063426823npi106342682321FFSPHYSICAL THERP0420RC2026PHYSICAL THERPDERIVED665.789999-12-31INSTITUTIONAL1285681908npi128568190822FFSCARDIAC CATH LAB0481RC2026CARDIAC CATH LABDERIVED8477.819999-12-31INSTITUTIONAL1063426823npi106342682321FFSPSYCH TREATMENT0900RC2026PSYCH TREATMENTDERIVED3360.009999-12-31INSTITUTIONAL1811991227npi181199122751FFSEMG0922RC2026EMGNEGOTIATED6824.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSSIMPLE REP-FACE,EARS,EYELIDS12011CPT2026SIMPLE REP-FACE,EARS,EYELIDSFEE SCHEDULE76.279999-12-31PROFESSIONAL1992120141npi124528353023FFSAdjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm14061CPT2026Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cmFEE SCHEDULE1094.349999-12-31PROFESSIONAL1972708329npi164931421211FFSPneumonia, unspecified organism163MS-DRG10Pneumonia, unspecified organismDERIVED81658.399999-12-31INSTITUTIONAL1063426823npi106342682321FFSCHEMICAL CAUTERY, TISSUE17250CPT2026CHEMICAL CAUTERY, TISSUEDERIVED80.009999-12-31PROFESSIONAL1770640740npi147760783611FFSBIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE19083CPT2026BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCEDERIVED679.419999-12-31PROFESSIONAL1396756474npi12452716751831136191npi124527167511FFSUnspecified asthma with (acute) exacerbation202MS-DRG10Unspecified asthma with (acute) exacerbationDERIVED16.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED232.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED930.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED5320.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED6650.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED106.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED440.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED630.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED2709.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED218.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED461.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED1287.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED1416.009999-12-31INSTITUTIONAL1811991227npi181199122721FFSArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting20611CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reportingNEGOTIATED151.939999-12-31PROFESSIONAL1407050404npi166942957711NEGOTIATED227.909999-12-31PROFESSIONAL1407050404npi166942957711FFSClosed treatment of shoulder dislocation, with manipulation; without anesthesia23650CPT2026Closed treatment of shoulder dislocation, with manipulation; without anesthesiaDERIVED471.089999-12-31INSTITUTIONAL1811991227npi181199122723FFSINJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRO27096APC2026INJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRODERIVED1250.009999-12-31INSTITUTIONAL1932657335npi193265733524FFSArthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)27447CPT2026Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)DERIVED172.779999-12-31PROFESSIONAL1588138499npi155834024024FEE SCHEDULE189.719999-12-31PROFESSIONAL1265681522npi194226369422NEGOTIATED29218.589999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED1270.369999-12-31PROFESSIONAL1225577703npi155834024024NEGOTIATED20575.009999-12-31INSTITUTIONAL1184709057npi118470905722NEGOTIATED29184.039999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED30385.009999-12-31INSTITUTIONAL1285681908npi128568190823FEE SCHEDULE1391.359999-12-31PROFESSIONAL1386608727npi194226369422NEGOTIATED2050.509999-12-31PROFESSIONAL1255324679npi166942957722FFSManipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)27570CPT2026Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)FEE SCHEDULE175.619999-12-31PROFESSIONAL1386608727npi194226369422DERIVED26452.879999-12-31INSTITUTIONAL1285681908npi128568190822FFSARTHROSCOPY, SHOULDER SURG; DISTAL CLAVICULECTOMY29824APC2026ARTHROSCOPY, SHOULDER SURG; DISTAL CLAVICULECTOMYDERIVED889.319999-12-31INSTITUTIONAL1932657335npi193265733524FFSARTHROSCOPY, SHOULDER SURG; DISTAL CLAVICULECTOMY29824CPT2026ARTHROSCOPY, SHOULDER SURG; DISTAL CLAVICULECTOMYDERIVED344.339999-12-31PROFESSIONAL1316926025npi155834024024DERIVED46.839999-12-31PROFESSIONAL1275884678npi155834024024FFSARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFF29827APC2026ARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFFDERIVED3973.029999-12-31INSTITUTIONAL1932657335npi193265733524FFSARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFF29827CPT2026ARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFFDERIVED1061.989999-12-31PROFESSIONAL1316926025npi155834024024DERIVED144.439999-12-31PROFESSIONAL1275884678npi155834024024FFSBradycardia, unspecified310MS-DRG10Bradycardia, unspecifiedDERIVED11088.209999-12-31INSTITUTIONAL1063426823npi106342682321FFSIntubation, endotracheal, emergency procedure31500CPT2026Intubation, endotracheal, emergency procedureDERIVED231.269999-12-31PROFESSIONAL1457702797npi178010052921FEE SCHEDULE154.189999-12-31PROFESSIONAL1912312695npi124528353021FFSDIAGNOSTIC LARYNGOSCOPY31575CPT2026DIAGNOSTIC LARYNGOSCOPYFEE SCHEDULE87.629999-12-31PROFESSIONAL1316730369npi166942957722FFSLaryngoscopy, flexible; diagnostic31575CPT2026Laryngoscopy, flexible; diagnosticNEGOTIATED1200.009999-12-31INSTITUTIONAL1184709057npi118470905722FEE SCHEDULE163.019999-12-31PROFESSIONAL1295705283npi118462573311FFSPercutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supe33340CPT2026Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supeDERIVED584.089999-12-31PROFESSIONAL1194785519npi166958926321FFSPLACE CATHETER IN ARTERIES36215CPT2026PLACE CATHETER IN ARTERIESFEE SCHEDULE517.329999-12-31PROFESSIONAL1669683769npi170011972411FFSREMVAL TUNLD VEN CATH W/SUBCAT PORT CNTRL PERIP36590CPT2026REMVAL TUNLD VEN CATH W/SUBCAT PORT CNTRL PERIPNEGOTIATED300.379999-12-31PROFESSIONAL1548796535npi166942957722NEGOTIATED9782.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSTransluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary proc36907CPT2026Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procFEE SCHEDULE565.589999-12-31PROFESSIONAL1669683769npi170011972411FFSIntravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)37252CPT2026Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)FEE SCHEDULE865.429999-12-31PROFESSIONAL1669683769npi170011972411FFSIntravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedur37253CPT2026Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedurFEE SCHEDULE169.389999-12-31PROFESSIONAL1669683769npi170011972411FFSEsophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire43248CPT2026Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wireDERIVED736.659999-12-31PROFESSIONAL1033149752npi179079027711FFSColonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps45384APC2026Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsDERIVED616.499999-12-31INSTITUTIONAL1386381408npi138638140824FFSHemorrhoidectomy, internal and external, single column/group;46255APC2026Hemorrhoidectomy, internal and external, single column/group;DERIVED2399.019999-12-31INSTITUTIONAL1619979580npi161997958024FFSDestruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)46930APC2026Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)NEGOTIATED72.179999-12-31INSTITUTIONAL1902853195npi190285319524FFSCHOLECYSTECTOMY LAPAROSCOPY SURG47562CPT2026CHOLECYSTECTOMY LAPAROSCOPY SURGDERIVED9457.149999-12-31INSTITUTIONAL1063426823npi106342682322FFSVulvectomy, radical, partial;56630CPT2026Vulvectomy, radical, partial;DERIVED1172.039999-12-31PROFESSIONAL1366448805npi187157203211FFSW/LOOP ELECTROSURGICAL EXCIS57460CPT2026W/LOOP ELECTROSURGICAL EXCISDERIVED77.819999-12-31PROFESSIONAL1558682435npi183115803921FFSCONIZATION OF CERVIX57520CPT2026CONIZATION OF CERVIXDERIVED4686.499999-12-31INSTITUTIONAL1811991227npi181199122722FFSEndometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)58100CPT2026Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)DERIVED124.319999-12-31PROFESSIONAL1346290145npi187157203211FFSHYSTEROSCOPY SURGICAL W BIOPSY W/WO D&C58558CPT2026HYSTEROSCOPY SURGICAL W BIOPSY W/WO D&CDERIVED268.209999-12-31PROFESSIONAL1609849496npi187157203222DERIVED112.659999-12-31PROFESSIONAL1558682435npi183115803921DERIVED4343.519999-12-31INSTITUTIONAL1063426823npi106342682322FFSLAPAROSCOPY W/ RMVL OF ADNEXAL STRUCTURE58661CPT2026LAPAROSCOPY W/ RMVL OF ADNEXAL STRUCTUREDERIVED4343.529999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED646.369999-12-31PROFESSIONAL1558682435npi183115803921FFSINJ GREATER OCCIPITAL NERVE,64405CPT2026INJ GREATER OCCIPITAL NERVE,FEE SCHEDULE132.919999-12-31PROFESSIONAL1932153228npi155831012811FFSTREATMENT OF RETINA67145CPT2026TREATMENT OF RETINAFEE SCHEDULE241.989999-12-31PROFESSIONAL1730479650npi169977379611FFSRemoval impacted cerumen using irrigation/lavage, unilateral69209CPT2026Removal impacted cerumen using irrigation/lavage, unilateralDERIVED20.589999-12-31PROFESSIONAL1740478197npi109349363711DERIVED16.479999-12-31PROFESSIONAL1396704821npi190208406411FEE SCHEDULE32.949999-12-31PROFESSIONAL1881834026npi120588085323FFSREMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERAL69210CPT2026REMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERALDERIVED50.209999-12-31PROFESSIONAL1669852984npi124528353011FFSRemoval impacted cerumen requiring instrumentation, unilateral69210CPT2026Removal impacted cerumen requiring instrumentation, unilateralDERIVED50.209999-12-31PROFESSIONAL1669852984npi124528353011FEE SCHEDULE31.089999-12-31PROFESSIONAL1194796128npi118462573311FEE SCHEDULE62.159999-12-31PROFESSIONAL1245214022npi118462573311FFSCT SCAN HEAD/BRAIN W/O & W/CONTRAST70470CPT2026CT SCAN HEAD/BRAIN W/O & W/CONTRASTDERIVED162.039999-12-31PROFESSIONAL1114960200npi124527167511FFSCOMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING70471CPT2026COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSINGDERIVED3813.409999-12-31INSTITUTIONAL1063426823npi106342682322FFSCAT SCAN OF NECK TISSUE70490CPT2026CAT SCAN OF NECK TISSUEDERIVED213.679999-12-31PROFESSIONAL1336566330npi124527167511FFSMRI BRAIN W/ & W/O CONTRAST70553CPT2026MRI BRAIN W/ & W/O CONTRASTDERIVED2926.759999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED451.489999-12-31PROFESSIONAL1093759599npi12452716751336566330npi12452716751619037025npi124527167511DERIVED525.009999-12-31PROFESSIONAL1760567762npi188190490249FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTFEE SCHEDULE59.799999-12-31PROFESSIONAL1073557518npi10634007291710230982npi10634007292123FFSX-RAY EXAM,SPINE,CERV;2 OR 3 VIEWS72040CPT2026X-RAY EXAM,SPINE,CERV;2 OR 3 VIEWSFEE SCHEDULE34.809999-12-31PROFESSIONAL1699822445npi134645616711NEGOTIATED16.919999-12-31PROFESSIONAL1952537052npi166942957721FFSX-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWS72100CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWSFEE SCHEDULE35.389999-12-31PROFESSIONAL1699822445npi13464561671710902812npi121501771011FFSX-RAY EXAM,SPINE,LUMBOSCARAL;MIN 4 VIEWS72110CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;MIN 4 VIEWSFEE SCHEDULE14.169999-12-31PROFESSIONAL1306188073npi106340072923FFSRadiologic examination, pelvis; 1 or 2 views72170CPT2026Radiologic examination, pelvis; 1 or 2 viewsDERIVED23.329999-12-31PROFESSIONAL1437404548npi155834024011DERIVED27.449999-12-31PROFESSIONAL1710966601npi155834024011FFSCAT SCAN OF PELVIS72192CPT2026CAT SCAN OF PELVISDERIVED189.229999-12-31PROFESSIONAL1780655498npi124527167511FFSCT SCAN PELVIS, W/CONTRAST FOLLOWED BY WITHOUT72194CPT2026CT SCAN PELVIS, W/CONTRAST FOLLOWED BY WITHOUTDERIVED354.609999-12-31PROFESSIONAL1154358398npi124527167511FFSMAG RES, PELVIS;W/OUT CONT,F/BY CONTRAST MATERIAL72197CPT2026MAG RES, PELVIS;W/OUT CONT,F/BY CONTRAST MATERIALFEE SCHEDULE112.879999-12-31PROFESSIONAL1003905290npi106340072921FFSRadiologic examination, wrist; complete, minimum of 3 views73110CPT2026Radiologic examination, wrist; complete, minimum of 3 viewsDERIVED41.499999-12-31PROFESSIONAL1225577703npi155834024011DERIVED45.649999-12-31PROFESSIONAL1447769864npi178010052911DERIVED352.059999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE53.119999-12-31PROFESSIONAL1265693568npi101393608711DERIVED361.139999-12-31INSTITUTIONAL1679678486npi167967848623FFSRadiologic examination, hand; minimum of 3 views73130CPT2026Radiologic examination, hand; minimum of 3 viewsDERIVED37.029999-12-31PROFESSIONAL1235498460npi15583402401740606441npi155834024011FEE SCHEDULE38.879999-12-31PROFESSIONAL1427089309npi165968157511FFSX-RAY EXAM OF HAND73130CPT2026X-RAY EXAM OF HANDFEE SCHEDULE9.609999-12-31PROFESSIONAL1710230982npi106340072923FEE SCHEDULE38.879999-12-31PROFESSIONAL1427089309npi165968157511FFSX-RAY EXAM OF KNEE73565CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE46.959999-12-31PROFESSIONAL1386608727npi194226369411FFSX-RAY EXAM OF ANKLE73610CPT2026X-RAY EXAM OF ANKLEFEE SCHEDULE13.899999-12-31PROFESSIONAL1740624519npi107378504423FFSRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED28.219999-12-31PROFESSIONAL1770129413npi155834024011FEE SCHEDULE34.859999-12-31PROFESSIONAL1275501876npi19422275411568430163npi194222754111DERIVED26.559999-12-31PROFESSIONAL1689865453npi153868649811DERIVED33.199999-12-31PROFESSIONAL1710966601npi155834024011DERIVED48.469999-12-31PROFESSIONAL1316981996npi124527167511FFSMagnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)73722CPT2026Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)DERIVED445.949999-12-31PROFESSIONAL1326082975npi124527167511FFSCT ABDOM/PELVIS W/CONTRST INCL NON-CONTRST IMAGE74174CPT2026CT ABDOM/PELVIS W/CONTRST INCL NON-CONTRST IMAGEDERIVED768.229999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE112.179999-12-31PROFESSIONAL1457886046npi106340072923FFSMagnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences74183CPT2026Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequencesDERIVED477.879999-12-31PROFESSIONAL1003905290npi12452716751497103121npi124527167511DERIVED3176.899999-12-31INSTITUTIONAL1679678486npi167967848622FFSMRI,ABDOMEN; W/OUT CONTAST,F/BY CONT MATERIAL74183CPT2026MRI,ABDOMEN; W/OUT CONTAST,F/BY CONT MATERIALFEE SCHEDULE169.319999-12-31PROFESSIONAL1033165865npi107378504419FFSRadiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study74221CPT2026Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) studyDERIVED150.129999-12-31PROFESSIONAL1093759599npi124527167511FFSX-RAY EXAM OF SMALL BOWEL74250CPT2026X-RAY EXAM OF SMALL BOWELFEE SCHEDULE41.629999-12-31PROFESSIONAL1396756474npi106340072921FFSARTERY X-RAYS, ARM/LEG75710CPT2026ARTERY X-RAYS, ARM/LEGFEE SCHEDULE149.819999-12-31PROFESSIONAL1669683769npi170011972411FFSFLUOROSCOPE EXAMINATION76000CPT2026FLUOROSCOPE EXAMINATIONFEE SCHEDULE25.879999-12-31PROFESSIONAL1164696456npi107378504422FFSFluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time76000CPT2026Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional timeDERIVED546.929999-12-31INSTITUTIONAL1063426823npi106342682322FFSREQING IMAGE POSTPROCESSING/INDEPENDENT WORK STAT76377CPT2026REQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATFEE SCHEDULE61.869999-12-31PROFESSIONAL1386910255npi107378504423FFSECHO EXAM OF EYE76512CPT2026ECHO EXAM OF EYEFEE SCHEDULE47.799999-12-31PROFESSIONAL1730479650npi169977379611FFSOPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRY76514CPT2026OPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRYDERIVED10.589999-12-31PROFESSIONAL1780866111npi184134030411FFSUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete76641CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; completeDERIVED142.729999-12-31PROFESSIONAL1316981996npi124527167511FEE SCHEDULE56.139999-12-31PROFESSIONAL1538115779npi107378504422DERIVED404.969999-12-31INSTITUTIONAL1679678486npi167967848622FEE SCHEDULE131.969999-12-31PROFESSIONAL1538106927npi165934703711FFSECHO EXAM OF ABDOMEN76700CPT2026ECHO EXAM OF ABDOMENDERIVED162.739999-12-31PROFESSIONAL1154325793npi12452716751497103121npi124527167511FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAMINATION, TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76811CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAMINATION, TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED489.489999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE99.789999-12-31PROFESSIONAL1033189014npi124528353022FFSECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISDERIVED149.629999-12-31PROFESSIONAL1497103121npi124527167511NEGOTIATED127.449999-12-31PROFESSIONAL1164552014npi138603434611FFSDIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILA77066CPT2026DIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILADERIVED149.529999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE137.689999-12-31PROFESSIONAL1538106927npi165934703711DERIVED218.169999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED223.359999-12-31PROFESSIONAL1003905290npi12452716751114960200npi12452716751306188073npi12452716751316981996npi12452716751457886046npi12452716751578507588npi12452716751639598519npi12452716751699717124npi12452716751831136191npi124527167511FEE SCHEDULE77.429999-12-31PROFESSIONAL1538115779npi107378504422FFSScreening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed77067CPT2026Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performedDERIVED198.009999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED71.939999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED207.909999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED179.149999-12-31PROFESSIONAL1104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751316981996npi12452716751386757631npi12452716751396756474npi12452716751457886046npi12452716751497103121npi12452716751578507588npi12452716751619037025npi12452716751699717124npi12452716751780655498npi12452716751831136191npi124527167511FEE SCHEDULE58.339999-12-31PROFESSIONAL1285824086npi10737850441386943942npi10737850441871559971npi107378504422DERIVED116.579999-12-31PROFESSIONAL1770717258npi147783081811FFSRADIATION TREATMENT DELIVERY; LEVEL 3, MULTIPLE ISOCENTERS WITH PHOTON THERAPY (EG, 2D, 3D, OR IMRT) OR A SINGLE-ISOCENTER PHOTON THERAPY (EG, 3D OR IMRT) WITH ACTIVE MOTION MANAGEMENT, OR TOTAL SKIN ELECTRONS, OR MIXED-ELECTRON/PHOTON FIELDS, IN77412CPT2026RADIATION TREATMENT DELIVERY; LEVEL 3, MULTIPLE ISOCENTERS WITH PHOTON THERAPY (EG, 2D, 3D, OR IMRT) OR A SINGLE-ISOCENTER PHOTON THERAPY (EG, 3D OR IMRT) WITH ACTIVE MOTION MANAGEMENT, OR TOTAL SKIN ELECTRONS, OR MIXED-ELECTRON/PHOTON FIELDS, INDERIVED483.479999-12-31INSTITUTIONAL1811991227npi181199122722FFSRadiation therapy management with complete course of therapy consisting of 1 or 2 fractions only77431CPT2026Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions onlyFEE SCHEDULE117.719999-12-31PROFESSIONAL1962438531npi124528353022FFSNUCLEAR EXAM, STOMACH78264CPT2026NUCLEAR EXAM, STOMACHDERIVED408.719999-12-31PROFESSIONAL1104860600npi124527167511FFSNUCLEAR SCAN OF SKELETON78306CPT2026NUCLEAR SCAN OF SKELETONDERIVED365.709999-12-31PROFESSIONAL1093759599npi124527167511FFSMYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIES78452CPT2026MYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIESDERIVED372.379999-12-31PROFESSIONAL1710945761npi187168799611FEE SCHEDULE82.089999-12-31PROFESSIONAL1104860600npi10634007291326082975npi106340072922FFSBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED115.989999-12-31INSTITUTIONAL1063426823npi106342682323NEGOTIATED282.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED129.489999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED140.989999-12-31INSTITUTIONAL1063426823npi106342682322FFSRenal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (80069CPT2026Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (DERIVED194.329999-12-31INSTITUTIONAL1063426823npi106342682322FFSSecond degree perineal laceration during delivery807MS-DRG10Second degree perineal laceration during deliveryDERIVED7000.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED6.409999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED79.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED81.829999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED92.589999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED97.209999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED81.529999-12-31INSTITUTIONAL1679678486npi167967848623FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED3.839999-12-31PROFESSIONAL1740478197npi109349363711FFSKetone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative82010CPT2026Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitativeDERIVED31.689999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED40.079999-12-31INSTITUTIONAL1063426823npi106342682323FFSCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED16.599999-12-31PROFESSIONAL1386693331npi176059096211DERIVED93.359999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED97.729999-12-31INSTITUTIONAL1063426823npi106342682322FFSFerritin82728CPT2026FerritinDERIVED73.449999-12-31INSTITUTIONAL1063426823npi106342682323FFSFolic acid; serum82746CPT2026Folic acid; serumDERIVED16.179999-12-31PROFESSIONAL1386693331npi176059096211FFSGlucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use82962CPT2026Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home useDERIVED3.619999-12-31PROFESSIONAL1740478197npi109349363711FFSGonadotropin; follicle stimulating hormone (FSH)83001CPT2026Gonadotropin; follicle stimulating hormone (FSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSIron83540CPT2026IronDERIVED7.129999-12-31PROFESSIONAL1386693331npi176059096211DERIVED45.429999-12-31INSTITUTIONAL1063426823npi106342682323FFSEncounter for antineoplastic radiation therapy849MS-DRG10Encounter for antineoplastic radiation therapyDERIVED28303.049999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED3576.019999-12-31INSTITUTIONAL1811991227npi181199122721FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED64.239999-12-31INSTITUTIONAL1063426823npi106342682322NEGOTIATED148.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED76.619999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED82.259999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED65.729999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED66.189999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED63.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED78.339999-12-31INSTITUTIONAL1700978558npi170097855822FFSAntibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])86769CPT2026Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])DERIVED42.139999-12-31PROFESSIONAL1891731626npi189173162681FFSAntibody; varicella-zoster86787CPT2026Antibody; varicella-zosterDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE86850CPT2026ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUEDERIVED80.379999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED88.619999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED76.549999-12-31INSTITUTIONAL1063426823npi106342682322NEGOTIATED186.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSBLOOD TYPING, SEROLOGIC; RH (D)86901CPT2026BLOOD TYPING, SEROLOGIC; RH (D)DERIVED67.789999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED64.559999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED74.739999-12-31INSTITUTIONAL1063426823npi106342682322NEGOTIATED138.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSSmear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types87206CPT2026Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell typesDERIVED41.619999-12-31INSTITUTIONAL1063426823npi106342682322FFSINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED91.369999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED49.999999-12-31PROFESSIONAL1043087018npi189190537820DERIVED71.369999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED72.429999-12-31INSTITUTIONAL1003465097npi100346509723DERIVED76.669999-12-31INSTITUTIONAL1811991227npi181199122723FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE87491CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUEDERIVED146.849999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE87591CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUEDERIVED146.849999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSINF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE R87636CPT2026INF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE RDERIVED202.969999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED217.859999-12-31INSTITUTIONAL1063426823npi106342682323FFSInfectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique87651CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe techniqueDERIVED44.509999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED40.369999-12-31INSTITUTIONAL1063426823npi106342682323FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus87807CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virusDERIVED13.109999-12-31PROFESSIONAL1013412196npi124528353011DERIVED11.139999-12-31PROFESSIONAL1134657323npi124528353011DERIVED13.759999-12-31PROFESSIONAL1427049105npi18311997101770640740npi147760783611FFSSpecial stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry88313CPT2026Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistryFEE SCHEDULE46.799999-12-31PROFESSIONAL1265798870npi126579887081FEE SCHEDULE105.279999-12-31PROFESSIONAL1881996221npi188164491211FFSIMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2026IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKDERIVED268.309999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE64.049999-12-31PROFESSIONAL1265798870npi126579887081FEE SCHEDULE155.009999-12-31PROFESSIONAL1306340914npi106346376881DERIVED30.859999-12-31PROFESSIONAL1861451593npi126549387822FFSIMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADM90461CPT2026IMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADMDERIVED9.189999-12-31PROFESSIONAL1427049105npi183119971011DERIVED17.509999-12-31PROFESSIONAL1750305900npi163913848011DERIVED8.319999-12-31PROFESSIONAL1821014192npi194268913811DERIVED35.009999-12-31PROFESSIONAL1518443233npi163913848011DERIVED7.439999-12-31PROFESSIONAL1538500400npi124528353011DERIVED8.759999-12-31PROFESSIONAL1396704821npi19020840641952357840npi124528353011DERIVED43.759999-12-31PROFESSIONAL1356551766npi131638516411NEGOTIATED19.189999-12-31PROFESSIONAL1609824689npi156869355411FFSHuman Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use90651CPT2026Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular useDERIVED329.099999-12-31PROFESSIONAL1538500400npi12452835301750305900npi16391384801821014192npi19426891381952357840npi124528353011FFSInfluenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use90653CPT2026Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular useDERIVED107.989999-12-31PROFESSIONAL1740478197npi109349363711FFSFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED20.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED23.229999-12-31PROFESSIONAL1689645970npi16391384801750305900npi163913848011DERIVED25.549999-12-31PROFESSIONAL1104821081npi12250342341740478197npi10934936371811928674npi109349363711DERIVED22.059999-12-31PROFESSIONAL1821014192npi194268913811FFSPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED297.259999-12-31PROFESSIONAL1821014192npi194268913811DERIVED312.909999-12-31PROFESSIONAL1356551766npi13163851641518443233npi16391384801689645970npi163913848011DERIVED255.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED344.199999-12-31PROFESSIONAL1740478197npi109349363711FFSVaricella virus vaccine (VAR), live, for subcutaneous use90716CPT2026Varicella virus vaccine (VAR), live, for subcutaneous useDERIVED120.009999-12-31PROFESSIONAL1427049105npi183119971011NEGOTIATED201.009999-12-31PROFESSIONAL1609824689npi156869355411DERIVED192.129999-12-31PROFESSIONAL1538500400npi12452835301689645970npi16391384801821014192npi194268913811FFSInteractive complexity (List separately in addition to the code for primary procedure)90785CPT2026Interactive complexity (List separately in addition to the code for primary procedure)FEE SCHEDULE12.839999-12-31PROFESSIONAL1295021012npi124528353021FFSFamily psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes90847CPT2026Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutesFEE SCHEDULE92.919999-12-31PROFESSIONAL1114086030npi11642609721891852935npi189185293511FFSUnlisted dialysis procedure, inpatient or outpatient90999CPT2026Unlisted dialysis procedure, inpatient or outpatientDERIVED551.009999-12-31INSTITUTIONAL1225691447npi125558753165FFSVISUAL FIELD EXAMINATION(S)92083CPT2026VISUAL FIELD EXAMINATION(S)DERIVED55.869999-12-31PROFESSIONAL1780866111npi184134030411FEE SCHEDULE65.179999-12-31PROFESSIONAL1750319331npi164992849011FFSOphthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral92202CPT2026Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateralFEE SCHEDULE15.569999-12-31PROFESSIONAL1871855049npi169977379611FFSFLOURESCEIN ANGIOGRAPHY92235CPT2026FLOURESCEIN ANGIOGRAPHYFEE SCHEDULE164.459999-12-31PROFESSIONAL1750319331npi164992849011FFSFundus photography with interpretation and report92250CPT2026Fundus photography with interpretation and reportFEE SCHEDULE36.389999-12-31PROFESSIONAL1346775376npi16997737961487654117npi16997737961871855049npi169977379611DERIVED32.749999-12-31PROFESSIONAL1487713566npi18918539581780866111npi184134030411FEE SCHEDULE38.209999-12-31PROFESSIONAL1750319331npi164992849011FFSNASOPHARYNGOSCOPY92511CPT2026NASOPHARYNGOSCOPYNEGOTIATED56.819999-12-31PROFESSIONAL1245627926npi166942957722FFSTYMPANOMETRY92567CPT2026TYMPANOMETRYFEE SCHEDULE18.179999-12-31PROFESSIONAL1376745034npi118462573311FEE SCHEDULE20.549999-12-31PROFESSIONAL1306884267npi118462573311FFSQUANT ANALYS OUTER HAIR CELL FUNC COCHLEAR MAPPING92588CPT2026QUANT ANALYS OUTER HAIR CELL FUNC COCHLEAR MAPPINGFEE SCHEDULE43.459999-12-31PROFESSIONAL1134168438npi11846257331306884267npi118462573311FEE SCHEDULE38.439999-12-31PROFESSIONAL1376745034npi118462573311FFSElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED230.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED254.529999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED287.859999-12-31INSTITUTIONAL1700978558npi170097855822NEGOTIATED383.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED280.619999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED242.409999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED129.139999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED236.819999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED267.259999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED284.839999-12-31INSTITUTIONAL1679678486npi167967848623FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report93015CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportDERIVED64.859999-12-31PROFESSIONAL1710945761npi187168799611FEE SCHEDULE79.269999-12-31PROFESSIONAL1417921701npi194225068311FFSW/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHY93458CPT2026W/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHYDERIVED5576.149999-12-31INSTITUTIONAL1811991227npi181199122722FFSW/ RT&LT CATH INCL INTRPRCD INJ FOR LT VENTRCLGRPH93460CPT2026W/ RT&LT CATH INCL INTRPRCD INJ FOR LT VENTRCLGRPHDERIVED6509.289999-12-31INSTITUTIONAL1811991227npi181199122722FFSDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyDERIVED747.259999-12-31INSTITUTIONAL1063426823npi10634268232223FEE SCHEDULE231.469999-12-31PROFESSIONAL1104913110npi10634637681972847671npi106346376811FEE SCHEDULE202.079999-12-31PROFESSIONAL1417921701npi194225068311FFSDUPLX SCAN XTRACRAN BIL COMP93880CPT2026DUPLX SCAN XTRACRAN BIL COMPFEE SCHEDULE42.019999-12-31PROFESSIONAL1457886046npi106340072921FEE SCHEDULE63.019999-12-31PROFESSIONAL1780985432npi10737850442223FFSDuplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study93986CPT2026Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral studyFEE SCHEDULE144.329999-12-31PROFESSIONAL1669683769npi170011972411FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED11.439999-12-31PROFESSIONAL1366541997npi16990212951841336310npi17900813211122DERIVED42.189999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011FEE SCHEDULE10.919999-12-31PROFESSIONAL1013909951npi167977244622FEE SCHEDULE44.299999-12-31PROFESSIONAL1265542229npi170015934011DERIVED626.999999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE46.409999-12-31PROFESSIONAL1598715229npi130694203211FFSNoninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)94762CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)DERIVED70.009999-12-31PROFESSIONAL1336234194npi133623419412FFSProfessional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)95165CPT2026Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)FEE SCHEDULE17.729999-12-31PROFESSIONAL1013909951npi167977244611FFSELECTROENCEPHALOGRAM (EEG)95816CPT2026ELECTROENCEPHALOGRAM (EEG)DERIVED287.899999-12-31INSTITUTIONAL1063426823npi106342682323FFSNerve conduction studies; 7-8 studies95910CPT2026Nerve conduction studies; 7-8 studiesFEE SCHEDULE189.969999-12-31PROFESSIONAL1083824817npi171016209411DERIVED199.009999-12-31PROFESSIONAL1700997707npi157821809511FEE SCHEDULE199.009999-12-31PROFESSIONAL1952321671npi108367960911FFSNerve conduction studies; 13 or more studies95913CPT2026Nerve conduction studies; 13 or more studiesDERIVED265.299999-12-31PROFESSIONAL1245252444npi145735843411FFSSHORT-LATENCY SOMATOSENSORY TEST;UPPER/LOWER LIMBS95938CPT2026SHORT-LATENCY SOMATOSENSORY TEST;UPPER/LOWER LIMBSDERIVED135.219999-12-31PROFESSIONAL1790105658npi130620480522FFSIntravenous infusion, hydration; initial, 31 minutes to 1 hour96360CPT2026Intravenous infusion, hydration; initial, 31 minutes to 1 hourNEGOTIATED373.879999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED365.449999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED398.499999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED423.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED355.479999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED458.939999-12-31INSTITUTIONAL1811991227npi18119912272223FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)96366CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)DERIVED664.239999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED402.939999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED100.499999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED141.039999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED474.449999-12-31INSTITUTIONAL1811991227npi181199122722FFSChemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic96402CPT2026Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplasticDERIVED41.459999-12-31PROFESSIONAL1306850508npi176059096211DERIVED155.029999-12-31INSTITUTIONAL1811991227npi181199122722FFSTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901720716780npi12952799901750766838npi12952799901770676678npi129527999011FEE SCHEDULE31.489999-12-31PROFESSIONAL1194708495npi181176663711NEGOTIATED315.869999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED70.009999-12-31PROFESSIONAL1528673407npi181118529111FFSManual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes97140CPT2026Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutesFEE SCHEDULE30.059999-12-31PROFESSIONAL1194708495npi181176663711FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99153CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mDERIVED377.689999-12-31INSTITUTIONAL1063426823npi106342682322FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99203CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEFEE SCHEDULE121.469999-12-31PROFESSIONAL1841363520npi160983488622FEE SCHEDULE80.979999-12-31PROFESSIONAL1033189014npi12452835301235423070npi12452835301922FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED120.009999-12-31PROFESSIONAL1548745060npi189190537820DERIVED250.019999-12-31PROFESSIONAL1023061579npi131664705011DERIVED250.029999-12-31PROFESSIONAL1508863572npi14573584341841482346npi145735843411DERIVED261.929999-12-31PROFESSIONAL1366541997npi169902129511DERIVED214.309999-12-31PROFESSIONAL1043488661npi18515526651194785519npi16695892631649230103npi166958926311FEE SCHEDULE250.029999-12-31PROFESSIONAL1265542229npi170015934011FEE SCHEDULE261.929999-12-31PROFESSIONAL1194708495npi18117666371568464006npi11149296431952321671npi108367960911DERIVED392.889999-12-31PROFESSIONAL1417031691npi178010052911FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEFEE SCHEDULE72.059999-12-31PROFESSIONAL1346613676npi166942957711FEE SCHEDULE75.479999-12-31PROFESSIONAL1841596327npi101393608711FEE SCHEDULE35.009999-12-31PROFESSIONAL1235423070npi12452835301962438531npi124528353022FEE SCHEDULE76.659999-12-31PROFESSIONAL1295705283npi118462573311DERIVED61.919999-12-31PROFESSIONAL1407887029npi114433310511DERIVED62.509999-12-31PROFESSIONAL1053304055npi170064904311DERIVED52.009999-12-31PROFESSIONAL1992837900npi161901856111DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED73.709999-12-31PROFESSIONAL1346290145npi18715720321366447195npi18715720321366448805npi187157203211DERIVED97.289999-12-31PROFESSIONAL1417031691npi178010052911DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781689976037npi18919053781972277622npi189190537820FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEFEE SCHEDULE88.892023-12-31PROFESSIONAL1538206073npi16493142121902966336npi164931421211DERIVED73.009999-12-31PROFESSIONAL1598443327npi161901856111DERIVED74.669999-12-31PROFESSIONAL1518690908npi115430408711DERIVED80.379999-12-31PROFESSIONAL1396128989npi12452835301538500400npi12452835301629502463npi17505463131952802043npi17505463131150DERIVED88.899999-12-31PROFESSIONAL1528412624npi176059096211DERIVED99.289999-12-31PROFESSIONAL1295925030npi13869400131356446223npi18911974481437563533npi12452835301477747970npi17900973351619460755npi12452835301629241427npi12452835301770640740npi14776078361952630105npi13769989711982630042npi11140374620211DERIVED127.659999-12-31PROFESSIONAL1437718582npi17801005291447252432npi178010052911DERIVED136.009999-12-31PROFESSIONAL1649354747npi108383119220DERIVED150.009999-12-31PROFESSIONAL1306114483npi180112629720DERIVED185.009999-12-31PROFESSIONAL1598155830npi19028091221619234770npi19028091221619938644npi19028091221841922952npi190280912220FEE SCHEDULE54.979999-12-31PROFESSIONAL1114589371npi124528353022FEE SCHEDULE104.029999-12-31PROFESSIONAL1023273398npi16593212141104846815npi10836796091518979012npi15182673271881056018npi15583101281952321671npi108367960911FEE SCHEDULE108.749999-12-31PROFESSIONAL1013973882npi17505646961134396831npi19422636941386608727npi194226369411FEE SCHEDULE113.009999-12-31PROFESSIONAL1790171130npi106346376811FEE SCHEDULE127.669999-12-31PROFESSIONAL1770729816npi188164491211FEE SCHEDULE227.019999-12-31PROFESSIONAL1417232653npi179077231711NEGOTIATED138.812022-02-28PROFESSIONAL1013989250npi156869355410DERIVED49.649999-12-31PROFESSIONAL1427049105npi18311997101952630105npi137699897111DERIVED49.659999-12-31PROFESSIONAL1407887029npi114433310511DERIVED84.159999-12-31PROFESSIONAL1518433804npi11141114401528666575npi14274987241568941714npi12452835301588101174npi11140374621609411362npi19927509621150DERIVED84.399999-12-31PROFESSIONAL1285969873npi155834024011DERIVED94.569999-12-31PROFESSIONAL1205889243npi12856853701356373054npi13868232431487875977npi12856853701952357840npi124528353011DERIVED96.459999-12-31PROFESSIONAL1043834328npi131638516411DERIVED100.239999-12-31PROFESSIONAL1134487929npi17006490431164280004npi17907902771427354919npi17006490431427874965npi17907902771437275252npi179079027711DERIVED113.479999-12-31PROFESSIONAL1356551766npi13163851641912909805npi198271904311DERIVED118.209999-12-31PROFESSIONAL1215932108npi12250342341275580557npi12250342341346290145npi18715720321366447195npi18715720321366448805npi18715720321548095763npi17907902771568825768npi12250342341609849496npi18715720321639147911npi18715720321740478197npi10934936371902886773npi122503423411DERIVED164.689999-12-31PROFESSIONAL1114665148npi128573560520FEE SCHEDULE61.409999-12-31PROFESSIONAL1659363505npi141714803210FEE SCHEDULE64.339999-12-31PROFESSIONAL1235423070npi12452835301699877506npi12452835301952350548npi12452835301962438531npi12452835301962505347npi12452835301922FEE SCHEDULE88.899999-12-31PROFESSIONAL1376005272npi164931421211FEE SCHEDULE121.049999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE122.939999-12-31PROFESSIONAL1245214022npi11846257331295705283npi11846257331306884267npi11846257331427033984npi118462573311DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED77.279999-12-31PROFESSIONAL1518690908npi115430408711DERIVED85.109999-12-31PROFESSIONAL1043488661npi18515526651194785519npi166958926311DERIVED99.299999-12-31PROFESSIONAL1033172200npi15583402401073592606npi15583402401073592788npi15583402401225577703npi15583402401235498460npi15583402401316926025npi15583402401407887029npi11443331051558682435npi18311580391710966601npi15583402401740606441npi15583402401841618782npi15583402401952355497npi15583402400211DERIVED112.539999-12-31PROFESSIONAL1487050621npi13868232431891058939npi138682324311DERIVED117.259999-12-31PROFESSIONAL1437107190npi103338786511DERIVED120.009999-12-31PROFESSIONAL1043087018npi18919053781063025054npi18919053781306114483npi18919053781528666575npi18919053781548745060npi18919053781689976037npi18919053781790266013npi18919053781942767637npi189190537820DERIVED125.009999-12-31PROFESSIONAL1033561840npi10533630361124021704npi10533630361164198925npi10533630361265751267npi105336303620FEE SCHEDULE72.819999-12-31PROFESSIONAL1346607116npi118407526911FEE SCHEDULE94.569999-12-31PROFESSIONAL1346775376npi16997737961871855049npi169977379611NEGOTIATED138.819999-12-31PROFESSIONAL1013989250npi15686935541245295898npi16694295771255324679npi16694295771316306756npi15686935541407050404npi16694295771609824689npi15686935541011DERIVED47.289999-12-31PROFESSIONAL1356373054npi138682324311DERIVED90.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED104.019999-12-31PROFESSIONAL1104864768npi173045297011DERIVED104.029999-12-31PROFESSIONAL1053753442npi16990212951306850508npi17605909621386693331npi17605909621700997707npi15782180951821290362npi17605909621011DERIVED108.749999-12-31PROFESSIONAL1700465499npi17801005291770244410npi178010052911DERIVED126.009999-12-31PROFESSIONAL1821181090npi178010052911DERIVED127.669999-12-31PROFESSIONAL1609194349npi17801005291609215490npi178010052911FEE SCHEDULE80.389999-12-31PROFESSIONAL1528654696npi148776713311FEE SCHEDULE84.169999-12-31PROFESSIONAL1326671504npi110482927411FEE SCHEDULE99.299999-12-31PROFESSIONAL1013909951npi16797724461659363505npi14171480321750319331npi1649928490021011FEE SCHEDULE119.159999-12-31PROFESSIONAL1104913110npi10634637681750374120npi106346376811FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on t99221CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on tFEE SCHEDULE84.789999-12-31PROFESSIONAL1972591949npi124528353022DERIVED96.339999-12-31PROFESSIONAL1831483213npi178010052922FEE SCHEDULE85.559999-12-31PROFESSIONAL1194465377npi124528353022NEGOTIATED155.909999-12-31PROFESSIONAL1396881017npi16694295771821202524npi166942957722FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the99223CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of theDERIVED143.739999-12-31PROFESSIONAL1194785519npi166958926321DERIVED199.629999-12-31PROFESSIONAL1811290182npi17801005291891089744npi17801005292122FEE SCHEDULE159.709999-12-31PROFESSIONAL1972690444npi128506955921FEE SCHEDULE135.759999-12-31PROFESSIONAL1265651772npi110486472721FEE SCHEDULE789.289999-12-31PROFESSIONAL1285909465npi179077231721FEE SCHEDULE175.679999-12-31PROFESSIONAL1134221070npi124528353021FEE SCHEDULE207.619999-12-31PROFESSIONAL1528562055npi124528353021FEE SCHEDULE151.729999-12-31PROFESSIONAL1265429823npi117477987021FFSSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total tim99231CPT2026Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total timFEE SCHEDULE50.049999-12-31PROFESSIONAL1184988321npi124528353021DERIVED56.359999-12-31PROFESSIONAL1508482308npi122503423421FFSSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of t99233CPT2026Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of tDERIVED136.259999-12-31PROFESSIONAL1689238347npi178010052921DERIVED179.859999-12-31PROFESSIONAL1437480407npi178010052921FEE SCHEDULE103.559999-12-31PROFESSIONAL1265429823npi117477987021FEE SCHEDULE406.799999-12-31PROFESSIONAL1114181047npi17907723171285909465npi179077231721FEE SCHEDULE109.009999-12-31PROFESSIONAL1972690444npi128506955921FEE SCHEDULE119.909999-12-31PROFESSIONAL1134221070npi12452835301285874834npi12452835301295021012npi12452835301962864405npi124528353021FFSHospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter99239CPT2026Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounterNEGOTIATED161.469999-12-31PROFESSIONAL1821202524npi166942957722DERIVED134.929999-12-31PROFESSIONAL1508482308npi12250342341689238347npi178010052921FEE SCHEDULE118.739999-12-31PROFESSIONAL1295021012npi12452835301306286364npi12452835301972591949npi12452835302122FEE SCHEDULE406.679999-12-31PROFESSIONAL1285909465npi179077231721FFSInpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection,99254CPT2026Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection,FEE SCHEDULE689.809999-12-31PROFESSIONAL1114181047npi179077231721FFSEmergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional99281CPT2026Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professionalDERIVED177.359999-12-31INSTITUTIONAL1811991227npi181199122723FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED119.279999-12-31PROFESSIONAL1336789957npi111403746211DERIVED140.729999-12-31PROFESSIONAL1346690484npi11141114401558361428npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED107.769999-12-31PROFESSIONAL1952357840npi124528353011DERIVED113.149999-12-31PROFESSIONAL1427049105npi183119971011NEGOTIATED162.169999-12-31PROFESSIONAL1609824689npi15686935541720439920npi156869355411DERIVED91.599999-12-31PROFESSIONAL1538500400npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED113.899999-12-31PROFESSIONAL1053304055npi170064904311DERIVED91.329999-12-31PROFESSIONAL1538500400npi124528353011DERIVED118.189999-12-31PROFESSIONAL1750305900npi163913848011DERIVED107.449999-12-31PROFESSIONAL1013412196npi12452835301952357840npi124528353011DERIVED112.819999-12-31PROFESSIONAL1427049105npi183119971011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED102.689999-12-31PROFESSIONAL1396128989npi124528353011DERIVED113.569999-12-31PROFESSIONAL1841805462npi132625496211DERIVED199.339999-12-31PROFESSIONAL1215939509npi124522055711DERIVED138.939999-12-31PROFESSIONAL1700465499npi178010052911DERIVED143.769999-12-31PROFESSIONAL1851801468npi138682324311DERIVED169.139999-12-31PROFESSIONAL1891491577npi124522055711DERIVED126.859999-12-31PROFESSIONAL1891730974npi171021128911DERIVED163.099999-12-31PROFESSIONAL1497294979npi17801005291609194349npi178010052911FFSPelvic examination (List separately in addition to code for primary procedure)99459CPT2026Pelvic examination (List separately in addition to code for primary procedure)DERIVED19.759999-12-31PROFESSIONAL1851801468npi138682324311DERIVED22.419999-12-31PROFESSIONAL1609194349npi178010052911DERIVED24.079999-12-31PROFESSIONAL1346290145npi187157203211DERIVED24.479999-12-31PROFESSIONAL1609849496npi187157203211DERIVED57.189999-12-31PROFESSIONAL1639147911npi187157203211DERIVED20.759999-12-31PROFESSIONAL1366448805npi187157203211DERIVED22.349999-12-31PROFESSIONAL1356373054npi138682324311FFSAMBULANCE SVC, BLS, NON EMERG LEV 1A0428HCPCS2026AMBULANCE SVC, BLS, NON EMERG LEV 1DERIVED840.009999-12-31PROFESSIONAL1265097513npi179077231741FFSTECHNETIUM TC-99MAA DX STDY DOSE UP TO 10 MC1A9540HCPCS2026TECHNETIUM TC-99MAA DX STDY DOSE UP TO 10 MC1DERIVED74.009999-12-31PROFESSIONAL1104860600npi124527167511FFSINJECTION,GDOTERATE MEGLUMINE,0.1 MLA9575HCPCS2026INJECTION,GDOTERATE MEGLUMINE,0.1 MLDERIVED31.509999-12-31PROFESSIONAL1093759599npi12452716751336566330npi124527167511DERIVED45.009999-12-31PROFESSIONAL1093759599npi124527167511DERIVED27.009999-12-31PROFESSIONAL1174567697npi12452716751497103121npi12452716751578507588npi12452716751780655498npi124527167511DERIVED30.009999-12-31PROFESSIONAL1619037025npi124527167511DERIVED16.509999-12-31PROFESSIONAL1578507588npi124527167511DERIVED25.509999-12-31PROFESSIONAL1003905290npi12452716751235128620npi124527167511DERIVED37.509999-12-31PROFESSIONAL1497103121npi124527167511FFSSCREEN COLONSCOPY HIGHRISKG0105HCPCS2026SCREEN COLONSCOPY HIGHRISKDERIVED935.529999-12-31PROFESSIONAL1255449179npi115430408724FFSINJECTION PROCEDURE FOR SACROILIAC JOINT;PROVISIONG0260APC2026INJECTION PROCEDURE FOR SACROILIAC JOINT;PROVISIONDERIVED377.879999-12-31INSTITUTIONAL1932657335npi193265733524FFSHH/HOSPICE LPN SERVICES 15 MIN EACHG0300HCPCS2026HH/HOSPICE LPN SERVICES 15 MIN EACHDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512DERIVED133.909999-12-31INSTITUTIONAL1013081215npi101308121512FFSANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEG0439HCPCS2026ANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEDERIVED143.599999-12-31PROFESSIONAL1407887029npi114433310511FFSINJECTION ACETAMINOPHEN, 10 MGJ0131HCPCS2026INJECTION ACETAMINOPHEN, 10 MGDERIVED31.099999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED35.369999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED43.189999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED90.999999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED138.849999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED36.599999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJECTION, ACETAMINOPHEN (B. BRAUN), NOT THERAPEUTICALLY EQUIVALENT TO J0131, 10 MGJ0136HCPCS2026INJECTION, ACETAMINOPHEN (B. BRAUN), NOT THERAPEUTICALLY EQUIVALENT TO J0131, 10 MGDERIVED30.079999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED,J0665HCPCS2026INJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED,DERIVED14.499999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED7.519999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJ, METHYLPRED ACETATE 1 MGJ1010HCPCS2026INJ, METHYLPRED ACETATE 1 MGFEE SCHEDULE0.139999-12-31PROFESSIONAL1053773424npi17006699261659363505npi141714803211FFSINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED13.769999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED15.099999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED1.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED11.559999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.389999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED11.549999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE0.129999-12-31PROFESSIONAL1932153228npi155831012811DERIVED0.449999-12-31PROFESSIONAL1407887029npi114433310511DERIVED13.959999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED14.089999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, HYDROMORPHONE, 0.1 MGJ1171HCPCS2026INJECTION, HYDROMORPHONE, 0.1 MGDERIVED3.909999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED11.279999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED13.869999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1.959999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED0.979999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED9.779999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED19.889999-12-31INSTITUTIONAL1871977942npi187197794223FFSINJ,DIPHENHYDRAMINE HCL, 50 MGJ1200HCPCS2026INJ,DIPHENHYDRAMINE HCL, 50 MGDERIVED4.699999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED5.189999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED10.779999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ. HEPARIN SOD/1000 UNITSJ1644HCPCS2026INJ. HEPARIN SOD/1000 UNITSDERIVED13.029999-12-31INSTITUTIONAL1700978558npi170097855822FFSMORPHINE SULFATE, UP TO 10MGJ2270HCPCS2026MORPHINE SULFATE, UP TO 10MGDERIVED10.419999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.419999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED15.289999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED46.649999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED16.049999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ,ORPHENADRINE CITRATE, 60 MGJ2360HCPCS2026INJ,ORPHENADRINE CITRATE, 60 MGDERIVED17.689999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED20.499999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ,METOCLOPRAMIDE HCL 10MGJ2765HCPCS2026INJ,METOCLOPRAMIDE HCL 10MGDERIVED1.589999-12-31PROFESSIONAL1104860600npi124527167511DERIVED12.519999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ,SODIUM FERRIC GLUCONATE COMPLEX 12.5 MGJ2916HCPCS2026INJ,SODIUM FERRIC GLUCONATE COMPLEX 12.5 MGDERIVED30.379999-12-31INSTITUTIONAL1053424648npi105342464822FFSINJECTION, VANCOMYCIN HCL, 10 MGJ3373HCPCS2026INJECTION, VANCOMYCIN HCL, 10 MGDERIVED58.139999-12-31INSTITUTIONAL1063426823npi106342682322FFSNORMAL SALINE SOLUTION, INFUS/250CCJ7050HCPCS2026NORMAL SALINE SOLUTION, INFUS/250CCDERIVED18.909999-12-31INSTITUTIONAL1063426823npi106342682322FFSKO,ELASTIC W/CONDYLAR PADS/JOINTS W/WO PATELLAR COL1820HCPCS2026KO,ELASTIC W/CONDYLAR PADS/JOINTS W/WO PATELLAR CODERIVED111.749999-12-31PROFESSIONAL1740606441npi155834024011FFSCAST SUPPLIES,SHORT ARM CAST,ADULT,11+,FIBERGLASSQ4010HCPCS2026CAST SUPPLIES,SHORT ARM CAST,ADULT,11+,FIBERGLASSDERIVED26.049999-12-31PROFESSIONAL1225577703npi155834024011FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED144.909999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED135.459999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED131.869999-12-31INSTITUTIONAL1063426823npi106342682323FFSAnesthesia for procedures on eye; lens surgery00142CPT2026Anesthesia for procedures on eye; lens surgeryDERIVED486.409999-12-31PROFESSIONAL1922031236npi157855710424DERIVED410.409999-12-31PROFESSIONAL1457345092npi157855710424FFSAnesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy00812CPT2026Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopyDERIVED498.009999-12-31PROFESSIONAL1639325699npi178010052924DERIVED312.009999-12-31PROFESSIONAL1144528647npi131633083024FFSMED-SURG-GY/2BED0121RC2026MED-SURG-GY/2BEDNEGOTIATED5003.009999-12-31INSTITUTIONAL1184709057npi118470905721DERIVED2730.599999-12-31INSTITUTIONAL1063426823npi106342682321FFSPSYCH/2BED0124RC2026PSYCH/2BEDDERIVED4990.009999-12-31INSTITUTIONAL1942471065npi194247106551DERIVED13440.009999-12-31INSTITUTIONAL1811991227npi181199122751DERIVED10080.009999-12-31INSTITUTIONAL1811991227npi181199122751FFSAnesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified01630CPT2026Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specifiedDERIVED714.009999-12-31PROFESSIONAL1639191042npi194244175324FFSPHARMACY0250RC2026PHARMACYDERIVED17.259999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED27.219999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED31.079999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED99.899999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED99.999999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED325.089999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED10.599999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED32.559999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED155.589999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED292320.009999-12-31INSTITUTIONAL1811991227npi181199122751NEGOTIATED104.439999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED5.969999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED12.569999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.169999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED41.529999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED209.549999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED263.079999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED13.089999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED58.079999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED190.199999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED1184.919999-12-31INSTITUTIONAL1285681908npi128568190822NEGOTIATED14241.689999-12-31INSTITUTIONAL1184709057npi118470905721FFSDRUGS/OTHER0259RC2026DRUGS/OTHERDERIVED2.039999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED4.389999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED68.889999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED12.529999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED42.499999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED2.969999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3.369999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED5.569999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED11.339999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED13.619999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED26.459999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED2.679999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED3.099999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED4.089999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED9.179999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED18.349999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED34.589999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED81.379999-12-31INSTITUTIONAL1063426823npi106342682321FFSNON-STER SUPPLY0271RC2026NON-STER SUPPLYNEGOTIATED182.599999-12-31INSTITUTIONAL1184709057npi118470905721FFSSTERILE SUPPLY0272RC2026STERILE SUPPLYDERIVED704.169999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED1169.929999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED4563.519999-12-31INSTITUTIONAL1285681908npi128568190822DERIVED406.739999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED992.379999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED6238.119999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED124.019999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED401.799999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED12.269999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED4183.449999-12-31INSTITUTIONAL1063426823npi106342682322NEGOTIATED9567.549999-12-31INSTITUTIONAL1184709057npi118470905721FFSSUPPLY/IMPLANTS0278RC2026SUPPLY/IMPLANTSDERIVED5868.479999-12-31INSTITUTIONAL1285681908npi128568190822NEGOTIATED20470.539999-12-31INSTITUTIONAL1184709057npi118470905721FFSCT SCAN0350RC2026CT SCANDERIVED3686.159999-12-31INSTITUTIONAL1063426823npi106342682321FFSPHYS THERP/EVAL0424RC2026PHYS THERP/EVALDERIVED415.179999-12-31INSTITUTIONAL1285681908npi128568190822NEGOTIATED591.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSEMERG ROOM0450RC2026EMERG ROOMDERIVED1406.769999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3360.009999-12-31INSTITUTIONAL1811991227npi181199122751DERIVED13440.009999-12-31INSTITUTIONAL1811991227npi181199122751DERIVED1565.859999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3732.819999-12-31INSTITUTIONAL1063426823npi106342682321FFSAUDIOLOGY/DX0471RC2026AUDIOLOGY/DXDERIVED158.939999-12-31INSTITUTIONAL1063426823npi106342682321FFSDRUG/DETAIL CODE0636RC2026DRUG/DETAIL CODEDERIVED13771.779999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED71.029999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED469.819999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED60.179999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED156.649999-12-31INSTITUTIONAL1285681908npi128568190822DERIVED336.059999-12-31INSTITUTIONAL1063426823npi106342682321FFSEKG/ECG0730RC2026EKG/ECGDERIVED558.839999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED279.429999-12-31INSTITUTIONAL1063426823npi106342682321FFSFine needle aspiration biopsy, including ultrasound guidance; first lesion10005CPT2026Fine needle aspiration biopsy, including ultrasound guidance; first lesionDERIVED250.009999-12-31PROFESSIONAL1487668463npi171016209411FEE SCHEDULE107.099999-12-31PROFESSIONAL1609210129npi107378504422FFSExcision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm11426CPT2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cmDERIVED6234.129999-12-31INSTITUTIONAL1811991227npi181199122722FFSREMOVAL OF SKIN LESION11444CPT2026REMOVAL OF SKIN LESIONDERIVED151.209999-12-31PROFESSIONAL1114293412npi161901856111FFSINJECTION INTO SKIN LESIONS11900CPT2026INJECTION INTO SKIN LESIONSFEE SCHEDULE52.599999-12-31PROFESSIONAL1376005272npi164931421211DERIVED78.339999-12-31PROFESSIONAL1912909805npi198271904311FEE SCHEDULE36.379999-12-31PROFESSIONAL1295705283npi118462573311FFSInjection, intralesional; up to and including 7 lesions11900CPT2026Injection, intralesional; up to and including 7 lesionsFEE SCHEDULE52.599999-12-31PROFESSIONAL1376005272npi164931421211DERIVED78.339999-12-31PROFESSIONAL1912909805npi198271904311FEE SCHEDULE72.749999-12-31PROFESSIONAL1295705283npi118462573311FFSREPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 2.5 OR LESS12031CPT2026REPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 2.5 OR LESSDERIVED238.009999-12-31PROFESSIONAL1114293412npi161901856111FFSRepair, complex, trunk; 2.6 cm to 7.5 cm13101CPT2026Repair, complex, trunk; 2.6 cm to 7.5 cmDERIVED404.889999-12-31PROFESSIONAL1114293412npi161901856111FFSREP CMPLX-FOREHEAD,CHEEKS,CH13132CPT2026REP CMPLX-FOREHEAD,CHEEKS,CHDERIVED481.019999-12-31PROFESSIONAL1114293412npi161901856111FFSUnspecified nonsuppurative otitis media, bilateral153MS-DRG10Unspecified nonsuppurative otitis media, bilateralDERIVED168.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4130.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED194.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED277.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED408.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4100.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED63.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED2023.009999-12-31INSTITUTIONAL1811991227npi181199122721FFSDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONDERIVED68.799999-12-31PROFESSIONAL1114293412npi161901856111FFSMOHS TECH. HEAD NECK HANDS FEET EA ADD STG.UP TO 517312CPT2026MOHS TECH. HEAD NECK HANDS FEET EA ADD STG.UP TO 5FEE SCHEDULE435.449999-12-31PROFESSIONAL1972708329npi164931421211FFSArthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance20600CPT2026Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidanceDERIVED58.859999-12-31PROFESSIONAL1235498460npi155834024011FFSARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED72.759999-12-31PROFESSIONAL1225577703npi155834024011DERIVED101.169999-12-31PROFESSIONAL1780628339npi124527167511FEE SCHEDULE77.609999-12-31PROFESSIONAL1053773424npi170066992611FEE SCHEDULE126.999999-12-31PROFESSIONAL1548257918npi166942957711FEE SCHEDULE72.759999-12-31PROFESSIONAL1659363505npi141714803211FFSEXCSN,TUMOR,SOFT TISS FACE/SCLP SUBQ; LESS 2 CM21011CPT2026EXCSN,TUMOR,SOFT TISS FACE/SCLP SUBQ; LESS 2 CMDERIVED430.899999-12-31PROFESSIONAL1114293412npi161901856111FFSREMOVAL OF JAW BONE LESION21040CPT2026REMOVAL OF JAW BONE LESIONDERIVED7064.069999-12-31INSTITUTIONAL1811991227npi181199122722FFSTREAT SHOULDER DISLOCATION23650CPT2026TREAT SHOULDER DISLOCATIONFEE SCHEDULE460.789999-12-31PROFESSIONAL1881058881npi124528353023FFSArthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft27130CPT2026Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograftDERIVED22903.249999-12-31INSTITUTIONAL1003465097npi100346509722FEE SCHEDULE1528.349999-12-31PROFESSIONAL1750374120npi106346376822DERIVED24033.059999-12-31INSTITUTIONAL1003465097npi100346509722FEE SCHEDULE207.669999-12-31PROFESSIONAL1790266013npi106346376822FFSInjection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography27369CPT2026Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrographyDERIVED257.359999-12-31PROFESSIONAL1326082975npi124527167511FFSAPPLY FOREARM SPLINT29125CPT2026APPLY FOREARM SPLINTDERIVED81.949999-12-31PROFESSIONAL1740606441npi155834024011FFSArthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular si29823APC2026Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular siDERIVED889.319999-12-31INSTITUTIONAL1932657335npi193265733524FFSARTHOSCOPY KNEE SURG INF LAVAGE/DRAINAGE LATERAL R29873CPT2026ARTHOSCOPY KNEE SURG INF LAVAGE/DRAINAGE LATERAL RDERIVED715.609999-12-31PROFESSIONAL1871537027npi178010052922DERIVED3916.449999-12-31INSTITUTIONAL1679678486npi167967848622FFSLaryngoscopy, direct, operative, with biopsy; with operating microscope or telescope31536CPT2026Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescopeDERIVED7480.669999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE240.759999-12-31PROFESSIONAL1295705283npi118462573322FFSRemoval of implantable defibrillator pulse generator only33241CPT2026Removal of implantable defibrillator pulse generator onlyDERIVED4614.019999-12-31INSTITUTIONAL1063426823npi106342682322FFSPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED9.819999-12-31PROFESSIONAL1871525451npi166958533711DERIVED13.179999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED13.549999-12-31INSTITUTIONAL1700978558npi170097855822NEGOTIATED540.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED8.319999-12-31PROFESSIONAL1588101174npi111403746211DERIVED9.009999-12-31PROFESSIONAL1013002880npi17605909621306850508npi17605909621386693331npi17605909621538165113npi17605909621821290362npi176059096211DERIVED12.549999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED14.539999-12-31INSTITUTIONAL1700978558npi170097855822NEGOTIATED519.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED13.839999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED13.849999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED45.009999-12-31PROFESSIONAL1548829179npi154882917915DERIVED10.419999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED11.959999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.219999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE8.319999-12-31PROFESSIONAL1326671504npi110482927411NEGOTIATED152.659999-12-31INSTITUTIONAL1184709057npi118470905722FFSCOLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)36416CPT2026COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)DERIVED9.009999-12-31PROFESSIONAL1740478197npi109349363711NEGOTIATED8.059999-12-31PROFESSIONAL1609824689npi156869355411FFSIntroduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis36902CPT2026Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosisFEE SCHEDULE1158.439999-12-31PROFESSIONAL1669683769npi170011972411FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239CPT2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED702.369999-12-31PROFESSIONAL1033149752npi17907902771275806721npi179079027711FEE SCHEDULE408.789999-12-31PROFESSIONAL1528091725npi112432878611DERIVED905.389999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED1446.399999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED1164.929999-12-31INSTITUTIONAL1063426823npi106342682323FFSSIGMOIDOSCOPY, DIAGNOSTIC45330CPT2026SIGMOIDOSCOPY, DIAGNOSTICDERIVED1825.709999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE60.299999-12-31PROFESSIONAL1780668731npi124528353022FFSDIAGNOSTIC COLONOSCOPY45378CPT2026DIAGNOSTIC COLONOSCOPYDERIVED642.039999-12-31PROFESSIONAL1275806721npi179079027711FFSCOLONOSCOPY-RMVL TUMOR-POLYP45384CPT2026COLONOSCOPY-RMVL TUMOR-POLYPDERIVED44.219999-12-31PROFESSIONAL1255449179npi115430408724DERIVED75.839999-12-31PROFESSIONAL1255449179npi115430408724DERIVED224.499999-12-31PROFESSIONAL1255449179npi115430408724FFSHemorrhoidectomy, internal, by rubber band ligation(s)46221CPT2026Hemorrhoidectomy, internal, by rubber band ligation(s)FEE SCHEDULE353.429999-12-31PROFESSIONAL1518979012npi151826732711FFSVulvectomy simple; partial56620CPT2026Vulvectomy simple; partialDERIVED112.229999-12-31PROFESSIONAL1053823112npi187157203222DERIVED701.369999-12-31PROFESSIONAL1366448805npi187157203222FFSColposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage57454CPT2026Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettageDERIVED211.689999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211FFSRemoval of intrauterine device (IUD)58301CPT2026Removal of intrauterine device (IUD)NEGOTIATED168.249999-12-31PROFESSIONAL1982855680npi166942957711FFSHYSTEROSCOPY SURG W/ RMVL LEIOMYOMATA58561CPT2026HYSTEROSCOPY SURG W/ RMVL LEIOMYOMATADERIVED7310.469999-12-31INSTITUTIONAL1063426823npi106342682322FFSFETAL NON-STRESS TEST59025CPT2026FETAL NON-STRESS TESTDERIVED203.749999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED52.009999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211FFSRoutine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care59400CPT2026Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum careDERIVED3399.009999-12-31PROFESSIONAL1346290145npi187157203221DERIVED3388.009999-12-31PROFESSIONAL1497294979npi178010052921FFSCARE AFTER DELIVERY59430CPT2026CARE AFTER DELIVERYDERIVED366.179999-12-31PROFESSIONAL1497294979npi178010052911FFSRoutine obstetric care including antepartum care, cesarean delivery, and postpartum care59510CPT2026Routine obstetric care including antepartum care, cesarean delivery, and postpartum careDERIVED3399.009999-12-31PROFESSIONAL1609849496npi187157203221FFSMorbid (severe) obesity due to excess calories621MS-DRG10Morbid (severe) obesity due to excess caloriesDERIVED23983.829999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4080.479999-12-31INSTITUTIONAL1811991227npi181199122721FFSINJECTION FOR NERVE BLOCK64450CPT2026INJECTION FOR NERVE BLOCKFEE SCHEDULE46.889999-12-31PROFESSIONAL1831589316npi106346376821FFSIntravitreal injection of a pharmacologic agent (separate procedure)67028CPT2026Intravitreal injection of a pharmacologic agent (separate procedure)FEE SCHEDULE113.279999-12-31PROFESSIONAL1346775376npi16997737961871855049npi169977379611FFSRadiologic examination, skull; complete, minimum of 4 views70260CPT2026Radiologic examination, skull; complete, minimum of 4 viewsDERIVED62.189999-12-31PROFESSIONAL1093759599npi124527167511FFSCAT SCAN OF ORBIT/EAR/FOSSA70480CPT2026CAT SCAN OF ORBIT/EAR/FOSSADERIVED226.079999-12-31PROFESSIONAL1336566330npi124527167511FFSComputed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections70492CPT2026Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sectionsDERIVED312.829999-12-31PROFESSIONAL1720391568npi124527167511FFSMAGNETIC IMAGE, BRAIN (MRI)70551CPT2026MAGNETIC IMAGE, BRAIN (MRI)NEGOTIATED109.469999-12-31PROFESSIONAL1316046899npi166942957722FEE SCHEDULE112.869999-12-31PROFESSIONAL1205869203npi10737850441942705892npi10737850442223FEE SCHEDULE75.249999-12-31PROFESSIONAL1831136191npi106340072922FFSX-RAY EXAM, CERV SPINE;4-5 VIEWS72050CPT2026X-RAY EXAM, CERV SPINE;4-5 VIEWSFEE SCHEDULE14.529999-12-31PROFESSIONAL1841340429npi106340072923FFSCAT SCAN OF NECK SPINE72125CPT2026CAT SCAN OF NECK SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1386910255npi107378504423FEE SCHEDULE51.619999-12-31PROFESSIONAL1154358398npi10634007291295872240npi10634007291619037025npi10634007291710230982npi106340072923FFSCT SCAN, CERVICAL SPINE72125CPT2026CT SCAN, CERVICAL SPINEDERIVED2207.549999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1710.419999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED2079.029999-12-31INSTITUTIONAL1679678486npi167967848623FFSCAT SCAN OF THORAX SPINE72128CPT2026CAT SCAN OF THORAX SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1386910255npi107378504423FFSMAGNETIC IMAGE, LUMBAR SPINE72148CPT2026MAGNETIC IMAGE, LUMBAR SPINEDERIVED350.009999-12-31PROFESSIONAL1760567762npi188190490249DERIVED273.369999-12-31PROFESSIONAL1093759599npi12452716751154325793npi12452716751316981996npi12452716751336566330npi12452716751619037025npi124527167511FFSMAGNETIC IMAGE, SPINE (MRI)72158CPT2026MAGNETIC IMAGE, SPINE (MRI)DERIVED453.349999-12-31PROFESSIONAL1336566330npi12452716751619037025npi124527167511FFSX-RAY EXAM OF COLLARBONE73000CPT2026X-RAY EXAM OF COLLARBONEDERIVED30.909999-12-31PROFESSIONAL1912984238npi147783081811FFSX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)DERIVED38.249999-12-31PROFESSIONAL1033172200npi15583402401235498460npi155834024011FFSRadiologic examination, femur; minimum 2 views73552CPT2026Radiologic examination, femur; minimum 2 viewsDERIVED138.009999-12-31PROFESSIONAL1598155830npi190280912220FFSRadiologic examination, knee; 1 or 2 views73560CPT2026Radiologic examination, knee; 1 or 2 viewsFEE SCHEDULE38.519999-12-31PROFESSIONAL1386608727npi194226369411FFSX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEDERIVED47.939999-12-31PROFESSIONAL1073592606npi15583402401073592788npi15583402401740606441npi155834024011FEE SCHEDULE12.139999-12-31PROFESSIONAL1306188073npi106340072923FEE SCHEDULE53.689999-12-31PROFESSIONAL1053773424npi170066992611FFSX-RAY EXAM OF TOE(S)73660CPT2026X-RAY EXAM OF TOE(S)FEE SCHEDULE10.639999-12-31PROFESSIONAL1831489368npi107378504423DERIVED75.009999-12-31PROFESSIONAL1043087018npi189190537820DERIVED270.349999-12-31INSTITUTIONAL1063426823npi106342682323FFSMRI,ANY JNT LOW EXT;W/OUT CONTRAST73721CPT2026MRI,ANY JNT LOW EXT;W/OUT CONTRASTDERIVED290.549999-12-31PROFESSIONAL1154358398npi12452716751326082975npi12452716751710230982npi124527167511FFSRadiologic examination, abdomen; 1 view74018CPT2026Radiologic examination, abdomen; 1 viewDERIVED338.959999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE38.139999-12-31PROFESSIONAL1649227638npi179077231721FEE SCHEDULE9.639999-12-31PROFESSIONAL1316981996npi106340072921FEE SCHEDULE14.449999-12-31PROFESSIONAL1326096025npi10737850441902993918npi10737850442123FFSCAT SCAN OF ABDOMEN74150CPT2026CAT SCAN OF ABDOMENFEE SCHEDULE60.899999-12-31PROFESSIONAL1831136191npi106340072922FFSCT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CON75574CPT2026CT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CONDERIVED463.839999-12-31PROFESSIONAL1073557518npi12452716751780628339npi124527167511FFS3D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHY76376CPT20263D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHYDERIVED36.409999-12-31PROFESSIONAL1174567697npi124527167511FFSECHO EXAM OF HEAD AND NECK76536CPT2026ECHO EXAM OF HEAD AND NECKDERIVED153.779999-12-31PROFESSIONAL1457886046npi124527167511FFSECHO EXAM ABDOMEN BACK WALL76775CPT2026ECHO EXAM ABDOMEN BACK WALLFEE SCHEDULE29.989999-12-31PROFESSIONAL1457886046npi106340072923FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FIRST TRIMESTER FETAL NUCHAL TRANSLUCENCY MEASUREMENT, TRANSABDOMINAL OR TRANSVAGINAL APPROACH; SINGLE OR FIRST GESTATION76813CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FIRST TRIMESTER FETAL NUCHAL TRANSLUCENCY MEASUREMENT, TRANSABDOMINAL OR TRANSVAGINAL APPROACH; SINGLE OR FIRST GESTATIONFEE SCHEDULE62.439999-12-31PROFESSIONAL1699774091npi124528353022DERIVED194.689999-12-31INSTITUTIONAL1811991227npi181199122722FFSECHO EXAM, TRANSVAGINAL76830CPT2026ECHO EXAM, TRANSVAGINALDERIVED118.379999-12-31PROFESSIONAL1700465499npi178010052911DERIVED138.529999-12-31PROFESSIONAL1609194349npi17801005291609215490npi178010052911DERIVED136.239999-12-31PROFESSIONAL1891058939npi138682324311NEGOTIATED141.149999-12-31PROFESSIONAL1164552014npi138603434611DERIVED120.209999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211DERIVED160.279999-12-31PROFESSIONAL1699138636npi138682324311DERIVED167.149999-12-31PROFESSIONAL1386757631npi124527167511FFSUltrasound, elastography; parenchyma (eg, organ)76981CPT2026Ultrasound, elastography; parenchyma (eg, organ)DERIVED98.899999-12-31PROFESSIONAL1497103121npi124527167511FFSMagnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral77049CPT2026Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateralDERIVED483.209999-12-31PROFESSIONAL1174567697npi12452716751235128620npi12452716751578507588npi12452716751780655498npi124527167511FFSDIGITAL BREAST TOMOSYNTHEIS;BILATERAL77062CPT2026DIGITAL BREAST TOMOSYNTHEIS;BILATERALDERIVED58.719999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED125.379999-12-31INSTITUTIONAL1679678486npi167967848622FFSDiagnostic mammography, including computer-aided detection (CAD) when performed; unilateral77065CPT2026Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateralDERIVED176.259999-12-31PROFESSIONAL1003905290npi12452716751114960200npi12452716751174567697npi12452716751316981996npi12452716751326082975npi12452716751386757631npi12452716751396756474npi12452716751578507588npi12452716751619037025npi12452716751639598519npi12452716751710230982npi12452716751831136191npi124527167511FFSDEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIAL77080CPT2026DEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIALDERIVED38.349999-12-31PROFESSIONAL1306188073npi12452716751386757631npi12452716751639598519npi124527167511FEE SCHEDULE38.349999-12-31PROFESSIONAL1720378789npi134651685311FFSTeletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)77307CPT2026Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)FEE SCHEDULE166.809999-12-31PROFESSIONAL1346262789npi12452835301962438531npi12452835302122DERIVED659.629999-12-31INSTITUTIONAL1811991227npi181199122722FFSParathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization78072CPT2026Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localizationDERIVED1097.039999-12-31INSTITUTIONAL1063426823npi106342682322FFSOBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTI80055CPT2026OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTIDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eit80307CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eitDERIVED672.159999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED65.259999-12-31PROFESSIONAL1508863572npi145735843411DERIVED381.549999-12-31INSTITUTIONAL1700978558npi170097855823FFSFirst degree perineal laceration during delivery807MS-DRG10First degree perineal laceration during deliveryDERIVED8590.789999-12-31INSTITUTIONAL1063426823npi106342682321FFSUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED80.539999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED8.909999-12-31PROFESSIONAL1700465499npi178010052911DERIVED89.999999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED104.179999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED9.049999-12-31PROFESSIONAL1558682435npi18311580391629241427npi124528353011DERIVED10.769999-12-31PROFESSIONAL1346290145npi18715720321609849496npi18715720321639147911npi187157203211DERIVED7.669999-12-31PROFESSIONAL1568941714npi124528353011DERIVED10.259999-12-31PROFESSIONAL1851801468npi13868232431891058939npi138682324311DERIVED94.489999-12-31INSTITUTIONAL1063426823npi106342682323FFSCalcium; ionized82330CPT2026Calcium; ionizedDERIVED88.219999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED92.629999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED90.179999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED185.249999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED94.689999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED176.429999-12-31INSTITUTIONAL1700978558npi170097855822FFSEstradiol; total82670CPT2026Estradiol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSLipase83690CPT2026LipaseDERIVED85.509999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED86.079999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED46.819999-12-31INSTITUTIONAL1871977942npi187197794223FFSNatriuretic peptide83880CPT2026Natriuretic peptideDERIVED131.029999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED151.859999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED167.429999-12-31INSTITUTIONAL1063426823npi10634268232223FFSTestosterone; total84403CPT2026Testosterone; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSTransferase; aspartate amino (AST) (SGOT)84450CPT2026Transferase; aspartate amino (AST) (SGOT)NEGOTIATED5.189999-12-31PROFESSIONAL1245720820npi124572082081FFSTransferase; alanine amino (ALT) (SGPT)84460CPT2026Transferase; alanine amino (ALT) (SGPT)NEGOTIATED5.309999-12-31PROFESSIONAL1245720820npi124572082081FFSTransferrin84466CPT2026TransferrinDERIVED14.049999-12-31PROFESSIONAL1386693331npi176059096211DERIVED39.849999-12-31INSTITUTIONAL1063426823npi106342682323FFSBlood count; blood smear, microscopic examination with manual differential WBC count85007CPT2026Blood count; blood smear, microscopic examination with manual differential WBC countDERIVED87.949999-12-31INSTITUTIONAL1063426823npi106342682322FFSFibrin degradation products, D-dimer; quantitative85379CPT2026Fibrin degradation products, D-dimer; quantitativeDERIVED140.059999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED85.169999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED142.919999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED161.069999-12-31INSTITUTIONAL1063426823npi106342682323FFSSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED82.889999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED91.389999-12-31INSTITUTIONAL1063426823npi10634268232223FFSC-reactive protein;86140CPT2026C-reactive protein;DERIVED89.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED98.169999-12-31INSTITUTIONAL1063426823npi106342682323FFSBLOOD TYPING, SEROLOGIC; ABO86900CPT2026BLOOD TYPING, SEROLOGIC; ABODERIVED29.499999-12-31INSTITUTIONAL1063426823npi106342682322NEGOTIATED439.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED25.479999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED26.759999-12-31INSTITUTIONAL1063426823npi106342682323FFSCulture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)87040CPT2026Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)DERIVED106.429999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED120.369999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED129.369999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED142.059999-12-31INSTITUTIONAL1679678486npi167967848623FFSCulture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool87071CPT2026Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stoolDERIVED24.729999-12-31PROFESSIONAL1346290145npi187157203211FFSSepsis, unspecified organism871MS-DRG10Sepsis, unspecified organismDERIVED32231.249999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4080.479999-12-31INSTITUTIONAL1811991227npi181199122721FFSCULTURE, CHLAMYDIA, ANY SOURCE87110CPT2026CULTURE, CHLAMYDIA, ANY SOURCEDERIVED24.509999-12-31PROFESSIONAL1346290145npi187157203211FFSSmear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)87210CPT2026Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)DERIVED7.289999-12-31PROFESSIONAL1366448805npi187157203211DERIVED112.269999-12-31INSTITUTIONAL1063426823npi106342682323FFSInfectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique87641CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe techniqueNEGOTIATED317.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED33.769999-12-31PROFESSIONAL1043834328npi131638516411DERIVED14.729999-12-31PROFESSIONAL1588101174npi111403746211DERIVED17.379999-12-31PROFESSIONAL1427049105npi18311997101770640740npi147760783611FFSINFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY W/87811CPT2026INFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY W/DERIVED36.829999-12-31PROFESSIONAL1588101174npi111403746211DERIVED43.449999-12-31PROFESSIONAL1427049105npi18311997101770640740npi14776078361982630042npi111403746211FFSChromosome analysis; count 15-20 cells, 2 karyotypes, with banding88262CPT2026Chromosome analysis; count 15-20 cells, 2 karyotypes, with bandingDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSCHROMOSOME STUDY: ADDITIONAL88289CPT2026CHROMOSOME STUDY: ADDITIONALDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSTISSUE EXAM BY PATHOLOGIST88304CPT2026TISSUE EXAM BY PATHOLOGISTDERIVED9.879999-12-31PROFESSIONAL1861451593npi126549387822FEE SCHEDULE29.969999-12-31PROFESSIONAL1053686964npi105368696481DERIVED164.199999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE23.979999-12-31PROFESSIONAL1265798870npi126579887081FFSLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED697.479999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE123.289999-12-31PROFESSIONAL1306340914npi106346376881DERIVED33.049999-12-31PROFESSIONAL1861451593npi126549387822DERIVED66.089999-12-31PROFESSIONAL1285877837npi126549387822DERIVED242.249999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE26.979999-12-31PROFESSIONAL1629253299npi167954590924FEE SCHEDULE92.469999-12-31PROFESSIONAL1053308593npi18816449121881996221npi188164491211DERIVED32.709999-12-31PROFESSIONAL1255449179npi115430408711DERIVED256.329999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED442.839999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED99.129999-12-31PROFESSIONAL1588663504npi12654938781861451593npi126549387822DERIVED163.509999-12-31PROFESSIONAL1255449179npi115430408711DERIVED221.429999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE20.879999-12-31PROFESSIONAL1265798870npi126579887081FEE SCHEDULE27.829999-12-31PROFESSIONAL1629253299npi167954590924FEE SCHEDULE41.099999-12-31PROFESSIONAL1265798870npi12657988701581FFSSPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORG88312CPT2026SPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORGDERIVED23.669999-12-31PROFESSIONAL1285877837npi12654938781861451593npi126549387822DERIVED78.799999-12-31PROFESSIONAL1255449179npi115430408711FEE SCHEDULE143.189999-12-31PROFESSIONAL1881996221npi188164491211FEE SCHEDULE63.649999-12-31PROFESSIONAL1265798870npi126579887081FEE SCHEDULE79.559999-12-31PROFESSIONAL1053686964npi105368696481FFSPATH CONSULT SURGERY;1ST TISSUE BLCK,FRZN SCT,SNGL88331CPT2026PATH CONSULT SURGERY;1ST TISSUE BLCK,FRZN SCT,SNGLFEE SCHEDULE57.109999-12-31PROFESSIONAL1265798870npi126579887015FFSIMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADM90460CPT2026IMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADMDERIVED19.609999-12-31PROFESSIONAL1538500400npi124528353011DERIVED21.909999-12-31PROFESSIONAL1821014192npi194268913811DERIVED23.069999-12-31PROFESSIONAL1396704821npi19020840641518443233npi16391384801689645970npi16391384801952357840npi124528353011DERIVED24.219999-12-31PROFESSIONAL1427049105npi183119971011DERIVED46.129999-12-31PROFESSIONAL1518443233npi16391384801689645970npi163913848011DERIVED69.189999-12-31PROFESSIONAL1356551766npi131638516411NEGOTIATED25.229999-12-31PROFESSIONAL1609824689npi156869355411DERIVED92.249999-12-31PROFESSIONAL1750305900npi163913848011DERIVED25.379999-12-31PROFESSIONAL1104821081npi122503423411FFSMeningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use90621CPT2026Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular useDERIVED207.329999-12-31PROFESSIONAL1518443233npi16391384801689645970npi163913848011FFSHepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use90633CPT2026Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular useNEGOTIATED42.009999-12-31PROFESSIONAL1609824689npi156869355411DERIVED39.139999-12-31PROFESSIONAL1538500400npi12452835301689645970npi16391384801821014192npi19426891381952357840npi124528353011FFSHaemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use90648CPT2026Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular useNEGOTIATED18.009999-12-31PROFESSIONAL1609824689npi156869355411DERIVED13.179999-12-31PROFESSIONAL1427049105npi183119971011FFSINFLUENZA VIRUS VACCINE, TRIVALENT (CCIIV3), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 DOSAGE, FOR INTRAMUSCULAR USE90661CPT2026INFLUENZA VIRUS VACCINE, TRIVALENT (CCIIV3), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 DOSAGE, FOR INTRAMUSCULAR USEDERIVED51.989999-12-31PROFESSIONAL1194752055npi124528353011FFSPneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use90671CPT2026Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular useDERIVED228.919999-12-31PROFESSIONAL1538500400npi124528353011DERIVED269.319999-12-31PROFESSIONAL1952357840npi124528353011NEGOTIATED252.009999-12-31PROFESSIONAL1609824689npi156869355411DERIVED255.849999-12-31PROFESSIONAL1821014192npi194268913811FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use90697CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular useDERIVED156.709999-12-31PROFESSIONAL1356551766npi13163851641689645970npi16391384801821014192npi194268913811FFSPSYCHOTHERAPY, 30 MIN. W/PATIENT AND/OR FAMILY MBR90832CPT2026PSYCHOTHERAPY, 30 MIN. W/PATIENT AND/OR FAMILY MBRFEE SCHEDULE76.599999-12-31PROFESSIONAL1962548552npi155879840511FFSPsychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)90833CPT2026Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)FEE SCHEDULE69.459999-12-31PROFESSIONAL1265099238npi11547575571922122035npi17205571500211FEE SCHEDULE73.539999-12-31PROFESSIONAL1962548552npi155879840511FEE SCHEDULE77.629999-12-31PROFESSIONAL1992926661npi181131510411FFSOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsFEE SCHEDULE146.469999-12-31PROFESSIONAL1346775376npi16997737961487654117npi169977379611DERIVED131.819999-12-31PROFESSIONAL1780866111npi18413403041801963525npi189171484611FEE SCHEDULE161.119999-12-31PROFESSIONAL1023273398npi165932121411FFSGonioscopy (separate procedure)92020CPT2026Gonioscopy (separate procedure)DERIVED23.639999-12-31PROFESSIONAL1780866111npi184134030411FFSEvaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)92523CPT2026Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)DERIVED60.009999-12-31PROFESSIONAL1902538150npi129527999011NEGOTIATED248.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSBasic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral sti92540CPT2026Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stiFEE SCHEDULE131.959999-12-31PROFESSIONAL1306884267npi118462573311DERIVED106.589999-12-31PROFESSIONAL1508863572npi145735843411FFSECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERDERIVED818.499999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED902.399999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE210.789999-12-31PROFESSIONAL1417921701npi194225068311DERIVED166.719999-12-31PROFESSIONAL1245286624npi194225068311DERIVED172.469999-12-31PROFESSIONAL1043488661npi18515526651710945761npi18716879961871901793npi185155266511FEE SCHEDULE87.759999-12-31PROFESSIONAL1487614947npi124528353021FFSINTRA ECHO DURING THERAP,INCLUD SUPERVISION & INTE93662CPT2026INTRA ECHO DURING THERAP,INCLUD SUPERVISION & INTEDERIVED61.889999-12-31PROFESSIONAL1194785519npi166958926321FFSDuplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study93970CPT2026Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral studyDERIVED637.049999-12-31INSTITUTIONAL1679678486npi167967848623FEE SCHEDULE225.019999-12-31PROFESSIONAL1669890299npi10634637681972847671npi106346376811FFSEXTREMITY STUDY93970CPT2026EXTREMITY STUDYFEE SCHEDULE54.049999-12-31PROFESSIONAL1225425291npi107378504423FEE SCHEDULE36.039999-12-31PROFESSIONAL1093759599npi106340072921FFSDemonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device94664CPT2026Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB deviceDERIVED19.529999-12-31PROFESSIONAL1205889243npi128568537011DERIVED21.479999-12-31PROFESSIONAL1366541997npi169902129511FFSPLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESIST94726CPT2026PLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESISTFEE SCHEDULE12.659999-12-31PROFESSIONAL1013909951npi167977244622DERIVED13.269999-12-31PROFESSIONAL1841336310npi179008132122FFSGAS DILUT/WASHOUT DETERM LUNG VOL;DISTR VENTILATIO94727CPT2026GAS DILUT/WASHOUT DETERM LUNG VOL;DISTR VENTILATIOFEE SCHEDULE53.149999-12-31PROFESSIONAL1598715229npi130694203211FFSIMMUNOTHERAPY,PROF SERV.,2 OR MORE INJECTIONS95117CPT2026IMMUNOTHERAPY,PROF SERV.,2 OR MORE INJECTIONSFEE SCHEDULE12.609999-12-31PROFESSIONAL1013909951npi167977244611FFSSleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time95800CPT2026Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep timeDERIVED140.009999-12-31PROFESSIONAL1861655961npi186165596112FFSSLEEP STUDY,UNATTENDED,SIMULTANEOUS RECORDING95806CPT2026SLEEP STUDY,UNATTENDED,SIMULTANEOUS RECORDINGDERIVED110.009999-12-31PROFESSIONAL1053753442npi169902129512FEE SCHEDULE111.219999-12-31PROFESSIONAL1598715229npi130694203211FFSPOLYSOM AGE 6 OR OLDER, SLEEP STAG 4 > PARAMETS95811CPT2026POLYSOM AGE 6 OR OLDER, SLEEP STAG 4 > PARAMETSFEE SCHEDULE754.029999-12-31PROFESSIONAL1497794648npi19928990171568464006npi111492964311DERIVED754.029999-12-31PROFESSIONAL1053753442npi169902129511DERIVED685.479999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537011FFSNEUROPSYCHOLOGICAL TESTING EVAL SERVICES BY PHYSICIAN/OTHER QUALIFIED HEALTH CARE PROFESSIONAL, INCLUDING INTEGRATION OF PATIENT DATA, INTERPRETATION OF STANDARDIZED TEST RESULTS & CLINICAL DATA, CLINICALDECISION MAKING, TREATMENT PLANNING & REPORT, AND96133CPT2026NEUROPSYCHOLOGICAL TESTING EVAL SERVICES BY PHYSICIAN/OTHER QUALIFIED HEALTH CARE PROFESSIONAL, INCLUDING INTEGRATION OF PATIENT DATA, INTERPRETATION OF STANDARDIZED TEST RESULTS & CLINICAL DATA, CLINICALDECISION MAKING, TREATMENT PLANNING & REPORT, ANDFEE SCHEDULE82.289999-12-31PROFESSIONAL1265454060npi177081981511FFSAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED128.009999-12-31PROFESSIONAL1609849496npi187157203211DERIVED3.019999-12-31PROFESSIONAL1558682435npi183115803911DERIVED27.009999-12-31PROFESSIONAL1346290145npi18715720321609849496npi18715720321639147911npi18715720321679100853npi187157203211FFSADDL INTRAV SEQTL INFUS NEW DRUG/SUBS;UP TO 1HR96367CPT2026ADDL INTRAV SEQTL INFUS NEW DRUG/SUBS;UP TO 1HRDERIVED154.509999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED140.729999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED155.029999-12-31INSTITUTIONAL1811991227npi181199122722FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)96375CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)DERIVED90.259999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED98.209999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED100.499999-12-31INSTITUTIONAL1811991227npi18119912272223DERIVED80.969999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED156.089999-12-31INSTITUTIONAL1003465097npi100346509723DERIVED189.789999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED257.879999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED343.829999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED77.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED78.699999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED94.899999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED157.379999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED159.719999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED85.969999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED163.729999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED254.189999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED573.039999-12-31INSTITUTIONAL1063426823npi106342682323FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)96376CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)DERIVED90.259999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED180.509999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED127.099999-12-31INSTITUTIONAL1871977942npi187197794223FFSMedical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes97802CPT2026Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutesDERIVED39.709999-12-31PROFESSIONAL1750305900npi163913848011FFSChiropractic manipulative treatment (CMT); spinal, 1-2 regions98940CPT2026Chiropractic manipulative treatment (CMT); spinal, 1-2 regionsFEE SCHEDULE23.759999-12-31PROFESSIONAL1043520232npi134645616711FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99152CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mFEE SCHEDULE17.759999-12-31PROFESSIONAL1881058881npi124528353023DERIVED158.039999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE11.459999-12-31PROFESSIONAL1699717611npi132619471324FFSInstrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis99177CPT2026Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysisNEGOTIATED6.749999-12-31PROFESSIONAL1609824689npi156869355411FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENC99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCFEE SCHEDULE46.539999-12-31PROFESSIONAL1821752742npi124528353022FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED94.149999-12-31PROFESSIONAL1689865453npi153868649811DERIVED140.039999-12-31PROFESSIONAL1851801468npi138682324311DERIVED158.859999-12-31PROFESSIONAL1447252432npi17801005291447769864npi17801005291871537027npi178010052911DERIVED230.659999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE100.029999-12-31PROFESSIONAL1528654696npi148776713311DERIVED105.029999-12-31PROFESSIONAL1003449117npi15583402401770129413npi15583402401821540790npi155834024011DERIVED124.739999-12-31PROFESSIONAL1437275252npi17907902771861236424npi179079027711DERIVED185.009999-12-31PROFESSIONAL1356075766npi19028091221538116355npi19028091221598155830npi19028091221841922952npi190280912220FEE SCHEDULE123.559999-12-31PROFESSIONAL1750319331npi164992849011DERIVED96.229999-12-31PROFESSIONAL1518690908npi115430408711DERIVED104.729999-12-31PROFESSIONAL1548745060npi142749872411DERIVED117.679999-12-31PROFESSIONAL1487875977npi12856853701609316595npi138682324311DERIVED123.559999-12-31PROFESSIONAL1114293412npi16190185611225577703npi15583402401346690484npi11141114401497734107npi15583402401740606441npi15583402401821037979npi15789546811891730974npi17102112891952355497npi15583402401952630105npi137699897111DERIVED125.009999-12-31PROFESSIONAL1033561840npi10533630361124021704npi10533630361164198925npi105336303620DERIVED130.809999-12-31PROFESSIONAL1962928465npi109330850420DERIVED135.329999-12-31PROFESSIONAL1700465499npi178010052911FEE SCHEDULE105.909999-12-31PROFESSIONAL1174620702npi11840752691407947252npi13464561671669458600npi13464561671699822445npi134645616711FEE SCHEDULE110.619999-12-31PROFESSIONAL1356909964npi10735771361376005272npi164931421211FEE SCHEDULE150.629999-12-31PROFESSIONAL1841596327npi101393608711FEE SCHEDULE158.859999-12-31PROFESSIONAL1770729816npi188164491211NEGOTIATED171.489999-12-31PROFESSIONAL1245295898npi16694295771255324679npi166942957711DERIVED104.739999-12-31PROFESSIONAL1598443327npi161901856111DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781528666575npi18919053781548745060npi18919053781689976037npi18919053781790266013npi18919053781972277622npi189190537820DERIVED147.089999-12-31PROFESSIONAL1740478197npi109349363711DERIVED147.099999-12-31PROFESSIONAL1346290145npi187157203211DERIVED150.009999-12-31PROFESSIONAL1376063552npi10933085041639585169npi10933085041912351040npi109330850420FEE SCHEDULE129.449999-12-31PROFESSIONAL1518913292npi180184326311FEE SCHEDULE130.619999-12-31PROFESSIONAL1700268042npi118462573311FEE SCHEDULE152.979999-12-31PROFESSIONAL1134168438npi11846257331306884267npi118462573311FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781548745060npi18919053781790266013npi18919053781972277622npi189190537820DERIVED150.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED158.209999-12-31PROFESSIONAL1528666575npi142749872411DERIVED185.009999-12-31PROFESSIONAL1538116355npi19028091221619234770npi190280912220DERIVED195.549999-12-31PROFESSIONAL1053753442npi169902129511FEE SCHEDULE213.319999-12-31PROFESSIONAL1043248362npi163935221411FEE SCHEDULE223.989999-12-31PROFESSIONAL1104913110npi10634637681790171130npi106346376811FEE SCHEDULE231.099999-12-31PROFESSIONAL1245214022npi11846257331295705283npi11846257331427033984npi118462573311DERIVED158.659999-12-31PROFESSIONAL1437404548npi155834024011DERIVED177.769999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi12856853701952357840npi124528353011DERIVED195.539999-12-31PROFESSIONAL1104864768npi173045297011DERIVED341.299999-12-31PROFESSIONAL1821227133npi122503423411FEE SCHEDULE131.979999-12-31PROFESSIONAL1134221070npi12452835301336241413npi12452835301699774091npi12452835301780668731npi12452835301922FEE SCHEDULE168.879999-12-31PROFESSIONAL1992926661npi181131510411FEE SCHEDULE186.659999-12-31PROFESSIONAL1275501876npi19422275411427089309npi16596815751467719492npi99999999991538337860npi17002818131568430163npi19422275411659363505npi141714803211FEE SCHEDULE627.909999-12-31PROFESSIONAL1609133081npi179077231711DERIVED168.879999-12-31PROFESSIONAL1144225541npi150881869111DERIVED186.659999-12-31PROFESSIONAL1073592788npi15583402401225577703npi15583402401235498460npi15583402401316926025npi15583402401487668463npi17101620941740606441npi15583402401790131787npi15583402401841618782npi155834024011DERIVED188.439999-12-31PROFESSIONAL1427874965npi17907902771730902883npi17907902771861236424npi179079027711DERIVED222.209999-12-31PROFESSIONAL1346290145npi18715720321609849496npi18715720321740478197npi109349363711DERIVED293.309999-12-31PROFESSIONAL1417213513npi17801005291760478101npi178010052911FEE SCHEDULE177.769999-12-31PROFESSIONAL1346225828npi14878274161699717611npi132619471311FEE SCHEDULE183.099999-12-31PROFESSIONAL1174840862npi195255786011FEE SCHEDULE190.209999-12-31PROFESSIONAL1700144490npi106346376811FEE SCHEDULE204.429999-12-31PROFESSIONAL1013973882npi17505646961386608727npi194226369411FEE SCHEDULE227.539999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE239.989999-12-31PROFESSIONAL1770729816npi188164491211NEGOTIATED361.979999-12-31PROFESSIONAL1942210984npi166942957711DERIVED155.009999-12-31PROFESSIONAL1487713566npi189185395811DERIVED159.989999-12-31PROFESSIONAL1710945761npi187168799611DERIVED180.259999-12-31PROFESSIONAL1851405401npi107356561020DERIVED186.649999-12-31PROFESSIONAL1346231966npi11644352771407870132npi10838408211629241427npi12452835301700877388npi11141114401851484307npi16292791381952630105npi13769989711982630042npi111403746211DERIVED239.979999-12-31PROFESSIONAL1134537111npi17801005291487684171npi178010052911FEE SCHEDULE179.089999-12-31PROFESSIONAL1346618048npi166942957722FEE SCHEDULE195.549999-12-31PROFESSIONAL1083723605npi12452835301104067305npi12452835301417921701npi19422506831497794648npi19928990171518979012npi15182673271598715229npi13069420321649242538npi15080020721952321671npi108367960911FEE SCHEDULE218.459999-12-31PROFESSIONAL1336973346npi166942957711NEGOTIATED257.009999-12-31PROFESSIONAL1497100820npi16694295771508975376npi166942957711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED64.149999-12-31PROFESSIONAL1154483634npi122520184111DERIVED120.169999-12-31PROFESSIONAL1003130592npi15382686771518433804npi11141114401518680008npi19025028751548745060npi14274987241568941714npi12452835301588101174npi11140374621609411362npi19927509621750899217npi15382686771150DERIVED126.929999-12-31PROFESSIONAL1598351835npi169902129511DERIVED135.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED137.729999-12-31PROFESSIONAL1043834328npi131638516411DERIVED141.779999-12-31PROFESSIONAL1073592788npi15583402401104847466npi19425904011225577703npi15583402401316926025npi15583402401356446223npi18911974481437563533npi12452835301477747970npi17900973351487668463npi17101620941508863572npi14573584341558682435npi18311580391588196125npi12452835301619460755npi12452835301629241427npi12452835301669852984npi12452835301710966601npi15583402401770640740npi14776078361841482346npi14573584341891226155npi12452835301891730974npi17102112891912964040npi14274987241952355497npi15583402401952630105npi13769989711982630042npi11140374620211FEE SCHEDULE121.529999-12-31PROFESSIONAL1699822445npi13464561671962548552npi155879840511FEE SCHEDULE130.339999-12-31PROFESSIONAL1780305045npi166942957722FEE SCHEDULE144.479999-12-31PROFESSIONAL1114482130npi106346376811FEE SCHEDULE151.229999-12-31PROFESSIONAL1053773424npi17006699261699779462npi170066992611NEGOTIATED153.339999-12-31PROFESSIONAL1245627926npi16694295771508220013npi16694295771518042415npi16694295771932333531npi166942957722DERIVED105.369999-12-31PROFESSIONAL1518690908npi115430408711DERIVED107.999999-12-31PROFESSIONAL1518690908npi115430408711DERIVED135.029999-12-31PROFESSIONAL1013412196npi12452835301205889243npi12856853701487875977npi12856853701649277880npi12856853701952357840npi124528353011DERIVED136.009999-12-31PROFESSIONAL1649354747npi108383119220DERIVED143.129999-12-31PROFESSIONAL1154884815npi17006490431427354919npi17006490431427874965npi17907902771730902883npi17907902771861236424npi179079027711DERIVED168.779999-12-31PROFESSIONAL1215932108npi12250342341740478197npi10934936371811928674npi10934936371992142426npi122503423411DERIVED182.279999-12-31PROFESSIONAL1447252432npi17801005291487684171npi17801005291871537027npi178010052911DERIVED185.009999-12-31PROFESSIONAL1598155830npi19028091221619234770npi19028091221619938644npi190280912220DERIVED189.029999-12-31PROFESSIONAL1780446617npi124522055711DERIVED222.789999-12-31PROFESSIONAL1215939509npi124522055711FEE SCHEDULE81.009999-12-31PROFESSIONAL1609318070npi124528353019FEE SCHEDULE127.059999-12-31PROFESSIONAL1811962855npi110482927411FEE SCHEDULE128.279999-12-31PROFESSIONAL1992926661npi181131510411FEE SCHEDULE139.079999-12-31PROFESSIONAL1174840862npi195255786011FEE SCHEDULE148.529999-12-31PROFESSIONAL1194708495npi18117666371417921701npi19422506831568464006npi11149296431598715229npi13069420321649242538npi15080020721932153228npi15583101281952321671npi108367960911FEE SCHEDULE155.279999-12-31PROFESSIONAL1134396831npi19422636941386608727npi194226369411FEE SCHEDULE170.139999-12-31PROFESSIONAL1104913110npi106346376811NEGOTIATED197.159999-12-31PROFESSIONAL1013337898npi15686935541255324679npi16694295771417322181npi16694295771497100820npi16694295771609824689npi15686935541790733772npi156869355411DERIVED126.919999-12-31PROFESSIONAL1336579580npi13262549621841805462npi132625496211DERIVED132.009999-12-31PROFESSIONAL1407887029npi114433310511DERIVED148.529999-12-31PROFESSIONAL1013002880npi17605909621053753442npi16990212951104864768npi17304529701306850508npi17605909621366541997npi16990212951386693331npi17605909621538165113npi17605909621700997707npi15782180951750305900npi16391384801821290362npi176059096211DERIVED160.679999-12-31PROFESSIONAL1891058939npi138682324311DERIVED162.029999-12-31PROFESSIONAL1912909805npi198271904311DERIVED182.289999-12-31PROFESSIONAL1609194349npi17801005291609215490npi178010052911FEE SCHEDULE94.799999-12-31PROFESSIONAL1134221070npi12452835301336241413npi12452835301699877506npi12452835301952350548npi12452835301922FEE SCHEDULE114.779999-12-31PROFESSIONAL1265099238npi11547575571922122035npi17205571500211FEE SCHEDULE126.929999-12-31PROFESSIONAL1376005272npi164931421211FEE SCHEDULE135.029999-12-31PROFESSIONAL1487654117npi16997737961528091725npi11243287861871855049npi16997737961972690444npi128506955911FEE SCHEDULE172.839999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE175.539999-12-31PROFESSIONAL1194796128npi11846257331245214022npi11846257331295705283npi118462573311DERIVED84.389999-12-31PROFESSIONAL1740478197npi109349363711DERIVED114.769999-12-31PROFESSIONAL1134657323npi12452835301538500400npi124528353011DERIVED120.009999-12-31PROFESSIONAL1043087018npi18919053781528666575npi18919053781548745060npi18919053781972277622npi189190537820DERIVED120.519999-12-31PROFESSIONAL1396475018npi15583402401588138499npi155834024011DERIVED121.529999-12-31PROFESSIONAL1043488661npi18515526651487713566npi18918539581710945761npi18716879961801963525npi18917148461871901793npi185155266511DERIVED150.009999-12-31PROFESSIONAL1235261900npi180112629720DERIVED167.429999-12-31PROFESSIONAL1437107190npi103338786511DERIVED168.789999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211FEE SCHEDULE141.779999-12-31PROFESSIONAL1013909951npi16797724461023364387npi16797724461467719492npi99999999991538337860npi17002818131568430163npi19422275411659363505npi14171480320211FEE SCHEDULE199.669999-12-31PROFESSIONAL1578021473npi166942957711FFSHospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter99238CPT2026Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounterFEE SCHEDULE71.369999-12-31PROFESSIONAL1457030322npi124528353021FEE SCHEDULE84.279999-12-31PROFESSIONAL1023558988npi124528353021FEE SCHEDULE78.969999-12-31PROFESSIONAL1295354538npi12452835301548755309npi124528353021FFSCRITICAL CARE E & M FIRST 30 MIN.99291CPT2026CRITICAL CARE E & M FIRST 30 MIN.FEE SCHEDULE225.869999-12-31PROFESSIONAL1457779803npi12452835301871704221npi12452835301912312695npi124528353021FEE SCHEDULE1065.179999-12-31PROFESSIONAL1376930487npi179077231721DERIVED338.799999-12-31PROFESSIONAL1437480407npi17801005291457702797npi17801005291699262667npi178010052921FEE SCHEDULE318.269999-12-31PROFESSIONAL1053583112npi124528353023FEE SCHEDULE410.669999-12-31PROFESSIONAL1033606033npi12058808531215166749npi12058808531710566039npi12058808531780020214npi12058808531891897377npi120588085323DERIVED1973.869999-12-31INSTITUTIONAL1063426823npi106342682323FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99381CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED117.849999-12-31PROFESSIONAL1427049105npi18311997101770640740npi147760783611DERIVED112.239999-12-31PROFESSIONAL1952357840npi124528353011FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99386CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED137.919999-12-31PROFESSIONAL1588101174npi111403746211DERIVED152.639999-12-31PROFESSIONAL1982630042npi111403746211DERIVED178.209999-12-31PROFESSIONAL1700465499npi178010052911DERIVED209.209999-12-31PROFESSIONAL1609194349npi178010052911NEGOTIATED232.169999-12-31PROFESSIONAL1104897453npi166942957711DERIVED162.709999-12-31PROFESSIONAL1629241427npi12452835301669852984npi12452835301952630105npi13769989711982630042npi111403746211FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99391CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED101.509999-12-31PROFESSIONAL1952357840npi124528353011DERIVED103.539999-12-31PROFESSIONAL1043834328npi131638516411DERIVED106.579999-12-31PROFESSIONAL1427049105npi18311997101770640740npi147760783611NEGOTIATED151.259999-12-31PROFESSIONAL1609824689npi156869355411DERIVED121.809999-12-31PROFESSIONAL1356551766npi131638516411FFSSmoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes99406CPT2026Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutesDERIVED16.009999-12-31PROFESSIONAL1407887029npi114433310511DERIVED16.189999-12-31PROFESSIONAL1982630042npi111403746211FFSGROUND MILEAGE, PER STATUTE MILEA0425HCPCS2026GROUND MILEAGE, PER STATUTE MILEDERIVED1236.009999-12-31PROFESSIONAL1265097513npi179077231741FFSCATHETER, INFUSION INSERT PERIPHERALLY CENT OR MIDC1751HCPCS2026CATHETER, INFUSION INSERT PERIPHERALLY CENT OR MIDDERIVED207.799999-12-31INSTITUTIONAL1063426823npi106342682322FFSJOINT DEVICEC1776HCPCS2026JOINT DEVICEDERIVED5868.479999-12-31INSTITUTIONAL1285681908npi128568190823FFSADMINISTRATION OF A STANDARDIZED, EVIDENCE-BASED ASSESSMENT OF PHYSICAL ACTIVITY AND NUTRITION, 5-15 MINUTES, NOT MORE OFTEN THAN EVERY 6 MONTHSG0136HCPCS2026ADMINISTRATION OF A STANDARDIZED, EVIDENCE-BASED ASSESSMENT OF PHYSICAL ACTIVITY AND NUTRITION, 5-15 MINUTES, NOT MORE OFTEN THAN EVERY 6 MONTHSDERIVED20.599999-12-31PROFESSIONAL1407887029npi114433310511FFSANNUAL DEPRESSION SCREENING, 15 MINUTESG0444HCPCS2026ANNUAL DEPRESSION SCREENING, 15 MINUTESDERIVED19.439999-12-31PROFESSIONAL1154884815npi170064904311FEE SCHEDULE19.259999-12-31PROFESSIONAL1538337860npi170028181311DERIVED19.259999-12-31PROFESSIONAL1407887029npi114433310511DERIVED20.169999-12-31PROFESSIONAL1104864768npi173045297011FFSVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDDERIVED18.329999-12-31PROFESSIONAL1821037979npi157895468111DERIVED19.209999-12-31PROFESSIONAL1306850508npi17605909621386693331npi176059096211FEE SCHEDULE17.979999-12-31PROFESSIONAL1174840862npi195255786011DERIVED15.719999-12-31PROFESSIONAL1194785519npi166958926311FEE SCHEDULE18.679999-12-31PROFESSIONAL1801489497npi106346376811FEE SCHEDULE21.999999-12-31PROFESSIONAL1104913110npi106346376811DERIVED18.509999-12-31PROFESSIONAL1134487929npi170064904311FEE SCHEDULE18.329999-12-31PROFESSIONAL1013909951npi16797724461659363505npi141714803211FFSINJ,DICYCLOMINE(BENTYL)TO 20 MGJ0500HCPCS2026INJ,DICYCLOMINE(BENTYL)TO 20 MGDERIVED31.379999-12-31INSTITUTIONAL1871977942npi187197794223FFSINJ. ENOXAPARIN SODIUM, 10 MGJ1650HCPCS2026INJ. ENOXAPARIN SODIUM, 10 MGDERIVED17.849999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED20.269999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, ESMOLOL HCL, 10 MGJ1805HCPCS2026INJECTION, ESMOLOL HCL, 10 MGDERIVED21.529999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJECTION, INSULIN, PER 5 UNITSJ1815HCPCS2026INJECTION, INSULIN, PER 5 UNITSDERIVED8.129999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED7.469999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED8.249999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ, LORAZEPAM (ATIVAN) 2MGJ2060HCPCS2026INJ, LORAZEPAM (ATIVAN) 2MGDERIVED12.929999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED7.259999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED14.219999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MGJ2272HCPCS2026INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MGDERIVED16.899999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION,PHENYLEPHRINE HCI, 20 MCGJ2371HCPCS2026INJECTION,PHENYLEPHRINE HCI, 20 MCGDERIVED11.339999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED12.789999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ VITAMIN B-12, 1000 MCGJ3420HCPCS2026INJ VITAMIN B-12, 1000 MCGDERIVED16.899999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ MAGNESIUM SULFATE/500 MGJ3475HCPCS2026INJ MAGNESIUM SULFATE/500 MGDERIVED29.889999-12-31INSTITUTIONAL1063426823npi106342682323FFSUNCLASSIFIED DRUGS/PRESCRIPTION REIMBJ3490HCPCS2026UNCLASSIFIED DRUGS/PRESCRIPTION REIMBDERIVED9.789999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED10.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED34.949999-12-31INSTITUTIONAL1053424648npi105342464822FFSNORMAL SALINE SOLUTION INFUSION, 1000 CCJ7030HCPCS2026NORMAL SALINE SOLUTION INFUSION, 1000 CCDERIVED22.909999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED22.779999-12-31INSTITUTIONAL1063426823npi106342682323FFSAUTO EXTERNAL DEFIB W/INTEGRATED ELECTROCARDIOGRAMK0606HCPCS2026AUTO EXTERNAL DEFIB W/INTEGRATED ELECTROCARDIOGRAMFEE SCHEDULE3588.909999-12-31PROFESSIONAL1518506815npi151850681512FFSWALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JOL4361HCPCS2026WALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JODERIVED215.689999-12-31PROFESSIONAL1003449117npi155834024011DERIVED236.649999-12-31PROFESSIONAL1063874584npi15386864981689865453npi15386864981861921298npi153868649811FFSSCREENING PAP COLLECTION AND CONVEYANCEQ0091HCPCS2026SCREENING PAP COLLECTION AND CONVEYANCEDERIVED40.179999-12-31PROFESSIONAL1588101174npi111403746211DERIVED47.399999-12-31PROFESSIONAL1295925030npi138694001311DERIVED23.699999-12-31PROFESSIONAL1295925030npi138694001311DERIVED90.009999-12-31INSTITUTIONAL1811991227npi181199122722FFSINTENSIVE,EXTENDED, MULTIDISCIPLINARY SERVICEST1025HCPCS2026INTENSIVE,EXTENDED, MULTIDISCIPLINARY SERVICESNEGOTIATED1465.009999-12-31PROFESSIONAL1881898559npi18818985590211FFSAnesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified00520CPT2026Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specifiedDERIVED576.009999-12-31PROFESSIONAL1124382577npi17801005291780160473npi178010052921FFSAnesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified00731CPT2026Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specifiedDERIVED342.009999-12-31PROFESSIONAL1053382762npi17801005291891016572npi178010052922FFSAnesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum00813CPT2026Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenumDERIVED608.409999-12-31PROFESSIONAL1801206628npi131633083024DERIVED810.679999-12-31PROFESSIONAL1932679503npi106346376822FFSAnesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography00952CPT2026Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingographyDERIVED402.009999-12-31PROFESSIONAL1528696788npi178010052922FFSMED-SUR-GY/PVT0111RC2026MED-SUR-GY/PVTDERIVED769.279999-12-31INSTITUTIONAL1285681908npi128568190822FFSPSYCH/PVT0114RC2026PSYCH/PVTDERIVED26880.009999-12-31INSTITUTIONAL1811991227npi181199122751FFSAnesthesia for non-invasive imaging or radiation therapy01922CPT2026Anesthesia for non-invasive imaging or radiation therapyDERIVED768.009999-12-31PROFESSIONAL1366947947npi166942957722FFSDRUGS/INCIDENT RAD0255RC2026DRUGS/INCIDENT RADDERIVED8.389999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED20.759999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED111.109999-12-31INSTITUTIONAL1063426823npi106342682321FFSIV SOLUTIONS0258RC2026IV SOLUTIONSDERIVED47.999999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED62.259999-12-31INSTITUTIONAL1053424648npi105342464822DERIVED78.849999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED97.879999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/HEMOTOLOGY0305RC2026LAB/HEMOTOLOGYDERIVED1081.799999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED331.999999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED619.999999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED601.799999-12-31INSTITUTIONAL1285681908npi128568190822DERIVED3360.009999-12-31INSTITUTIONAL1811991227npi181199122751NEGOTIATED216.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSLAB/UROLOGY0307RC2026LAB/UROLOGYDERIVED193.599999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED87.799999-12-31INSTITUTIONAL1063426823npi106342682321FFSDX X-RAY/CHEST0324RC2026DX X-RAY/CHESTDERIVED348.889999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED697.779999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED928.789999-12-31INSTITUTIONAL1063426823npi106342682321FFSDIAGNOSTIC RADIOPHARMACEUTICALS0343RC2026DIAGNOSTIC RADIOPHARMACEUTICALSDERIVED191.779999-12-31INSTITUTIONAL1063426823npi106342682321FFSOR SERVICES0360RC2026OR SERVICESDERIVED35636.219999-12-31INSTITUTIONAL1285681908npi128568190822NEGOTIATED38255.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSRESPIRATORY SVC0410RC2026RESPIRATORY SVCDERIVED88.989999-12-31INSTITUTIONAL1063426823npi106342682321FFSInsertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation o0571TCPT2026Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation oDERIVED69836.619999-12-31INSTITUTIONAL1811991227npi181199122722FFSRECOVERY ROOM0710RC2026RECOVERY ROOMDERIVED1269.949999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2091.959999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED2979.889999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1888.539999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1202.579999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2891.689999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED4579.319999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED4608.459999-12-31INSTITUTIONAL1285681908npi128568190822NEGOTIATED7201.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSOBSERVATION RM0762RC2026OBSERVATION RMDERIVED1365.669999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED325.639999-12-31INSTITUTIONAL1285681908npi128568190822FFSIncision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single10060CPT2026Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleDERIVED127.069999-12-31PROFESSIONAL1194752055npi124528353011DERIVED133.419999-12-31PROFESSIONAL1114293412npi161901856111FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionDERIVED49.029999-12-31PROFESSIONAL1114293412npi161901856111FEE SCHEDULE93.369999-12-31PROFESSIONAL1346225828npi148782741611FFSEXC LES SCALP,NECK,HAND,FT,G11422CPT2026EXC LES SCALP,NECK,HAND,FT,GDERIVED93.479999-12-31PROFESSIONAL1114293412npi161901856111FFSChemical cauterization of granulation tissue (ie, proud flesh)17250CPT2026Chemical cauterization of granulation tissue (ie, proud flesh)DERIVED80.009999-12-31PROFESSIONAL1770640740npi147760783611FFSPuncture aspiration of cyst of breast;19000CPT2026Puncture aspiration of cyst of breast;DERIVED133.259999-12-31PROFESSIONAL1912909805npi198271904311FFSArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20610CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidanceFEE SCHEDULE90.089999-12-31PROFESSIONAL1164532925npi122535175211NEGOTIATED149.409999-12-31PROFESSIONAL1407050404npi166942957711DERIVED72.759999-12-31PROFESSIONAL1073592788npi15583402401225577703npi15583402401316926025npi155834024011DERIVED85.929999-12-31PROFESSIONAL1619607835npi124527167511FFSArthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))23472CPT2026Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))NEGOTIATED38645.559999-12-31INSTITUTIONAL1184709057npi118470905722NEGOTIATED2308.469999-12-31PROFESSIONAL1255324679npi166942957722FFSClosed treatment of carpal scaphoid (navicular) fracture; without manipulation25622CPT2026Closed treatment of carpal scaphoid (navicular) fracture; without manipulationDERIVED471.339999-12-31PROFESSIONAL1447769864npi178010052911FFSINJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRO27096CPT2026INJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRODERIVED79.009999-12-31PROFESSIONAL1841618782npi155834024024DERIVED252.049999-12-31PROFESSIONAL1780628339npi124527167511FFSTREAT BIG TOE FRACTURE28490CPT2026TREAT BIG TOE FRACTUREFEE SCHEDULE209.979999-12-31PROFESSIONAL1215166749npi120588085323FFSArthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular si29823CPT2026Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular siDERIVED602.869999-12-31PROFESSIONAL1316926025npi155834024024DERIVED81.999999-12-31PROFESSIONAL1275884678npi155834024024FFSArthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)29826CPT2026Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)DERIVED22.289999-12-31PROFESSIONAL1275884678npi155834024024DERIVED163.849999-12-31PROFESSIONAL1316926025npi155834024024FFSREMOVE NASAL FOREIGN BODY30300CPT2026REMOVE NASAL FOREIGN BODYFEE SCHEDULE151.759999-12-31PROFESSIONAL1619512282npi124528353023FFSNasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)31231CPT2026Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)FEE SCHEDULE246.199999-12-31PROFESSIONAL1194796128npi11846257331427033984npi118462573311FFSBRONCHOSCOPY; WITH BRUSHING31623CPT2026BRONCHOSCOPY; WITH BRUSHINGFEE SCHEDULE122.149999-12-31PROFESSIONAL1972690444npi128506955921FFSBRONCHOSCOPY; WITH BRONCHIAL31624CPT2026BRONCHOSCOPY; WITH BRONCHIALFEE SCHEDULE61.879999-12-31PROFESSIONAL1972690444npi128506955921FFSBRONCHOSCOPY,RIGID/FLEX,W/FLR GUID;W/THERAP ASPRTN31645CPT2026BRONCHOSCOPY,RIGID/FLEX,W/FLR GUID;W/THERAP ASPRTNDERIVED225.769999-12-31PROFESSIONAL1457702797npi178010052921FFSINSERT NON-TUNLD CENTRAL VENOUS CATHERTER >5YRS36556CPT2026INSERT NON-TUNLD CENTRAL VENOUS CATHERTER >5YRSFEE SCHEDULE88.889999-12-31PROFESSIONAL1912312695npi124528353021FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239APC2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED431.929999-12-31INSTITUTIONAL1619979580npi161997958024DERIVED754.649999-12-31INSTITUTIONAL1841251501npi184125150124DERIVED863.849999-12-31INSTITUTIONAL1558580910npi155858091024DERIVED513.639999-12-31INSTITUTIONAL1518976661npi151897666124DERIVED245.159999-12-31INSTITUTIONAL1386381408npi138638140824FFSEsophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)43249CPT2026Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)FEE SCHEDULE1137.759999-12-31PROFESSIONAL1528091725npi112432878611FFSSIGMOIDOSCOPY, DIAGNOSTIC45330APC2026SIGMOIDOSCOPY, DIAGNOSTICDERIVED127.679999-12-31INSTITUTIONAL1619979580npi161997958024FFSColonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45378CPT2026Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)DERIVED642.039999-12-31PROFESSIONAL1033149752npi17907902771275806721npi17907902771376962878npi17907902771548095763npi179079027711FFSColonoscopy, flexible; with biopsy, single or multiple45380CPT2026Colonoscopy, flexible; with biopsy, single or multipleDERIVED940.119999-12-31PROFESSIONAL1275806721npi17907902771376962878npi17907902771548095763npi179079027711FEE SCHEDULE235.829999-12-31PROFESSIONAL1528091725npi112432878611DERIVED2041.089999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED2357.299999-12-31INSTITUTIONAL1811991227npi181199122722FFSCOLONOSCOPY, LESION REMOVAL45385CPT2026COLONOSCOPY, LESION REMOVALDERIVED1010.989999-12-31PROFESSIONAL1275806721npi179079027711DERIVED1178.659999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE252.449999-12-31PROFESSIONAL1376962878npi12452835301518979012npi15182673271598996415npi12452835302224DERIVED246.769999-12-31PROFESSIONAL1255449179npi115430408724FEE SCHEDULE309.819999-12-31PROFESSIONAL1932270832npi188164491224DERIVED417.629999-12-31PROFESSIONAL1255449179npi115430408724DERIVED1020.539999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE229.499999-12-31PROFESSIONAL1699717611npi132619471324FFSDESTRCTN INTERNAL HEMORRHOID(S) BY THERMAL ENERGY46930CPT2026DESTRCTN INTERNAL HEMORRHOID(S) BY THERMAL ENERGYFEE SCHEDULE78.529999-12-31PROFESSIONAL1699717611npi132619471324FFSCIRCUMCISION, CLAMP, NEWBORN54150CPT2026CIRCUMCISION, CLAMP, NEWBORNFEE SCHEDULE486.179999-12-31PROFESSIONAL1952824575npi126558580611FFSDestruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)56515CPT2026Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)DERIVED3252.919999-12-31INSTITUTIONAL1811991227npi181199122722FFSDESTRUCTION, VULVA LESION(S)56515CPT2026DESTRUCTION, VULVA LESION(S)DERIVED205.199999-12-31PROFESSIONAL1104847466npi194259040122FFSCONIZATION OF CERVIX, LOOP ELECTRODE EXC57522CPT2026CONIZATION OF CERVIX, LOOP ELECTRODE EXCDERIVED4343.519999-12-31INSTITUTIONAL1063426823npi106342682322FFSTreatment of incomplete abortion, any trimester, completed surgically59812CPT2026Treatment of incomplete abortion, any trimester, completed surgicallyDERIVED5092.559999-12-31INSTITUTIONAL1063426823npi106342682322FFSThyroidectomy, including substernal thyroid; cervical approach60271CPT2026Thyroidectomy, including substernal thyroid; cervical approachDERIVED5297.909999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE1092.949999-12-31PROFESSIONAL1518913292npi180184326322FFSParathyroidectomy or exploration of parathyroid(s);60500CPT2026Parathyroidectomy or exploration of parathyroid(s);DERIVED5803.749999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE1030.189999-12-31PROFESSIONAL1518913292npi180184326322FFSLUMBAR OR SACRAL SINGLE LEVEL64483CPT2026LUMBAR OR SACRAL SINGLE LEVELDERIVED106.039999-12-31PROFESSIONAL1841618782npi155834024024FFSExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984APC2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationDERIVED1000.009999-12-31INSTITUTIONAL1508063884npi150806388424DERIVED1239.039999-12-31INSTITUTIONAL1508063884npi150806388424FFSWITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETI67042CPT2026WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETIFEE SCHEDULE959.209999-12-31PROFESSIONAL1487654117npi169977379622FFSProphylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation67145CPT2026Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulationFEE SCHEDULE241.989999-12-31PROFESSIONAL1730479650npi169977379611FFSBiopsy external ear69100CPT2026Biopsy external earFEE SCHEDULE85.442023-12-31PROFESSIONAL1538206073npi164931421211FFSCAT SCAN OF SKULL70480CPT2026CAT SCAN OF SKULLDERIVED226.079999-12-31PROFESSIONAL1336566330npi124527167511FFSCAT SCAN OF FACE, JAW70486CPT2026CAT SCAN OF FACE, JAWFEE SCHEDULE44.149999-12-31PROFESSIONAL1306188073npi106340072923FEE SCHEDULE66.219999-12-31PROFESSIONAL1386910255npi107378504423DERIVED210.709999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED807.729999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE112.449999-12-31PROFESSIONAL1124046339npi121501771011FFSCONTRAST CAT OF NECK TISSUE70491CPT2026CONTRAST CAT OF NECK TISSUEDERIVED261.249999-12-31PROFESSIONAL1336566330npi12452716751619037025npi124527167511FEE SCHEDULE70.329999-12-31PROFESSIONAL1083656706npi106340072923FEE SCHEDULE105.489999-12-31PROFESSIONAL1669451126npi107378504423DERIVED339.919999-12-31INSTITUTIONAL1811991227npi181199122723NEGOTIATED269.519999-12-31PROFESSIONAL1548477060npi138603434611FFSMagnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material70551CPT2026Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast materialDERIVED2140.809999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2373.839999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED278.489999-12-31PROFESSIONAL1093759599npi12452716751174567697npi12452716751396756474npi12452716751548688708npi12452716751720391568npi124527167511DERIVED445.309999-12-31INSTITUTIONAL1811991227npi181199122723NEGOTIATED1625.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSMAGNETIC IMAGE, BRAIN (MRI)70553CPT2026MAGNETIC IMAGE, BRAIN (MRI)FEE SCHEDULE116.869999-12-31PROFESSIONAL1104860600npi106340072921FEE SCHEDULE175.309999-12-31PROFESSIONAL1669451126npi107378504423FFSRadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsDERIVED181.529999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED678.209999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE11.089999-12-31PROFESSIONAL1093750820npi10634007291295797694npi10634007291326082975npi10634007291578507588npi10634007292123FEE SCHEDULE16.629999-12-31PROFESSIONAL1053366856npi10737850441821218231npi10737850441972501310npi10737850442123DERIVED429.399999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE122.719999-12-31PROFESSIONAL1730151903npi179077231711FFSComputed tomography, thorax, diagnostic; without contrast material71250CPT2026Computed tomography, thorax, diagnostic; without contrast materialNEGOTIATED206.759999-12-31PROFESSIONAL1174510994npi13860343461518377340npi138603434611DERIVED189.209999-12-31PROFESSIONAL1154325793npi12452716751316981996npi12452716751518054535npi124527167511FFSComputed tomography, thorax, low dose for lung cancer screening, without contrast material(s)71271CPT2026Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)DERIVED194.599999-12-31PROFESSIONAL1174567697npi12452716751457886046npi12452716751518054535npi12452716751578768156npi124527167511FFSCT ANGIO, CHEST, NOCOR, W/O CONT. FOLLOWED BY CONT71275CPT2026CT ANGIO, CHEST, NOCOR, W/O CONT. FOLLOWED BY CONTDERIVED387.759999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1997.589999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1961.679999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED2441.349999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED399.139999-12-31PROFESSIONAL1114960200npi124527167511FFSRadiologic examination, spine, cervical; 4 or 5 views72050CPT2026Radiologic examination, spine, cervical; 4 or 5 viewsDERIVED78.299999-12-31PROFESSIONAL1154325793npi124527167511FFSCAT SCAN OF THORACIC SPINE72128CPT2026CAT SCAN OF THORACIC SPINEDERIVED1764.639999-12-31INSTITUTIONAL1679678486npi167967848623FFSMRI LUMBAR SPINE72148CPT2026MRI LUMBAR SPINEDERIVED350.009999-12-31PROFESSIONAL1760567762npi188190490249FFSMagnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences72197CPT2026Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequencesDERIVED475.549999-12-31PROFESSIONAL1497103121npi124527167511FFSX-RAY EXAM OF SHOULDER73030CPT2026X-RAY EXAM OF SHOULDERFEE SCHEDULE9.989999-12-31PROFESSIONAL1588079917npi10634007291609152701npi106340072923FEE SCHEDULE14.979999-12-31PROFESSIONAL1770804718npi107378504423NEGOTIATED14.299999-12-31PROFESSIONAL1770905085npi166942957722FFSX-RAY EXAM OF WRIST73110CPT2026X-RAY EXAM OF WRISTFEE SCHEDULE14.409999-12-31PROFESSIONAL1821263096npi107378504423FFSRadiologic examination, hip, unilateral, with pelvis when performed; 1 view73501CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 1 viewFEE SCHEDULE9.989999-12-31PROFESSIONAL1093759599npi10634007291114960200npi106340072921FFSRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsFEE SCHEDULE17.679999-12-31PROFESSIONAL1629046040npi107378504423DERIVED47.299999-12-31PROFESSIONAL1073592606npi15583402401073592788npi15583402401740606441npi15583402401952355497npi155834024011FEE SCHEDULE39.149999-12-31PROFESSIONAL1790266013npi106346376811FEE SCHEDULE52.969999-12-31PROFESSIONAL1699779462npi170066992611FEE SCHEDULE42.569999-12-31PROFESSIONAL1710902812npi121501771011FEE SCHEDULE46.099999-12-31PROFESSIONAL1750374120npi106346376811DERIVED351.819999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED456.409999-12-31INSTITUTIONAL1063426823npi106342682323FFSRadiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views73523CPT2026Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 viewsFEE SCHEDULE56.569999-12-31PROFESSIONAL1790171130npi106346376811FFSX-RAY EXAM,TIBIA & FIBULA;2 VIEWS73590CPT2026X-RAY EXAM,TIBIA & FIBULA;2 VIEWSFEE SCHEDULE8.549999-12-31PROFESSIONAL1174567697npi106340072923FFSCAT SCAN OF LEG73700CPT2026CAT SCAN OF LEGFEE SCHEDULE77.429999-12-31PROFESSIONAL1679763460npi107378504421FFSMagnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)73718CPT2026Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)DERIVED315.739999-12-31PROFESSIONAL1457886046npi124527167511FFSCOMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MAT74176CPT2026COMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MATDERIVED411.139999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED896.499999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED818.319999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE132.769999-12-31PROFESSIONAL1295732089npi107378504423DERIVED262.069999-12-31PROFESSIONAL1093750820npi12452716751154358398npi12452716751942207709npi124527167511FEE SCHEDULE88.519999-12-31PROFESSIONAL1104860600npi10634007291194178673npi10634007291710230982npi10634007291831136191npi1063400729212223FFSComputed tomography, abdomen and pelvis; without contrast material74176CPT2026Computed tomography, abdomen and pelvis; without contrast materialDERIVED262.069999-12-31PROFESSIONAL1003905290npi12452716751174567697npi124527167511DERIVED3533.709999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED3710.399999-12-31INSTITUTIONAL1063426823npi106342682323FFSWITH CONTRAST MATERIAL74177CPT2026WITH CONTRAST MATERIALDERIVED694.419999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED777.909999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED2315.469999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED3357.689999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED3475.329999-12-31INSTITUTIONAL1679678486npi167967848623FEE SCHEDULE93.249999-12-31PROFESSIONAL1003905290npi10634007291396756474npi10634007291518054535npi10634007291629357207npi10634007291639598519npi10634007291699717124npi10634007291942207709npi10634007292123DERIVED4214.089999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED426.389999-12-31PROFESSIONAL1518054535npi12452716751942207709npi124527167511DERIVED4081.289999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED4734.769999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE139.859999-12-31PROFESSIONAL1164696456npi10737850441265686547npi10737850441497752240npi10737850441629088810npi10737850441659568038npi10737850441730168576npi10737850441770804718npi10737850441952308702npi10737850441923FFSComputed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions74178CPT2026Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regionsDERIVED480.009999-12-31PROFESSIONAL1003905290npi12452716751174567697npi12452716751548688708npi124527167511FFSCT,HEART,W/O CONTRAST W/QUANT. EVAL CORONARY CALCM75571CPT2026CT,HEART,W/O CONTRAST W/QUANT. EVAL CORONARY CALCMDERIVED141.499999-12-31PROFESSIONAL1316981996npi124527167511FFSCT ANGIO,ABD AORTA & BILAT ILIOFEM LOW EXTRM W/CON75635CPT2026CT ANGIO,ABD AORTA & BILAT ILIOFEM LOW EXTRM W/CONNEGOTIATED638.009999-12-31INSTITUTIONAL1033937883npi103393788322FFSMR SAFETY IMPLANT AND/OR FOREIGN BODY ASSESSMENT BY TRAINED CLINICAL STAFF, INCLUDING IDENTIFICATION AND VERIFICATION OF IMPLANT COMPONENTS FROM APPROPRIATE SOURCES (EG, SURGICAL REPORTS, IMAGING REPORTS, MEDICAL DEVICE DATABASES,76014CPT2026MR SAFETY IMPLANT AND/OR FOREIGN BODY ASSESSMENT BY TRAINED CLINICAL STAFF, INCLUDING IDENTIFICATION AND VERIFICATION OF IMPLANT COMPONENTS FROM APPROPRIATE SOURCES (EG, SURGICAL REPORTS, IMAGING REPORTS, MEDICAL DEVICE DATABASES,DERIVED15.659999-12-31PROFESSIONAL1326082975npi124527167511FFSREQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATN76377CPT2026REQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATNDERIVED327.689999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED270.369999-12-31INSTITUTIONAL1679678486npi167967848623FFSUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited76642CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limitedDERIVED178.959999-12-31PROFESSIONAL1457886046npi12452716751831136191npi124527167511DERIVED119.309999-12-31PROFESSIONAL1003905290npi12452716751104860600npi12452716751114960200npi12452716751174567697npi12452716751306188073npi12452716751316981996npi12452716751326082975npi12452716751386757631npi12452716751396756474npi12452716751457886046npi12452716751578507588npi12452716751619037025npi12452716751639598519npi12452716751699717124npi12452716751710230982npi12452716751831136191npi124527167511DERIVED59.659999-12-31PROFESSIONAL1578507588npi12452716751831136191npi124527167511DERIVED93.439999-12-31INSTITUTIONAL1871977942npi187197794222FFSECHO EXAM OF ABDOMEN76705CPT2026ECHO EXAM OF ABDOMENFEE SCHEDULE30.349999-12-31PROFESSIONAL1083656706npi10634007291902011588npi106340072921FFSECHO EXAM ABDOMEN BACK WALL76770CPT2026ECHO EXAM ABDOMEN BACK WALLFEE SCHEDULE56.699999-12-31PROFESSIONAL1326542564npi107378504421FEE SCHEDULE37.809999-12-31PROFESSIONAL1699717124npi106340072921FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, PLACENTAL LOCATION, FETAL POSITION AND/OR QUALITATIVE AMNIOTIC FLUID VOLUME), 1 OR MORE FETUSES76815CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, PLACENTAL LOCATION, FETAL POSITION AND/OR QUALITATIVE AMNIOTIC FLUID VOLUME), 1 OR MORE FETUSESFEE SCHEDULE34.139999-12-31PROFESSIONAL1588079917npi10634007291962505347npi12452835302223DERIVED194.689999-12-31INSTITUTIONAL1811991227npi181199122722FFSSCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERAL77063CPT2026SCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERALDERIVED41.189999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE46.079999-12-31PROFESSIONAL1285824086npi10737850441386943942npi10737850441871559971npi107378504422DERIVED47.769999-12-31PROFESSIONAL1770717258npi147783081811DERIVED73.399999-12-31PROFESSIONAL1104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751316981996npi12452716751386757631npi12452716751396756474npi12452716751457886046npi12452716751497103121npi12452716751578507588npi12452716751619037025npi12452716751699717124npi12452716751780655498npi12452716751831136191npi124527167511DERIVED18.689999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED43.249999-12-31INSTITUTIONAL1063426823npi106342682322FFSTherapeutic radiology treatment planning; simple77261CPT2026Therapeutic radiology treatment planning; simpleFEE SCHEDULE76.879999-12-31PROFESSIONAL1346262789npi124528353021FFSSET RADIATION THERAPY FIELD77290CPT2026SET RADIATION THERAPY FIELDFEE SCHEDULE89.919999-12-31PROFESSIONAL1346262789npi124528353021FFSTRTMT DEVICES,DESIGN,COMPLEX77334CPT2026TRTMT DEVICES,DESIGN,COMPLEXFEE SCHEDULE66.049999-12-31PROFESSIONAL1346262789npi12452835301962438531npi12452835302122DERIVED1319.269999-12-31INSTITUTIONAL1811991227npi181199122722FFSPARATHYROID PLANAR IMAG W/TOMOGRAPHIC & CONCUR CT78072CPT2026PARATHYROID PLANAR IMAG W/TOMOGRAPHIC & CONCUR CTFEE SCHEDULE117.609999-12-31PROFESSIONAL1649225160npi107378504422FFSPULMONARY VENTILATION & PERFUSION IMAGING78582CPT2026PULMONARY VENTILATION & PERFUSION IMAGINGDERIVED1505.479999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE80.729999-12-31PROFESSIONAL1649225160npi107378504423FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED203.339999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED213.509999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED238.369999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED247.169999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED146.529999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED193.529999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED222.559999-12-31INSTITUTIONAL1700978558npi17009785582223DERIVED11.629999-12-31PROFESSIONAL1386693331npi176059096211DERIVED211.959999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED235.399999-12-31INSTITUTIONAL1063426823npi106342682323FFSDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when p80305CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when pDERIVED13.239999-12-31PROFESSIONAL1356446223npi189119744811FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.489999-12-31PROFESSIONAL1740478197npi109349363711DERIVED2.009999-12-31PROFESSIONAL1568941714npi124528353011DERIVED2.369999-12-31PROFESSIONAL1619460755npi12452835301891226155npi124528353011FFSMOLECULAR PATHOLOGY PROCEDURE, LEVEL 481403CPT2026MOLECULAR PATHOLOGY PROCEDURE, LEVEL 4DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSEpilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, TSC1, TSC2, and ZEB281419CPT2026Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, TSC1, TSC2, and ZEB2DERIVED2448.569999-12-31PROFESSIONAL1518713072npi999999999981FFSFETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATING CELL-FREE FETAL DNA IN MATERNAL BLOOD, MUST INCLUDE ANALYSIS OF CHROMOSOMES 13, 18, AND 2181420CPT2026FETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATING CELL-FREE FETAL DNA IN MATERNAL BLOOD, MUST INCLUDE ANALYSIS OF CHROMOSOMES 13, 18, AND 21DERIVED750.009999-12-31PROFESSIONAL1891731626npi189173162681FFSGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED8.529999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED38.839999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED83.929999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED41.969999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED36.989999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED37.999999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED39.899999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED42.819999-12-31INSTITUTIONAL1063426823npi106342682322FFSGonadotropin; luteinizing hormone (LH)83002CPT2026Gonadotropin; luteinizing hormone (LH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSFailed medical induction of labor833MS-DRG10Failed medical induction of laborDERIVED132.999999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED399.239999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED67.549999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED254.929999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED275.159999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED44.019999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED2106.609999-12-31INSTITUTIONAL1063426823npi106342682321FFSLactate (lactic acid)83605CPT2026Lactate (lactic acid)DERIVED99.249999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED113.509999-12-31INSTITUTIONAL1679678486npi167967848623FFSLactate dehydrogenase (LD), (LDH);83615CPT2026Lactate dehydrogenase (LD), (LDH);NEGOTIATED6.049999-12-31PROFESSIONAL1245720820npi124572082081FFSASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED60.439999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED77.219999-12-31INSTITUTIONAL1063426823npi10634268231700978558npi17009785582223DERIVED70.039999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED73.539999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED70.389999-12-31INSTITUTIONAL1679678486npi167967848623FFSParathormone (parathyroid hormone)83970CPT2026Parathormone (parathyroid hormone)DERIVED431.769999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED411.199999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED126.679999-12-31INSTITUTIONAL1700978558npi170097855822FFSPhosphorus inorganic (phosphate);84100CPT2026Phosphorus inorganic (phosphate);DERIVED37.329999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED42.069999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED50.219999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED52.729999-12-31INSTITUTIONAL1700978558npi170097855822FFSProtein, total, except by refractometry; urine84156CPT2026Protein, total, except by refractometry; urineNEGOTIATED3.679999-12-31PROFESSIONAL1245720820npi124572082081FFSTroponin, quantitative84484CPT2026Troponin, quantitativeDERIVED157.019999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED173.119999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED149.369999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED166.319999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED164.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED181.769999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED190.859999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED381.719999-12-31INSTITUTIONAL1063426823npi106342682322FFSGonadotropin, chorionic (hCG); quantitative84702CPT2026Gonadotropin, chorionic (hCG); quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSCHORIONIC GONADOTROPIN ASSAY84703CPT2026CHORIONIC GONADOTROPIN ASSAYDERIVED74.249999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED81.859999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED85.949999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED6.329999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED15.199999-12-31INSTITUTIONAL1811991227npi181199122722FFSC-reactive protein; high sensitivity (hsCRP)86141CPT2026C-reactive protein; high sensitivity (hsCRP)DERIVED107.559999-12-31INSTITUTIONAL1063426823npi106342682322FFSSkin test; tuberculosis, intradermal86580CPT2026Skin test; tuberculosis, intradermalFEE SCHEDULE11.269999-12-31PROFESSIONAL1013909951npi167977244611FFSHepatitis C antibody;86803CPT2026Hepatitis C antibody;NEGOTIATED14.279999-12-31PROFESSIONAL1245720820npi124572082081DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSConcentration (any type), for infectious agents87015CPT2026Concentration (any type), for infectious agentsDERIVED42.169999-12-31INSTITUTIONAL1063426823npi106342682322FFSCULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;87081CPT2026CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;NEGOTIATED255.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED8.299999-12-31PROFESSIONAL1346290145npi187157203211FFSCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED79.639999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED121.109999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED127.169999-12-31INSTITUTIONAL1700978558npi170097855823FFSSmear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types87205CPT2026Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell typesDERIVED32.569999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE2.569999-12-31PROFESSIONAL1265798870npi126579887081FFSINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVE87389CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSINF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTE87637CPT2026INF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTEDERIVED243.149999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED210.049999-12-31INSTITUTIONAL1063426823npi106342682323FFSInfectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique87801CPT2026Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) techniqueDERIVED87.759999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED5.009999-12-31PROFESSIONAL1396704821npi190208406411DERIVED13.229999-12-31PROFESSIONAL1427354919npi170064904311DERIVED17.359999-12-31PROFESSIONAL1427049105npi183119971011DERIVED18.189999-12-31PROFESSIONAL1750305900npi16391384801992142426npi122503423411FFSTISSUE CULTURE, LYMPHOCYTE88230CPT2026TISSUE CULTURE, LYMPHOCYTEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSPathology consultation during surgery; first tissue block, with frozen section(s), single specimen88331CPT2026Pathology consultation during surgery; first tissue block, with frozen section(s), single specimenDERIVED101.939999-12-31INSTITUTIONAL1700978558npi170097855822FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)90472CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)DERIVED16.519999-12-31PROFESSIONAL1629241427npi124528353011DERIVED15.739999-12-31PROFESSIONAL1689645970npi163913848011DERIVED17.309999-12-31PROFESSIONAL1740478197npi109349363711FFSMENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, SEROGROUP B (MENB-4C), FOR INTRAMUSCULAR USE90620CPT2026MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, SEROGROUP B (MENB-4C), FOR INTRAMUSCULAR USEDERIVED237.139999-12-31PROFESSIONAL1821014192npi194268913811FFSHaemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use90647CPT2026Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular useDERIVED18.839999-12-31PROFESSIONAL1538500400npi124528353011FFSINFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FR90662CPT2026INFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FRDERIVED107.989999-12-31PROFESSIONAL1740478197npi109349363711FFSRotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use90680CPT2026Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral useDERIVED100.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED102.749999-12-31PROFESSIONAL1356551766npi13163851641689645970npi16391384801821014192npi194268913811FFSRotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use90681CPT2026Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral useDERIVED125.009999-12-31PROFESSIONAL1952357840npi124528353011FFSInfluenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use90686CPT2026Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular useDERIVED23.679999-12-31PROFESSIONAL1740478197npi109349363711FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use90698CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular useDERIVED130.539999-12-31PROFESSIONAL1518443233npi163913848011FFSPSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES90792CPT2026PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICESDERIVED349.979999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE172.049999-12-31PROFESSIONAL1265099238npi11547575571922122035npi17205571500211FEE SCHEDULE177.689999-12-31PROFESSIONAL1295021012npi12452835301306286364npi124528353021FFSPsychotherapy, 45 minutes with patient90834CPT2026Psychotherapy, 45 minutes with patientFEE SCHEDULE96.069999-12-31PROFESSIONAL1891852935npi189185293510FFSPsychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)90836CPT2026Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)FEE SCHEDULE98.159999-12-31PROFESSIONAL1992926661npi181131510411FFSOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient92002CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patientFEE SCHEDULE288.009999-12-31PROFESSIONAL1275860140npi179077231711FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientFEE SCHEDULE97.279999-12-31PROFESSIONAL1023273398npi165932121411FFSBinocular microscopy (separate diagnostic procedure)92504CPT2026Binocular microscopy (separate diagnostic procedure)FEE SCHEDULE36.289999-12-31PROFESSIONAL1295705283npi118462573311FFSNasopharyngoscopy with endoscope (separate procedure)92511CPT2026Nasopharyngoscopy with endoscope (separate procedure)NEGOTIATED345.439999-12-31INSTITUTIONAL1184709057npi118470905722FFSTORSION SWING RECORDING92546CPT2026TORSION SWING RECORDINGDERIVED136.129999-12-31PROFESSIONAL1508863572npi145735843411FFSElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportDERIVED13.779999-12-31PROFESSIONAL1043488661npi18515526651194785519npi16695892631649230103npi16695892631710945761npi187168799611NEGOTIATED37.119999-12-31PROFESSIONAL1942210984npi166942957711FEE SCHEDULE16.839999-12-31PROFESSIONAL1417921701npi194225068311DERIVED16.839999-12-31PROFESSIONAL1043328735npi13262549621740478197npi109349363711FFSECHO EXAM OF HEART93312CPT2026ECHO EXAM OF HEARTDERIVED94.649999-12-31PROFESSIONAL1194785519npi166958926321FEE SCHEDULE136.709999-12-31PROFESSIONAL1194785519npi124528353021FFSINTRACRANIAL STUDY93888CPT2026INTRACRANIAL STUDYFEE SCHEDULE181.499999-12-31PROFESSIONAL1417921701npi194225068311FFSEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDDERIVED123.959999-12-31PROFESSIONAL1114960200npi12452716751578768156npi124527167511FEE SCHEDULE22.749999-12-31PROFESSIONAL1154358398npi10634007291306188073npi10634007292223FEE SCHEDULE34.119999-12-31PROFESSIONAL1730168576npi10737850441972759025npi107378504423FEE SCHEDULE129.589999-12-31PROFESSIONAL1013973882npi175056469611DERIVED194.689999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED558.669999-12-31INSTITUTIONAL1063426823npi106342682323FFSVISCERAL VASCULAR STUDY93975CPT2026VISCERAL VASCULAR STUDYDERIVED489.489999-12-31INSTITUTIONAL1811991227npi181199122722FFSRESPIRATORY FLOW VOLUME LOOP94375CPT2026RESPIRATORY FLOW VOLUME LOOPFEE SCHEDULE45.149999-12-31PROFESSIONAL1497794648npi199289901711FFSCONT. POSITIVE AIRWAY PRESSU94660CPT2026CONT. POSITIVE AIRWAY PRESSUDERIVED68.289999-12-31PROFESSIONAL1205889243npi128568537011FFSDiffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)94729CPT2026Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)DERIVED61.319999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011FEE SCHEDULE67.449999-12-31PROFESSIONAL1598715229npi130694203211FFSNitric oxide expired gas determination95012CPT2026Nitric oxide expired gas determinationFEE SCHEDULE19.979999-12-31PROFESSIONAL1265542229npi170015934011FFSIMMUNOTHERAPY,PROF SERV, ONE INJECTION95115CPT2026IMMUNOTHERAPY,PROF SERV, ONE INJECTIONFEE SCHEDULE10.589999-12-31PROFESSIONAL1013909951npi167977244611FFSNERVE CONDUCTION STUDIES; 9-10 STUDIES95911CPT2026NERVE CONDUCTION STUDIES; 9-10 STUDIESFEE SCHEDULE226.639999-12-31PROFESSIONAL1083824817npi171016209411FFSNeurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professio96116CPT2026Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professioFEE SCHEDULE79.809999-12-31PROFESSIONAL1265454060npi177081981511FFSBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED4.679999-12-31PROFESSIONAL1841805462npi132625496211DERIVED5.469999-12-31PROFESSIONAL1043328735npi132625496211DERIVED5.219999-12-31PROFESSIONAL1023061579npi13166470501427049105npi18311997101629241427npi12452835301669852984npi12452835301982630042npi111403746211DERIVED5.479999-12-31PROFESSIONAL1750305900npi163913848011FFSNEUROPSYCHOLOGICAL TESTING EVALUATION SERVICES BY PHYSICIAN/OTHER QUALIFIED PROFESSIONAL, INCLUDING INTEGRATION OF PATIENT DATA, INTERPRETATION OF STANDARDIZED TEST RESULTS & CLINICAL DATA, CLINICAL DECISION MAKING, TREATMENT PLANNING & REPORT, & INTERAC96132CPT2026NEUROPSYCHOLOGICAL TESTING EVALUATION SERVICES BY PHYSICIAN/OTHER QUALIFIED PROFESSIONAL, INCLUDING INTEGRATION OF PATIENT DATA, INTERPRETATION OF STANDARDIZED TEST RESULTS & CLINICAL DATA, CLINICAL DECISION MAKING, TREATMENT PLANNING & REPORT, & INTERACFEE SCHEDULE103.629999-12-31PROFESSIONAL1265454060npi177081981511FFSPSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINIS TRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)96139CPT2026PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINIS TRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)FEE SCHEDULE28.779999-12-31PROFESSIONAL1265454060npi177081981511FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED15.889999-12-31PROFESSIONAL1407887029npi11443331051952355497npi155834024011DERIVED15.129999-12-31PROFESSIONAL1487875977npi128568537011DERIVED96.169999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED96.689999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED41.769999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED50.769999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED63.209999-12-31INSTITUTIONAL1871977942npi187197794223FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug96374CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drugDERIVED90.259999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED98.209999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED383.639999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED389.339999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED458.939999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED77.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED81.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED428.169999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED119.379999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED85.969999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED127.099999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED395.899999-12-31INSTITUTIONAL1811991227npi181199122723FFSTherapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities97112CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesDERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901093813065npi12952799901720716780npi12952799901831317015npi12952799901861963555npi129527999011FEE SCHEDULE28.999999-12-31PROFESSIONAL1699822445npi134645616711FFSTherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes97530CPT2026Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesDERIVED60.009999-12-31PROFESSIONAL1770676678npi12952799901831317015npi129527999011DERIVED50.009999-12-31PROFESSIONAL1093520850npi15583402401467027110npi15583402401669026761npi15583402401992912349npi155834024011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781689976037npi189190537820DERIVED66.309999-12-31PROFESSIONAL1336771500npi161901856111DERIVED93.119999-12-31PROFESSIONAL1366448805npi187157203211FEE SCHEDULE67.049999-12-31PROFESSIONAL1669458600npi13464561671689662470npi134645616711FEE SCHEDULE70.029999-12-31PROFESSIONAL1356909964npi107357713611DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE OFEE SCHEDULE140.819999-12-31PROFESSIONAL1952350548npi124528353022DERIVED170.779999-12-31PROFESSIONAL1679325385npi124528353011FEE SCHEDULE201.479999-12-31PROFESSIONAL1013909951npi16797724461538337860npi17002818131659363505npi141714803211DERIVED160.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED201.479999-12-31PROFESSIONAL1104847466npi19425904011619460755npi12452835301841482346npi14573584341952630105npi137699897111DERIVED172.699999-12-31PROFESSIONAL1194785519npi166958926311DERIVED191.889999-12-31PROFESSIONAL1952357840npi124528353011FEE SCHEDULE198.419999-12-31PROFESSIONAL1164532925npi122535175211FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of99222CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date ofDERIVED149.729999-12-31PROFESSIONAL1831483213npi178010052922FEE SCHEDULE124.579999-12-31PROFESSIONAL1396207924npi124528353021FEE SCHEDULE149.739999-12-31PROFESSIONAL1790755759npi187174597621FEE SCHEDULE119.789999-12-31PROFESSIONAL1972690444npi128506955921FEE SCHEDULE155.719999-12-31PROFESSIONAL1265694574npi12452835301336376086npi124528353022FEE SCHEDULE122.189999-12-31PROFESSIONAL1487399366npi106346376821FEE SCHEDULE131.769999-12-31PROFESSIONAL1346262789npi124528353021NEGOTIATED208.209999-12-31PROFESSIONAL1851349898npi166942957722FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making99285CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision makingDERIVED1283.079999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED1572.529999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED4529.809999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE276.619999-12-31PROFESSIONAL1033283684npi12452835301063663664npi12452835301083175285npi12452835301316443963npi12452835301780181479npi12452835301881058881npi12452835301972034742npi124528353023NEGOTIATED1820.009999-12-31INSTITUTIONAL1336221019npi133622101923DERIVED1376.569999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE196.319999-12-31PROFESSIONAL1306286364npi124528353023FEE SCHEDULE232.009999-12-31PROFESSIONAL1992292312npi124528353023FEE SCHEDULE235.579999-12-31PROFESSIONAL1104297829npi12452835301326036989npi12452835301942754965npi124528353023FEE SCHEDULE356.929999-12-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.279999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED5467.839999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1281.419999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1358.409999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1497.649999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1531.549999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED2044.589999-12-31INSTITUTIONAL1871977942npi187197794223FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99384CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED122.509999-12-31PROFESSIONAL1588101174npi111403746211DERIVED144.539999-12-31PROFESSIONAL1346690484npi11141114401427049105npi183119971011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99394CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED124.429999-12-31PROFESSIONAL1821037979npi157895468111DERIVED100.729999-12-31PROFESSIONAL1538500400npi124528353011DERIVED118.509999-12-31PROFESSIONAL1013412196npi124528353011DERIVED125.619999-12-31PROFESSIONAL1154884815npi170064904311DERIVED130.359999-12-31PROFESSIONAL1750305900npi163913848011DERIVED105.469999-12-31PROFESSIONAL1568941714npi12452835301588101174npi111403746211FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED135.009999-12-31PROFESSIONAL1356373054npi13868232431609316595npi138682324311DERIVED147.489999-12-31PROFESSIONAL1700465499npi17801005291770244410npi178010052911NEGOTIATED192.379999-12-31PROFESSIONAL1033108741npi16694295771316306756npi156869355411DERIVED114.139999-12-31PROFESSIONAL1528666575npi14274987241568941714npi124528353011DERIVED134.659999-12-31PROFESSIONAL1356446223npi18911974481477747970npi17900973351619460755npi12452835301629241427npi12452835301851484307npi16292791381891730974npi17102112890211DERIVED173.129999-12-31PROFESSIONAL1609194349npi178010052911DERIVED80.159999-12-31PROFESSIONAL1740478197npi109349363711DERIVED141.069999-12-31PROFESSIONAL1104864768npi173045297011DERIVED160.309999-12-31PROFESSIONAL1740478197npi10934936371811928674npi109349363711NEGOTIATED96.199999-12-31PROFESSIONAL1013337898npi156869355411FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99397CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED144.869999-12-31PROFESSIONAL1356446223npi18911974481437563533npi12452835301619460755npi124528353011DERIVED146.869999-12-31PROFESSIONAL1043328735npi132625496211DERIVED172.469999-12-31PROFESSIONAL1740478197npi109349363711FFSSMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MIN99406CPT2026SMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MINDERIVED16.009999-12-31PROFESSIONAL1407887029npi114433310511FFSSMOKING CESSATION COUNSELING-INTENSIVE OVER 10 MIN99407CPT2026SMOKING CESSATION COUNSELING-INTENSIVE OVER 10 MINDERIVED30.719999-12-31PROFESSIONAL1891730974npi171021128911FFSUnlisted evaluation and management service99499CPT2026Unlisted evaluation and management serviceDERIVED0.019999-12-31PROFESSIONAL1841805462npi132625496211FFSAMBULANCE SVC, ALS, NON EMERG LEV 1A0426HCPCS2026AMBULANCE SVC, ALS, NON EMERG LEV 1DERIVED900.009999-12-31PROFESSIONAL1265097513npi179077231741FFSDIAB;FIT,PREP,SUPPLY INLAY SHOE, PER SHOEA5500HCPCS2026DIAB;FIT,PREP,SUPPLY INLAY SHOE, PER SHOEDERIVED67.979999-12-31PROFESSIONAL1053076521npi105307652112DERIVED48.389999-12-31PROFESSIONAL1184066482npi153868649811FFSTECHNITIUM 99, MEDRONATE, UP TO 30 MCA9503HCPCS2026TECHNITIUM 99, MEDRONATE, UP TO 30 MCDERIVED40.439999-12-31PROFESSIONAL1093759599npi124527167511FFSCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED20.959999-12-31PROFESSIONAL1295925030npi138694001311DERIVED160.009999-12-31PROFESSIONAL1346290145npi18715720321366447195npi18715720321366448805npi18715720321609849496npi18715720321639147911npi18715720321679100853npi187157203211DERIVED41.919999-12-31PROFESSIONAL1295925030npi138694001311DERIVED125.009999-12-31PROFESSIONAL1104847466npi19425904011144225541npi15088186911154483634npi122520184111FFSCOLONOSCOPY SCREENING FOR LOW RISK INDIVIDUALSG0121HCPCS2026COLONOSCOPY SCREENING FOR LOW RISK INDIVIDUALSDERIVED639.389999-12-31PROFESSIONAL1033149752npi179079027711FFSSRVCS PHY THERAPY IN HOME HLTH/HOSPICE, EA 15 MINSG0151HCPCS2026SRVCS PHY THERAPY IN HOME HLTH/HOSPICE, EA 15 MINSDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512DERIVED130.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSELECTRICAL STIMULATION (UNATTENDED),TO ONE OR MOREG0283HCPCS2026ELECTRICAL STIMULATION (UNATTENDED),TO ONE OR MOREFEE SCHEDULE11.329999-12-31PROFESSIONAL1699822445npi134645616711FFSHH/HOSPIC RN SRVCS 15 MIN EACHG0299HCPCS2026HH/HOSPIC RN SRVCS 15 MIN EACHDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512DERIVED133.909999-12-31INSTITUTIONAL1013081215npi101308121512FFSCOLORECTAL CANCER SCRN FECAL OCCULT IMMUNOASSAYG0328HCPCS2026COLORECTAL CANCER SCRN FECAL OCCULT IMMUNOASSAYDERIVED18.959999-12-31PROFESSIONAL1982630042npi111403746211DERIVED22.569999-12-31PROFESSIONAL1366447195npi187157203211FFSHOME SLEEP TEST/TYPE 3 PORTAG0399HCPCS2026HOME SLEEP TEST/TYPE 3 PORTADERIVED75.009999-12-31PROFESSIONAL1205889243npi128568537012FFSANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESG0442HCPCS2026ANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESDERIVED19.259999-12-31PROFESSIONAL1407887029npi114433310511DERIVED20.169999-12-31PROFESSIONAL1104864768npi173045297011FEE SCHEDULE19.259999-12-31PROFESSIONAL1538337860npi170028181311FFSINJECTION, ACETAMINOPHEN (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0131, 10 MGJ0137HCPCS2026INJECTION, ACETAMINOPHEN (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0131, 10 MGDERIVED31.139999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MGJ0688HCPCS2026INJECTION, CEFAZOLIN SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0690, 500 MGDERIVED16.929999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJECTION, BETAMETHASONE, 3 MGJ0702HCPCS2026INJECTION, BETAMETHASONE, 3 MGDERIVED29.049999-12-31PROFESSIONAL1235498460npi155834024011FEE SCHEDULE8.009999-12-31PROFESSIONAL1164532925npi122535175211FFSINJECTION, GLYCOPYRROLATE, 0.1 MGJ1596HCPCS2026INJECTION, GLYCOPYRROLATE, 0.1 MGDERIVED12.779999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED32.599999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJECTION, IRON SUCROSE, 1 MGJ1756HCPCS2026INJECTION, IRON SUCROSE, 1 MGDERIVED189.009999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED48.009999-12-31PROFESSIONAL1013002880npi176059096211FFSINJECTION,LABETALOL HCI, 5 MGJ1920HCPCS2026INJECTION,LABETALOL HCI, 5 MGDERIVED19.329999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, FUROSEMIDE, 1 MGJ1938HCPCS2026INJECTION, FUROSEMIDE, 1 MGDERIVED10.449999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJECTION, LIDOCAINE HCL WITH EPINEPHRINE, 1 MGJ2004HCPCS2026INJECTION, LIDOCAINE HCL WITH EPINEPHRINE, 1 MGDERIVED18.059999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ PIPERACILLIN SODIUM/TAZOBACTAM SOD 1.125 GJ2543HCPCS2026INJ PIPERACILLIN SODIUM/TAZOBACTAM SOD 1.125 GDERIVED12.289999-12-31INSTITUTIONAL1679678486npi167967848623FFSINJECTION,PROPOFOL,10MGJ2704HCPCS2026INJECTION,PROPOFOL,10MGDERIVED26.599999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED28.609999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED35.089999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED42.709999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED91.239999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED39.559999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED56.659999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED6.639999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED18.139999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED26.999999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED5.729999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED27.879999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ FENTANYL CITRATE, 0.1MGJ3010HCPCS2026INJ FENTANYL CITRATE, 0.1MGDERIVED14.229999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED16.559999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED17.489999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED5.079999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED12.599999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED14.549999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED35.059999-12-31INSTITUTIONAL1063426823npi106342682322FFSZOLEDRONIC ACID 1MGJ3489HCPCS2026ZOLEDRONIC ACID 1MGDERIVED20.329999-12-31PROFESSIONAL1093729287npi17605909621306850508npi176059096211FFSALBUTEROL NONCOMP ADM=DME UNIT DOSE, 1 MGJ7613HCPCS2026ALBUTEROL NONCOMP ADM=DME UNIT DOSE, 1 MGDERIVED0.079999-12-31PROFESSIONAL1013412196npi12452835301427049105npi183119971011DERIVED0.219999-12-31PROFESSIONAL1427354919npi170064904311FFSORAL APREPITANT, 5 MGJ8501HCPCS2026ORAL APREPITANT, 5 MGDERIVED69.899999-12-31INSTITUTIONAL1679678486npi167967848622FFSCAST SUPPLIES,SHORT ARM SPLINT, ADULT, FIBERGLASSQ4022HCPCS2026CAST SUPPLIES,SHORT ARM SPLINT, ADULT, FIBERGLASSDERIVED16.289999-12-31PROFESSIONAL1740606441npi155834024011FFSLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED20.229999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED0.199999-12-31PROFESSIONAL1619607835npi124527167511DERIVED427.809999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED0.229999-12-31PROFESSIONAL1780628339npi124527167511DERIVED0.579999-12-31PROFESSIONAL1619607835npi124527167511DERIVED11.009999-12-31PROFESSIONAL1326082975npi12452716751336566330npi12452716751619037025npi12452716751720391568npi12452716751902011588npi124527167511DERIVED22.009999-12-31PROFESSIONAL1003905290npi12452716751073557518npi12452716751174567697npi12452716751942207709npi124527167511FEE SCHEDULE0.159999-12-31PROFESSIONAL1669683769npi170011972411NEGOTIATED0.149999-12-31PROFESSIONAL1548477060npi138603434611DERIVED16.509999-12-31PROFESSIONAL1003905290npi12452716751114960200npi12452716751154358398npi12452716751548688708npi12452716751780655498npi124527167511DERIVED96.309999-12-31INSTITUTIONAL1679678486npi167967848623FFSGENETIC COUNSELING,UNDER PHYSICIAN SUPERVISION,15MS0265HCPCS2026GENETIC COUNSELING,UNDER PHYSICIAN SUPERVISION,15MDERIVED270.009999-12-31PROFESSIONAL1609971753npi15686331211790110310npi156863312111FFSSCREENING TO DETERMINE THE APPROPRIATENESS OFT1023HCPCS2026SCREENING TO DETERMINE THE APPROPRIATENESS OFNEGOTIATED1892.009999-12-31PROFESSIONAL1881898559npi188189855911NEGOTIATED750.009999-12-31PROFESSIONAL1881898559npi188189855911FFSANESTH, GASTRIC RESTRICT PROCED FOR MORBID OBESITY00797CPT2026ANESTH, GASTRIC RESTRICT PROCED FOR MORBID OBESITYDERIVED1642.679999-12-31PROFESSIONAL1225427123npi106346376821FFSAnesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified00811CPT2026Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specifiedDERIVED693.339999-12-31PROFESSIONAL1083054456npi106346376822DERIVED560.009999-12-31PROFESSIONAL1194943282npi106346376821FFSAnesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified00840CPT2026Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specifiedDERIVED804.009999-12-31PROFESSIONAL1497728679npi178010052922FFSOB/2BED0122RC2026OB/2BEDDERIVED3184.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSAnesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic01926CPT2026Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aorticDERIVED1546.679999-12-31PROFESSIONAL1629415179npi106346376821FFSIV THERAPY0260RC2026IV THERAPYDERIVED589.769999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED534.949999-12-31INSTITUTIONAL1063426823npi106342682321FFSPROSTH/ORTH DEV0274RC2026PROSTH/ORTH DEVNEGOTIATED183.729999-12-31INSTITUTIONAL1184709057npi118470905721FFSLABORATORY OR (LAB)0300RC2026LABORATORY OR (LAB)DERIVED13.779999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED321.699999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED55.099999-12-31INSTITUTIONAL1063426823npi106342682321NEGOTIATED653.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSLAB/CHEMISTRY0301RC2026LAB/CHEMISTRYNEGOTIATED687.009999-12-31INSTITUTIONAL1184709057npi118470905721DERIVED36960.009999-12-31INSTITUTIONAL1811991227npi181199122751DERIVED341.849999-12-31INSTITUTIONAL1285681908npi128568190822DERIVED848.009999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED65.609999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED2137.249999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED5391.369999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/IMMUNOLOGY0302RC2026LAB/IMMUNOLOGYDERIVED242.119999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED193.509999-12-31INSTITUTIONAL1285681908npi128568190822FFSLAB/BACT-MICRO0306RC2026LAB/BACT-MICRODERIVED386.439999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED518.079999-12-31INSTITUTIONAL1063426823npi106342682321FFSPATH LAB0310RC2026PATH LABDERIVED1077.339999-12-31INSTITUTIONAL1063426823npi106342682321FFSDX X-RAY0320RC2026DX X-RAYDERIVED1134.869999-12-31INSTITUTIONAL1285681908npi128568190822NEGOTIATED1007.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSNUC MED/DX0341RC2026NUC MED/DXDERIVED4523.269999-12-31INSTITUTIONAL1063426823npi106342682321FFSCT SCAN/BODY0352RC2026CT SCAN/BODYDERIVED4063.989999-12-31INSTITUTIONAL1063426823npi106342682321FFSANESTHESIA0370RC2026ANESTHESIADERIVED713.879999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1092.639999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED2028.149999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14956.259999-12-31INSTITUTIONAL1285681908npi128568190822DERIVED1542.999999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1565.509999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2152.029999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1434.739999-12-31INSTITUTIONAL1700978558npi170097855822NEGOTIATED7624.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSPHYS THERP/VISIT0421RC2026PHYS THERP/VISITNEGOTIATED530.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSSTRSS TEST0482RC2026STRSS TESTDERIVED1022.449999-12-31INSTITUTIONAL1063426823npi106342682321FFSEEG0740RC2026EEGNEGOTIATED1176.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSEXC LES. TRUNK ARMS OR LEGS11403CPT2026EXC LES. TRUNK ARMS OR LEGSDERIVED104.039999-12-31PROFESSIONAL1114293412npi161901856111FFSEXC LES SCALP,NECK,HAND,FT,G11423CPT2026EXC LES SCALP,NECK,HAND,FT,GDERIVED108.929999-12-31PROFESSIONAL1114293412npi161901856111FFSExcision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm11442CPT2026Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cmFEE SCHEDULE249.709999-12-31PROFESSIONAL1295705283npi118462573311FFSExcision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm11443CPT2026Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cmFEE SCHEDULE297.499999-12-31PROFESSIONAL1295705283npi118462573311FFSExcision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm11643CPT2026Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cmDERIVED165.289999-12-31PROFESSIONAL1114293412npi161901856111FFSREP COMPLX-SCALP,ARMS,LEGS13120CPT2026REP COMPLX-SCALP,ARMS,LEGSDERIVED364.539999-12-31PROFESSIONAL1114293412npi161901856111FFSPeritonsillar abscess153MS-DRG10Peritonsillar abscessDERIVED12967.179999-12-31INSTITUTIONAL1063426823npi106342682321FFSDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE102.099999-12-31PROFESSIONAL1356909964npi107357713611FFSMohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (17311CPT2026Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (FEE SCHEDULE723.079999-12-31PROFESSIONAL1972708329npi164931421211FFSInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")DERIVED63.549999-12-31PROFESSIONAL1235498460npi155834024011FEE SCHEDULE77.459999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE78.669999-12-31PROFESSIONAL1164532925npi122535175211FFSComputer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)20985CPT2026Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)FEE SCHEDULE150.879999-12-31PROFESSIONAL1386608727npi194226369422FFSUnspecified atrial fibrillation274MS-DRG10Unspecified atrial fibrillationDERIVED4127.029999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED50127.339999-12-31INSTITUTIONAL1811991227npi181199122721FFSApplication, cast; elbow to finger (short arm)29075CPT2026Application, cast; elbow to finger (short arm)DERIVED101.759999-12-31PROFESSIONAL1225577703npi155834024011FFSArthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29881CPT2026Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performedDERIVED713.699999-12-31PROFESSIONAL1871537027npi178010052922DERIVED3916.449999-12-31INSTITUTIONAL1679678486npi167967848622FFSRemoval of subcutaneous implantable defibrillator electrode33272CPT2026Removal of subcutaneous implantable defibrillator electrodeDERIVED4604.499999-12-31INSTITUTIONAL1063426823npi106342682322FFSENDOVENOUS ABLATION TX INCOMP VEIN/ FIRST VEIN36475CPT2026ENDOVENOUS ABLATION TX INCOMP VEIN/ FIRST VEINFEE SCHEDULE499.459999-12-31PROFESSIONAL1104913110npi106346376822DERIVED6367.309999-12-31INSTITUTIONAL1811991227npi181199122722FFSArterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous36620CPT2026Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneousFEE SCHEDULE46.059999-12-31PROFESSIONAL1912312695npi124528353021FFSIntroduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis36901CPT2026Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosisFEE SCHEDULE670.339999-12-31PROFESSIONAL1669683769npi170011972411FFSTranscatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dia36908CPT2026Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central diaFEE SCHEDULE1348.639999-12-31PROFESSIONAL1669683769npi170011972411FFSNoninfective gastroenteritis and colitis, unspecified392MS-DRG10Noninfective gastroenteritis and colitis, unspecifiedDERIVED4080.479999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED12802.429999-12-31INSTITUTIONAL1811991227npi181199122721FFSESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPS43239CPT2026ESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPSDERIVED67.139999-12-31PROFESSIONAL1255449179npi115430408724FEE SCHEDULE170.789999-12-31PROFESSIONAL1770729816npi188164491224FEE SCHEDULE69.589999-12-31PROFESSIONAL1376962878npi124528353022DERIVED85.389999-12-31PROFESSIONAL1487684171npi178010052924DERIVED170.779999-12-31PROFESSIONAL1437718582npi178010052924FEE SCHEDULE126.509999-12-31PROFESSIONAL1376644328npi148776713324FFSColonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45378APC2026Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)DERIVED839.969999-12-31INSTITUTIONAL1619979580npi161997958024FFSCOLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPE45378APC2026COLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPEDERIVED839.969999-12-31INSTITUTIONAL1992707855npi199270785524FFSCOLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPE45378CPT2026COLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPEDERIVED228.949999-12-31PROFESSIONAL1447252432npi178010052924DERIVED642.039999-12-31PROFESSIONAL1033149752npi179079027711FFSColonoscopy, flexible; with biopsy, single or multiple45380APC2026Colonoscopy, flexible; with biopsy, single or multipleDERIVED948.889999-12-31INSTITUTIONAL1841251501npi184125150124NEGOTIATED293.579999-12-31INSTITUTIONAL1902853195npi190285319524DERIVED1086.199999-12-31INSTITUTIONAL1619979580npi161997958024DERIVED645.849999-12-31INSTITUTIONAL1518976661npi151897666124FFSCOLONOSCOPY AND BIOPSY45380CPT2026COLONOSCOPY AND BIOPSYFEE SCHEDULE200.929999-12-31PROFESSIONAL1376962878npi12452835301598996415npi124528353022FEE SCHEDULE246.589999-12-31PROFESSIONAL1154640779npi18816449121932270832npi188164491224DERIVED246.579999-12-31PROFESSIONAL1487684171npi178010052924FEE SCHEDULE182.659999-12-31PROFESSIONAL1376644328npi14877671331699717611npi132619471324FFSCOLONOSCOPY, LESION REMOVAL45385APC2026COLONOSCOPY, LESION REMOVALDERIVED308.259999-12-31INSTITUTIONAL1386381408npi138638140824DERIVED681.439999-12-31INSTITUTIONAL1124092945npi112409294524DERIVED474.449999-12-31INSTITUTIONAL1841251501npi184125150124NEGOTIATED587.139999-12-31INSTITUTIONAL1902853195npi190285319524FFSHEMORRHOIDECTOMY,INTERNAL & EXTERNAL,SINGLE COLUMN46255CPT2026HEMORRHOIDECTOMY,INTERNAL & EXTERNAL,SINGLE COLUMNDERIVED484.679999-12-31PROFESSIONAL1447252432npi178010052924FFSCystourethroscopy (separate procedure)52000APC2026Cystourethroscopy (separate procedure)DERIVED322.379999-12-31INSTITUTIONAL1518976661npi151897666124FFSBIOPSY OF VAGINA57100CPT2026BIOPSY OF VAGINADERIVED132.909999-12-31PROFESSIONAL1346290145npi187157203211FFSInsertion of intrauterine device (IUD)58300CPT2026Insertion of intrauterine device (IUD)DERIVED126.849999-12-31PROFESSIONAL1346290145npi187157203211FFSWITH REMOVAL OF TUBE(S) AND/OR OVARY(S) < 250 G58542CPT2026WITH REMOVAL OF TUBE(S) AND/OR OVARY(S) < 250 GDERIVED955.789999-12-31PROFESSIONAL1346290145npi187157203222DERIVED9483.759999-12-31INSTITUTIONAL1063426823npi106342682322FFSCARE OF MISCARRIAGE59820CPT2026CARE OF MISCARRIAGEDERIVED462.839999-12-31PROFESSIONAL1609849496npi187157203222FFSINJ, ANESTHETIC, BRACIAL PLEXUS, SINGLE64415CPT2026INJ, ANESTHETIC, BRACIAL PLEXUS, SINGLEFEE SCHEDULE101.829999-12-31PROFESSIONAL1194759779npi194244175324FFSLUMBAR OR SACRAL SINGLE LEVEL64483APC2026LUMBAR OR SACRAL SINGLE LEVELDERIVED553.599999-12-31INSTITUTIONAL1932657335npi193265733524FFSExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984CPT2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationDERIVED4018.879999-12-31INSTITUTIONAL1811991227npi181199122722FFSCAT SCAN OF HEAD OR BRAIN70450CPT2026CAT SCAN OF HEAD OR BRAINDERIVED102.209999-12-31PROFESSIONAL1619037025npi124527167511DERIVED152.109999-12-31PROFESSIONAL1093759599npi12452716751548688708npi124527167511DERIVED471.959999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1558.519999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED1645.859999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED489.119999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1282.199999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED1579.939999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED806.349999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED896.499999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1346.309999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED1421.759999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1728.149999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1865.229999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE65.699999-12-31PROFESSIONAL1174520134npi10737850441336439660npi10737850441386910255npi10737850441396753794npi10737850441407032071npi10737850441508128760npi10737850441548482151npi10737850441558369124npi10737850441750733614npi10737850441851362396npi10737850441992906259npi107378504423DERIVED1567.479999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE43.799999-12-31PROFESSIONAL1003905290npi10634007291154358398npi10634007291295872240npi10634007291396756474npi10634007291578507588npi10634007291619037025npi10634007291932532900npi10634007292123FFSCONTRAST CAT SCAN, FACE/JAW70487CPT2026CONTRAST CAT SCAN, FACE/JAWFEE SCHEDULE86.979999-12-31PROFESSIONAL1750733614npi107378504423DERIVED1508.529999-12-31INSTITUTIONAL1679678486npi167967848623FFSCT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMD70496CPT2026CT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMDDERIVED2591.539999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED389.159999-12-31PROFESSIONAL1326082975npi124527167511DERIVED2857.169999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE133.309999-12-31PROFESSIONAL1396753794npi107378504423FEE SCHEDULE88.879999-12-31PROFESSIONAL1003905290npi106340072921FFSCT ANGIO,HEAD,W/O CONTR FOLLOWED BY CONTR70496CPT2026CT ANGIO,HEAD,W/O CONTR FOLLOWED BY CONTRDERIVED2747.289999-12-31INSTITUTIONAL1063426823npi106342682323FFSCT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMD70498CPT2026CT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMDFEE SCHEDULE133.309999-12-31PROFESSIONAL1396753794npi107378504423DERIVED2372.159999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2490.769999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE88.879999-12-31PROFESSIONAL1003905290npi10634007291295872240npi10634007292123DERIVED2259.199999-12-31INSTITUTIONAL1063426823npi106342682323FFSMRA,HEAD;W/OUT CONTRAST70544CPT2026MRA,HEAD;W/OUT CONTRASTDERIVED304.949999-12-31PROFESSIONAL1619037025npi124527167511FEE SCHEDULE61.259999-12-31PROFESSIONAL1093750820npi106340072921DERIVED2050.079999-12-31INSTITUTIONAL1063426823npi106342682323FFSRadiologic examination, chest; single view71045CPT2026Radiologic examination, chest; single viewDERIVED350.379999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED156.529999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED181.529999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED250.029999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED302.669999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED161.359999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED275.329999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED333.689999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE13.919999-12-31PROFESSIONAL1053842559npi10737850441093033433npi10737850441093762288npi10737850441134127830npi10737850441134446255npi10737850441164696456npi10737850441225425291npi10737850441275812489npi10737850441285824086npi10737850441295732089npi10737850441306233911npi10737850441326096025npi10737850441356737993npi10737850441366403032npi10737850441437415205npi10737850441487035440npi10737850441487684239npi10737850441497752240npi10737850441568993194npi10737850441588662183npi10737850441609210129npi10737850441629076187npi10737850441649225160npi10737850441649236431npi10737850441659712172npi10737850441669451639npi10737850441740624519npi10737850441750329280npi10737850441750518759npi10737850441760642771npi10737850441801893342npi10737850441871760538npi10737850441962963173npi10737850441972860831npi1073785044212223DERIVED184.189999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED288.319999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE9.279999-12-31PROFESSIONAL1003905290npi10634007291083656706npi10634007291093750820npi10634007291093759599npi10634007291114960200npi10634007291154358398npi10634007291174567697npi10634007291316981996npi10634007291326082975npi10634007291396756474npi10634007291457886046npi10634007291518054535npi10634007291588050843npi10634007291588079917npi10634007291639598519npi10634007291699865543npi10634007291710230982npi1063400729212223FEE SCHEDULE38.139999-12-31PROFESSIONAL1235379082npi179077231721FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTDERIVED1697.029999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED237.459999-12-31PROFESSIONAL1780655498npi12452716751902011588npi124527167511FFSCT ANGIO, CHEST, CONCORONARY, W/CONTRAST71275CPT2026CT ANGIO, CHEST, CONCORONARY, W/CONTRASTFEE SCHEDULE92.889999-12-31PROFESSIONAL1154358398npi10634007291518054535npi10634007291619037025npi10634007291639598519npi10634007292123FEE SCHEDULE139.339999-12-31PROFESSIONAL1356737993npi10737850441972759025npi10737850441972860831npi107378504423FFSX-RAY EXAM, CERV SPINE;6 OR MORE VIEWS72052CPT2026X-RAY EXAM, CERV SPINE;6 OR MORE VIEWSDERIVED61.019999-12-31PROFESSIONAL1710966601npi155834024011FFSX-RAY EXAM, SPINE;THORACIC,3 VIEWS72072CPT2026X-RAY EXAM, SPINE;THORACIC,3 VIEWSFEE SCHEDULE11.449999-12-31PROFESSIONAL1588050843npi106340072923FFSRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsDERIVED44.219999-12-31PROFESSIONAL1437404548npi155834024011DERIVED52.019999-12-31PROFESSIONAL1073592606npi15583402401710966601npi15583402401740606441npi155834024011DERIVED75.939999-12-31PROFESSIONAL1699717124npi124527167511FFSCAT SCAN OF LOWER SPINE72131CPT2026CAT SCAN OF LOWER SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1427361773npi107378504423FEE SCHEDULE51.619999-12-31PROFESSIONAL1629357207npi106340072923DERIVED231.629999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED185.329999-12-31PROFESSIONAL1548688708npi124527167511DERIVED1872.989999-12-31INSTITUTIONAL1063426823npi106342682323FFSMRI NECK SPINE72141CPT2026MRI NECK SPINEDERIVED181.209999-12-31PROFESSIONAL1093759599npi12452716751316981996npi124527167511DERIVED271.959999-12-31PROFESSIONAL1104860600npi12452716751316981996npi12452716751336566330npi12452716751578507588npi12452716751699717124npi124527167511DERIVED350.009999-12-31PROFESSIONAL1760567762npi188190490249DERIVED2487.569999-12-31INSTITUTIONAL1063426823npi106342682323FFSMRI NECK SPINE W/ & W/O CONTRAST72156CPT2026MRI NECK SPINE W/ & W/O CONTRASTDERIVED452.889999-12-31PROFESSIONAL1578507588npi124527167511FFSRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsFEE SCHEDULE43.279999-12-31PROFESSIONAL1346613676npi166942957711NEGOTIATED50.919999-12-31PROFESSIONAL1255324679npi166942957711DERIVED34.809999-12-31PROFESSIONAL1073592788npi15583402401316926025npi155834024011DERIVED326.559999-12-31INSTITUTIONAL1679678486npi167967848623FFSRadiologic examination, elbow; 2 views73070CPT2026Radiologic examination, elbow; 2 viewsDERIVED28.709999-12-31PROFESSIONAL1073592606npi155834024011FFSX-RAY EXAM OF ELBOW73080CPT2026X-RAY EXAM OF ELBOWFEE SCHEDULE29.019999-12-31PROFESSIONAL1174620702npi118407526911DERIVED27.409999-12-31PROFESSIONAL1821540790npi155834024011FFSMRI, JNT UPP EXT;W/OUT CONTRAST73221CPT2026MRI, JNT UPP EXT;W/OUT CONTRASTDERIVED291.479999-12-31PROFESSIONAL1154358398npi124527167511NEGOTIATED271.839999-12-31PROFESSIONAL1386904852npi138603434611FFSX-RAY EXAM OF KNEE73560CPT2026X-RAY EXAM OF KNEENEGOTIATED12.739999-12-31PROFESSIONAL1265466395npi16694295771427204148npi166942957722FFSX-RAY EXAM OF KNEE73562CPT2026X-RAY EXAM OF KNEENEGOTIATED59.889999-12-31PROFESSIONAL1255324679npi166942957711FEE SCHEDULE47.369999-12-31PROFESSIONAL1386608727npi194226369411DERIVED41.189999-12-31PROFESSIONAL1316926025npi155834024011FEE SCHEDULE50.909999-12-31PROFESSIONAL1548257918npi166942957711FFSRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsDERIVED36.069999-12-31PROFESSIONAL1033172200npi15583402401740606441npi155834024011DERIVED316.479999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED52.659999-12-31PROFESSIONAL1174567697npi124527167511DERIVED30.659999-12-31PROFESSIONAL1003449117npi15583402401285969873npi155834024011FFSCT SCAN ABDOMEN, W/O AND W/CONTRAST74170CPT2026CT SCAN ABDOMEN, W/O AND W/CONTRASTDERIVED366.659999-12-31PROFESSIONAL1326082975npi124527167511FFSWO CONTRAST MATERIAL IN ONE/BOTH BODY REGIONS74178CPT2026WO CONTRAST MATERIAL IN ONE/BOTH BODY REGIONSFEE SCHEDULE103.229999-12-31PROFESSIONAL1396756474npi106340072921FFSMRI,ABDOMEN; W/O CONTAST,F/BY W/CONTRAST74183CPT2026MRI,ABDOMEN; W/O CONTAST,F/BY W/CONTRASTDERIVED477.879999-12-31PROFESSIONAL1235128620npi124527167511FFSCINEMA XRAY THROAT/ESOPHAGUS74230CPT2026CINEMA XRAY THROAT/ESOPHAGUSFEE SCHEDULE109.739999-12-31PROFESSIONAL1124027933npi179077231721FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76801CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED128.009999-12-31PROFESSIONAL1346290145npi187157203211DERIVED198.509999-12-31INSTITUTIONAL1811991227npi181199122723FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINAL76817CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINALDERIVED95.309999-12-31PROFESSIONAL1609849496npi187157203211FFSECHO PELVIC(NON-OB)COMPLETE76857CPT2026ECHO PELVIC(NON-OB)COMPLETEDERIVED73.459999-12-31PROFESSIONAL1386757631npi124527167511FFSECHO EXAM OF SCROTUM76870CPT2026ECHO EXAM OF SCROTUMFEE SCHEDULE33.079999-12-31PROFESSIONAL1457886046npi106340072921FFSFLUOROSCOPIC GUIDANCE FOR CENT. VENOUS ACCESS DEV.77001CPT2026FLUOROSCOPIC GUIDANCE FOR CENT. VENOUS ACCESS DEV.NEGOTIATED29.179999-12-31PROFESSIONAL1548796535npi166942957722FFSFluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)77002CPT2026Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)DERIVED171.439999-12-31PROFESSIONAL1326082975npi12452716751780628339npi124527167511DERIVED145.609999-12-31PROFESSIONAL1619607835npi124527167511FFSBONE LENGTH STUDIES77073CPT2026BONE LENGTH STUDIESDERIVED66.149999-12-31PROFESSIONAL1083656706npi124527167511FFSPARATHYROID PLANAR IMAGING W/TOMOGRAPHIC78071CPT2026PARATHYROID PLANAR IMAGING W/TOMOGRAPHICDERIVED437.619999-12-31PROFESSIONAL1093759599npi124527167511FFSPolyhydramnios, third trimester, not applicable or unspecified788MS-DRG10Polyhydramnios, third trimester, not applicable or unspecifiedDERIVED9500.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSPET W/ CONCUR CT; SKULL BASE TO MID-THIGH78815CPT2026PET W/ CONCUR CT; SKULL BASE TO MID-THIGHNEGOTIATED177.369999-12-31PROFESSIONAL1538369228npi166942957722NEGOTIATED6446.009999-12-31INSTITUTIONAL1184709057npi118470905722NEGOTIATED6705.009999-12-31INSTITUTIONAL1184709057npi118470905722NEGOTIATED16796.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSSingle liveborn infant, delivered vaginally795MS-DRG10Single liveborn infant, delivered vaginallyDERIVED1700.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSLIPID PANEL80061CPT2026LIPID PANELDERIVED29.059999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED150.509999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED136.519999-12-31INSTITUTIONAL1063426823npi106342682323FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.119999-12-31PROFESSIONAL1841805462npi132625496211DERIVED79.529999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED55.069999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED62.089999-12-31INSTITUTIONAL1871977942npi187197794223FFSCFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)81220CPT2026CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSOncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result81528CPT2026Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative resultFEE SCHEDULE508.879999-12-31PROFESSIONAL1629407069npi162940706981FFSBlood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)82270CPT2026Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)DERIVED4.599999-12-31PROFESSIONAL1891730974npi171021128911FFSVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedDERIVED143.409999-12-31INSTITUTIONAL1063426823npi106342682323FFSCreatinine; blood82565CPT2026Creatinine; bloodDERIVED58.399999-12-31INSTITUTIONAL1700978558npi170097855822FFSGases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);82803CPT2026Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);DERIVED175.559999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED184.459999-12-31INSTITUTIONAL1679678486npi167967848623FFSHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED95.179999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED104.939999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED10.199999-12-31PROFESSIONAL1619460755npi124528353011DERIVED10.209999-12-31PROFESSIONAL1407887029npi114433310511DERIVED10.689999-12-31PROFESSIONAL1740478197npi109349363711DERIVED67.309999-12-31INSTITUTIONAL1679678486npi167967848623FFSProlactin84146CPT2026ProlactinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSTestosterone; free84402CPT2026Testosterone; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSThyroxine; free84439CPT2026Thyroxine; freeDERIVED101.599999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED112.009999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED106.669999-12-31INSTITUTIONAL1063426823npi106342682323FFSThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED63.819999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED113.309999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED118.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED124.929999-12-31INSTITUTIONAL1063426823npi10634268232223FFSTriiodothyronine T3; total (TT-3)84480CPT2026Triiodothyronine T3; total (TT-3)DERIVED94.219999-12-31INSTITUTIONAL1063426823npi106342682323FFSHEMOGLOBIN85018CPT2026HEMOGLOBINDERIVED2.379999-12-31PROFESSIONAL1952357840npi124528353011DERIVED2.489999-12-31PROFESSIONAL1770640740npi147760783611NEGOTIATED1.859999-12-31PROFESSIONAL1609824689npi156869355411FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED75.609999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED141.029999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED155.489999-12-31INSTITUTIONAL1063426823npi10634268231700978558npi17009785582223DERIVED70.379999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED163.259999-12-31INSTITUTIONAL1063426823npi10634268231700978558npi17009785582223DERIVED8.559999-12-31PROFESSIONAL1013002880npi17605909621306850508npi17605909621386693331npi17605909621538165113npi17605909621821290362npi176059096211DERIVED137.969999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED141.969999-12-31INSTITUTIONAL1871977942npi187197794223FFSBlood count; reticulocyte, automated85045CPT2026Blood count; reticulocyte, automatedDERIVED4.399999-12-31PROFESSIONAL1821290362npi176059096211FFSProthrombin time;85610CPT2026Prothrombin time;DERIVED55.679999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED4.729999-12-31PROFESSIONAL1306850508npi17605909621538165113npi176059096211DERIVED50.839999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED43.309999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED50.509999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED58.469999-12-31INSTITUTIONAL1063426823npi10634268231700978558npi17009785582223FFSCulture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates87070CPT2026Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolatesDERIVED399.409999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE5.179999-12-31PROFESSIONAL1265798870npi126579887081FFSCulture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates87075CPT2026Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolatesFEE SCHEDULE5.689999-12-31PROFESSIONAL1265798870npi126579887081DERIVED108.999999-12-31INSTITUTIONAL1063426823npi106342682322FFSCULTURE, FUNGI ISOLATION, OTHER SOURCE87102CPT2026CULTURE, FUNGI ISOLATION, OTHER SOURCEDERIVED114.879999-12-31INSTITUTIONAL1063426823npi106342682322FFSCulture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates87116CPT2026Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolatesDERIVED114.879999-12-31INSTITUTIONAL1063426823npi106342682322FFSINFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECH87428CPT2026INFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHDERIVED70.299999-12-31PROFESSIONAL1013412196npi124528353011DERIVED77.329999-12-31PROFESSIONAL1215932108npi122503423411FFSLEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88307CPT2026LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED72.159999-12-31PROFESSIONAL1285877837npi126549387822DERIVED315.049999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED283.489999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED328.159999-12-31INSTITUTIONAL1063426823npi106342682322FFSDECALCIFY TISSUE88311CPT2026DECALCIFY TISSUEFEE SCHEDULE14.669999-12-31PROFESSIONAL1053686964npi105368696481FFSGRP II,OTH EXCPT MICROORG,ENZYM CONST,IMMUNOCYTOCH88313CPT2026GRP II,OTH EXCPT MICROORG,ENZYM CONST,IMMUNOCYTOCHDERIVED64.339999-12-31PROFESSIONAL1255449179npi115430408711FFSEA ADDTL TISSUE BLOCK WITH FROZEN SECTION(S)88332CPT2026EA ADDTL TISSUE BLOCK WITH FROZEN SECTION(S)FEE SCHEDULE31.399999-12-31PROFESSIONAL1265798870npi126579887015FFSIMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EAC88341CPT2026IMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EACDERIVED615.119999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE54.629999-12-31PROFESSIONAL1265798870npi126579887081DERIVED50.429999-12-31PROFESSIONAL1861451593npi126549387822FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED22.589999-12-31PROFESSIONAL1427049105npi18311997101629241427npi124528353011DERIVED22.599999-12-31PROFESSIONAL1194752055npi12452835301356311765npi124528353011DERIVED21.519999-12-31PROFESSIONAL1689645970npi163913848011DERIVED23.669999-12-31PROFESSIONAL1740478197npi10934936371811928674npi109349363711NEGOTIATED25.229999-12-31PROFESSIONAL1316306756npi156869355411DERIVED59.149999-12-31INSTITUTIONAL1063426823npi106342682323FFSMeningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use90619CPT2026Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular useDERIVED136.979999-12-31PROFESSIONAL1821014192npi194268913811DERIVED144.189999-12-31PROFESSIONAL1689645970npi16391384801750305900npi163913848011FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use90696CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular useDERIVED67.049999-12-31PROFESSIONAL1821014192npi19426891381952357840npi124528353011FFSDiphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use90700CPT2026Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular useDERIVED31.529999-12-31PROFESSIONAL1538500400npi124528353011NEGOTIATED37.009999-12-31PROFESSIONAL1609824689npi156869355411FFSMeasles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use90707CPT2026Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useDERIVED97.999999-12-31PROFESSIONAL1538500400npi12452835301689645970npi16391384801821014192npi194268913811NEGOTIATED105.009999-12-31PROFESSIONAL1609824689npi156869355411FFSMeasles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use90710CPT2026Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous useDERIVED289.179999-12-31PROFESSIONAL1821014192npi19426891381952357840npi124528353011FFSTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED41.679999-12-31PROFESSIONAL1629241427npi124528353011DERIVED37.709999-12-31PROFESSIONAL1821014192npi194268913811DERIVED43.669999-12-31PROFESSIONAL1740478197npi109349363711DERIVED57.129999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED33.739999-12-31PROFESSIONAL1538500400npi124528353011DERIVED39.699999-12-31PROFESSIONAL1750305900npi163913848011FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use90723CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular useDERIVED103.629999-12-31PROFESSIONAL1427049105npi183119971011FFSMeningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use90734CPT2026Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular useDERIVED140.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED166.759999-12-31PROFESSIONAL1538500400npi12452835301629241427npi124528353011FFSPsychiatric diagnostic evaluation90791CPT2026Psychiatric diagnostic evaluationFEE SCHEDULE145.979999-12-31PROFESSIONAL1114086030npi11642609721528382074npi10232775711548582646npi11546532511548714314npi15487143141891852935npi18918529351952921652npi19125880390211DERIVED132.239999-12-31PROFESSIONAL1649319070npi176059096210FFSPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRFEE SCHEDULE135.009999-12-31PROFESSIONAL1114086030npi116426097211FEE SCHEDULE140.749999-12-31PROFESSIONAL1295077212npi18710590301528382074npi10232775711548582646npi11546532511811354525npi18113545251821361619npi14278902431891852935npi18918529351952921652npi1912588039021011FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED112.039999-12-31PROFESSIONAL1851336846npi184134030411FEE SCHEDULE124.489999-12-31PROFESSIONAL1730479650npi16997737961871855049npi169977379611FEE SCHEDULE136.939999-12-31PROFESSIONAL1023273398npi165932121411FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA92134CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINAFEE SCHEDULE32.119999-12-31PROFESSIONAL1346775376npi16997737961487654117npi16997737961730479650npi16997737961871855049npi169977379611FEE SCHEDULE192.989999-12-31PROFESSIONAL1275860140npi179077231711DERIVED28.909999-12-31PROFESSIONAL1487713566npi189185395811FFSElectroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)92273CPT2026Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)FEE SCHEDULE125.339999-12-31PROFESSIONAL1750319331npi164992849011FFSCaloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)92537CPT2026Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)DERIVED40.869999-12-31PROFESSIONAL1508863572npi145735843411FEE SCHEDULE50.589999-12-31PROFESSIONAL1306884267npi118462573311FFSUse of vertical electrodes (List separately in addition to code for primary procedure)92547CPT2026Use of vertical electrodes (List separately in addition to code for primary procedure)DERIVED11.079999-12-31PROFESSIONAL1508863572npi145735843411FFSTympanometry and reflex threshold measurements92550CPT2026Tympanometry and reflex threshold measurementsFEE SCHEDULE27.899999-12-31PROFESSIONAL1134168438npi118462573311FFSComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)92557CPT2026Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)FEE SCHEDULE45.809999-12-31PROFESSIONAL1134168438npi11846257331306884267npi118462573311FEE SCHEDULE40.519999-12-31PROFESSIONAL1376745034npi118462573311FFSElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyFEE SCHEDULE13.059999-12-31PROFESSIONAL1114975596npi12452835301487614947npi12452835301487887295npi12452835301518100148npi12452835301750514154npi12452835301851309629npi124528353023FEE SCHEDULE9.269999-12-31PROFESSIONAL1306074372npi12452835301487887295npi12452835301518100148npi12452835301548220965npi12452835301750514154npi12452835301851309629npi12452835301972591949npi124528353022FEE SCHEDULE16.849999-12-31PROFESSIONAL1033558630npi12058808531033606033npi12058808531164004644npi12058808531215166749npi12058808531437479698npi12058808531508284381npi12058808531558866491npi12058808531568090421npi12058808531710372891npi12058808531710566039npi12058808531760833289npi12058808531760845549npi12058808531811287014npi12058808531821529926npi12058808531841273836npi12058808531891897377npi12058808531922494137npi12058808531972942290npi120588085323FEE SCHEDULE37.399999-12-31PROFESSIONAL1174596324npi17907723171265429427npi179077231721FEE SCHEDULE10.959999-12-31PROFESSIONAL1487887295npi12452835301518100148npi124528353021NEGOTIATED12.779999-12-31PROFESSIONAL1265745343npi166942957722FFSTECHNICAL SUPPORT CARDIOVASC TELEM/ECG MONITOR93229CPT2026TECHNICAL SUPPORT CARDIOVASC TELEM/ECG MONITORDERIVED726.449999-12-31PROFESSIONAL1790869402npi179086940211FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)93246CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)FEE SCHEDULE12.509999-12-31PROFESSIONAL1417921701npi194225068311FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report93247CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with reportDERIVED335.009999-12-31PROFESSIONAL1790869402npi179086940211FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation93248CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretationFEE SCHEDULE27.279999-12-31PROFESSIONAL1417921701npi194225068311FFSMyocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)93356CPT2026Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)DERIVED32.259999-12-31PROFESSIONAL1710945761npi187168799611FFSCOMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUD93923CPT2026COMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUDFEE SCHEDULE163.839999-12-31PROFESSIONAL1104913110npi10634637681972847671npi106346376811NEGOTIATED196.039999-12-31PROFESSIONAL1245295898npi166942957711FFSPressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure b94640CPT2026Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure bDERIVED8.909999-12-31PROFESSIONAL1427049105npi183119971011DERIVED407.329999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED8.489999-12-31PROFESSIONAL1013412196npi124528353011DERIVED8.999999-12-31PROFESSIONAL1427354919npi170064904311DERIVED187.029999-12-31INSTITUTIONAL1063426823npi106342682323FFSPlethysmography for determination of lung volumes and, when performed, airway resistance94726CPT2026Plethysmography for determination of lung volumes and, when performed, airway resistanceDERIVED61.909999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011FFSDIFFUSING CAPACITY94729CPT2026DIFFUSING CAPACITYDERIVED10.349999-12-31PROFESSIONAL1841336310npi179008132122FFSNoninvasive ear or pulse oximetry for oxygen saturation; single determination94760CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; single determinationDERIVED5.299999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED5.849999-12-31INSTITUTIONAL1063426823npi106342682322FFSPercutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests95004CPT2026Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of testsFEE SCHEDULE3.909999-12-31PROFESSIONAL1659363505npi141714803211FFSPOLYSOMNOGRAPHY, AGE 6 OR OLDER, SLEEP STAG.95810CPT2026POLYSOMNOGRAPHY, AGE 6 OR OLDER, SLEEP STAG.DERIVED652.399999-12-31PROFESSIONAL1205889243npi128568537011DERIVED717.639999-12-31PROFESSIONAL1053753442npi169902129511DERIVED3510.829999-12-31INSTITUTIONAL1053424648npi105342464822FEE SCHEDULE717.639999-12-31PROFESSIONAL1497794648npi19928990171568464006npi111492964311FEE SCHEDULE197.859999-12-31PROFESSIONAL1881946630npi160983488622FFSNEEDLE ELECTROMYOGRAPHY; OTH95870CPT2026NEEDLE ELECTROMYOGRAPHY; OTHDERIVED59.199999-12-31PROFESSIONAL1790105658npi130620480522FFSNeedle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal lev95886CPT2026Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levDERIVED131.309999-12-31PROFESSIONAL1245252444npi145735843411FEE SCHEDULE102.129999-12-31PROFESSIONAL1083824817npi171016209411FEE SCHEDULE106.999999-12-31PROFESSIONAL1952321671npi108367960911DERIVED106.999999-12-31PROFESSIONAL1700997707npi157821809511FFSDevelopmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument96110CPT2026Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrumentNEGOTIATED14.719999-12-31PROFESSIONAL1609824689npi156869355411FFSPSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; FIRST 30 MINUTES96138CPT2026PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; FIRST 30 MINUTESFEE SCHEDULE30.839999-12-31PROFESSIONAL1265454060npi177081981511FFSIntravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)96361CPT2026Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)DERIVED141.039999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED100.499999-12-31INSTITUTIONAL1811991227npi18119912272223DERIVED143.259999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED174.129999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED759.139999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED78.699999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED282.059999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED309.789999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED134.319999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED189.609999-12-31INSTITUTIONAL1871977942npi187197794223FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED71.749999-12-31PROFESSIONAL1013002880npi17605909621093729287npi17605909621306850508npi176059096211DERIVED389.339999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED394.629999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED423.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED444.199999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED458.939999-12-31INSTITUTIONAL1811991227npi18119912272223DERIVED481.589999-12-31INSTITUTIONAL1053424648npi105342464822DERIVED380.489999-12-31INSTITUTIONAL1003465097npi100346509723DERIVED398.499999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED428.169999-12-31INSTITUTIONAL1811991227npi18119912272223DERIVED402.909999-12-31INSTITUTIONAL1063426823npi106342682323FFSMECHANICAL TRACTION THERAPY97012CPT2026MECHANICAL TRACTION THERAPYFEE SCHEDULE12.849999-12-31PROFESSIONAL1699822445npi134645616711FFSAdaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes97153CPT2026Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutesDERIVED82.509999-12-31PROFESSIONAL1649667270npi188189855903DERIVED178.759999-12-31PROFESSIONAL1649667270npi18818985590312DERIVED247.509999-12-31PROFESSIONAL1649667270npi188189855912DERIVED123.759999-12-31PROFESSIONAL1649667270npi188189855912DERIVED220.009999-12-31PROFESSIONAL1649667270npi188189855903DERIVED233.759999-12-31PROFESSIONAL1649667270npi188189855903DERIVED165.009999-12-31PROFESSIONAL1649667270npi18818985590312DERIVED93.789999-12-31PROFESSIONAL1649667270npi188189855912DERIVED110.009999-12-31PROFESSIONAL1649667270npi188189855903DERIVED151.259999-12-31PROFESSIONAL1649667270npi188189855912FFSAdaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes97155CPT2026Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutesDERIVED165.009999-12-31PROFESSIONAL1649667270npi188189855912DERIVED440.009999-12-31PROFESSIONAL1649667270npi188189855903DERIVED220.009999-12-31PROFESSIONAL1164054854npi18818985591649667270npi188189855903DERIVED247.509999-12-31PROFESSIONAL1649667270npi18818985590312DERIVED27.509999-12-31PROFESSIONAL1649667270npi188189855903DERIVED110.009999-12-31PROFESSIONAL1609446350npi188189855903DERIVED192.509999-12-31PROFESSIONAL1649667270npi188189855912DERIVED275.009999-12-31PROFESSIONAL1164054854npi18818985591609446350npi188189855903DERIVED302.509999-12-31PROFESSIONAL1649667270npi188189855903FFSPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED50.009999-12-31PROFESSIONAL1154683894npi15583402401467027110npi15583402401669026761npi15583402401891925111npi15583402401952535817npi155834024011DERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901093813065npi12952799901720716780npi129527999011DERIVED209.109999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED160.379999-12-31INSTITUTIONAL1063426823npi106342682323FFSPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED60.009999-12-31PROFESSIONAL1831317015npi129527999011DERIVED203.299999-12-31INSTITUTIONAL1003465097npi100346509722DERIVED70.009999-12-31PROFESSIONAL1528673407npi181118529111DERIVED200.769999-12-31INSTITUTIONAL1811991227npi181199122723FFSOccupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An97165CPT2026Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; AnDERIVED63.009999-12-31PROFESSIONAL1184847485npi103315499211FFSTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED50.009999-12-31PROFESSIONAL1093520850npi15583402401154683894npi15583402401295293652npi15583402401467027110npi155834024011DERIVED60.009999-12-31PROFESSIONAL1245757749npi12952799901720716780npi12952799901861963555npi129527999011FFSChiropractic manipulative treatment (CMT); spinal, 3-4 regions98941CPT2026Chiropractic manipulative treatment (CMT); spinal, 3-4 regionsFEE SCHEDULE34.139999-12-31PROFESSIONAL1043520232npi13464561671275244618npi13464561671285919456npi13464561671407947252npi13464561671528424025npi13464561671639654387npi13464561671669458600npi13464561671689662470npi13464561671699822445npi134645616711FFSSCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT99173CPT2026SCREENING TEST VISUAL ACUITY QUANTITATIVE BILATDERIVED3.139999-12-31PROFESSIONAL1750305900npi163913848011DERIVED3.349999-12-31PROFESSIONAL1750305900npi163913848011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEFEE SCHEDULE181.499999-12-31PROFESSIONAL1952350548npi124528353022FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED60.649999-12-31PROFESSIONAL1174931448npi11749314481346658614npi134665861411DERIVED24.949999-12-31PROFESSIONAL1770640740npi14776078361891730974npi171021128911DERIVED22.899999-12-31PROFESSIONAL1902040462npi183115803971DERIVED28.279999-12-31PROFESSIONAL1487050621npi138682324311DERIVED33.269999-12-31PROFESSIONAL1699138636npi138682324311FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED191.889999-12-31PROFESSIONAL1952357840npi124528353011FEE SCHEDULE201.479999-12-31PROFESSIONAL1013909951npi167977244611DERIVED163.099999-12-31PROFESSIONAL1134657323npi124528353011DERIVED211.079999-12-31PROFESSIONAL1669785788npi176059096211FEE SCHEDULE198.419999-12-31PROFESSIONAL1164532925npi122535175211DERIVED160.009999-12-31PROFESSIONAL1427049105npi183119971011DERIVED172.699999-12-31PROFESSIONAL1194785519npi166958926311DERIVED201.479999-12-31PROFESSIONAL1619460755npi12452835301952630105npi137699897111FFSSUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,FEE SCHEDULE79.099999-12-31PROFESSIONAL1134221070npi12452835301285874834npi12452835301295021012npi12452835301306286364npi12452835301417340506npi124528353021FEE SCHEDULE79.819999-12-31PROFESSIONAL1184988321npi124528353021FEE SCHEDULE64.719999-12-31PROFESSIONAL1417924689npi131613059421FEE SCHEDULE68.319999-12-31PROFESSIONAL1265429823npi117477987021FEE SCHEDULE89.889999-12-31PROFESSIONAL1790755759npi187174597621FEE SCHEDULE93.479999-12-31PROFESSIONAL1396207924npi124528353021DERIVED89.879999-12-31PROFESSIONAL1831759216npi178010052921FEE SCHEDULE67.599999-12-31PROFESSIONAL1205343126npi12452835301275159733npi12452835301457030322npi12452835301548085939npi124528353021FEE SCHEDULE74.789999-12-31PROFESSIONAL1588765358npi124528353021NEGOTIATED109.729999-12-31PROFESSIONAL1023506805npi166942957722FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making99282CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision makingDERIVED294.009999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED328.489999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED344.909999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED344.949999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED263.289999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE55.459999-12-31PROFESSIONAL1619512282npi12452835301831854033npi124528353023FEE SCHEDULE65.129999-12-31PROFESSIONAL1477627107npi124528353023DERIVED326.719999-12-31INSTITUTIONAL1811991227npi181199122723FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingFEE SCHEDULE95.599999-12-31PROFESSIONAL1164906780npi12452835301467963629npi12452835301619512282npi12452835301942754965npi124528353023FEE SCHEDULE144.849999-12-31PROFESSIONAL1508284381npi12058808531588981278npi12058808531871925776npi12058808531912191958npi12058808531972942290npi120588085323DERIVED506.129999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED569.959999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED447.879999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED451.309999-12-31INSTITUTIONAL1003465097npi100346509723DERIVED584.579999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED644.499999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED413.779999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED676.719999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE112.259999-12-31PROFESSIONAL1225392707npi12452835301396207924npi12452835301477627107npi12452835301588765358npi12452835301639707698npi12452835301740291285npi12452835301811349616npi12452835301881058881npi124528353023FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingDERIVED654.889999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED744.829999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED752.609999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED768.299999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED978.339999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE135.819999-12-31PROFESSIONAL1679821748npi124528353023FEE SCHEDULE246.929999-12-31PROFESSIONAL1033606033npi12058808531114374048npi12058808531215166749npi12058808531275575144npi12058808531508284381npi12058808531588981278npi12058808531710372891npi12058808531760833289npi12058808531760845549npi12058808531821580986npi12058808531881834026npi12058808531891897377npi12058808531952552556npi12058808531972589893npi120588085323NEGOTIATED2746.009999-12-31INSTITUTIONAL1184709057npi118470905723DERIVED704.019999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED756.479999-12-31INSTITUTIONAL1679678486npi167967848623NEGOTIATED2092.009999-12-31INSTITUTIONAL1487045100npi148704510023DERIVED875.709999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED1027.249999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED649.839999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED708.739999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED884.759999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED927.529999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE160.509999-12-31PROFESSIONAL1912524604npi12452835301992292312npi124528353023FEE SCHEDULE162.979999-12-31PROFESSIONAL1154069292npi12452835301255702064npi12452835301568007326npi12452835301619512282npi12452835301770123820npi12452835301942754965npi12452835301992120141npi124528353023FEE SCHEDULE191.369999-12-31PROFESSIONAL1053583112npi12452835301073870218npi12452835301083175285npi12452835301093211856npi12452835301124255203npi12452835301194899740npi12452835301295197218npi12452835301336767904npi12452835301396207924npi12452835301417199902npi12452835301477627107npi12452835301497043046npi12452835301518462092npi12452835301588765358npi12452835301619383924npi12452835301659931202npi12452835301780757484npi12452835301811487135npi12452835301851920888npi12452835301881058881npi12452835301922364553npi12452835301982998829npi124528353023FFSCRITAL CARE E & M EACH ADD'L 30 MIN99292CPT2026CRITAL CARE E & M EACH ADD'L 30 MINFEE SCHEDULE484.819999-12-31PROFESSIONAL1376930487npi179077231721FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99382CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED99.749999-12-31PROFESSIONAL1538500400npi124528353011DERIVED123.219999-12-31PROFESSIONAL1770640740npi147760783611FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99383CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED129.119999-12-31PROFESSIONAL1346690484npi11141114401427049105npi183119971011FFSInitial hospital or birthing center care, per day, for evaluation and management of normal newborn infant99460CPT2026Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infantDERIVED102.869999-12-31PROFESSIONAL1154376101npi12250342341508482308npi122503423421FFSInitial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date99463CPT2026Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same dateDERIVED120.239999-12-31PROFESSIONAL1508482308npi122503423421FFSTRNSITION CARE MGMNT SVCS; MOD F2F WITHIN 14 DAYS99495CPT2026TRNSITION CARE MGMNT SVCS; MOD F2F WITHIN 14 DAYSDERIVED194.009999-12-31PROFESSIONAL1336789957npi111403746211FFSAdvance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with99497CPT2026Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face withDERIVED91.219999-12-31PROFESSIONAL1407887029npi114433310511FEE SCHEDULE86.789999-12-31PROFESSIONAL1336376086npi12452835301528562055npi12452835302122FFSFOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EAA5512HCPCS2026FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EADERIVED81.009999-12-31PROFESSIONAL1184066482npi153868649811DERIVED27.009999-12-31PROFESSIONAL1184066482npi153868649811DERIVED83.169999-12-31PROFESSIONAL1053076521npi105307652112FFSNON-COVERED ITEM OR SERVICEA9270HCPCS2026NON-COVERED ITEM OR SERVICENEGOTIATED74.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSTECHNETIUM TC 99M PERTECHNETATE, PER MCIA9512HCPCS2026TECHNETIUM TC 99M PERTECHNETATE, PER MCIDERIVED205.309999-12-31PROFESSIONAL1093759599npi124527167511FFSFLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCIA9552HCPCS2026FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCINEGOTIATED648.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSPERCUT TRNSCTH PLCMNT DRUG ELUTING INTRCR STNT SNGC9600HCPCS2026PERCUT TRNSCTH PLCMNT DRUG ELUTING INTRCR STNT SNGDERIVED25149.829999-12-31INSTITUTIONAL1811991227npi181199122724FFSADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED34.629999-12-31PROFESSIONAL1952357840npi124528353011DERIVED5.009999-12-31PROFESSIONAL1396704821npi190208406411FFSSCRNG COLONOSCOPY, HIGH RISK, ABORTEDG0105APC2026SCRNG COLONOSCOPY, HIGH RISK, ABORTEDDERIVED476.739999-12-31INSTITUTIONAL1386381408npi138638140824FFSSCRNG COLONOSCOPY, LOW RISK, ABORTEDG0121HCPCS2026SCRNG COLONOSCOPY, LOW RISK, ABORTEDDERIVED639.389999-12-31PROFESSIONAL1033149752npi179079027711FFSDIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALG0279HCPCS2026DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALDERIVED58.479999-12-31PROFESSIONAL1003905290npi12452716751114960200npi12452716751174567697npi12452716751306188073npi12452716751316981996npi12452716751326082975npi12452716751386757631npi12452716751396756474npi12452716751578507588npi12452716751619037025npi12452716751639598519npi12452716751699717124npi12452716751710230982npi12452716751831136191npi124527167511FEE SCHEDULE36.059999-12-31PROFESSIONAL1538106927npi165934703711FEE SCHEDULE46.079999-12-31PROFESSIONAL1538115779npi107378504422FFSHOSPITAL OBSERVATION SERVICE PER HOURG0378HCPCS2026HOSPITAL OBSERVATION SERVICE PER HOURDERIVED17259.009999-12-31INSTITUTIONAL1285681908npi128568190823DERIVED510.669999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED580.259999-12-31INSTITUTIONAL1063426823npi106342682323FFSFACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESG0447HCPCS2026FACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESDERIVED35.009999-12-31PROFESSIONAL1407887029npi114433310511FFSHOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTG0463HCPCS2026HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTDERIVED188.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED222.239999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED229.959999-12-31INSTITUTIONAL1811991227npi181199122722FFSINJECTION, AFLIBERCEPT, 1 MGJ0178HCPCS2026INJECTION, AFLIBERCEPT, 1 MGFEE SCHEDULE763.909999-12-31PROFESSIONAL1346775376npi16997737961871855049npi169977379611FFSSUCCINYCHOLINE CHLORIDE 20 MGJ0330HCPCS2026SUCCINYCHOLINE CHLORIDE 20 MGDERIVED17.569999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED26.509999-12-31INSTITUTIONAL1700978558npi170097855822FFSHYDRALAZINE HCL UP TO 20 MGJ0360HCPCS2026HYDRALAZINE HCL UP TO 20 MGDERIVED19.379999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED18.329999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ CEFAZOLIN SODIUM 500 MGJ0690HCPCS2026INJ CEFAZOLIN SODIUM 500 MGDERIVED40.459999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED37.569999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED41.539999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED23.759999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED45.969999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED11.329999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED9.529999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED11.899999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED16.709999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED0.379999-12-31PROFESSIONAL1740478197npi109349363711DERIVED0.659999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED2.179999-12-31INSTITUTIONAL1811991227npi18119912272223DERIVED2.389999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED11.889999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED13.239999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED3.259999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED10.599999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED16.059999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED16.619999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, LIDOCAINE HCL , 1 MGJ2003HCPCS2026INJECTION, LIDOCAINE HCL , 1 MGDERIVED15.939999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED3.749999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED20.319999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ,MIDAZOLAM HYDROCHLORIDE, 1 MGJ2250HCPCS2026INJ,MIDAZOLAM HYDROCHLORIDE, 1 MGDERIVED6.189999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED9.169999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED12.569999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED4.649999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED4.059999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED50.929999-12-31INSTITUTIONAL1063426823npi106342682322FFSONDANSETRON-HCL INJ, 1 MGJ2405HCPCS2026ONDANSETRON-HCL INJ, 1 MGDERIVED7.669999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED6.109999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED8.289999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED8.879999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED8.679999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED8.749999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED11.559999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED13.259999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED13.629999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED13.929999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, PANTOPRAZOLE SODIUM, 40 MGJ2470HCPCS2026INJECTION, PANTOPRAZOLE SODIUM, 40 MGDERIVED17.729999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED17.029999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED3.689999-12-31PROFESSIONAL1619607835npi124527167511FEE SCHEDULE0.959999-12-31PROFESSIONAL1265693568npi101393608711DERIVED0.899999-12-31PROFESSIONAL1912909805npi198271904311DERIVED3.129999-12-31PROFESSIONAL1073592788npi15583402401225577703npi15583402401316926025npi155834024011NEGOTIATED0.959999-12-31PROFESSIONAL1407050404npi166942957711DERIVED1.629999-12-31PROFESSIONAL1780628339npi124527167511DERIVED6.249999-12-31PROFESSIONAL1225577703npi155834024011FEE SCHEDULE0.819999-12-31PROFESSIONAL1548257918npi166942957711FEE SCHEDULE0.969999-12-31PROFESSIONAL1164532925npi12253517521295705283npi118462573311FEE SCHEDULE0.709999-12-31PROFESSIONAL1376005272npi164931421211FFSRINGERS LACTATE INFUSION, 1000 CCJ7120HCPCS2026RINGERS LACTATE INFUSION, 1000 CCDERIVED27.389999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED30.329999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED65.249999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED25.909999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED31.849999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED32.629999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED89.159999-12-31INSTITUTIONAL1063426823npi106342682323FFSDEPOT LUPRON SUSP 7.5MGJ9217HCPCS2026DEPOT LUPRON SUSP 7.5MGDERIVED512.349999-12-31PROFESSIONAL1306850508npi176059096211DERIVED1059.069999-12-31INSTITUTIONAL1811991227npi181199122722FFSGLOBAL FEE URGENT CARE CENTERS9083HCPCS2026GLOBAL FEE URGENT CARE CENTERDERIVED185.009999-12-31PROFESSIONAL1033561840npi10533630361043087018npi18919053781124021704npi10533630361164198925npi10533630361265751267npi10533630361528666575npi189190537820BUNDLECAT SCAN OF HEAD OR BRAIN70450CPT2026CAT SCAN OF HEAD OR BRAINFEE SCHEDULE65.699999-12-31PROFESSIONAL1396753794npi107378504423BUNDLEULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76801CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED119.999999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211BUNDLEFETAL BIOPHYSICAL PROFILE; WITH NON-STRESS TESTING76818CPT2026FETAL BIOPHYSICAL PROFILE; WITH NON-STRESS TESTINGDERIVED125.309999-12-31PROFESSIONAL1346290145npi18715720321609849496npi187157203211BUNDLEBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED176.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED140.009999-12-31INSTITUTIONAL1003465097npi100346509722BUNDLENoninvasive ear or pulse oximetry for oxygen saturation; single determination94760CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; single determinationDERIVED3.619999-12-31PROFESSIONAL1710945761npi187168799611DERIVED4.219999-12-31PROFESSIONAL1427049105npi183119971011BUNDLEAdaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes97155CPT2026Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutesDERIVED31.259999-12-31PROFESSIONAL1649667270npi188189855912DERIVED247.509999-12-31PROFESSIONAL1649667270npi188189855912DERIVED156.259999-12-31PROFESSIONAL1649667270npi18818985590312DERIVED250.009999-12-31PROFESSIONAL1164054854npi18818985591649667270npi188189855903DERIVED187.509999-12-31PROFESSIONAL1164054854npi18818985591609446350npi18818985591649667270npi188189855912BUNDLETHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED90.009999-12-31PROFESSIONAL1376104851npi18818985591770149163npi188189855911BUNDLEPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED28.009999-12-31INSTITUTIONAL1003465097npi100346509722DERIVED21.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEX-RAY EXAM OF SHOULDER73020CPT2026X-RAY EXAM OF SHOULDERNEGOTIATED32.399999-12-31PROFESSIONAL1255324679npi166942957711BUNDLEEvaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)92523CPT2026Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)DERIVED180.009999-12-31PROFESSIONAL1366172199npi188189855911DERIVED70.009999-12-31PROFESSIONAL1619406923npi129527999011DERIVED150.009999-12-31PROFESSIONAL1851800601npi188189855911BUNDLEAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED3.169999-12-31PROFESSIONAL1689645970npi163913848011BUNDLEOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED24.949999-12-31PROFESSIONAL1427049105npi183119971011BUNDLEINJ, ANESTHETIC, BRACIAL PLEXUS, SINGLE64415APC2026INJ, ANESTHETIC, BRACIAL PLEXUS, SINGLEDERIVED2680.009999-12-31INSTITUTIONAL1932657335npi193265733524BUNDLEULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76805CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED139.299999-12-31PROFESSIONAL1346290145npi187157203211BUNDLEFETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TESTING76819CPT2026FETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TESTINGDERIVED90.499999-12-31PROFESSIONAL1609849496npi187157203211BUNDLEComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED231.009999-12-31INSTITUTIONAL1003465097npi100346509722BUNDLESPEECH/HEARING THERAPY92507CPT2026SPEECH/HEARING THERAPYDERIVED70.009999-12-31PROFESSIONAL1619406923npi129527999011DERIVED45.009999-12-31PROFESSIONAL1851800601npi188189855911DERIVED90.009999-12-31PROFESSIONAL1366172199npi188189855911BUNDLERe-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in con97168CPT2026Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in conDERIVED180.009999-12-31PROFESSIONAL1376104851npi188189855911DERIVED150.009999-12-31PROFESSIONAL1376104851npi18818985591770149163npi188189855911BUNDLETherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes97530CPT2026Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesDERIVED90.009999-12-31PROFESSIONAL1376104851npi18818985591770149163npi188189855911BUNDLEElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED545.009999-12-31INSTITUTIONAL1003465097npi100346509722DERIVED442.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLETherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED90.009999-12-31PROFESSIONAL1164038105npi18818985591184878787npi18818985591659472553npi188189855911DERIVED100.009999-12-31PROFESSIONAL1659472553npi188189855911DERIVED45.009999-12-31PROFESSIONAL1164038105npi188189855911BUNDLERe-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment i97164CPT2026Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment iNEGOTIATED180.009999-12-31PROFESSIONAL1235780438npi188189855911DERIVED150.009999-12-31PROFESSIONAL1164038105npi18818985591659472553npi188189855911BUNDLEOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED64.869999-12-31PROFESSIONAL1235273285npi155830204211BUNDLEOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED80.379999-12-31PROFESSIONAL1043586662npi155830204211CAPITATIONPARING LESION-BENIGN HYPERKE11055CPT2026PARING LESION-BENIGN HYPERKEDERIVED54.489999-12-31PROFESSIONAL1528387958npi153868649811CAPITATIONExcision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less11400APC2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or lessDERIVED42.169999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONREMOVAL OF SKIN LESION11400APC2026REMOVAL OF SKIN LESIONDERIVED42.169999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14DERIVED5.469999-12-31PROFESSIONAL1598443327npi161901856111DERIVED49.149999-12-31PROFESSIONAL1104978287npi161901856111DERIVED12.889999-12-31PROFESSIONAL1881630119npi161901856111DERIVED7.049999-12-31PROFESSIONAL1356971394npi178010052911DERIVED19.329999-12-31PROFESSIONAL1992837900npi161901856111CAPITATIONInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")DERIVED66.569999-12-31PROFESSIONAL1013189877npi155830204211DERIVED48.419999-12-31PROFESSIONAL1861921298npi153868649811CAPITATIONARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED76.229999-12-31PROFESSIONAL1013189877npi155830204211DERIVED114.339999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONEXCN,TUMOR,SOFT TISS THIGH/KNEE,SUBQ; 3 CM OR GRTR27337APC2026EXCN,TUMOR,SOFT TISS THIGH/KNEE,SUBQ; 3 CM OR GRTRDERIVED1114.889999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONColonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)45388CPT2026Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)DERIVED573.009999-12-31PROFESSIONAL1033149752npi179079027711CAPITATIONMeasurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging51798CPT2026Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imagingDERIVED11.759999-12-31PROFESSIONAL1679117725npi10234479351902524960npi102344793511DERIVED13.759999-12-31PROFESSIONAL1093211146npi10234479351346291259npi10234479351790949873npi102344793511CAPITATIONEXTRACAP CAT REMOV W/ INSERT INTRAOC LENS PROSTHES66982CPT2026EXTRACAP CAT REMOV W/ INSERT INTRAOC LENS PROSTHESDERIVED695.189999-12-31PROFESSIONAL1427373075npi155830204222CAPITATIONX-RAY EXAM OF KNEE73562CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE41.189999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsFEE SCHEDULE36.069999-12-31PROFESSIONAL1043203003npi155830204211CAPITATION3D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHY76376CPT20263D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHYDERIVED27.429999-12-31PROFESSIONAL1346291259npi102344793511CAPITATIONUltrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation76536CPT2026Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentationFEE SCHEDULE142.349999-12-31PROFESSIONAL1477045284npi155830204211FEE SCHEDULE105.329999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE147.459999-12-31PROFESSIONAL1831186733npi155830204211CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS; MICROSCOPIC ONLY81015CPT2026URINALYSIS; MICROSCOPIC ONLYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlbumin; urine (eg, microalbumin), quantitative82043CPT2026Albumin; urine (eg, microalbumin), quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlpha-fetoprotein (AFP); serum82105CPT2026Alpha-fetoprotein (AFP); serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAngiotensin I - converting enzyme (ACE)82164CPT2026Angiotensin I - converting enzyme (ACE)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCadmium82300CPT2026CadmiumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalcium; total82310CPT2026Calcium; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatinine; blood82565CPT2026Creatinine; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONEstrogens; total82672CPT2026Estrogens; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHelicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)83013CPT2026Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInsulin; total83525CPT2026Insulin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLead83655CPT2026LeadDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED13.329999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONLipoprotein, direct measurement; LDL cholesterol83721CPT2026Lipoprotein, direct measurement; LDL cholesterolDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONParathormone (parathyroid hormone)83970CPT2026Parathormone (parathyroid hormone)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPrealbumin84134CPT2026PrealbuminDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProlactin84146CPT2026ProlactinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)84166CPT2026Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTestosterone; free84402CPT2026Testosterone; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; free84439CPT2026Thyroxine; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; total (TT-3)84480CPT2026Triiodothyronine T3; total (TT-3)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; free84481CPT2026Triiodothyronine T3; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCHORIONIC GONADOTROPIN ASSAY84703CPT2026CHORIONIC GONADOTROPIN ASSAYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOTHER THAN SPUN HEMATOCRIT85014CPT2026OTHER THAN SPUN HEMATOCRITDERIVED2.379999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONHEMOGLOBIN85018CPT2026HEMOGLOBINDERIVED2.379999-12-31PROFESSIONAL1396704821npi190208406411DERIVED2.619999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProthrombin time;85610CPT2026Prothrombin time;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAllergen specific IgE; quantitative or semiquantitative, crude allergen extract, each86003CPT2026Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA);86038CPT2026Antinuclear antibodies (ANA);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONExtractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody86235CPT2026Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNOFIXATION ELECTOPHORESIS86334CPT2026IMMUNOFIXATION ELECTOPHORESISDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMicrosomal antibodies (eg, thyroid or liver-kidney), each86376CPT2026Microsomal antibodies (eg, thyroid or liver-kidney), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONParticle agglutination; screen, each antibody86403CPT2026Particle agglutination; screen, each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONRheumatoid factor; quantitative86431CPT2026Rheumatoid factor; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTUBERCULOSIS TEST,CELL MEDIATED IMMUNITY ANTIGEN86480CPT2026TUBERCULOSIS TEST,CELL MEDIATED IMMUNITY ANTIGENDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; Borrelia burgdorferi (Lyme disease)86618CPT2026Antibody; Borrelia burgdorferi (Lyme disease)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species87045CPT2026Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella speciesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates87075CPT2026Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolatesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate87076CPT2026Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSusceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate87186CPT2026Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGARDNERELLA VAGINALIS, AMPLIFIED PROBE87511CPT2026GARDNERELLA VAGINALIS, AMPLIFIED PROBEDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique87640CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONCytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician88141CPT2026Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physicianDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONCYTOPATHOLOGY, AUTOMATED THIN PREP88142CPT2026CYTOPATHOLOGY, AUTOMATED THIN PREPDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONFlow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker88184CPT2026Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first markerDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMeasles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use90707CPT2026Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useDERIVED107.792024-09-27PROFESSIONAL1841261070npi155830204211DERIVED107.799999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONMeningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use90734CPT2026Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular useDERIVED183.432024-09-27PROFESSIONAL1841261070npi155830204211DERIVED183.439999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRDERIVED182.149999-12-31PROFESSIONAL1063107506npi15583020421164740858npi15583020421396704615npi15583020421407876592npi15583020421457661613npi15583020421457676116npi15583020421942568647npi15583020421011CAPITATIONGroup psychotherapy (other than of a multiple-family group)90853CPT2026Group psychotherapy (other than of a multiple-family group)DERIVED33.249999-12-31PROFESSIONAL1457661613npi1558302042021011CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED136.939999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421427373075npi15583020421710946181npi155830204211CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA92134CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINADERIVED35.329999-12-31PROFESSIONAL1013980655npi15583020421093780215npi155830204211CAPITATIONPERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 1 LESION INVOLVING 1 OR MORE CORONARY SEGMENTS92928CPT2026PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 1 LESION INVOLVING 1 OR MORE CORONARY SEGMENTSDERIVED549.879999-12-31PROFESSIONAL1851309629npi155830204222CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportDERIVED16.839999-12-31PROFESSIONAL1518100148npi15583020421679590178npi15583020421851309629npi155830204211CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyDERIVED9.269999-12-31PROFESSIONAL1679590178npi15583020421851309629npi155830204211CAPITATIONExternal electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)93225CPT2026External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)DERIVED19.179999-12-31PROFESSIONAL1679590178npi15583020421851309629npi155830204211CAPITATIONExternal patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording93270CPT2026External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recordingDERIVED8.999999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONINTRGTN DEV EVAL REMOTE W/REV&REPT.SING,MULT PCMKR93294CPT2026INTRGTN DEV EVAL REMOTE W/REV&REPT.SING,MULT PCMKRDERIVED32.679999-12-31PROFESSIONAL1679590178npi15583020421851309629npi155830204211CAPITATIONNONINVASIVE PHYSIO STUD OF LWER EXTRMTY ARTERIES93924CPT2026NONINVASIVE PHYSIO STUD OF LWER EXTRMTY ARTERIESDERIVED176.469999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED71.749999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED60.009999-12-31PROFESSIONAL1093813065npi12952799901801229539npi12952799901821712951npi12952799901831317015npi129527999011CAPITATIONTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED60.009999-12-31PROFESSIONAL1245757749npi12952799901265658348npi12952799901295856466npi12952799901326372160npi12952799901598805897npi12952799901750766838npi12952799901770676678npi12952799901821712951npi12952799901912795626npi129527999011CAPITATIONTherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes97530CPT2026Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesDERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901295856466npi12952799901417323577npi12952799901467885947npi12952799901538047493npi12952799901831317015npi129527999011CAPITATIONMED NUT THERAPY;RE-ASSESS,EACH 15 MINS97803CPT2026MED NUT THERAPY;RE-ASSESS,EACH 15 MINSFEE SCHEDULE26.509999-12-31PROFESSIONAL1851407407npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED155.009999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONSUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,DERIVED79.099999-12-31PROFESSIONAL1053600874npi15583020421528001963npi15583020421629182381npi15583020421902088586npi15583020422122DERIVED57.529999-12-31PROFESSIONAL1073993135npi124528353022CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99383CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED122.979999-12-31PROFESSIONAL1396704821npi190208406411DERIVED135.272024-09-27PROFESSIONAL1841261070npi155830204211DERIVED135.279999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED132.892024-09-27PROFESSIONAL1841261070npi155830204211DERIVED132.899999-12-31PROFESSIONAL1013971142npi15583020421053730374npi15583020421235259011npi15583020421265401095npi15583020421346228574npi15583020421346680311npi15583020421477513661npi15583020421497485528npi15583020421538899521npi15583020421689645970npi16391384801740910561npi15583020421831503010npi15583020421841261070npi155830204211DERIVED126.859999-12-31PROFESSIONAL1871525451npi166958533711CAPITATIONNASAL INTERFACE(MASK OR CANNULA) FOR PAPDA7034HCPCS2026NASAL INTERFACE(MASK OR CANNULA) FOR PAPDDERIVED50.779999-12-31PROFESSIONAL1336234194npi133623419412DERIVED52.579999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONNON-DISPOSABLE FILTER FOR PAPDA7039HCPCS2026NON-DISPOSABLE FILTER FOR PAPDDERIVED5.709999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCRUTCHES UNARN/ALUMINUME0114HCPCS2026CRUTCHES UNARN/ALUMINUMDERIVED50.449999-12-31PROFESSIONAL1407009368npi155830204211CAPITATIONFOLD.WLKR-WHEELED NO SEATE0143HCPCS2026FOLD.WLKR-WHEELED NO SEATDERIVED50.089999-12-31PROFESSIONAL1336234194npi133623419412DERIVED45.899999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONSEAT ATTACHMENT, WALKERE0156HCPCS2026SEAT ATTACHMENT, WALKERDERIVED15.139999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONBATH/SHOWER CHAIR W OR W/O WHEELS ANY SIZEE0240HCPCS2026BATH/SHOWER CHAIR W OR W/O WHEELS ANY SIZEDERIVED24.009999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREE0562HCPCS2026HUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREDERIVED158.879999-12-31PROFESSIONAL1336234194npi133623419412DERIVED126.539999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCONT.AIRWY PRES DEVICE(CPAP)E0601HCPCS2026CONT.AIRWY PRES DEVICE(CPAP)DERIVED37.819999-12-31PROFESSIONAL1336234194npi133623419412DERIVED44.009999-12-31PROFESSIONAL1336234194npi133623419412DERIVED39.159999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONELECTRIC BREAST PUMPE0603HCPCS2026ELECTRIC BREAST PUMPDERIVED99.759999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED23.032024-09-27PROFESSIONAL1841261070npi155830204211DERIVED23.039999-12-31PROFESSIONAL1013971142npi15583020421093195398npi15583020421124129358npi15583020421154361129npi15583020421326628884npi15583020421346680311npi15583020421396705315npi15583020421477513661npi15583020421689918831npi15583020421740286756npi15583020421801045760npi15583020421831503010npi15583020421841261070npi15583020421891790309npi15583020421952419640npi155830204211CAPITATIONDEFINTVE DRUG TEST GC/MS LC/MS 1-7 DRUG CLASSG0480HCPCS2026DEFINTVE DRUG TEST GC/MS LC/MS 1-7 DRUG CLASSDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGJ0696HCPCS2026INJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGDERIVED0.399999-12-31PROFESSIONAL1750820627npi155830204211DERIVED0.469999-12-31PROFESSIONAL1497700223npi155830204211DERIVED0.519999-12-31PROFESSIONAL1053730374npi155830204211FEE SCHEDULE0.399999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED0.289999-12-31PROFESSIONAL1154361129npi15583020421407009368npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211FEE SCHEDULE0.289999-12-31PROFESSIONAL1982802633npi155830204211DERIVED1.442024-09-27PROFESSIONAL1841261070npi155830204211DERIVED0.729999-12-31PROFESSIONAL1255389938npi15583020421851959407npi155830204211DERIVED1.449999-12-31PROFESSIONAL1013529304npi15583020421396722476npi15583020421841261070npi155830204211CAPITATIONINJ,PROMETHAZINE HCL 50 MGJ2550HCPCS2026INJ,PROMETHAZINE HCL 50 MGDERIVED4.379999-12-31PROFESSIONAL1255389938npi155830204211CAPITATIONREGADENOSON INJECTION, .1 MGJ2785HCPCS2026REGADENOSON INJECTION, .1 MGDERIVED11.809999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED3.249999-12-31PROFESSIONAL1407823909npi155830204211DERIVED6.489999-12-31PROFESSIONAL1013189877npi155830204211DERIVED1.189999-12-31PROFESSIONAL1861921298npi153868649811CAPITATIONFINGER SPLINT, STATICQ4049HCPCS2026FINGER SPLINT, STATICDERIVED2.279999-12-31PROFESSIONAL1861530685npi155830204211DERIVED2.959999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONFine needle aspiration biopsy, including ultrasound guidance; first lesion10005CPT2026Fine needle aspiration biopsy, including ultrasound guidance; first lesionDERIVED144.809999-12-31PROFESSIONAL1396705570npi155830204211CAPITATIONTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)DERIVED150.849999-12-31PROFESSIONAL1881630119npi161901856111DERIVED50.289999-12-31PROFESSIONAL1689838559npi161901856111CAPITATIONShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm11302CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cmDERIVED114.779999-12-31PROFESSIONAL1558971770npi161901856111CAPITATIONAvulsion of nail plate, partial or complete, simple; single11730CPT2026Avulsion of nail plate, partial or complete, simple; singleDERIVED87.699999-12-31PROFESSIONAL1134141617npi15386864981689865453npi153868649811CAPITATIONEXC PILONIDAL CYST-COMPLICAT11772CPT2026EXC PILONIDAL CYST-COMPLICATDERIVED648.859999-12-31PROFESSIONAL1497074694npi155830204224CAPITATIONINJECTION INTO SKIN LESIONS11900CPT2026INJECTION INTO SKIN LESIONSDERIVED49.809999-12-31PROFESSIONAL1174088264npi161901856111CAPITATIONDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionDERIVED72.069999-12-31PROFESSIONAL1093195398npi155830204211DERIVED34.409999-12-31PROFESSIONAL1992837900npi161901856111DERIVED58.309999-12-31PROFESSIONAL1104978287npi161901856111CAPITATIONDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONDERIVED29.159999-12-31PROFESSIONAL1598443327npi16190185611619533940npi161901856111DERIVED72.069999-12-31PROFESSIONAL1093195398npi155830204211DERIVED75.339999-12-31PROFESSIONAL1356971394npi178010052911DERIVED68.799999-12-31PROFESSIONAL1881630119npi161901856111CAPITATIONDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSDERIVED57.029999-12-31PROFESSIONAL1689838559npi16190185611992837900npi161901856111DERIVED96.669999-12-31PROFESSIONAL1073961017npi16190185611336771500npi16190185611558971770npi16190185611598443327npi161901856111DERIVED104.009999-12-31PROFESSIONAL1881630119npi161901856111CAPITATIONSTRAPPING OF ANKLE29540CPT2026STRAPPING OF ANKLEDERIVED22.349999-12-31PROFESSIONAL1134141617npi153868649811CAPITATIONPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED6.009999-12-31PROFESSIONAL1679117725npi102344793511DERIVED10.009999-12-31PROFESSIONAL1750305900npi163913848011DERIVED7.939999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421861530685npi155830204211DERIVED10.272024-09-27PROFESSIONAL1841261070npi155830204211DERIVED10.279999-12-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, flexible, transoral; with biopsy, single or multiple43239CPT2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED702.369999-12-31PROFESSIONAL1275806721npi179079027711CAPITATIONRemoval of intrauterine device (IUD)58301CPT2026Removal of intrauterine device (IUD)DERIVED112.319999-12-31PROFESSIONAL1720030653npi124528353011CAPITATIONExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984CPT2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationDERIVED508.929999-12-31PROFESSIONAL1093780215npi15583020421427373075npi15583020422224CAPITATIONRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsFEE SCHEDULE34.809999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE38.289999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, wrist; complete, minimum of 3 views73110CPT2026Radiologic examination, wrist; complete, minimum of 3 viewsFEE SCHEDULE41.499999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)FEE SCHEDULE38.249999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE49.789999-12-31PROFESSIONAL1558358499npi155830204211CAPITATIONX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE47.939999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED26.559999-12-31PROFESSIONAL1063874584npi15386864981083290662npi15386864981184066482npi15386864981265477434npi15386864981528387958npi15386864981689865453npi15386864981861921298npi153868649811DERIVED39.839999-12-31PROFESSIONAL1134141617npi153868649811FEE SCHEDULE33.199999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONCAT SCAN OF ABDOMEN74150CPT2026CAT SCAN OF ABDOMENDERIVED146.809999-12-31PROFESSIONAL1790949873npi102344793511CAPITATIONECHO EXAM OF EYE76519CPT2026ECHO EXAM OF EYEDERIVED74.329999-12-31PROFESSIONAL1093780215npi15583020421427373075npi155830204211CAPITATIONECHO EXAM OF HEAD AND NECK76536CPT2026ECHO EXAM OF HEAD AND NECKFEE SCHEDULE115.859999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONECHO EXAM, TRANSVAGINAL76830CPT2026ECHO EXAM, TRANSVAGINALFEE SCHEDULE153.339999-12-31PROFESSIONAL1306283213npi15583020421477045284npi155830204211FEE SCHEDULE114.489999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONGeneral health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and80050CPT2026General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) andDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTI80055CPT2026OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTIDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAcute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)80074CPT2026Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eit80307CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eitDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED9.479999-12-31PROFESSIONAL1154907905npi15583020421235370743npi15583020421346680311npi155830204211DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles81243CPT2026FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) allelesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 1081339CPT2026MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result fo81513CPT2026Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result foDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflamm81596CPT2026Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAmylase82150CPT2026AmylaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBilirubin; direct82248CPT2026Bilirubin; directDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations82274CPT2026Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinationsDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalcium; ionized82330CPT2026Calcium; ionizedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCarcinoembryonic antigen (CEA)82378CPT2026Carcinoembryonic antigen (CEA)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCortisol; total82533CPT2026Cortisol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine kinase (CK), (CPK); isoenzymes82552CPT2026Creatine kinase (CK), (CPK); isoenzymesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine kinase (CK), (CPK); MB fraction only82553CPT2026Creatine kinase (CK), (CPK); MB fraction onlyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONEstradiol; total82670CPT2026Estradiol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)83020CPT2026Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHomocysteine83090CPT2026HomocysteineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLactoferrin, fecal; qualitative83630CPT2026Lactoferrin, fecal; qualitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipase83690CPT2026LipaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLIPOPROTEIN DIR MEASURE HDL83718CPT2026LIPOPROTEIN DIR MEASURE HDLDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONNatriuretic peptide83880CPT2026Natriuretic peptideDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONpH; body fluid, not otherwise specified83986CPT2026pH; body fluid, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); free84154CPT2026Prostate specific antigen (PSA); freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTestosterone; total84403CPT2026Testosterone; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferase; aspartate amino (AST) (SGOT)84450CPT2026Transferase; aspartate amino (AST) (SGOT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferase; alanine amino (ALT) (SGPT)84460CPT2026Transferase; alanine amino (ALT) (SGPT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferrin84466CPT2026TransferrinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)84479CPT2026Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUrea nitrogen; quantitative84520CPT2026Urea nitrogen; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin A84590CPT2026Vitamin ADERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; hemoglobin (Hgb)85018CPT2026Blood count; hemoglobin (Hgb)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; reticulocyte, automated85045CPT2026Blood count; reticulocyte, automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFibrin degradation products, D-dimer; quantitative85379CPT2026Fibrin degradation products, D-dimer; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAllergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each86008CPT2026Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONActin (smooth muscle) antibody (ASMA), each86015CPT2026Actin (smooth muscle) antibody (ASMA), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA); titer86039CPT2026Antinuclear antibodies (ANA); titerDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein;86140CPT2026C-reactive protein;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCardiolipin (phospholipid) antibody, each Ig class86147CPT2026Cardiolipin (phospholipid) antibody, each Ig classDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONComplement; antigen, each component86160CPT2026Complement; antigen, each componentDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for tumor antigen, quantitative; CA 12586304CPT2026Immunoassay for tumor antigen, quantitative; CA 125DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for infectious agent antibody, quantitative, not otherwise specified86317CPT2026Immunoassay for infectious agent antibody, quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTissue transglutaminase, each immunoglobulin (Ig) class86364CPT2026Tissue transglutaminase, each immunoglobulin (Ig) classDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMitochondrial antibody (eg, M2), each86381CPT2026Mitochondrial antibody (eg, M2), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B CORE ANTIBODY (HBCAB); IGM ANTIBODY86705CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); IGM ANTIBODYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; rubella86762CPT2026Antibody; rubellaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBLOOD TYPING, SEROLOGIC; ABO86900CPT2026BLOOD TYPING, SEROLOGIC; ABODERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum87147CPT2026Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis Be anti87350CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis Be antiDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique87481CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe techniqueDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511DERIVED112.289999-12-31PROFESSIONAL1063874584npi153868649811CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE87491CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE, MULTIPLEX AMPLIFIED PROBE TECHNIQUE87494CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE, MULTIPLEX AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed87625CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism87798CPT2026Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organismDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511DERIVED364.919999-12-31PROFESSIONAL1063874584npi153868649811CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED16.559999-12-31PROFESSIONAL1396704821npi19020840641497700223npi15583020421538147665npi155830204211DERIVED18.212024-09-27PROFESSIONAL1841261070npi155830204211DERIVED14.069999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED18.219999-12-31PROFESSIONAL1073863163npi15583020421225232051npi15583020421235273285npi15583020421235370743npi15583020421255389938npi15583020421538899521npi15583020421578556502npi15583020421629045307npi15583020421639585169npi15583020421841261070npi155830204211FEE SCHEDULE14.079999-12-31PROFESSIONAL1548545544npi155830204211DERIVED36.429999-12-31PROFESSIONAL1851959407npi155830204211CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group AFEE SCHEDULE14.059999-12-31PROFESSIONAL1548545544npi155830204211DERIVED14.059999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi155830204211DERIVED16.539999-12-31PROFESSIONAL1538147665npi155830204211DERIVED18.189999-12-31PROFESSIONAL1073863163npi15583020421235370743npi15583020421255389938npi15583020421578556502npi15583020421629045307npi15583020421639585169npi15583020421851302962npi15583020421851959407npi155830204211CAPITATIONCYTOPATHOLOGY CELLULAR ENHANC W/INTERP88112CPT2026CYTOPATHOLOGY CELLULAR ENHANC W/INTERPDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTISSUE EXAM BY PATHOLOGIST88304CPT2026TISSUE EXAM BY PATHOLOGISTDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171952381477npi195238147781CAPITATIONLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171699961086npi16199405171891731626npi189173162681CAPITATIONSPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORG88312CPT2026SPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORGDERIVED1.119999-12-31PROFESSIONAL1952381477npi195238147781CAPITATIONLeukocyte assessment, fecal, qualitative or semiquantitative89055CPT2026Leukocyte assessment, fecal, qualitative or semiquantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADM90460CPT2026IMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADMDERIVED23.032024-09-27PROFESSIONAL1841261070npi155830204211DERIVED23.039999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED23.032024-09-27PROFESSIONAL1841261070npi155830204211DERIVED23.039999-12-31PROFESSIONAL1841261070npi155830204211DERIVED23.239999-12-31PROFESSIONAL1265401095npi15583020421689918831npi155830204211DERIVED18.289999-12-31PROFESSIONAL1407009368npi155830204211DERIVED23.669999-12-31PROFESSIONAL1013529304npi15583020421013971142npi15583020421093195398npi15583020421235370743npi15583020421265401095npi15583020421326628884npi15583020421407844558npi15583020421477513661npi15583020421497485528npi15583020421669965703npi15583020421790756765npi15583020421831503010npi155830204211CAPITATIONIMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION, SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]) VACCINE; FIRST OR ONLY COMPONENT OF EACH VACCINE ADMINISTERED90480CPT2026IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION, SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]) VACCINE; FIRST OR ONLY COMPONENT OF EACH VACCINE ADMINISTEREDDERIVED50.782024-09-27PROFESSIONAL1841261070npi155830204211DERIVED50.789999-12-31PROFESSIONAL1093195398npi15583020421326628884npi15583020421396705315npi15583020421407844558npi15583020421841261070npi15583020421972035343npi155830204211CAPITATIONHepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use90633CPT2026Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular useDERIVED43.042024-09-27PROFESSIONAL1841261070npi155830204211DERIVED43.049999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONFamily psychotherapy (without the patient present), 50 minutes90846CPT2026Family psychotherapy (without the patient present), 50 minutesDERIVED116.389999-12-31PROFESSIONAL1225121411npi15583020421407876592npi15583020421011CAPITATIONOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsDERIVED161.119999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421427373075npi155830204211CAPITATIONCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only93018CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report onlyDERIVED15.079999-12-31PROFESSIONAL1851309629npi155830204221CAPITATIONExternal electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional93227CPT2026External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professionalDERIVED19.439999-12-31PROFESSIONAL1679590178npi15583020421851309629npi155830204211CAPITATIONECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERDERIVED210.789999-12-31PROFESSIONAL1518100148npi15583020421679590178npi15583020421851309629npi155830204211CAPITATIONW/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHY93458CPT2026W/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHYDERIVED332.609999-12-31PROFESSIONAL1851309629npi155830204222CAPITATIONDuplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study93970CPT2026Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral studyFEE SCHEDULE178.589999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED3.019999-12-31PROFESSIONAL1871525451npi166958533711DERIVED3.169999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901093813065npi12952799901265658348npi12952799901417323577npi12952799901750766838npi12952799901770676678npi12952799901801229539npi12952799901912795626npi129527999011CAPITATIONMedical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes97802CPT2026Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutesFEE SCHEDULE30.689999-12-31PROFESSIONAL1811465537npi15583020421851407407npi155830204211FEE SCHEDULE36.099999-12-31PROFESSIONAL1710253547npi155830204211CAPITATIONOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED95.899999-12-31PROFESSIONAL1437275252npi179079027711DERIVED94.149999-12-31PROFESSIONAL1063874584npi15386864981083290662npi15386864981134141617npi15386864981184066482npi15386864981265477434npi15386864981528387958npi15386864981598787988npi15386864981689865453npi153868649811DERIVED104.739999-12-31PROFESSIONAL1073961017npi16190185611336758101npi16190185611558971770npi16190185611598443327npi16190185611679152300npi161901856111DERIVED129.449999-12-31PROFESSIONAL1003204462npi15583020421013189877npi15583020421013529304npi15583020421073863163npi15583020421093195398npi15583020421154907905npi15583020421174864482npi15583020421184726184npi15583020421225133911npi15583020421235370743npi15583020421255389938npi15583020421265401095npi15583020421396705570npi15583020421407823909npi15583020421497074694npi15583020421588651699npi15583020421639585169npi15583020421679590178npi15583020421700025160npi15583020421780189860npi15583020421831503010npi15583020421851302962npi15583020421851309629npi15583020421912229121npi1558302042021011FEE SCHEDULE100.029999-12-31PROFESSIONAL1548545544npi155830204211DERIVED117.679999-12-31PROFESSIONAL1144667544npi12452835301225075963npi124528353011DERIVED123.559999-12-31PROFESSIONAL1689838559npi16190185611871579649npi16190185611881630119npi16190185611891962916npi166958533711DERIVED134.009999-12-31PROFESSIONAL1356971394npi178010052911DERIVED100.019999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED24.959999-12-31PROFESSIONAL1881630119npi161901856111DERIVED26.142024-09-27PROFESSIONAL1841261070npi155830204211DERIVED26.149999-12-31PROFESSIONAL1013980655npi15583020421093195398npi15583020421265401095npi15583020421639366487npi15583020421679590178npi15583020421689645970npi16391384801689918831npi15583020421831503010npi15583020421841261070npi15583020421912229121npi15583020421952419640npi155830204211FEE SCHEDULE20.209999-12-31PROFESSIONAL1194258699npi15583020421548545544npi15583020421811465537npi15583020421851407407npi155830204211FEE SCHEDULE23.769999-12-31PROFESSIONAL1710253547npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED148.522024-09-27PROFESSIONAL1841261070npi155830204211DERIVED108.029999-12-31PROFESSIONAL1134141617npi15386864981144667544npi12452835301184066482npi153868649811DERIVED125.009999-12-31PROFESSIONAL1396704821npi190208406411DERIVED148.529999-12-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.709999-12-31PROFESSIONAL1275806721npi17907902771437275252npi179079027711DERIVED135.029999-12-31PROFESSIONAL1225075963npi12452835301396704821npi19020840641538147665npi15583020421780098087npi12452835301801903869npi12452835301902984826npi12452835301962579391npi196257939111DERIVED126.929999-12-31PROFESSIONAL1184807166npi10234479351407359854npi10234479351679117725npi10234479351011DERIVED141.779999-12-31PROFESSIONAL1871525451npi16695853371891962916npi166958533711DERIVED108.249999-12-31PROFESSIONAL1437275252npi179079027711CAPITATIONHospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter99238CPT2026Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounterDERIVED83.519999-12-31PROFESSIONAL1053600874npi15583020421629182381npi15583020422122DERIVED60.749999-12-31PROFESSIONAL1073993135npi124528353022CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99386CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED170.469999-12-31PROFESSIONAL1346680311npi15583020421477513661npi15583020421801045760npi15583020421811480809npi15583020421891790309npi155830204211DERIVED154.969999-12-31PROFESSIONAL1194752055npi12452835301720030653npi124528353011CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED107.769999-12-31PROFESSIONAL1396704821npi190208406411DERIVED118.549999-12-31PROFESSIONAL1689645970npi163913848011DERIVED101.299999-12-31PROFESSIONAL1518443233npi163913848011CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED118.182024-09-27PROFESSIONAL1841261070npi155830204211DERIVED118.189999-12-31PROFESSIONAL1750305900npi16391384801831503010npi15583020421841261070npi155830204211DERIVED107.449999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONTUBING W/INGR HEAT ELEM W/POS AIRWAY PRESS DEVCA4604HCPCS2026TUBING W/INGR HEAT ELEM W/POS AIRWAY PRESS DEVCDERIVED35.949999-12-31PROFESSIONAL1336234194npi133623419412DERIVED40.969999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONDISPOSABLE FILTER FOR PAPDA7038HCPCS2026DISPOSABLE FILTER FOR PAPDDERIVED3.769999-12-31PROFESSIONAL1336234194npi133623419412DERIVED3.889999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONDIABETES OUTPT SELF-MANGEMENT TRAINING,IND, PER 30G0108HCPCS2026DIABETES OUTPT SELF-MANGEMENT TRAINING,IND, PER 30DERIVED60.929999-12-31PROFESSIONAL1396705570npi155830204202FEE SCHEDULE55.389999-12-31PROFESSIONAL1710253547npi155830204210CAPITATIONTRIMMING DYSTROPHIC NAILSG0127HCPCS2026TRIMMING DYSTROPHIC NAILSDERIVED18.489999-12-31PROFESSIONAL1184066482npi153868649811CAPITATIONVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDDERIVED19.209999-12-31PROFESSIONAL1669965703npi15583020421740286756npi15583020421912229121npi15583020421992334437npi155830204211DERIVED16.409999-12-31PROFESSIONAL1407359854npi102344793511CAPITATIONSCREENING PAP COLLECTION AND CONVEYANCEQ0091HCPCS2026SCREENING PAP COLLECTION AND CONVEYANCEDERIVED45.149999-12-31PROFESSIONAL1194752055npi12452835301720030653npi124528353011DERIVED24.839999-12-31PROFESSIONAL1669965703npi155830204211DERIVED49.659999-12-31PROFESSIONAL1013971142npi15583020421063413649npi15583020421689918831npi15583020421831503010npi155830204211CAPITATIONINJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE),Q5119HCPCS2026INJECTION, RITUXIMAB-PVVR, BIOSIMILAR, (RUXIENCE),DERIVED876.009999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONIncision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single10060CPT2026Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleFEE SCHEDULE108.009999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionDERIVED41.559999-12-31PROFESSIONAL1558971770npi161901856111DERIVED83.099999-12-31PROFESSIONAL1073961017npi16190185611427719657npi16190185611598443327npi16190185611619533940npi161901856111DERIVED98.039999-12-31PROFESSIONAL1689838559npi16190185611881630119npi16190185611992837900npi161901856111CAPITATIONDebridement of nail(s) by any method(s); 1 to 511720CPT2026Debridement of nail(s) by any method(s); 1 to 5DERIVED25.849999-12-31PROFESSIONAL1184066482npi153868649811CAPITATIONDebridement of nail(s) by any method(s); 6 or more11721CPT2026Debridement of nail(s) by any method(s); 6 or moreDERIVED35.849999-12-31PROFESSIONAL1528387958npi15386864981689865453npi153868649811CAPITATIONArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20610CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidanceDERIVED76.229999-12-31PROFESSIONAL1013189877npi155830204211DERIVED114.339999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONClosed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each26720CPT2026Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, eachDERIVED257.649999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONINJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRO27096CPT2026INJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRODERIVED189.899999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONColonoscopy, flexible; with biopsy, single or multiple45380CPT2026Colonoscopy, flexible; with biopsy, single or multipleDERIVED940.119999-12-31PROFESSIONAL1275806721npi179079027711CAPITATIONCOLONOSCOPY-RMVL TUMOR-POLYP45384APC2026COLONOSCOPY-RMVL TUMOR-POLYPDERIVED587.139999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONCOLONOSCOPY, LESION REMOVAL45385APC2026COLONOSCOPY, LESION REMOVALDERIVED293.579999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONINJ.DX/THRP AGENT PARAVERT FCT JNT W/GUID,LUM 2ND64494CPT2026INJ.DX/THRP AGENT PARAVERT FCT JNT W/GUID,LUM 2NDDERIVED155.999999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONINJ.DX/THRP AGENT PARAVERT FCT JNT W/GUID,LUM 3RD+64495CPT2026INJ.DX/THRP AGENT PARAVERT FCT JNT W/GUID,LUM 3RD+DERIVED160.749999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONREMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERAL69210CPT2026REMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERALDERIVED52.599999-12-31PROFESSIONAL1891790309npi155830204211CAPITATIONRadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsFEE SCHEDULE32.299999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE45.219999-12-31PROFESSIONAL1598906000npi155830204211CAPITATIONRadiologic examination, spine, cervical; 4 or 5 views72050CPT2026Radiologic examination, spine, cervical; 4 or 5 viewsFEE SCHEDULE53.629999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsFEE SCHEDULE52.019999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsFEE SCHEDULE47.299999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONWITH CONTRAST MATERIAL74177CPT2026WITH CONTRAST MATERIALDERIVED321.249999-12-31PROFESSIONAL1346291259npi102344793511CAPITATIONUltrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete76770CPT2026Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; completeFEE SCHEDULE103.519999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONMYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIES78452CPT2026MYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIESDERIVED82.089999-12-31PROFESSIONAL1851309629npi155830204221CAPITATIONComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate am80076CPT2026Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when p80305CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when pDERIVED13.869999-12-31PROFESSIONAL1396910998npi15583020421407823909npi155830204211CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY OF THESE CONSTITUENTS; NON-AUTOMATED, WITH MICROSCOPY81000CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY OF THESE CONSTITUENTS; NON-AUTOMATED, WITH MICROSCOPYDERIVED4.429999-12-31PROFESSIONAL1346291259npi10234479351790949873npi102344793511CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.129999-12-31PROFESSIONAL1184807166npi10234479351679117725npi10234479351902524960npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED2.489999-12-31PROFESSIONAL1093211146npi10234479351346291259npi10234479351598054751npi10234479351790949873npi102344793511CAPITATIONJAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant81270CPT2026JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variantDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)81511CPT2026Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlpha-1-antitrypsin; total82103CPT2026Alpha-1-antitrypsin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine82540CPT2026CreatineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine kinase (CK), (CPK); total82550CPT2026Creatine kinase (CK), (CPK); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each82784CPT2026Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)82951CPT2026GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGlutamyltransferase, gamma (GGT)82977CPT2026Glutamyltransferase, gamma (GGT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGlycated protein82985CPT2026Glycated proteinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin; luteinizing hormone (LH)83002CPT2026Gonadotropin; luteinizing hormone (LH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEAVY METAL (EG, ANTIMONY, ARSENIC, BARIUM, BERYLLIUM, BISMUTH, GADOLINIUM, MERCURY); QUANTITATIVE, EACH, NOT ELSEWHERE SPECIFIED83018CPT2026HEAVY METAL (EG, ANTIMONY, ARSENIC, BARIUM, BERYLLIUM, BISMUTH, GADOLINIUM, MERCURY); QUANTITATIVE, EACH, NOT ELSEWHERE SPECIFIEDDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified83520CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInsulin; free83527CPT2026Insulin; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLactate dehydrogenase (LD), (LDH);83615CPT2026Lactate dehydrogenase (LD), (LDH);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein (a)83695CPT2026Lipoprotein (a)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMercury, quantitative83825CPT2026Mercury, quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOrganic acid, single, quantitative83921CPT2026Organic acid, single, quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProgesterone84144CPT2026ProgesteroneDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein, total, except by refractometry; serum, plasma or whole blood84155CPT2026Protein, total, except by refractometry; serum, plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein, total, except by refractometry; urine84156CPT2026Protein, total, except by refractometry; urineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein; electrophoretic fractionation and quantitation, serum84165CPT2026Protein; electrophoretic fractionation and quantitation, serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPyridoxal phosphate (Vitamin B-6)84207CPT2026Pyridoxal phosphate (Vitamin B-6)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONReceptor assay; non-endocrine (specify receptor)84238CPT2026Receptor assay; non-endocrine (specify receptor)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSugars (mono-, di-, and oligosaccharides); single qualitative, each specimen84376CPT2026Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin, chorionic (hCG); quantitative84702CPT2026Gonadotropin, chorionic (hCG); quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAllergen specific IgG quantitative or semiquantitative, each allergen86001CPT2026Allergen specific IgG quantitative or semiquantitative, each allergenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDeoxyribonucleic acid (DNA) antibody; native or double stranded86225CPT2026Deoxyribonucleic acid (DNA) antibody; native or double strandedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for tumor antigen, quantitative; CA 15-3 (27.29)86300CPT2026Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInsulin antibodies86337CPT2026Insulin antibodiesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIslet cell antibody86341CPT2026Islet cell antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSkin test; tuberculosis, intradermal86580CPT2026Skin test; tuberculosis, intradermalDERIVED11.799999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONAntibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)86617CPT2026Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B CORE ANTIBODY (HBCAB); TOTAL86704CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); TOTALDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS BE ANTIBODY (HBEAB)86707CPT2026HEPATITIS BE ANTIBODY (HBEAB)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; mumps86735CPT2026Antibody; mumpsDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; rubeola86765CPT2026Antibody; rubeolaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatitis C antibody;86803CPT2026Hepatitis C antibody;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHLA typing; A, B, or C (eg, A10, B7, B27), single antigen86812CPT2026HLA typing; A, B, or C (eg, A10, B7, B27), single antigenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates87070CPT2026Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolatesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;87081CPT2026CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED8.889999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE87088CPT2026CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSmear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types87205CPT2026Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell typesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylo87338CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pyloDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE OR87340CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVE87389CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED38.862024-09-27PROFESSIONAL1841261070npi155830204211DERIVED45.239999-12-31PROFESSIONAL1861451593npi126549387823FEE SCHEDULE30.039999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211DERIVED30.039999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED38.869999-12-31PROFESSIONAL1073863163npi15583020421225232051npi15583020421235273285npi15583020421235370743npi15583020421255389938npi15583020421326628884npi15583020421427158781npi15583020421538899521npi15583020421578556502npi15583020421629045307npi15583020421639585169npi15583020421841261070npi15583020421851302962npi15583020421851959407npi155830204211DERIVED35.339999-12-31PROFESSIONAL1497700223npi15583020421538147665npi155830204211CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types87502CPT2026Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-typesDERIVED90.059999-12-31PROFESSIONAL1518443233npi163913848011CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification87512CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantificationDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HIV-1, QUANTIFICATION, INCLUDES REVERSE TRANSCRIPTION WHEN PERFORMED87536CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HIV-1, QUANTIFICATION, INCLUDES REVERSE TRANSCRIPTION WHEN PERFORMEDDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique87563CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe techniqueDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE87591CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique87653CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique87661CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe techniqueDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique87801CPT2026Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) techniqueDERIVED168.489999-12-31PROFESSIONAL1063874584npi153868649811DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFlow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)88185CPT2026Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFlow cytometry, interpretation; 16 or more markers88189CPT2026Flow cytometry, interpretation; 16 or more markersDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)90472CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)DERIVED17.309999-12-31PROFESSIONAL1326628884npi155830204211CAPITATIONMENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, SEROGROUP B (MENB-4C), FOR INTRAMUSCULAR USE90620CPT2026MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, SEROGROUP B (MENB-4C), FOR INTRAMUSCULAR USEDERIVED190.122024-09-27PROFESSIONAL1841261070npi155830204211DERIVED190.129999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONHEPATITIS A VACCINE,ADULT DOSAGE,FOR INTRAMUSCULAR90632CPT2026HEPATITIS A VACCINE,ADULT DOSAGE,FOR INTRAMUSCULARDERIVED80.899999-12-31PROFESSIONAL1841261070npi155830204211DERIVED80.892024-09-27PROFESSIONAL1841261070npi155830204211CAPITATIONFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED25.549999-12-31PROFESSIONAL1013971142npi15583020421093195398npi15583020421124129358npi15583020421326628884npi15583020421346680311npi15583020421396705315npi15583020421689918831npi15583020421740286756npi15583020421801045760npi15583020421831503010npi15583020421891790309npi15583020421952419640npi155830204211DERIVED19.739999-12-31PROFESSIONAL1154361129npi155830204211CAPITATIONINFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FR90662CPT2026INFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FRDERIVED97.929999-12-31PROFESSIONAL1093195398npi155830204211DERIVED102.769999-12-31PROFESSIONAL1689918831npi155830204211CAPITATIONTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED43.662024-09-27PROFESSIONAL1841261070npi155830204211DERIVED43.669999-12-31PROFESSIONAL1013971142npi15583020421235370743npi15583020421265401095npi15583020421326628884npi15583020421477513661npi15583020421497485528npi15583020421669965703npi15583020421689918831npi15583020421790756765npi15583020421841261070npi155830204211DERIVED33.739999-12-31PROFESSIONAL1407009368npi155830204211CAPITATIONPneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use90732CPT2026Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular useDERIVED146.829999-12-31PROFESSIONAL1689918831npi155830204211CAPITATIONZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT,SUB-U90750CPT2026ZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT,SUB-UDERIVED211.972024-09-27PROFESSIONAL1841261070npi155830204211DERIVED211.979999-12-31PROFESSIONAL1013529304npi15583020421326628884npi15583020421407844558npi15583020421477513661npi15583020421689918831npi15583020421831503010npi15583020421841261070npi155830204211CAPITATIONPSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES90792CPT2026PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICESDERIVED222.649999-12-31PROFESSIONAL1225121411npi15583020421386134419npi15583020421396910998npi155830204211CAPITATIONPsychotherapy, 45 minutes with patient90834CPT2026Psychotherapy, 45 minutes with patientDERIVED124.319999-12-31PROFESSIONAL1023628807npi15583020421063107506npi15583020421164740858npi15583020421396704615npi15583020421407876592npi15583020421457661613npi15583020421699969956npi15583020421942568647npi1558302042021011CAPITATIONSPECIAL GROUP THERAPY90853CPT2026SPECIAL GROUP THERAPYDERIVED26.939999-12-31PROFESSIONAL1457661613npi155830204210CAPITATIONCOMPUTERIZED CORNEAL TOPOGRAPHY W/ INTERP & REPORT92025CPT2026COMPUTERIZED CORNEAL TOPOGRAPHY W/ INTERP & REPORTDERIVED39.949999-12-31PROFESSIONAL1427373075npi15583020421710946181npi155830204211CAPITATIONVISUAL FIELD EXAMINATION(S)92083CPT2026VISUAL FIELD EXAMINATION(S)DERIVED39.559999-12-31PROFESSIONAL1013980655npi155830204211DERIVED68.289999-12-31PROFESSIONAL1013980655npi15583020421427373075npi155830204211CAPITATIONPure tone audiometry (threshold); air only92552CPT2026Pure tone audiometry (threshold); air onlyDERIVED42.469999-12-31PROFESSIONAL1689918831npi155830204211CAPITATIONEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDFEE SCHEDULE153.109999-12-31PROFESSIONAL1558358499npi155830204211CAPITATIONBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED4.979999-12-31PROFESSIONAL1225075963npi12452835301780098087npi124528353011DERIVED5.479999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED12.859999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED16.632024-09-27PROFESSIONAL1841261070npi155830204211DERIVED15.129999-12-31PROFESSIONAL1497700223npi155830204211DERIVED16.639999-12-31PROFESSIONAL1013529304npi15583020421053730374npi15583020421124129358npi15583020421184726184npi15583020421255389938npi15583020421285155259npi15583020421396722476npi15583020421497017289npi15583020421841261070npi15583020421851302962npi15583020421851959407npi15583020421149FEE SCHEDULE12.859999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211CAPITATIONTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug96374CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drugDERIVED40.389999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONTherapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities97112CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesDERIVED60.009999-12-31PROFESSIONAL1093813065npi12952799901265658348npi12952799901295856466npi12952799901417323577npi12952799901538047493npi12952799901750766838npi12952799901770676678npi12952799901801229539npi12952799901821712951npi12952799901831317015npi12952799901912795626npi129527999011CAPITATIONSelf-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes97535CPT2026Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutesDERIVED60.009999-12-31PROFESSIONAL1821712951npi129527999011CAPITATIONTELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A NONPHYSICIAN QUALIFIED HEALTH CARE PROFESSIONAL TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED ASSESSMENT AND MANAGEMENT SERVICE PROVIDED WITHIN THE PREVIOUS98968CPT2026TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A NONPHYSICIAN QUALIFIED HEALTH CARE PROFESSIONAL TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED ASSESSMENT AND MANAGEMENT SERVICE PROVIDED WITHIN THE PREVIOUSDERIVED38.159999-12-31PROFESSIONAL1598359903npi155830204210CAPITATIONSCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT99173CPT2026SCREENING TEST VISUAL ACUITY QUANTITATIVE BILATDERIVED2.909999-12-31PROFESSIONAL1396704821npi190208406411DERIVED3.269999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED78.219999-12-31PROFESSIONAL1659332732npi16190185611871579649npi16190185611881630119npi161901856111DERIVED63.319999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi155830204211DERIVED66.309999-12-31PROFESSIONAL1174088264npi16190185611336771500npi16190185611427719657npi16190185611619533940npi161901856111DERIVED81.949999-12-31PROFESSIONAL1053730374npi15583020421073863163npi15583020421235273285npi15583020421235370743npi15583020421255389938npi15583020421518100148npi15583020421639166739npi15583020421710170063npi155830204211FEE SCHEDULE63.329999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED73.009999-12-31PROFESSIONAL1073961017npi16190185611104978287npi16190185611336771500npi16190185611356971394npi17801005291427719657npi16190185611598443327npi16190185611659332732npi16190185611679152300npi16190185611689838559npi16190185611801571781npi16190185611871579649npi16190185611881630119npi16190185611992837900npi161901856111DERIVED94.569999-12-31PROFESSIONAL1225075963npi12452835301356311765npi12452835301396704821npi19020840641497700223npi15583020421538147665npi15583020421649644311npi12452835301801903869npi124528353011DERIVED99.299999-12-31PROFESSIONAL1871525451npi16695853371891962916npi166958533711DERIVED104.022024-09-27PROFESSIONAL1841261070npi155830204211DERIVED52.019999-12-31PROFESSIONAL1689645970npi163913848011DERIVED80.379999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED88.899999-12-31PROFESSIONAL1184396491npi16391384801518443233npi163913848011DERIVED104.029999-12-31PROFESSIONAL1003204462npi15583020421013189877npi15583020421013529304npi15583020421013971142npi15583020421023059862npi15583020421053730374npi15583020421063413649npi15583020421073863163npi15583020421083717565npi15583020421093195398npi15583020421093780215npi15583020421124129358npi15583020421154907905npi15583020421184726184npi15583020421225121411npi15583020421225133911npi15583020421225232051npi15583020421235259011npi15583020421235273285npi15583020421235370743npi15583020421255389938npi15583020421265401095npi15583020421285155259npi15583020421285699025npi15583020421326628884npi15583020421346291259npi10234479351346680311npi15583020421396705570npi15583020421396722476npi15583020421407823909npi15583020421407844558npi15583020421427158781npi15583020421427373075npi15583020421477513661npi15583020421497017289npi15583020421497074694npi15583020421497485528npi15583020421518100148npi15583020421538899521npi15583020421568930980npi15583020421578556502npi15583020421588651699npi15583020421629045307npi15583020421639366487npi15583020421639585169npi15583020421669965703npi15583020421679590178npi15583020421689645970npi16391384801689918831npi15583020421710170063npi15583020421740910561npi15583020421750305900npi16391384801770642597npi16391384801780189860npi15583020421790756765npi15583020421821089699npi15583020421841261070npi15583020421851302962npi15583020421851959407npi15583020421912229121npi15583020421972035343npi1558302042021011FEE SCHEDULE80.389999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211DERIVED77.629999-12-31PROFESSIONAL1861236424npi179079027711DERIVED64.339999-12-31PROFESSIONAL1184726184npi15583020421689918831npi155830204210DERIVED75.659999-12-31PROFESSIONAL1063874584npi15386864981083290662npi15386864981134141617npi15386864981184066482npi15386864981265477434npi15386864981528387958npi15386864981598787988npi15386864981689865453npi15386864981861921298npi153868649811CAPITATIONInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of99222CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date ofDERIVED95.829999-12-31PROFESSIONAL1073993135npi124528353022DERIVED131.769999-12-31PROFESSIONAL1053600874npi15583020421629182381npi15583020421851309629npi15583020421881001162npi15583020421902088586npi15583020422122CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99384CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED137.659999-12-31PROFESSIONAL1396704821npi190208406411DERIVED151.429999-12-31PROFESSIONAL1831503010npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99391CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED101.509999-12-31PROFESSIONAL1396704821npi190208406411DERIVED111.659999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONFULL FACE MASK WITH PAPDA7030HCPCS2026FULL FACE MASK WITH PAPDDERIVED80.479999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONFACE MASK INTERFACE, REPLACEMENT FOR FULL MASKA7031HCPCS2026FACE MASK INTERFACE, REPLACEMENT FOR FULL MASKDERIVED31.219999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONRPLMNT CUSHION FOR NASAL APPLICATION DEVICE, EACHA7032HCPCS2026RPLMNT CUSHION FOR NASAL APPLICATION DEVICE, EACHDERIVED36.269999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONPORT. GASEOUS OXY SYST, RENTALE0431HCPCS2026PORT. GASEOUS OXY SYST, RENTALDERIVED19.249999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHOME BLOOD GLUCOSE MONITORE0607HCPCS2026HOME BLOOD GLUCOSE MONITORDERIVED104.752024-09-27PROFESSIONAL1841261070npi155830204211DERIVED104.759999-12-31PROFESSIONAL1841261070npi15583020421912229121npi155830204211CAPITATIONOXYGEN CONCENTRATOR 85% OR GREATER OXYGEE1390HCPCS2026OXYGEN CONCENTRATOR 85% OR GREATER OXYGEDERIVED72.949999-12-31PROFESSIONAL1336234194npi133623419412DERIVED87.109999-12-31PROFESSIONAL1336234194npi133623419412DERIVED84.899999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED39.929999-12-31PROFESSIONAL1194752055npi12452835301720030653npi124528353011DERIVED43.919999-12-31PROFESSIONAL1063413649npi15583020421689918831npi15583020421831503010npi155830204211DERIVED21.969999-12-31PROFESSIONAL1669965703npi155830204211CAPITATIONINJECTION, IRON SUCROSE, 1 MGJ1756HCPCS2026INJECTION, IRON SUCROSE, 1 MGDERIVED52.009999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONINJ, METHYLPRED SOD SUCC 5MGJ2919HCPCS2026INJ, METHYLPRED SOD SUCC 5MGDERIVED7.259999-12-31PROFESSIONAL1184726184npi155830204249DERIVED0.229999-12-31PROFESSIONAL1154361129npi15583020421962928465npi155830204211CAPITATIONPORTABLE GASEOUS OXYGEN SYSTEM, RENTALK0738HCPCS2026PORTABLE GASEOUS OXYGEN SYSTEM, RENTALDERIVED34.909999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONBREAST PROTHESIS,SILICONE OR EQUAL W/O ADHESIVEL8030HCPCS2026BREAST PROTHESIS,SILICONE OR EQUAL W/O ADHESIVEDERIVED312.659999-12-31PROFESSIONAL1336234194npi133623419412CAPITATION2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV COVIDU0002HCPCS20262019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV COVIDDERIVED50.009999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONREMOVAL OF SKIN TAGS11200CPT2026REMOVAL OF SKIN TAGSDERIVED99.859999-12-31PROFESSIONAL1497074694npi155830204211CAPITATIONRemoval of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions11200CPT2026Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesionsDERIVED99.859999-12-31PROFESSIONAL1497074694npi155830204211CAPITATIONShaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm11307CPT2026Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cmDERIVED136.699999-12-31PROFESSIONAL1992837900npi161901856111CAPITATIONEXC PILONIDAL CYST-COMPLICAT11772APC2026EXC PILONIDAL CYST-COMPLICATDERIVED1114.889999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONColonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps45384APC2026Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsDERIVED587.139999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONCOLONOSCOPY, LESION REMOVAL45385CPT2026COLONOSCOPY, LESION REMOVALDERIVED432.539999-12-31PROFESSIONAL1033149752npi179079027711DERIVED1010.989999-12-31PROFESSIONAL1275806721npi179079027711CAPITATIONCYSTOURETHROSCOPY SEPERATE PROCEDURE52000CPT2026CYSTOURETHROSCOPY SEPERATE PROCEDUREDERIVED69.439999-12-31PROFESSIONAL1679117725npi102344793524DERIVED81.259999-12-31PROFESSIONAL1790949873npi102344793524CAPITATIONINJ.DX/THRP AGENT PARAVERT FCT JNT W/GUID,LUM SING64493CPT2026INJ.DX/THRP AGENT PARAVERT FCT JNT W/GUID,LUM SINGDERIVED308.129999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONRemoval impacted cerumen using irrigation/lavage, unilateral69209CPT2026Removal impacted cerumen using irrigation/lavage, unilateralDERIVED18.129999-12-31PROFESSIONAL1013529304npi15583020421053730374npi15583020421073863163npi155830204211DERIVED20.769999-12-31PROFESSIONAL1437206711npi155830204211DERIVED7.009999-12-31PROFESSIONAL1407009368npi155830204211DERIVED13.999999-12-31PROFESSIONAL1407009368npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED21.009999-12-31PROFESSIONAL1962928465npi155830204211CAPITATIONRemoval impacted cerumen requiring instrumentation, unilateral69210CPT2026Removal impacted cerumen requiring instrumentation, unilateralDERIVED52.599999-12-31PROFESSIONAL1891790309npi155830204211CAPITATIONRadiologic examination, pelvis; 1 or 2 views72170CPT2026Radiologic examination, pelvis; 1 or 2 viewsFEE SCHEDULE27.449999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, hand; minimum of 3 views73130CPT2026Radiologic examination, hand; minimum of 3 viewsFEE SCHEDULE37.029999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONUltrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)76705CPT2026Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)FEE SCHEDULE117.569999-12-31PROFESSIONAL1558358499npi155830204211FEE SCHEDULE113.239999-12-31PROFESSIONAL1831186733npi155830204211CAPITATIONECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISFEE SCHEDULE102.489999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE136.749999-12-31PROFESSIONAL1306283213npi15583020421477045284npi155830204211CAPITATIONUltrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation76882CPT2026Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentationDERIVED50.579999-12-31PROFESSIONAL1861921298npi153868649811CAPITATIONBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONRenal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (80069CPT2026Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYFEE SCHEDULE2.969999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211DERIVED3.832024-09-27PROFESSIONAL1841261070npi155830204211DERIVED3.839999-12-31PROFESSIONAL1063413649npi15583020421225232051npi15583020421255389938npi15583020421346680311npi15583020421497485528npi15583020421538899521npi15583020421578556502npi15583020421629045307npi15583020421639585169npi15583020421841261070npi15583020421851302962npi15583020421851959407npi155830204211DERIVED2.959999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421861530685npi15583020421962928465npi155830204211DERIVED3.489999-12-31PROFESSIONAL1538147665npi155830204211CAPITATIONCALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 981219CPT2026CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)81220CPT2026CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONArsenic82175CPT2026ArsenicDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBeta-2 microglobulin82232CPT2026Beta-2 microglobulinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCeruloplasmin82390CPT2026CeruloplasminDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCHOLESTEROL,SERUM, TOTAL82465CPT2026CHOLESTEROL,SERUM, TOTALDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCopper82525CPT2026CopperDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY URINE CREATININE82570CPT2026ASSAY URINE CREATININEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 1, 25 dihydroxy, includes fraction(s), if performed82652CPT2026Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFerritin82728CPT2026FerritinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFolic acid; serum82746CPT2026Folic acid; serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGammaglobulin (immunoglobulin); IgE82785CPT2026Gammaglobulin (immunoglobulin); IgEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE)82950CPT2026GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGlucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use82962CPT2026Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home useDERIVED3.612024-09-27PROFESSIONAL1841261070npi155830204211DERIVED2.789999-12-31PROFESSIONAL1437206711npi15583020421750820627npi155830204211DERIVED3.619999-12-31PROFESSIONAL1326628884npi15583020421639366487npi15583020421669965703npi15583020421841261070npi15583020421912229121npi155830204211CAPITATIONGonadotropin; follicle stimulating hormone (FSH)83001CPT2026Gonadotropin; follicle stimulating hormone (FSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGrowth hormone, human (HGH) (somatotropin)83003CPT2026Growth hormone, human (HGH) (somatotropin)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method83516CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step methodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron83540CPT2026IronDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron binding capacity83550CPT2026Iron binding capacityDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalprotectin, fecal83993CPT2026Calprotectin, fecalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThiamine (Vitamin B-1)84425CPT2026Thiamine (Vitamin B-1)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; total84436CPT2026Thyroxine; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUric acid; blood84550CPT2026Uric acid; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-peptide84681CPT2026C-peptideDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; hematocrit (Hct)85014CPT2026Blood count; hematocrit (Hct)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyclic citrullinated peptide (CCP), antibody86200CPT2026Cyclic citrullinated peptide (CCP), antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for tumor antigen, quantitative; CA 19-986301CPT2026Immunoassay for tumor antigen, quantitative; CA 19-9DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHETEROPHILE ANTIBODIES,SCRNG86308CPT2026HETEROPHILE ANTIBODIES,SCRNGDERIVED4.409999-12-31PROFESSIONAL1437206711npi155830204211CAPITATIONSYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)86592CPT2026SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; herpes simplex, type 286696CPT2026Antibody; herpes simplex, type 2DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B SURFACE ANTIBODY (HBSAB)86706CPT2026HEPATITIS B SURFACE ANTIBODY (HBSAB)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; varicella-zoster86787CPT2026Antibody; varicella-zosterDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroglobulin antibody86800CPT2026Thyroglobulin antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBLOOD TYPING, SEROLOGIC; RH (D)86901CPT2026BLOOD TYPING, SEROLOGIC; RH (D)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise spe87449CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise speDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHSV, DNA, AMPLIFIED PROBE87529CPT2026HSV, DNA, AMPLIFIED PROBEDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique87651CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism87799CPT2026Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organismDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus87807CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virusDERIVED13.109999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONCytopathology, evaluation of fine needle aspirate; interpretation and report88173CPT2026Cytopathology, evaluation of fine needle aspirate; interpretation and reportDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONIMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2026IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADM90461CPT2026IMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADMDERIVED9.632024-09-27PROFESSIONAL1841261070npi155830204211DERIVED9.639999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONHuman Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use90651CPT2026Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular useDERIVED335.012024-09-27PROFESSIONAL1841261070npi155830204211DERIVED335.019999-12-31PROFESSIONAL1841261070npi155830204211CAPITATIONPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED344.199999-12-31PROFESSIONAL1013529304npi15583020421093195398npi15583020421326628884npi15583020421407844558npi15583020421689918831npi15583020421740286756npi15583020421891790309npi155830204211CAPITATIONRespiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use90678CPT2026Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular useDERIVED337.489999-12-31PROFESSIONAL1093195398npi155830204211CAPITATIONTETANUS & DIPHTHERIA (TD) PRES FREE 7YRS OR OLDER90714CPT2026TETANUS & DIPHTHERIA (TD) PRES FREE 7YRS OR OLDERDERIVED38.849999-12-31PROFESSIONAL1689918831npi155830204211CAPITATIONHepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use90746CPT2026Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular useDERIVED63.879999-12-31PROFESSIONAL1407009368npi155830204211DERIVED82.679999-12-31PROFESSIONAL1396705315npi155830204211CAPITATIONInteractive complexity (List separately in addition to the code for primary procedure)90785CPT2026Interactive complexity (List separately in addition to the code for primary procedure)DERIVED15.989999-12-31PROFESSIONAL1164740858npi155830204211CAPITATIONFamily psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes90847CPT2026Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutesDERIVED120.239999-12-31PROFESSIONAL1164740858npi15583020421407876592npi15583020421011CAPITATIONOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient92002CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patientDERIVED91.049999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421427373075npi15583020421710946181npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientDERIVED97.279999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421427373075npi15583020421710946181npi155830204211CAPITATIONComputerized corneal topography, unilateral or bilateral, with interpretation and report92025CPT2026Computerized corneal topography, unilateral or bilateral, with interpretation and reportDERIVED39.949999-12-31PROFESSIONAL1427373075npi15583020421710946181npi155830204211CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE92133CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVEDERIVED33.209999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421710946181npi155830204211CAPITATIONEYE EXAM WITH PHOTOS92250CPT2026EYE EXAM WITH PHOTOSDERIVED22.259999-12-31PROFESSIONAL1093780215npi155830204211CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED5.859999-12-31PROFESSIONAL1154361129npi155830204211DERIVED7.589999-12-31PROFESSIONAL1013529304npi15583020421063413649npi15583020421073863163npi15583020421396722476npi15583020421689918831npi15583020421740286756npi15583020421851309629npi15583020421851959407npi155830204211CAPITATIONCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report93015CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportDERIVED79.269999-12-31PROFESSIONAL1518100148npi15583020421679590178npi15583020421851309629npi155830204211CAPITATIONCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report93016CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and reportDERIVED22.699999-12-31PROFESSIONAL1851309629npi155830204221CAPITATIONExternal patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physician93272CPT2026External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physicianDERIVED26.179999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONDEVICE EVAL(IN PRSN) REV & RPRT,DUAL LEAD PACEMAKR93280CPT2026DEVICE EVAL(IN PRSN) REV & RPRT,DUAL LEAD PACEMAKRDERIVED84.569999-12-31PROFESSIONAL1679590178npi155830204211CAPITATIONW/ RT&LT CATH INCL INTRPRCD INJ FOR LT VENTRCLGRPH93460CPT2026W/ RT&LT CATH INCL INTRPRCD INJ FOR LT VENTRCLGRPHDERIVED1307.329999-12-31PROFESSIONAL1851309629npi155830204222CAPITATIONDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyDERIVED202.079999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONIntravenous infusion, hydration; initial, 31 minutes to 1 hour96360CPT2026Intravenous infusion, hydration; initial, 31 minutes to 1 hourDERIVED27.509999-12-31PROFESSIONAL1407009368npi155830204211CAPITATIONIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)96366CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)DERIVED22.979999-12-31PROFESSIONAL1184726184npi155830204249DERIVED45.949999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901104473586npi12952799901245757749npi12952799901295856466npi12952799901417323577npi12952799901750766838npi12952799901770676678npi12952799901801229539npi12952799901821712951npi12952799901831317015npi12952799901982711131npi129527999011CAPITATIONRe-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment i97164CPT2026Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment iDERIVED60.009999-12-31PROFESSIONAL1801229539npi129527999011CAPITATIONDEBRIDEMENT,OPEN WOUND, AREA;FIRST 20SQ CM OR LESS97597CPT2026DEBRIDEMENT,OPEN WOUND, AREA;FIRST 20SQ CM OR LESSDERIVED109.009999-12-31PROFESSIONAL1639366487npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99203CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEDERIVED80.979999-12-31PROFESSIONAL1184726184npi155830204210CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED195.549999-12-31PROFESSIONAL1013189877npi15583020421013529304npi15583020421073863163npi15583020421093211146npi10234479351184726184npi15583020421326628884npi15583020421407844558npi15583020421518100148npi15583020421588651699npi15583020421700025160npi15583020421740286756npi15583020421790949873npi10234479351831503010npi15583020421851309629npi15583020421912229121npi15583020421972035343npi15583020421992334437npi15583020421011DERIVED143.729999-12-31PROFESSIONAL1033149752npi17907902771437275252npi179079027711DERIVED167.099999-12-31PROFESSIONAL1407359854npi10234479351679117725npi10234479351902524960npi102344793511DERIVED177.769999-12-31PROFESSIONAL1720030653npi124528353011DERIVED142.219999-12-31PROFESSIONAL1184066482npi15386864981528387958npi15386864981861921298npi153868649811CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED50.119999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED52.009999-12-31PROFESSIONAL1043906753npi16190185611073961017npi16190185611174088264npi16190185611336758101npi16190185611376181057npi16190185611427719657npi16190185611558971770npi16190185611598443327npi16190185611619533940npi16190185611679152300npi16190185611801571781npi16190185611881630119npi161901856111DERIVED58.969999-12-31PROFESSIONAL1225075963npi12452835301396704821npi19020840641497700223npi15583020421538147665npi155830204211FEE SCHEDULE50.129999-12-31PROFESSIONAL1548545544npi155830204211DERIVED35.009999-12-31PROFESSIONAL1689918831npi155830204210DERIVED64.869999-12-31PROFESSIONAL1013529304npi15583020421053730374npi15583020421073863163npi15583020421093195398npi15583020421174864482npi15583020421225232051npi15583020421235370743npi15583020421255389938npi15583020421265401095npi15583020421326628884npi15583020421346228574npi15583020421346680311npi15583020421396705315npi15583020421396910998npi15583020421407844558npi15583020421477513661npi15583020421497017289npi15583020421578556502npi15583020421588651699npi15583020421639366487npi15583020421639585169npi15583020421669965703npi15583020421679590178npi15583020421689918831npi15583020421790756765npi15583020421831503010npi15583020421851302962npi1558302042021011CAPITATIONSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of t99233CPT2026Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of tDERIVED119.909999-12-31PROFESSIONAL1053600874npi15583020421629182381npi155830204221CAPITATIONHospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter99239CPT2026Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounterDERIVED118.739999-12-31PROFESSIONAL1528001963npi15583020421629182381npi15583020421881001162npi155830204221CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED147.429999-12-31PROFESSIONAL1013529304npi15583020421013971142npi15583020421265401095npi15583020421346228574npi15583020421346680311npi15583020421407844558npi15583020421477513661npi15583020421740286756npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99394CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED118.509999-12-31PROFESSIONAL1396704821npi190208406411DERIVED130.352024-09-27PROFESSIONAL1841261070npi155830204211DERIVED130.359999-12-31PROFESSIONAL1093195398npi15583020421497017289npi15583020421689645970npi16391384801841261070npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED134.659999-12-31PROFESSIONAL1871525451npi166958533711DERIVED141.062024-09-27PROFESSIONAL1841261070npi155830204211DERIVED141.069999-12-31PROFESSIONAL1013529304npi15583020421013971142npi15583020421063413649npi15583020421093195398npi15583020421154907905npi15583020421235259011npi15583020421265401095npi15583020421285155259npi15583020421326628884npi15583020421346680311npi15583020421396705315npi15583020421396722476npi15583020421407844558npi15583020421477513661npi15583020421497017289npi15583020421497485528npi15583020421639366487npi15583020421669965703npi15583020421689918831npi15583020421740286756npi15583020421790756765npi15583020421801045760npi15583020421831503010npi15583020421841261070npi15583020421952419640npi155830204211DERIVED128.249999-12-31PROFESSIONAL1093376618npi12452835301962579391npi196257939111CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99397CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED151.779999-12-31PROFESSIONAL1053730374npi15583020421093195398npi15583020421265401095npi15583020421689918831npi15583020421790756765npi155830204211DERIVED137.979999-12-31PROFESSIONAL1962579391npi196257939111CAPITATIONRPLMNT CUSHION FOR NASAL APPLICATION DEVICE, PAIRA7033HCPCS2026RPLMNT CUSHION FOR NASAL APPLICATION DEVICE, PAIRDERIVED14.599999-12-31PROFESSIONAL1336234194npi133623419412DERIVED14.099999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHEADGEAR USED WITH PAPDA7035HCPCS2026HEADGEAR USED WITH PAPDDERIVED16.669999-12-31PROFESSIONAL1336234194npi133623419412DERIVED17.259999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONTUBING USED WITH PAPDA7037HCPCS2026TUBING USED WITH PAPDDERIVED10.769999-12-31PROFESSIONAL1336234194npi133623419412DERIVED11.139999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONWATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIA7046HCPCS2026WATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIDERIVED12.839999-12-31PROFESSIONAL1336234194npi133623419412DERIVED12.389999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONRESPIRATORY ASSIST DEVICE BI-LEVL CAP W/O BACKUPE0470HCPCS2026RESPIRATORY ASSIST DEVICE BI-LEVL CAP W/O BACKUPDERIVED122.609999-12-31PROFESSIONAL1336234194npi133623419412DERIVED97.509999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEG0009HCPCS2026ADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEDERIVED23.039999-12-31PROFESSIONAL1013529304npi15583020421093195398npi15583020421326628884npi15583020421407844558npi15583020421740286756npi15583020421891790309npi155830204211DERIVED24.609999-12-31PROFESSIONAL1689918831npi155830204211CAPITATIONADMIN HEPATITIS B VACC W/NO PHY FEE SCH SVS SAME DG0010HCPCS2026ADMIN HEPATITIS B VACC W/NO PHY FEE SCH SVS SAME DDERIVED23.039999-12-31PROFESSIONAL1396705315npi15583020421407009368npi155830204211CAPITATIONDIAB TRNG SVC-GROUP, PER 30 MINSG0109HCPCS2026DIAB TRNG SVC-GROUP, PER 30 MINSDERIVED69.889999-12-31PROFESSIONAL1396705570npi155830204202CAPITATIONPHY SUPER PT RCVNG MC HH AGENCY COMPLEXG0181HCPCS2026PHY SUPER PT RCVNG MC HH AGENCY COMPLEXDERIVED115.289999-12-31PROFESSIONAL1871525451npi166958533711CAPITATIONDEFINTVE DRUG TEST GC/MS LC/MS 15-21 DRUG CLASSESG0482HCPCS2026DEFINTVE DRUG TEST GC/MS LC/MS 15-21 DRUG CLASSESDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINJ, METHYLPRED ACETATE 1 MGJ1010HCPCS2026INJ, METHYLPRED ACETATE 1 MGDERIVED5.209999-12-31PROFESSIONAL1851302962npi155830204211CAPITATIONINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED0.189999-12-31PROFESSIONAL1861921298npi153868649811FEE SCHEDULE0.099999-12-31PROFESSIONAL1548545544npi155830204211DERIVED0.099999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi155830204211CAPITATIONINJ VITAMIN B-12, 1000 MCGJ3420HCPCS2026INJ VITAMIN B-12, 1000 MCGDERIVED0.709999-12-31PROFESSIONAL1013529304npi15583020421285155259npi15583020421497017289npi155830204211CAPITATIONZOLEDRONIC ACID 1MGJ3489HCPCS2026ZOLEDRONIC ACID 1MGDERIVED27.959999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONAFO, ANKLE GAUNTLET, PREFAB,L1902HCPCS2026AFO, ANKLE GAUNTLET, PREFAB,DERIVED103.839999-12-31PROFESSIONAL1174864482npi155830204211CAPITATIONWALKING BOOT,NON-PNEUMATIC,W/ OR W/OUT JOINTS,W/ OL4387HCPCS2026WALKING BOOT,NON-PNEUMATIC,W/ OR W/OUT JOINTS,W/ ODERIVED166.509999-12-31PROFESSIONAL1861530685npi155830204211CAPITATIONMASTECTOMY BRA, BREAST PROSTHESIS W/O INTGRT FORML8000HCPCS2026MASTECTOMY BRA, BREAST PROSTHESIS W/O INTGRT FORMDERIVED125.109999-12-31PROFESSIONAL1336234194npi133623419412LARGE GROUP POSEIN590704726GROUPFFSAnesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy00812CPT2026Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopyDERIVED205.339999-12-31PROFESSIONAL1407053697npi12058756711841352846npi120587567122FFSAnesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified00840CPT2026Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specifiedDERIVED1642.679999-12-31PROFESSIONAL1386285195npi106346376822FFSAnesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified00940CPT2026Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specifiedDERIVED714.679999-12-31PROFESSIONAL1720308919npi106346376822FFSDRUGS/OTHER0259RC2026DRUGS/OTHERDERIVED17.289999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED158.119999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1.809999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED2.409999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3.709999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED5.599999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED65.129999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED74.979999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED132.519999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.239999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED16.889999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED1.529999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED5.959999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED14.279999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED20.679999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED36.399999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED103.599999-12-31INSTITUTIONAL1679678486npi167967848621FFSSTERILE SUPPLY0272RC2026STERILE SUPPLYDERIVED481.799999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED5054.159999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED614.909999-12-31INSTITUTIONAL1649367269npi164936726922FFSLABORATORY OR (LAB)0300RC2026LABORATORY OR (LAB)DERIVED50.609999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED54.999999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED222.859999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED101.219999-12-31INSTITUTIONAL1063426823npi106342682321FFSPATHOL/HYSTOL0312RC2026PATHOL/HYSTOLDERIVED449.089999-12-31INSTITUTIONAL1679678486npi167967848621FFSDX X-RAY/CHEST0324RC2026DX X-RAY/CHESTDERIVED361.309999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED348.889999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED709.099999-12-31INSTITUTIONAL1063426823npi106342682321FFSNUC MED/DX0341RC2026NUC MED/DXDERIVED693.259999-12-31INSTITUTIONAL1649367269npi164936726921FFSCT SCAN/HEAD0351RC2026CT SCAN/HEADDERIVED1063.309999-12-31INSTITUTIONAL1063426823npi106342682321FFSANESTHESIA0370RC2026ANESTHESIADERIVED1107.099999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED1034.899999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED3178.179999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED905.519999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED927.079999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED4242.409999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED647.689999-12-31INSTITUTIONAL1063426823npi106342682322FFSSIMPLE REP-FACE,EARS,EYELIDS12011CPT2026SIMPLE REP-FACE,EARS,EYELIDSFEE SCHEDULE89.569999-12-31PROFESSIONAL1497043046npi124528353023FFSRepair, complex, trunk; 2.6 cm to 7.5 cm13101CPT2026Repair, complex, trunk; 2.6 cm to 7.5 cmDERIVED404.889999-12-31PROFESSIONAL1114293412npi161901856111FFSDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionFEE SCHEDULE72.069999-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE72.062023-12-31PROFESSIONAL1790805729npi164931421211FFSAcute and chronic respiratory failure with hypoxia189MS-DRG10Acute and chronic respiratory failure with hypoxiaDERIVED12538.959999-12-31INSTITUTIONAL1871977942npi187197794221FFSChronic obstructive pulmonary disease with (acute) exacerbation190MS-DRG10Chronic obstructive pulmonary disease with (acute) exacerbationDERIVED11688.739999-12-31INSTITUTIONAL1871977942npi187197794221FFSApplication, cast; elbow to finger (short arm)29075CPT2026Application, cast; elbow to finger (short arm)DERIVED101.759999-12-31PROFESSIONAL1740606441npi155834024011FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239CPT2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED553.739999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED702.369999-12-31PROFESSIONAL1548095763npi179079027711FFSESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPS43239CPT2026ESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPSFEE SCHEDULE126.509999-12-31PROFESSIONAL1376644328npi148776713322DERIVED134.259999-12-31PROFESSIONAL1760456677npi115430408724FFSEsophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis43259CPT2026Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosisNEGOTIATED10297.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSAppendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)44955CPT2026Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)DERIVED108.399999-12-31PROFESSIONAL1932179207npi178010052921FFSCOLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPE45378CPT2026COLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPEDERIVED2551.499999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED642.039999-12-31PROFESSIONAL1275806721npi179079027711NEGOTIATED290.269999-12-31PROFESSIONAL1174818058npi16694295771356573984npi16694295772122DERIVED228.949999-12-31PROFESSIONAL1659325165npi178010052922DERIVED1535.809999-12-31INSTITUTIONAL1811991227npi181199122722FFSCOLONOSCOPY, LESION REMOVAL45385APC2026COLONOSCOPY, LESION REMOVALFEE SCHEDULE587.139999-12-31INSTITUTIONAL1407873292npi140787329224FFSCOLPOSCOPY CERVIX/UPPER/ADJACENT VAGINA/WITH BX57455CPT2026COLPOSCOPY CERVIX/UPPER/ADJACENT VAGINA/WITH BXDERIVED220.519999-12-31PROFESSIONAL1497294979npi178010052911FFSCONIZATION OF CERVIX57520CPT2026CONIZATION OF CERVIXDERIVED492.579999-12-31PROFESSIONAL1497294979npi178010052911FFSCutaneous abscess of neck579MS-DRG10Cutaneous abscess of neckDERIVED35453.589999-12-31INSTITUTIONAL1871977942npi187197794221FFSTotal abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);58150CPT2026Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);DERIVED211.519999-12-31PROFESSIONAL1932179207npi178010052921DERIVED612.049999-12-31PROFESSIONAL1356373054npi138682324321FFSRoutine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care59400CPT2026Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum careDERIVED3399.009999-12-31PROFESSIONAL1609849496npi187157203221FFSLUMBAR OR SACRAL SINGLE LEVEL64483CPT2026LUMBAR OR SACRAL SINGLE LEVELDERIVED271.999999-12-31PROFESSIONAL1841618782npi155834024011FFSRepair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique67108APC2026Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same techniqueNEGOTIATED3128.539999-12-31INSTITUTIONAL1376185876npi137618587624FFSRepair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique67108CPT2026Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same techniqueFEE SCHEDULE997.209999-12-31PROFESSIONAL1336303247npi169977379624FFSMRI, ORBIT, FACE AND OR NECK W/O CONTRAST70540CPT2026MRI, ORBIT, FACE AND OR NECK W/O CONTRASTFEE SCHEDULE102.789999-12-31PROFESSIONAL1356630974npi107378504421FFSMRA,NECK;W/OUT CONTRAST70547CPT2026MRA,NECK;W/OUT CONTRASTFEE SCHEDULE91.879999-12-31PROFESSIONAL1750733614npi107378504419FFSRadiologic examination, chest; single view71045CPT2026Radiologic examination, chest; single viewDERIVED296.799999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED302.669999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED354.099999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED288.319999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE9.279999-12-31PROFESSIONAL1003905290npi10634007291245273259npi10634007291295872240npi10634007291316981996npi10634007291396756474npi10634007291932532900npi1063400729212223FEE SCHEDULE13.919999-12-31PROFESSIONAL1366972846npi10737850441417964040npi10737850441497752240npi10737850441568993194npi10737850441588662183npi10737850441609295104npi10737850441619965514npi10737850441699267401npi10737850441750329280npi10737850441871760538npi10737850441992049621npi1073785044212223DERIVED144.539999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED289.509999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED337.239999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED350.379999-12-31INSTITUTIONAL1063426823npi10634268232223FFSCAT SCAN OF CHEST71250CPT2026CAT SCAN OF CHESTFEE SCHEDULE82.349999-12-31PROFESSIONAL1417236902npi107378504423FFSComputed tomography, thorax, diagnostic; without contrast material71250CPT2026Computed tomography, thorax, diagnostic; without contrast materialDERIVED189.209999-12-31PROFESSIONAL1083656706npi12452716751831136191npi124527167511FFSRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsDERIVED52.019999-12-31PROFESSIONAL1073592606npi155834024011DERIVED44.219999-12-31PROFESSIONAL1770129413npi15583402401801191861npi155834024011FFSMAGNETIC IMAGE, NECK SPINE72141CPT2026MAGNETIC IMAGE, NECK SPINEFEE SCHEDULE113.399999-12-31PROFESSIONAL1508128760npi107378504422FFSMAGNETIC IMAGE, LUMBAR SPINE72148CPT2026MAGNETIC IMAGE, LUMBAR SPINEDERIVED2580.899999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED273.369999-12-31PROFESSIONAL1336566330npi12452716751457886046npi12452716751619037025npi12452716751699717124npi124527167511FEE SCHEDULE113.929999-12-31PROFESSIONAL1386641868npi10737850441699701011npi10737850441881000149npi1073785044192122DERIVED350.009999-12-31PROFESSIONAL1760567762npi188190490249DERIVED2367.119999-12-31INSTITUTIONAL1700978558npi170097855822FFSRadiologic examination, hand; minimum of 3 views73130CPT2026Radiologic examination, hand; minimum of 3 viewsDERIVED54.059999-12-31PROFESSIONAL1699717124npi124527167511FEE SCHEDULE33.329999-12-31PROFESSIONAL1174620702npi118407526911FFSX-RAY EXAM OF HAND73130CPT2026X-RAY EXAM OF HANDDERIVED54.059999-12-31PROFESSIONAL1699717124npi124527167511FFSRadiologic examination, knee; 1 or 2 views73560CPT2026Radiologic examination, knee; 1 or 2 viewsFEE SCHEDULE36.849999-12-31PROFESSIONAL1356359269npi163916397511DERIVED48.909999-12-31PROFESSIONAL1306188073npi124527167511FFSX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEDERIVED40.749999-12-31PROFESSIONAL1801191861npi155834024011DERIVED47.939999-12-31PROFESSIONAL1073592788npi15583402401225577703npi15583402401740606441npi155834024011FFSX-RAY EXAM OF ANKLE;2 VIEWS73600CPT2026X-RAY EXAM OF ANKLE;2 VIEWSDERIVED236.069999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE13.339999-12-31PROFESSIONAL1902993918npi107378504422FFSMRI,LOW EXT OTHR THAN JNT;W/OUT CONT,F/BY CONT MAT73720CPT2026MRI,LOW EXT OTHR THAN JNT;W/OUT CONT,F/BY CONT MATFEE SCHEDULE110.129999-12-31PROFESSIONAL1245273259npi10634007291306188073npi106340072921FFSRadiologic examination, abdomen; 1 view74018CPT2026Radiologic examination, abdomen; 1 viewFEE SCHEDULE9.639999-12-31PROFESSIONAL1093759599npi106340072921FFSComputed tomography, abdomen and pelvis; without contrast material74176CPT2026Computed tomography, abdomen and pelvis; without contrast materialDERIVED262.069999-12-31PROFESSIONAL1497103121npi12452716751780655498npi124527167511FFSWITH CONTRAST MATERIAL74177CPT2026WITH CONTRAST MATERIALDERIVED657.659999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE93.249999-12-31PROFESSIONAL1396756474npi106340072923FEE SCHEDULE139.859999-12-31PROFESSIONAL1043276397npi10737850441225007321npi10737850441487035440npi10737850441730168576npi107378504423DERIVED426.389999-12-31PROFESSIONAL1003905290npi12452716751326082975npi12452716751831136191npi124527167511DERIVED3357.689999-12-31INSTITUTIONAL1063426823npi106342682323FFSComputed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions74178CPT2026Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regionsFEE SCHEDULE328.779999-12-31PROFESSIONAL1255420592npi134651685311DERIVED480.009999-12-31PROFESSIONAL1780655498npi124527167511FFSCT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CON75574CPT2026CT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CONFEE SCHEDULE183.689999-12-31PROFESSIONAL1912167305npi107378504422DERIVED561.429999-12-31INSTITUTIONAL1649367269npi164936726922FFSAORTOGRAPHY,ABD SUPER/INTERP75625CPT2026AORTOGRAPHY,ABD SUPER/INTERPFEE SCHEDULE86.699999-12-31PROFESSIONAL1104913110npi106346376822FFSREQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATN76377CPT2026REQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATNDERIVED113.549999-12-31PROFESSIONAL1235128620npi124527167511DERIVED344.069999-12-31INSTITUTIONAL1063426823npi106342682323FFSUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited76642CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limitedDERIVED451.339999-12-31INSTITUTIONAL1053424648npi105342464822DERIVED119.309999-12-31PROFESSIONAL1003905290npi12452716751104860600npi12452716751174567697npi12452716751316981996npi12452716751326082975npi12452716751396756474npi12452716751578507588npi12452716751639598519npi12452716751831136191npi124527167511FFSECHO EXAM OF ABDOMEN76705CPT2026ECHO EXAM OF ABDOMENFEE SCHEDULE45.519999-12-31PROFESSIONAL1629076187npi107378504423FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FOLLOW-UP (EG, RE-EVALUATION OF FETAL SIZE BY MEASURING STANDARD GROWTH PARAMETERS AND AMNIOTIC FLUID VOLUME, RE-EVALUATION OF ORGAN SYSTEM(S) SUSPECTED OR CONFIRMED TO BE ABNORMAL ON76816CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FOLLOW-UP (EG, RE-EVALUATION OF FETAL SIZE BY MEASURING STANDARD GROWTH PARAMETERS AND AMNIOTIC FLUID VOLUME, RE-EVALUATION OF ORGAN SYSTEM(S) SUSPECTED OR CONFIRMED TO BE ABNORMAL ONFEE SCHEDULE45.009999-12-31PROFESSIONAL1366837247npi12452835301962505347npi124528353022DERIVED201.459999-12-31INSTITUTIONAL1811991227npi181199122722FFSECHO EXAM, TRANSVAGINAL76830CPT2026ECHO EXAM, TRANSVAGINALDERIVED138.529999-12-31PROFESSIONAL1609194349npi17801005291609215490npi178010052911NEGOTIATED184.839999-12-31PROFESSIONAL1376502161npi166942957711DERIVED120.209999-12-31PROFESSIONAL1346290145npi187157203211FFSMagnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral77049CPT2026Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateralDERIVED483.209999-12-31PROFESSIONAL1003905290npi12452716751235128620npi12452716751326082975npi12452716751578507588npi124527167511FFSSET RADIATION THERAPY FIELD77290CPT2026SET RADIATION THERAPY FIELDDERIVED655.349999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE89.919999-12-31PROFESSIONAL1346262789npi124528353022FFSContinuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy77336CPT2026Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapyDERIVED98.359999-12-31PROFESSIONAL1871582791npi17605909621912991324npi17605909621962646745npi176059096211DERIVED245.579999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED377.979999-12-31INSTITUTIONAL1679678486npi167967848622FFSLIPID PANEL80061CPT2026LIPID PANELDERIVED93.969999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED150.509999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.199999-12-31PROFESSIONAL1154884815npi170064904311FFSCreatinine; blood82565CPT2026Creatinine; bloodDERIVED49.519999-12-31INSTITUTIONAL1649367269npi164936726922FFSLactate (lactic acid)83605CPT2026Lactate (lactic acid)DERIVED109.109999-12-31INSTITUTIONAL1063426823npi106342682323FFSNatriuretic peptide83880CPT2026Natriuretic peptideDERIVED90.439999-12-31INSTITUTIONAL1063426823npi106342682323FFSFibrin degradation products, D-dimer; quantitative85379CPT2026Fibrin degradation products, D-dimer; quantitativeDERIVED146.099999-12-31INSTITUTIONAL1063426823npi106342682323FFSCulture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates87070CPT2026Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolatesFEE SCHEDULE5.179999-12-31PROFESSIONAL1265798870npi126579887081DERIVED16.809999-12-31INSTITUTIONAL1811991227npi181199122722FFSHomogenization, tissue, for culture87176CPT2026Homogenization, tissue, for cultureDERIVED11.469999-12-31INSTITUTIONAL1811991227npi181199122722FFSTISSUE EXAM BY PATHOLOGIST88304CPT2026TISSUE EXAM BY PATHOLOGISTFEE SCHEDULE23.979999-12-31PROFESSIONAL1265798870npi126579887081FFSLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED116.379999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED231.289999-12-31PROFESSIONAL1588663504npi126549387822FEE SCHEDULE92.469999-12-31PROFESSIONAL1912077488npi188164491224DERIVED33.049999-12-31PROFESSIONAL1861451593npi126549387822DERIVED66.089999-12-31PROFESSIONAL1285877837npi126549387822DERIVED83.489999-12-31PROFESSIONAL1841272853npi125531366422DERIVED130.809999-12-31PROFESSIONAL1760456677npi115430408711FEE SCHEDULE26.979999-12-31PROFESSIONAL1275853376npi167954590924DERIVED2108.739999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE27.829999-12-31PROFESSIONAL1275853376npi167954590924FEE SCHEDULE41.099999-12-31PROFESSIONAL1265798870npi126579887081FFSLEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88307CPT2026LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED144.309999-12-31PROFESSIONAL1588663504npi126549387822FEE SCHEDULE60.769999-12-31PROFESSIONAL1467695155npi167954590922DERIVED72.159999-12-31PROFESSIONAL1861451593npi126549387822FFSGRP II,OTH EXCPT MICROORG,ENZYM CONST,IMMUNOCYTOCH88313CPT2026GRP II,OTH EXCPT MICROORG,ENZYM CONST,IMMUNOCYTOCHDERIVED64.339999-12-31PROFESSIONAL1760456677npi115430408711FFSPATH CONSULT SURGERY;1ST TISSUE BLCK,FRZN SCT,SNGL88331CPT2026PATH CONSULT SURGERY;1ST TISSUE BLCK,FRZN SCT,SNGLDERIVED54.449999-12-31PROFESSIONAL1861451593npi126549387822FFSIMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADM90460CPT2026IMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADMNEGOTIATED25.229999-12-31PROFESSIONAL1720439920npi156869355411DERIVED21.909999-12-31PROFESSIONAL1821014192npi194268913811DERIVED23.069999-12-31PROFESSIONAL1013412196npi12452835301396704821npi190208406411DERIVED19.609999-12-31PROFESSIONAL1396128989npi124528353011FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED23.669999-12-31PROFESSIONAL1609182690npi13262549621740478197npi109349363711DERIVED25.009999-12-31PROFESSIONAL1255368924npi182118306211DERIVED18.419999-12-31INSTITUTIONAL1861102345npi186110234523FFSHepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use90633CPT2026Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular useNEGOTIATED42.009999-12-31PROFESSIONAL1720439920npi156869355411DERIVED39.139999-12-31PROFESSIONAL1013412196npi12452835301821014192npi194268913811FFSInfluenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use90653CPT2026Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular useDERIVED107.989999-12-31PROFESSIONAL1740478197npi109349363711FFSPneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use90671CPT2026Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular useDERIVED255.849999-12-31PROFESSIONAL1821014192npi194268913811FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use90696CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular useDERIVED67.049999-12-31PROFESSIONAL1821014192npi194268913811FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use90698CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular useNEGOTIATED132.009999-12-31PROFESSIONAL1720439920npi156869355411FFSVaricella virus vaccine (VAR), live, for subcutaneous use90716CPT2026Varicella virus vaccine (VAR), live, for subcutaneous useDERIVED192.129999-12-31PROFESSIONAL1821014192npi194268913811FFSMeningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use90734CPT2026Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular useDERIVED166.759999-12-31PROFESSIONAL1396128989npi12452835301821014192npi194268913811FFSPsychiatric diagnostic evaluation90791CPT2026Psychiatric diagnostic evaluationFEE SCHEDULE100.009999-12-31PROFESSIONAL1598740896npi159874089611FEE SCHEDULE145.979999-12-31PROFESSIONAL1740675107npi15386561781790070928npi191258803911FFSPSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES90792CPT2026PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICESDERIVED248.069999-12-31PROFESSIONAL1174931448npi117493144811FFSPsychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)90833CPT2026Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)FEE SCHEDULE65.369999-12-31PROFESSIONAL1033732276npi181131510411FEE SCHEDULE69.459999-12-31PROFESSIONAL1104191097npi110419109711FEE SCHEDULE77.629999-12-31PROFESSIONAL1992926661npi18113151040211FEE SCHEDULE73.539999-12-31PROFESSIONAL1962548552npi155879840511FFSBiofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient90912CPT2026Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patientDERIVED85.009999-12-31PROFESSIONAL1720716780npi129527999011FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientFEE SCHEDULE88.439999-12-31PROFESSIONAL1346775376npi169977379611FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA92134CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINAFEE SCHEDULE32.119999-12-31PROFESSIONAL1487654117npi16997737961730479650npi16997737961871855049npi169977379611FFSComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)92557CPT2026Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)FEE SCHEDULE38.759999-12-31PROFESSIONAL1508979246npi148789724511FFSPERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE"MAJOR-CORONARY ARTERY AND/OR ITS BRANCH(ES)92933CPT2026PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE"MAJOR-CORONARY ARTERY AND/OR ITS BRANCH(ES)FEE SCHEDULE253.349999-12-31PROFESSIONAL1194774604npi162915168321FFSElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED322.409999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED267.259999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED287.859999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED230.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED280.619999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED114.969999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED242.409999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED274.149999-12-31INSTITUTIONAL1700978558npi170097855823FFSDEVICE EVAL(IN PRS)REV & RPRT,MULT LEAD IMPL DEFIB93284CPT2026DEVICE EVAL(IN PRS)REV & RPRT,MULT LEAD IMPL DEFIBFEE SCHEDULE112.569999-12-31PROFESSIONAL1417921701npi19422506831750332250npi174055985511FEE SCHEDULE64.949999-12-31PROFESSIONAL1417921701npi194225068311FFSINTRGTN DEV.EVAL W/REVIEW & REPT. IMPL LOOP RECRDR93291CPT2026INTRGTN DEV.EVAL W/REVIEW & REPT. IMPL LOOP RECRDRDERIVED42.199999-12-31PROFESSIONAL1043488661npi185155266511FFSINTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT DEFIBRL93295CPT2026INTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT DEFIBRLFEE SCHEDULE40.119999-12-31PROFESSIONAL1417921701npi194225068311DERIVED31.729999-12-31PROFESSIONAL1245286624npi194225068311FFSINTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT CRDVSC93297CPT2026INTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT CRDVSCFEE SCHEDULE65.359999-12-31PROFESSIONAL1417921701npi194225068311FEE SCHEDULE26.869999-12-31PROFESSIONAL1417921701npi194225068311FFSECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERDERIVED279.779999-12-31PROFESSIONAL1073557518npi124527167511DERIVED743.269999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED862.699999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE162.889999-12-31PROFESSIONAL1194774604npi162915168311FEE SCHEDULE210.789999-12-31PROFESSIONAL1417921701npi194225068311FEE SCHEDULE172.469999-12-31PROFESSIONAL1609907948npi104355169011DERIVED172.469999-12-31PROFESSIONAL1043488661npi18515526651306074372npi16695892631487614947npi16695892631669430732npi166958926311FEE SCHEDULE74.259999-12-31PROFESSIONAL1013995406npi12452835301316902612npi124528353022FEE SCHEDULE87.759999-12-31PROFESSIONAL1487887295npi124528353021FFSPhysician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)93798CPT2026Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)DERIVED136.859999-12-31INSTITUTIONAL1285681908npi128568190822FFSINTRACRANIAL STUDY93888CPT2026INTRACRANIAL STUDYFEE SCHEDULE181.499999-12-31PROFESSIONAL1417921701npi194225068311FEE SCHEDULE148.499999-12-31PROFESSIONAL1609907948npi104355169011FFSPressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure b94640CPT2026Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure bDERIVED238.219999-12-31INSTITUTIONAL1063426823npi106342682323FFSGAS DILUT/WASHOUT DETERM LUNG VOL;DISTR VENTILATIO94727CPT2026GAS DILUT/WASHOUT DETERM LUNG VOL;DISTR VENTILATIODERIVED102.399999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED131.559999-12-31INSTITUTIONAL1063426823npi106342682322FFSDIFFUSING CAPACITY94729CPT2026DIFFUSING CAPACITYFEE SCHEDULE9.409999-12-31PROFESSIONAL1972690444npi128506955922DERIVED10.349999-12-31PROFESSIONAL1841336310npi179008132122FFSIntravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)96361CPT2026Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)DERIVED148.089999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED141.039999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED159.719999-12-31INSTITUTIONAL1811991227npi181199122723FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)96368CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)DERIVED22.259999-12-31PROFESSIONAL1902068158npi176059096211FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED14.219999-12-31PROFESSIONAL1831711464npi132625496211DERIVED15.879999-12-31PROFESSIONAL1982630042npi111403746211DERIVED48.349999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED16.639999-12-31PROFESSIONAL1093729287npi17605909621821290362npi176059096211FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug96374CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drugDERIVED389.339999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED77.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED363.559999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED90.259999-12-31INSTITUTIONAL1063426823npi10634268232223FFSChemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)96417CPT2026Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)DERIVED141.689999-12-31PROFESSIONAL1902068158npi176059096211FFSManual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes97140CPT2026Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutesDERIVED48.009999-12-31PROFESSIONAL1073627766npi169991040611FFSPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED50.009999-12-31PROFESSIONAL1467027110npi15583402401669026761npi15583402401891925111npi15583402401992912349npi155834024011DERIVED60.009999-12-31PROFESSIONAL1558880120npi12952799901720716780npi129527999011DERIVED207.889999-12-31INSTITUTIONAL1811991227npi181199122722FFSTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED50.009999-12-31PROFESSIONAL1154683894npi15583402401467027110npi15583402401952535817npi15583402401992912349npi155834024011FFSChiropractic manipulative treatment (CMT); spinal, 3-4 regions98941CPT2026Chiropractic manipulative treatment (CMT); spinal, 3-4 regionsFEE SCHEDULE34.139999-12-31PROFESSIONAL1407947252npi13464561671619681277npi134645616711FFSSCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT99173CPT2026SCREENING TEST VISUAL ACUITY QUANTITATIVE BILATNEGOTIATED4.759999-12-31PROFESSIONAL1720439920npi156869355411FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED96.229999-12-31PROFESSIONAL1518690908npi115430408711DERIVED104.739999-12-31PROFESSIONAL1508547399npi16190185611598443327npi161901856111DERIVED105.029999-12-31PROFESSIONAL1801191861npi155834024011DERIVED111.799999-12-31PROFESSIONAL1144225541npi150881869111DERIVED123.559999-12-31PROFESSIONAL1073592788npi15583402401225577703npi15583402401477747970npi17900973351710966601npi15583402401740606441npi15583402401841711819npi15583402401891730974npi171021128911DERIVED194.159999-12-31PROFESSIONAL1417031691npi178010052911FEE SCHEDULE105.909999-12-31PROFESSIONAL1174620702npi11840752691407947252npi134645616711FEE SCHEDULE110.619999-12-31PROFESSIONAL1376005272npi164931421211DERIVED104.729999-12-31PROFESSIONAL1609522333npi154881974111DERIVED105.909999-12-31PROFESSIONAL1669430732npi166958926311DERIVED124.739999-12-31PROFESSIONAL1154884815npi170064904311NEGOTIATED237.539999-12-31PROFESSIONAL1578889721npi166942957711FEE SCHEDULE110.612023-12-31PROFESSIONAL1902966336npi164931421211DERIVED79.439999-12-31PROFESSIONAL1609194349npi178010052911DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781528666575npi18919053781790266013npi189190537820DERIVED125.009999-12-31PROFESSIONAL1124021704npi10533630361164198925npi105336303620DERIVED129.439999-12-31PROFESSIONAL1043328735npi132625496211DERIVED135.329999-12-31PROFESSIONAL1982609046npi142723748611DERIVED150.009999-12-31PROFESSIONAL1821568825npi18011262971902337157npi10933085041912351040npi109330850420DERIVED164.689999-12-31PROFESSIONAL1750716197npi128573560520DERIVED225.929999-12-31PROFESSIONAL1346276201npi122503423411FEE SCHEDULE111.799999-12-31PROFESSIONAL1689748345npi199208800911FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEFEE SCHEDULE181.499999-12-31PROFESSIONAL1346262789npi12452835301699877506npi124528353022FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED120.009999-12-31PROFESSIONAL1043087018npi18919053781306114483npi18919053781548745060npi189190537820DERIVED121.529999-12-31PROFESSIONAL1043488661npi18515526651316902612npi16695892631487614947npi16695892631669430732npi16695892631780866111npi184134030411DERIVED141.779999-12-31PROFESSIONAL1073592606npi15583402401225577703npi15583402401306947452npi16290617671487668463npi17101620941619460755npi12452835301619952579npi15789546811841618782npi15583402401891730974npi17102112891912162934npi11140374621952355497npi155834024011FEE SCHEDULE94.799999-12-31PROFESSIONAL1144683962npi12452835301427431568npi12452835301699877506npi12452835301922FEE SCHEDULE114.779999-12-31PROFESSIONAL1104191097npi11041910971194774604npi162915168311FEE SCHEDULE126.929999-12-31PROFESSIONAL1376005272npi164931421211FEE SCHEDULE132.329999-12-31PROFESSIONAL1083265086npi19422636941578527057npi194226369411FEE SCHEDULE399.549999-12-31PROFESSIONAL1851702930npi179077231711DERIVED70.899999-12-31PROFESSIONAL1407887029npi114433310511DERIVED126.919999-12-31PROFESSIONAL1033571930npi13262549621831711464npi13262549621011DERIVED132.009999-12-31PROFESSIONAL1407887029npi114433310511DERIVED135.029999-12-31PROFESSIONAL1013412196npi12452835301356373054npi13868232431487875977npi12856853701518594647npi12452835301649277880npi128568537011DERIVED148.529999-12-31PROFESSIONAL1053753442npi16990212951306850508npi17605909621538165113npi17605909621609015528npi17605909621609182690npi13262549621902068158npi17605909621912991324npi176059096211DERIVED157.979999-12-31PROFESSIONAL1235428921npi15485846001558380444npi15485846001689256059npi154858460011DERIVED168.779999-12-31PROFESSIONAL1548410574npi17801005291548748957npi10934936371740478197npi109349363711DERIVED182.289999-12-31PROFESSIONAL1609194349npi178010052911DERIVED120.519999-12-31PROFESSIONAL1801191861npi155834024011DERIVED133.679999-12-31PROFESSIONAL1922636851npi154858460011DERIVED143.129999-12-31PROFESSIONAL1154884815npi17006490431861236424npi179079027711DERIVED155.009999-12-31PROFESSIONAL1255368924npi182118306211FEE SCHEDULE108.029999-12-31PROFESSIONAL1033732276npi181131510411FEE SCHEDULE121.529999-12-31PROFESSIONAL1609907948npi10435516901861425936npi13364797811962548552npi155879840511FEE SCHEDULE141.779999-12-31PROFESSIONAL1013909951npi16797724461235221219npi19323751931467719492npi99999999991659363505npi1417148032021011FEE SCHEDULE167.589999-12-31PROFESSIONAL1619571643npi166942957711FEE SCHEDULE170.139999-12-31PROFESSIONAL1104913110npi106346376811NEGOTIATED197.159999-12-31PROFESSIONAL1477846004npi16694295771720439920npi15686935541790733772npi156869355411DERIVED113.429999-12-31PROFESSIONAL1033534284npi10234479351679117725npi102344793511DERIVED130.009999-12-31PROFESSIONAL1346231966npi116443527711DERIVED155.279999-12-31PROFESSIONAL1982609046npi142723748611DERIVED222.789999-12-31PROFESSIONAL1730594805npi178010052911DERIVED321.299999-12-31INSTITUTIONAL1679678486npi167967848622FEE SCHEDULE128.279999-12-31PROFESSIONAL1467663872npi19123124971992926661npi18113151040211FEE SCHEDULE135.029999-12-31PROFESSIONAL1871855049npi16997737961972690444npi128506955911FEE SCHEDULE148.529999-12-31PROFESSIONAL1104846815npi10836796091417921701npi19422506831588646616npi17405598551619437084npi10836796091750332250npi174055985511FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED211.079999-12-31PROFESSIONAL1013002880npi176059096211DERIVED224.509999-12-31PROFESSIONAL1558380444npi154858460011DERIVED239.859999-12-31PROFESSIONAL1548748957npi109349363711DERIVED456.909999-12-31INSTITUTIONAL1679678486npi167967848622FEE SCHEDULE211.079999-12-31PROFESSIONAL1619437084npi108367960911FEE SCHEDULE316.609999-12-31PROFESSIONAL1205899820npi162941572411FFSHospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter99239CPT2026Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounterFEE SCHEDULE119.819999-12-31PROFESSIONAL1689126021npi124528353021DERIVED134.929999-12-31PROFESSIONAL1063641520npi17801005291114236932npi17801005291154842953npi17801005291689238347npi17801005291750933321npi178010052921FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingDERIVED431.419999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED461.849999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED644.499999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED447.879999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED506.129999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED613.809999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED695.419999-12-31INSTITUTIONAL1649367269npi164936726923FEE SCHEDULE144.849999-12-31PROFESSIONAL1164491866npi12058808531912191958npi120588085323FEE SCHEDULE112.259999-12-31PROFESSIONAL1497043046npi124528353023FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making99285CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision makingDERIVED1362.889999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED1376.569999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE356.929999-12-31PROFESSIONAL1033558630npi12058808531215166749npi12058808531275575144npi12058808531295077584npi12058808531346340437npi12058808531437479698npi12058808531477226298npi12058808531558723577npi12058808531588981278npi12058808531700837929npi12058808531710372891npi12058808531760942726npi12058808531770088957npi12058808531811287014npi12058808531821580986npi12058808531871925776npi120588085323DERIVED932.809999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1281.419999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE235.579999-12-31PROFESSIONAL1720327349npi124528353023DERIVED4418.779999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE276.619999-12-31PROFESSIONAL1205999190npi12452835301265694574npi12452835301417199902npi12452835301477627107npi124528353023DERIVED1311.019999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED1572.529999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED1766.189999-12-31INSTITUTIONAL1871977942npi187197794223FFSCRITICAL CARE E & M FIRST 30 MIN.99291CPT2026CRITICAL CARE E & M FIRST 30 MIN.FEE SCHEDULE225.869999-12-31PROFESSIONAL1265605836npi111492964321FEE SCHEDULE410.669999-12-31PROFESSIONAL1881834026npi12058808531891897377npi120588085323FEE SCHEDULE193.019999-12-31PROFESSIONAL1447802772npi111492964321FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99383CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED104.529999-12-31PROFESSIONAL1134657323npi124528353011DERIVED130.359999-12-31PROFESSIONAL1154884815npi170064904311FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99394CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED125.619999-12-31PROFESSIONAL1154884815npi170064904311DERIVED100.729999-12-31PROFESSIONAL1538500400npi124528353011FFSDIAB;FIT,PREP,SUPPLY INLAY SHOE, PER SHOEA5500HCPCS2026DIAB;FIT,PREP,SUPPLY INLAY SHOE, PER SHOEDERIVED74.029999-12-31PROFESSIONAL1366513293npi136651329312FFSCATHETER, GUIDINGC1887HCPCS2026CATHETER, GUIDINGDERIVED56.589999-12-31INSTITUTIONAL1649367269npi164936726922FFSLEAD PACEMAKER, OTHR TRANSVENOUS VDD SINGLE PASSC1898HCPCS2026LEAD PACEMAKER, OTHR TRANSVENOUS VDD SINGLE PASSDERIVED1276.989999-12-31INSTITUTIONAL1063426823npi106342682322FFSPERCUT TRNSCTH PLCMNT DRUG ELUTING INTRCR STNT SNGC9600HCPCS2026PERCUT TRNSCTH PLCMNT DRUG ELUTING INTRCR STNT SNGDERIVED14304.779999-12-31INSTITUTIONAL1649367269npi164936726922FFSCOLORECTAL CANCER SCRN FECAL OCCULT IMMUNOASSAYG0328HCPCS2026COLORECTAL CANCER SCRN FECAL OCCULT IMMUNOASSAYDERIVED22.569999-12-31PROFESSIONAL1366447195npi187157203211FFSVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDDERIVED15.719999-12-31PROFESSIONAL1306074372npi16695892631316902612npi16695892631669430732npi166958926311DERIVED19.209999-12-31PROFESSIONAL1609015528npi17605909621912991324npi176059096211FEE SCHEDULE18.329999-12-31PROFESSIONAL1659363505npi141714803211DERIVED14.669999-12-31PROFESSIONAL1679117725npi102344793511DERIVED18.329999-12-31PROFESSIONAL1487668463npi17101620941619952579npi157895468111FFSINJECTION, AFLIBERCEPT, 1 MGJ0178HCPCS2026INJECTION, AFLIBERCEPT, 1 MGFEE SCHEDULE763.909999-12-31PROFESSIONAL1871855049npi169977379611FFSINJ CEFAZOLIN SODIUM 500 MGJ0690HCPCS2026INJ CEFAZOLIN SODIUM 500 MGDERIVED36.479999-12-31INSTITUTIONAL1649367269npi164936726922FFSINJECTION, FAMOTIDINE, 0.25 MGJ1308HCPCS2026INJECTION, FAMOTIDINE, 0.25 MGDERIVED10.879999-12-31INSTITUTIONAL1063426823npi106342682323FFSHEPARIN SODIUM INJECTIONJ1643HCPCS2026HEPARIN SODIUM INJECTIONDERIVED8.329999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ,MIDAZOLAM HYDROCHLORIDE, 1 MGJ2250HCPCS2026INJ,MIDAZOLAM HYDROCHLORIDE, 1 MGDERIVED8.319999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED7.009999-12-31INSTITUTIONAL1649367269npi164936726922FFSONDANSETRON-HCL INJ, 1 MGJ2405HCPCS2026ONDANSETRON-HCL INJ, 1 MGDERIVED8.879999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED12.279999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED8.329999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED11.559999-12-31INSTITUTIONAL1063426823npi106342682322FFSREGADENOSON INJECTION, .1 MGJ2785HCPCS2026REGADENOSON INJECTION, .1 MGDERIVED9.649999-12-31PROFESSIONAL1043488661npi18515526651669430732npi166958926311FFSINFUSION, NORMAL SALINE SOLUTION, 500 CCJ7040HCPCS2026INFUSION, NORMAL SALINE SOLUTION, 500 CCDERIVED18.909999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED33.389999-12-31INSTITUTIONAL1063426823npi106342682323FFSDOXORUBICIN HCL, 10 MGJ9000HCPCS2026DOXORUBICIN HCL, 10 MGDERIVED33.369999-12-31PROFESSIONAL1902068158npi176059096211FFSBEVACIZUMAB INJECTION, 10 MGJ9035HCPCS2026BEVACIZUMAB INJECTION, 10 MGFEE SCHEDULE73.639999-12-31PROFESSIONAL1871855049npi169977379611FFSCARBOPLATIN, 50 MGJ9045HCPCS2026CARBOPLATIN, 50 MGDERIVED38.099999-12-31PROFESSIONAL1902068158npi176059096211FFSINJECTION, PACLITAXEL, 1 MGJ9267HCPCS2026INJECTION, PACLITAXEL, 1 MGDERIVED15.009999-12-31PROFESSIONAL1902068158npi176059096211FFSCAST SUPPLIES,SHORT ARM CAST,PEDS,0-10YRS,FIBERGLAQ4012HCPCS2026CAST SUPPLIES,SHORT ARM CAST,PEDS,0-10YRS,FIBERGLADERIVED13.059999-12-31PROFESSIONAL1740606441npi155834024011FFSGLOBAL FEE URGENT CARE CENTERS9083HCPCS2026GLOBAL FEE URGENT CARE CENTERDERIVED185.009999-12-31PROFESSIONAL1033561840npi10533630361124021704npi10533630361306114483npi18919053781548745060npi189190537820FFSAnesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified00300CPT2026Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specifiedDERIVED458.679999-12-31PROFESSIONAL1518980598npi12058616971881006344npi120586169721DERIVED407.079999-12-31PROFESSIONAL1174576227npi12058616971881033561npi120586169721FFSAnesthesia for permanent transvenous pacemaker insertion00530CPT2026Anesthesia for permanent transvenous pacemaker insertionDERIVED744.009999-12-31PROFESSIONAL1699160606npi178010052922FFSMED-SURG-GY/2BED0121RC2026MED-SURG-GY/2BEDDERIVED2484.259999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED6383.009999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3455.779999-12-31INSTITUTIONAL1679678486npi167967848621FFSPOST ICU0206RC2026POST ICUDERIVED1392.649999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/HEMOTOLOGY0305RC2026LAB/HEMOTOLOGYDERIVED368.009999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED497.349999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED162.569999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1290.379999-12-31INSTITUTIONAL1063426823npi106342682321FFSCT SCAN/BODY0352RC2026CT SCAN/BODYDERIVED1989.919999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED8416.029999-12-31INSTITUTIONAL1649367269npi164936726921FFSOR SERVICES0360RC2026OR SERVICESDERIVED20334.949999-12-31INSTITUTIONAL1679678486npi167967848621FFSEMERG ROOM0450RC2026EMERG ROOMDERIVED1644.159999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1565.859999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1914.059999-12-31INSTITUTIONAL1649367269npi164936726921FFSAUDIOLOGY/DX0471RC2026AUDIOLOGY/DXDERIVED489.929999-12-31INSTITUTIONAL1063426823npi106342682321FFSMRI0614RC2026MRIDERIVED2601.229999-12-31INSTITUTIONAL1649367269npi164936726921FFSDRUG/DETAIL CODE0636RC2026DRUG/DETAIL CODEDERIVED1618.229999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1992.709999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED84.769999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED89.649999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED163.649999-12-31INSTITUTIONAL1649367269npi164936726921FFSEXC MALIG. LES TRUNK,ARM,LEG11602CPT2026EXC MALIG. LES TRUNK,ARM,LEGFEE SCHEDULE261.102018-12-31PROFESSIONAL1245399237npi164931421211FFSADJ. TIS.TRANSFER SCALP,ARMS14021CPT2026ADJ. TIS.TRANSFER SCALP,ARMSDERIVED3984.429999-12-31INSTITUTIONAL1811991227npi181199122722FFSDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONFEE SCHEDULE61.582023-12-31PROFESSIONAL1538206073npi164931421211FEE SCHEDULE72.069999-12-31PROFESSIONAL1790805729npi164931421211FFSExcision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions19120CPT2026Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesionsDERIVED6111.129999-12-31INSTITUTIONAL1811991227npi181199122722FFSArthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance20605CPT2026Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidanceFEE SCHEDULE59.889999-12-31PROFESSIONAL1659363505npi141714803211FFSARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED72.759999-12-31PROFESSIONAL1225577703npi15583402401740606441npi155834024011FFSDrainage of finger abscess; complicated (eg, felon)26011APC2026Drainage of finger abscess; complicated (eg, felon)FEE SCHEDULE657.009999-12-31INSTITUTIONAL1407873292npi140787329224FFSArthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)27447CPT2026Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)DERIVED1270.369999-12-31PROFESSIONAL1225577703npi155834024024FFSOther chest pain313MS-DRG10Other chest painDERIVED350.509999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED2739.509999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED9307.759999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED91.259999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED1149.259999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED1889.259999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED3544.759999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED9392.259999-12-31INSTITUTIONAL1285681908npi128568190821FFSRemoval of implantable defibrillator pulse generator only33241CPT2026Removal of implantable defibrillator pulse generator onlyDERIVED3985.759999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE113.399999-12-31PROFESSIONAL1750332250npi174055985522FFSInsertion, subcutaneous cardiac rhythm monitor, including programming33285CPT2026Insertion, subcutaneous cardiac rhythm monitor, including programmingDERIVED3652.139999-12-31PROFESSIONAL1043488661npi185155266511FFSCOLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)36416CPT2026COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)DERIVED9.009999-12-31PROFESSIONAL1740478197npi109349363711FFSINSERT TUNLD CNTRL WITH SUBCUT PORT > 5YRS36561CPT2026INSERT TUNLD CNTRL WITH SUBCUT PORT > 5YRSDERIVED5112.519999-12-31INSTITUTIONAL1811991227npi181199122722FFSEsophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire43248CPT2026Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wireDERIVED553.739999-12-31INSTITUTIONAL1063426823npi106342682322FFSCOLONOSCOPY AND BIOPSY45380CPT2026COLONOSCOPY AND BIOPSYFEE SCHEDULE191.789999-12-31PROFESSIONAL1467719492npi999999999922FFSCOLPOSCOPY CERVIX W LOOP ELECTRODE CONIZATION CERV57461CPT2026COLPOSCOPY CERVIX W LOOP ELECTRODE CONIZATION CERVDERIVED472.329999-12-31PROFESSIONAL1497294979npi178010052911FFSLaparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)58571CPT2026Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)NEGOTIATED18035.009999-12-31INSTITUTIONAL1184709057npi118470905722NEGOTIATED1435.359999-12-31PROFESSIONAL1477846004npi166942957722FFSLAPAROSCOPY, SURG W FULG /EXC LES OVARY58662CPT2026LAPAROSCOPY, SURG W FULG /EXC LES OVARYDERIVED17910.489999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE745.399999-12-31PROFESSIONAL1699877506npi124528353022FFSCutaneous abscess of neck602MS-DRG10Cutaneous abscess of neckDERIVED15779.199999-12-31INSTITUTIONAL1871977942npi187197794221FFSType 2 diabetes mellitus with other specified complication617MS-DRG10Type 2 diabetes mellitus with other specified complicationDERIVED3559.149999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED22838.139999-12-31INSTITUTIONAL1811991227npi181199122721FFSLaminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar63267CPT2026Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbarDERIVED1485.699999-12-31PROFESSIONAL1073592606npi155834024022DERIVED15560.489999-12-31INSTITUTIONAL1811991227npi181199122722FFSType 2 diabetes mellitus with hyperglycemia638MS-DRG10Type 2 diabetes mellitus with hyperglycemiaDERIVED198.139999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED257.549999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED309.899999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED494.549999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED610.029999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED761.679999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED4730.839999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED211.319999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED62.439999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED2211.939999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1961.729999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3953.139999-12-31INSTITUTIONAL1063426823npi106342682321FFSRemoval impacted cerumen using irrigation/lavage, unilateral69209CPT2026Removal impacted cerumen using irrigation/lavage, unilateralDERIVED14.659999-12-31PROFESSIONAL1356987135npi124528353011FFSCAT SCAN OF NECK TISSUE70490CPT2026CAT SCAN OF NECK TISSUEFEE SCHEDULE98.399999-12-31PROFESSIONAL1851362396npi107378504423FFSMagnetic resonance angiography, neck; without contrast material(s)70547CPT2026Magnetic resonance angiography, neck; without contrast material(s)DERIVED2058.989999-12-31INSTITUTIONAL1063426823npi106342682322FFSMagnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material70551CPT2026Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast materialDERIVED278.489999-12-31PROFESSIONAL1396756474npi124527167511FFSMRI BRAIN W/ & W/O CONTRAST70553CPT2026MRI BRAIN W/ & W/O CONTRASTDERIVED295.539999-12-31PROFESSIONAL1336566330npi124527167511DERIVED2732.169999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED451.489999-12-31PROFESSIONAL1093759599npi12452716751336566330npi124527167511DERIVED309.239999-12-31PROFESSIONAL1710953377npi147783081811FFSRadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsDERIVED156.529999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED22.229999-12-31PROFESSIONAL1558380444npi154858460011DERIVED47.149999-12-31PROFESSIONAL1174567697npi12452716751396756474npi12452716751831136191npi124527167511DERIVED163.759999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE11.089999-12-31PROFESSIONAL1245273259npi10634007291316981996npi10634007291548688708npi10634007292223FEE SCHEDULE16.629999-12-31PROFESSIONAL1437682028npi107378504423FFSRadiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view72081CPT2026Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one viewFEE SCHEDULE53.239999-12-31PROFESSIONAL1194129106npi166942957711FFSRadiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views72114CPT2026Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 viewsFEE SCHEDULE66.069999-12-31PROFESSIONAL1356359269npi163916397511FFSCAT SCAN OF NECK SPINE72125CPT2026CAT SCAN OF NECK SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1750733614npi107378504423FFSCT SCAN, CERVICAL SPINE72125CPT2026CT SCAN, CERVICAL SPINEDERIVED1906.959999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1953.239999-12-31INSTITUTIONAL1700978558npi170097855823FFSCAT SCAN OF LOWER SPINE72131CPT2026CAT SCAN OF LOWER SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1386641868npi10737850441396753794npi10737850442123FFSMAGNETIC IMAGE, SPINE (MRI)72158CPT2026MAGNETIC IMAGE, SPINE (MRI)FEE SCHEDULE175.829999-12-31PROFESSIONAL1386910255npi107378504422FFSMRI,ABDOMEN; W/OUT CONTAST74181CPT2026MRI,ABDOMEN; W/OUT CONTASTFEE SCHEDULE110.409999-12-31PROFESSIONAL1972860831npi107378504421FFSRADIOLOGICAL EXAM;SURGICAL SPECIMAN76098CPT2026RADIOLOGICAL EXAM;SURGICAL SPECIMANDERIVED59.009999-12-31PROFESSIONAL1083656706npi124527167511FFSUnlisted magnetic resonance procedure (eg, diagnostic, interventional)76498CPT2026Unlisted magnetic resonance procedure (eg, diagnostic, interventional)DERIVED83.629999-12-31PROFESSIONAL1457886046npi124527167511FFSUltrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation76536CPT2026Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentationDERIVED153.779999-12-31PROFESSIONAL1386757631npi124527167511FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAMINATION, TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76811CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAMINATION, TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED433.699999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE99.789999-12-31PROFESSIONAL1033189014npi124528353022FFSECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISNEGOTIATED163.919999-12-31PROFESSIONAL1376502161npi166942957711FFSDiagnostic mammography, including computer-aided detection (CAD) when performed; unilateral77065CPT2026Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateralDERIVED176.259999-12-31PROFESSIONAL1083656706npi12452716751104860600npi12452716751114960200npi12452716751235128620npi12452716751306188073npi12452716751396756474npi12452716751578507588npi12452716751639598519npi12452716751699717124npi12452716751831136191npi124527167511FFSScreening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed77067CPT2026Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performedDERIVED149.949999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE122.709999-12-31PROFESSIONAL1174581649npi134651685311DERIVED179.149999-12-31PROFESSIONAL1104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751326082975npi12452716751386757631npi12452716751396756474npi12452716751497103121npi12452716751578507588npi12452716751780655498npi12452716751831136191npi124527167511DERIVED194.399999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED218.309999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED116.579999-12-31PROFESSIONAL1306137252npi14778308181770717258npi14778308181790059970npi147783081811DERIVED136.009999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE58.339999-12-31PROFESSIONAL1386943942npi10737850441871559971npi10737850441982838744npi10737850441922FFSTherapeutic radiology treatment planning; complex77263CPT2026Therapeutic radiology treatment planning; complexFEE SCHEDULE186.809999-12-31PROFESSIONAL1346262789npi124528353022DERIVED186.809999-12-31PROFESSIONAL1912991324npi176059096211FFSTHERAPEUTIC RADIOLOGY SIMUL-AIDED SETTING;SIMPLE77280CPT2026THERAPEUTIC RADIOLOGY SIMUL-AIDED SETTING;SIMPLEDERIVED245.579999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE40.699999-12-31PROFESSIONAL1346262789npi124528353022FFSBASIC RADIATION DOSIMETRY CALCULATION77300CPT2026BASIC RADIATION DOSIMETRY CALCULATIONDERIVED506.599999-12-31PROFESSIONAL1912991324npi176059096211DERIVED968.749999-12-31INSTITUTIONAL1679678486npi167967848622FFSTeletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)77307CPT2026Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)FEE SCHEDULE166.809999-12-31PROFESSIONAL1346262789npi124528353022DERIVED655.349999-12-31INSTITUTIONAL1811991227npi181199122722FFSRADIATION TREATMENT DELIVERY; LEVEL 3, MULTIPLE ISOCENTERS WITH PHOTON THERAPY (EG, 2D, 3D, OR IMRT) OR A SINGLE-ISOCENTER PHOTON THERAPY (EG, 3D OR IMRT) WITH ACTIVE MOTION MANAGEMENT, OR TOTAL SKIN ELECTRONS, OR MIXED-ELECTRON/PHOTON FIELDS, IN77412CPT2026RADIATION TREATMENT DELIVERY; LEVEL 3, MULTIPLE ISOCENTERS WITH PHOTON THERAPY (EG, 2D, 3D, OR IMRT) OR A SINGLE-ISOCENTER PHOTON THERAPY (EG, 3D OR IMRT) WITH ACTIVE MOTION MANAGEMENT, OR TOTAL SKIN ELECTRONS, OR MIXED-ELECTRON/PHOTON FIELDS, INDERIVED467.799999-12-31INSTITUTIONAL1811991227npi181199122722FFSNUCLEAR SCAN OF LYMPH SYSTEM78195CPT2026NUCLEAR SCAN OF LYMPH SYSTEMDERIVED440.419999-12-31PROFESSIONAL1083656706npi12452716751619037025npi124527167511FFSMYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIES78452CPT2026MYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIESDERIVED330.999999-12-31PROFESSIONAL1306074372npi166958926311FFSMyocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or78452CPT2026Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/orDERIVED330.999999-12-31PROFESSIONAL1306074372npi16695892631669430732npi166958926311DERIVED372.379999-12-31PROFESSIONAL1043488661npi185155266511FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED3.839999-12-31PROFESSIONAL1740478197npi109349363711DERIVED3.659999-12-31PROFESSIONAL1407887029npi114433310511DERIVED3.099999-12-31PROFESSIONAL1609522333npi154881974111FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYNEGOTIATED1.769999-12-31PROFESSIONAL1477846004npi166942957711DERIVED1.899999-12-31PROFESSIONAL1679117725npi102344793511FEE SCHEDULE2.369999-12-31PROFESSIONAL1235221219npi193237519311DERIVED2.489999-12-31PROFESSIONAL1740478197npi10934936371790949873npi102344793511FFSUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED10.429999-12-31PROFESSIONAL1609215490npi178010052911DERIVED9.069999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED10.769999-12-31PROFESSIONAL1346290145npi187157203211DERIVED89.999999-12-31INSTITUTIONAL1063426823npi106342682323FFSBilirubin; direct82248CPT2026Bilirubin; directDERIVED22.199999-12-31INSTITUTIONAL1063426823npi106342682323FFSASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED61.669999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED77.219999-12-31INSTITUTIONAL1700978558npi170097855823FFSCulture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)87040CPT2026Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)DERIVED117.339999-12-31INSTITUTIONAL1063426823npi106342682323FFSCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateFEE SCHEDULE4.859999-12-31PROFESSIONAL1265798870npi126579887081FFSCulture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates87116CPT2026Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolatesDERIVED21.069999-12-31INSTITUTIONAL1811991227npi181199122722FFSSmear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types87206CPT2026Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell typesDERIVED10.519999-12-31INSTITUTIONAL1811991227npi181199122722FFSINF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE R87636CPT2026INF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE RDERIVED207.479999-12-31INSTITUTIONAL1063426823npi106342682323FFSIMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2026IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKDERIVED61.709999-12-31PROFESSIONAL1861451593npi126549387822FEE SCHEDULE64.049999-12-31PROFESSIONAL1265798870npi126579887081FFSTUMOR IMMUNOHISTOCHEMISTRY88361CPT2026TUMOR IMMUNOHISTOCHEMISTRYDERIVED152.729999-12-31PROFESSIONAL1285877837npi126549387822DERIVED783.549999-12-31INSTITUTIONAL1811991227npi181199122722FFSIMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADM90461CPT2026IMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADMDERIVED26.259999-12-31PROFESSIONAL1396704821npi190208406411DERIVED7.439999-12-31PROFESSIONAL1396128989npi124528353011DERIVED8.319999-12-31PROFESSIONAL1821014192npi194268913811NEGOTIATED19.189999-12-31PROFESSIONAL1720439920npi156869355411FFSHuman Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use90651CPT2026Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular useDERIVED329.099999-12-31PROFESSIONAL1821014192npi194268913811FFSInfluenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use90686CPT2026Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular useDERIVED24.589999-12-31PROFESSIONAL1740478197npi109349363711FFSTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED33.739999-12-31PROFESSIONAL1396128989npi124528353011DERIVED43.669999-12-31PROFESSIONAL1740478197npi109349363711DERIVED37.709999-12-31PROFESSIONAL1821014192npi194268913811DERIVED127.329999-12-31INSTITUTIONAL1861102345npi186110234523FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsFEE SCHEDULE124.489999-12-31PROFESSIONAL1487654117npi169977379611FFSPERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, SINGLE CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, AND/OR SUBTENDED MAJOR CORONARY ARTERY BRANCHES OF THE BYPASS GRAFT, ANY COMBINATION OF IN92943CPT2026PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, SINGLE CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, AND/OR SUBTENDED MAJOR CORONARY ARTERY BRANCHES OF THE BYPASS GRAFT, ANY COMBINATION OF INFEE SCHEDULE580.289999-12-31PROFESSIONAL1194774604npi162915168321FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report93015CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportFEE SCHEDULE64.859999-12-31PROFESSIONAL1609907948npi104355169011DERIVED64.859999-12-31PROFESSIONAL1043488661npi18515526651306074372npi16695892631487614947npi16695892631669430732npi166958926311FFSDEVICE EVAL(IN PRS)REV & RPRT,SING LEAD IMPL DEFIB93282CPT2026DEVICE EVAL(IN PRS)REV & RPRT,SING LEAD IMPL DEFIBFEE SCHEDULE84.699999-12-31PROFESSIONAL1417921701npi194225068311FFSINTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT LOOP RCD93298CPT2026INTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT LOOP RCDDERIVED90.149999-12-31PROFESSIONAL1043488661npi185155266511FFSINTRAVASCULAR DOPPLER VELOCITY &/OR PRESSURE DERIVED CORONARY FLOW RESERVE MEASUREMENT (CORONARY VESSEL OR GRAFT) DURING CORONARY ANGIOGRAPHY INCLUDING PHARMACOLOGICALLY INDUCED STRESS, WHEN PERFORMED; INITIAL VESSEL (LIST SEPARA93571CPT2026INTRAVASCULAR DOPPLER VELOCITY &/OR PRESSURE DERIVED CORONARY FLOW RESERVE MEASUREMENT (CORONARY VESSEL OR GRAFT) DURING CORONARY ANGIOGRAPHY INCLUDING PHARMACOLOGICALLY INDUCED STRESS, WHEN PERFORMED; INITIAL VESSEL (LIST SEPARADERIVED1263.299999-12-31INSTITUTIONAL1649367269npi164936726922FFSEXTREMITY STUDY93970CPT2026EXTREMITY STUDYFEE SCHEDULE54.049999-12-31PROFESSIONAL1972759025npi107378504423FFSDemonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device94664CPT2026Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB deviceDERIVED19.529999-12-31PROFESSIONAL1487875977npi128568537011FFSPLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESIST94726CPT2026PLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESISTDERIVED13.269999-12-31PROFESSIONAL1841336310npi179008132122FEE SCHEDULE12.059999-12-31PROFESSIONAL1972690444npi128506955922FFSNoninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)94761CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)DERIVED125.809999-12-31INSTITUTIONAL1649367269npi164936726922FFSPOLYSOMNOGRAPHY, AGE 6 OR OLDER, SLEEP STAG.95810CPT2026POLYSOMNOGRAPHY, AGE 6 OR OLDER, SLEEP STAG.DERIVED652.399999-12-31PROFESSIONAL1649277880npi128568537011FEE SCHEDULE848.119999-12-31PROFESSIONAL1215915152npi131601095211FFSPOLYSOM AGE 6 OR OLDER, SLEEP STAG 4 > PARAMETS95811CPT2026POLYSOM AGE 6 OR OLDER, SLEEP STAG 4 > PARAMETSDERIVED685.479999-12-31PROFESSIONAL1649277880npi128568537011DERIVED754.029999-12-31PROFESSIONAL1053753442npi169902129511FFSNEEDLE ELECTROMYOGRAPHY; OTH95870CPT2026NEEDLE ELECTROMYOGRAPHY; OTHDERIVED59.199999-12-31PROFESSIONAL1558437806npi130620480521FFSNeedle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal lev95886CPT2026Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levFEE SCHEDULE160.489999-12-31PROFESSIONAL1457917478npi162941572411FFSAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED2.439999-12-31PROFESSIONAL1902635360npi175054631350DERIVED27.009999-12-31PROFESSIONAL1346290145npi187157203211FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED402.909999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED71.749999-12-31PROFESSIONAL1093729287npi17605909621306850508npi17605909621538165113npi176059096211DERIVED365.449999-12-31INSTITUTIONAL1063426823npi106342682323FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)96375CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)DERIVED77.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED90.259999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED33.749999-12-31PROFESSIONAL1902068158npi176059096211FFSChemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug96413CPT2026Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drugDERIVED142.019999-12-31PROFESSIONAL1902068158npi176059096211FFSApplication of a modality to 1 or more areas; ultrasound, each 15 minutes97035CPT2026Application of a modality to 1 or more areas; ultrasound, each 15 minutesDERIVED48.009999-12-31PROFESSIONAL1073627766npi169991040611FFSChiropractic manipulative treatment (CMT); spinal, 1-2 regions98940CPT2026Chiropractic manipulative treatment (CMT); spinal, 1-2 regionsFEE SCHEDULE23.759999-12-31PROFESSIONAL1619681277npi134645616711FFSInstrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis99177CPT2026Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysisNEGOTIATED6.749999-12-31PROFESSIONAL1720439920npi156869355411FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99203CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEFEE SCHEDULE80.979999-12-31PROFESSIONAL1033189014npi124528353022FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED84.449999-12-31PROFESSIONAL1154483634npi122520184111DERIVED166.489999-12-31PROFESSIONAL1760456677npi115430408711DERIVED185.009999-12-31PROFESSIONAL1598155830npi190280912220DERIVED195.549999-12-31PROFESSIONAL1053753442npi16990212951306850508npi176059096211DERIVED207.989999-12-31PROFESSIONAL1558380444npi154858460011DERIVED239.989999-12-31PROFESSIONAL1609215490npi178010052911DERIVED293.309999-12-31PROFESSIONAL1801335898npi178010052911FEE SCHEDULE131.979999-12-31PROFESSIONAL1144683962npi12452835301427431568npi12452835301699877506npi12452835301922DERIVED120.009999-12-31PROFESSIONAL1972277622npi189190537820DERIVED150.009999-12-31PROFESSIONAL1811616386npi109330850420DERIVED167.099999-12-31PROFESSIONAL1831711464npi132625496211DERIVED186.659999-12-31PROFESSIONAL1225577703npi15583402401740606441npi155834024011DERIVED188.439999-12-31PROFESSIONAL1164280004npi179079027711DERIVED215.009999-12-31PROFESSIONAL1821181090npi178010052911DERIVED222.209999-12-31PROFESSIONAL1366447195npi18715720321548410574npi178010052911FEE SCHEDULE151.109999-12-31PROFESSIONAL1104191097npi11041910971962003251npi148776713311FEE SCHEDULE159.989999-12-31PROFESSIONAL1174620702npi11840752691609907948npi104355169011FEE SCHEDULE174.209999-12-31PROFESSIONAL1083265086npi19422636941578527057npi194226369411FEE SCHEDULE177.769999-12-31PROFESSIONAL1144458100npi11444581001730479650npi16997737961871855049npi169977379611FEE SCHEDULE204.429999-12-31PROFESSIONAL1194786293npi19422636941508829219npi194226369411DERIVED151.109999-12-31PROFESSIONAL1578553376npi154825989811DERIVED158.659999-12-31PROFESSIONAL1770129413npi155834024011DERIVED159.989999-12-31PROFESSIONAL1306074372npi16695892631780866111npi184134030411DERIVED177.769999-12-31PROFESSIONAL1487739900npi11548517151548512171npi13868232431649277880npi128568537011DERIVED239.979999-12-31PROFESSIONAL1659325165npi178010052911FEE SCHEDULE186.659999-12-31PROFESSIONAL1235161712npi99999999991467719492npi999999999911DERIVED186.649999-12-31PROFESSIONAL1346231966npi11644352771619952579npi15789546811891730974npi171021128911DERIVED341.299999-12-31PROFESSIONAL1578722997npi122503423411FEE SCHEDULE239.989999-12-31PROFESSIONAL1730140583npi188164491211FEE SCHEDULE627.909999-12-31PROFESSIONAL1316595531npi17907723171902177256npi17907723171011NEGOTIATED257.009999-12-31PROFESSIONAL1174818058npi166942957711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEFEE SCHEDULE64.862018-12-31PROFESSIONAL1245399237npi164931421211DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781528666575npi18919053781689976037npi18919053781942767637npi189190537820DERIVED53.069999-12-31PROFESSIONAL1043488661npi18515526651780866111npi184134030411DERIVED73.709999-12-31PROFESSIONAL1366448805npi187157203211DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED79.599999-12-31PROFESSIONAL1932179207npi178010052911FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED77.279999-12-31PROFESSIONAL1518690908npi115430408711DERIVED85.109999-12-31PROFESSIONAL1043488661npi18515526651154940930npi18413403041669430732npi16695892631780866111npi184134030411DERIVED89.839999-12-31PROFESSIONAL1154483634npi122520184111DERIVED99.299999-12-31PROFESSIONAL1073592606npi15583402401073592788npi15583402401225577703npi15583402401235498460npi15583402401407887029npi11443331051740606441npi15583402401841711819npi155834024011DERIVED110.649999-12-31PROFESSIONAL1558380444npi154858460011DERIVED156.029999-12-31PROFESSIONAL1417031691npi178010052911FEE SCHEDULE94.569999-12-31PROFESSIONAL1346775376npi16997737961871855049npi169977379611FEE SCHEDULE104.029999-12-31PROFESSIONAL1104846815npi108367960911FEE SCHEDULE119.159999-12-31PROFESSIONAL1104913110npi106346376811NEGOTIATED138.819999-12-31PROFESSIONAL1720439920npi156869355402FEE SCHEDULE88.892023-12-31PROFESSIONAL1538206073npi164931421211DERIVED49.659999-12-31PROFESSIONAL1407887029npi114433310511DERIVED99.289999-12-31PROFESSIONAL1144462102npi12355504191619460755npi12452835301891730974npi17102112891912162934npi11140374621982630042npi111403746211DERIVED136.009999-12-31PROFESSIONAL1649354747npi108383119220FEE SCHEDULE54.979999-12-31PROFESSIONAL1114589371npi12452835301982425278npi124528353022FEE SCHEDULE92.009999-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE108.749999-12-31PROFESSIONAL1194786293npi194226369411DERIVED42.079999-12-31PROFESSIONAL1588101174npi111403746211DERIVED73.009999-12-31PROFESSIONAL1114293412npi161901856111DERIVED80.379999-12-31PROFESSIONAL1396128989npi12452835301538500400npi124528353011DERIVED84.159999-12-31PROFESSIONAL1356987135npi124528353011DERIVED94.569999-12-31PROFESSIONAL1487875977npi12856853701518594647npi124528353011DERIVED100.239999-12-31PROFESSIONAL1134487929npi17006490431154884815npi17006490431730902883npi179079027711DERIVED104.029999-12-31PROFESSIONAL1013002880npi17605909621093195398npi15583020421306850508npi17605909621538165113npi17605909621609015528npi17605909621902068158npi17605909621912991324npi17605909621011DERIVED118.209999-12-31PROFESSIONAL1366447195npi18715720321548748957npi10934936371639147911npi18715720321740478197npi109349363711DERIVED164.689999-12-31PROFESSIONAL1174251490npi12857356051205900388npi12857356051447507181npi12857356051548682941npi12857356051750716197npi128573560520DERIVED185.009999-12-31PROFESSIONAL1598155830npi190280912220FEE SCHEDULE64.339999-12-31PROFESSIONAL1134221070npi12452835301346262789npi12452835301699877506npi12452835301952350548npi124528353022FEE SCHEDULE88.899999-12-31PROFESSIONAL1376005272npi164931421211FEE SCHEDULE99.299999-12-31PROFESSIONAL1013909951npi16797724461235221219npi19323751931659363505npi14171480320211FEE SCHEDULE104.022018-12-31PROFESSIONAL1245399237npi164931421211FEE SCHEDULE92.002023-12-31PROFESSIONAL1790805729npi164931421211DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781528666575npi18919053781689976037npi18919053781790266013npi189190537820DERIVED125.009999-12-31PROFESSIONAL1033561840npi105336303620DERIVED126.009999-12-31PROFESSIONAL1821181090npi178010052911DERIVED127.669999-12-31PROFESSIONAL1497294979npi17801005291609215490npi178010052911FEE SCHEDULE117.999999-12-31PROFESSIONAL1194129106npi166942957711FEE SCHEDULE132.389999-12-31PROFESSIONAL1730751785npi165932121411FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the99223CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of theDERIVED143.739999-12-31PROFESSIONAL1013995406npi16695892631043488661npi18515526651669430732npi166958926321DERIVED199.629999-12-31PROFESSIONAL1114236932npi17801005291477937613npi17801005291912934902npi178010052921FEE SCHEDULE135.759999-12-31PROFESSIONAL1265651772npi11048647271598904278npi115437224121FEE SCHEDULE207.619999-12-31PROFESSIONAL1336376086npi124528353022FEE SCHEDULE143.739999-12-31PROFESSIONAL1518957596npi158891969021FEE SCHEDULE166.099999-12-31PROFESSIONAL1548991045npi124528353021FFSSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of t99233CPT2026Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of tDERIVED136.259999-12-31PROFESSIONAL1114236932npi17801005291518594738npi17801005291689238347npi17801005291750512828npi178010052921DERIVED109.009999-12-31PROFESSIONAL1205889243npi12856853701487875977npi128568537021FEE SCHEDULE92.659999-12-31PROFESSIONAL1194774604npi162915168321FEE SCHEDULE119.909999-12-31PROFESSIONAL1265605836npi111492964321FEE SCHEDULE98.109999-12-31PROFESSIONAL1518957596npi158891969021FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making99282CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision makingDERIVED312.849999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED263.289999-12-31INSTITUTIONAL1811991227npi181199122723FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingDERIVED612.629999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED768.299999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED948.459999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED887.379999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE246.929999-12-31PROFESSIONAL1295077584npi12058808531508284381npi12058808531710243670npi12058808531710372891npi12058808531821580986npi12058808531841273836npi12058808531851785265npi12058808531881834026npi120588085323DERIVED649.839999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1030.839999-12-31INSTITUTIONAL1861102345npi186110234523FEE SCHEDULE162.979999-12-31PROFESSIONAL1336193044npi124528353023FEE SCHEDULE191.369999-12-31PROFESSIONAL1336767904npi12452835301477627107npi12452835301760421911npi12452835301780757484npi124528353023FEE SCHEDULE269.149999-12-31PROFESSIONAL1346686573npi193256291523FFSFOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EAA5512HCPCS2026FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EADERIVED90.579999-12-31PROFESSIONAL1366513293npi136651329312FFSDRSING SET FOR NEG PRESSURE WND/ELECTRICAL PUMP EAA6550HCPCS2026DRSING SET FOR NEG PRESSURE WND/ELECTRICAL PUMP EADERIVED35.009999-12-31PROFESSIONAL1013904036npi14473325721649267857npi144733257212FFSINJECTION,GDOTERATE MEGLUMINE,0.1 MLA9575HCPCS2026INJECTION,GDOTERATE MEGLUMINE,0.1 MLDERIVED3.009999-12-31PROFESSIONAL1093759599npi124527167511DERIVED25.509999-12-31PROFESSIONAL1497103121npi12452716751578507588npi124527167511DERIVED28.509999-12-31PROFESSIONAL1235128620npi12452716751336566330npi124527167511DERIVED33.009999-12-31PROFESSIONAL1457886046npi124527167511DERIVED1.509999-12-31PROFESSIONAL1578507588npi124527167511DERIVED10.009999-12-31PROFESSIONAL1710953377npi147783081811DERIVED22.509999-12-31PROFESSIONAL1235128620npi124527167511DERIVED27.009999-12-31PROFESSIONAL1093759599npi124527167511DERIVED24.009999-12-31PROFESSIONAL1003905290npi12452716751326082975npi124527167511FFSGADOBUTROL INJECTION 0.1 MLA9585HCPCS2026GADOBUTROL INJECTION 0.1 MLDERIVED45.109999-12-31PROFESSIONAL1336566330npi124527167511FFSCATHETER, TRANSLUMINAL ANGIOPLASTY,NON LASERC1725HCPCS2026CATHETER, TRANSLUMINAL ANGIOPLASTY,NON LASERDERIVED262.209999-12-31INSTITUTIONAL1649367269npi164936726922FFSSTENT COATED/CVRD W/ DELIVERY SYSC1874HCPCS2026STENT COATED/CVRD W/ DELIVERY SYSDERIVED1072.389999-12-31INSTITUTIONAL1649367269npi164936726922FFSINTRODUCER, SHEATH,GUIDING,INTRACARDI,PEEL AWAYC1892HCPCS2026INTRODUCER, SHEATH,GUIDING,INTRACARDI,PEEL AWAYDERIVED979.259999-12-31INSTITUTIONAL1063426823npi106342682322FFSLEAD, CARDIOVERTER-DEFIBR ENDOCARDIAL DUAL COILC1895HCPCS2026LEAD, CARDIOVERTER-DEFIBR ENDOCARDIAL DUAL COILDERIVED8938.849999-12-31INSTITUTIONAL1063426823npi106342682322FFSLEAD,CORONARY VENOUS LEAD,LT VENTRICULAR CORONARYC1900HCPCS2026LEAD,CORONARY VENOUS LEAD,LT VENTRICULAR CORONARYDERIVED6725.399999-12-31INSTITUTIONAL1063426823npi106342682322FFSOSTEOGENESIS STIMULATORE0747HCPCS2026OSTEOGENESIS STIMULATORDERIVED5270.009999-12-31PROFESSIONAL1366423220npi136642322012FFSNEG PRESSURE WOUND THERAPY ELEC PUMP STATNARY OR PE2402HCPCS2026NEG PRESSURE WOUND THERAPY ELEC PUMP STATNARY OR PDERIVED110.009999-12-31PROFESSIONAL1013904036npi14473325721649267857npi144733257212FFSCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED41.929999-12-31PROFESSIONAL1558682435npi183115803911DERIVED125.009999-12-31PROFESSIONAL1144225541npi15088186911154483634npi122520184111DERIVED160.009999-12-31PROFESSIONAL1053823112npi18715720321346290145npi18715720321366447195npi18715720321366448805npi18715720321609849496npi18715720321639147911npi187157203211DERIVED35.529999-12-31PROFESSIONAL1356987135npi124528353011FFSANNUAL DEPRESSION SCREENING, 15 MINUTESG0444HCPCS2026ANNUAL DEPRESSION SCREENING, 15 MINUTESDERIVED19.259999-12-31PROFESSIONAL1407887029npi114433310511DERIVED19.439999-12-31PROFESSIONAL1154884815npi170064904311FFSINJECTION, BETAMETHASONE, 3 MGJ0702HCPCS2026INJECTION, BETAMETHASONE, 3 MGDERIVED14.529999-12-31PROFESSIONAL1740606441npi155834024011FFSFOSAPREPITANT INJECTION, 1MGJ1453HCPCS2026FOSAPREPITANT INJECTION, 1MGDERIVED16.509999-12-31PROFESSIONAL1902068158npi176059096211FFSINJECTION, INSULIN, PER 5 UNITSJ1815HCPCS2026INJECTION, INSULIN, PER 5 UNITSDERIVED8.099999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED7.459999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED9.439999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED3.269999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2.179999-12-31INSTITUTIONAL1811991227npi181199122722FFSINJECTION, LIDOCAINE HCL , 1 MGJ2003HCPCS2026INJECTION, LIDOCAINE HCL , 1 MGDERIVED9.159999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED8.939999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED5.699999-12-31INSTITUTIONAL1871977942npi187197794222FFSUNCLASSIFIED DRUGS/PRESCRIPTION REIMBJ3490HCPCS2026UNCLASSIFIED DRUGS/PRESCRIPTION REIMBDERIVED9.789999-12-31INSTITUTIONAL1063426823npi106342682322FFSNORMAL SALINE SOLUTION INFUSION, 1000 CCJ7030HCPCS2026NORMAL SALINE SOLUTION INFUSION, 1000 CCDERIVED21.959999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED18.909999-12-31INSTITUTIONAL1063426823npi106342682322FFSNORMAL SALINE SOLUTION, INFUS/250CCJ7050HCPCS2026NORMAL SALINE SOLUTION, INFUS/250CCDERIVED0.599999-12-31PROFESSIONAL1306074372npi16695892631669430732npi166958926311DERIVED14.249999-12-31INSTITUTIONAL1649367269npi164936726922FFSAUTO EXTERNAL DEFIB W/INTEGRATED ELECTROCARDIOGRAMK0606HCPCS2026AUTO EXTERNAL DEFIB W/INTEGRATED ELECTROCARDIOGRAMFEE SCHEDULE3947.799999-12-31PROFESSIONAL1164535274npi116453527412FFSWALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JOL4361HCPCS2026WALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JOFEE SCHEDULE388.779999-12-31PROFESSIONAL1194786293npi194226369411FFSINJ, PEGFILGRASTIM-CBQV, BIOSIMILAR, UDENYCA, 5MGQ5111HCPCS2026INJ, PEGFILGRASTIM-CBQV, BIOSIMILAR, UDENYCA, 5MGDERIVED1943.889999-12-31PROFESSIONAL1093729287npi17605909621821290362npi176059096211FFSINJECTION, AFLIBERCEPT-AYYH (PAVBLU), BIOSIMILAR, 1 MGQ5147HCPCS2026INJECTION, AFLIBERCEPT-AYYH (PAVBLU), BIOSIMILAR, 1 MGFEE SCHEDULE866.209999-12-31PROFESSIONAL1871855049npi169977379611FFSAnesthesia for procedures on eye; lens surgery00142CPT2026Anesthesia for procedures on eye; lens surgeryDERIVED326.809999-12-31PROFESSIONAL1639195894npi12058616971942224373npi120586169724DERIVED280.939999-12-31PROFESSIONAL1538183918npi12058616971891794228npi120586169724DERIVED395.209999-12-31PROFESSIONAL1922031236npi157855710424FFSAnesthesia for procedures in lumbar region; not otherwise specified00630CPT2026Anesthesia for procedures in lumbar region; not otherwise specifiedDERIVED1440.009999-12-31PROFESSIONAL1043610520npi106346376822FFSAnesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum00813CPT2026Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenumDERIVED300.009999-12-31PROFESSIONAL1356627517npi153843203411DERIVED390.009999-12-31PROFESSIONAL1497728679npi178010052922DERIVED335.409999-12-31PROFESSIONAL1801880091npi12058616971871617670npi120586169722FFSAnesthesia for; anorectal procedure00902CPT2026Anesthesia for; anorectal procedureDERIVED315.339999-12-31PROFESSIONAL1538183918npi12058616971902180912npi120586169724FFSOB/2BED0122RC2026OB/2BEDDERIVED1592.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSAnesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified01480CPT2026Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specifiedDERIVED390.009999-12-31PROFESSIONAL1962437186npi124528353021FFSAnesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla01610CPT2026Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axillaDERIVED1130.679999-12-31PROFESSIONAL1770870255npi106346376819FFSNURSERY/NEWBORN0171RC2026NURSERY/NEWBORNDERIVED1890.929999-12-31INSTITUTIONAL1063426823npi106342682321FFSINFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARG0202UCPT2026INFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARGDERIVED838.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED923.949999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED981.339999-12-31INSTITUTIONAL1063426823npi106342682323FFSPHARMACY0250RC2026PHARMACYDERIVED9.709999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED12.609999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED21.279999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED45.439999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED14.959999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED47.619999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED71.269999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED105.689999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED547.099999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED12.569999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED13.349999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED193.309999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED1034.229999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED12.929999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED22.159999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED63.719999-12-31INSTITUTIONAL1649367269npi164936726922FFSDRUGS/INCIDENT RAD0255RC2026DRUGS/INCIDENT RADDERIVED20.209999-12-31INSTITUTIONAL1649367269npi164936726921FFSPATH LAB0310RC2026PATH LABDERIVED2818.559999-12-31INSTITUTIONAL1063426823npi106342682321FFSDIAGNOSTIC RADIOPHARMACEUTICALS0343RC2026DIAGNOSTIC RADIOPHARMACEUTICALSDERIVED71.779999-12-31INSTITUTIONAL1649367269npi164936726921FFSULTRASOUND0402RC2026ULTRASOUNDDERIVED622.219999-12-31INSTITUTIONAL1649367269npi164936726921FFSRESPIRATORY SVC0410RC2026RESPIRATORY SVCDERIVED709.269999-12-31INSTITUTIONAL1063426823npi106342682321FFSPULMONARY FUNC0460RC2026PULMONARY FUNCDERIVED12.219999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED7.359999-12-31INSTITUTIONAL1679678486npi167967848621FFSEKG/ECG0730RC2026EKG/ECGDERIVED279.429999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED298.279999-12-31INSTITUTIONAL1649367269npi164936726921FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionFEE SCHEDULE102.702023-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE102.709999-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE87.762023-12-31PROFESSIONAL1902966336npi164931421211FEE SCHEDULE87.769999-12-31PROFESSIONAL1376005272npi164931421211FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)FEE SCHEDULE52.689999-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE45.029999-12-31PROFESSIONAL1376005272npi164931421211FEE SCHEDULE52.682023-12-31PROFESSIONAL1790805729npi164931421211FFSEXC LES. TRUNK ARMS OR LEGS11406CPT2026EXC LES. TRUNK ARMS OR LEGSDERIVED176.269999-12-31PROFESSIONAL1114293412npi161901856111FFSExcision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm11421APC2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cmFEE SCHEDULE94.519999-12-31INSTITUTIONAL1407873292npi140787329224FFSADJ TIS.TRNSFR/REARRANGEMNT,ANY AREA 30.1-60.0 CM14301CPT2026ADJ TIS.TRNSFR/REARRANGEMNT,ANY AREA 30.1-60.0 CMFEE SCHEDULE789.819999-12-31PROFESSIONAL1487739900npi115485171522FFSADJ TIS.TRNSFR/REARRANGEMNT,EA. ADD'L 30.0 SQ CM14302CPT2026ADJ TIS.TRNSFR/REARRANGEMNT,EA. ADD'L 30.0 SQ CMFEE SCHEDULE229.759999-12-31PROFESSIONAL1487739900npi115485171522FFSDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14FEE SCHEDULE6.742023-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE6.749999-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE5.762023-12-31PROFESSIONAL1538206073npi164931421211FFSDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE119.472023-12-31PROFESSIONAL1790805729npi164931421211FEE SCHEDULE102.099999-12-31PROFESSIONAL1376005272npi164931421211FEE SCHEDULE119.479999-12-31PROFESSIONAL1790805729npi164931421211DERIVED96.669999-12-31PROFESSIONAL1801571781npi161901856111FFSBIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING STEREOTACTIC GUIDANCE19081CPT2026BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING STEREOTACTIC GUIDANCEDERIVED683.829999-12-31PROFESSIONAL1083656706npi124527167511FFSInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")FEE SCHEDULE54.469999-12-31PROFESSIONAL1174620702npi118407526911FEE SCHEDULE63.549999-12-31PROFESSIONAL1659363505npi141714803211FFSArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20610CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidanceDERIVED61.849999-12-31PROFESSIONAL1801191861npi155834024011DERIVED72.759999-12-31PROFESSIONAL1225577703npi155834024011FFSOpen treatment of medial malleolus fracture, includes internal fixation, when performed27766CPT2026Open treatment of medial malleolus fracture, includes internal fixation, when performedDERIVED7124.649999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE681.789999-12-31PROFESSIONAL1194786293npi194226369422FFSHypertensive heart disease with heart failure321MS-DRG10Hypertensive heart disease with heart failureDERIVED901.559999-12-31INSTITUTIONAL1285681908npi128568190821DERIVED41780.889999-12-31INSTITUTIONAL1285681908npi128568190821FFSINS PACING ELECTRODE LT VENTRIC; FOR UPGRADE DUAL33225CPT2026INS PACING ELECTRODE LT VENTRIC; FOR UPGRADE DUALDERIVED14141.349999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE466.339999-12-31PROFESSIONAL1750332250npi174055985522FFSInsertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber33249CPT2026Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamberDERIVED41283.809999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE931.589999-12-31PROFESSIONAL1750332250npi174055985522FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239APC2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED490.299999-12-31INSTITUTIONAL1003553645npi138638140824FFSSIGMOIDOSCOPY, DIAGNOSTIC45330CPT2026SIGMOIDOSCOPY, DIAGNOSTICDERIVED990.849999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE54.819999-12-31PROFESSIONAL1376644328npi148776713322FFSColonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45378CPT2026Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)DERIVED1191.469999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED2385.099999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED1163.759999-12-31INSTITUTIONAL1679678486npi167967848622FFSColonoscopy, flexible; with biopsy, single or multiple45380CPT2026Colonoscopy, flexible; with biopsy, single or multipleDERIVED553.739999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED940.119999-12-31PROFESSIONAL1548095763npi179079027711DERIVED2006.829999-12-31INSTITUTIONAL1811991227npi181199122722FFSCOLONOSCOPY, LESION REMOVAL45385CPT2026COLONOSCOPY, LESION REMOVALDERIVED553.739999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED417.629999-12-31PROFESSIONAL1255449179npi115430408724DERIVED1010.989999-12-31PROFESSIONAL1275806721npi179079027711FFSBX PROSTATE, NEEDLE, INCLUDING IMAGING GUIDANCE55706APC2026BX PROSTATE, NEEDLE, INCLUDING IMAGING GUIDANCEDERIVED1600.009999-12-31INSTITUTIONAL1518976661npi151897666124FFSCONIZATION OF CERVIX, LOOP ELECTRODE EXC57522CPT2026CONIZATION OF CERVIX, LOOP ELECTRODE EXCDERIVED410.869999-12-31PROFESSIONAL1497294979npi178010052911FFSEndometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)58100CPT2026Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)DERIVED134.269999-12-31PROFESSIONAL1609215490npi178010052911NEGOTIATED159.089999-12-31PROFESSIONAL1477846004npi166942957711FFSTrabeculoplasty by laser surgery65855CPT2026Trabeculoplasty by laser surgeryDERIVED218.729999-12-31PROFESSIONAL1780866111npi184134030411FFSExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984APC2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationDERIVED1239.039999-12-31INSTITUTIONAL1508063884npi150806388424FEE SCHEDULE1351.679999-12-31INSTITUTIONAL1669483137npi166948313724FFSExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984CPT2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationDERIVED4397.689999-12-31INSTITUTIONAL1811991227npi181199122722FFSIntravitreal injection of a pharmacologic agent (separate procedure)67028CPT2026Intravitreal injection of a pharmacologic agent (separate procedure)FEE SCHEDULE113.279999-12-31PROFESSIONAL1871855049npi169977379611FFSCAT SCAN OF HEAD OR BRAIN70450CPT2026CAT SCAN OF HEAD OR BRAINDERIVED1699.419999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED1804.599999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED1492.839999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE65.699999-12-31PROFESSIONAL1649332172npi10737850441750733614npi10737850441992906259npi10737850442223FFSCONTRAST CAT OF NECK TISSUE70491CPT2026CONTRAST CAT OF NECK TISSUEDERIVED1275.949999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE105.489999-12-31PROFESSIONAL1992906259npi107378504423FFSCT ANGIO,HEAD,W/O CONTR FOLLOWED BY CONTR70496CPT2026CT ANGIO,HEAD,W/O CONTR FOLLOWED BY CONTRDERIVED389.159999-12-31PROFESSIONAL1073557518npi124527167511FFSCT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMD70498CPT2026CT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMDDERIVED2066.359999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE133.309999-12-31PROFESSIONAL1548341563npi107378504423FFSMAGNETIC IMAGE, BRAIN (MRI)70553CPT2026MAGNETIC IMAGE, BRAIN (MRI)FEE SCHEDULE175.309999-12-31PROFESSIONAL1336439660npi107378504419FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTDERIVED2442.369999-12-31INSTITUTIONAL1063426823npi106342682322FFSCT ANGIO, CHEST, CONCORONARY, W/CONTRAST71275CPT2026CT ANGIO, CHEST, CONCORONARY, W/CONTRASTFEE SCHEDULE92.889999-12-31PROFESSIONAL1083656706npi106340072921FFSX-RAY EXAM,SPINE,CERV;2 OR 3 VIEWS72040CPT2026X-RAY EXAM,SPINE,CERV;2 OR 3 VIEWSFEE SCHEDULE37.909999-12-31PROFESSIONAL1083265086npi194226369411FFSX-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWS72100CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWSFEE SCHEDULE43.249999-12-31PROFESSIONAL1356359269npi163916397511FEE SCHEDULE45.219999-12-31PROFESSIONAL1508829219npi194226369411DERIVED39.319999-12-31PROFESSIONAL1073592606npi155834024011FFSMRI NECK SPINE W/ & W/O CONTRAST72156CPT2026MRI NECK SPINE W/ & W/O CONTRASTDERIVED452.889999-12-31PROFESSIONAL1336566330npi124527167511FFSMagnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences72197CPT2026Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequencesDERIVED475.549999-12-31PROFESSIONAL1003905290npi12452716751235128620npi12452716751457886046npi12452716751497103121npi124527167511FFSRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsDERIVED390.309999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED34.809999-12-31PROFESSIONAL1073592788npi155834024011FFSX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)DERIVED257.619999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED238.979999-12-31INSTITUTIONAL1679678486npi167967848623FEE SCHEDULE11.159999-12-31PROFESSIONAL1255674545npi10737850441477715597npi107378504423FFSRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsDERIVED40.209999-12-31PROFESSIONAL1770129413npi15583402401801191861npi155834024011FFSRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED33.199999-12-31PROFESSIONAL1710966601npi155834024011DERIVED306.549999-12-31INSTITUTIONAL1063426823npi106342682323FFSX-RAY EXAM OF HEEL73650CPT2026X-RAY EXAM OF HEELDERIVED305.829999-12-31INSTITUTIONAL1063426823npi106342682323FFSCOMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MAT74176CPT2026COMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MATDERIVED3365.439999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE132.769999-12-31PROFESSIONAL1043276397npi10737850441750518759npi10737850441992083133npi107378504423FFSCT ANGIO,ABD AORTA & BILAT ILIOFEM LOW EXTRM W/CON75635CPT2026CT ANGIO,ABD AORTA & BILAT ILIOFEM LOW EXTRM W/CONDERIVED584.259999-12-31PROFESSIONAL1780628339npi124527167511FFSECHO EXAM ABDOMEN BACK WALL76770CPT2026ECHO EXAM ABDOMEN BACK WALLFEE SCHEDULE56.699999-12-31PROFESSIONAL1417236902npi107378504421FFSECHO EXAM TRANSRECTAL76872APC2026ECHO EXAM TRANSRECTALDERIVED57.869999-12-31INSTITUTIONAL1518976661npi151897666124FFSRESPIRATORY MOTION MNGMNT SIMULATION77293CPT2026RESPIRATORY MOTION MNGMNT SIMULATIONDERIVED559.779999-12-31INSTITUTIONAL1679678486npi167967848622FFSTreatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)77333CPT2026Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)DERIVED689.889999-12-31INSTITUTIONAL1679678486npi167967848622FFSTRTMT DEVICES,DESIGN,COMPLEX77334CPT2026TRTMT DEVICES,DESIGN,COMPLEXDERIVED135.789999-12-31PROFESSIONAL1912991324npi176059096211DERIVED1966.069999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE66.049999-12-31PROFESSIONAL1346262789npi124528353022FFSRADIATION TX MANAGEMENT X577427CPT2026RADIATION TX MANAGEMENT X5FEE SCHEDULE216.159999-12-31PROFESSIONAL1346262789npi124528353022DERIVED216.159999-12-31PROFESSIONAL1912991324npi17605909621962646745npi176059096211FFSW/PHARM INTERVEN, INCL QUANT MEASURMENT WHEN PERF78227CPT2026W/PHARM INTERVEN, INCL QUANT MEASURMENT WHEN PERFFEE SCHEDULE68.449999-12-31PROFESSIONAL1083604854npi107378504421FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED211.959999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED222.559999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED247.169999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED203.339999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED256.959999-12-31INSTITUTIONAL1861102345npi186110234523FEE SCHEDULE20.749999-12-31PROFESSIONAL1750301172npi179077231781FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYNEGOTIATED1.769999-12-31PROFESSIONAL1477846004npi166942957711FFSHEREDITARY BREAST CANCER-RELATED DISORDERS (EG, HEREDITARY BREAST CANCER, HEREDITARY OVARIAN CANCER, HEREDITARY ENDOMETRIAL CANCER, HEREDITARY PANCREATIC CANCER. HEREDITARY PROSTATE CANCER), GENOMIC SEQUENCE ANALYSIS PANEL, 5 OR MORE GENES, I81432CPT2026HEREDITARY BREAST CANCER-RELATED DISORDERS (EG, HEREDITARY BREAST CANCER, HEREDITARY OVARIAN CANCER, HEREDITARY ENDOMETRIAL CANCER, HEREDITARY PANCREATIC CANCER. HEREDITARY PROSTATE CANCER), GENOMIC SEQUENCE ANALYSIS PANEL, 5 OR MORE GENES, IDERIVED1025.009999-12-31PROFESSIONAL1518713072npi999999999981FFSOncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result81528CPT2026Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative resultFEE SCHEDULE508.879999-12-31PROFESSIONAL1629407069npi162940706981FFSGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED38.839999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED36.309999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED42.819999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED40.779999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED85.629999-12-31INSTITUTIONAL1063426823npi106342682322FFSHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED10.689999-12-31PROFESSIONAL1740478197npi109349363711DERIVED10.209999-12-31PROFESSIONAL1407887029npi114433310511FFSLipase83690CPT2026LipaseDERIVED105.229999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED103.939999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED7.939999-12-31INSTITUTIONAL1063426823npi106342682323FFSThyroxine; free84439CPT2026Thyroxine; freeDERIVED96.759999-12-31INSTITUTIONAL1063426823npi106342682323FFSThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED76.789999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED102.779999-12-31INSTITUTIONAL1063426823npi106342682323FFSTroponin, quantitative84484CPT2026Troponin, quantitativeDERIVED190.859999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED157.019999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED176.239999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED185.049999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED188.249999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED381.719999-12-31INSTITUTIONAL1063426823npi106342682322FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED75.609999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED141.029999-12-31INSTITUTIONAL1063426823npi10634268231649367269npi164936726922DERIVED145.349999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE15.269999-12-31PROFESSIONAL1750301172npi179077231781DERIVED155.489999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED8.559999-12-31PROFESSIONAL1306850508npi17605909621609015528npi17605909621821290362npi17605909621902068158npi176059096211DERIVED156.169999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED163.259999-12-31INSTITUTIONAL1063426823npi10634268231700978558npi17009785582223FFSProthrombin time;85610CPT2026Prothrombin time;DERIVED52.049999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED43.309999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED50.509999-12-31INSTITUTIONAL1063426823npi10634268231649367269npi164936726922FFSCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED127.169999-12-31INSTITUTIONAL1063426823npi106342682323FFSOther specified sepsis871MS-DRG10Other specified sepsisDERIVED20332.439999-12-31INSTITUTIONAL1871977942npi187197794221FFSCULTURE, FUNGI ISOLATION, OTHER SOURCE87102CPT2026CULTURE, FUNGI ISOLATION, OTHER SOURCEDERIVED16.399999-12-31INSTITUTIONAL1811991227npi181199122722FFSSusceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)87184CPT2026Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)FEE SCHEDULE4.499999-12-31PROFESSIONAL1265798870npi126579887081FFSInfectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique87635CPT2026Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe techniqueDERIVED48.239999-12-31PROFESSIONAL1831711464npi132625496211FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED14.059999-12-31PROFESSIONAL1396128989npi124528353011DERIVED14.719999-12-31PROFESSIONAL1356987135npi124528353011FFSCYTOPATHOLOGY CELLULAR ENHANC W/INTERP88112CPT2026CYTOPATHOLOGY CELLULAR ENHANC W/INTERPDERIVED24.619999-12-31PROFESSIONAL1861451593npi126549387822FFSSPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORG88312CPT2026SPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORGDERIVED157.589999-12-31PROFESSIONAL1760456677npi115430408711FEE SCHEDULE63.649999-12-31PROFESSIONAL1265798870npi126579887081FFSEXAMINATION AND SELECTION OF RETRIEVED ARCHIVAL88363CPT2026EXAMINATION AND SELECTION OF RETRIEVED ARCHIVALDERIVED14.809999-12-31PROFESSIONAL1861451593npi126549387822FFSInfluenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use90674CPT2026Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular useDERIVED37.589999-12-31PROFESSIONAL1609182690npi132625496211FFSRotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use90680CPT2026Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral useDERIVED102.749999-12-31PROFESSIONAL1821014192npi194268913811FFSPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRFEE SCHEDULE140.749999-12-31PROFESSIONAL1265618698npi12656186981740675107npi15386561781790070928npi191258803911FEE SCHEDULE100.009999-12-31PROFESSIONAL1598740896npi159874089611FFSGASTROESOPHOGEAL REFLUX TST/W/MUCOSAL ATTCH TELMTR91035CPT2026GASTROESOPHOGEAL REFLUX TST/W/MUCOSAL ATTCH TELMTRDERIVED990.849999-12-31INSTITUTIONAL1063426823npi106342682322FFSOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsDERIVED131.819999-12-31PROFESSIONAL1154940930npi184134030411FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE92133CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVEDERIVED27.169999-12-31PROFESSIONAL1154940930npi18413403041780866111npi184134030411FFSOphthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral92202CPT2026Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateralFEE SCHEDULE15.569999-12-31PROFESSIONAL1487654117npi169977379611FFSFundus photography with interpretation and report92250CPT2026Fundus photography with interpretation and reportFEE SCHEDULE36.389999-12-31PROFESSIONAL1346775376npi16997737961487654117npi16997737961730479650npi16997737961871855049npi169977379611FFSTympanometry and reflex threshold measurements92550CPT2026Tympanometry and reflex threshold measurementsFEE SCHEDULE23.609999-12-31PROFESSIONAL1508979246npi148789724511FFSElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportDERIVED13.779999-12-31PROFESSIONAL1043488661npi18515526651316902612npi16695892631487614947npi16695892631669430732npi166958926311NEGOTIATED37.119999-12-31PROFESSIONAL1578889721npi166942957711DERIVED19.129999-12-31PROFESSIONAL1255368924npi182118306211DERIVED16.839999-12-31PROFESSIONAL1346276201npi12250342341548748957npi10934936371578722997npi122503423411FEE SCHEDULE13.019999-12-31PROFESSIONAL1194774604npi162915168311FEE SCHEDULE13.779999-12-31PROFESSIONAL1609907948npi104355169011FEE SCHEDULE14.549999-12-31PROFESSIONAL1467663872npi191231249711FEE SCHEDULE16.839999-12-31PROFESSIONAL1417921701npi19422506831588646616npi174055985511FFSElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyFEE SCHEDULE9.269999-12-31PROFESSIONAL1306074372npi12452835301487614947npi12452835301518100148npi124528353022FEE SCHEDULE16.849999-12-31PROFESSIONAL1033558630npi12058808531215166749npi12058808531477226298npi12058808531558723577npi12058808531588981278npi12058808531700837929npi12058808531770088957npi12058808531811287014npi120588085323FEE SCHEDULE10.959999-12-31PROFESSIONAL1013995406npi124528353021FEE SCHEDULE13.059999-12-31PROFESSIONAL1194785519npi12452835301851309629npi12452835301972591949npi124528353023FFSW/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHY93458CPT2026W/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHYDERIVED272.129999-12-31PROFESSIONAL1669430732npi166958926322DERIVED5727.009999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED6368.159999-12-31INSTITUTIONAL1649367269npi164936726922FFSPharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, w93463CPT2026Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, wDERIVED87.369999-12-31PROFESSIONAL1669430732npi166958926322FFSEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDDERIVED194.689999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE22.749999-12-31PROFESSIONAL1518054535npi10634007291568752103npi10634007292123FFSExercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)94617CPT2026Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)FEE SCHEDULE31.209999-12-31PROFESSIONAL1972690444npi128506955922FFSPulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed94618CPT2026Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performedDERIVED93.439999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE22.779999-12-31PROFESSIONAL1972690444npi128506955922FFSCONT. POSITIVE AIRWAY PRESSU94660CPT2026CONT. POSITIVE AIRWAY PRESSUDERIVED68.289999-12-31PROFESSIONAL1649277880npi128568537011FFSPlethysmography for determination of lung volumes and, when performed, airway resistance94726CPT2026Plethysmography for determination of lung volumes and, when performed, airway resistanceDERIVED61.909999-12-31PROFESSIONAL1487875977npi12856853701649277880npi128568537011FFSDiffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)94729CPT2026Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)DERIVED123.239999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED61.319999-12-31PROFESSIONAL1487875977npi12856853701649277880npi128568537011DERIVED158.329999-12-31INSTITUTIONAL1063426823npi106342682322FFSElectroencephalogram (EEG) extended monitoring; 41-60 minutes95812CPT2026Electroencephalogram (EEG) extended monitoring; 41-60 minutesNEGOTIATED890.529999-12-31PROFESSIONAL1003888637npi166942957711FFSElectroencephalogram (EEG); including recording awake and asleep95819CPT2026Electroencephalogram (EEG); including recording awake and asleepDERIVED527.859999-12-31INSTITUTIONAL1811991227npi181199122722FFSDevelopmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument96110CPT2026Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrumentNEGOTIATED14.719999-12-31PROFESSIONAL1720439920npi156869355411FFSNEUROBEHAVIORAL STATUS EXAM96116CPT2026NEUROBEHAVIORAL STATUS EXAMFEE SCHEDULE103.279999-12-31PROFESSIONAL1578589198npi108367960911FFSBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED4.429999-12-31PROFESSIONAL1588101174npi111403746211DERIVED5.469999-12-31PROFESSIONAL1043328735npi13262549621609182690npi132625496211DERIVED5.279999-12-31PROFESSIONAL1154884815npi170064904311DERIVED10.549999-12-31PROFESSIONAL1154884815npi170064904311FFSPSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; FIRST 30 MINUTES96138CPT2026PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; FIRST 30 MINUTESFEE SCHEDULE39.909999-12-31PROFESSIONAL1578589198npi108367960911FFSIntravenous infusion, hydration; initial, 31 minutes to 1 hour96360CPT2026Intravenous infusion, hydration; initial, 31 minutes to 1 hourDERIVED423.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED494.819999-12-31INSTITUTIONAL1700978558npi170097855823DERIVED365.449999-12-31INSTITUTIONAL1063426823npi106342682323FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)96366CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)DERIVED852.789999-12-31INSTITUTIONAL1063426823npi106342682323FFSChemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)96411CPT2026Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)DERIVED60.989999-12-31PROFESSIONAL1902068158npi176059096211FFSTherapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities97112CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesDERIVED60.009999-12-31PROFESSIONAL1093813065npi12952799901720716780npi12952799901831317015npi129527999011FFSPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED48.009999-12-31PROFESSIONAL1073627766npi169991040611DERIVED60.009999-12-31PROFESSIONAL1750766838npi129527999011FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99152CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mDERIVED243.079999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE9.739999-12-31PROFESSIONAL1194774604npi162915168321DERIVED314.779999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED10.319999-12-31PROFESSIONAL1013995406npi16695892631669430732npi166958926322FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99153CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mFEE SCHEDULE10.359999-12-31PROFESSIONAL1194774604npi162915168321DERIVED598.839999-12-31INSTITUTIONAL1649367269npi164936726922FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED154.879999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED24.949999-12-31PROFESSIONAL1891730974npi171021128911DERIVED27.329999-12-31PROFESSIONAL1982609046npi142723748611DERIVED29.709999-12-31PROFESSIONAL1255368924npi182118306211FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of99222CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date ofDERIVED107.809999-12-31PROFESSIONAL1659307486npi166958926321FEE SCHEDULE101.819999-12-31PROFESSIONAL1194774604npi162915168321FEE SCHEDULE132.969999-12-31PROFESSIONAL1962969147npi124528353021FEE SCHEDULE167.699999-12-31PROFESSIONAL1427340959npi139679559722FFSSUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,FEE SCHEDULE93.479999-12-31PROFESSIONAL1336376086npi124528353021DERIVED89.879999-12-31PROFESSIONAL1063641520npi17801005291154842953npi17801005291689238347npi17801005291750933321npi178010052921FEE SCHEDULE71.909999-12-31PROFESSIONAL1356348593npi115437224121FEE SCHEDULE61.129999-12-31PROFESSIONAL1558404970npi115437224121FEE SCHEDULE74.789999-12-31PROFESSIONAL1548991045npi124528353021FEE SCHEDULE79.099999-12-31PROFESSIONAL1023059862npi10232067451427431568npi124528353021FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED180.939999-12-31PROFESSIONAL1609215490npi178010052911FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED135.009999-12-31PROFESSIONAL1356373054npi138682324311DERIVED159.029999-12-31PROFESSIONAL1437107190npi103338786511DERIVED160.309999-12-31PROFESSIONAL1255368924npi18211830621740478197npi109349363711NEGOTIATED192.379999-12-31PROFESSIONAL1376502161npi16694295771477846004npi166942957711DERIVED109.009999-12-31PROFESSIONAL1902635360npi175054631350DERIVED147.489999-12-31PROFESSIONAL1700465499npi178010052911DERIVED134.659999-12-31PROFESSIONAL1306947452npi16290617671346231966npi11644352771891730974npi171021128911DERIVED80.159999-12-31PROFESSIONAL1548748957npi109349363711DERIVED126.969999-12-31PROFESSIONAL1922636851npi154858460011DERIVED150.049999-12-31PROFESSIONAL1558380444npi154858460011DERIVED173.129999-12-31PROFESSIONAL1497294979npi17801005291609215490npi178010052911FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99397CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED146.869999-12-31PROFESSIONAL1609182690npi132625496211DERIVED144.869999-12-31PROFESSIONAL1619460755npi124528353011DERIVED172.469999-12-31PROFESSIONAL1548748957npi109349363711FFSTECHNITIUM 99, MEDRONATE, UP TO 30 MCA9503HCPCS2026TECHNITIUM 99, MEDRONATE, UP TO 30 MCDERIVED30.009999-12-31PROFESSIONAL1720391568npi124527167511FFSTECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCIA9541HCPCS2026TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCIDERIVED83.129999-12-31PROFESSIONAL1083656706npi124527167511FFSGUIDE WIREC1769HCPCS2026GUIDE WIREDERIVED1162.429999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED15.009999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED209.159999-12-31INSTITUTIONAL1063426823npi106342682322FFSADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED5.009999-12-31PROFESSIONAL1396704821npi190208406411FFSSRVCS PHY THERAPY IN HOME HLTH/HOSPICE, EA 15 MINSG0151HCPCS2026SRVCS PHY THERAPY IN HOME HLTH/HOSPICE, EA 15 MINSDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSDIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALG0279HCPCS2026DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALDERIVED58.479999-12-31PROFESSIONAL1104860600npi12452716751114960200npi12452716751174567697npi12452716751306188073npi12452716751326082975npi12452716751578507588npi12452716751619037025npi12452716751639598519npi12452716751831136191npi124527167511DERIVED39.059999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED99.229999-12-31INSTITUTIONAL1053424648npi105342464822FEE SCHEDULE36.059999-12-31PROFESSIONAL1538106927npi165934703711FFSANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEG0439HCPCS2026ANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEDERIVED143.599999-12-31PROFESSIONAL1407887029npi114433310511FFSANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESG0442HCPCS2026ANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESDERIVED19.259999-12-31PROFESSIONAL1407887029npi114433310511DERIVED21.459999-12-31PROFESSIONAL1558380444npi154858460011FFSCONTINUOUS INTRAOPERATIVE NEUROPHYS MONITORINGG0453HCPCS2026CONTINUOUS INTRAOPERATIVE NEUROPHYS MONITORINGDERIVED83.949999-12-31PROFESSIONAL1558437806npi130620480521FFSHOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTG0463HCPCS2026HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTDERIVED212.149999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED188.009999-12-31INSTITUTIONAL1811991227npi181199122722FFSINJECTION ACETAMINOPHEN, 10 MGJ0131HCPCS2026INJECTION ACETAMINOPHEN, 10 MGDERIVED30.249999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED1.109999-12-31PROFESSIONAL1902068158npi176059096211DERIVED10.629999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE0.109999-12-31PROFESSIONAL1174620702npi118407526911DERIVED13.949999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED0.109999-12-31PROFESSIONAL1831711464npi132625496211DERIVED1.209999-12-31PROFESSIONAL1841618782npi155834024011DERIVED9.549999-12-31INSTITUTIONAL1649367269npi164936726922FFSINJ,DIPHENHYDRAMINE HCL, 50 MGJ1200HCPCS2026INJ,DIPHENHYDRAMINE HCL, 50 MGDERIVED9.999999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED0.719999-12-31PROFESSIONAL1902068158npi176059096211DERIVED20.329999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJECTION, GLYCOPYRROLATE, 0.1 MGJ1596HCPCS2026INJECTION, GLYCOPYRROLATE, 0.1 MGDERIVED4.689999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED4.779999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED4.579999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED4.889999-12-31INSTITUTIONAL1679678486npi167967848622FFSINJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MGJ2272HCPCS2026INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MGDERIVED16.629999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ,PHENYLEPHRINE HCL TO 1MLJ2370HCPCS2026INJ,PHENYLEPHRINE HCL TO 1MLDERIVED29.859999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ, ALTEPLASE RECOMBINANT, 1MGJ2997HCPCS2026INJ, ALTEPLASE RECOMBINANT, 1MGDERIVED187.669999-12-31PROFESSIONAL1902068158npi176059096211FFSINJ FENTANYL CITRATE, 0.1MGJ3010HCPCS2026INJ FENTANYL CITRATE, 0.1MGDERIVED10.069999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED14.509999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED10.039999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED12.919999-12-31INSTITUTIONAL1649367269npi164936726922FFSZOLEDRONIC ACID 1MGJ3489HCPCS2026ZOLEDRONIC ACID 1MGDERIVED20.329999-12-31PROFESSIONAL1093729287npi17605909621306850508npi17605909621538165113npi176059096211FFSRINGERS LACTATE INFUSION, 1000 CCJ7120HCPCS2026RINGERS LACTATE INFUSION, 1000 CCDERIVED40.289999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED43.099999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED56.899999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED58.259999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED20.149999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED21.519999-12-31INSTITUTIONAL1063426823npi106342682322FFSDEPOT LUPRON SUSP 7.5MGJ9217HCPCS2026DEPOT LUPRON SUSP 7.5MGDERIVED512.349999-12-31PROFESSIONAL1790949873npi102344793511FFSSCREENING PAP COLLECTION AND CONVEYANCEQ0091HCPCS2026SCREENING PAP COLLECTION AND CONVEYANCEDERIVED40.179999-12-31PROFESSIONAL1356987135npi124528353011DERIVED44.079999-12-31INSTITUTIONAL1811991227npi181199122722FFSLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED11.539999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED16.509999-12-31PROFESSIONAL1104860600npi12452716751780655498npi12452716751831136191npi124527167511DERIVED22.009999-12-31PROFESSIONAL1003905290npi12452716751326082975npi124527167511DERIVED27.509999-12-31PROFESSIONAL1780628339npi124527167511DERIVED100.199999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE0.159999-12-31PROFESSIONAL1255420592npi134651685311DERIVED11.009999-12-31PROFESSIONAL1073557518npi124527167511DERIVED41.959999-12-31INSTITUTIONAL1649367269npi164936726922FFSAnesthesia for procedures on salivary glands, including biopsy00100CPT2026Anesthesia for procedures on salivary glands, including biopsyDERIVED570.009999-12-31PROFESSIONAL1154400711npi17801005291629055447npi178010052924FFSIV SOLUTIONS0258RC2026IV SOLUTIONSDERIVED14.189999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED25.289999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED64.179999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED20.149999-12-31INSTITUTIONAL1649367269npi164936726922FFSLAB/CHEMISTRY0301RC2026LAB/CHEMISTRYDERIVED2621.059999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED722.639999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED3490.699999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED780.079999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED179.569999-12-31INSTITUTIONAL1679678486npi167967848621FFSLAB/IMMUNOLOGY0302RC2026LAB/IMMUNOLOGYDERIVED242.119999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED102.649999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/BACT-MICRO0306RC2026LAB/BACT-MICRODERIVED818.529999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED128.819999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED149.019999-12-31INSTITUTIONAL1679678486npi167967848621FFSLAB/UROLOGY0307RC2026LAB/UROLOGYDERIVED80.639999-12-31INSTITUTIONAL1649367269npi164936726921DERIVED101.639999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED122.719999-12-31INSTITUTIONAL1679678486npi167967848621FFSMRA HEAD AND NECK0615RC2026MRA HEAD AND NECKDERIVED1944.899999-12-31INSTITUTIONAL1063426823npi106342682321FFSRECOVERY ROOM0710RC2026RECOVERY ROOMDERIVED2712.869999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED2777.459999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED1122.309999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED3337.769999-12-31INSTITUTIONAL1679678486npi167967848621DERIVED1200.609999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED3278.349999-12-31INSTITUTIONAL1649367269npi164936726922FFSPERI VASCUL LAB0921RC2026PERI VASCUL LABDERIVED899.019999-12-31INSTITUTIONAL1063426823npi106342682321FFSSIMPL REP SCALP,NECK,TRUNK,E12001CPT2026SIMPL REP SCALP,NECK,TRUNK,EFEE SCHEDULE93.289999-12-31PROFESSIONAL1710243670npi120588085323FFSBIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE19083CPT2026BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCEDERIVED679.419999-12-31PROFESSIONAL1235128620npi12452716751396756474npi12452716751699717124npi124527167511DERIVED339.719999-12-31PROFESSIONAL1083656706npi124527167511FFSPLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE19285CPT2026PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCEDERIVED497.419999-12-31PROFESSIONAL1396756474npi12452716751619037025npi124527167511FFSINJECTION SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 220552CPT2026INJECTION SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2DERIVED48.609999-12-31PROFESSIONAL1831711464npi132625496211FFSMorbid (severe) obesity with alveolar hypoventilation206MS-DRG10Morbid (severe) obesity with alveolar hypoventilationDERIVED5311.249999-12-31INSTITUTIONAL1003465097npi100346509721DERIVED13926.589999-12-31INSTITUTIONAL1003465097npi100346509721FFSINJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRO27096CPT2026INJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRODERIVED252.049999-12-31PROFESSIONAL1780628339npi124527167511FFSRemoval of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction33244CPT2026Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extractionFEE SCHEDULE445.849999-12-31PROFESSIONAL1750332250npi174055985522FFSPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED9.809999-12-31PROFESSIONAL1912162934npi111403746211DERIVED9.009999-12-31PROFESSIONAL1013002880npi17605909621093729287npi17605909621306850508npi17605909621407055973npi17605909621609015528npi17605909621902068158npi176059096211DERIVED12.109999-12-31INSTITUTIONAL1871977942npi187197794222NEGOTIATED473.009999-12-31INSTITUTIONAL1184709057npi118470905722DERIVED6.009999-12-31PROFESSIONAL1679117725npi102344793511DERIVED13.669999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED13.839999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED11.959999-12-31INSTITUTIONAL1063426823npi106342682322FFSBIOPSY/EXCISION LYMPH NODE(S);OPEN SUPERFICIAL38500CPT2026BIOPSY/EXCISION LYMPH NODE(S);OPEN SUPERFICIALDERIVED10710.289999-12-31INSTITUTIONAL1811991227npi181199122722FFSESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAG;W/ENDOSC43237CPT2026ESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAG;W/ENDOSCNEGOTIATED304.339999-12-31PROFESSIONAL1295843241npi166942957722FFSMeasurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging51798CPT2026Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imagingDERIVED13.759999-12-31PROFESSIONAL1790949873npi102344793511DERIVED10.509999-12-31PROFESSIONAL1679117725npi102344793511FFSDILATION & CURETTAGE, DIAGNOSTIC/THERAPEUTIC58120CPT2026DILATION & CURETTAGE, DIAGNOSTIC/THERAPEUTICDERIVED5329.189999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE239.319999-12-31PROFESSIONAL1699877506npi124528353022FFSLAPAROSCOPY W/ RMVL OF ADNEXAL STRUCTURE58661CPT2026LAPAROSCOPY W/ RMVL OF ADNEXAL STRUCTUREFEE SCHEDULE1015.719999-12-31PROFESSIONAL1699877506npi124528353022FFSLaminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar63047CPT2026Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbarDERIVED593.159999-12-31PROFESSIONAL1073592606npi155834024022FFSType 2 diabetes mellitus with hyperglycemia639MS-DRG10Type 2 diabetes mellitus with hyperglycemiaDERIVED11416.659999-12-31INSTITUTIONAL1063426823npi106342682321FFSChemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)64615CPT2026Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)FEE SCHEDULE180.469999-12-31PROFESSIONAL1619437084npi108367960911FFSCT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMD70496CPT2026CT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMDDERIVED2066.359999-12-31INSTITUTIONAL1700978558npi170097855823FEE SCHEDULE133.309999-12-31PROFESSIONAL1548341563npi107378504423FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTFEE SCHEDULE89.689999-12-31PROFESSIONAL1508186743npi107378504422FFSComputed tomography, thorax, low dose for lung cancer screening, without contrast material(s)71271CPT2026Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)DERIVED194.599999-12-31PROFESSIONAL1174567697npi12452716751578507588npi12452716751619037025npi12452716751780655498npi124527167511FFSX-RAY EXAM OF SPINE;SINGLE VIEW72020CPT2026X-RAY EXAM OF SPINE;SINGLE VIEWFEE SCHEDULE8.549999-12-31PROFESSIONAL1306188073npi106340072921FFSMRI NECK SPINE72141CPT2026MRI NECK SPINEDERIVED2158.199999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED271.959999-12-31PROFESSIONAL1578507588npi12452716751780655498npi124527167511FFSCT SCAN PELVIS, W/CONTRAST FOLLOWED BY WITHOUT72194CPT2026CT SCAN PELVIS, W/CONTRAST FOLLOWED BY WITHOUTDERIVED354.609999-12-31PROFESSIONAL1104860600npi124527167511FFSX-RAY EXAM OF COLLARBONE73000CPT2026X-RAY EXAM OF COLLARBONEDERIVED366.369999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE13.339999-12-31PROFESSIONAL1740624519npi107378504423FFSX-RAY EXAM OF SHOULDER73030CPT2026X-RAY EXAM OF SHOULDERFEE SCHEDULE14.979999-12-31PROFESSIONAL1679763460npi10737850441740624519npi10737850442223FFSRadiologic examination, wrist; complete, minimum of 3 views73110CPT2026Radiologic examination, wrist; complete, minimum of 3 viewsDERIVED41.499999-12-31PROFESSIONAL1740606441npi155834024011FFSRadiologic examination, hips, bilateral, with pelvis when performed; 2 views73521CPT2026Radiologic examination, hips, bilateral, with pelvis when performed; 2 viewsDERIVED59.269999-12-31PROFESSIONAL1154325793npi124527167511FFSX-RAY EXAM OF KNEE73562CPT2026X-RAY EXAM OF KNEEDERIVED41.189999-12-31PROFESSIONAL1225577703npi155834024011FFSRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsFEE SCHEDULE41.479999-12-31PROFESSIONAL1194786293npi194226369411DERIVED36.069999-12-31PROFESSIONAL1073592788npi15583402401740606441npi15583402401841711819npi155834024011FFSX-RAY EXAM OF FOOT73630CPT2026X-RAY EXAM OF FOOTFEE SCHEDULE13.379999-12-31PROFESSIONAL1346502622npi107378504423FEE SCHEDULE8.919999-12-31PROFESSIONAL1245273259npi10634007291306188073npi10634007291518054535npi106340072921FFSCAT SCAN OF LOWER EXTREMITY73700CPT2026CAT SCAN OF LOWER EXTREMITYDERIVED185.799999-12-31PROFESSIONAL1083656706npi124527167511FFSMRI,ANY JNT LOW EXT;W/OUT CONTRAST73721CPT2026MRI,ANY JNT LOW EXT;W/OUT CONTRASTFEE SCHEDULE218.909999-12-31PROFESSIONAL1619084704npi163916397511DERIVED290.549999-12-31PROFESSIONAL1154358398npi12452716751326082975npi124527167511DERIVED477.329999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE104.369999-12-31PROFESSIONAL1770804718npi107378504422FFSRadiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study74221CPT2026Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) studyDERIVED150.129999-12-31PROFESSIONAL1821357633npi124527167511FFSOPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRY76514CPT2026OPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRYDERIVED10.589999-12-31PROFESSIONAL1154940930npi18413403041780866111npi184134030411FFSUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete76641CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; completeFEE SCHEDULE87.989999-12-31PROFESSIONAL1538106927npi165934703711DERIVED92.869999-12-31PROFESSIONAL1770717258npi147783081811DERIVED139.299999-12-31PROFESSIONAL1770717258npi147783081811DERIVED46.439999-12-31PROFESSIONAL1770717258npi147783081811FFSUltrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (Lis76937CPT2026Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (LisFEE SCHEDULE17.739999-12-31PROFESSIONAL1104913110npi106346376822DERIVED229.099999-12-31INSTITUTIONAL1871977942npi187197794222FFSSCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERAL77063CPT2026SCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERALDERIVED45.409999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED38.339999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED42.269999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED73.399999-12-31PROFESSIONAL1104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751326082975npi12452716751386757631npi12452716751396756474npi12452716751497103121npi12452716751578507588npi12452716751780655498npi12452716751831136191npi124527167511FEE SCHEDULE46.079999-12-31PROFESSIONAL1386943942npi10737850441871559971npi10737850441982838744npi10737850441922DERIVED44.379999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED47.769999-12-31PROFESSIONAL1306137252npi14778308181770717258npi14778308181790059970npi147783081811FEE SCHEDULE50.279999-12-31PROFESSIONAL1174581649npi134651685311FFSDIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILA77066CPT2026DIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILADERIVED750.209999-12-31INSTITUTIONAL1053424648npi105342464822FEE SCHEDULE137.689999-12-31PROFESSIONAL1538106927npi165934703711DERIVED223.359999-12-31PROFESSIONAL1174567697npi12452716751306188073npi12452716751326082975npi12452716751619037025npi124527167511DERIVED227.199999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE77.429999-12-31PROFESSIONAL1982838744npi107378504422FFSDEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIAL77080CPT2026DEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIALDERIVED36.429999-12-31PROFESSIONAL1336187673npi147783081811DERIVED38.349999-12-31PROFESSIONAL1114960200npi12452716751306188073npi12452716751639598519npi12452716751780655498npi124527167511DERIVED328.319999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE15.549999-12-31PROFESSIONAL1326074188npi107378504419FEE SCHEDULE392.029999-12-31PROFESSIONAL1275516569npi179077231711FFSINTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING77301CPT2026INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDINGDERIVED2088.119999-12-31PROFESSIONAL1912991324npi176059096211DERIVED7834.559999-12-31INSTITUTIONAL1679678486npi167967848622FFSMULTI-LEAF COLLIMATOR DEVCS FOR IMRT,DESIGN/CNSTRC77338CPT2026MULTI-LEAF COLLIMATOR DEVCS FOR IMRT,DESIGN/CNSTRCDERIVED323.989999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED511.259999-12-31PROFESSIONAL1912991324npi176059096211FFSNUCLEAR SCAN OF SKELETON78306CPT2026NUCLEAR SCAN OF SKELETONDERIVED365.709999-12-31PROFESSIONAL1720391568npi124527167511FFSBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED121.789999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED115.199999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED118.719999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED134.269999-12-31INSTITUTIONAL1063426823npi106342682323FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED97.209999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED83.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2.669999-12-31PROFESSIONAL1033534284npi102344793511FFSGlucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use82962CPT2026Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home useDERIVED3.619999-12-31PROFESSIONAL1740478197npi109349363711FFSProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalFEE SCHEDULE36.099999-12-31PROFESSIONAL1750301172npi179077231781FFSCHORIONIC GONADOTROPIN ASSAY84703CPT2026CHORIONIC GONADOTROPIN ASSAYDERIVED6.029999-12-31INSTITUTIONAL1063426823npi106342682323FFSThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED66.189999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED67.079999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED63.869999-12-31INSTITUTIONAL1063426823npi106342682323FFSSkin test; tuberculosis, intradermal86580CPT2026Skin test; tuberculosis, intradermalDERIVED11.799999-12-31PROFESSIONAL1740478197npi109349363711FFSAntibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])86769CPT2026Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])DERIVED42.139999-12-31PROFESSIONAL1891731626npi189173162681FFSConcentration (any type), for infectious agents87015CPT2026Concentration (any type), for infectious agentsDERIVED13.029999-12-31INSTITUTIONAL1811991227npi181199122722FFSCulture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates87075CPT2026Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolatesFEE SCHEDULE5.689999-12-31PROFESSIONAL1265798870npi126579887081FFSSmear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types87205CPT2026Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell typesDERIVED8.329999-12-31INSTITUTIONAL1811991227npi181199122722FFSINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED91.369999-12-31INSTITUTIONAL1811991227npi181199122723FFSINFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECH87428CPT2026INFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHDERIVED70.299999-12-31PROFESSIONAL1013412196npi12452835301518594647npi124528353011DERIVED59.749999-12-31PROFESSIONAL1396128989npi124528353011FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTNEGOTIATED23.409999-12-31PROFESSIONAL1750373908npi175037390881FFSINF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTE87637CPT2026INF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTEDERIVED210.049999-12-31INSTITUTIONAL1063426823npi106342682323FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED15.559999-12-31PROFESSIONAL1831711464npi132625496211DERIVED16.559999-12-31PROFESSIONAL1558380444npi154858460011FFSINFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY W/87811CPT2026INFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY W/DERIVED41.389999-12-31PROFESSIONAL1558380444npi154858460011FFSCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGNEGOTIATED19.449999-12-31PROFESSIONAL1750373908npi175037390881FFSSpecial stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry88313CPT2026Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistryFEE SCHEDULE46.799999-12-31PROFESSIONAL1265798870npi126579887081FFSFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED25.549999-12-31PROFESSIONAL1740478197npi109349363711DERIVED29.029999-12-31PROFESSIONAL1255368924npi182118306211FFSPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED344.199999-12-31PROFESSIONAL1740478197npi109349363711FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use90697CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular useDERIVED156.709999-12-31PROFESSIONAL1821014192npi194268913811FFSMeasles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use90707CPT2026Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useDERIVED97.999999-12-31PROFESSIONAL1821014192npi194268913811FFSPsychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)90836CPT2026Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)FEE SCHEDULE87.829999-12-31PROFESSIONAL1104191097npi110419109711FFSGonioscopy (separate procedure)92020CPT2026Gonioscopy (separate procedure)DERIVED23.639999-12-31PROFESSIONAL1154940930npi18413403041780866111npi184134030411FFSVISUAL FIELD EXAMINATION(S)92083CPT2026VISUAL FIELD EXAMINATION(S)DERIVED55.869999-12-31PROFESSIONAL1154940930npi18413403041780866111npi184134030411FFSPERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 1 LESION INVOLVING 1 OR MORE CORONARY SEGMENTS92928CPT2026PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 1 LESION INVOLVING 1 OR MORE CORONARY SEGMENTSDERIVED449.899999-12-31PROFESSIONAL1013995406npi166958926322FFSExternal electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professional93224CPT2026External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professionalFEE SCHEDULE61.639999-12-31PROFESSIONAL1609907948npi104355169011FFSCRDVSC TELEM/ECG MONITR/REPORT,24 HRS UP TO 30 DAY93228CPT2026CRDVSC TELEM/ECG MONITR/REPORT,24 HRS UP TO 30 DAYFEE SCHEDULE21.419999-12-31PROFESSIONAL1194774604npi162915168321FFSINTRGTN DEV.EVAL W/REVIEW & REPT. IMPL CARDVSC SYS93290CPT2026INTRGTN DEV.EVAL W/REVIEW & REPT. IMPL CARDVSC SYSFEE SCHEDULE22.319999-12-31PROFESSIONAL1417921701npi194225068311FEE SCHEDULE56.229999-12-31PROFESSIONAL1417921701npi194225068311FFSInterrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, techni93296CPT2026Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, techniFEE SCHEDULE33.579999-12-31PROFESSIONAL1417921701npi194225068311DERIVED26.559999-12-31PROFESSIONAL1245286624npi194225068311FFSECHO EXAM OF HEART93312CPT2026ECHO EXAM OF HEARTFEE SCHEDULE136.709999-12-31PROFESSIONAL1487887295npi124528353021FFSCATH PLCMNT CORONARY ARTERY FOR CORONARY ANGIOGRPH93454CPT2026CATH PLCMNT CORONARY ARTERY FOR CORONARY ANGIOGRPHDERIVED220.769999-12-31PROFESSIONAL1013995406npi166958926322FFSINTRAVASCULAR DOPPLER VELOCITY93571CPT2026INTRAVASCULAR DOPPLER VELOCITYDERIVED88.149999-12-31PROFESSIONAL1013995406npi166958926322FFSDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyDERIVED268.209999-12-31PROFESSIONAL1518054535npi124527167511FEE SCHEDULE202.079999-12-31PROFESSIONAL1417921701npi194225068311FEE SCHEDULE165.339999-12-31PROFESSIONAL1609907948npi104355169011FFSLIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUD93922CPT2026LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDFEE SCHEDULE13.299999-12-31PROFESSIONAL1518054535npi106340072921FFSCOMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUD93923CPT2026COMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUDFEE SCHEDULE163.839999-12-31PROFESSIONAL1104913110npi10634637681669890299npi106346376811FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED132.579999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED138.079999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED11.439999-12-31PROFESSIONAL1841336310npi179008132122DERIVED42.189999-12-31PROFESSIONAL1487875977npi12856853701649277880npi128568537011FEE SCHEDULE10.399999-12-31PROFESSIONAL1972690444npi128506955922DERIVED472.449999-12-31INSTITUTIONAL1811991227npi181199122722FFSPatch or application test(s) (specify number of tests)95044CPT2026Patch or application test(s) (specify number of tests)DERIVED291.729999-12-31PROFESSIONAL1982609046npi142723748611FFSELECTROENCEPHALOGRAM (EEG)95819CPT2026ELECTROENCEPHALOGRAM (EEG)FEE SCHEDULE62.419999-12-31PROFESSIONAL1578589198npi124528353022FFSNERVE CONDUCTION STUDIES; 7-8 STUDIES95910CPT2026NERVE CONDUCTION STUDIES; 7-8 STUDIESFEE SCHEDULE298.509999-12-31PROFESSIONAL1457917478npi162941572411FFSSHORT-LATENCY SOMATOSENSORY TEST;UPPER/LOWER LIMBS95938CPT2026SHORT-LATENCY SOMATOSENSORY TEST;UPPER/LOWER LIMBSDERIVED135.219999-12-31PROFESSIONAL1558437806npi130620480521FFSCENT MOTOR EVOKED POTENTIAL STUDY;UPPER/LOWER LIMB95939CPT2026CENT MOTOR EVOKED POTENTIAL STUDY;UPPER/LOWER LIMBDERIVED351.789999-12-31PROFESSIONAL1558437806npi130620480521FFSNEUROPSYCHOLOGICAL TESTING EVALUATION SERVICES BY PHYSICIAN/OTHER QUALIFIED PROFESSIONAL, INCLUDING INTEGRATION OF PATIENT DATA, INTERPRETATION OF STANDARDIZED TEST RESULTS & CLINICAL DATA, CLINICAL DECISION MAKING, TREATMENT PLANNING & REPORT, & INTERAC96132CPT2026NEUROPSYCHOLOGICAL TESTING EVALUATION SERVICES BY PHYSICIAN/OTHER QUALIFIED PROFESSIONAL, INCLUDING INTEGRATION OF PATIENT DATA, INTERPRETATION OF STANDARDIZED TEST RESULTS & CLINICAL DATA, CLINICAL DECISION MAKING, TREATMENT PLANNING & REPORT, & INTERACFEE SCHEDULE134.109999-12-31PROFESSIONAL1578589198npi108367960911FFSPSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINIS TRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)96139CPT2026PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINIS TRATION AND SCORING BY TECHNICIAN, TWO OR MORE TESTS, ANY METHOD; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)FEE SCHEDULE37.249999-12-31PROFESSIONAL1578589198npi108367960911FFSADDL INTRAV SEQTL INFUS NEW DRUG/SUBS;UP TO 1HR96367CPT2026ADDL INTRAV SEQTL INFUS NEW DRUG/SUBS;UP TO 1HRDERIVED31.779999-12-31PROFESSIONAL1902068158npi176059096211FFSTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED60.009999-12-31PROFESSIONAL1023574274npi129527999011DERIVED48.009999-12-31PROFESSIONAL1073627766npi169991040611FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED66.309999-12-31PROFESSIONAL1619533940npi16190185611801571781npi161901856111DERIVED120.009999-12-31PROFESSIONAL1306114483npi189190537820FEE SCHEDULE67.049999-12-31PROFESSIONAL1619681277npi134645616711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENFEE SCHEDULE387.219999-12-31PROFESSIONAL1578021473npi166942957711DERIVED214.309999-12-31PROFESSIONAL1043488661npi18515526651487614947npi166958926311DERIVED261.929999-12-31PROFESSIONAL1013002880npi17605909621053753442npi16990212951902068158npi17605909621912991324npi176059096211FEE SCHEDULE392.889999-12-31PROFESSIONAL1205899820npi162941572411DERIVED278.599999-12-31PROFESSIONAL1558380444npi154858460011FEE SCHEDULE786.569999-12-31PROFESSIONAL1851702930npi179077231711DERIVED321.449999-12-31PROFESSIONAL1487684171npi178010052911FEE SCHEDULE214.309999-12-31PROFESSIONAL1417924689npi131613059411FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE ODERIVED239.859999-12-31PROFESSIONAL1548748957npi109349363711FEE SCHEDULE316.609999-12-31PROFESSIONAL1205899820npi16294157241457917478npi162941572411DERIVED203.399999-12-31PROFESSIONAL1154884815npi170064904311DERIVED224.509999-12-31PROFESSIONAL1558380444npi154858460011FEE SCHEDULE140.819999-12-31PROFESSIONAL1346262789npi12452835301952350548npi124528353022NEGOTIATED276.049999-12-31PROFESSIONAL1477846004npi166942957711FFSEmergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional99281CPT2026Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professionalDERIVED126.889999-12-31INSTITUTIONAL1861102345npi186110234523FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99386CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED209.209999-12-31PROFESSIONAL1497294979npi178010052911NEGOTIATED232.169999-12-31PROFESSIONAL1467610204npi166942957711FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED114.239999-12-31PROFESSIONAL1154884815npi170064904311NEGOTIATED162.169999-12-31PROFESSIONAL1720439920npi156869355411FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED107.449999-12-31PROFESSIONAL1013412196npi124528353011DERIVED91.329999-12-31PROFESSIONAL1134657323npi12452835301396128989npi12452835301538500400npi124528353011NEGOTIATED161.669999-12-31PROFESSIONAL1720439920npi156869355411FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED102.689999-12-31PROFESSIONAL1902635360npi175054631350DERIVED107.529999-12-31PROFESSIONAL1356987135npi12452835301588101174npi111403746211DERIVED126.859999-12-31PROFESSIONAL1346231966npi11644352771891730974npi171021128911DERIVED151.019999-12-31PROFESSIONAL1740478197npi109349363711FFSSMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MIN99406CPT2026SMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MINDERIVED15.419999-12-31PROFESSIONAL1487875977npi128568537011FEE SCHEDULE21.889999-12-31PROFESSIONAL1881834026npi120588085323FFSPelvic examination (List separately in addition to code for primary procedure)99459CPT2026Pelvic examination (List separately in addition to code for primary procedure)DERIVED24.479999-12-31PROFESSIONAL1609849496npi18715720321639147911npi187157203211DERIVED16.609999-12-31PROFESSIONAL1356373054npi13868232431548512171npi138682324311FFSCANISTER, DISPOS W SUCTION PUMB EACHA7000HCPCS2026CANISTER, DISPOS W SUCTION PUMB EACHDERIVED20.009999-12-31PROFESSIONAL1013904036npi14473325721649267857npi144733257212FFSANCHOR/SCREW FOR OPPOSING BONE TO BONE OR TIS BONEC1713HCPCS2026ANCHOR/SCREW FOR OPPOSING BONE TO BONE OR TIS BONEDERIVED1157.589999-12-31INSTITUTIONAL1649367269npi164936726922FFSCARDIOVERTER-DEFIBRILLATOR, OTHR SNGL OR DUAL CHAMC1882HCPCS2026CARDIOVERTER-DEFIBRILLATOR, OTHR SNGL OR DUAL CHAMDERIVED53241.339999-12-31INSTITUTIONAL1063426823npi106342682322FFSINTRODUCER, SHEATH,OTHR THAN GUIDE, NON-LASERC1894HCPCS2026INTRODUCER, SHEATH,OTHR THAN GUIDE, NON-LASERDERIVED79.129999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED116.419999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED151.809999-12-31INSTITUTIONAL1649367269npi164936726922FFSUNCLASSIFIED DRUGS OR BIOLOGICALSC9399HCPCS2026UNCLASSIFIED DRUGS OR BIOLOGICALSDERIVED55.469999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED56.789999-12-31INSTITUTIONAL1679678486npi167967848622FFSHH/HOSPIC RN SRVCS 15 MIN EACHG0299HCPCS2026HH/HOSPIC RN SRVCS 15 MIN EACHDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSHH/HOSPICE LPN SERVICES 15 MIN EACHG0300HCPCS2026HH/HOSPICE LPN SERVICES 15 MIN EACHDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSHOSPITAL OBSERVATION SERVICE PER HOURG0378HCPCS2026HOSPITAL OBSERVATION SERVICE PER HOURDERIVED679.409999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1082.669999-12-31INSTITUTIONAL1063426823npi106342682322FFSHOME SLEEP TEST/TYPE 3 PORTAG0399HCPCS2026HOME SLEEP TEST/TYPE 3 PORTADERIVED75.009999-12-31PROFESSIONAL1649277880npi128568537012FFSFACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESG0447HCPCS2026FACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESDERIVED35.009999-12-31PROFESSIONAL1407887029npi11443331051619952579npi157895468111FFSINJ. HEPARIN SOD/1000 UNITSJ1644HCPCS2026INJ. HEPARIN SOD/1000 UNITSDERIVED13.099999-12-31INSTITUTIONAL1649367269npi164936726922FFSMORPHINE SULFATE, UP TO 10MGJ2270HCPCS2026MORPHINE SULFATE, UP TO 10MGDERIVED14.399999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, NITROGLYCERIN, 5 MGJ2305HCPCS2026INJECTION, NITROGLYCERIN, 5 MGDERIVED34.609999-12-31INSTITUTIONAL1871977942npi187197794222FFSPALONOSETRON HCI, 25 MCGJ2469HCPCS2026PALONOSETRON HCI, 25 MCGDERIVED3.509999-12-31PROFESSIONAL1902068158npi176059096211FFSINJECTION,PROPOFOL,10MGJ2704HCPCS2026INJECTION,PROPOFOL,10MGDERIVED2.509999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED16.369999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED32.559999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED27.149999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED27.799999-12-31INSTITUTIONAL1679678486npi167967848622DERIVED19.729999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED24.609999-12-31INSTITUTIONAL1649367269npi164936726922FFSINJ,METOCLOPRAMIDE HCL 10MGJ2765HCPCS2026INJ,METOCLOPRAMIDE HCL 10MGDERIVED11.729999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ, METHYLPRED SOD SUCC 5MGJ2919HCPCS2026INJ, METHYLPRED SOD SUCC 5MGDERIVED25.929999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED4.329999-12-31PROFESSIONAL1780628339npi124527167511FEE SCHEDULE0.859999-12-31PROFESSIONAL1194786293npi194226369411DERIVED2.649999-12-31PROFESSIONAL1801191861npi155834024011DERIVED6.249999-12-31PROFESSIONAL1225577703npi155834024011FFSPREDNISONE IMMED/DELAYED RELEASE ORAL 1MGJ7512HCPCS2026PREDNISONE IMMED/DELAYED RELEASE ORAL 1MGDERIVED2.429999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED5.659999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED2.679999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, DEGARELIX, 1MGJ9155HCPCS2026INJECTION, DEGARELIX, 1MGDERIVED1068.009999-12-31PROFESSIONAL1790949873npi102344793511FFSPEMBROLIZUMAB 1 MGJ9271HCPCS2026PEMBROLIZUMAB 1 MGDERIVED11946.009999-12-31PROFESSIONAL1902068158npi176059096211FFSLUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH RIGIDL0642HCPCS2026LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH RIGIDDERIVED239.509999-12-31PROFESSIONAL1073592606npi155834024011FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED135.459999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED28.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED165.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76801CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED119.999999-12-31PROFESSIONAL1609849496npi187157203211BUNDLEAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED3.169999-12-31PROFESSIONAL1689645970npi163913848011BUNDLEANNUAL DEPRESSION SCREENING, 15 MINUTESG0444HCPCS2026ANNUAL DEPRESSION SCREENING, 15 MINUTESDERIVED21.459999-12-31PROFESSIONAL1558380444npi154858460011BUNDLECONIZATION OF CERVIX, LOOP ELECTRODE EXC57522CPT2026CONIZATION OF CERVIX, LOOP ELECTRODE EXCDERIVED410.869999-12-31PROFESSIONAL1497294979npi178010052911BUNDLEComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED231.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED140.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEProthrombin time;85610CPT2026Prothrombin time;DERIVED111.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEW/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHY93458CPT2026W/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHYFEE SCHEDULE257.019999-12-31PROFESSIONAL1194774604npi162915168321BUNDLEHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED103.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED545.009999-12-31INSTITUTIONAL1811991227npi181199122722CAPITATIONSIMPL REP SCALP,NECK,TRUNK,E12001CPT2026SIMPL REP SCALP,NECK,TRUNK,EDERIVED124.729999-12-31PROFESSIONAL1578556502npi155830204211CAPITATIONMASTECTOMY PARTIAL19301CPT2026MASTECTOMY PARTIALDERIVED732.279999-12-31PROFESSIONAL1588651699npi155830204222CAPITATIONPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED10.279999-12-31PROFESSIONAL1013971142npi15583020421053730374npi15583020421063413649npi15583020421124129358npi15583020421346680311npi15583020421396722476npi15583020421588651699npi15583020421598054751npi10234479351689918831npi15583020421740286756npi15583020421790756765npi15583020421811480809npi15583020421811963341npi15583020421891220489npi15583020421952419640npi155830204211DERIVED6.009999-12-31PROFESSIONAL1790949873npi102344793511CAPITATIONBiopsy or excision of lymph node(s); open, deep axillary node(s)38525CPT2026Biopsy or excision of lymph node(s); open, deep axillary node(s)DERIVED247.629999-12-31PROFESSIONAL1588651699npi155830204222CAPITATIONOPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRY76514CPT2026OPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRYDERIVED12.939999-12-31PROFESSIONAL1710946181npi155830204211CAPITATIONECHO EXAM TRANSRECTAL76872CPT2026ECHO EXAM TRANSRECTALDERIVED34.839999-12-31PROFESSIONAL1790949873npi102344793524CAPITATIONBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate am80076CPT2026Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED3.499999-12-31PROFESSIONAL1073564910npi10234479351306074646npi102344793511DERIVED2.669999-12-31PROFESSIONAL1871516351npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAdrenocorticotropic hormone (ACTH)82024CPT2026Adrenocorticotropic hormone (ACTH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONColumn chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen82542CPT2026Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONEstradiol; total82670CPT2026Estradiol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONEstrogens; total82672CPT2026Estrogens; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFolic acid; serum82746CPT2026Folic acid; serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGlucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use82962CPT2026Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home useDERIVED3.619999-12-31PROFESSIONAL1013971142npi15583020421174864482npi15583020421407844558npi155830204211FEE SCHEDULE2.799999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONHomocysteine83090CPT2026HomocysteineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein (a)83695CPT2026Lipoprotein (a)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSex hormone binding globulin (SHBG)84270CPT2026Sex hormone binding globulin (SHBG)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; total84436CPT2026Thyroxine; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; total (TT-3)84480CPT2026Triiodothyronine T3; total (TT-3)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUric acid; blood84550CPT2026Uric acid; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; automated differential WBC count85004CPT2026Blood count; automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA);86038CPT2026Antinuclear antibodies (ANA);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyclic citrullinated peptide (CCP), antibody86200CPT2026Cyclic citrullinated peptide (CCP), antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFLUORESCENT ANTIBODY; TITER86256CPT2026FLUORESCENT ANTIBODY; TITERDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)86592CPT2026SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; herpes simplex, type 186695CPT2026Antibody; herpes simplex, type 1DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; herpes simplex, type 286696CPT2026Antibody; herpes simplex, type 2DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B SURFACE ANTIBODY (HBSAB)86706CPT2026HEPATITIS B SURFACE ANTIBODY (HBSAB)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS BE ANTIBODY (HBEAB)86707CPT2026HEPATITIS BE ANTIBODY (HBEAB)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatitis A antibody (HAAb)86708CPT2026Hepatitis A antibody (HAAb)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; mumps86735CPT2026Antibody; mumpsDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; rubeola86765CPT2026Antibody; rubeolaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatitis C antibody;86803CPT2026Hepatitis C antibody;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSmear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types87205CPT2026Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell typesDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Clostridium diffi87324CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Clostridium diffiDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE OR87340CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED45.239999-12-31PROFESSIONAL1861451593npi126549387823FEE SCHEDULE30.039999-12-31PROFESSIONAL1548545544npi155830204211DERIVED30.039999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi155830204211DERIVED35.339999-12-31PROFESSIONAL1497700223npi15583020421538147665npi155830204211DERIVED38.869999-12-31PROFESSIONAL1063413649npi15583020421073863163npi15583020421235273285npi15583020421235370743npi15583020421255389938npi15583020421346680311npi15583020421578556502npi15583020421629045307npi15583020421851302962npi15583020421851959407npi15583020421891220489npi155830204211CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE87491CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification87512CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantificationDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification87517CPT2026Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantificationDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique87661CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe techniqueDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED14.069999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi155830204211DERIVED16.559999-12-31PROFESSIONAL1396704821npi190208406411DERIVED18.219999-12-31PROFESSIONAL1073863163npi15583020421255389938npi15583020421851959407npi15583020421891220489npi155830204211CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus87807CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virusDERIVED13.109999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONCYTOPATHOLOGY CELLULAR ENHANC W/INTERP88112CPT2026CYTOPATHOLOGY CELLULAR ENHANC W/INTERPDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMorphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure88374CPT2026Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedureDERIVED39.209999-12-31PROFESSIONAL1861451593npi126549387822CAPITATIONFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED25.549999-12-31PROFESSIONAL1013971142npi15583020421154907905npi15583020421407844558npi15583020421497017289npi15583020421689918831npi155830204211CAPITATIONPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED344.199999-12-31PROFESSIONAL1013971142npi15583020421053730374npi15583020421689918831npi155830204211CAPITATIONPSYCHOTHERAPY,45 MINS. W/PATIENT AND/OR FAMILY MBR90834CPT2026PSYCHOTHERAPY,45 MINS. W/PATIENT AND/OR FAMILY MBRDERIVED101.139999-12-31PROFESSIONAL1407876592npi155830204210CAPITATIONFamily psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes90847CPT2026Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutesDERIVED120.239999-12-31PROFESSIONAL1164740858npi15583020420211CAPITATIONVISUAL FIELD EXAMINATION(S)92083CPT2026VISUAL FIELD EXAMINATION(S)DERIVED68.289999-12-31PROFESSIONAL1013980655npi15583020421093780215npi155830204211CAPITATIONDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyDERIVED202.079999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONLIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUD93922CPT2026LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDDERIVED88.869999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED46.409999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED73.009999-12-31PROFESSIONAL1750368932npi16190185611801571781npi16190185611871579649npi16190185611881630119npi161901856111DERIVED80.379999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED64.339999-12-31PROFESSIONAL1912229121npi155830204210DERIVED88.899999-12-31PROFESSIONAL1407823941npi163913848011DERIVED104.029999-12-31PROFESSIONAL1013971142npi15583020421043593569npi15583020421053730374npi15583020421063413649npi15583020421073863163npi15583020421093195398npi15583020421093780215npi15583020421215097688npi15583020421225121411npi15583020421225232051npi15583020421235273285npi15583020421235370743npi15583020421255389938npi15583020421265401095npi15583020421306074646npi10234479351396722476npi15583020421407823909npi15583020421407844558npi15583020421407876592npi15583020421427373075npi15583020421477513661npi15583020421497017289npi15583020421518100148npi15583020421578556502npi15583020421588651699npi15583020421629045307npi15583020421639585169npi15583020421689918831npi15583020421790756765npi15583020421821089699npi15583020421851302962npi15583020421851309629npi15583020421851959407npi15583020421891220489npi15583020421912229121npi1558302042021011FEE SCHEDULE80.389999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211DERIVED94.569999-12-31PROFESSIONAL1396704821npi19020840641497700223npi15583020421538147665npi15583020421962579391npi196257939111DERIVED75.659999-12-31PROFESSIONAL1134141617npi15386864981790276582npi15386864981861921298npi153868649811CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE ODERIVED155.009999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the99223CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of theDERIVED175.679999-12-31PROFESSIONAL1881001162npi155830204221CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99381CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED112.239999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED107.769999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED132.899999-12-31PROFESSIONAL1013971142npi15583020421346680311npi15583020421689645970npi16391384801952419640npi155830204211CAPITATIONHEADGEAR USED WITH PAPDA7035HCPCS2026HEADGEAR USED WITH PAPDDERIVED17.259999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED43.919999-12-31PROFESSIONAL1013971142npi15583020421497017289npi15583020421689918831npi155830204211FEE SCHEDULE50.849999-12-31PROFESSIONAL1396055950npi156869355411CAPITATIONDEFINTVE DRUG TEST GC/MS LC/MS 1-7 DRUG CLASSG0480HCPCS2026DEFINTVE DRUG TEST GC/MS LC/MS 1-7 DRUG CLASSDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONWRIST HAND FINGER ORTHOSIS,WITHOUT JOINT,PREFABRICL3809HCPCS2026WRIST HAND FINGER ORTHOSIS,WITHOUT JOINT,PREFABRICFEE SCHEDULE239.019999-12-31PROFESSIONAL1548545544npi155830204211DERIVED239.019999-12-31PROFESSIONAL1407009368npi155830204211CAPITATION2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV COVIDU0002HCPCS20262019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV COVIDDERIVED50.009999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONFine needle aspiration biopsy, including ultrasound guidance; first lesion10005CPT2026Fine needle aspiration biopsy, including ultrasound guidance; first lesionDERIVED144.809999-12-31PROFESSIONAL1588651699npi155830204211CAPITATIONFine needle aspiration biopsy, without imaging guidance; first lesion10021CPT2026Fine needle aspiration biopsy, without imaging guidance; first lesionDERIVED80.379999-12-31PROFESSIONAL1134141617npi153868649811CAPITATIONDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONDERIVED58.309999-12-31PROFESSIONAL1598443327npi161901856111CAPITATIONARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED76.229999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONMeasurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging51798CPT2026Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imagingDERIVED13.759999-12-31PROFESSIONAL1073564910npi10234479351598054751npi10234479351760988547npi102344793511DERIVED10.509999-12-31PROFESSIONAL1871516351npi102344793511CAPITATIONRemoval impacted cerumen using irrigation/lavage, unilateral69209CPT2026Removal impacted cerumen using irrigation/lavage, unilateralFEE SCHEDULE14.009999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONX-RAY EXAM, SPINE;THORACIC,3 VIEWS72072CPT2026X-RAY EXAM, SPINE;THORACIC,3 VIEWSFEE SCHEDULE37.739999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views72114CPT2026Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 viewsFEE SCHEDULE66.069999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, knee; 1 or 2 views73560CPT2026Radiologic examination, knee; 1 or 2 viewsFEE SCHEDULE33.499999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE52.729999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsDERIVED28.859999-12-31PROFESSIONAL1790276582npi153868649811CAPITATIONECHO EXAM OF EYE76519CPT2026ECHO EXAM OF EYEDERIVED74.329999-12-31PROFESSIONAL1093780215npi15583020421427373075npi155830204211CAPITATIONECHO EXAM OF HEAD AND NECK76536CPT2026ECHO EXAM OF HEAD AND NECKFEE SCHEDULE105.329999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE142.349999-12-31PROFESSIONAL1306283213npi155830204211CAPITATIONUltrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation76536CPT2026Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentationFEE SCHEDULE115.859999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISFEE SCHEDULE102.489999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when p80305CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when pDERIVED13.869999-12-31PROFESSIONAL1215097688npi15583020421386134419npi15583020421407823909npi155830204211CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED2.959999-12-31PROFESSIONAL1154361129npi15583020421407009368npi15583020421437206711npi15583020421962928465npi155830204211DERIVED3.839999-12-31PROFESSIONAL1013971142npi15583020421063413649npi15583020421073863163npi15583020421174864482npi15583020421225232051npi15583020421235370743npi15583020421396722476npi15583020421639585169npi15583020421811963341npi155830204211FEE SCHEDULE2.969999-12-31PROFESSIONAL1982802633npi155830204211FEE SCHEDULE2.309999-12-31PROFESSIONAL1396055950npi156869355411CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.129999-12-31PROFESSIONAL1265150924npi10234479351295100717npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED2.489999-12-31PROFESSIONAL1346291259npi10234479351598054751npi10234479351760988547npi102344793511CAPITATIONUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED7.319999-12-31PROFESSIONAL1154361129npi155830204211DERIVED9.479999-12-31PROFESSIONAL1235370743npi15583020421639585169npi155830204211CAPITATIONInfectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result fo81513CPT2026Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens, algorithm reported as a positive or negative result foDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflamm81596CPT2026Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlbumin; urine (eg, microalbumin), quantitative82043CPT2026Albumin; urine (eg, microalbumin), quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBeta-2 microglobulin82232CPT2026Beta-2 microglobulinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBilirubin; direct82248CPT2026Bilirubin; directDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations82274CPT2026Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinationsDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCeruloplasmin82390CPT2026CeruloplasminDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCortisol; total82533CPT2026Cortisol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInsulin; total83525CPT2026Insulin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed83704CPT2026Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein, direct measurement; LDL cholesterol83721CPT2026Lipoprotein, direct measurement; LDL cholesterolDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalprotectin, fecal83993CPT2026Calprotectin, fecalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProlactin84146CPT2026ProlactinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); free84154CPT2026Prostate specific antigen (PSA); freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTestosterone; total84403CPT2026Testosterone; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferase; aspartate amino (AST) (SGOT)84450CPT2026Transferase; aspartate amino (AST) (SGOT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferrin84466CPT2026TransferrinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriglycerides84478CPT2026TriglyceridesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)84479CPT2026Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONClotting inhibitors or anticoagulants; antithrombin III, activity85300CPT2026Clotting inhibitors or anticoagulants; antithrombin III, activityDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED2.709999-12-31PROFESSIONAL1861451593npi126549387821CAPITATIONAllergen specific IgE; quantitative or semiquantitative, crude allergen extract, each86003CPT2026Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein;86140CPT2026C-reactive protein;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein; high sensitivity (hsCRP)86141CPT2026C-reactive protein; high sensitivity (hsCRP)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONComplement; antigen, each component86160CPT2026Complement; antigen, each componentDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B CORE ANTIBODY (HBCAB); TOTAL86704CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); TOTALDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; rubella86762CPT2026Antibody; rubellaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates87075CPT2026Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolatesDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED8.899999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONCulture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum87147CPT2026Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSusceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate87186CPT2026Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED9.529999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; giardia87329CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; giardiaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique87481CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe techniqueDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed87522CPT2026Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE87591CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism87799CPT2026Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organismDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTISSUE EXAM BY PATHOLOGIST88304CPT2026TISSUE EXAM BY PATHOLOGISTDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONIMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2026IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171699961086npi16199405171891731626npi189173162681CAPITATIONImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)90472CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)DERIVED17.309999-12-31PROFESSIONAL1154907905npi155830204211CAPITATIONRespiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use90678CPT2026Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular useDERIVED337.489999-12-31PROFESSIONAL1093195398npi155830204211CAPITATIONMeasles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use90707CPT2026Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useDERIVED97.999999-12-31PROFESSIONAL1073863163npi155830204211CAPITATIONPSYCHOTHERAPY, 30 MIN. W/PATIENT AND/OR FAMILY MBR90832CPT2026PSYCHOTHERAPY, 30 MIN. W/PATIENT AND/OR FAMILY MBRDERIVED93.619999-12-31PROFESSIONAL1407876592npi15583020421699969956npi15583020420210CAPITATIONPsychotherapy, 45 minutes with patient90834CPT2026Psychotherapy, 45 minutes with patientDERIVED124.319999-12-31PROFESSIONAL1407876592npi15583020421699969956npi1558302042021011CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED136.939999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421427373075npi15583020421710946181npi155830204211CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED5.859999-12-31PROFESSIONAL1154361129npi155830204211FEE SCHEDULE5.869999-12-31PROFESSIONAL1548545544npi155830204211DERIVED6.899999-12-31PROFESSIONAL1497700223npi155830204211DERIVED7.589999-12-31PROFESSIONAL1053730374npi155830204211CAPITATIONLOWER EXTREMITY STUDY93925CPT2026LOWER EXTREMITY STUDYDERIVED253.219999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONCONTINUOUS GLUCOSE MONITORING, INTERP/REPORT95251CPT2026CONTINUOUS GLUCOSE MONITORING, INTERP/REPORTDERIVED38.989999-12-31PROFESSIONAL1912229121npi15583020421011CAPITATIONOccupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or97166CPT2026Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, orDERIVED60.009999-12-31PROFESSIONAL1578383543npi129527999011CAPITATIONMED NUT THERAPY;RE-ASSESS,EACH 15 MINS97803CPT2026MED NUT THERAPY;RE-ASSESS,EACH 15 MINSFEE SCHEDULE26.509999-12-31PROFESSIONAL1811465537npi155830204210CAPITATIONTELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A NONPHYSICIAN QUALIFIED HEALTH CARE PROFESSIONAL TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED ASSESSMENT AND MANAGEMENT SERVICE PROVIDED WITHIN THE PREVIOUS98966CPT2026TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A NONPHYSICIAN QUALIFIED HEALTH CARE PROFESSIONAL TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED ASSESSMENT AND MANAGEMENT SERVICE PROVIDED WITHIN THE PREVIOUSDERIVED15.009999-12-31PROFESSIONAL1699969956npi155830204210CAPITATIONOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED64.729999-12-31PROFESSIONAL1013971142npi155830204211DERIVED95.899999-12-31PROFESSIONAL1033149752npi17907902771437275252npi179079027711DERIVED100.019999-12-31PROFESSIONAL1043586662npi15583020421437206711npi15583020421750820627npi155830204211DERIVED117.679999-12-31PROFESSIONAL1144667544npi12452835301225075963npi12452835301538147665npi155830204211DERIVED129.449999-12-31PROFESSIONAL1013189877npi15583020421073863163npi15583020421093195398npi15583020421174864482npi15583020421184726184npi15583020421396705570npi15583020421497074694npi15583020421518100148npi15583020421588651699npi15583020421629045307npi15583020421011FEE SCHEDULE100.029999-12-31PROFESSIONAL1548545544npi155830204211DERIVED94.149999-12-31PROFESSIONAL1134141617npi15386864981861921298npi153868649811DERIVED104.739999-12-31PROFESSIONAL1104978287npi16190185611366910044npi16190185611598443327npi16190185611679152300npi16190185611760110969npi161901856111DERIVED123.559999-12-31PROFESSIONAL1871579649npi161901856111CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED142.219999-12-31PROFESSIONAL1790276582npi15386864981861921298npi153868649811DERIVED177.769999-12-31PROFESSIONAL1225075963npi124528353011DERIVED143.729999-12-31PROFESSIONAL1437275252npi179079027711DERIVED195.549999-12-31PROFESSIONAL1346291259npi10234479351386134419npi15583020421588651699npi15583020421598054751npi10234479351831503010npi15583020421912229121npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED47.179999-12-31PROFESSIONAL1134141617npi153868649811DERIVED64.869999-12-31PROFESSIONAL1013971142npi15583020421073863163npi15583020421215097688npi15583020421235370743npi15583020421255389938npi15583020421346680311npi15583020421396705570npi15583020421477513661npi15583020421497017289npi15583020421578556502npi15583020421588651699npi15583020421639585169npi15583020421679590178npi15583020421689918831npi15583020421790756765npi1558302042021011FEE SCHEDULE50.129999-12-31PROFESSIONAL1548545544npi155830204211DERIVED58.969999-12-31PROFESSIONAL1396704821npi19020840641497700223npi15583020421538147665npi155830204211DERIVED50.119999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421407009368npi15583020421437206711npi15583020421861530685npi155830204211DERIVED52.009999-12-31PROFESSIONAL1881630119npi161901856111CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED108.029999-12-31PROFESSIONAL1790276582npi153868649811DERIVED125.009999-12-31PROFESSIONAL1396704821npi19020840640211DERIVED129.709999-12-31PROFESSIONAL1437275252npi179079027711DERIVED135.029999-12-31PROFESSIONAL1073993135npi12452835301962579391npi196257939111DERIVED148.529999-12-31PROFESSIONAL1013971142npi15583020421053730374npi15583020421063413649npi15583020421073564910npi10234479351124129358npi15583020421306074646npi10234479351346680311npi15583020421386134419npi15583020421396722476npi15583020421396910998npi15583020421407823909npi15583020421407844558npi15583020421477008050npi15583020421518100148npi15583020421588651699npi15583020421598054751npi10234479351689918831npi15583020421740286756npi15583020421760988547npi10234479351790949873npi10234479351851309629npi15583020421912229121npi15583020421952419640npi1558302042021011DERIVED114.769999-12-31PROFESSIONAL1750820627npi155830204211DERIVED126.929999-12-31PROFESSIONAL1265150924npi10234479351295100717npi102344793511DERIVED113.429999-12-31PROFESSIONAL1871516351npi102344793511CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99386CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED170.469999-12-31PROFESSIONAL1811963341npi15583020421891220489npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99391CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED101.509999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONTUBING W/INGR HEAT ELEM W/POS AIRWAY PRESS DEVCA4604HCPCS2026TUBING W/INGR HEAT ELEM W/POS AIRWAY PRESS DEVCDERIVED35.949999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONTUBING USED WITH PAPDA7037HCPCS2026TUBING USED WITH PAPDDERIVED14.479999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCONT.AIRWY PRES DEVICE(CPAP)E0601HCPCS2026CONT.AIRWY PRES DEVICE(CPAP)DERIVED39.159999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONDIAB TRNG SVC-GROUP, PER 30 MINSG0109HCPCS2026DIAB TRNG SVC-GROUP, PER 30 MINSFEE SCHEDULE15.889999-12-31PROFESSIONAL1710253547npi155830204211DERIVED69.889999-12-31PROFESSIONAL1396705570npi155830204202CAPITATIONINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED0.599999-12-31PROFESSIONAL1134141617npi153868649811DERIVED3.249999-12-31PROFESSIONAL1407823909npi15583020421588651699npi155830204211DERIVED6.489999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONWALKING BOOT,NON-PNEUMATIC,W/ OR W/OUT JOINTS,W/ OL4387HCPCS2026WALKING BOOT,NON-PNEUMATIC,W/ OR W/OUT JOINTS,W/ ODERIVED212.769999-12-31PROFESSIONAL1073863163npi155830204211CAPITATIONTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionDERIVED83.099999-12-31PROFESSIONAL1366910044npi16190185611760110969npi161901856111CAPITATIONSimple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less12001CPT2026Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or lessDERIVED124.729999-12-31PROFESSIONAL1578556502npi155830204211CAPITATIONDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14DERIVED5.469999-12-31PROFESSIONAL1598443327npi161901856111CAPITATIONInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")DERIVED48.419999-12-31PROFESSIONAL1134141617npi153868649811DERIVED66.569999-12-31PROFESSIONAL1013189877npi155830204211DERIVED72.629999-12-31PROFESSIONAL1134141617npi153868649811CAPITATIONArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20610CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidanceDERIVED76.229999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONIntraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)38900CPT2026Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)DERIVED168.259999-12-31PROFESSIONAL1588651699npi155830204222CAPITATIONCIRCUMCISION, CLAMP, NEWBORN54150CPT2026CIRCUMCISION, CLAMP, NEWBORNDERIVED121.919999-12-31PROFESSIONAL1073993135npi124528353011CAPITATIONInjection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral62323CPT2026Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacralDERIVED293.589999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONX-RAY EXAM OF RIBS71100CPT2026X-RAY EXAM OF RIBSFEE SCHEDULE35.169999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWS72100CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWSFEE SCHEDULE39.319999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsFEE SCHEDULE61.959999-12-31PROFESSIONAL1831186733npi155830204211CAPITATIONRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED26.559999-12-31PROFESSIONAL1134141617npi153868649811FEE SCHEDULE44.359999-12-31PROFESSIONAL1477045284npi155830204211CAPITATIONECHO EXAM OF ABDOMEN76705CPT2026ECHO EXAM OF ABDOMENFEE SCHEDULE92.379999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS; MICROSCOPIC ONLY81015CPT2026URINALYSIS; MICROSCOPIC ONLYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEREDITARY BREAST CANCER-RELATED DISORDERS (EG, HEREDITARY BREAST CANCER, HEREDITARY OVARIAN CANCER, HEREDITARY ENDOMETRIAL CANCER, HEREDITARY PANCREATIC CANCER. HEREDITARY PROSTATE CANCER), GENOMIC SEQUENCE ANALYSIS PANEL, 5 OR MORE GENES, I81432CPT2026HEREDITARY BREAST CANCER-RELATED DISORDERS (EG, HEREDITARY BREAST CANCER, HEREDITARY OVARIAN CANCER, HEREDITARY ENDOMETRIAL CANCER, HEREDITARY PANCREATIC CANCER. HEREDITARY PROSTATE CANCER), GENOMIC SEQUENCE ANALYSIS PANEL, 5 OR MORE GENES, IDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAmylase82150CPT2026AmylaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCHOLESTEROL,SERUM, TOTAL82465CPT2026CHOLESTEROL,SERUM, TOTALDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine kinase (CK), (CPK); total82550CPT2026Creatine kinase (CK), (CPK); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDehydroepiandrosterone-sulfate (DHEA-S)82627CPT2026Dehydroepiandrosterone-sulfate (DHEA-S)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFerritin82728CPT2026FerritinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each82784CPT2026Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)82951CPT2026GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin; follicle stimulating hormone (FSH)83001CPT2026Gonadotropin; follicle stimulating hormone (FSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHydroxyprogesterone, 17-d83498CPT2026Hydroxyprogesterone, 17-dDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method83516CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step methodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron83540CPT2026IronDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron binding capacity83550CPT2026Iron binding capacityDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLactate dehydrogenase (LD), (LDH);83615CPT2026Lactate dehydrogenase (LD), (LDH);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein-associated phospholipase A2 (Lp-PLA2)83698CPT2026Lipoprotein-associated phospholipase A2 (Lp-PLA2)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOrganic acid, single, quantitative83921CPT2026Organic acid, single, quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONParathormone (parathyroid hormone)83970CPT2026Parathormone (parathyroid hormone)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhosphorus inorganic (phosphate);84100CPT2026Phosphorus inorganic (phosphate);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProgesterone84144CPT2026ProgesteroneDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein, total, except by refractometry; serum, plasma or whole blood84155CPT2026Protein, total, except by refractometry; serum, plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein, total, except by refractometry; urine84156CPT2026Protein, total, except by refractometry; urineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein; electrophoretic fractionation and quantitation, serum84165CPT2026Protein; electrophoretic fractionation and quantitation, serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferase; alanine amino (ALT) (SGPT)84460CPT2026Transferase; alanine amino (ALT) (SGPT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; free84481CPT2026Triiodothyronine T3; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-peptide84681CPT2026C-peptideDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin, chorionic (hCG); quantitative84702CPT2026Gonadotropin, chorionic (hCG); quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEMOGLOBIN85018CPT2026HEMOGLOBINDERIVED2.619999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; red blood cell (RBC), automated85041CPT2026Blood count; red blood cell (RBC), automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; leukocyte (WBC), automated85048CPT2026Blood count; leukocyte (WBC), automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAllergen specific IgG quantitative or semiquantitative, each allergen86001CPT2026Allergen specific IgG quantitative or semiquantitative, each allergenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDeoxyribonucleic acid (DNA) antibody; native or double stranded86225CPT2026Deoxyribonucleic acid (DNA) antibody; native or double strandedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFluorescent noninfectious agent antibody; screen, each antibody86255CPT2026Fluorescent noninfectious agent antibody; screen, each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNOFIXATION ELECTOPHORESIS86334CPT2026IMMUNOFIXATION ELECTOPHORESISDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMicrosomal antibodies (eg, thyroid or liver-kidney), each86376CPT2026Microsomal antibodies (eg, thyroid or liver-kidney), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; Borrelia burgdorferi (Lyme disease)86618CPT2026Antibody; Borrelia burgdorferi (Lyme disease)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species87045CPT2026Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella speciesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED8.889999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOva and parasites, direct smears, concentration and identification87177CPT2026Ova and parasites, direct smears, concentration and identificationDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylo87338CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pyloDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Shiga-like toxin87427CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Shiga-like toxinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique87634CPT2026Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe techniqueDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED14.059999-12-31PROFESSIONAL1043586662npi15583020421437206711npi15583020421750820627npi155830204211DERIVED16.539999-12-31PROFESSIONAL1538147665npi155830204211DERIVED18.189999-12-31PROFESSIONAL1063413649npi15583020421073863163npi15583020421346680311npi15583020421851959407npi155830204211FEE SCHEDULE14.059999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONCYTOPATHOLOGY, AUTOMATED THIN PREP88142CPT2026CYTOPATHOLOGY, AUTOMATED THIN PREPDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONDECALCIFY TISSUE88311CPT2026DECALCIFY TISSUEDERIVED10.819999-12-31PROFESSIONAL1285877837npi12654938781861451593npi126549387821CAPITATIONSPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORG88312CPT2026SPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORGDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONIMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EAC88341CPT2026IMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EACDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONEXAMINATION AND SELECTION OF RETRIEVED ARCHIVAL88363CPT2026EXAMINATION AND SELECTION OF RETRIEVED ARCHIVALDERIVED24.879999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT,SUB-U90750CPT2026ZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT,SUB-UDERIVED211.979999-12-31PROFESSIONAL1063413649npi15583020421093195398npi15583020421154907905npi15583020421689918831npi155830204211CAPITATIONInteractive complexity (List separately in addition to the code for primary procedure)90785CPT2026Interactive complexity (List separately in addition to the code for primary procedure)DERIVED15.989999-12-31PROFESSIONAL1164740858npi15583020420211CAPITATIONPSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES90792CPT2026PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICESDERIVED222.649999-12-31PROFESSIONAL1225121411npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsDERIVED161.119999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421427373075npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientDERIVED97.279999-12-31PROFESSIONAL1013980655npi155830204211CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE92133CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVEDERIVED33.209999-12-31PROFESSIONAL1013980655npi15583020421093780215npi15583020421710946181npi155830204211CAPITATIONPure tone audiometry (threshold); air only92552CPT2026Pure tone audiometry (threshold); air onlyDERIVED42.469999-12-31PROFESSIONAL1689918831npi155830204211CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyDERIVED9.269999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDFEE SCHEDULE112.689999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED5.479999-12-31PROFESSIONAL1689645970npi163913848011CAPITATIONTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED12.859999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421861530685npi155830204211DERIVED16.639999-12-31PROFESSIONAL1063413649npi15583020421073863163npi15583020421225232051npi15583020421255389938npi15583020421396722476npi15583020421588651699npi15583020421629045307npi155830204211FEE SCHEDULE12.859999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211CAPITATIONChemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic96402CPT2026Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplasticDERIVED82.909999-12-31PROFESSIONAL1790949873npi102344793511CAPITATIONMedical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes97802CPT2026Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutesFEE SCHEDULE36.099999-12-31PROFESSIONAL1710253547npi155830204211FEE SCHEDULE30.689999-12-31PROFESSIONAL1811465537npi155830204210CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED63.319999-12-31PROFESSIONAL1154361129npi15583020421407009368npi15583020421437206711npi155830204211DERIVED81.949999-12-31PROFESSIONAL1235370743npi15583020421255389938npi15583020421427158781npi15583020421518100148npi15583020421629045307npi15583020421679590178npi155830204211DERIVED78.219999-12-31PROFESSIONAL1881630119npi161901856111FEE SCHEDULE63.329999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED26.149999-12-31PROFESSIONAL1013971142npi15583020421073863163npi15583020421093195398npi15583020421093780215npi15583020421225232051npi15583020421265401095npi15583020421477008050npi15583020421477513661npi15583020421689918831npi155830204211FEE SCHEDULE20.209999-12-31PROFESSIONAL1245696301npi15583020421811465537npi155830204202DERIVED23.769999-12-31PROFESSIONAL1497700223npi155830204211DERIVED20.199999-12-31PROFESSIONAL1437206711npi155830204211FEE SCHEDULE23.769999-12-31PROFESSIONAL1999999984npi155830204202CAPITATIONInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of99222CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date ofDERIVED131.769999-12-31PROFESSIONAL1053600874npi155830204221CAPITATIONSUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,DERIVED79.099999-12-31PROFESSIONAL1730107509npi15583020421881001162npi15583020421902088586npi155830204221DERIVED57.529999-12-31PROFESSIONAL1073993135npi124528353021CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99384CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED151.429999-12-31PROFESSIONAL1093195398npi155830204211CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED107.229999-12-31PROFESSIONAL1194752055npi124528353011DERIVED147.429999-12-31PROFESSIONAL1740286756npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED141.069999-12-31PROFESSIONAL1013971142npi15583020421063413649npi15583020421154907905npi15583020421265401095npi15583020421346680311npi15583020421396722476npi15583020421477513661npi15583020421497017289npi15583020421689918831npi15583020421740286756npi15583020421811480809npi15583020421891220489npi15583020421011DERIVED134.659999-12-31PROFESSIONAL1619460755npi124528353011FEE SCHEDULE163.519999-12-31PROFESSIONAL1396055950npi156869355411CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99397CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED151.779999-12-31PROFESSIONAL1063413649npi15583020421093195398npi15583020421265401095npi15583020421477008050npi15583020421780912485npi15583020421790756765npi155830204211DERIVED137.979999-12-31PROFESSIONAL1073993135npi12452835301962579391npi196257939111CAPITATIONFULL FACE MASK WITH PAPDA7030HCPCS2026FULL FACE MASK WITH PAPDDERIVED90.929999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONNASAL INTERFACE(MASK OR CANNULA) FOR PAPDA7034HCPCS2026NASAL INTERFACE(MASK OR CANNULA) FOR PAPDDERIVED52.579999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCRUTCHES UNARN/ALUMINUME0114HCPCS2026CRUTCHES UNARN/ALUMINUMDERIVED63.149999-12-31PROFESSIONAL1073863163npi155830204211CAPITATIONHUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREE0562HCPCS2026HUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREDERIVED131.019999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHOME BLOOD GLUCOSE MONITORE0607HCPCS2026HOME BLOOD GLUCOSE MONITORDERIVED104.759999-12-31PROFESSIONAL1912229121npi155830204211CAPITATIONOXYGEN CONCENTRATOR 85% OR GREATER OXYGEE1390HCPCS2026OXYGEN CONCENTRATOR 85% OR GREATER OXYGEDERIVED87.109999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGFEE SCHEDULE0.099999-12-31PROFESSIONAL1548545544npi155830204211DERIVED0.099999-12-31PROFESSIONAL1861530685npi155830204211DERIVED0.489999-12-31PROFESSIONAL1255389938npi155830204211DERIVED0.969999-12-31PROFESSIONAL1225232051npi155830204211CAPITATIONINJ, METHYLPRED SOD SUCC 5MGJ2919HCPCS2026INJ, METHYLPRED SOD SUCC 5MGDERIVED0.229999-12-31PROFESSIONAL1861530685npi155830204211CAPITATIONSCREENING PAP COLLECTION AND CONVEYANCEQ0091HCPCS2026SCREENING PAP COLLECTION AND CONVEYANCEDERIVED49.659999-12-31PROFESSIONAL1013971142npi15583020421497017289npi15583020421689918831npi15583020421811480809npi15583020421891220489npi155830204211FEE SCHEDULE55.259999-12-31PROFESSIONAL1396055950npi156869355411CAPITATIONLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED0.329999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONIncision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single10060CPT2026Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleDERIVED108.009999-12-31PROFESSIONAL1437206711npi155830204211DERIVED139.779999-12-31PROFESSIONAL1588651699npi155830204211FEE SCHEDULE108.009999-12-31PROFESSIONAL1548545544npi155830204211CAPITATIONDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSDERIVED104.009999-12-31PROFESSIONAL1881630119npi161901856111DERIVED96.669999-12-31PROFESSIONAL1104978287npi161901856111CAPITATIONEX CYS FIBRO, OTHR ABER BREAS TISSUE 1 OR MORE LES19120CPT2026EX CYS FIBRO, OTHR ABER BREAS TISSUE 1 OR MORE LESDERIVED467.349999-12-31PROFESSIONAL1588651699npi155830204222CAPITATIONSTRAPPING OF ANKLE29540CPT2026STRAPPING OF ANKLEDERIVED22.349999-12-31PROFESSIONAL1134141617npi153868649811CAPITATIONCOLONOSCOPY, LESION REMOVAL45385APC2026COLONOSCOPY, LESION REMOVALDERIVED587.139999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONLASERING, SECONDARY CATARACT66821CPT2026LASERING, SECONDARY CATARACTDERIVED363.069999-12-31PROFESSIONAL1093780215npi155830204211CAPITATIONExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984CPT2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationDERIVED508.929999-12-31PROFESSIONAL1093780215npi15583020421427373075npi15583020422224CAPITATIONRadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsFEE SCHEDULE44.079999-12-31PROFESSIONAL1306283213npi155830204211FEE SCHEDULE32.299999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsFEE SCHEDULE52.019999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsFEE SCHEDULE38.289999-12-31PROFESSIONAL1999999984npi155830204211FEE SCHEDULE45.239999-12-31PROFESSIONAL1730575580npi155830204211CAPITATIONRadiologic examination, abdomen; 1 view74018CPT2026Radiologic examination, abdomen; 1 viewFEE SCHEDULE29.059999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited76642CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limitedDERIVED89.889999-12-31PROFESSIONAL1588651699npi155830204211CAPITATIONUltrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete76770CPT2026Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; completeFEE SCHEDULE103.519999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONECHO EXAM, TRANSVAGINAL76830CPT2026ECHO EXAM, TRANSVAGINALFEE SCHEDULE114.489999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONGeneral health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and80050CPT2026General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) andDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTI80055CPT2026OBSTETRIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: BLOOD COUNT, COMPLETE (CBC), AUTOMATED AND AUTOMATED DIFFERENTIAL WBC COUNT (85025 OR 85027 AND 85004) OR BLOOD COUNT, COMPLETE (CBC), AUTOMATED (85027) AND APPROPRIATE MANUAL DIFFERENTIDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAcute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)80074CPT2026Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eit80307CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eitDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlpha-1-antitrypsin; total82103CPT2026Alpha-1-antitrypsin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlpha-fetoprotein (AFP); serum82105CPT2026Alpha-fetoprotein (AFP); serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAmmonia82140CPT2026AmmoniaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONApolipoprotein, each82172CPT2026Apolipoprotein, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalcium; total82310CPT2026Calcium; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCarcinoembryonic antigen (CEA)82378CPT2026Carcinoembryonic antigen (CEA)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatinine; blood82565CPT2026Creatinine; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY URINE CREATININE82570CPT2026ASSAY URINE CREATININEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCystatin C82610CPT2026Cystatin CDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 1, 25 dihydroxy, includes fraction(s), if performed82652CPT2026Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONElastase, pancreatic (EL-1), fecal; quantitative82653CPT2026Elastase, pancreatic (EL-1), fecal; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGammaglobulin (immunoglobulin); IgE82785CPT2026Gammaglobulin (immunoglobulin); IgEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin; luteinizing hormone (LH)83002CPT2026Gonadotropin; luteinizing hormone (LH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified83520CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipase83690CPT2026LipaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMetanephrines83835CPT2026MetanephrinesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONNatriuretic peptide83880CPT2026Natriuretic peptideDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED39.269999-12-31PROFESSIONAL1861451593npi126549387822CAPITATIONTestosterone; free84402CPT2026Testosterone; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; free84439CPT2026Thyroxine; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUrea nitrogen; quantitative84520CPT2026Urea nitrogen; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; hematocrit (Hct)85014CPT2026Blood count; hematocrit (Hct)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; hemoglobin (Hgb)85018CPT2026Blood count; hemoglobin (Hgb)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; reticulocyte, automated85045CPT2026Blood count; reticulocyte, automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProthrombin time;85610CPT2026Prothrombin time;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA); titer86039CPT2026Antinuclear antibodies (ANA); titerDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONExtractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody86235CPT2026Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for tumor antigen, quantitative; CA 12586304CPT2026Immunoassay for tumor antigen, quantitative; CA 125DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for infectious agent antibody, quantitative, not otherwise specified86317CPT2026Immunoassay for infectious agent antibody, quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNOGLOBULIN TYPING, EACH86335CPT2026IMMUNOGLOBULIN TYPING, EACHDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTissue transglutaminase, each immunoglobulin (Ig) class86364CPT2026Tissue transglutaminase, each immunoglobulin (Ig) classDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONRheumatoid factor; quantitative86431CPT2026Rheumatoid factor; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTUBERCULOSIS TEST,CELL MEDIATED IMMUNITY ANTIGEN86480CPT2026TUBERCULOSIS TEST,CELL MEDIATED IMMUNITY ANTIGENDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B CORE ANTIBODY (HBCAB); IGM ANTIBODY86705CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); IGM ANTIBODYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; varicella-zoster86787CPT2026Antibody; varicella-zosterDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates87070CPT2026Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolatesDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONCulture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate87076CPT2026Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;87081CPT2026CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE87088CPT2026CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, FUNGI ISOLATION, SKIN HAIR OR NAIL87101CPT2026CULTURE, FUNGI ISOLATION, SKIN HAIR OR NAILDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates87116CPT2026Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolatesDERIVED10.809999-12-31PROFESSIONAL1861451593npi12654938782122CAPITATIONSmear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites87209CPT2026Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasitesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis Be anti87350CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis Be antiDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVE87389CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise spe87449CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise speDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed87625CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINTERPRETATION OF SMEAR88173CPT2026INTERPRETATION OF SMEARDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED33.049999-12-31PROFESSIONAL1285877837npi12654938781861451593npi126549387821DERIVED1130.109999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171699961086npi16199405171891731626npi189173162681CAPITATIONMORPHMTRC ANLYS, TUMR IMMNOHSTOCHM,EA ANTIBDY,MANU88360CPT2026MORPHMTRC ANLYS, TUMR IMMNOHSTOCHM,EA ANTIBDY,MANUDERIVED1.119999-12-31PROFESSIONAL1619940517npi161994051781CAPITATIONImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED23.239999-12-31PROFESSIONAL1063413649npi15583020421689918831npi155830204211DERIVED23.669999-12-31PROFESSIONAL1013971142npi15583020421073863163npi15583020421093195398npi15583020421154907905npi15583020421225232051npi15583020421497017289npi15583020421811963341npi155830204211CAPITATIONIMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION, SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]) VACCINE; FIRST OR ONLY COMPONENT OF EACH VACCINE ADMINISTERED90480CPT2026IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION, SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]) VACCINE; FIRST OR ONLY COMPONENT OF EACH VACCINE ADMINISTEREDDERIVED50.789999-12-31PROFESSIONAL1407844558npi155830204211CAPITATIONTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED43.669999-12-31PROFESSIONAL1013971142npi15583020421154907905npi15583020421225232051npi15583020421497017289npi15583020421811963341npi155830204211CAPITATIONPneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use90732CPT2026Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular useDERIVED146.829999-12-31PROFESSIONAL1265401095npi155830204211CAPITATIONPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRDERIVED148.769999-12-31PROFESSIONAL1407876592npi155830204210DERIVED182.149999-12-31PROFESSIONAL1164740858npi15583020421407876592npi1558302042021011CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA92134CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINADERIVED35.329999-12-31PROFESSIONAL1013980655npi15583020421093780215npi155830204211CAPITATIONDEVICE EVAL(IN PRSN) REV & RPRT,DUAL LEAD PACEMAKR93280CPT2026DEVICE EVAL(IN PRSN) REV & RPRT,DUAL LEAD PACEMAKRDERIVED84.569999-12-31PROFESSIONAL1679590178npi155830204211CAPITATIONECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERDERIVED210.789999-12-31PROFESSIONAL1518100148npi15583020421851309629npi155830204211CAPITATIONPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED60.009999-12-31PROFESSIONAL1093813065npi129527999011CAPITATIONTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED60.009999-12-31PROFESSIONAL1578383543npi129527999011CAPITATIONTELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A NONPHYSICIAN QUALIFIED HEALTH CARE PROFESSIONAL TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED ASSESSMENT AND MANAGEMENT SERVICE PROVIDED WITHIN THE PREVIOUS98968CPT2026TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A NONPHYSICIAN QUALIFIED HEALTH CARE PROFESSIONAL TO AN ESTABLISHED PATIENT, PARENT, OR GUARDIAN NOT ORIGINATING FROM A RELATED ASSESSMENT AND MANAGEMENT SERVICE PROVIDED WITHIN THE PREVIOUSDERIVED38.159999-12-31PROFESSIONAL1699969956npi15583020421011CAPITATIONHandling and/or conveyance of specimen for transfer from the office to a laboratory99000CPT2026Handling and/or conveyance of specimen for transfer from the office to a laboratoryDERIVED10.009999-12-31PROFESSIONAL1396704821npi190208406411CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED211.079999-12-31PROFESSIONAL1790949873npi102344793511CAPITATIONHospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter99238CPT2026Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounterDERIVED83.519999-12-31PROFESSIONAL1053600874npi15583020422122DERIVED60.749999-12-31PROFESSIONAL1073993135npi124528353021CAPITATIONHospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter99239CPT2026Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounterDERIVED118.739999-12-31PROFESSIONAL1730107509npi15583020421902088586npi155830204221CAPITATIONDISPOSABLE FILTER FOR PAPDA7038HCPCS2026DISPOSABLE FILTER FOR PAPDDERIVED11.649999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONWATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIA7046HCPCS2026WATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIDERIVED12.389999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONELECTRIC BREAST PUMPE0603HCPCS2026ELECTRIC BREAST PUMPDERIVED99.759999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED23.039999-12-31PROFESSIONAL1013971142npi15583020421043586662npi15583020421154907905npi15583020421407844558npi15583020421497017289npi15583020421689918831npi15583020421831503010npi155830204211CAPITATIONADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEG0009HCPCS2026ADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEDERIVED24.609999-12-31PROFESSIONAL1063413649npi155830204211DERIVED23.039999-12-31PROFESSIONAL1013971142npi15583020421053730374npi15583020421265401095npi15583020421689918831npi155830204211CAPITATIONDIABETES OUTPT SELF-MANGEMENT TRAINING,IND, PER 30G0108HCPCS2026DIABETES OUTPT SELF-MANGEMENT TRAINING,IND, PER 30DERIVED121.849999-12-31PROFESSIONAL1396705570npi155830204202CAPITATIONVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDDERIVED19.209999-12-31PROFESSIONAL1790949873npi102344793511CAPITATIONINJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGJ0696HCPCS2026INJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGDERIVED0.399999-12-31PROFESSIONAL1154361129npi155830204211FEE SCHEDULE0.399999-12-31PROFESSIONAL1548545544npi155830204211DERIVED2.049999-12-31PROFESSIONAL1073863163npi155830204211CAPITATIONINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED0.289999-12-31PROFESSIONAL1437206711npi15583020421861530685npi155830204211DERIVED1.449999-12-31PROFESSIONAL1396722476npi15583020421629045307npi155830204211FEE SCHEDULE0.289999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211CAPITATIONINJ VITAMIN B-12, 1000 MCGJ3420HCPCS2026INJ VITAMIN B-12, 1000 MCGDERIVED0.709999-12-31PROFESSIONAL1063413649npi155830204211CAPITATIONFINGER SPLINT, STATICQ4049HCPCS2026FINGER SPLINT, STATICFEE SCHEDULE2.289999-12-31PROFESSIONAL1548545544npi155830204211LARGE GROUP TRIP OPT GFEIN596000430GROUPFFSEXC LES. TRUNK ARMS OR LEGS11402CPT2026EXC LES. TRUNK ARMS OR LEGSFEE SCHEDULE185.749999-12-31PROFESSIONAL1336134360npi162906368011FFSDESTRUCTION OF SKIN LESIONS17261CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE156.079999-12-31PROFESSIONAL1336134360npi162906368011FFSDestruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm17262CPT2026Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cmFEE SCHEDULE188.439999-12-31PROFESSIONAL1336134360npi162906368011FFSDESTRUCTION OF SKIN LESIONS17263CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE204.619999-12-31PROFESSIONAL1336134360npi162906368011FFSARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED61.849999-12-31PROFESSIONAL1801191861npi155834024011FFSMRI,ANY JNT LOW EXT;W/OUT CONTRAST73721CPT2026MRI,ANY JNT LOW EXT;W/OUT CONTRASTDERIVED290.549999-12-31PROFESSIONAL1083656706npi12452716751154358398npi124527167511FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED224.189999-12-31INSTITUTIONAL1063426823npi106342682323FFSTroponin, quantitative84484CPT2026Troponin, quantitativeDERIVED173.119999-12-31INSTITUTIONAL1063426823npi106342682323FFSTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityFEE SCHEDULE31.489999-12-31PROFESSIONAL1194708495npi181176663711FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99152CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mFEE SCHEDULE55.109999-12-31PROFESSIONAL1578627568npi168968179322FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE OFEE SCHEDULE211.079999-12-31PROFESSIONAL1194708495npi181176663711FFSANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEG0439HCPCS2026ANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEDERIVED128.549999-12-31PROFESSIONAL1891584777npi132625496211FFSINJECTION, BETAMETHASONE, 3 MGJ0702HCPCS2026INJECTION, BETAMETHASONE, 3 MGDERIVED12.349999-12-31PROFESSIONAL1801191861npi155834024011FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)FEE SCHEDULE52.689999-12-31PROFESSIONAL1154318137npi16290636801336134360npi162906368011FFSFULL THICK.GRAFT-NOSE,EARS,E15260APC2026FULL THICK.GRAFT-NOSE,EARS,EFEE SCHEDULE1046.579999-12-31INSTITUTIONAL1487840740npi148784074024FFSDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14DERIVED5.469999-12-31PROFESSIONAL1598443327npi161901856111FEE SCHEDULE6.749999-12-31PROFESSIONAL1154318137npi16290636801336134360npi16290636801689646929npi148782741611FFSDESTRUCTION PREMALIG. LESIONS 15 OR MORE17004CPT2026DESTRUCTION PREMALIG. LESIONS 15 OR MOREDERIVED141.989999-12-31PROFESSIONAL1598443327npi161901856111FFSLUMBAR OR SACRAL SINGLE LEVEL64483CPT2026LUMBAR OR SACRAL SINGLE LEVELDERIVED1593.119999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE284.949999-12-31PROFESSIONAL1578627568npi168968179322FFSRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsDERIVED34.809999-12-31PROFESSIONAL1497734107npi155834024011FFSRadiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views73523CPT2026Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 viewsDERIVED59.749999-12-31PROFESSIONAL1225577703npi155834024011FFSUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited76642CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limitedDERIVED119.309999-12-31PROFESSIONAL1306188073npi124527167511FFSSCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERAL77063CPT2026SCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERALDERIVED73.399999-12-31PROFESSIONAL1104860600npi12452716751386757631npi12452716751780655498npi124527167511FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED148.079999-12-31INSTITUTIONAL1063426823npi106342682323FFSProthrombin time;85610CPT2026Prothrombin time;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportFEE SCHEDULE16.839999-12-31PROFESSIONAL1245223650npi174055985511FEE SCHEDULE13.779999-12-31PROFESSIONAL1609907948npi104355169011FFSElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyFEE SCHEDULE16.849999-12-31PROFESSIONAL1811287014npi120588085323FFSTECHNICAL SUPPORT CARDIOVASC TELEM/ECG MONITOR93229CPT2026TECHNICAL SUPPORT CARDIOVASC TELEM/ECG MONITORDERIVED726.449999-12-31PROFESSIONAL1790869402npi179086940211FFSCOMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUD93923CPT2026COMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUDDERIVED189.839999-12-31PROFESSIONAL1093759599npi124527167511FFSPlethysmography for determination of lung volumes and, when performed, airway resistance94726CPT2026Plethysmography for determination of lung volumes and, when performed, airway resistanceDERIVED266.749999-12-31INSTITUTIONAL1871977942npi187197794222FFSDIFFUSING CAPACITY94729CPT2026DIFFUSING CAPACITYDERIVED9.409999-12-31PROFESSIONAL1649277880npi128568537022FFSDiffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)94729CPT2026Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)DERIVED237.119999-12-31INSTITUTIONAL1871977942npi187197794222FFSPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED50.009999-12-31PROFESSIONAL1992912349npi155834024011FFSTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED50.009999-12-31PROFESSIONAL1992912349npi155834024011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED134.659999-12-31PROFESSIONAL1003923731npi127555235811FFSADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED28.009999-12-31PROFESSIONAL1003923731npi127555235811FFSDIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALG0279HCPCS2026DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALDERIVED58.479999-12-31PROFESSIONAL1306188073npi124527167511FFSHOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTG0463HCPCS2026HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTDERIVED212.149999-12-31INSTITUTIONAL1811991227npi181199122722FFSEXC MALIG. LES TRUNK,ARM,LEG11602CPT2026EXC MALIG. LES TRUNK,ARM,LEGDERIVED261.109999-12-31PROFESSIONAL1750721585npi162906368011FFSAdjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less14060APC2026Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or lessDERIVED1443.179999-12-31INSTITUTIONAL1730401571npi173040157124FFSSX PREP OR CREATION OF RECIP SITE 1ST 100SQ CM 1%15004APC2026SX PREP OR CREATION OF RECIP SITE 1ST 100SQ CM 1%DERIVED482.919999-12-31INSTITUTIONAL1730401571npi173040157124FFSSX PREP OR CREATION OF RECIP SITE 1ST 100SQ CM 1%15004CPT2026SX PREP OR CREATION OF RECIP SITE 1ST 100SQ CM 1%FEE SCHEDULE307.629999-12-31PROFESSIONAL1134168438npi118462573324FFSDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONDERIVED58.309999-12-31PROFESSIONAL1598443327npi161901856111FEE SCHEDULE72.069999-12-31PROFESSIONAL1336134360npi16290636801689646929npi148782741611FFSInjection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)64451CPT2026Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)DERIVED1133.739999-12-31INSTITUTIONAL1811991227npi181199122722FFSRadiologic examination, chest; single view71045CPT2026Radiologic examination, chest; single viewFEE SCHEDULE13.919999-12-31PROFESSIONAL1750329280npi107378504423DERIVED317.809999-12-31INSTITUTIONAL1063426823npi106342682323FFSScreening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed77067CPT2026Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performedDERIVED179.149999-12-31PROFESSIONAL1104860600npi12452716751386757631npi12452716751780655498npi124527167511FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED65.009999-12-31PROFESSIONAL1073503983npi189171484611FFSElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED254.529999-12-31INSTITUTIONAL1063426823npi106342682323FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report93015CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportFEE SCHEDULE64.859999-12-31PROFESSIONAL1609907948npi104355169011FFSECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERFEE SCHEDULE172.469999-12-31PROFESSIONAL1609907948npi104355169011FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED10.399999-12-31PROFESSIONAL1649277880npi128568537022DERIVED256.169999-12-31INSTITUTIONAL1871977942npi187197794222FFSPLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESIST94726CPT2026PLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESISTDERIVED12.059999-12-31PROFESSIONAL1649277880npi128568537022FFSManual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes97140CPT2026Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutesFEE SCHEDULE30.059999-12-31PROFESSIONAL1194708495npi181176663711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENFEE SCHEDULE261.929999-12-31PROFESSIONAL1194708495npi181176663711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811FEE SCHEDULE64.869999-12-31PROFESSIONAL1336134360npi162906368011DERIVED52.629999-12-31PROFESSIONAL1770129413npi155834024011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED78.009999-12-31PROFESSIONAL1487739900npi115485171511DERIVED84.159999-12-31PROFESSIONAL1962579086npi127555235811DERIVED99.289999-12-31PROFESSIONAL1003923731npi127555235811FEE SCHEDULE104.029999-12-31PROFESSIONAL1346462181npi16290636801689646929npi148782741611DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED73.009999-12-31PROFESSIONAL1598443327npi161901856111FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingFEE SCHEDULE191.369999-12-31PROFESSIONAL1063663664npi124528353023FFSANNUAL DEPRESSION SCREENING, 15 MINUTESG0444HCPCS2026ANNUAL DEPRESSION SCREENING, 15 MINUTESDERIVED19.249999-12-31PROFESSIONAL1003923731npi127555235811FFSREGADENOSON INJECTION, .1 MGJ2785HCPCS2026REGADENOSON INJECTION, .1 MGFEE SCHEDULE2.419999-12-31PROFESSIONAL1609907948npi104355169011FFSINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGFEE SCHEDULE0.819999-12-31PROFESSIONAL1336134360npi162906368011FFSDRUGS/OTHER0259RC2026DRUGS/OTHERDERIVED2.919999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2.179999-12-31INSTITUTIONAL1871977942npi187197794222FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionFEE SCHEDULE102.709999-12-31PROFESSIONAL1154318137npi16290636801336134360npi16290636801689646929npi148782741611FFSInjection, intralesional; up to and including 7 lesions11900CPT2026Injection, intralesional; up to and including 7 lesionsFEE SCHEDULE61.559999-12-31PROFESSIONAL1336134360npi162906368011FFSRepair, complex, trunk; 2.6 cm to 7.5 cm13101CPT2026Repair, complex, trunk; 2.6 cm to 7.5 cmDERIVED424.169999-12-31PROFESSIONAL1750721585npi162906368011FFSRepair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm13131CPT2026Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cmFEE SCHEDULE418.809999-12-31PROFESSIONAL1336134360npi162906368011FFSREP CMPLX-FOREHEAD,CHEEKS,CH13132CPT2026REP CMPLX-FOREHEAD,CHEEKS,CHDERIVED549.729999-12-31PROFESSIONAL1487739900npi115485171511FFSTIS.TRNSFR-EYELIDS,NOSE,EARS14060CPT2026TIS.TRNSFR-EYELIDS,NOSE,EARSFEE SCHEDULE755.359999-12-31PROFESSIONAL1134168438npi118462573324FFSFULL THICK.GRAFT-NOSE,EARS,E15260CPT2026FULL THICK.GRAFT-NOSE,EARS,EDERIVED625.679999-12-31PROFESSIONAL1891954608npi154825989824FFSDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionFEE SCHEDULE72.069999-12-31PROFESSIONAL1154318137npi162906368011FEE SCHEDULE36.039999-12-31PROFESSIONAL1689646929npi148782741611FFSDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE119.479999-12-31PROFESSIONAL1114912466npi16290636801154318137npi16290636801346462181npi16290636801689646929npi148782741611FFSMohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (17311CPT2026Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (FEE SCHEDULE723.079999-12-31PROFESSIONAL1336134360npi162906368011FFSMOHS TECH. HEAD NECK HANDS FEET EA ADD STG.UP TO 517312CPT2026MOHS TECH. HEAD NECK HANDS FEET EA ADD STG.UP TO 5FEE SCHEDULE435.449999-12-31PROFESSIONAL1336134360npi162906368011FFSMRI, JNT UPP EXT;W/OUT CONTRAST73221CPT2026MRI, JNT UPP EXT;W/OUT CONTRASTDERIVED291.479999-12-31PROFESSIONAL1154358398npi124527167511FFSX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEDERIVED40.749999-12-31PROFESSIONAL1801191861npi155834024011FFSMagnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)73718CPT2026Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)DERIVED315.739999-12-31PROFESSIONAL1326082975npi124527167511FFSDiagnostic mammography, including computer-aided detection (CAD) when performed; unilateral77065CPT2026Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateralDERIVED176.259999-12-31PROFESSIONAL1306188073npi124527167511FFSMyocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or78452CPT2026Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/orFEE SCHEDULE372.379999-12-31PROFESSIONAL1609907948npi104355169011FFSOncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result81528CPT2026Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative resultFEE SCHEDULE508.879999-12-31PROFESSIONAL1629407069npi162940706981FFSNatriuretic peptide83880CPT2026Natriuretic peptideDERIVED151.859999-12-31INSTITUTIONAL1063426823npi106342682323FFSLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED33.049999-12-31PROFESSIONAL1285877837npi126549387822DERIVED108.239999-12-31INSTITUTIONAL1811991227npi181199122722FFSEYE PHOTOGRAPHY92285CPT2026EYE PHOTOGRAPHYDERIVED19.649999-12-31PROFESSIONAL1891954608npi154825989811FFSDuplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study93970CPT2026Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral studyDERIVED196.449999-12-31PROFESSIONAL1114960200npi124527167511FFSGAS DILUT/WASHOUT DETERM LUNG VOL;DISTR VENTILATIO94727CPT2026GAS DILUT/WASHOUT DETERM LUNG VOL;DISTR VENTILATIODERIVED12.059999-12-31PROFESSIONAL1649277880npi128568537022FFSPhysical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes97750CPT2026Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutesFEE SCHEDULE36.409999-12-31PROFESSIONAL1194708495npi181176663711FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED104.739999-12-31PROFESSIONAL1598443327npi161901856111DERIVED105.029999-12-31PROFESSIONAL1801191861npi155834024011FEE SCHEDULE129.449999-12-31PROFESSIONAL1689646929npi148782741611FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED186.649999-12-31PROFESSIONAL1023260973npi199218107711DERIVED151.109999-12-31PROFESSIONAL1891954608npi154825989811DERIVED177.769999-12-31PROFESSIONAL1487739900npi115485171511DERIVED186.659999-12-31PROFESSIONAL1497734107npi15583402401710966601npi155834024011FEE SCHEDULE159.989999-12-31PROFESSIONAL1609907948npi104355169011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED24.949999-12-31PROFESSIONAL1003923731npi127555235811FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED120.169999-12-31PROFESSIONAL1962579086npi127555235811DERIVED141.779999-12-31PROFESSIONAL1225577703npi15583402401710966601npi155834024011FEE SCHEDULE121.529999-12-31PROFESSIONAL1609907948npi104355169011FEE SCHEDULE148.529999-12-31PROFESSIONAL1114912466npi16290636801154318137npi16290636801194708495npi18117666371245223650npi17405598551336134360npi16290636801689646929npi148782741611FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONFEE SCHEDULE211.079999-12-31PROFESSIONAL1194708495npi181176663711FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingDERIVED447.879999-12-31INSTITUTIONAL1811991227npi181199122723FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making99285CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision makingDERIVED1426.329999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE356.929999-12-31PROFESSIONAL1811287014npi120588085323CAPITATIONDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSDERIVED104.009999-12-31PROFESSIONAL1881630119npi161901856111CAPITATIONGeneral health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and80050CPT2026General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) andDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBilirubin; direct82248CPT2026Bilirubin; directDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein;86140CPT2026C-reactive protein;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED1.119999-12-31PROFESSIONAL1699961086npi16199405171891731626npi189173162681CAPITATIONOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED94.149999-12-31PROFESSIONAL1689865453npi153868649811CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALFEE SCHEDULE23.769999-12-31PROFESSIONAL1710253547npi155830204211CAPITATIONComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFerritin82728CPT2026FerritinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; free84439CPT2026Thyroxine; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProthrombin time;85610CPT2026Prothrombin time;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONExternal electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)93225CPT2026External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)DERIVED19.179999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONExternal patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physician93272CPT2026External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physicianDERIVED26.179999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99397CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED151.779999-12-31PROFESSIONAL1265401095npi155830204211CAPITATIONPNEUMATIC COMPRE,N/SEGMEN,HME0650HCPCS2026PNEUMATIC COMPRE,N/SEGMEN,HMDERIVED86.199999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONSEGMTL PNEU COMP APLNC-LEGE0667HCPCS2026SEGMTL PNEU COMP APLNC-LEGDERIVED680.329999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED23.039999-12-31PROFESSIONAL1265401095npi155830204211CAPITATIONRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsDERIVED28.859999-12-31PROFESSIONAL1689865453npi153868649811CAPITATIONBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; total84436CPT2026Thyroxine; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED65.009999-12-31PROFESSIONAL1073503983npi189171484611CAPITATIONExternal electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional93227CPT2026External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professionalDERIVED19.439999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONExternal patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording93270CPT2026External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recordingDERIVED8.999999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED52.009999-12-31PROFESSIONAL1881630119npi161901856111DERIVED50.119999-12-31PROFESSIONAL1154361129npi15583020421861530685npi155830204211DERIVED64.869999-12-31PROFESSIONAL1235370743npi155830204211CAPITATIONADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEG0009HCPCS2026ADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEDERIVED23.039999-12-31PROFESSIONAL1265401095npi155830204211CAPITATIONPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED10.279999-12-31PROFESSIONAL1265401095npi155830204211CAPITATIONCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHomocysteine83090CPT2026HomocysteineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron83540CPT2026IronDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron binding capacity83550CPT2026Iron binding capacityDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatitis C antibody;86803CPT2026Hepatitis C antibody;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED30.039999-12-31PROFESSIONAL1154361129npi155830204211DERIVED38.869999-12-31PROFESSIONAL1235370743npi155830204211CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FR90662CPT2026INFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FRDERIVED102.769999-12-31PROFESSIONAL1265401095npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED78.219999-12-31PROFESSIONAL1881630119npi161901856111CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED75.659999-12-31PROFESSIONAL1689865453npi153868649811CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED141.069999-12-31PROFESSIONAL1265401095npi15583020421790756765npi155830204211LARGE GROUP TRIPLEEIN200604706GROUPFFSX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEENEGOTIATED67.979999-12-31PROFESSIONAL1003815812npi166942957711FFSCT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CON75574CPT2026CT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CONDERIVED463.839999-12-31PROFESSIONAL1093759599npi124527167511FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED20.009999-12-31PROFESSIONAL1255406302npi119480157111FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTNEGOTIATED171.489999-12-31PROFESSIONAL1003815812npi166942957711DERIVED111.799999-12-31PROFESSIONAL1245288505npi126576004511FFSINJ ERTAPENEM SODIUM 500 MGJ1335HCPCS2026INJ ERTAPENEM SODIUM 500 MGDERIVED59.989999-12-31PROFESSIONAL1649277880npi128568537011FFSCollection of blood specimen from a completely implantable venous access device36591CPT2026Collection of blood specimen from a completely implantable venous access deviceDERIVED29.249999-12-31PROFESSIONAL1649277880npi128568537011FFSGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED3.939999-12-31PROFESSIONAL1649277880npi128568537011FFSElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportDERIVED14.549999-12-31PROFESSIONAL1245288505npi126576004511FFSNERVE CONDUCTION STUDIES; 9-10 STUDIES95911CPT2026NERVE CONDUCTION STUDIES; 9-10 STUDIESDERIVED194.269999-12-31PROFESSIONAL1710975073npi105375918311FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED15.129999-12-31PROFESSIONAL1205889243npi128568537011FFSPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED60.009999-12-31PROFESSIONAL1225269806npi129527999011FFSINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED3.209999-12-31PROFESSIONAL1649277880npi128568537011FFSLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED22.009999-12-31PROFESSIONAL1093759599npi124527167511FFSMRI,ANY JNT LOW EXT;W/OUT CONTRAST73721CPT2026MRI,ANY JNT LOW EXT;W/OUT CONTRASTDERIVED290.549999-12-31PROFESSIONAL1710230982npi124527167511FFSDiphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use90700CPT2026Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular useDERIVED31.529999-12-31PROFESSIONAL1255406302npi119480157111FFSMeasles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use90710CPT2026Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous useDERIVED250.009999-12-31PROFESSIONAL1255406302npi119480157111FFSNeedle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal lev95886CPT2026Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levDERIVED87.539999-12-31PROFESSIONAL1710975073npi105375918311FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED70.279999-12-31PROFESSIONAL1649277880npi128568537011FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)96375CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)DERIVED15.349999-12-31PROFESSIONAL1487875977npi12856853701649277880npi128568537011FFSManual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes97140CPT2026Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutesDERIVED60.009999-12-31PROFESSIONAL1073604005npi129527999011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED135.029999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011NEGOTIATED197.159999-12-31PROFESSIONAL1003815812npi166942957711DERIVED141.779999-12-31PROFESSIONAL1255406302npi119480157111FFSECHO PELVIC(NON-OB)COMPLETE76857CPT2026ECHO PELVIC(NON-OB)COMPLETEDERIVED362.069999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE39.509999-12-31PROFESSIONAL1437415205npi107378504422FFSAntibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])86769CPT2026Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])DERIVED42.139999-12-31PROFESSIONAL1891731626npi189173162681FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)90472CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)DERIVED16.519999-12-31PROFESSIONAL1255406302npi119480157111FFSPoliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use90713CPT2026Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular useDERIVED47.819999-12-31PROFESSIONAL1255406302npi119480157111FFSVisual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)92081CPT2026Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)DERIVED20.009999-12-31PROFESSIONAL1255406302npi119480157111FFSPure tone audiometry (threshold); air only92552CPT2026Pure tone audiometry (threshold); air onlyDERIVED20.009999-12-31PROFESSIONAL1255406302npi119480157111FFSTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED60.009999-12-31PROFESSIONAL1073604005npi129527999011FFSAQUATIC THERAPY W/ EXERCISES97113CPT2026AQUATIC THERAPY W/ EXERCISESDERIVED85.009999-12-31PROFESSIONAL1073604005npi129527999011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED113.149999-12-31PROFESSIONAL1255406302npi119480157111CAPITATIONFerritin82728CPT2026FerritinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUric acid; blood84550CPT2026Uric acid; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine kinase (CK), (CPK); total82550CPT2026Creatine kinase (CK), (CPK); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron83540CPT2026IronDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron binding capacity83550CPT2026Iron binding capacityDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhosphorus inorganic (phosphate);84100CPT2026Phosphorus inorganic (phosphate);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein;86140CPT2026C-reactive protein;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED60.009999-12-31PROFESSIONAL1225269806npi129527999011LARGE GROUP TRIPLEEIN591777126GROUPFFSAnesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified00120CPT2026Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifiedDERIVED807.089999-12-31PROFESSIONAL1144217431npi17907723171558336750npi179077231722FFSAnesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)00402CPT2026Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)DERIVED1680.009999-12-31PROFESSIONAL1326585720npi106346376822FFSAnesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified00731CPT2026Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specifiedDERIVED263.739999-12-31PROFESSIONAL1538183918npi12058616971801880091npi120586169724DERIVED117.889999-12-31PROFESSIONAL1538587472npi132619471324DERIVED362.139999-12-31PROFESSIONAL1588901425npi167996740011DERIVED119.289999-12-31PROFESSIONAL1457377038npi132619471324DERIVED354.679999-12-31PROFESSIONAL1598754855npi167996740011FFSAnesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure)00794CPT2026Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure)DERIVED1061.679999-12-31PROFESSIONAL1427657964npi179077231721FFSAnesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy00812CPT2026Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopyDERIVED203.539999-12-31PROFESSIONAL1801880091npi12058616971881033561npi120586169724DERIVED252.279999-12-31PROFESSIONAL1518980598npi12058616971801880091npi120586169722FFSAnesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography00952CPT2026Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingographyDERIVED832.009999-12-31PROFESSIONAL1366287922npi106346376822FFSMED-SURG-GY/2BED0121RC2026MED-SURG-GY/2BEDDERIVED3784.989999-12-31INSTITUTIONAL1063426823npi106342682321FFSPSYCH/2BED0124RC2026PSYCH/2BEDDERIVED4692.359999-12-31INSTITUTIONAL1235635533npi123563553351FFSAnesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified01480CPT2026Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specifiedDERIVED1301.339999-12-31PROFESSIONAL1063914562npi106346376822FFSPHARMACY0250RC2026PHARMACYDERIVED12.569999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED13.249999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED21.279999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED22.159999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED40.829999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED199.069999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED409.269999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED655.729999-12-31INSTITUTIONAL1063426823npi106342682321NEGOTIATED1238.009999-12-31INSTITUTIONAL1184709057npi118470905721DERIVED20.779999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED28.389999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED325.169999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED28.349999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED31.919999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED149.769999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED342.149999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED5.539999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED17.259999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED19.009999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED78.349999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED272.129999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED4332.999999-12-31INSTITUTIONAL1063426823npi106342682321FFSDRUGS/OTHER0259RC2026DRUGS/OTHERDERIVED5.059999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED13.579999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED64.929999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED378.719999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1.879999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED30.669999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED55.809999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1.709999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED6.899999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED8.829999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED10.919999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED11.389999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED14.049999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED4.149999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED9.349999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED62.749999-12-31INSTITUTIONAL1063426823npi106342682321FFSSTERILE SUPPLY0272RC2026STERILE SUPPLYDERIVED37.619999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED114.079999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED244.179999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1792.069999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED1600.519999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED4687.979999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED1138.589999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED7287.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSCT SCAN/HEAD0351RC2026CT SCAN/HEADDERIVED1560.839999-12-31INSTITUTIONAL1063426823npi106342682321FFSAUDIOLOGY0470RC2026AUDIOLOGYNEGOTIATED834.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSDRUG/DETAIL CODE0636RC2026DRUG/DETAIL CODEDERIVED199.279999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED2395.999999-12-31INSTITUTIONAL1063426823npi106342682321FFSOBSERVATION RM0762RC2026OBSERVATION RMDERIVED372.939999-12-31INSTITUTIONAL1063426823npi106342682321FFSEXTRACTION (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF MULTIPLE MILIA, COMEDONES, CYSTS, PUSTULES)10040CPT2026EXTRACTION (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF MULTIPLE MILIA, COMEDONES, CYSTS, PUSTULES)FEE SCHEDULE98.819999-12-31PROFESSIONAL1316659378npi199204527211FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionDERIVED98.039999-12-31PROFESSIONAL1114293412npi16190185611881630119npi161901856111FEE SCHEDULE83.099999-12-31PROFESSIONAL1396791109npi19920452721821141714npi199204527211DERIVED83.099999-12-31PROFESSIONAL1336771500npi16190185611376181057npi16190185611427719657npi161901856111FEE SCHEDULE102.709999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801346462181npi16290636801689646929npi14878274161730375700npi16290636801740987668npi16290636801780148346npi162906368011DERIVED49.019999-12-31PROFESSIONAL1023260973npi199218107711FEE SCHEDULE65.359999-12-31PROFESSIONAL1750546040npi164967666911FEE SCHEDULE154.049999-12-31PROFESSIONAL1831176858npi164967666911DERIVED98.029999-12-31PROFESSIONAL1023260973npi19921810771619381894npi124528353011FEE SCHEDULE87.769999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE130.709999-12-31PROFESSIONAL1205296407npi13462264041225412901npi134622640411FFSShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm11303CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cmDERIVED129.039999-12-31PROFESSIONAL1073961017npi161901856111FFSExcision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm11406CPT2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cmDERIVED176.269999-12-31PROFESSIONAL1114293412npi161901856111FFSEXC LES SCALP,NECK,HAND,FT,G11422CPT2026EXC LES SCALP,NECK,HAND,FT,GDERIVED93.479999-12-31PROFESSIONAL1114293412npi161901856111FFSEXC MALIG LES. TRUNK,ARM,LEG11603CPT2026EXC MALIG LES. TRUNK,ARM,LEGFEE SCHEDULE301.559999-12-31PROFESSIONAL1346462181npi162906368011FFSEXC MALIG LES. TRUNK,ARM,LEG11606CPT2026EXC MALIG LES. TRUNK,ARM,LEGDERIVED489.039999-12-31PROFESSIONAL1114293412npi161901856111FFSExcision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm11644CPT2026Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cmFEE SCHEDULE412.149999-12-31PROFESSIONAL1407811235npi187190023311FFSREMOVAL OF NAIL BED11750CPT2026REMOVAL OF NAIL BEDDERIVED171.099999-12-31PROFESSIONAL1699923060npi134680617111FFSRepair of nail bed11760CPT2026Repair of nail bedFEE SCHEDULE202.739999-12-31PROFESSIONAL1679550016npi195242780911FFSInjection, intralesional; up to and including 7 lesions11900CPT2026Injection, intralesional; up to and including 7 lesionsFEE SCHEDULE61.559999-12-31PROFESSIONAL1346462181npi162906368011FFSS.REP-FACE,EARS,EYELIDS,NOSE12014CPT2026S.REP-FACE,EARS,EYELIDS,NOSEDERIVED172.329999-12-31INSTITUTIONAL1063426823npi106342682323FFSWOUND REP COMPLEX, TRUNK13101CPT2026WOUND REP COMPLEX, TRUNKFEE SCHEDULE424.169999-12-31PROFESSIONAL1730375700npi162906368011DERIVED404.889999-12-31PROFESSIONAL1114293412npi161901856111FFSRepair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm13121CPT2026Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cmFEE SCHEDULE454.559999-12-31PROFESSIONAL1346462181npi162906368011DERIVED216.959999-12-31PROFESSIONAL1114293412npi161901856111DERIVED433.899999-12-31PROFESSIONAL1114293412npi161901856111FFSRepair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm13131CPT2026Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cmDERIVED399.779999-12-31PROFESSIONAL1114293412npi161901856111FFSREP CMPLX-FOREHEAD,CHEEKS,CH13132CPT2026REP CMPLX-FOREHEAD,CHEEKS,CHDERIVED481.019999-12-31PROFESSIONAL1114293412npi161901856111FFSFull thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less15260CPT2026Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or lessDERIVED3252.919999-12-31INSTITUTIONAL1811991227npi181199122722FFSDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionDERIVED68.789999-12-31PROFESSIONAL1023260973npi199218107711FEE SCHEDULE54.059999-12-31PROFESSIONAL1831176858npi164967666911DERIVED58.309999-12-31PROFESSIONAL1336758101npi161901856111FEE SCHEDULE29.159999-12-31PROFESSIONAL1396791109npi199204527211FEE SCHEDULE45.869999-12-31PROFESSIONAL1750546040npi164967666911FEE SCHEDULE72.069999-12-31PROFESSIONAL1265887152npi16290636801346462181npi16290636801740987668npi162906368011DERIVED34.399999-12-31PROFESSIONAL1023260973npi19921810771619381894npi124528353011FEE SCHEDULE58.309999-12-31PROFESSIONAL1396791109npi199204527211FEE SCHEDULE61.589999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE68.799999-12-31PROFESSIONAL1952337966npi199204527211FEE SCHEDULE91.719999-12-31PROFESSIONAL1750546040npi164967666911FFSDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONDERIVED68.789999-12-31PROFESSIONAL1023260973npi199218107711DERIVED68.799999-12-31PROFESSIONAL1114293412npi161901856111FEE SCHEDULE108.099999-12-31PROFESSIONAL1831176858npi164967666911DERIVED58.309999-12-31PROFESSIONAL1073961017npi16190185611528383296npi189119744811FEE SCHEDULE29.159999-12-31PROFESSIONAL1396791109npi199204527211FEE SCHEDULE30.799999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE72.069999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801346462181npi16290636801689646929npi14878274161730375700npi162906368011DERIVED34.399999-12-31PROFESSIONAL1023260973npi199218107711DERIVED29.159999-12-31PROFESSIONAL1336758101npi161901856111FEE SCHEDULE36.039999-12-31PROFESSIONAL1689646929npi148782741611FEE SCHEDULE58.309999-12-31PROFESSIONAL1396791109npi199204527211FFSDESTRUCTION OF SKIN LESIONS17261CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE126.279999-12-31PROFESSIONAL1396791109npi199204527211FFSDESTRUCTION OF SKIN LESIONS17272CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE199.319999-12-31PROFESSIONAL1114912466npi162906368011FFSAcute and chronic respiratory failure with hypoxia189MS-DRG10Acute and chronic respiratory failure with hypoxiaDERIVED12538.959999-12-31INSTITUTIONAL1871977942npi187197794221FFSINJECT SINGLE OR MULPIPLE TRIGGER POINTS 3 OR MORE20553CPT2026INJECT SINGLE OR MULPIPLE TRIGGER POINTS 3 OR MOREDERIVED62.679999-12-31PROFESSIONAL1023260973npi199218107711FFSArthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting20606CPT2026Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reportingDERIVED136.779999-12-31PROFESSIONAL1902011588npi124527167511FFSArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20610CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidanceDERIVED72.759999-12-31PROFESSIONAL1073592788npi155834024011DERIVED85.929999-12-31PROFESSIONAL1063077667npi124527167511DERIVED101.169999-12-31PROFESSIONAL1306188073npi124527167511FEE SCHEDULE79.689999-12-31PROFESSIONAL1144451055npi19422636941447489828npi194226369411FEE SCHEDULE62.369999-12-31PROFESSIONAL1174620702npi118407526911FFSPosterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)22842CPT2026Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)DERIVED1223.299999-12-31PROFESSIONAL1184601304npi178010052921FFSFasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);26123CPT2026Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);DERIVED5528.339999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE1023.199999-12-31PROFESSIONAL1265693568npi101393608722FFSFasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition26125CPT2026Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in additionFEE SCHEDULE307.719999-12-31PROFESSIONAL1265693568npi101393608722FFSEXC LS TENDON SHEATH HAND/FI26160CPT2026EXC LS TENDON SHEATH HAND/FIDERIVED678.209999-12-31PROFESSIONAL1689838559npi161901856111FFSArthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft27130CPT2026Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograftDERIVED10847.399999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED11764.069999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE1394.929999-12-31PROFESSIONAL1144451055npi194226369422DERIVED11088.449999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED30385.009999-12-31INSTITUTIONAL1285681908npi128568190822FEE SCHEDULE1091.679999-12-31PROFESSIONAL1174620702npi118407526922FEE SCHEDULE190.199999-12-31PROFESSIONAL1083265086npi19422636941184293839npi194226369422FFSArthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)27447CPT2026Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)FEE SCHEDULE189.719999-12-31PROFESSIONAL1700667425npi194226369422DERIVED1270.369999-12-31PROFESSIONAL1225577703npi155834024024FEE SCHEDULE1391.359999-12-31PROFESSIONAL1447489828npi194226369422DERIVED10142.519999-12-31INSTITUTIONAL1871977942npi187197794222FFSApplication, cast; elbow to finger (short arm)29075CPT2026Application, cast; elbow to finger (short arm)DERIVED130.819999-12-31PROFESSIONAL1881896033npi178010052911DERIVED86.249999-12-31PROFESSIONAL1851854103npi100336966111FFSArthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)29874CPT2026Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)FEE SCHEDULE81.549999-12-31PROFESSIONAL1700667425npi194226369422FEE SCHEDULE299.009999-12-31PROFESSIONAL1447489828npi194226369422FFSPLEURAL DRAINAGE, PERCUT W/INSRTN CATH W/IMG GUIDN32557CPT2026PLEURAL DRAINAGE, PERCUT W/INSRTN CATH W/IMG GUIDNFEE SCHEDULE221.229999-12-31PROFESSIONAL1659712172npi107378504422FFSSLCTVE CATH PLCMNT, COMMON CAROTID W/ANGIO EXTCRNL36223CPT2026SLCTVE CATH PLCMNT, COMMON CAROTID W/ANGIO EXTCRNLFEE SCHEDULE203.929999-12-31PROFESSIONAL1043203706npi106346376822FFSSELEC CATH PLCMNT,ARTER SYS,1ST ORD ABDOM/PELV/LOW36245CPT2026SELEC CATH PLCMNT,ARTER SYS,1ST ORD ABDOM/PELV/LOWFEE SCHEDULE4786.309999-12-31PROFESSIONAL1578780672npi179077231722FFSTonsillectomy, primary or secondary; age 12 or over42826CPT2026Tonsillectomy, primary or secondary; age 12 or overDERIVED5362.349999-12-31INSTITUTIONAL1811991227npi181199122722FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239CPT2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleFEE SCHEDULE408.789999-12-31PROFESSIONAL1528091725npi112432878611DERIVED905.389999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE204.399999-12-31PROFESSIONAL1528091725npi112432878611DERIVED702.369999-12-31PROFESSIONAL1275806721npi179079027711FFSEsophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire43248APC2026Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wireNEGOTIATED233.479999-12-31INSTITUTIONAL1902853195npi190285319524FFSEsophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire43248CPT2026Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wireFEE SCHEDULE151.849999-12-31PROFESSIONAL1699717611npi132619471324FFSLAPAROSCOPY,SURG,APPENDECTOMY44970CPT2026LAPAROSCOPY,SURG,APPENDECTOMYFEE SCHEDULE621.959999-12-31PROFESSIONAL1881076495npi106346376821DERIVED823.169999-12-31PROFESSIONAL1215134820npi178010052921FFSColonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45378CPT2026Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)DERIVED1825.709999-12-31INSTITUTIONAL1811991227npi181199122722FFSColonoscopy, flexible; with biopsy, single or multiple45380CPT2026Colonoscopy, flexible; with biopsy, single or multipleFEE SCHEDULE471.639999-12-31PROFESSIONAL1528091725npi112432878611FFSCOLONOSCOPY, LESION REMOVAL45385CPT2026COLONOSCOPY, LESION REMOVALDERIVED309.819999-12-31PROFESSIONAL1275563991npi178010052924FEE SCHEDULE252.449999-12-31PROFESSIONAL1245467067npi188164491224FEE SCHEDULE229.499999-12-31PROFESSIONAL1376644328npi14877671331699717611npi13261947132224FEE SCHEDULE493.889999-12-31PROFESSIONAL1528091725npi112432878611FFSDIAGNOSTIC ANOSCOPY46600CPT2026DIAGNOSTIC ANOSCOPYDERIVED169.439999-12-31PROFESSIONAL1750383733npi178010052911FFSLAPAROSCOPY UNLSTD PROC ABD,PERIT,OMEN49329CPT2026LAPAROSCOPY UNLSTD PROC ABD,PERIT,OMENDERIVED7103.609999-12-31INSTITUTIONAL1871977942npi187197794222FFSUnspecified fracture of lower end of right humerus, initial encounter for closed fracture494MS-DRG10Unspecified fracture of lower end of right humerus, initial encounter for closed fractureDERIVED18490.139999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED34353.819999-12-31INSTITUTIONAL1063426823npi106342682321FFSRepair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm49593CPT2026Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cmDERIVED761.859999-12-31PROFESSIONAL1336171917npi178010052922FFSCystourethroscopy (separate procedure)52000APC2026Cystourethroscopy (separate procedure)DERIVED322.379999-12-31INSTITUTIONAL1518976661npi151897666124FFSREMOVAL OF SPERM DUCT(S)55250CPT2026REMOVAL OF SPERM DUCT(S)DERIVED378.369999-12-31PROFESSIONAL1073564910npi102344793511DERIVED243.129999-12-31PROFESSIONAL1598054751npi102344793524FFSPLCMNT INTERSTITIAL DEVICE FOR RAD THER GUIDANCE55876CPT2026PLCMNT INTERSTITIAL DEVICE FOR RAD THER GUIDANCEDERIVED165.669999-12-31PROFESSIONAL1790949873npi102344793511FFSColposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage57454CPT2026Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettageDERIVED211.689999-12-31PROFESSIONAL1679100853npi187157203211FFSVaginal delivery only (with or without episiotomy and/or forceps); including postpartum care59410CPT2026Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum careDERIVED2625.009999-12-31PROFESSIONAL1932168721npi194275311621FFSMorbid (severe) obesity due to excess calories621MS-DRG10Morbid (severe) obesity due to excess caloriesDERIVED24010.419999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4080.479999-12-31INSTITUTIONAL1811991227npi181199122721FFSParavertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)64461CPT2026Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)FEE SCHEDULE918.389999-12-31PROFESSIONAL1255711735npi179077231721FFSCHEMO MUSC INNER FACIAL,TRIG,CERV SPIN,ACC NERVE64615CPT2026CHEMO MUSC INNER FACIAL,TRIG,CERV SPIN,ACC NERVEFEE SCHEDULE180.469999-12-31PROFESSIONAL1104846815npi10836796091619437084npi10836796091992932776npi171038140511FFSRadiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)64625CPT2026Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)DERIVED557.469999-12-31PROFESSIONAL1821102047npi176059690211FFSINJECTION TREATMENT OF NERVE64640CPT2026INJECTION TREATMENT OF NERVEDERIVED302.029999-12-31PROFESSIONAL1821102047npi176059690211FFSRemoval impacted cerumen using irrigation/lavage, unilateral69209CPT2026Removal impacted cerumen using irrigation/lavage, unilateralDERIVED20.589999-12-31PROFESSIONAL1548748957npi109349363711DERIVED13.999999-12-31PROFESSIONAL1578296711npi124528353011DERIVED17.299999-12-31PROFESSIONAL1104347053npi12452835301356446223npi189119744811FFSTympanic membrane repair, with or without site preparation of perforation for closure, with or without patch69610CPT2026Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patchDERIVED2416.839999-12-31INSTITUTIONAL1811991227npi181199122722FFSCAT SCAN OF ORBIT/EAR/FOSSA70480CPT2026CAT SCAN OF ORBIT/EAR/FOSSADERIVED226.079999-12-31PROFESSIONAL1093759599npi124527167511FFSCT SCAN NECK W/O & W/CONTRAST70492CPT2026CT SCAN NECK W/O & W/CONTRASTDERIVED312.829999-12-31PROFESSIONAL1619037025npi124527167511FFSMRA,HEAD;W/OUT CONTRAST70544CPT2026MRA,HEAD;W/OUT CONTRASTDERIVED304.949999-12-31PROFESSIONAL1518054535npi124527167511FFSMAGNETIC IMAGE, BRAIN (MRI)70551CPT2026MAGNETIC IMAGE, BRAIN (MRI)FEE SCHEDULE112.869999-12-31PROFESSIONAL1407032071npi107378504423FFSRadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsDERIVED389.479999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED47.149999-12-31PROFESSIONAL1104860600npi12452716751174567697npi12452716751245273259npi124527167511FEE SCHEDULE11.089999-12-31PROFESSIONAL1326082975npi10634007291710230982npi106340072922FEE SCHEDULE122.719999-12-31PROFESSIONAL1033313465npi17907723171245269059npi179077231711FEE SCHEDULE16.629999-12-31PROFESSIONAL1386943942npi10737850441659568038npi10737850441659712172npi10737850441750329280npi10737850441891011805npi10737850442122FFSCAT SCAN OF CHEST71250CPT2026CAT SCAN OF CHESTFEE SCHEDULE54.899999-12-31PROFESSIONAL1609152701npi106340072923FFSRadiologic examination, spine, single view, specify level72020CPT2026Radiologic examination, spine, single view, specify levelDERIVED237.349999-12-31INSTITUTIONAL1063426823npi106342682322FFSX-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWS72100CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWSFEE SCHEDULE17.679999-12-31PROFESSIONAL1780658468npi107378504423FEE SCHEDULE38.529999-12-31PROFESSIONAL1700667425npi194226369411DERIVED57.399999-12-31PROFESSIONAL1831136191npi124527167511FFSMRI CHEST SPINE72146CPT2026MRI CHEST SPINEDERIVED180.899999-12-31PROFESSIONAL1699717124npi124527167511FFSX-RAY EXAM,PELVIS;1 OR 2 VIEWS72170CPT2026X-RAY EXAM,PELVIS;1 OR 2 VIEWSFEE SCHEDULE13.899999-12-31PROFESSIONAL1629046040npi10737850441770804718npi107378504422FFSMagnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences72197CPT2026Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequencesDERIVED325.719999-12-31PROFESSIONAL1992769954npi147783081811DERIVED475.549999-12-31PROFESSIONAL1235128620npi12452716751639598519npi124527167511DERIVED525.009999-12-31PROFESSIONAL1487610903npi188190490249FFSMRI PELVIS;W/OUT CONT,F/BY CONTRAST MATERIAL72197CPT2026MRI PELVIS;W/OUT CONT,F/BY CONTRAST MATERIALDERIVED305.189999-12-31PROFESSIONAL1003905290npi124527167511DERIVED209.039999-12-31PROFESSIONAL1245206887npi147783081811FEE SCHEDULE2933.549999-12-31PROFESSIONAL1538206347npi179077231711FFSX-RAY EXAM OF SHOULDER73020CPT2026X-RAY EXAM OF SHOULDERDERIVED118.879999-12-31INSTITUTIONAL1649367269npi164936726923FFSX-RAY EXAM OF WRIST73100CPT2026X-RAY EXAM OF WRISTFEE SCHEDULE9.249999-12-31PROFESSIONAL1306188073npi106340072922DERIVED33.499999-12-31PROFESSIONAL1033172200npi155834024011DERIVED36.849999-12-31PROFESSIONAL1881896033npi178010052911FFSX-RAY EXAM OF WRIST73110CPT2026X-RAY EXAM OF WRISTFEE SCHEDULE14.409999-12-31PROFESSIONAL1821263096npi10737850441881000149npi107378504423FFSRadiologic examination, hand; minimum of 3 views73130CPT2026Radiologic examination, hand; minimum of 3 viewsDERIVED349.979999-12-31INSTITUTIONAL1649367269npi164936726923FFSX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)DERIVED38.249999-12-31PROFESSIONAL1235498460npi155834024011FFSMRI, JNT UPP EXT;W/OUT CONTRAST73221CPT2026MRI, JNT UPP EXT;W/OUT CONTRASTDERIVED291.479999-12-31PROFESSIONAL1083656706npi12452716751154358398npi12452716751326082975npi12452716751457886046npi12452716751629357207npi12452716751710230982npi124527167511DERIVED187.519999-12-31PROFESSIONAL1154358398npi124527167511DERIVED350.009999-12-31PROFESSIONAL1760567762npi188190490249FFSRadiologic examination, knee; 1 or 2 views73560CPT2026Radiologic examination, knee; 1 or 2 viewsDERIVED256.159999-12-31INSTITUTIONAL1871977942npi187197794222FFSX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEDERIVED36.919999-12-31PROFESSIONAL1700870177npi176059690211DERIVED40.749999-12-31PROFESSIONAL1770129413npi155834024011FEE SCHEDULE55.129999-12-31PROFESSIONAL1144451055npi19422636941447489828npi194226369411DERIVED47.939999-12-31PROFESSIONAL1225577703npi155834024011FFSMRI,LOW EXT OTHR THAN JNT;W/OUT CONT,F/BY CONT MAT73720CPT2026MRI,LOW EXT OTHR THAN JNT;W/OUT CONT,F/BY CONT MATFEE SCHEDULE358.719999-12-31PROFESSIONAL1205017050npi163916397511FFSRadiologic examination, abdomen; 1 view74018CPT2026Radiologic examination, abdomen; 1 viewFEE SCHEDULE14.449999-12-31PROFESSIONAL1952308702npi107378504423FFSComputed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections74170CPT2026Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sectionsDERIVED366.659999-12-31PROFESSIONAL1780655498npi124527167511FFSCOMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MAT74176CPT2026COMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MATDERIVED262.069999-12-31PROFESSIONAL1003905290npi12452716751548688708npi12452716751578507588npi124527167511FEE SCHEDULE132.769999-12-31PROFESSIONAL1265686547npi10737850441396037479npi10737850441477715597npi10737850441609295104npi10737850441629088810npi10737850441972860831npi107378504423DERIVED2083.749999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED3365.439999-12-31INSTITUTIONAL1063426823npi106342682323FFSComputed tomography, abdomen and pelvis; without contrast material74176CPT2026Computed tomography, abdomen and pelvis; without contrast materialDERIVED262.069999-12-31PROFESSIONAL1780655498npi12452716751942207709npi124527167511DERIVED197.449999-12-31PROFESSIONAL1790949873npi102344793511FFSWITH CONTRAST MATERIAL74177CPT2026WITH CONTRAST MATERIALDERIVED426.389999-12-31PROFESSIONAL1003905290npi12452716751639598519npi12452716751710230982npi12452716751821357633npi12452716751831136191npi124527167511DERIVED3540.849999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED4760.439999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE1448.709999-12-31PROFESSIONAL1396750287npi17907723171538206347npi179077231711DERIVED2300.549999-12-31INSTITUTIONAL1871977942npi18719779422223FEE SCHEDULE139.859999-12-31PROFESSIONAL1235395641npi10737850441255674545npi10737850441265686547npi10737850441326542564npi10737850441336115161npi10737850441386733566npi10737850441396037479npi10737850441417964040npi10737850441427445626npi10737850441497752240npi10737850441609295104npi10737850441629088810npi10737850441659568038npi10737850441821387374npi10737850442123FEE SCHEDULE389.359999-12-31PROFESSIONAL1376738138npi179077231721DERIVED657.659999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED4101.919999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE93.249999-12-31PROFESSIONAL1083656706npi10634007291093759599npi10634007291306188073npi10634007291396756474npi10634007291699865543npi10634007291710230982npi10634007291902011588npi10634007292123FFSComputed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions74178CPT2026Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regionsDERIVED768.229999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED480.009999-12-31PROFESSIONAL1497103121npi124527167511FFSMagnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences74183CPT2026Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequencesFEE SCHEDULE2936.389999-12-31PROFESSIONAL1407925688npi17907723171538206347npi179077231711DERIVED477.879999-12-31PROFESSIONAL1497103121npi124527167511FFSREQING IMAGE POSTPROCESSING/INDEPENDENT WORK STAT76377CPT2026REQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATFEE SCHEDULE44.999999-12-31PROFESSIONAL1043203706npi106346376821FEE SCHEDULE61.869999-12-31PROFESSIONAL1407032071npi107378504423FFSREQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATN76377CPT2026REQING IMAGE POSTPROCESSING/INDEPENDENT WORK STATNDERIVED113.549999-12-31PROFESSIONAL1235128620npi124527167511FFSECHO EXAM OF ABDOMEN76705CPT2026ECHO EXAM OF ABDOMENFEE SCHEDULE45.519999-12-31PROFESSIONAL1437424629npi107378504419FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76805CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED128.009999-12-31PROFESSIONAL1366448805npi187157203211FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FOLLOW-UP (EG, RE-EVALUATION OF FETAL SIZE BY MEASURING STANDARD GROWTH PARAMETERS AND AMNIOTIC FLUID VOLUME, RE-EVALUATION OF ORGAN SYSTEM(S) SUSPECTED OR CONFIRMED TO BE ABNORMAL ON76816CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FOLLOW-UP (EG, RE-EVALUATION OF FETAL SIZE BY MEASURING STANDARD GROWTH PARAMETERS AND AMNIOTIC FLUID VOLUME, RE-EVALUATION OF ORGAN SYSTEM(S) SUSPECTED OR CONFIRMED TO BE ABNORMAL ONDERIVED119.319999-12-31PROFESSIONAL1497294979npi178010052911FFSECHO EXAM, TRANSVAGINAL76830CPT2026ECHO EXAM, TRANSVAGINALDERIVED138.529999-12-31PROFESSIONAL1497294979npi17801005291609215490npi178010052911DERIVED167.149999-12-31PROFESSIONAL1154325793npi12452716751316981996npi12452716751457886046npi12452716751831136191npi124527167511DERIVED219.629999-12-31INSTITUTIONAL1003465097npi100346509723FFSECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISFEE SCHEDULE35.969999-12-31PROFESSIONAL1699717124npi106340072923DERIVED149.629999-12-31PROFESSIONAL1154325793npi12452716751316981996npi12452716751831136191npi124527167511FFSECHO EXAM TRANSRECTAL76872APC2026ECHO EXAM TRANSRECTALDERIVED57.869999-12-31INSTITUTIONAL1518976661npi151897666124FFSDiagnostic mammography, including computer-aided detection (CAD) when performed; unilateral77065CPT2026Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateralDERIVED176.259999-12-31PROFESSIONAL1316981996npi12452716751396756474npi12452716751578507588npi12452716751831136191npi124527167511FFSRESPIRATORY MOTION MNGMNT SIMULATION77293CPT2026RESPIRATORY MOTION MNGMNT SIMULATIONFEE SCHEDULE171.229999-12-31PROFESSIONAL1124482666npi107378504422DERIVED219.469999-12-31INSTITUTIONAL1871977942npi187197794222FFSTRTMT DEVICES,DESIGN,COMPLEX77334CPT2026TRTMT DEVICES,DESIGN,COMPLEXDERIVED284.509999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE99.079999-12-31PROFESSIONAL1124482666npi107378504422FFSUrea breath test, C-14 (isotopic); acquisition for analysis78267CPT2026Urea breath test, C-14 (isotopic); acquisition for analysisFEE SCHEDULE11.069999-12-31PROFESSIONAL1528091725npi11243287861699717611npi132619471311FFSMyocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or78452CPT2026Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/orDERIVED330.999999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311FEE SCHEDULE372.379999-12-31PROFESSIONAL1609907948npi104355169011FEE SCHEDULE455.119999-12-31PROFESSIONAL1417921701npi194225068311DERIVED604.069999-12-31PROFESSIONAL1093759599npi124527167511FFSInfliximab80230CPT2026InfliximabDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSLabor and delivery complicated by cord around neck, without compression, not applicable or unspecified807MS-DRG10Labor and delivery complicated by cord around neck, without compression, not applicable or unspecifiedDERIVED8800.009999-12-31INSTITUTIONAL1811991227npi181199122721FFSMaternal care for low transverse scar from previous cesarean delivery807MS-DRG10Maternal care for low transverse scar from previous cesarean deliveryDERIVED7525.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSPost-term pregnancy807MS-DRG10Post-term pregnancyDERIVED8590.009999-12-31INSTITUTIONAL1700978558npi170097855821FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED3.099999-12-31PROFESSIONAL1962579086npi127555235811DERIVED3.659999-12-31PROFESSIONAL1356446223npi189119744811DERIVED4.359999-12-31PROFESSIONAL1366448805npi18715720321679100853npi187157203211FFSUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED85.709999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED8.189999-12-31PROFESSIONAL1154483634npi122520184111DERIVED8.619999-12-31PROFESSIONAL1013412196npi124528353011DERIVED56.279999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED97.539999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED10.769999-12-31PROFESSIONAL1609849496npi187157203211DERIVED75.569999-12-31INSTITUTIONAL1871977942npi187197794223FFSVolume measurement for timed collection, each81050CPT2026Volume measurement for timed collection, eachFEE SCHEDULE5.889999-12-31PROFESSIONAL1750301172npi179077231711FFSTPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)81335CPT2026TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FEE SCHEDULE29.589999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781FFSGammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each82784CPT2026Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified83520CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FEE SCHEDULE25.409999-12-31PROFESSIONAL1750301172npi179077231781FFSLactate (lactic acid)83605CPT2026Lactate (lactic acid)DERIVED64.759999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED114.569999-12-31INSTITUTIONAL1063426823npi106342682323FFSLipase83690CPT2026LipaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED50.549999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED46.819999-12-31INSTITUTIONAL1871977942npi18719779422223DERIVED50.719999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED89.779999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED121.009999-12-31INSTITUTIONAL1053424648npi105342464823FFSASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED60.439999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED66.709999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED67.149999-12-31INSTITUTIONAL1871977942npi187197794223FFSNatriuretic peptide83880CPT2026Natriuretic peptideDERIVED131.029999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED141.489999-12-31INSTITUTIONAL1649367269npi164936726923FFSSodium; serum, plasma or whole blood84295CPT2026Sodium; serum, plasma or whole bloodFEE SCHEDULE9.449999-12-31PROFESSIONAL1750301172npi179077231781FFSTransferrin84466CPT2026TransferrinFEE SCHEDULE25.069999-12-31PROFESSIONAL1841351566npi179077231781FFSBlood count; blood smear, microscopic examination with manual differential WBC count85007CPT2026Blood count; blood smear, microscopic examination with manual differential WBC countDERIVED5.159999-12-31INSTITUTIONAL1871977942npi187197794222FFSBlood count; hematocrit (Hct)85014CPT2026Blood count; hematocrit (Hct)DERIVED29.089999-12-31INSTITUTIONAL1871977942npi187197794223FFSSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSC-reactive protein;86140CPT2026C-reactive protein;DERIVED64.729999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FEE SCHEDULE10.159999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781FFSComplement; antigen, each component86160CPT2026Complement; antigen, each componentFEE SCHEDULE23.569999-12-31PROFESSIONAL1750301172npi179077231781FFSAntibody; fungus, not elsewhere specified86671CPT2026Antibody; fungus, not elsewhere specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSAntibody; Helicobacter pylori86677CPT2026Antibody; Helicobacter pyloriFEE SCHEDULE16.859999-12-31PROFESSIONAL1699717611npi132619471311FFSBLOOD TYPING, SEROLOGIC; ABO86900CPT2026BLOOD TYPING, SEROLOGIC; ABODERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED23.419999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED55.859999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED57.489999-12-31INSTITUTIONAL1053424648npi105342464823FEE SCHEDULE5.859999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422DERIVED255.179999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED25.479999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED28.729999-12-31INSTITUTIONAL1700978558npi170097855822FFSBLOOD TYPING, SEROLOGIC; RH (D)86901CPT2026BLOOD TYPING, SEROLOGIC; RH (D)DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422DERIVED61.479999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED30.159999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED43.259999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED23.419999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE5.859999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED36.919999-12-31INSTITUTIONAL1053424648npi105342464823FFSCulture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)87040CPT2026Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)DERIVED145.849999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED123.209999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED102.289999-12-31INSTITUTIONAL1871977942npi187197794223FFSCulture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates87070CPT2026Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolatesDERIVED165.389999-12-31INSTITUTIONAL1871977942npi187197794222FFSCULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;87081CPT2026CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;DERIVED77.409999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED6.969999-12-31PROFESSIONAL1558682435npi183115803911DERIVED135.939999-12-31INSTITUTIONAL1700978558npi170097855822FFSCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED127.169999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE15.859999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED8.889999-12-31PROFESSIONAL1235190356npi102344793511DERIVED105.319999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED184.539999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423FFSSmear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)87210CPT2026Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)DERIVED5.539999-12-31PROFESSIONAL1225013196npi124523372511FFSInfectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique87651CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1750305900npi163913848011DERIVED46.729999-12-31INSTITUTIONAL1063426823npi106342682323FFSTISSUE EXAM BY PATHOLOGIST88304CPT2026TISSUE EXAM BY PATHOLOGISTDERIVED12.479999-12-31PROFESSIONAL1104036482npi12553136641841272853npi125531366422DERIVED19.749999-12-31PROFESSIONAL1861451593npi126549387822FEE SCHEDULE44.729999-12-31PROFESSIONAL1326359258npi17907723171982963831npi17907723171121FEE SCHEDULE23.979999-12-31PROFESSIONAL1265798870npi126579887081DERIVED9.879999-12-31PROFESSIONAL1588663504npi126549387822FFSLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED108.239999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED904.089999-12-31PROFESSIONAL1235190356npi102344793511FEE SCHEDULE24.359999-12-31PROFESSIONAL1467433292npi146743329281FEE SCHEDULE38.269999-12-31PROFESSIONAL1114912466npi162906368011FEE SCHEDULE27.829999-12-31PROFESSIONAL1073682514npi167954590922FEE SCHEDULE41.099999-12-31PROFESSIONAL1265798870npi12657988701581DERIVED33.049999-12-31PROFESSIONAL1508190927npi12654938781588663504npi12654938781861451593npi126549387822DERIVED41.749999-12-31PROFESSIONAL1841272853npi125531366422DERIVED242.249999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED370.779999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE23.609999-12-31PROFESSIONAL1467433292npi146743329281FEE SCHEDULE47.949999-12-31PROFESSIONAL1467433292npi146743329281FEE SCHEDULE113.019999-12-31PROFESSIONAL1568604668npi134622640411DERIVED66.089999-12-31PROFESSIONAL1285877837npi126549387822DERIVED142.519999-12-31INSTITUTIONAL1245785567npi124578556722FEE SCHEDULE75.349999-12-31PROFESSIONAL1134438427npi113443842781FEE SCHEDULE92.469999-12-31PROFESSIONAL1053308593npi188164491211FEE SCHEDULE123.289999-12-31PROFESSIONAL1326004813npi125538355011FFSPATH CONSULT SURGERY;1ST TISSUE BLCK,FRZN SCT,SNGL88331CPT2026PATH CONSULT SURGERY;1ST TISSUE BLCK,FRZN SCT,SNGLFEE SCHEDULE57.109999-12-31PROFESSIONAL1265798870npi126579887015FEE SCHEDULE239.459999-12-31PROFESSIONAL1790041218npi179077231721DERIVED54.449999-12-31PROFESSIONAL1588663504npi126549387822FFSCell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count89051CPT2026Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential countDERIVED87.609999-12-31INSTITUTIONAL1871977942npi187197794222FFSIMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADM90460CPT2026IMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADMDERIVED19.609999-12-31PROFESSIONAL1578296711npi124528353011DERIVED24.019999-12-31PROFESSIONAL1760544340npi162927913811DERIVED21.909999-12-31PROFESSIONAL1821014192npi194268913811DERIVED23.069999-12-31PROFESSIONAL1356551766npi13163851641750305900npi163913848011DERIVED15.009999-12-31PROFESSIONAL1679888580npi150848826303DERIVED69.189999-12-31PROFESSIONAL1376047134npi16391384801720749807npi163913848011FFSMeningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use90621CPT2026Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular useDERIVED207.329999-12-31PROFESSIONAL1376047134npi163913848011FFSHepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use90633CPT2026Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular useDERIVED39.139999-12-31PROFESSIONAL1750305900npi16391384801821014192npi194268913811FFSINFLUENZA VIRUS VACCINE, TRIVALENT (CCIIV3), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 DOSAGE, FOR INTRAMUSCULAR USE90661CPT2026INFLUENZA VIRUS VACCINE, TRIVALENT (CCIIV3), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 DOSAGE, FOR INTRAMUSCULAR USEDERIVED49.509999-12-31PROFESSIONAL1205889243npi128568537011DERIVED46.539999-12-31PROFESSIONAL1083322713npi132625496211FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use90698CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular useDERIVED130.539999-12-31PROFESSIONAL1750305900npi163913848011FFSVaricella virus vaccine (VAR), live, for subcutaneous use90716CPT2026Varicella virus vaccine (VAR), live, for subcutaneous useDERIVED192.129999-12-31PROFESSIONAL1720749807npi16391384801821014192npi194268913811FFSPSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES90792CPT2026PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICESDERIVED248.069999-12-31PROFESSIONAL1174931448npi117493144811FFSGI TRACT IMAG INTRALUMINAL W/ INTERP AND REP91110CPT2026GI TRACT IMAG INTRALUMINAL W/ INTERP AND REPFEE SCHEDULE3421.959999-12-31PROFESSIONAL1629067400npi17907723171891920195npi179077231711FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientDERIVED88.439999-12-31PROFESSIONAL1598902579npi174038796811DERIVED114.109999-12-31PROFESSIONAL1306948344npi130694834411FEE SCHEDULE97.279999-12-31PROFESSIONAL1407385636npi171038140511DERIVED75.179999-12-31PROFESSIONAL1578553376npi154825989811FFSFITTING CONTACT LENS FOR TX OF OCULAR SURF DISEASE92071CPT2026FITTING CONTACT LENS FOR TX OF OCULAR SURF DISEASEFEE SCHEDULE38.949999-12-31PROFESSIONAL1700311040npi171038140511FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE92133CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVEFEE SCHEDULE33.209999-12-31PROFESSIONAL1437684776npi17103814051700311040npi17103814051992932776npi171038140511DERIVED27.169999-12-31PROFESSIONAL1780412957npi149742156411FFSOphthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral92202CPT2026Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateralDERIVED15.569999-12-31PROFESSIONAL1598902579npi174038796811FFSSPEECH/HEARING THERAPY92507CPT2026SPEECH/HEARING THERAPYDERIVED70.009999-12-31PROFESSIONAL1295488567npi129527999011FFSPure tone audiometry (threshold); air and bone92553CPT2026Pure tone audiometry (threshold); air and boneFEE SCHEDULE51.839999-12-31PROFESSIONAL1659332732npi111490514811FFSTYMPANOMETRY92567CPT2026TYMPANOMETRYFEE SCHEDULE18.179999-12-31PROFESSIONAL1457704710npi118462573311FEE SCHEDULE17.389999-12-31PROFESSIONAL1659332732npi111490514811FEE SCHEDULE63.119999-12-31PROFESSIONAL1275559932npi179077231711FFSDISTORTION PROD EVOKED OTOACOUSTIC EMISSIONS EVAL92587CPT2026DISTORTION PROD EVOKED OTOACOUSTIC EMISSIONS EVALDERIVED22.399999-12-31PROFESSIONAL1043834328npi131638516411FFSINTRAVASCULAR ULTRASOUND DUR92978CPT2026INTRAVASCULAR ULTRASOUND DURDERIVED1312.909999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE88.149999-12-31PROFESSIONAL1609907948npi104355169022FFSElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED99.439999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED248.229999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED112.299999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED129.139999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED261.089999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED280.619999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED307.059999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED329.739999-12-31INSTITUTIONAL1679678486npi167967848623FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report93016CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and reportDERIVED18.579999-12-31PROFESSIONAL1114975596npi166958926321FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only93018CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report onlyDERIVED12.339999-12-31PROFESSIONAL1114975596npi166958926321FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation93245CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretationDERIVED250.539999-12-31PROFESSIONAL1306074372npi166958926311FFSINTRACRANIAL STUDY93888CPT2026INTRACRANIAL STUDYFEE SCHEDULE148.499999-12-31PROFESSIONAL1609907948npi104355169011FEE SCHEDULE181.499999-12-31PROFESSIONAL1417921701npi194225068311FFSCONT. POSITIVE AIRWAY PRESSU94660CPT2026CONT. POSITIVE AIRWAY PRESSUDERIVED68.289999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537011FFSNoninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)94761CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)DERIVED131.659999-12-31INSTITUTIONAL1649367269npi164936726923FFSIMMUNOTHERAPY,PROF SERV.,2 OR MORE INJECTIONS95117CPT2026IMMUNOTHERAPY,PROF SERV.,2 OR MORE INJECTIONSFEE SCHEDULE12.009999-12-31PROFESSIONAL1619926193npi134629900511FEE SCHEDULE12.609999-12-31PROFESSIONAL1013909951npi16797724461659363505npi141714803211FFSNERVE CONDUCTION STUDIES; 9-10 STUDIES95911CPT2026NERVE CONDUCTION STUDIES; 9-10 STUDIESDERIVED194.269999-12-31PROFESSIONAL1710975073npi105375918311DERIVED237.429999-12-31PROFESSIONAL1700997707npi157821809511FEE SCHEDULE226.639999-12-31PROFESSIONAL1083824817npi171016209411FFSNerve conduction studies; 13 or more studies95913CPT2026Nerve conduction studies; 13 or more studiesDERIVED265.299999-12-31PROFESSIONAL1710975073npi105375918311FFSAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED3.169999-12-31PROFESSIONAL1750305900npi163913848011DERIVED27.009999-12-31PROFESSIONAL1366448805npi18715720321609849496npi187157203211FFSAdministration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument96161CPT2026Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrumentDERIVED3.519999-12-31PROFESSIONAL1750305900npi163913848011FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)96368CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)DERIVED200.509999-12-31INSTITUTIONAL1871977942npi187197794223FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED84.459999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED15.129999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537011DERIVED48.349999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED80.429999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED13.459999-12-31PROFESSIONAL1093346769npi18911974481528383296npi189119744811DERIVED15.879999-12-31PROFESSIONAL1023260973npi19921810771356446223npi189119744811DERIVED17.699999-12-31PROFESSIONAL1558380444npi154858460011DERIVED126.409999-12-31INSTITUTIONAL1871977942npi187197794223FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug96374CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drugDERIVED127.099999-12-31INSTITUTIONAL1871977942npi18719779422223DERIVED130.129999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED186.179999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED116.779999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED77.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED81.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED90.259999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED363.559999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED389.339999-12-31INSTITUTIONAL1811991227npi181199122723FFSSelf-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes97535CPT2026Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutesDERIVED163.859999-12-31INSTITUTIONAL1871977942npi187197794222FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED100.019999-12-31PROFESSIONAL1073376133npi175054631310DERIVED104.729999-12-31PROFESSIONAL1851854103npi100336966111DERIVED117.679999-12-31PROFESSIONAL1073514253npi14979295411205889243npi12856853701487875977npi12856853701649277880npi12856853701710975073npi105375918311DERIVED123.559999-12-31PROFESSIONAL1023260973npi19921810771033172200npi15583402401104347053npi12452835301275521759npi12755523581841711819npi15583402401952355497npi155834024011FEE SCHEDULE129.449999-12-31PROFESSIONAL1245397413npi18018432631265887152npi16290636801346462181npi16290636801679550016npi19524278091740987668npi16290636801750332250npi17405598551881056018npi155831012811FEE SCHEDULE135.329999-12-31PROFESSIONAL1194786293npi19422636941447489828npi19422636941457315772npi19422636941750494340npi194226369411DERIVED55.909999-12-31PROFESSIONAL1225013196npi124523372511DERIVED147.099999-12-31PROFESSIONAL1346290145npi18715720321366447195npi18715720321366448805npi18715720321679100853npi187157203211FEE SCHEDULE104.739999-12-31PROFESSIONAL1043635675npi19920452721396791109npi19920452721821141714npi199204527211FEE SCHEDULE123.559999-12-31PROFESSIONAL1659363505npi141714803211DERIVED104.739999-12-31PROFESSIONAL1073961017npi16190185611427719657npi16190185611801571781npi161901856111DERIVED105.029999-12-31PROFESSIONAL1770129413npi155834024011DERIVED111.799999-12-31PROFESSIONAL1144225541npi150881869111DERIVED129.439999-12-31PROFESSIONAL1316933708npi132625496211DERIVED129.449999-12-31PROFESSIONAL1568930980npi15583020421699923060npi13468061711891957031npi186140010311FEE SCHEDULE105.909999-12-31PROFESSIONAL1285919456npi13464561671457550766npi13464561671609907948npi10435516901669458600npi13464561671760126791npi134645616711FEE SCHEDULE115.329999-12-31PROFESSIONAL1184293839npi19422636941700667425npi194226369411FEE SCHEDULE150.629999-12-31PROFESSIONAL1265693568npi101393608711DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781689976037npi18919053781790266013npi189190537820DERIVED124.739999-12-31PROFESSIONAL1437275252npi179079027711DERIVED147.089999-12-31PROFESSIONAL1427517432npi109349363711DERIVED150.009999-12-31PROFESSIONAL1609969674npi18011262971770609554npi180112629720DERIVED158.859999-12-31PROFESSIONAL1881896033npi178010052911DERIVED164.689999-12-31PROFESSIONAL1346868320npi128573560520DERIVED185.009999-12-31PROFESSIONAL1598155830npi190280912220DERIVED194.159999-12-31PROFESSIONAL1760478101npi178010052911FEE SCHEDULE117.679999-12-31PROFESSIONAL1528091725npi112432878611FEE SCHEDULE152.979999-12-31PROFESSIONAL1245214022npi11846257331306884267npi118462573311FEE SCHEDULE164.749999-12-31PROFESSIONAL1225014384npi164967666911FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED120.009999-12-31PROFESSIONAL1043087018npi18919053781528666575npi18919053781548745060npi18919053781972277622npi189190537820DERIVED150.009999-12-31PROFESSIONAL1538954920npi18011262971912351040npi109330850420DERIVED158.209999-12-31PROFESSIONAL1528383296npi189119744811DERIVED195.549999-12-31PROFESSIONAL1053753442npi16990212951073564910npi10234479351093211146npi10234479351598054751npi10234479351700997707npi15782180951790949873npi10234479351801846373npi12751634611902068158npi176059096211DERIVED207.989999-12-31PROFESSIONAL1558380444npi154858460011DERIVED257.009999-12-31PROFESSIONAL1003880626npi178010052911FEE SCHEDULE151.109999-12-31PROFESSIONAL1265519052npi18616187531740586288npi148776713311FEE SCHEDULE186.659999-12-31PROFESSIONAL1407811235npi18719002331659363505npi14171480321942462924npi117468957411FEE SCHEDULE204.429999-12-31PROFESSIONAL1013973882npi17505646961134396831npi19422636941144451055npi19422636941194786293npi19422636941447489828npi194226369411FEE SCHEDULE222.209999-12-31PROFESSIONAL1477976082npi152809728411FEE SCHEDULE223.989999-12-31PROFESSIONAL1659603090npi10634637681710232467npi10634637681790171130npi10634637681922166396npi10634637681011FEE SCHEDULE231.099999-12-31PROFESSIONAL1134168438npi11846257331194796128npi11846257331306884267npi11846257331427033984npi118462573311DERIVED158.659999-12-31PROFESSIONAL1770129413npi155834024011DERIVED177.769999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi12856853701710975073npi105375918311DERIVED204.429999-12-31PROFESSIONAL1821102047npi176059690211DERIVED266.649999-12-31PROFESSIONAL1134293723npi178010052911DERIVED341.299999-12-31PROFESSIONAL1346276201npi122503423411FEE SCHEDULE131.979999-12-31PROFESSIONAL1861627663npi124528353019FEE SCHEDULE168.879999-12-31PROFESSIONAL1629200647npi162920064711FEE SCHEDULE195.549999-12-31PROFESSIONAL1104846815npi10836796091114912466npi16290636801265887152npi16290636801346462181npi16290636801417921701npi19422506831659332732npi11149051481760463848npi19221880021992932776npi171038140511FEE SCHEDULE627.909999-12-31PROFESSIONAL1396760773npi179077231710DERIVED151.109999-12-31PROFESSIONAL1356308894npi15482598981578553376npi154825989811DERIVED159.989999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311DERIVED186.649999-12-31PROFESSIONAL1104347053npi12452835301225094071npi16292791381356446223npi18911974481881154524npi115402785211DERIVED186.659999-12-31PROFESSIONAL1033172200npi15583402401073592788npi15583402401235498460npi15583402401306036868npi10235921771316926025npi15583402401790281400npi155834024011DERIVED239.979999-12-31PROFESSIONAL1336171917npi17801005291487684171npi17801005291992819957npi178010052911DERIVED258.859999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE174.209999-12-31PROFESSIONAL1083265086npi194226369411FEE SCHEDULE215.959999-12-31PROFESSIONAL1750359956npi114427645222FEE SCHEDULE248.869999-12-31PROFESSIONAL1750546040npi164967666911NEGOTIATED257.009999-12-31PROFESSIONAL1447491824npi166942957711DERIVED84.449999-12-31PROFESSIONAL1144225541npi150881869111DERIVED167.099999-12-31PROFESSIONAL1083322713npi13262549621922656149npi132625496211DERIVED168.879999-12-31PROFESSIONAL1144225541npi15088186911245288505npi126576004511DERIVED185.009999-12-31PROFESSIONAL1619234770npi19028091221619938644npi190280912220DERIVED188.439999-12-31PROFESSIONAL1427874965npi179079027711DERIVED197.959999-12-31PROFESSIONAL1811992852npi122503423422DERIVED222.209999-12-31PROFESSIONAL1003864992npi109349363711DERIVED293.309999-12-31PROFESSIONAL1184601304npi17801005291417031691npi17801005291992704522npi178010052911FEE SCHEDULE159.989999-12-31PROFESSIONAL1174620702npi11840752691518957596npi15889196901609907948npi10435516901962548552npi155879840511FEE SCHEDULE177.769999-12-31PROFESSIONAL1528091725npi11243287861699717611npi13261947131972690444npi128506955911FEE SCHEDULE195.009999-12-31PROFESSIONAL1760463848npi192218800211FEE SCHEDULE227.539999-12-31PROFESSIONAL1265693568npi10139360871841596327npi101393608711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEDERIVED272.239999-12-31PROFESSIONAL1295927739npi122503423422FEE SCHEDULE181.499999-12-31PROFESSIONAL1336241413npi124528353019DERIVED181.499999-12-31PROFESSIONAL1053753442npi169902129511DERIVED206.239999-12-31PROFESSIONAL1225018104npi178010052922FEE SCHEDULE272.239999-12-31PROFESSIONAL1124482666npi107378504422FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED24.949999-12-31PROFESSIONAL1356446223npi189119744811DERIVED59.199999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED26.139999-12-31PROFESSIONAL1457313421npi132625496211DERIVED21.149999-12-31PROFESSIONAL1528383296npi189119744811DERIVED60.649999-12-31PROFESSIONAL1174931448npi11749314481346658614npi13466586141011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED52.479999-12-31PROFESSIONAL1083134076npi12452835301700870177npi176059690211DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED113.209999-12-31PROFESSIONAL1346276201npi122503423402DERIVED117.309999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE64.869999-12-31PROFESSIONAL1407385636npi17103814051740987668npi162906368011FEE SCHEDULE135.109999-12-31PROFESSIONAL1073594206npi17907723171235511593npi17907723171831413277npi17907723171011DERIVED52.009999-12-31PROFESSIONAL1336758101npi16190185611427719657npi16190185611801571781npi16190185611932490778npi161901856111DERIVED53.069999-12-31PROFESSIONAL1780412957npi149742156411DERIVED61.919999-12-31PROFESSIONAL1033172200npi155834024011DERIVED67.809999-12-31PROFESSIONAL1821102047npi176059690211DERIVED73.709999-12-31PROFESSIONAL1366448805npi18715720321679100853npi187157203211FEE SCHEDULE0.019999-12-31PROFESSIONAL1669523064npi134645616711FEE SCHEDULE52.479999-12-31PROFESSIONAL1316659378npi19920452721396791109npi199204527211FEE SCHEDULE75.479999-12-31PROFESSIONAL1841596327npi101393608711DERIVED61.909999-12-31PROFESSIONAL1881154524npi115402785211DERIVED64.869999-12-31PROFESSIONAL1598955171npi102344793511DERIVED120.009999-12-31PROFESSIONAL1306114483npi189190537820FEE SCHEDULE50.129999-12-31PROFESSIONAL1528654696npi148776713311FEE SCHEDULE55.429999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE97.289999-12-31PROFESSIONAL1831176858npi164967666911FEE SCHEDULE158.949999-12-31PROFESSIONAL1316332877npi17907723171407340995npi17907723171011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED107.719999-12-31PROFESSIONAL1225018104npi178010052922DERIVED108.029999-12-31PROFESSIONAL1306948344npi130694834411DERIVED120.169999-12-31PROFESSIONAL1083134076npi12452835301093346769npi18911974481528383296npi18911974481639275118npi19921810771801085659npi19921810771962579086npi1275552358021011DERIVED125.009999-12-31PROFESSIONAL1396704821npi190208406411DERIVED126.919999-12-31PROFESSIONAL1083322713npi13262549621356763676npi13262549621922656149npi13262549620211DERIVED128.279999-12-31PROFESSIONAL1144225541npi15088186911245288505npi12657600451679579783npi167957978311DERIVED148.529999-12-31PROFESSIONAL1053753442npi16990212951073564910npi10234479351093211146npi10234479351346291259npi10234479351366541997npi16990212951598955171npi10234479351700997707npi15782180951750305900npi16391384801790949873npi10234479351801846373npi12751634611902068158npi176059096211DERIVED155.279999-12-31PROFESSIONAL1821102047npi176059690211FEE SCHEDULE121.529999-12-31PROFESSIONAL1518957596npi15889196901609907948npi10435516901962548552npi155879840511FEE SCHEDULE135.029999-12-31PROFESSIONAL1376644328npi14877671331528091725npi11243287861699717611npi13261947131972690444npi128506955911FEE SCHEDULE175.539999-12-31PROFESSIONAL1194796128npi11846257331245214022npi118462573311DERIVED113.429999-12-31PROFESSIONAL1407359854npi10234479351679117725npi10234479351760259592npi102344793511DERIVED114.769999-12-31PROFESSIONAL1134657323npi12452835301578296711npi124528353011DERIVED120.009999-12-31PROFESSIONAL1528666575npi18919053781548745060npi18919053781972277622npi189190537820DERIVED121.529999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311DERIVED142.189999-12-31PROFESSIONAL1295927739npi12250342341811992852npi122503423422DERIVED150.009999-12-31PROFESSIONAL1538954920npi180112629720DERIVED157.979999-12-31PROFESSIONAL1558380444npi154858460011DERIVED178.899999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED180.009999-12-31PROFESSIONAL1023091139npi163913848011FEE SCHEDULE114.779999-12-31PROFESSIONAL1265519052npi18616187531962003251npi14877671330211FEE SCHEDULE120.179999-12-31PROFESSIONAL1396791109npi19920452721821141714npi199204527211FEE SCHEDULE126.929999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE141.779999-12-31PROFESSIONAL1003313735npi11740782811023364387npi16797724461467719492npi99999999991659363505npi14171480321942462924npi117468957411FEE SCHEDULE155.279999-12-31PROFESSIONAL1144451055npi19422636941447489828npi19422636941750494340npi194226369411FEE SCHEDULE177.009999-12-31PROFESSIONAL1225412901npi134622640411FEE SCHEDULE199.669999-12-31PROFESSIONAL1891112611npi166942957702DERIVED109.379999-12-31PROFESSIONAL1700343647npi126576004511DERIVED114.779999-12-31PROFESSIONAL1356929012npi154825989811DERIVED126.929999-12-31PROFESSIONAL1265150924npi10234479351598351835npi169902129511DERIVED141.779999-12-31PROFESSIONAL1023260973npi19921810771033172200npi15583402401073592788npi15583402401104347053npi12452835301215955000npi18811798281225094071npi16292791381225577703npi15583402401275521759npi12755523581316926025npi15583402401356446223npi18911974481396704821npi19020840641487668463npi17101620941619381894npi12452835301710966601npi15583402401760544340npi16292791381851484307npi16292791381952355497npi155834024011DERIVED166.009999-12-31PROFESSIONAL1003880626npi178010052911FEE SCHEDULE128.279999-12-31PROFESSIONAL1629200647npi162920064711FEE SCHEDULE144.479999-12-31PROFESSIONAL1700144490npi106346376811FEE SCHEDULE170.139999-12-31PROFESSIONAL1043203706npi10634637681659603090npi10634637681710232467npi106346376811FEE SCHEDULE172.839999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE339.619999-12-31PROFESSIONAL1417232653npi17907723171750885638npi179077231711DERIVED135.029999-12-31PROFESSIONAL1013412196npi12452835301205889243npi12856853701487875977npi12856853701649277880npi12856853701710975073npi10537591831952357840npi124528353011DERIVED145.009999-12-31PROFESSIONAL1457313421npi132625496211DERIVED168.779999-12-31PROFESSIONAL1427517432npi10934936371548748957npi109349363711DERIVED182.279999-12-31PROFESSIONAL1487684171npi17801005291992819957npi178010052911DERIVED189.029999-12-31PROFESSIONAL1912355140npi178010052911DERIVED222.789999-12-31PROFESSIONAL1184601304npi17801005291730594805npi17801005291760478101npi178010052911DERIVED259.239999-12-31PROFESSIONAL1346276201npi122503423411FEE SCHEDULE94.799999-12-31PROFESSIONAL1144683962npi12452835301336241413npi12452835301922FEE SCHEDULE132.329999-12-31PROFESSIONAL1083265086npi194226369411FEE SCHEDULE148.529999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801346462181npi16290636801407385636npi17103814051417921701npi19422506831437684776npi17103814051619437084npi10836796091689646929npi14878274161700311040npi17103814051740987668npi16290636801760463848npi19221880021952321671npi10836796091992932776npi171038140511FEE SCHEDULE200.009999-12-31PROFESSIONAL1184817256npi12553968750211FEE SCHEDULE399.549999-12-31PROFESSIONAL1427031723npi17907723171972592855npi17907723171011FFSHospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter99238CPT2026Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounterDERIVED94.909999-12-31PROFESSIONAL1225018104npi178010052922FEE SCHEDULE91.109999-12-31PROFESSIONAL1043203706npi106346376821DERIVED241.909999-12-31PROFESSIONAL1588764807npi108371179021FEE SCHEDULE77.449999-12-31PROFESSIONAL1972070803npi106346376821FFSCRITICAL CARE E & M FIRST 30 MIN.99291CPT2026CRITICAL CARE E & M FIRST 30 MIN.DERIVED256.669999-12-31PROFESSIONAL1689238347npi178010052921FEE SCHEDULE410.669999-12-31PROFESSIONAL1396782074npi12058808531881834026npi12058808531972589893npi120588085323DERIVED2072.559999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2144.159999-12-31INSTITUTIONAL1871977942npi187197794223FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99384CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED140.409999-12-31PROFESSIONAL1043834328npi131638516411DERIVED151.429999-12-31PROFESSIONAL1750305900npi163913848011DERIVED144.539999-12-31PROFESSIONAL1023260973npi199218107711FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99394CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED105.469999-12-31PROFESSIONAL1083134076npi12452835301639275118npi199218107711DERIVED118.509999-12-31PROFESSIONAL1013412196npi12452835301952357840npi124528353011DERIVED124.429999-12-31PROFESSIONAL1023260973npi19921810771396704821npi190208406411DERIVED100.729999-12-31PROFESSIONAL1578296711npi124528353011DERIVED130.359999-12-31PROFESSIONAL1750305900npi163913848011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED134.659999-12-31PROFESSIONAL1023260973npi19921810771104347053npi12452835301205824778npi12755523581275521759npi12755523581356446223npi18911974481619381894npi12452835301760544340npi16292791381851484307npi16292791381881154524npi115402785211DERIVED120.549999-12-31PROFESSIONAL1083322713npi132625496211DERIVED141.069999-12-31PROFESSIONAL1457313421npi132625496211DERIVED150.049999-12-31PROFESSIONAL1144648809npi15485846001558380444npi154858460011DERIVED160.309999-12-31PROFESSIONAL1003864992npi109349363711DERIVED173.129999-12-31PROFESSIONAL1609194349npi17801005291609215490npi178010052911DERIVED67.329999-12-31PROFESSIONAL1023260973npi199218107711DERIVED114.139999-12-31PROFESSIONAL1083134076npi12452835301093346769npi18911974481528383296npi18911974481801085659npi199218107711FFSSmoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes99406CPT2026Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutesDERIVED13.719999-12-31PROFESSIONAL1093346769npi189119744811DERIVED14.489999-12-31PROFESSIONAL1083322713npi132625496211DERIVED16.189999-12-31PROFESSIONAL1356446223npi189119744811FFSSubsequent hospital care, per day, for evaluation and management of normal newborn99462CPT2026Subsequent hospital care, per day, for evaluation and management of normal newbornDERIVED119.109999-12-31PROFESSIONAL1588764807npi108371179021FFSTECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCIA9537HCPCS2026TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCIDERIVED63.249999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJECTION,GDOTERATE MEGLUMINE,0.1 MLA9575HCPCS2026INJECTION,GDOTERATE MEGLUMINE,0.1 MLDERIVED10.009999-12-31PROFESSIONAL1245206887npi147783081811DERIVED24.009999-12-31PROFESSIONAL1336566330npi12452716751639598519npi124527167511DERIVED15.009999-12-31PROFESSIONAL1992769954npi147783081811DERIVED16.509999-12-31PROFESSIONAL1942207709npi124527167511DERIVED18.009999-12-31PROFESSIONAL1003905290npi12452716751548688708npi124527167511DERIVED22.509999-12-31PROFESSIONAL1093759599npi124527167511DERIVED3.009999-12-31PROFESSIONAL1336566330npi124527167511DERIVED27.009999-12-31PROFESSIONAL1306188073npi124527167511DERIVED30.009999-12-31PROFESSIONAL1235128620npi124527167511DERIVED36.009999-12-31PROFESSIONAL1619037025npi12452716751720391568npi124527167511FFSIN PROHANCE MULTIPACKA9576HCPCS2026IN PROHANCE MULTIPACKFEE SCHEDULE1.569999-12-31PROFESSIONAL1205017050npi163916397511FFSCATHETER, GUIDINGC1887HCPCS2026CATHETER, GUIDINGDERIVED47.729999-12-31INSTITUTIONAL1871977942npi187197794222FFSPERCUT TRNSCTH PLCMNT DRUG ELUTING INTRCR STNT SNGC9600HCPCS2026PERCUT TRNSCTH PLCMNT DRUG ELUTING INTRCR STNT SNGDERIVED12367.249999-12-31INSTITUTIONAL1871977942npi187197794222FFSCOLONOSCOPY SCREENING FOR LOW RISK INDIVIDUALSG0121APC2026COLONOSCOPY SCREENING FOR LOW RISK INDIVIDUALSFEE SCHEDULE454.039999-12-31INSTITUTIONAL1407873292npi140787329224FFSANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEG0439HCPCS2026ANNUAL WELLNESS VIST INCL PERS PREV PLAN SERVICEDERIVED128.549999-12-31PROFESSIONAL1083322713npi132625496211FFSANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESG0442HCPCS2026ANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESDERIVED19.249999-12-31PROFESSIONAL1023260973npi19921810771881154524npi115402785211DERIVED21.459999-12-31PROFESSIONAL1144648809npi15485846001558380444npi154858460011DERIVED17.239999-12-31PROFESSIONAL1922656149npi132625496211FFSDEFINTVE DRUG TEST GC/MS LC/MS 8-14 DRUG CLASSESG0481HCPCS2026DEFINTVE DRUG TEST GC/MS LC/MS 8-14 DRUG CLASSESFEE SCHEDULE172.259999-12-31PROFESSIONAL1881056018npi155831012811FFSVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDDERIVED15.719999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311DERIVED19.209999-12-31PROFESSIONAL1073564910npi102344793511DERIVED18.329999-12-31PROFESSIONAL1487668463npi171016209411FEE SCHEDULE18.329999-12-31PROFESSIONAL1659363505npi141714803211DERIVED16.409999-12-31PROFESSIONAL1265150924npi102344793511FEE SCHEDULE21.999999-12-31PROFESSIONAL1710232467npi10634637681011FFSINJECTION ACETAMINOPHEN, 10 MGJ0131HCPCS2026INJECTION ACETAMINOPHEN, 10 MGDERIVED36.599999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED36.569999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED34.209999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJ,DICYCLOMINE(BENTYL)TO 20 MGJ0500HCPCS2026INJ,DICYCLOMINE(BENTYL)TO 20 MGDERIVED59.639999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, BUPIVACAINE LIPOSOME, 1 MGJ0666HCPCS2026INJECTION, BUPIVACAINE LIPOSOME, 1 MGDERIVED1480.519999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ.,MEDROXYPROGESTERONE ACETATE, 1 MGJ1050HCPCS2026INJ.,MEDROXYPROGESTERONE ACETATE, 1 MGDERIVED26.289999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED13.399999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED15.969999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED18.499999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE0.109999-12-31PROFESSIONAL1174620702npi118407526911DERIVED0.119999-12-31PROFESSIONAL1356446223npi189119744811DERIVED2.369999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED7.599999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED0.099999-12-31PROFESSIONAL1093346769npi18911974481528383296npi189119744811DERIVED9.219999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED4.339999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED6.979999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED17.849999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED18.769999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, HYDROMORPHONE, 0.1 MGJ1171HCPCS2026INJECTION, HYDROMORPHONE, 0.1 MGDERIVED13.469999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED18.299999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED17.899999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED12.759999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED13.039999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED34.759999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJ,GLUCAGON HCI(FRESENIUS KABI),NOT THERAPEUTICALJ1611HCPCS2026INJ,GLUCAGON HCI(FRESENIUS KABI),NOT THERAPEUTICALFEE SCHEDULE121.989999-12-31PROFESSIONAL1407925688npi179077231711FFSINJ,DROPERIDOL, 1 MGJ1790HCPCS2026INJ,DROPERIDOL, 1 MGDERIVED24.659999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ, LORAZEPAM (ATIVAN) 2MGJ2060HCPCS2026INJ, LORAZEPAM (ATIVAN) 2MGDERIVED12.299999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION,PHENYLEPHRINE HCI, 20 MCGJ2371HCPCS2026INJECTION,PHENYLEPHRINE HCI, 20 MCGDERIVED13.519999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED12.029999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED16.539999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED48.909999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ PIPERACILLIN SODIUM/TAZOBACTAM SOD 1.125 GJ2543HCPCS2026INJ PIPERACILLIN SODIUM/TAZOBACTAM SOD 1.125 GDERIVED23.609999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED24.699999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED30.269999-12-31INSTITUTIONAL1871977942npi187197794223FFSINJ VITAMIN B-12, 1000 MCGJ3420HCPCS2026INJ VITAMIN B-12, 1000 MCGDERIVED0.679999-12-31PROFESSIONAL1023260973npi199218107711DERIVED0.649999-12-31PROFESSIONAL1558380444npi154858460011FFSNORMAL SALINE SOLUTION INFUSION, 1000 CCJ7030HCPCS2026NORMAL SALINE SOLUTION INFUSION, 1000 CCDERIVED18.909999-12-31INSTITUTIONAL1063426823npi106342682323FFSRINGERS LACTATE INFUSION, 1000 CCJ7120HCPCS2026RINGERS LACTATE INFUSION, 1000 CCDERIVED30.999999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED5.289999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED24.539999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED46.209999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED29.219999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED99.709999-12-31INSTITUTIONAL1700978558npi170097855822FFSORAL APREPITANT, 5 MGJ8501HCPCS2026ORAL APREPITANT, 5 MGDERIVED156.779999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED85.359999-12-31INSTITUTIONAL1700978558npi170097855822FFSMETHOTREXATE SODIUM,50 MGJ9260HCPCS2026METHOTREXATE SODIUM,50 MGDERIVED42.069999-12-31INSTITUTIONAL1649367269npi164936726923FFSLUMBAR-SACR ORTHOS W/RIGD ANT&POST PANELS PREFABL0631HCPCS2026LUMBAR-SACR ORTHOS W/RIGD ANT&POST PANELS PREFABFEE SCHEDULE887.939999-12-31PROFESSIONAL1073924940npi107392486612FFSAFO, ANKLE GAUNTLET, PREFAB,L1902HCPCS2026AFO, ANKLE GAUNTLET, PREFAB,DERIVED70.799999-12-31PROFESSIONAL1740606441npi155834024012FFSHFO W/O JOINTS CUSTOM FABRICATEDL3913HCPCS2026HFO W/O JOINTS CUSTOM FABRICATEDDERIVED152.299999-12-31PROFESSIONAL1699789925npi195242045711DERIVED75.009999-12-31PROFESSIONAL1659385961npi195242045712FFSWALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JOL4361HCPCS2026WALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JODERIVED236.649999-12-31PROFESSIONAL1689865453npi153868649811FFSLOCM 100-199 MMG/ML IODINE,1MLQ9965HCPCS2026LOCM 100-199 MMG/ML IODINE,1MLDERIVED1.209999-12-31PROFESSIONAL1821102047npi176059690211FFSSCREENING TO DETERMINE THE APPROPRIATENESS OFT1023HCPCS2026SCREENING TO DETERMINE THE APPROPRIATENESS OFNEGOTIATED750.009999-12-31PROFESSIONAL1881898559npi188189855911FFSANESTH, GASTRIC RESTRICT PROCED FOR MORBID OBESITY00797CPT2026ANESTH, GASTRIC RESTRICT PROCED FOR MORBID OBESITYDERIVED1786.679999-12-31PROFESSIONAL1225427123npi106346376821FFSAnesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified00811CPT2026Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specifiedDERIVED289.539999-12-31PROFESSIONAL1871617670npi120586169724DERIVED315.339999-12-31PROFESSIONAL1942224373npi120586169724DERIVED309.609999-12-31PROFESSIONAL1538183918npi12058616971801880091npi120586169724FFSNURSERY0170RC2026NURSERYNEGOTIATED10270.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSAnesthesia for diagnostic arteriography/venography01916CPT2026Anesthesia for diagnostic arteriography/venographyDERIVED522.719999-12-31PROFESSIONAL1356744189npi17907723171952628752npi179077231722FFSINFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARG0202UCPT2026INFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARGDERIVED923.949999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED879.949999-12-31INSTITUTIONAL1063426823npi106342682323FFSIV SOLUTIONS0258RC2026IV SOLUTIONSDERIVED56.659999-12-31INSTITUTIONAL1063426823npi106342682321FFSCerebral aneurysm, nonruptured027MS-DRG10Cerebral aneurysm, nonrupturedDERIVED3576.019999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED30425.569999-12-31INSTITUTIONAL1811991227npi181199122721FFSLABORATORY OR (LAB)0300RC2026LABORATORY OR (LAB)DERIVED390.849999-12-31INSTITUTIONAL1063426823npi106342682321NEGOTIATED454.009999-12-31INSTITUTIONAL1184709057npi118470905721DERIVED3.399999-12-31INSTITUTIONAL1245785567npi124578556722FFSLAB/CHEMISTRY0301RC2026LAB/CHEMISTRYDERIVED1065.889999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1132.019999-12-31INSTITUTIONAL1063426823npi106342682321NEGOTIATED30.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSPATH LAB0310RC2026PATH LABDERIVED192.419999-12-31INSTITUTIONAL1063426823npi106342682321FFSOR/MINOR0361RC2026OR/MINORNEGOTIATED8786.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSANESTHESIA0370RC2026ANESTHESIADERIVED1379.599999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED2636.729999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED7504.949999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED10185.009999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED1833.929999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2790.249999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED225.099999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1729.819999-12-31INSTITUTIONAL1700978558npi170097855822FFSPHYSICAL THERP0420RC2026PHYSICAL THERPDERIVED764.109999-12-31INSTITUTIONAL1063426823npi106342682321FFSPHYS THERP/EVAL0424RC2026PHYS THERP/EVALDERIVED332.029999-12-31INSTITUTIONAL1063426823npi106342682321FFSEKG/ECG0730RC2026EKG/ECGDERIVED253.449999-12-31INSTITUTIONAL1063426823npi106342682321FFSEEG0740RC2026EEGDERIVED2040.219999-12-31INSTITUTIONAL1063426823npi106342682321FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)DERIVED50.289999-12-31PROFESSIONAL1619381894npi124528353011FEE SCHEDULE45.029999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE52.689999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801346462181npi16290636801689646929npi14878274161730375700npi16290636801740987668npi16290636801780148346npi162906368011DERIVED85.249999-12-31PROFESSIONAL1427719657npi161901856111FEE SCHEDULE42.629999-12-31PROFESSIONAL1396791109npi19920452721821141714npi199204527211FFSShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less11300CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or lessDERIVED83.009999-12-31PROFESSIONAL1336771500npi161901856111FFSSHAV LES UP BOD 2.0CM11308CPT2026SHAV LES UP BOD 2.0CMDERIVED123.619999-12-31PROFESSIONAL1679152300npi161901856111FFSEXC LES. TRUNK ARMS OR LEGS11402CPT2026EXC LES. TRUNK ARMS OR LEGSFEE SCHEDULE88.659999-12-31PROFESSIONAL1174678908npi19920452721497810493npi199204527211FEE SCHEDULE139.309999-12-31PROFESSIONAL1831176858npi164967666911FEE SCHEDULE185.749999-12-31PROFESSIONAL1114912466npi16290636801346462181npi162906368011FFSREMOVAL OF SKIN LESION11443CPT2026REMOVAL OF SKIN LESIONDERIVED120.149999-12-31PROFESSIONAL1114293412npi161901856111FFSExcision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm11643CPT2026Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cmFEE SCHEDULE330.569999-12-31PROFESSIONAL1407811235npi187190023311DERIVED7235.959999-12-31INSTITUTIONAL1245785567npi124578556722FFSEXC M.-FACE,EARS,EYELIDS,NOS11644CPT2026EXC M.-FACE,EARS,EYELIDS,NOSDERIVED129.299999-12-31PROFESSIONAL1306036868npi102359217722FFSREPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 7.6-12.512034CPT2026REPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 7.6-12.5FEE SCHEDULE364.479999-12-31PROFESSIONAL1346462181npi162906368011FFSREPAIR,INTRMD,WOUNDS NCK,HNDS,FEET,EXT 2.6-7.512042CPT2026REPAIR,INTRMD,WOUNDS NCK,HNDS,FEET,EXT 2.6-7.5FEE SCHEDULE331.119999-12-31PROFESSIONAL1265887152npi162906368011FFSREPAIR,INTRMD,WOUNDS FACE,EARS,EYELIDS 5.1-7.512053CPT2026REPAIR,INTRMD,WOUNDS FACE,EARS,EYELIDS 5.1-7.5FEE SCHEDULE374.689999-12-31PROFESSIONAL1407811235npi187190023311FFSFULL THICK.GRAFT-FOREHEAD,CH15240CPT2026FULL THICK.GRAFT-FOREHEAD,CHFEE SCHEDULE904.429999-12-31PROFESSIONAL1265693568npi101393608722FFSFULL THICK.GRAFT-NOSE,EARS,E15260CPT2026FULL THICK.GRAFT-NOSE,EARS,EDERIVED772.889999-12-31PROFESSIONAL1306036868npi102359217722DERIVED7235.959999-12-31INSTITUTIONAL1245785567npi124578556722FFSDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14DERIVED6.439999-12-31PROFESSIONAL1023260973npi199218107711FEE SCHEDULE5.469999-12-31PROFESSIONAL1396791109npi19920452721821141714npi199204527211DERIVED5.459999-12-31PROFESSIONAL1528383296npi189119744811DERIVED12.889999-12-31PROFESSIONAL1114293412npi161901856111DERIVED21.849999-12-31PROFESSIONAL1073961017npi161901856111FEE SCHEDULE6.749999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801346462181npi16290636801689646929npi148782741611DERIVED5.469999-12-31PROFESSIONAL1336758101npi161901856111FEE SCHEDULE5.769999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE6.449999-12-31PROFESSIONAL1952337966npi199204527211FEE SCHEDULE10.119999-12-31PROFESSIONAL1831176858npi164967666911FEE SCHEDULE8.589999-12-31PROFESSIONAL1750546040npi164967666911FFSDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSDERIVED57.029999-12-31PROFESSIONAL1356446223npi189119744811DERIVED104.009999-12-31PROFESSIONAL1881630119npi161901856111DERIVED114.049999-12-31PROFESSIONAL1023260973npi19921810771356446223npi189119744811FEE SCHEDULE152.059999-12-31PROFESSIONAL1225014384npi16496766691225412901npi13462264041750546040npi164967666911DERIVED96.669999-12-31PROFESSIONAL1336758101npi16190185611528383296npi18911974481932831021npi161901856111FEE SCHEDULE119.479999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801346462181npi16290636801689646929npi148782741611FFSDESTRUCTION OF SKIN LESIONS17263CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE204.619999-12-31PROFESSIONAL1346462181npi162906368011FFSDestruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm17272CPT2026Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cmFEE SCHEDULE199.319999-12-31PROFESSIONAL1346462181npi162906368011FFSMohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (17311CPT2026Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (FEE SCHEDULE723.079999-12-31PROFESSIONAL1336134360npi162906368011FFSCRYOTHERAPY OF SKIN17340CPT2026CRYOTHERAPY OF SKINDERIVED61.819999-12-31PROFESSIONAL1558380444npi154858460011FFSBIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE19083CPT2026BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCEDERIVED679.419999-12-31PROFESSIONAL1396756474npi124527167511FFSPostprocedural pneumothorax200MS-DRG10Postprocedural pneumothoraxDERIVED11370.539999-12-31INSTITUTIONAL1871977942npi187197794221FFSInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")FEE SCHEDULE77.459999-12-31PROFESSIONAL1265693568npi10139360871841596327npi101393608711DERIVED60.519999-12-31PROFESSIONAL1881057321npi190297849711FEE SCHEDULE66.569999-12-31PROFESSIONAL1760463848npi192218800211DERIVED63.539999-12-31PROFESSIONAL1356446223npi189119744811FFSDRAIN/INJECT JOINT/BURSA20600CPT2026DRAIN/INJECT JOINT/BURSADERIVED58.859999-12-31PROFESSIONAL1356446223npi189119744811FFSArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting20611CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reportingDERIVED119.329999-12-31PROFESSIONAL1821102047npi176059690211FEE SCHEDULE130.749999-12-31PROFESSIONAL1790171130npi106346376811FFSInsertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each inter22853CPT2026Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interDERIVED411.039999-12-31PROFESSIONAL1184601304npi178010052921FFSInjection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography23350CPT2026Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrographyDERIVED88.079999-12-31PROFESSIONAL1821102047npi176059690211DERIVED223.619999-12-31PROFESSIONAL1396756474npi124527167511FFSClosed treatment of shoulder dislocation, with manipulation; without anesthesia23650CPT2026Closed treatment of shoulder dislocation, with manipulation; without anesthesiaDERIVED471.089999-12-31INSTITUTIONAL1811991227npi181199122723FFSOPEN TENOTOMY ELBOW, W/ TENDON REPAIR AND REATTACH24359CPT2026OPEN TENOTOMY ELBOW, W/ TENDON REPAIR AND REATTACHDERIVED729.599999-12-31PROFESSIONAL1821102047npi176059690222FFSARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; INTERPOSITION (EG, TENDON)25447CPT2026ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; INTERPOSITION (EG, TENDON)FEE SCHEDULE975.329999-12-31PROFESSIONAL1265693568npi101393608722DERIVED14377.059999-12-31INSTITUTIONAL1811991227npi181199122722FFSTENDON SHEATH INCISION26055CPT2026TENDON SHEATH INCISIONFEE SCHEDULE371.179999-12-31PROFESSIONAL1265693568npi101393608722FFSBradycardia, unspecified277MS-DRG10Bradycardia, unspecifiedDERIVED27110.549999-12-31INSTITUTIONAL1871977942npi187197794221DERIVED60478.609999-12-31INSTITUTIONAL1871977942npi187197794221FFSSTRAPPING OF ANKLE29540CPT2026STRAPPING OF ANKLEFEE SCHEDULE30.729999-12-31PROFESSIONAL1760463848npi192218800211FFSARTHOSCOPY KNEE SURG INF LAVAGE/DRAINAGE LATERAL R29873CPT2026ARTHOSCOPY KNEE SURG INF LAVAGE/DRAINAGE LATERAL RDERIVED304.809999-12-31PROFESSIONAL1821102047npi176059690222FFSArthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29880APC2026Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performedFEE SCHEDULE1703.469999-12-31INSTITUTIONAL1417286428npi141728642824FFSNasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)31231CPT2026Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)FEE SCHEDULE246.199999-12-31PROFESSIONAL1134168438npi11846257331194796128npi11846257331245214022npi118462573311FFSNasal/sinus endoscopy, surgical; with control of nasal hemorrhage31238CPT2026Nasal/sinus endoscopy, surgical; with control of nasal hemorrhageFEE SCHEDULE337.739999-12-31PROFESSIONAL1194796128npi118462573311FFSLaryngoscopy, flexible; diagnostic31575CPT2026Laryngoscopy, flexible; diagnosticFEE SCHEDULE163.019999-12-31PROFESSIONAL1194796128npi11846257331427033984npi118462573311FEE SCHEDULE81.509999-12-31PROFESSIONAL1194796128npi118462573311FFSSLCTVE CATH PLCMNT, VERTEBRAL ARTERY W/ANGIOGRAM36226CPT2026SLCTVE CATH PLCMNT, VERTEBRAL ARTERY W/ANGIOGRAMFEE SCHEDULE226.099999-12-31PROFESSIONAL1043203706npi106346376822FEE SCHEDULE215.329999-12-31PROFESSIONAL1043203706npi106346376821FFSPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED13.839999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.049999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED10.009999-12-31PROFESSIONAL1316933708npi132625496211DERIVED11.509999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED13.189999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED14.219999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED6.009999-12-31PROFESSIONAL1073564910npi102344793511DERIVED11.389999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED14.539999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED8.779999-12-31PROFESSIONAL1083322713npi132625496211DERIVED9.009999-12-31PROFESSIONAL1902068158npi176059096211DERIVED11.829999-12-31INSTITUTIONAL1871977942npi187197794222FFSBiopsy of lip40490CPT2026Biopsy of lipDERIVED124.839999-12-31PROFESSIONAL1114293412npi161901856111FFSESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;DIAG INC43235CPT2026ESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;DIAG INCFEE SCHEDULE113.089999-12-31PROFESSIONAL1376644328npi148776713324FEE SCHEDULE573.129999-12-31PROFESSIONAL1508855487npi179077231722FFSESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPS43239CPT2026ESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPSDERIVED85.389999-12-31PROFESSIONAL1275563991npi178010052924FEE SCHEDULE63.259999-12-31PROFESSIONAL1376644328npi148776713324FEE SCHEDULE126.509999-12-31PROFESSIONAL1376644328npi14877671331528091725npi11243287861699717611npi13261947132224FEE SCHEDULE69.589999-12-31PROFESSIONAL1275806721npi124528353022FFSCYSTOURETHROSCOPY SEPERATE PROCEDURE52000CPT2026CYSTOURETHROSCOPY SEPERATE PROCEDUREDERIVED81.259999-12-31PROFESSIONAL1598054751npi102344793524FFSREMOVAL OF SPERM DUCT(S)55250APC2026REMOVAL OF SPERM DUCT(S)DERIVED900.009999-12-31INSTITUTIONAL1518976661npi151897666124FFSCOLPOSCOPY CERVIX/UPPER/ADJACENT VAGINA/CURETTAGE57456CPT2026COLPOSCOPY CERVIX/UPPER/ADJACENT VAGINA/CURETTAGEDERIVED145.059999-12-31PROFESSIONAL1144225541npi150881869111FFSCellulitis of perineum580MS-DRG10Cellulitis of perineumDERIVED23047.709999-12-31INSTITUTIONAL1871977942npi187197794221FFSRemoval of intrauterine device (IUD)58301CPT2026Removal of intrauterine device (IUD)DERIVED140.399999-12-31PROFESSIONAL1366448805npi187157203211FFSHYSTEROSCOPY SURGICAL W BIOPSY W/WO D&C58558CPT2026HYSTEROSCOPY SURGICAL W BIOPSY W/WO D&CDERIVED268.209999-12-31PROFESSIONAL1679100853npi187157203222FFSRoutine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care59400CPT2026Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum careDERIVED3399.009999-12-31PROFESSIONAL1366448805npi187157203221FFSLaminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar63042CPT2026Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbarDERIVED1067.139999-12-31PROFESSIONAL1184601304npi178010052921DERIVED2134.279999-12-31PROFESSIONAL1184601304npi178010052921FFSLaminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar63047CPT2026Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbarDERIVED1864.179999-12-31PROFESSIONAL1184601304npi178010052922FFSChemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)64615CPT2026Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)DERIVED164.059999-12-31PROFESSIONAL1710975073npi105375918311FEE SCHEDULE270.689999-12-31PROFESSIONAL1104846815npi108367960911FFSCAT SCAN OF HEAD OR BRAIN70450CPT2026CAT SCAN OF HEAD OR BRAINDERIVED896.499999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE65.699999-12-31PROFESSIONAL1205869203npi10737850441295739522npi10737850441407032071npi10737850441508128760npi10737850441548482151npi10737850441558792481npi10737850441649332172npi10737850441750733614npi10737850441861712531npi10737850441932335031npi10737850441992049621npi107378504423DERIVED1451.319999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED1492.839999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE43.799999-12-31PROFESSIONAL1396756474npi10634007291568752103npi10634007292123DERIVED152.109999-12-31PROFESSIONAL1104860600npi12452716751316981996npi12452716751619037025npi124527167511DERIVED771.829999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED887.599999-12-31INSTITUTIONAL1871977942npi187197794223FFSCT SCAN OF ORBIT,W/O & W/CONTRAST70482CPT2026CT SCAN OF ORBIT,W/O & W/CONTRASTDERIVED296.919999-12-31PROFESSIONAL1548688708npi124527167511FFSCONTRAST CAT SCAN, FACE/JAW70487CPT2026CONTRAST CAT SCAN, FACE/JAWDERIVED991.909999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE86.979999-12-31PROFESSIONAL1386910255npi107378504423FFSCT ANGIO,HEAD,W/O CONTR FOLLOWED BY CONTR70496CPT2026CT ANGIO,HEAD,W/O CONTR FOLLOWED BY CONTRDERIVED389.159999-12-31PROFESSIONAL1942207709npi124527167511FFSMagnetic resonance angiography, head; without contrast material(s)70544CPT2026Magnetic resonance angiography, head; without contrast material(s)DERIVED304.949999-12-31PROFESSIONAL1093750820npi124527167511FFSMAGNETIC IMAGE, BRAIN (MRI)70553CPT2026MAGNETIC IMAGE, BRAIN (MRI)FEE SCHEDULE490.509999-12-31PROFESSIONAL1932335031npi179077231711FFSX-RAY EXAM OF SPINE;SINGLE VIEW72020CPT2026X-RAY EXAM OF SPINE;SINGLE VIEWFEE SCHEDULE12.809999-12-31PROFESSIONAL1326074188npi10737850441669451126npi10737850442122FFSX-RAY EXAM,SPINE,CERV;2 OR 3 VIEWS72040CPT2026X-RAY EXAM,SPINE,CERV;2 OR 3 VIEWSDERIVED38.679999-12-31PROFESSIONAL1841711819npi155834024011FFSX-RAY EXAM, SPINE;THORACOLUMBAR, 2 VIEWS72080CPT2026X-RAY EXAM, SPINE;THORACOLUMBAR, 2 VIEWSDERIVED34.199999-12-31PROFESSIONAL1841711819npi155834024011FFSMAGNETIC IMAGE, LUMBAR SPINE72148CPT2026MAGNETIC IMAGE, LUMBAR SPINEDERIVED273.369999-12-31PROFESSIONAL1073557518npi12452716751093759599npi12452716751104860600npi12452716751154325793npi12452716751154358398npi12452716751306188073npi12452716751316981996npi12452716751326082975npi12452716751336566330npi12452716751619037025npi12452716751699717124npi124527167511FFSMRI NECK SPINE W/ & W/O CONTRAST72156CPT2026MRI NECK SPINE W/ & W/O CONTRASTDERIVED296.459999-12-31PROFESSIONAL1336566330npi124527167511FFSMRI CHEST SPINE W/O & W/CONTRAST72157CPT2026MRI CHEST SPINE W/O & W/CONTRASTDERIVED453.809999-12-31PROFESSIONAL1336566330npi124527167511FFSRadiologic examination, pelvis; 1 or 2 views72170CPT2026Radiologic examination, pelvis; 1 or 2 viewsDERIVED27.449999-12-31PROFESSIONAL1073592788npi15583402401710966601npi155834024011DERIVED396.509999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE26.899999-12-31PROFESSIONAL1083265086npi194226369411FEE SCHEDULE31.569999-12-31PROFESSIONAL1144451055npi194226369411DERIVED397.829999-12-31INSTITUTIONAL1700978558npi170097855822FFSRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsDERIVED29.589999-12-31PROFESSIONAL1770129413npi155834024011DERIVED368.839999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED31.329999-12-31PROFESSIONAL1821102047npi176059690211DERIVED34.809999-12-31PROFESSIONAL1710966601npi15583402401952355497npi155834024011FEE SCHEDULE40.029999-12-31PROFESSIONAL1134396831npi19422636941194786293npi19422636941447489828npi194226369411DERIVED321.109999-12-31INSTITUTIONAL1063426823npi106342682323FFSRadiologic examination, wrist; complete, minimum of 3 views73110CPT2026Radiologic examination, wrist; complete, minimum of 3 viewsDERIVED36.929999-12-31PROFESSIONAL1851854103npi100336966111FEE SCHEDULE53.119999-12-31PROFESSIONAL1265693568npi101393608711DERIVED41.499999-12-31PROFESSIONAL1033172200npi155834024011FFSMRI, JNT UPP EXT;W/ CONTR73222CPT2026MRI, JNT UPP EXT;W/ CONTRDERIVED442.699999-12-31PROFESSIONAL1154358398npi124527167511FFSX-RAY EXAM OF KNEE73560CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE13.339999-12-31PROFESSIONAL1831489368npi107378504422FFSX-RAY EXAM OF KNEE73562CPT2026X-RAY EXAM OF KNEEDERIVED41.189999-12-31PROFESSIONAL1033172200npi15583402401073592788npi15583402401316926025npi155834024011FEE SCHEDULE37.069999-12-31PROFESSIONAL1174620702npi118407526911DERIVED306.319999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE15.499999-12-31PROFESSIONAL1346502622npi10737850441881000149npi107378504423FEE SCHEDULE47.369999-12-31PROFESSIONAL1447489828npi19422636941457315772npi194226369411FFSRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED33.199999-12-31PROFESSIONAL1073592788npi15583402401316926025npi15583402401740606441npi15583402401790281400npi155834024011DERIVED48.469999-12-31PROFESSIONAL1306188073npi124527167511FEE SCHEDULE36.519999-12-31PROFESSIONAL1760463848npi192218800211DERIVED28.219999-12-31PROFESSIONAL1184031338npi155834024011FFSX-RAY EXAM OF FOOT73630CPT2026X-RAY EXAM OF FOOTFEE SCHEDULE13.379999-12-31PROFESSIONAL1326074188npi107378504423FFSCT ABDOM/PELVIS W/CONTRST INCL NON-CONTRST IMAGE74174CPT2026CT ABDOM/PELVIS W/CONTRST INCL NON-CONTRST IMAGEFEE SCHEDULE112.179999-12-31PROFESSIONAL1578507588npi106340072923FFSRadiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study74221CPT2026Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) studyDERIVED150.129999-12-31PROFESSIONAL1104860600npi124527167511FFSCT,HEART,W/O CONTRAST W/QUANT. EVAL CORONARY CALCM75571CPT2026CT,HEART,W/O CONTRAST W/QUANT. EVAL CORONARY CALCMDERIVED141.499999-12-31PROFESSIONAL1780655498npi12452716751831136191npi124527167511FFSCT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CON75574CPT2026CT ANGIOGRPHY,HEART,CORONARY ARTERIES/GRAFTS W/CONFEE SCHEDULE183.689999-12-31PROFESSIONAL1386733566npi107378504422DERIVED301.299999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED463.839999-12-31PROFESSIONAL1780628339npi12452716751942207709npi124527167511DERIVED697.089999-12-31INSTITUTIONAL1871977942npi187197794222FFSOPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRY76514CPT2026OPHTHALMIC ULTRASOUND, CORNEAL PACHYMETRYFEE SCHEDULE12.939999-12-31PROFESSIONAL1700311040npi171038140511FFSECHO EXAM OF ABDOMEN76700CPT2026ECHO EXAM OF ABDOMENDERIVED162.739999-12-31PROFESSIONAL1588661763npi124527167511FFSUltrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)76705CPT2026Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)DERIVED545.499999-12-31INSTITUTIONAL1649367269npi164936726922FFSECHO PELVIC(NON-OB)COMPLETE76857CPT2026ECHO PELVIC(NON-OB)COMPLETEDERIVED52.839999-12-31PROFESSIONAL1366448805npi187157203211FFSECHO EXAM TRANSRECTAL76872CPT2026ECHO EXAM TRANSRECTALDERIVED34.839999-12-31PROFESSIONAL1073564910npi102344793524DERIVED128.309999-12-31PROFESSIONAL1790949873npi102344793511FFSUltrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation76882CPT2026Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentationDERIVED215.519999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE72.699999-12-31PROFESSIONAL1013973882npi175056469611DERIVED48.679999-12-31PROFESSIONAL1700870177npi176059690211DERIVED56.899999-12-31PROFESSIONAL1821102047npi176059690211DERIVED92.299999-12-31PROFESSIONAL1235128620npi12452716751386757631npi124527167511FFSFluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)77002CPT2026Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)DERIVED145.609999-12-31PROFESSIONAL1063077667npi124527167511DERIVED171.439999-12-31PROFESSIONAL1073557518npi12452716751093750820npi12452716751306188073npi12452716751396756474npi12452716751457886046npi124527167511FFSSCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERAL77063CPT2026SCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERALDERIVED18.689999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED73.399999-12-31PROFESSIONAL1083656706npi12452716751104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751386757631npi12452716751396756474npi12452716751497103121npi12452716751578507588npi12452716751619037025npi12452716751780655498npi12452716751831136191npi124527167511FEE SCHEDULE82.959999-12-31PROFESSIONAL1093941700npi160983488611DERIVED41.189999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE46.079999-12-31PROFESSIONAL1104323385npi10737850441538115779npi10737850441821218231npi10737850441982838744npi10737850441922FFSRADIATION TX MANAGEMENT X577427CPT2026RADIATION TX MANAGEMENT X5DERIVED182.759999-12-31PROFESSIONAL1598955171npi102344793511FFSW/PHARM INTERVEN, INCL QUANT MEASURMENT WHEN PERF78227CPT2026W/PHARM INTERVEN, INCL QUANT MEASURMENT WHEN PERFFEE SCHEDULE68.449999-12-31PROFESSIONAL1043218662npi107378504422FFSNUCLEAR EXAM, STOMACH78264CPT2026NUCLEAR EXAM, STOMACHDERIVED408.719999-12-31PROFESSIONAL1093759599npi124527167511FFSUrea breath test, C-14 (isotopic); analysis78268CPT2026Urea breath test, C-14 (isotopic); analysisFEE SCHEDULE94.419999-12-31PROFESSIONAL1528091725npi11243287861699717611npi132619471311FFSCardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing78472CPT2026Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processingDERIVED293.719999-12-31PROFESSIONAL1093759599npi12452716751104860600npi124527167511FFSGeneral health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and80050CPT2026General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) andDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSLIPID PANEL80061CPT2026LIPID PANELDERIVED130.879999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED13.669999-12-31PROFESSIONAL1043834328npi131638516411DERIVED133.549999-12-31INSTITUTIONAL1649367269npi164936726923FFSAcute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)80074CPT2026Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eit80307CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eitFEE SCHEDULE68.359999-12-31PROFESSIONAL1881056018npi155831012811DERIVED545.169999-12-31INSTITUTIONAL1679678486npi167967848623FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED87.679999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED2.259999-12-31PROFESSIONAL1013412196npi124528353011DERIVED56.279999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED75.739999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED62.089999-12-31INSTITUTIONAL1871977942npi187197794222FFSFETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATING CELL-FREE FETAL DNA IN MATERNAL BLOOD, MUST INCLUDE ANALYSIS OF CHROMOSOMES 13, 18, AND 2181420CPT2026FETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATING CELL-FREE FETAL DNA IN MATERNAL BLOOD, MUST INCLUDE ANALYSIS OF CHROMOSOMES 13, 18, AND 21DERIVED750.009999-12-31PROFESSIONAL1891731626npi189173162681FFSVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedFEE SCHEDULE58.099999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSFerritin82728CPT2026FerritinFEE SCHEDULE26.739999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781FFSFolic acid; serum82746CPT2026Folic acid; serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED86.339999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED59.369999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE19.049999-12-31PROFESSIONAL1750301172npi179077231781FFSImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method83516CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step methodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSIron83540CPT2026IronFEE SCHEDULE12.719999-12-31PROFESSIONAL1841351566npi179077231781FFSNephelometry, each analyte not elsewhere specified83883CPT2026Nephelometry, each analyte not elsewhere specifiedFEE SCHEDULE26.679999-12-31PROFESSIONAL1750301172npi179077231781FFSPorphyrins, urine; quantitation and fractionation84120CPT2026Porphyrins, urine; quantitation and fractionationFEE SCHEDULE28.879999-12-31PROFESSIONAL1750301172npi179077231781FFSThyroxine; free84439CPT2026Thyroxine; freeDERIVED29.659999-12-31INSTITUTIONAL1871977942npi187197794223FFSCoagulation time; activated85347CPT2026Coagulation time; activatedDERIVED79.119999-12-31INSTITUTIONAL1871977942npi187197794222FFSFibrin degradation products, D-dimer; quantitative85379CPT2026Fibrin degradation products, D-dimer; quantitativeDERIVED136.119999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED140.059999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED147.059999-12-31INSTITUTIONAL1871977942npi187197794223FFSBLOOD PLATELET AGGREGATION85576CPT2026BLOOD PLATELET AGGREGATIONDERIVED16.769999-12-31PROFESSIONAL1861451593npi126549387821FFSProthrombin time;85610CPT2026Prothrombin time;DERIVED43.309999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED55.069999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED67.119999-12-31INSTITUTIONAL1245785567npi124578556722FEE SCHEDULE7.709999-12-31PROFESSIONAL1750301172npi179077231711DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED50.839999-12-31INSTITUTIONAL1871977942npi18719779422223DERIVED53.029999-12-31INSTITUTIONAL1700978558npi170097855822FFSThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED65.729999-12-31INSTITUTIONAL1871977942npi18719779422223DERIVED99.229999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423FEE SCHEDULE11.789999-12-31PROFESSIONAL1750301172npi179077231711DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422DERIVED63.869999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED74.609999-12-31INSTITUTIONAL1700978558npi170097855822FFSTissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)87220CPT2026Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)DERIVED9.989999-12-31INSTITUTIONAL1871977942npi187197794222FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE87491CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUEDERIVED92.919999-12-31INSTITUTIONAL1871977942npi187197794223FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus87807CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virusDERIVED13.759999-12-31PROFESSIONAL1396704821npi190208406411FFSMICROSCOPIC EXAM OF CELLS88108CPT2026MICROSCOPIC EXAM OF CELLSDERIVED82.179999-12-31INSTITUTIONAL1871977942npi187197794222FFSLEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88307CPT2026LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED72.159999-12-31PROFESSIONAL1508190927npi126549387822FEE SCHEDULE320.189999-12-31PROFESSIONAL1790041218npi179077231721FFSTISSUE EXAM BY PATHOLOGIST88309CPT2026TISSUE EXAM BY PATHOLOGISTFEE SCHEDULE560.519999-12-31PROFESSIONAL1790041218npi179077231721FFSSPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORG88312CPT2026SPEC STAINS INCL INTERPRETATION/REP:GRP 1 MICROORGDERIVED23.669999-12-31PROFESSIONAL1861451593npi126549387822FEE SCHEDULE63.649999-12-31PROFESSIONAL1265798870npi126579887081FFSEA ADDTL TISSUE BLOCK WITH FROZEN SECTION(S)88332CPT2026EA ADDTL TISSUE BLOCK WITH FROZEN SECTION(S)FEE SCHEDULE31.399999-12-31PROFESSIONAL1265798870npi126579887015FEE SCHEDULE118.849999-12-31PROFESSIONAL1790041218npi179077231721FFSIMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EAC88341CPT2026IMMUNOHISTOCHEMISTRY/IMMUNOCYTOCHHEMISTRY/SPEC;EACFEE SCHEDULE88.809999-12-31PROFESSIONAL1790041218npi179077231721FEE SCHEDULE54.629999-12-31PROFESSIONAL1265798870npi126579887081FEE SCHEDULE63.739999-12-31PROFESSIONAL1467433292npi146743329281FFSImmunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)88350CPT2026Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)FEE SCHEDULE186.129999-12-31PROFESSIONAL1326004813npi125538355011FFSOPIOID ABUSE WITH WITHDRAWAL894MS-DRG10OPIOID ABUSE WITH WITHDRAWALDERIVED4047.369999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED6374.649999-12-31INSTITUTIONAL1811991227npi181199122721FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED20.219999-12-31PROFESSIONAL1083322713npi132625496211DERIVED21.519999-12-31PROFESSIONAL1205889243npi12856853701376047134npi16391384801649277880npi12856853701720749807npi16391384801952357840npi124528353011DERIVED22.589999-12-31PROFESSIONAL1619381894npi124528353011DERIVED18.289999-12-31PROFESSIONAL1578296711npi124528353011DERIVED23.669999-12-31PROFESSIONAL1427517432npi109349363711FFSMeningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use90619CPT2026Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular useDERIVED144.189999-12-31PROFESSIONAL1376047134npi16391384801720749807npi163913848011DERIVED136.979999-12-31PROFESSIONAL1821014192npi194268913811FFSHaemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use90648CPT2026Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular useDERIVED13.179999-12-31PROFESSIONAL1750305900npi163913848011FFSPsychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)90833CPT2026Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)FEE SCHEDULE77.629999-12-31PROFESSIONAL1629200647npi162920064711FEE SCHEDULE73.539999-12-31PROFESSIONAL1962548552npi155879840511FFSPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRFEE SCHEDULE131.009999-12-31PROFESSIONAL1861717480npi125503927711FEE SCHEDULE130.429999-12-31PROFESSIONAL1861717480npi125503927711FEE SCHEDULE140.749999-12-31PROFESSIONAL1205029899npi12050298991558408344npi15584083441679586655npi16795866550211FFSOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsDERIVED60.009999-12-31PROFESSIONAL1851476956npi149742156411FEE SCHEDULE161.119999-12-31PROFESSIONAL1437684776npi17103814051700311040npi171038140511FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), ANTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL92132CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), ANTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERALDERIVED23.369999-12-31PROFESSIONAL1306948344npi130694834411FFSFundus photography with interpretation and report92250CPT2026Fundus photography with interpretation and reportDERIVED29.109999-12-31PROFESSIONAL1689141889npi190292173711DERIVED30.929999-12-31PROFESSIONAL1356929012npi154825989811FEE SCHEDULE40.029999-12-31PROFESSIONAL1437684776npi17103814051700311040npi17103814051992932776npi171038140511DERIVED34.199999-12-31PROFESSIONAL1083322713npi132625496211FFSEvaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)92523CPT2026Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)DERIVED70.009999-12-31PROFESSIONAL1295488567npi129527999011FFSTympanometry and reflex threshold measurements92550CPT2026Tympanometry and reflex threshold measurementsFEE SCHEDULE83.679999-12-31PROFESSIONAL1487086534npi179077231711FFSComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)92557CPT2026Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)FEE SCHEDULE164.059999-12-31PROFESSIONAL1275559932npi17907723171487086534npi179077231711FEE SCHEDULE40.519999-12-31PROFESSIONAL1457704710npi118462573311FFSQUANT ANALYS OUTER HAIR CELL FUNC COCHLEAR MAPPING92588CPT2026QUANT ANALYS OUTER HAIR CELL FUNC COCHLEAR MAPPINGFEE SCHEDULE38.439999-12-31PROFESSIONAL1457704710npi118462573311FFSElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyFEE SCHEDULE9.269999-12-31PROFESSIONAL1194785519npi12452835301487614947npi12452835301487887295npi12452835301518100148npi124528353022FEE SCHEDULE37.399999-12-31PROFESSIONAL1710974977npi179077231721FEE SCHEDULE10.959999-12-31PROFESSIONAL1114975596npi12452835301649230103npi124528353021FEE SCHEDULE13.059999-12-31PROFESSIONAL1487887295npi12452835301518100148npi12452835301750514154npi12452835301851309629npi124528353023FEE SCHEDULE16.849999-12-31PROFESSIONAL1073748166npi12058808531114374048npi12058808531184202657npi12058808531215166749npi12058808531275575144npi12058808531396782074npi12058808531437479698npi12058808531447837182npi12058808531588852644npi12058808531780180257npi12058808531821580986npi12058808531972589893npi12058808531972719292npi120588085323FFSExternal electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional93227CPT2026External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professionalFEE SCHEDULE15.899999-12-31PROFESSIONAL1609907948npi104355169021FFSTECHNICAL SUPPORT CARDIOVASC TELEM/ECG MONITOR93229CPT2026TECHNICAL SUPPORT CARDIOVASC TELEM/ECG MONITORDERIVED726.449999-12-31PROFESSIONAL1790869402npi179086940211FEE SCHEDULE799.089999-12-31PROFESSIONAL1750332250npi174055985511FEE SCHEDULE653.809999-12-31PROFESSIONAL1609907948npi104355169011FEE SCHEDULE726.449999-12-31PROFESSIONAL1972841526npi197284152611FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)93246CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)FEE SCHEDULE12.509999-12-31PROFESSIONAL1417921701npi194225068311FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report93247CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with reportDERIVED335.009999-12-31PROFESSIONAL1790869402npi179086940211FFSECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERFEE SCHEDULE60.759999-12-31PROFESSIONAL1609907948npi104355169021FEE SCHEDULE172.469999-12-31PROFESSIONAL1609907948npi104355169011DERIVED60.759999-12-31PROFESSIONAL1114975596npi16695892632122DERIVED172.469999-12-31PROFESSIONAL1114975596npi16695892631306074372npi16695892631649230103npi166958926311DERIVED182.049999-12-31PROFESSIONAL1245288505npi126576004511DERIVED1562.349999-12-31INSTITUTIONAL1649367269npi164936726923FEE SCHEDULE210.789999-12-31PROFESSIONAL1417921701npi19422506831750332250npi174055985511FFSEchocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study93308CPT2026Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited studyFEE SCHEDULE88.439999-12-31PROFESSIONAL1609907948npi104355169011FFSW/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHY93458CPT2026W/LT HRT CATH INCL INTRPRC INJ FOR LT VNTRCULGRPHYDERIVED5154.309999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED287.249999-12-31PROFESSIONAL1245288505npi126576004522DERIVED5727.009999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE272.129999-12-31PROFESSIONAL1609907948npi104355169022FFSDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyFEE SCHEDULE202.079999-12-31PROFESSIONAL1417921701npi194225068311FEE SCHEDULE165.339999-12-31PROFESSIONAL1609907948npi104355169011FFSCOMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUD93923CPT2026COMPLETE BILATERAL NONINVASIVE PHYSIOLOGIC STUDFEE SCHEDULE143.029999-12-31PROFESSIONAL1417921701npi194225068311FFSLOWER EXTREMITY STUDY93926CPT2026LOWER EXTREMITY STUDYFEE SCHEDULE38.009999-12-31PROFESSIONAL1629088810npi107378504423DERIVED572.699999-12-31INSTITUTIONAL1063426823npi106342682323FFSPressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure b94640CPT2026Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure bDERIVED250.129999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED7.549999-12-31PROFESSIONAL1083134076npi124528353011FFSElectroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 60 hours, up to 8495724CPT2026Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 60 hours, up to 84DERIVED336.539999-12-31PROFESSIONAL1710975073npi105375918311FFSSleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time95800CPT2026Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep timeDERIVED109.919999-12-31PROFESSIONAL1700997707npi157821809511FFSELECTROENCEPHALOGRAM (EEG)95816CPT2026ELECTROENCEPHALOGRAM (EEG)FEE SCHEDULE677.769999-12-31PROFESSIONAL1184817256npi125539687511FFSElectroencephalogram (EEG); including recording awake and asleep95819CPT2026Electroencephalogram (EEG); including recording awake and asleepDERIVED511.109999-12-31PROFESSIONAL1700997707npi157821809511FFSNEEDLE ELECTROMYOGRAPHY,HEMIDIAPHRAGM95866CPT2026NEEDLE ELECTROMYOGRAPHY,HEMIDIAPHRAGMFEE SCHEDULE139.649999-12-31PROFESSIONAL1083824817npi171016209411FFSNerve conduction studies; 7-8 studies95910CPT2026Nerve conduction studies; 7-8 studiesFEE SCHEDULE189.969999-12-31PROFESSIONAL1083824817npi171016209411FFSIntravenous infusion, hydration; initial, 31 minutes to 1 hour96360CPT2026Intravenous infusion, hydration; initial, 31 minutes to 1 hourDERIVED409.129999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED439.349999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED395.899999-12-31INSTITUTIONAL1811991227npi181199122723FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)96366CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)DERIVED71.469999-12-31INSTITUTIONAL1811991227npi181199122722FFSPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED60.009999-12-31PROFESSIONAL1730756594npi129527999011FFSPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED133.049999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED142.809999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED185.779999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED96.009999-12-31PROFESSIONAL1265208532npi18111852911689062580npi181118529111DERIVED96.369999-12-31PROFESSIONAL1811105463npi181118529111FFSDEBRIDEMENT,OPEN WOUND, AREA;FIRST 20SQ CM OR LESS97597CPT2026DEBRIDEMENT,OPEN WOUND, AREA;FIRST 20SQ CM OR LESSFEE SCHEDULE109.009999-12-31PROFESSIONAL1679550016npi195242780911FFSSYNCHRONOUS AUDIO-VIDEO VISIT FOR THE EVALUATION & MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW MEDICAL DECISION MAKING. TIME ON DATE OF SERVICE MUST MEET OR EXCEED 20 MINUTES.98005CPT2026SYNCHRONOUS AUDIO-VIDEO VISIT FOR THE EVALUATION & MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND LOW MEDICAL DECISION MAKING. TIME ON DATE OF SERVICE MUST MEET OR EXCEED 20 MINUTES.FEE SCHEDULE268.009999-12-31PROFESSIONAL1801489497npi106346376810FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99153CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mDERIVED356.549999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE10.969999-12-31PROFESSIONAL1609907948npi104355169022FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED180.379999-12-31PROFESSIONAL1265150924npi102344793511DERIVED224.509999-12-31PROFESSIONAL1558380444npi154858460011DERIVED227.049999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE172.699999-12-31PROFESSIONAL1609907948npi104355169011DERIVED172.699999-12-31PROFESSIONAL1114975596npi16695892631649230103npi166958926311DERIVED191.889999-12-31PROFESSIONAL1952357840npi124528353011FFSSUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,DERIVED64.719999-12-31PROFESSIONAL1114975596npi16695892631912040197npi166958926321FEE SCHEDULE71.909999-12-31PROFESSIONAL1356348593npi11543722411730258146npi110486472721DERIVED89.879999-12-31PROFESSIONAL1063641520npi17801005291114236932npi17801005291588991855npi17801005292122FEE SCHEDULE61.129999-12-31PROFESSIONAL1558404970npi11543722411598904278npi115437224121FEE SCHEDULE79.099999-12-31PROFESSIONAL1437162419npi124528353021DERIVED60.409999-12-31PROFESSIONAL1679117725npi102344793521DERIVED71.909999-12-31PROFESSIONAL1205889243npi128568537021FFSEmergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional99281CPT2026Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professionalDERIVED233.559999-12-31INSTITUTIONAL1871977942npi187197794223FFSCRITAL CARE E & M EACH ADD'L 30 MIN99292CPT2026CRITAL CARE E & M EACH ADD'L 30 MINFEE SCHEDULE206.609999-12-31PROFESSIONAL1396782074npi120588085323FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED180.939999-12-31PROFESSIONAL1609215490npi178010052911DERIVED140.729999-12-31PROFESSIONAL1215955000npi188117982811FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED113.149999-12-31PROFESSIONAL1396704821npi190208406411DERIVED118.549999-12-31PROFESSIONAL1750305900npi163913848011DERIVED129.319999-12-31PROFESSIONAL1356551766npi131638516411FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED118.189999-12-31PROFESSIONAL1750305900npi163913848011DERIVED91.329999-12-31PROFESSIONAL1578296711npi124528353011DERIVED112.819999-12-31PROFESSIONAL1396704821npi190208406411DERIVED107.449999-12-31PROFESSIONAL1013412196npi12452835301952357840npi124528353011FFSInitial hospital or birthing center care, per day, for evaluation and management of normal newborn infant99460CPT2026Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infantDERIVED233.849999-12-31PROFESSIONAL1487622684npi108371179021FFSTECHNETIUM TX-99M LABELED RBC DX UP TO 30 MCIA9560HCPCS2026TECHNETIUM TX-99M LABELED RBC DX UP TO 30 MCIDERIVED150.549999-12-31PROFESSIONAL1104860600npi124527167511FFSCATHETER, INTRAVASCULAR ULTRASOUNDC1753HCPCS2026CATHETER, INTRAVASCULAR ULTRASOUNDDERIVED1361.419999-12-31INSTITUTIONAL1871977942npi187197794222FFSGUIDE WIREC1769HCPCS2026GUIDE WIREDERIVED350.799999-12-31INSTITUTIONAL1871977942npi187197794222FFSJOINT DEVICEC1776HCPCS2026JOINT DEVICEDERIVED7831.749999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED6372.679999-12-31INSTITUTIONAL1285681908npi128568190822DERIVED8396.809999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED9402.129999-12-31INSTITUTIONAL1871977942npi187197794222FFSUNCLASSIFIED DRUGS OR BIOLOGICALSC9399HCPCS2026UNCLASSIFIED DRUGS OR BIOLOGICALSDERIVED19.509999-12-31INSTITUTIONAL1700978558npi170097855822FFSADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED30.009999-12-31PROFESSIONAL1083134076npi12452835301457313421npi132625496211FFSSCRNG COLONOSCOPY, LOW RISK, ABORTEDG0121HCPCS2026SCRNG COLONOSCOPY, LOW RISK, ABORTEDFEE SCHEDULE374.139999-12-31PROFESSIONAL1528091725npi112432878611FFSDIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALG0279HCPCS2026DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS,UNILATERALDERIVED58.479999-12-31PROFESSIONAL1114960200npi12452716751235128620npi12452716751316981996npi12452716751396756474npi12452716751578507588npi12452716751699717124npi12452716751831136191npi124527167511FFSHH/HOSPICE LPN SERVICES 15 MIN EACHG0300HCPCS2026HH/HOSPICE LPN SERVICES 15 MIN EACHDERIVED130.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSHOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTG0463HCPCS2026HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTDERIVED212.149999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED188.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED232.849999-12-31INSTITUTIONAL1821186313npi182118631322FFSINJECTION, ACETAMINOPHEN (B. BRAUN), NOT THERAPEUTICALLY EQUIVALENT TO J0131, 10 MGJ0136HCPCS2026INJECTION, ACETAMINOPHEN (B. BRAUN), NOT THERAPEUTICALLY EQUIVALENT TO J0131, 10 MGDERIVED36.419999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED30.079999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED,J0665HCPCS2026INJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED,DERIVED19.069999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED15.099999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED17.489999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ, METHYLPRED ACETATE 1 MGJ1010HCPCS2026INJ, METHYLPRED ACETATE 1 MGFEE SCHEDULE0.159999-12-31PROFESSIONAL1790171130npi106346376811FFSINJ,DIPHENHYDRAMINE HCL, 50 MGJ1200HCPCS2026INJ,DIPHENHYDRAMINE HCL, 50 MGDERIVED10.739999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED9.999999-12-31INSTITUTIONAL1063426823npi106342682323FFSHEPARIN SODIUM INJECTIONJ1643HCPCS2026HEPARIN SODIUM INJECTIONDERIVED8.739999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED17.039999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ,MIDAZOLAM HYDROCHLORIDE, 1 MGJ2250HCPCS2026INJ,MIDAZOLAM HYDROCHLORIDE, 1 MGDERIVED6.119999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED2.269999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED9.139999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED7.809999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED10.079999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED11.679999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED15.119999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MGJ2272HCPCS2026INJECTION, MORPHINE SULFATE (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J2270, UP TO 10 MGDERIVED18.499999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED18.569999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJECTION, NITROGLYCERIN, 5 MGJ2305HCPCS2026INJECTION, NITROGLYCERIN, 5 MGDERIVED36.749999-12-31INSTITUTIONAL1871977942npi187197794222FFSONDANSETRON-HCL INJ, 1 MGJ2405HCPCS2026ONDANSETRON-HCL INJ, 1 MGDERIVED4.529999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED12.149999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED19.959999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED24.849999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED6.109999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED7.799999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED8.749999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED13.609999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED13.929999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED32.409999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED5.889999-12-31INSTITUTIONAL1871977942npi187197794223FFSINJ,METOCLOPRAMIDE HCL 10MGJ2765HCPCS2026INJ,METOCLOPRAMIDE HCL 10MGDERIVED1.589999-12-31PROFESSIONAL1093759599npi124527167511FFSMETHYLPREDNISOLONE,ORAL 4 MGJ7509HCPCS2026METHYLPREDNISOLONE,ORAL 4 MGFEE SCHEDULE0.249999-12-31PROFESSIONAL1417575887npi179077231711FFSPNEUMATIC WALKING SPLINTL4360HCPCS2026PNEUMATIC WALKING SPLINTFEE SCHEDULE331.309999-12-31PROFESSIONAL1184293839npi194226369411FFSCAST SUPPLIES,SHORT ARM CAST,ADULT,11+,FIBERGLASSQ4010HCPCS2026CAST SUPPLIES,SHORT ARM CAST,ADULT,11+,FIBERGLASSDERIVED22.079999-12-31PROFESSIONAL1851854103npi100336966111FFSAnesthesia for procedures on nose and accessory sinuses; not otherwise specified00160CPT2026Anesthesia for procedures on nose and accessory sinuses; not otherwise specifiedDERIVED455.009999-12-31PROFESSIONAL1528072931npi106346376822FFSAnesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified00300CPT2026Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specifiedDERIVED253.879999-12-31PROFESSIONAL1932167319npi166942957722FFSAnesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified00520CPT2026Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specifiedDERIVED407.079999-12-31PROFESSIONAL1396058756npi12058616971871617670npi120586169722FFSAnesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified01630CPT2026Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specifiedDERIVED728.139999-12-31PROFESSIONAL1518980598npi12058616971881006344npi120586169722DERIVED654.009999-12-31PROFESSIONAL1386975126npi17801005291629055447npi178010052924FFSAnesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic01926CPT2026Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aorticDERIVED1509.339999-12-31PROFESSIONAL1356811244npi106346376821FFSPOST ICU0206RC2026POST ICUDERIVED1251.099999-12-31INSTITUTIONAL1063426823npi106342682321FFSCerebral aneurysm, nonruptured025MS-DRG10Cerebral aneurysm, nonrupturedDERIVED68304.839999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4127.029999-12-31INSTITUTIONAL1811991227npi181199122721FFSSUPPLY/IMPLANTS0278RC2026SUPPLY/IMPLANTSDERIVED52039.629999-12-31INSTITUTIONAL1063426823npi106342682321FFSDX X-RAY0320RC2026DX X-RAYDERIVED1089.439999-12-31INSTITUTIONAL1063426823npi106342682321FFSDX X-RAY/CHEST0324RC2026DX X-RAY/CHESTDERIVED1273.029999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED316.519999-12-31INSTITUTIONAL1063426823npi106342682321FFSTELEMETRY0732RC2026TELEMETRYDERIVED412.909999-12-31INSTITUTIONAL1063426823npi106342682321FFSVACCINE ADMIN0771RC2026VACCINE ADMINNEGOTIATED268.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSEMG0922RC2026EMGDERIVED950.289999-12-31INSTITUTIONAL1063426823npi106342682321FFSIncision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single10060CPT2026Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleFEE SCHEDULE139.779999-12-31PROFESSIONAL1760463848npi192218800211DERIVED113.089999-12-31PROFESSIONAL1962579086npi127555235811DERIVED84.209999-12-31PROFESSIONAL1679117725npi102344793521DERIVED110.269999-12-31PROFESSIONAL1790949873npi102344793521FFSExcision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less11400CPT2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or lessDERIVED131.889999-12-31PROFESSIONAL1356446223npi189119744811FFSREMOVAL OF SKIN LESION11400CPT2026REMOVAL OF SKIN LESIONDERIVED131.889999-12-31PROFESSIONAL1356446223npi189119744811FFSEXC LES. TRUNK ARMS OR LEGS11403CPT2026EXC LES. TRUNK ARMS OR LEGSFEE SCHEDULE108.989999-12-31PROFESSIONAL1689646929npi148782741611FFSEXC LES SCALP,NECK,HAND,FT,G11423CPT2026EXC LES SCALP,NECK,HAND,FT,GFEE SCHEDULE228.219999-12-31PROFESSIONAL1245397413npi18018432631265887152npi162906368011DERIVED108.929999-12-31PROFESSIONAL1114293412npi161901856111FFSREMOVAL OF SKIN LESION11441CPT2026REMOVAL OF SKIN LESIONNEGOTIATED293.109999-12-31PROFESSIONAL1659716983npi166942957722FFSExcision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm11442CPT2026Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cmNEGOTIATED7802.009999-12-31INSTITUTIONAL1184709057npi118470905722FFSRepair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm12032CPT2026Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cmFEE SCHEDULE324.629999-12-31PROFESSIONAL1346462181npi162906368011FEE SCHEDULE413.159999-12-31PROFESSIONAL1205296407npi134622640411FEE SCHEDULE309.879999-12-31PROFESSIONAL1497810493npi199204527211FFSREPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 2.6-7.512032CPT2026REPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 2.6-7.5FEE SCHEDULE324.629999-12-31PROFESSIONAL1689646929npi148782741611FEE SCHEDULE486.939999-12-31PROFESSIONAL1831176858npi164967666911FEE SCHEDULE309.879999-12-31PROFESSIONAL1174678908npi199204527211FFSTIS.TRNSFR-FOREHEAD,CHEEKS,C14040CPT2026TIS.TRNSFR-FOREHEAD,CHEEKS,CFEE SCHEDULE841.879999-12-31PROFESSIONAL1336134360npi162906368011FFSDESTRUCTION PREMALIG. LESIONS 15 OR MORE17004CPT2026DESTRUCTION PREMALIG. LESIONS 15 OR MOREFEE SCHEDULE175.489999-12-31PROFESSIONAL1114912466npi162906368011FEE SCHEDULE167.519999-12-31PROFESSIONAL1952337966npi199204527211FEE SCHEDULE141.989999-12-31PROFESSIONAL1043635675npi19920452721316659378npi19920452721396791109npi19920452721821141714npi199204527211FFSInsertion or replacement of breast implant on separate day from mastectomy19342CPT2026Insertion or replacement of breast implant on separate day from mastectomyDERIVED18830.569999-12-31INSTITUTIONAL1811991227npi181199122722FFSINJECTION SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 220552CPT2026INJECTION SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2FEE SCHEDULE201.749999-12-31PROFESSIONAL1972914869npi179077231722DERIVED54.299999-12-31PROFESSIONAL1356446223npi189119744811DERIVED59.479999-12-31PROFESSIONAL1821102047npi176059690211FFSArthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance20605CPT2026Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidanceFEE SCHEDULE73.009999-12-31PROFESSIONAL1265693568npi101393608711FFSArthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;22633CPT2026Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;DERIVED3000.149999-12-31PROFESSIONAL1184601304npi178010052921FFSPercutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each26727APC2026Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, eachFEE SCHEDULE1464.839999-12-31INSTITUTIONAL1407873292npi140787329224FFSAPPLICATION OF LONG ARM CAST29065CPT2026APPLICATION OF LONG ARM CASTDERIVED123.989999-12-31PROFESSIONAL1821102047npi176059690211FFSARTHROSCOPY, SHOULDER DIAG WITH OR W/O SYNOVIAL BI29805CPT2026ARTHROSCOPY, SHOULDER DIAG WITH OR W/O SYNOVIAL BIDERIVED528.899999-12-31PROFESSIONAL1821102047npi176059690211FFSARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFF29827CPT2026ARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFFDERIVED5329.839999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE158.599999-12-31PROFESSIONAL1700667425npi194226369422FEE SCHEDULE1163.129999-12-31PROFESSIONAL1447489828npi19422636942224FFSARTHOSCPY SHOLDER SURGICAL BICEPS TENODESIS29828CPT2026ARTHOSCPY SHOLDER SURGICAL BICEPS TENODESISFEE SCHEDULE501.739999-12-31PROFESSIONAL1447489828npi19422636942224FEE SCHEDULE68.419999-12-31PROFESSIONAL1700667425npi194226369422FFSControl nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method30901CPT2026Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any methodDERIVED448.009999-12-31INSTITUTIONAL1811991227npi181199122723FFSBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stat31652CPT2026Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node statDERIVED203.609999-12-31PROFESSIONAL1487875977npi128568537022FFSSelective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the e36223CPT2026Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the eDERIVED10977.469999-12-31INSTITUTIONAL1811991227npi181199122722FFSSLCTVE CATH PLCMNT,INTERNL CAROTID W/ANGIO EXTCRNL36224CPT2026SLCTVE CATH PLCMNT,INTERNL CAROTID W/ANGIO EXTCRNLFEE SCHEDULE684.489999-12-31PROFESSIONAL1043203706npi106346376822FEE SCHEDULE398.389999-12-31PROFESSIONAL1073557518npi106340072922FEE SCHEDULE651.899999-12-31PROFESSIONAL1043203706npi106346376821DERIVED9228.739999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED9687.489999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED10977.469999-12-31INSTITUTIONAL1811991227npi181199122722FFSEndovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treated36482CPT2026Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and monitoring, percutaneous; first vein treatedFEE SCHEDULE1843.619999-12-31PROFESSIONAL1013973882npi175056469611FFSACUTE APPENDICITIS WITH LOCALIZED PERITONITIS, WITHOUT PERFORATION OR GANGRENE399MS-DRG10ACUTE APPENDICITIS WITH LOCALIZED PERITONITIS, WITHOUT PERFORATION OR GANGRENEDERIVED14609.409999-12-31INSTITUTIONAL1871977942npi187197794221FFSColonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45378APC2026Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)DERIVED839.969999-12-31INSTITUTIONAL1619979580npi161997958024FFSCOLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPE45378CPT2026COLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPEDERIVED228.949999-12-31PROFESSIONAL1750383733npi178010052924FEE SCHEDULE186.559999-12-31PROFESSIONAL1275806721npi124528353022FEE SCHEDULE169.599999-12-31PROFESSIONAL1376644328npi148776713324FEE SCHEDULE1536.369999-12-31PROFESSIONAL1508855487npi179077231722DERIVED642.039999-12-31PROFESSIONAL1275806721npi179079027711FFSColonoscopy, flexible; with biopsy, single or multiple45380APC2026Colonoscopy, flexible; with biopsy, single or multipleDERIVED645.849999-12-31INSTITUTIONAL1518976661npi151897666124DERIVED616.499999-12-31INSTITUTIONAL1386381408npi138638140824DERIVED1086.199999-12-31INSTITUTIONAL1619979580npi161997958024DERIVED575.009999-12-31INSTITUTIONAL1518976661npi151897666124NEGOTIATED293.579999-12-31INSTITUTIONAL1902853195npi190285319524FFSCOLONOSCOPY AND BIOPSY45380CPT2026COLONOSCOPY AND BIOPSYFEE SCHEDULE182.659999-12-31PROFESSIONAL1376644328npi14877671331528091725npi11243287861699717611npi13261947132224DERIVED246.579999-12-31PROFESSIONAL1275563991npi178010052924FFSCOLONOSCOPY, LESION REMOVAL45385APC2026COLONOSCOPY, LESION REMOVALDERIVED322.929999-12-31INSTITUTIONAL1518976661npi151897666124NEGOTIATED293.579999-12-31INSTITUTIONAL1902853195npi190285319524DERIVED543.109999-12-31INSTITUTIONAL1619979580npi161997958024FEE SCHEDULE587.139999-12-31INSTITUTIONAL1407873292npi140787329224DERIVED308.259999-12-31INSTITUTIONAL1386381408npi138638140824DERIVED575.009999-12-31INSTITUTIONAL1518976661npi151897666124FFSColonoscopy, flexible; with endoscopic mucosal resection45390APC2026Colonoscopy, flexible; with endoscopic mucosal resectionDERIVED1361.609999-12-31INSTITUTIONAL1386381408npi138638140824FFSPancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy48153CPT2026Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomyFEE SCHEDULE2040.259999-12-31PROFESSIONAL1487114203npi179077231721FEE SCHEDULE12751.549999-12-31PROFESSIONAL1073752408npi179077231721FFSComplex uroflowmetry (eg, calibrated electronic equipment)51741CPT2026Complex uroflowmetry (eg, calibrated electronic equipment)FEE SCHEDULE291.419999-12-31PROFESSIONAL1417232653npi179077231711FFSCONIZATION OF CERVIX57520CPT2026CONIZATION OF CERVIXDERIVED6925.669999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED352.309999-12-31PROFESSIONAL1679100853npi187157203222FFSInsertion of intrauterine device (IUD)58300CPT2026Insertion of intrauterine device (IUD)DERIVED126.849999-12-31PROFESSIONAL1366448805npi187157203211FFSLAPAROSCOPY W/ RMVL OF ADNEXAL STRUCTURE58661CPT2026LAPAROSCOPY W/ RMVL OF ADNEXAL STRUCTUREDERIVED584.809999-12-31PROFESSIONAL1144225541npi150881869122FFSLAPAROSCOPY, SURG W FULG /EXC LES OVARY58662CPT2026LAPAROSCOPY, SURG W FULG /EXC LES OVARYDERIVED914.809999-12-31PROFESSIONAL1992819957npi178010052922DERIVED13119.569999-12-31INSTITUTIONAL1700978558npi170097855822FFSStereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)61783CPT2026Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)DERIVED375.559999-12-31PROFESSIONAL1184601304npi178010052921FFSSPINAL PUNCT.LUMBAR,DIAGNOST62270CPT2026SPINAL PUNCT.LUMBAR,DIAGNOSTFEE SCHEDULE126.509999-12-31PROFESSIONAL1073748166npi120588085323FFSLaminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical63045CPT2026Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervicalDERIVED7352.189999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ ANESTHETIC AGENT;FEMORAL NERVE, SINGLE64447CPT2026INJ ANESTHETIC AGENT;FEMORAL NERVE, SINGLEFEE SCHEDULE93.359999-12-31PROFESSIONAL1043969272npi194244175324FFSInjection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)64451CPT2026Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)DERIVED250.009999-12-31PROFESSIONAL1821102047npi176059690211FFSINJECTION, ANES AGENT CELIAC PLEXUS W/WO RADI MONI64530CPT2026INJECTION, ANES AGENT CELIAC PLEXUS W/WO RADI MONIFEE SCHEDULE723.049999-12-31PROFESSIONAL1891786984npi179077231722FFSBY PLUG, EACH68761CPT2026BY PLUG, EACHDERIVED178.869999-12-31PROFESSIONAL1578553376npi154825989811FFSREMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERAL69210CPT2026REMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERALFEE SCHEDULE62.159999-12-31PROFESSIONAL1194796128npi118462573311FEE SCHEDULE31.089999-12-31PROFESSIONAL1194796128npi118462573311FEE SCHEDULE52.599999-12-31PROFESSIONAL1659332732npi111490514811FFSRemoval impacted cerumen requiring instrumentation, unilateral69210CPT2026Removal impacted cerumen requiring instrumentation, unilateralFEE SCHEDULE52.599999-12-31PROFESSIONAL1659332732npi111490514811FFSTympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction69642CPT2026Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstructionFEE SCHEDULE5276.319999-12-31PROFESSIONAL1316332877npi179077231722FFSCONTRAST CAT SCANS OF HEAD70470CPT2026CONTRAST CAT SCANS OF HEADDERIVED246.559999-12-31PROFESSIONAL1619037025npi124527167511FFSCT ANGIO,NECK,W/O CONTR FOLLOWED W/ CONTRA70498CPT2026CT ANGIO,NECK,W/O CONTR FOLLOWED W/ CONTRADERIVED247.669999-12-31PROFESSIONAL1578768156npi12452716751942207709npi124527167511FFSMAGNET RES,IMAGE,ORBIT,FACE&NECK;W/O CONT F/BY CON70543CPT2026MAGNET RES,IMAGE,ORBIT,FACE&NECK;W/O CONT F/BY CONDERIVED478.899999-12-31PROFESSIONAL1336566330npi124527167511FFSMRI BRAIN W/ & W/O CONTRAST70553CPT2026MRI BRAIN W/ & W/O CONTRASTDERIVED525.009999-12-31PROFESSIONAL1760567762npi188190490249DERIVED295.539999-12-31PROFESSIONAL1336566330npi124527167511DERIVED451.489999-12-31PROFESSIONAL1093759599npi12452716751306188073npi12452716751336566330npi12452716751548688708npi12452716751619037025npi12452716751720391568npi124527167511FFSRadiologic examination, chest; single view71045CPT2026Radiologic examination, chest; single viewDERIVED24.909999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537011DERIVED156.529999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED350.379999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE13.919999-12-31PROFESSIONAL1023058351npi10737850441073803961npi10737850441093033433npi10737850441093762288npi10737850441285824086npi10737850441295732089npi10737850441295963346npi10737850441336115161npi10737850441417236902npi10737850441417964040npi10737850441437131919npi10737850441437424629npi10737850441447608294npi10737850441497752240npi10737850441588662183npi10737850441609135177npi10737850441609210129npi10737850441619965514npi10737850441629076187npi10737850441659568038npi10737850441730574096npi10737850441821218231npi10737850441891084869npi10737850441902993918npi10737850441952308702npi1073785044212223DERIVED160.169999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED282.669999-12-31INSTITUTIONAL1861102345npi186110234523FEE SCHEDULE9.279999-12-31PROFESSIONAL1104860600npi10634007291245273259npi10634007291518054535npi10634007291699865543npi10634007291932532900npi1063400729212223DERIVED184.189999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED275.779999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED288.319999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED300.679999-12-31INSTITUTIONAL1649367269npi164936726923FFSComputed tomography, thorax, diagnostic; without contrast material71250CPT2026Computed tomography, thorax, diagnostic; without contrast materialFEE SCHEDULE1005.329999-12-31PROFESSIONAL1033313465npi179077231711DERIVED189.209999-12-31PROFESSIONAL1104860600npi12452716751174567697npi12452716751316981996npi12452716751497103121npi12452716751518054535npi12452716751578507588npi12452716751619037025npi12452716751831136191npi124527167511DERIVED231.629999-12-31INSTITUTIONAL1811991227npi181199122723FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTFEE SCHEDULE89.689999-12-31PROFESSIONAL1659712172npi107378504422FEE SCHEDULE71.749999-12-31PROFESSIONAL1326466681npi107378504423FFSRadiologic examination, spine, cervical; 4 or 5 views72050CPT2026Radiologic examination, spine, cervical; 4 or 5 viewsDERIVED78.299999-12-31PROFESSIONAL1629357207npi124527167511FFSRadiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views72082CPT2026Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 viewsDERIVED101.679999-12-31PROFESSIONAL1154358398npi124527167511FFSRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsDERIVED44.219999-12-31PROFESSIONAL1770129413npi155834024011DERIVED52.019999-12-31PROFESSIONAL1073592788npi15583402401710966601npi155834024011DERIVED75.939999-12-31PROFESSIONAL1578507588npi124527167511FFSMRI,W/OUT CONTRAST72195CPT2026MRI,W/OUT CONTRASTDERIVED322.929999-12-31PROFESSIONAL1083656706npi12452716751619037025npi124527167511FFSRadiologic examination, sacrum and coccyx, minimum of 2 views72220CPT2026Radiologic examination, sacrum and coccyx, minimum of 2 viewsDERIVED26.589999-12-31PROFESSIONAL1770129413npi155834024011FFSCONTRAST X-RAY OF SHOULDER73040CPT2026CONTRAST X-RAY OF SHOULDERDERIVED117.179999-12-31PROFESSIONAL1821102047npi176059690211FFSX-RAY EXAM OF ELBOW73080CPT2026X-RAY EXAM OF ELBOWDERIVED32.239999-12-31PROFESSIONAL1952355497npi155834024011DERIVED35.459999-12-31PROFESSIONAL1447769864npi178010052911FEE SCHEDULE13.899999-12-31PROFESSIONAL1346502622npi10737850441821263096npi107378504423FFSX-RAY EXAM OF HAND73130CPT2026X-RAY EXAM OF HANDFEE SCHEDULE47.399999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE14.409999-12-31PROFESSIONAL1346502622npi10737850441770804718npi107378504423FFSCAT SCAN OF ARM73200CPT2026CAT SCAN OF ARMFEE SCHEDULE77.429999-12-31PROFESSIONAL1831489368npi107378504423FFSRadiologic examination, hip, unilateral, with pelvis when performed; 1 view73501CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 1 viewDERIVED238.479999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED237.689999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED249.579999-12-31INSTITUTIONAL1700978558npi170097855822FFSRadiologic examination, hips, bilateral, with pelvis when performed; 3-4 views73522CPT2026Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 viewsFEE SCHEDULE60.969999-12-31PROFESSIONAL1144451055npi194226369411FFSX-RAY EXAM OF KNEE73565CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE46.959999-12-31PROFESSIONAL1447489828npi194226369411FFSX-RAY EXAM,TIBIA & FIBULA;2 VIEWS73590CPT2026X-RAY EXAM,TIBIA & FIBULA;2 VIEWSFEE SCHEDULE12.809999-12-31PROFESSIONAL1326074188npi107378504423FFSCAT SCAN OF LEG73700CPT2026CAT SCAN OF LEGFEE SCHEDULE77.429999-12-31PROFESSIONAL1699701011npi107378504422FFSMagnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)73718CPT2026Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)DERIVED315.739999-12-31PROFESSIONAL1083656706npi12452716751154358398npi12452716751457886046npi12452716751710230982npi124527167511FFSCT SCAN ABDOMEN, W/O AND W/CONTRAST74170CPT2026CT SCAN ABDOMEN, W/O AND W/CONTRASTDERIVED366.659999-12-31PROFESSIONAL1578507588npi124527167511FFSCT ANGIO,ABDOMEN,W/CONT INCL NONCONT IMAGS IF PERF74175CPT2026CT ANGIO,ABDOMEN,W/CONT INCL NONCONT IMAGS IF PERFFEE SCHEDULE2016.549999-12-31PROFESSIONAL1447604392npi179077231711FFSMRI,ABDOMEN; W/O CONTAST,F/BY W/CONTRAST74183CPT2026MRI,ABDOMEN; W/O CONTAST,F/BY W/CONTRASTFEE SCHEDULE2936.389999-12-31PROFESSIONAL1063856615npi17907723171376738138npi17907723171538335179npi17907723171982854527npi179077231711DERIVED477.879999-12-31PROFESSIONAL1003905290npi12452716751235128620npi124527167511DERIVED327.319999-12-31PROFESSIONAL1245206887npi147783081811FFSCINEMA XRAY THROAT/ESOPHAGUS74230CPT2026CINEMA XRAY THROAT/ESOPHAGUSFEE SCHEDULE41.159999-12-31PROFESSIONAL1609210129npi107378504422DERIVED452.239999-12-31INSTITUTIONAL1063426823npi106342682322FFSARTERY X-RAYS, ABDOMEN75726CPT2026ARTERY X-RAYS, ABDOMENFEE SCHEDULE241.929999-12-31PROFESSIONAL1578780672npi179077231722FFSTRANSCATH THERAPY,EMOBILIZATION,ANY METHOD75894CPT2026TRANSCATH THERAPY,EMOBILIZATION,ANY METHODFEE SCHEDULE147.379999-12-31PROFESSIONAL1073557518npi106340072922FEE SCHEDULE160.769999-12-31PROFESSIONAL1043203706npi106346376821FFSUltrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation76536CPT2026Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentationDERIVED153.779999-12-31PROFESSIONAL1386757631npi12452716751457886046npi12452716751497103121npi124527167511FFSUltrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited76642CPT2026Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limitedDERIVED178.959999-12-31PROFESSIONAL1114960200npi12452716751235128620npi12452716751316981996npi12452716751396756474npi12452716751699717124npi124527167511DERIVED59.659999-12-31PROFESSIONAL1114960200npi12452716751396756474npi124527167511DERIVED119.309999-12-31PROFESSIONAL1114960200npi12452716751174567697npi12452716751316981996npi12452716751396756474npi12452716751578507588npi12452716751831136191npi124527167511FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76801CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONFEE SCHEDULE77.099999-12-31PROFESSIONAL1750518759npi10737850441902993918npi107378504423FFSECHO EXAM OF SCROTUM76870CPT2026ECHO EXAM OF SCROTUMDERIVED485.259999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED140.199999-12-31PROFESSIONAL1457886046npi124527167511FEE SCHEDULE49.609999-12-31PROFESSIONAL1093033433npi10737850441629076187npi10737850442123FFSULTRASOUND EXTREMITY NONVAS REALTIME W/IMAGE DOC76881CPT2026ULTRASOUND EXTREMITY NONVAS REALTIME W/IMAGE DOCFEE SCHEDULE58.989999-12-31PROFESSIONAL1760463848npi192218800211FFSUltrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (Lis76937CPT2026Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (LisFEE SCHEDULE12.669999-12-31PROFESSIONAL1609907948npi104355169022FEE SCHEDULE17.739999-12-31PROFESSIONAL1043203706npi106346376822DERIVED229.099999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE16.889999-12-31PROFESSIONAL1043203706npi106346376821FFSDIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILA77066CPT2026DIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILADERIVED223.359999-12-31PROFESSIONAL1114960200npi12452716751235128620npi12452716751316981996npi12452716751396756474npi12452716751578507588npi12452716751699717124npi124527167511FFSScreening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed77067CPT2026Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performedDERIVED198.009999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED71.939999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED179.149999-12-31PROFESSIONAL1083656706npi12452716751104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751386757631npi12452716751396756474npi12452716751497103121npi12452716751578507588npi12452716751619037025npi12452716751780655498npi12452716751831136191npi124527167511FEE SCHEDULE58.339999-12-31PROFESSIONAL1104323385npi10737850441538115779npi10737850441821218231npi10737850441982838744npi10737850441922FEE SCHEDULE202.469999-12-31PROFESSIONAL1093941700npi160983488611FFSBASIC RADIATION DOSIMETRY CALCULATION77300CPT2026BASIC RADIATION DOSIMETRY CALCULATIONDERIVED122.369999-12-31PROFESSIONAL1598955171npi102344793511DERIVED700.199999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE53.999999-12-31PROFESSIONAL1124482666npi107378504422FFSTreatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)77334CPT2026Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)DERIVED284.509999-12-31INSTITUTIONAL1871977942npi187197794222FFSContinuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy77336CPT2026Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapyDERIVED182.799999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED83.159999-12-31PROFESSIONAL1598955171npi102344793511FFSSPECIAL TREATMENT PROCEDURE77470CPT2026SPECIAL TREATMENT PROCEDUREFEE SCHEDULE174.759999-12-31PROFESSIONAL1124482666npi107378504422DERIVED459.929999-12-31INSTITUTIONAL1871977942npi187197794222FFSNUCLEAR SCAN OF SKELETON78306CPT2026NUCLEAR SCAN OF SKELETONDERIVED365.709999-12-31PROFESSIONAL1093750820npi124527167511FFSMYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIES78452CPT2026MYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIESDERIVED330.999999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311FEE SCHEDULE455.119999-12-31PROFESSIONAL1417921701npi194225068311DERIVED59.709999-12-31PROFESSIONAL1114975596npi166958926321FEE SCHEDULE351.689999-12-31PROFESSIONAL1265519052npi186161875311FFSBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED115.989999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED118.329999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED85.209999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED115.959999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED134.269999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED149.909999-12-31INSTITUTIONAL1679678486npi167967848623FEE SCHEDULE16.609999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED174.109999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED187.779999-12-31INSTITUTIONAL1700978558npi170097855822FFSDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when p80305CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when pDERIVED11.849999-12-31PROFESSIONAL1922656149npi132625496211DERIVED11.219999-12-31PROFESSIONAL1093346769npi18911974481528383296npi189119744811DERIVED13.239999-12-31PROFESSIONAL1356446223npi189119744811DERIVED20.139999-12-31INSTITUTIONAL1871977942npi187197794222FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED97.209999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED45.509999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED89.879999-12-31INSTITUTIONAL1679678486npi167967848623FEE SCHEDULE6.229999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781FFSAlcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)82077CPT2026Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)DERIVED152.929999-12-31INSTITUTIONAL1679678486npi167967848623FFSCreatinine; blood82565CPT2026Creatinine; bloodFEE SCHEDULE8.679999-12-31PROFESSIONAL1750301172npi179077231711FEE SCHEDULE10.069999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED30.759999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED51.989999-12-31INSTITUTIONAL1871977942npi187197794222FFSLead83655CPT2026LeadDERIVED13.329999-12-31PROFESSIONAL1750305900npi163913848011DERIVED14.539999-12-31PROFESSIONAL1356551766npi131638516411FFSPotassium; serum, plasma or whole blood84132CPT2026Potassium; serum, plasma or whole bloodFEE SCHEDULE9.019999-12-31PROFESSIONAL1750301172npi179077231781FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED35.469999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED99.539999-12-31INSTITUTIONAL1245785567npi124578556722FEE SCHEDULE12.709999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED61.189999-12-31INSTITUTIONAL1063426823npi106342682323FFSAntibody identification; leukocyte antibodies86021CPT2026Antibody identification; leukocyte antibodiesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSHETEROPHILE ANTIBODIES,SCRNG86308CPT2026HETEROPHILE ANTIBODIES,SCRNGDERIVED75.439999-12-31INSTITUTIONAL1871977942npi187197794223FFSHEPATITIS B CORE ANTIBODY (HBCAB); TOTAL86704CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); TOTALFEE SCHEDULE23.659999-12-31PROFESSIONAL1750301172npi179077231781FFSHEPATITIS B SURFACE ANTIBODY (HBSAB)86706CPT2026HEPATITIS B SURFACE ANTIBODY (HBSAB)FEE SCHEDULE21.079999-12-31PROFESSIONAL1750301172npi179077231781FFSANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE86850CPT2026ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUEDERIVED64.829999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE30.409999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED42.559999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED72.909999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422FFSSusceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate87186CPT2026Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plateFEE SCHEDULE16.969999-12-31PROFESSIONAL1841351566npi179077231781FFSSmear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types87205CPT2026Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell typesDERIVED28.149999-12-31INSTITUTIONAL1871977942npi187197794222FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE87591CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUEDERIVED92.749999-12-31INSTITUTIONAL1871977942npi187197794223FFSINF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE R87636CPT2026INF AGENT DETECTION BY NUCLEIC ACID;SEVERE ACUTE RDERIVED197.599999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED228.749999-12-31INSTITUTIONAL1063426823npi106342682323FFSINF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTE87637CPT2026INF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTEDERIVED184.889999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED237.899999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED164.039999-12-31INSTITUTIONAL1063426823npi106342682323FFSINTERPRETATION OF SMEAR88173CPT2026INTERPRETATION OF SMEARFEE SCHEDULE178.489999-12-31PROFESSIONAL1134438427npi113443842781FFSTISSUE EXAM BY PATHOLOGIST88300CPT2026TISSUE EXAM BY PATHOLOGISTFEE SCHEDULE9.689999-12-31PROFESSIONAL1265798870npi126579887081FFSSpecial stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry88313CPT2026Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistryFEE SCHEDULE46.799999-12-31PROFESSIONAL1265798870npi126579887081FFSIMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2026IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKFEE SCHEDULE74.729999-12-31PROFESSIONAL1467433292npi146743329281FEE SCHEDULE64.049999-12-31PROFESSIONAL1265798870npi126579887081DERIVED30.859999-12-31PROFESSIONAL1508190927npi126549387822FEE SCHEDULE167.999999-12-31PROFESSIONAL1790041218npi179077231721FFSTUMOR IMMUNOHISTOCHEMISTRY88361CPT2026TUMOR IMMUNOHISTOCHEMISTRYFEE SCHEDULE228.839999-12-31PROFESSIONAL1790041218npi179077231721FFSIMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADM90461CPT2026IMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADMDERIVED17.509999-12-31PROFESSIONAL1750305900npi163913848011DERIVED8.319999-12-31PROFESSIONAL1821014192npi194268913811DERIVED9.189999-12-31PROFESSIONAL1760544340npi162927913811DERIVED43.759999-12-31PROFESSIONAL1356551766npi13163851641720749807npi163913848011FFSHuman Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use90651CPT2026Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular useDERIVED329.099999-12-31PROFESSIONAL1578296711npi12452835301720749807npi16391384801821014192npi194268913811FFSFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED23.229999-12-31PROFESSIONAL1376047134npi16391384801720749807npi16391384801750305900npi163913848011FFSINFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FR90662CPT2026INFLUENZA VIRUS VAC, SPLIT VIRUS, PERSSERVATIVE FRDERIVED100.009999-12-31PROFESSIONAL1023260973npi199218107711FFSPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED312.909999-12-31PROFESSIONAL1356551766npi13163851641750305900npi163913848011FFSInfluenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use90686CPT2026Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular useDERIVED23.469999-12-31PROFESSIONAL1427517432npi109349363711FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use90696CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular useDERIVED67.049999-12-31PROFESSIONAL1720749807npi163913848011FFSMeasles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use90707CPT2026Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useDERIVED97.999999-12-31PROFESSIONAL1720749807npi16391384801821014192npi194268913811FFSTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED41.679999-12-31PROFESSIONAL1023260973npi19921810771619381894npi124528353011DERIVED39.699999-12-31PROFESSIONAL1720749807npi16391384801750305900npi163913848011DERIVED0.019999-12-31PROFESSIONAL1760544340npi162927913811DERIVED33.739999-12-31PROFESSIONAL1578296711npi124528353011DERIVED37.709999-12-31PROFESSIONAL1821014192npi194268913811DERIVED43.669999-12-31PROFESSIONAL1427517432npi109349363711FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use90723CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular useDERIVED103.629999-12-31PROFESSIONAL1821014192npi194268913811FFSMeningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use90734CPT2026Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular useDERIVED166.759999-12-31PROFESSIONAL1578296711npi12452835301750305900npi16391384801821014192npi19426891381952357840npi124528353011FFSPsychiatric diagnostic evaluation90791CPT2026Psychiatric diagnostic evaluationFEE SCHEDULE145.979999-12-31PROFESSIONAL1205029899npi12050298991558408344npi15584083441679586655npi16795866551861717480npi12550392770211FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED99.589999-12-31PROFESSIONAL1306948344npi13069483441689141889npi190292173711FEE SCHEDULE136.939999-12-31PROFESSIONAL1437684776npi17103814051700311040npi17103814051992932776npi171038140511DERIVED124.489999-12-31PROFESSIONAL1598902579npi174038796811FFSVISUAL FIELD EXAMINATION(S)92083CPT2026VISUAL FIELD EXAMINATION(S)FEE SCHEDULE68.289999-12-31PROFESSIONAL1437684776npi17103814051700311040npi17103814051992932776npi171038140511FFSScanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral92132CPT2026Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateralDERIVED23.369999-12-31PROFESSIONAL1306948344npi130694834411FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA92134CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINADERIVED12.859999-12-31PROFESSIONAL1306948344npi130694834411DERIVED32.119999-12-31PROFESSIONAL1598902579npi174038796811FFSCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA, INCLUDING OCT ANGIOGRAPHY92137CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA, INCLUDING OCT ANGIOGRAPHYDERIVED46.749999-12-31PROFESSIONAL1306948344npi130694834411FFSEvaluation of oral and pharyngeal swallowing function92610CPT2026Evaluation of oral and pharyngeal swallowing functionDERIVED161.369999-12-31INSTITUTIONAL1063426823npi106342682322FFSMotion fluoroscopic evaluation of swallowing function by cine or video recording92611CPT2026Motion fluoroscopic evaluation of swallowing function by cine or video recordingDERIVED249.389999-12-31INSTITUTIONAL1063426823npi106342682322FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report93015CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportFEE SCHEDULE61.249999-12-31PROFESSIONAL1265519052npi186161875311FEE SCHEDULE64.859999-12-31PROFESSIONAL1609907948npi104355169011DERIVED64.859999-12-31PROFESSIONAL1114975596npi16695892631306074372npi16695892631912040197npi16695892631121FEE SCHEDULE79.269999-12-31PROFESSIONAL1417921701npi194225068311FFSINTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT CRDVSC93297CPT2026INTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT CRDVSCDERIVED53.479999-12-31PROFESSIONAL1114975596npi166958926311FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED42.189999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011FFSNoninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)94762CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)DERIVED70.009999-12-31PROFESSIONAL1336234194npi133623419412FFSPercutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests95004CPT2026Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of testsFEE SCHEDULE4.829999-12-31PROFESSIONAL1306884267npi118462573311FEE SCHEDULE3.909999-12-31PROFESSIONAL1659363505npi141714803211FFSProfessional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)95165CPT2026Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)FEE SCHEDULE17.729999-12-31PROFESSIONAL1013909951npi16797724461659363505npi141714803211FFSIntravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)96361CPT2026Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)DERIVED127.929999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED71.469999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED148.089999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED63.209999-12-31INSTITUTIONAL1871977942npi187197794223FFSTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED78.809999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED65.199999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED84.589999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED50.009999-12-31PROFESSIONAL1992912349npi155834024011DERIVED60.009999-12-31PROFESSIONAL1730756594npi129527999011FFSOccupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or97166CPT2026Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, orDERIVED185.779999-12-31INSTITUTIONAL1871977942npi187197794222FFSChiropractic manipulative treatment (CMT); spinal, 1-2 regions98940CPT2026Chiropractic manipulative treatment (CMT); spinal, 1-2 regionsFEE SCHEDULE23.759999-12-31PROFESSIONAL1013289586npi13464561671437238631npi13464561671518033646npi134645616711FEE SCHEDULE28.009999-12-31PROFESSIONAL1164426581npi116442658111FFSChiropractic manipulative treatment (CMT); spinal, 3-4 regions98941CPT2026Chiropractic manipulative treatment (CMT); spinal, 3-4 regionsFEE SCHEDULE34.139999-12-31PROFESSIONAL1285919456npi13464561671437238631npi13464561671457550766npi13464561671629060611npi13464561671639329006npi13464561671669523064npi13464561671699312173npi13464561671760126791npi13464561671115FEE SCHEDULE0.019999-12-31PROFESSIONAL1669523064npi134645616711FFSSCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT99173CPT2026SCREENING TEST VISUAL ACUITY QUANTITATIVE BILATDERIVED3.139999-12-31PROFESSIONAL1750305900npi163913848011DERIVED3.049999-12-31PROFESSIONAL1396704821npi190208406411FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED261.929999-12-31PROFESSIONAL1053753442npi16990212951598955171npi10234479351700997707npi157821809511FEE SCHEDULE250.029999-12-31PROFESSIONAL1023364387npi167977244611FEE SCHEDULE387.219999-12-31PROFESSIONAL1891112611npi166942957711DERIVED120.009999-12-31PROFESSIONAL1528666575npi189190537820DERIVED278.599999-12-31PROFESSIONAL1558380444npi154858460011DERIVED457.179999-12-31PROFESSIONAL1851650717npi122503423411FEE SCHEDULE261.929999-12-31PROFESSIONAL1952321671npi108367960911FEE SCHEDULE300.029999-12-31PROFESSIONAL1043203706npi106346376811FEE SCHEDULE786.569999-12-31PROFESSIONAL1972592855npi179077231711NEGOTIATED455.549999-12-31PROFESSIONAL1659716983npi166942957711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED84.399999-12-31PROFESSIONAL1184031338npi155834024011DERIVED89.839999-12-31PROFESSIONAL1144225541npi150881869111DERIVED100.239999-12-31PROFESSIONAL1437275252npi17907902771861236424npi179079027711DERIVED104.029999-12-31PROFESSIONAL1073564910npi10234479351346291259npi10234479351750305900npi16391384801902068158npi176059096211DERIVED118.209999-12-31PROFESSIONAL1003864992npi10934936371346290145npi18715720321366447195npi18715720321427517432npi10934936371609849496npi18715720321639147911npi18715720321679100853npi187157203211DERIVED156.029999-12-31PROFESSIONAL1184601304npi17801005291417031691npi17801005291992704522npi178010052911FEE SCHEDULE72.819999-12-31PROFESSIONAL1346607116npi118407526911FEE SCHEDULE80.389999-12-31PROFESSIONAL1003449117npi14877671331134535396npi18616187531528654696npi14877671331740586288npi14877671331962003251npi148776713311FEE SCHEDULE84.169999-12-31PROFESSIONAL1043635675npi19920452721316659378npi19920452721396791109npi19920452721821141714npi199204527211FEE SCHEDULE94.569999-12-31PROFESSIONAL1376644328npi14877671331528091725npi112432878611FEE SCHEDULE99.299999-12-31PROFESSIONAL1013909951npi16797724461407811235npi18719002331659363505npi14171480321700997988npi19920452721952337966npi199204527211DERIVED42.079999-12-31PROFESSIONAL1528383296npi189119744811DERIVED73.009999-12-31PROFESSIONAL1073961017npi16190185611114293412npi16190185611336758101npi16190185611336771500npi16190185611679152300npi16190185611881630119npi16190185611932831021npi161901856111DERIVED80.379999-12-31PROFESSIONAL1538500400npi124528353011DERIVED84.159999-12-31PROFESSIONAL1083134076npi12452835301093346769npi18911974481528383296npi18911974481801085659npi19921810771962579086npi12755523580211DERIVED88.899999-12-31PROFESSIONAL1265150924npi102344793511DERIVED96.459999-12-31PROFESSIONAL1043834328npi131638516411DERIVED126.799999-12-31PROFESSIONAL1174931448npi117493144811DERIVED136.009999-12-31PROFESSIONAL1649354747npi108383119220DERIVED164.689999-12-31PROFESSIONAL1245863356npi128573560520DERIVED185.009999-12-31PROFESSIONAL1841922952npi190280912220FEE SCHEDULE108.749999-12-31PROFESSIONAL1013973882npi17505646961134396831npi19422636941194786293npi19422636941447489828npi194226369411FEE SCHEDULE132.389999-12-31PROFESSIONAL1205296407npi13462264041225412901npi13462264041750546040npi164967666911FEE SCHEDULE227.019999-12-31PROFESSIONAL1073594206npi179077231711DERIVED49.649999-12-31PROFESSIONAL1104347053npi12452835301356446223npi189119744811DERIVED85.109999-12-31PROFESSIONAL1114975596npi16695892631649230103npi16695892631851476956npi149742156411DERIVED88.889999-12-31PROFESSIONAL1083322713npi13262549621386670420npi13262549621011DERIVED93.759999-12-31PROFESSIONAL1760544340npi162927913811DERIVED99.289999-12-31PROFESSIONAL1023260973npi19921810771104347053npi12452835301205824778npi12755523581215955000npi18811798281356446223npi18911974481396704821npi19020840641619381894npi12452835300211DERIVED108.749999-12-31PROFESSIONAL1821102047npi176059690211DERIVED127.659999-12-31PROFESSIONAL1336171917npi17801005291750383733npi178010052911DERIVED172.529999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE88.899999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE92.679999-12-31PROFESSIONAL1083265086npi19422636941255850517npi19422636941700667425npi194226369411FEE SCHEDULE104.029999-12-31PROFESSIONAL1104846815npi10836796091114912466npi16290636801265887152npi16290636801346462181npi16290636801437684776npi17103814051659332732npi11149051481679550016npi19524278091689646929npi14878274161700311040npi17103814051730375700npi16290636801740987668npi16290636801750332250npi17405598551760463848npi19221880021780148346npi16290636801992932776npi171038140511FEE SCHEDULE119.159999-12-31PROFESSIONAL1043203706npi106346376811FEE SCHEDULE121.049999-12-31PROFESSIONAL1265693568npi101393608711FEE SCHEDULE267.079999-12-31PROFESSIONAL1316332877npi17907723171427031723npi17907723171689937385npi17907723171972592855npi17907723171011DERIVED79.439999-12-31PROFESSIONAL1679117725npi102344793511DERIVED81.879999-12-31PROFESSIONAL1184166522npi122503423422DERIVED84.169999-12-31PROFESSIONAL1700870177npi176059690211DERIVED94.569999-12-31PROFESSIONAL1013412196npi12452835301073514253npi14979295411205889243npi12856853701649277880npi12856853701710975073npi10537591831881057321npi19029784971952357840npi124528353011DERIVED99.299999-12-31PROFESSIONAL1033172200npi15583402401073592788npi15583402401225577703npi15583402401316926025npi15583402401497734107npi15583402401558682435npi18311580391740606441npi15583402401841711819npi15583402401952355497npi155834024011DERIVED100.009999-12-31PROFESSIONAL1457313421npi13262549621750305900npi163913848011DERIVED120.009999-12-31PROFESSIONAL1306114483npi18919053781528666575npi18919053781790266013npi189190537820DERIVED127.669999-12-31PROFESSIONAL1497294979npi17801005291609215490npi178010052911DERIVED140.009999-12-31PROFESSIONAL1023091139npi163913848011DERIVED150.009999-12-31PROFESSIONAL1306114483npi18011262971568862852npi18011262971609969674npi18011262971669451795npi18011262971770609554npi180112629720FEE SCHEDULE64.339999-12-31PROFESSIONAL1134221070npi12452835301861627663npi12452835301922FEE SCHEDULE85.109999-12-31PROFESSIONAL1174620702npi11840752691437238631npi13464561671609907948npi104355169011FEE SCHEDULE101.189999-12-31PROFESSIONAL1700144490npi106346376811FEE SCHEDULE122.939999-12-31PROFESSIONAL1306884267npi118462573311FEE SCHEDULE156.029999-12-31PROFESSIONAL1538918420npi13069483441831176858npi164967666911FEE SCHEDULE189.129999-12-31PROFESSIONAL1508021742npi103357414002FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on t99221CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on tDERIVED127.169999-12-31PROFESSIONAL1184601304npi178010052921DERIVED96.339999-12-31PROFESSIONAL1689202517npi178010052921FEE SCHEDULE338.369999-12-31PROFESSIONAL1013231299npi179077231721FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the99223CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of theDERIVED143.739999-12-31PROFESSIONAL1114975596npi16695892631912040197npi166958926321DERIVED199.629999-12-31PROFESSIONAL1114236932npi17801005291467912295npi17801005291689238347npi17801005291982047932npi17801005292122FEE SCHEDULE135.759999-12-31PROFESSIONAL1558404970npi115437224121FEE SCHEDULE175.679999-12-31PROFESSIONAL1437162419npi124528353021FEE SCHEDULE207.619999-12-31PROFESSIONAL1225101058npi124528353021FEE SCHEDULE143.739999-12-31PROFESSIONAL1609907948npi10435516902122FEE SCHEDULE159.709999-12-31PROFESSIONAL1053357475npi110486472721DERIVED151.729999-12-31PROFESSIONAL1932168721npi194275311622FFSSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total tim99231CPT2026Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total timFEE SCHEDULE133.469999-12-31PROFESSIONAL1871584847npi179077231721DERIVED37.879999-12-31PROFESSIONAL1679117725npi102344793521FEE SCHEDULE48.249999-12-31PROFESSIONAL1700144490npi106346376822FFSSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of t99233CPT2026Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of tFEE SCHEDULE136.259999-12-31PROFESSIONAL1225659154npi178010052921FEE SCHEDULE98.109999-12-31PROFESSIONAL1609907948npi104355169021DERIVED109.009999-12-31PROFESSIONAL1205889243npi128568537021DERIVED136.259999-12-31PROFESSIONAL1063641520npi17801005291205406154npi17801005291689238347npi17801005291982047932npi178010052921FFSHospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter99239CPT2026Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounterDERIVED134.929999-12-31PROFESSIONAL1063641520npi17801005291063900538npi17801005291205406154npi17801005291467912295npi17801005291649857459npi17801005292122FEE SCHEDULE95.229999-12-31PROFESSIONAL1346500998npi138669141821FEE SCHEDULE134.939999-12-31PROFESSIONAL1225659154npi178010052921FFSOffice or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 3099243CPT2026Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30FEE SCHEDULE438.499999-12-31PROFESSIONAL1982256673npi179077231711FFSOFFICE/OUTPATIENT CONSULT99244CPT2026OFFICE/OUTPATIENT CONSULTFEE SCHEDULE761.589999-12-31PROFESSIONAL1427031723npi179077231710FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making99282CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision makingDERIVED270.869999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED365.669999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED621.349999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED344.949999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED677.989999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED326.719999-12-31INSTITUTIONAL1811991227npi181199122723FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingDERIVED506.129999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED525.509999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED647.929999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED676.719999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE144.849999-12-31PROFESSIONAL1073870218npi12058808531164491866npi12058808531972589893npi12058808531972719292npi120588085323DERIVED354.309999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE95.599999-12-31PROFESSIONAL1225792104npi124528353023DERIVED569.959999-12-31INSTITUTIONAL1003465097npi100346509723FEE SCHEDULE112.259999-12-31PROFESSIONAL1124255203npi12452835301275584278npi12452835301366804288npi124528353023DERIVED413.779999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED455.089999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED457.029999-12-31INSTITUTIONAL1871977942npi187197794223FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingDERIVED841.149999-12-31INSTITUTIONAL1649367269npi164936726923FEE SCHEDULE160.509999-12-31PROFESSIONAL1912524604npi124528353023FEE SCHEDULE172.849999-12-31PROFESSIONAL1639137839npi107355676723FEE SCHEDULE246.929999-12-31PROFESSIONAL1033606033npi12058808531164491866npi12058808531184202657npi12058808531215166749npi12058808531396782074npi12058808531437479698npi12058808531558723577npi12058808531770088957npi12058808531780020214npi12058808531790035384npi12058808531851785265npi12058808531881834026npi12058808531922494137npi12058808531972589893npi12058808531972719292npi12058808531972942290npi120588085323DERIVED643.259999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED875.709999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED887.379999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED649.839999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE162.979999-12-31PROFESSIONAL1104297829npi12452835301619512282npi12452835301770123820npi12452835301992147771npi124528353023FEE SCHEDULE191.369999-12-31PROFESSIONAL1053583112npi12452835301104208867npi12452835301376932475npi12452835301477627107npi12452835301679004097npi12452835301780757484npi12452835301972034742npi124528353023DERIVED612.629999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED883.209999-12-31INSTITUTIONAL1649367269npi164936726923FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making99285CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision makingDERIVED1572.529999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE276.619999-12-31PROFESSIONAL1063663664npi12452835301093211856npi12452835301104208867npi12452835301265694574npi12452835301972034742npi124528353023FEE SCHEDULE356.929999-12-31PROFESSIONAL1013202233npi12058808531053430082npi12058808531073748166npi12058808531073870218npi12058808531114374048npi12058808531184202657npi12058808531215166749npi12058808531275575144npi12058808531346340437npi12058808531396782074npi12058808531437479698npi12058808531447837182npi12058808531508284381npi12058808531568090421npi12058808531588852644npi12058808531609281088npi12058808531669429130npi12058808531780020214npi12058808531780180257npi12058808531821580986npi12058808531851785265npi12058808531891897377npi12058808531972589893npi12058808531972719292npi120588085323DERIVED1010.509999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED1297.989999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED1531.549999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED1608.129999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED1854.499999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED3340.519999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED1592.839999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED2044.589999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1358.409999-12-31INSTITUTIONAL1063426823npi106342682323FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99383CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED129.119999-12-31PROFESSIONAL1619381894npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99391CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED103.539999-12-31PROFESSIONAL1043834328npi131638516411DERIVED111.659999-12-31PROFESSIONAL1750305900npi163913848011DERIVED121.809999-12-31PROFESSIONAL1356551766npi131638516411DERIVED101.509999-12-31PROFESSIONAL1013412196npi124528353011FFSSMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MIN99406CPT2026SMOKING CESSATION COUNSELING-INTERMEDIATE 3-10 MINDERIVED16.189999-12-31PROFESSIONAL1356446223npi189119744811DERIVED13.719999-12-31PROFESSIONAL1093346769npi189119744811DERIVED13.679999-12-31PROFESSIONAL1467912295npi178010052921DERIVED0.019999-12-31PROFESSIONAL1083134076npi124528353011FFSPelvic examination (List separately in addition to code for primary procedure)99459CPT2026Pelvic examination (List separately in addition to code for primary procedure)DERIVED24.479999-12-31PROFESSIONAL1609849496npi187157203211FFSSYRINGE,20CC OR GREATERA4213HCPCS2026SYRINGE,20CC OR GREATERFEE SCHEDULE19.009999-12-31PROFESSIONAL1598754855npi167996740011FFSNEEDLES ONLY, STERILE, ANY SIZE, EACHA4215HCPCS2026NEEDLES ONLY, STERILE, ANY SIZE, EACHFEE SCHEDULE0.409999-12-31PROFESSIONAL1598754855npi167996740011FFSIMPLANTABLE TISSUE MARKERA4648HCPCS2026IMPLANTABLE TISSUE MARKERDERIVED165.009999-12-31PROFESSIONAL1790949873npi102344793511FFSSURGICAL SUPPLY MISCELLANEOUSA4649HCPCS2026SURGICAL SUPPLY MISCELLANEOUSFEE SCHEDULE10.249999-12-31PROFESSIONAL1598754855npi167996740011FFSGLOVES, STERILE OR NONSTERILE PER PAIRA4927HCPCS2026GLOVES, STERILE OR NONSTERILE PER PAIRFEE SCHEDULE1.209999-12-31PROFESSIONAL1598754855npi167996740011FFSGAUZE N/IMPREG,STERILE W/ADHA6402HCPCS2026GAUZE N/IMPREG,STERILE W/ADHFEE SCHEDULE0.149999-12-31PROFESSIONAL1598754855npi167996740011FFSFLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCIA9552HCPCS2026FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCIDERIVED500.009999-12-31PROFESSIONAL1699717124npi12452716751720391568npi124527167511DERIVED145.179999-12-31PROFESSIONAL1780628339npi124527167511FFSINJECTION, GADOXETATE DISODIUM, 1MLA9581HCPCS2026INJECTION, GADOXETATE DISODIUM, 1MLDERIVED200.009999-12-31PROFESSIONAL1497103121npi124527167511FFSEVENT RECORDER, CARDIACC1764HCPCS2026EVENT RECORDER, CARDIACDERIVED6531.129999-12-31INSTITUTIONAL1871977942npi187197794222FFSINTRODUCER, SHEATH,OTHR THAN GUIDE, NON-LASERC1894HCPCS2026INTRODUCER, SHEATH,OTHR THAN GUIDE, NON-LASERDERIVED116.419999-12-31INSTITUTIONAL1871977942npi187197794222FFSDYNAMIC ADJUSTABLE ELBOW EXTENSION AND FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIALE1800HCPCS2026DYNAMIC ADJUSTABLE ELBOW EXTENSION AND FLEXION DEVICE, INCLUDES SOFT INTERFACE MATERIALDERIVED348.009999-12-31PROFESSIONAL1386643856npi138664385612FFSCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED17.769999-12-31PROFESSIONAL1083134076npi124528353011DERIVED35.529999-12-31PROFESSIONAL1083134076npi124528353011DERIVED37.529999-12-31PROFESSIONAL1083322713npi132625496211DERIVED41.919999-12-31PROFESSIONAL1205824778npi12755523581275521759npi127555235811DERIVED125.009999-12-31PROFESSIONAL1144225541npi15088186911154483634npi122520184111DERIVED41.929999-12-31PROFESSIONAL1558682435npi183115803911DERIVED160.009999-12-31PROFESSIONAL1346290145npi18715720321366448805npi18715720321609849496npi18715720321639147911npi18715720321679100853npi187157203211FFSHOME SLEEP TEST/TYPE 3 PORTAG0399HCPCS2026HOME SLEEP TEST/TYPE 3 PORTADERIVED75.009999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537012FFSFACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESG0447HCPCS2026FACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESDERIVED35.009999-12-31PROFESSIONAL1215955000npi188117982811FFSINJ.,ONABOTULINUMTOXINA, 1 UNITJ0585HCPCS2026INJ.,ONABOTULINUMTOXINA, 1 UNITFEE SCHEDULE7.169999-12-31PROFESSIONAL1992932776npi171038140511FFSINJ CEFAZOLIN SODIUM 500 MGJ0690HCPCS2026INJ CEFAZOLIN SODIUM 500 MGDERIVED45.899999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED57.769999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED60.169999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED70.709999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED76.789999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJECTION, BETAMETHASONE, 3 MGJ0702HCPCS2026INJECTION, BETAMETHASONE, 3 MGDERIVED7.259999-12-31PROFESSIONAL1356446223npi189119744811FEE SCHEDULE7.959999-12-31PROFESSIONAL1750494340npi194226369411FFSINJECTION, FAMOTIDINE, 0.25 MGJ1308HCPCS2026INJECTION, FAMOTIDINE, 0.25 MGDERIVED0.609999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED10.839999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED8.609999-12-31INSTITUTIONAL1871977942npi187197794223FFSINJ,GLUCAGON HYDROCHLORIDE, 1 MGJ1610HCPCS2026INJ,GLUCAGON HYDROCHLORIDE, 1 MGFEE SCHEDULE212.119999-12-31PROFESSIONAL1376738138npi17907723171407925688npi17907723171538206347npi17907723171538335179npi179077231711FFSINJECTION IRON DEXTRAN 50 MGJ1750HCPCS2026INJECTION IRON DEXTRAN 50 MGDERIVED361.609999-12-31PROFESSIONAL1902068158npi176059096211FFSINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED0.299999-12-31PROFESSIONAL1083134076npi12452835301093346769npi18911974481528383296npi189119744811DERIVED6.419999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED12.209999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE0.389999-12-31PROFESSIONAL1134396831npi194226369411DERIVED0.349999-12-31PROFESSIONAL1023260973npi19921810771356446223npi189119744811DERIVED3.259999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED10.629999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED12.719999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED14.499999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED12.009999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJECTION, LIDOCAINE HCL , 1 MGJ2003HCPCS2026INJECTION, LIDOCAINE HCL , 1 MGDERIVED14.519999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED14.829999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED13.859999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED14.159999-12-31INSTITUTIONAL1700978558npi170097855822FFSMORPHINE SULFATE, UP TO 10MGJ2270HCPCS2026MORPHINE SULFATE, UP TO 10MGDERIVED32.059999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ,ORPHENADRINE CITRATE, 60 MGJ2360HCPCS2026INJ,ORPHENADRINE CITRATE, 60 MGDERIVED29.679999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED6.709999-12-31PROFESSIONAL1356446223npi189119744811FFSINJ,PROMETHAZINE HCL 50 MGJ2550HCPCS2026INJ,PROMETHAZINE HCL 50 MGDERIVED3.779999-12-31INSTITUTIONAL1245785567npi124578556722FFSINJ,NEOSTIGMINE METHYLSULFAT, 0.5 MGJ2710HCPCS2026INJ,NEOSTIGMINE METHYLSULFAT, 0.5 MGDERIVED12.069999-12-31INSTITUTIONAL1245785567npi124578556722FFSREGADENOSON INJECTION, .1 MGJ2785HCPCS2026REGADENOSON INJECTION, .1 MGFEE SCHEDULE2.289999-12-31PROFESSIONAL1265519052npi186161875311DERIVED9.649999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311DERIVED15.649999-12-31PROFESSIONAL1093759599npi124527167511FEE SCHEDULE2.419999-12-31PROFESSIONAL1609907948npi104355169011FFSINJECTION SINCALIDE 5 MICROGRAMSJ2805HCPCS2026INJECTION SINCALIDE 5 MICROGRAMSDERIVED83.009999-12-31PROFESSIONAL1720391568npi124527167511DERIVED156.779999-12-31INSTITUTIONAL1871977942npi187197794222FFSNORMAL SALINE SOLUTION, INFUS/250CCJ7050HCPCS2026NORMAL SALINE SOLUTION, INFUS/250CCDERIVED0.599999-12-31PROFESSIONAL1114975596npi16695892631306074372npi166958926311DERIVED15.799999-12-31INSTITUTIONAL1063426823npi106342682322FFSKO,ELASTIC W/CONDYLAR PADS/JOINTS W/WO PATELLAR COL1820HCPCS2026KO,ELASTIC W/CONDYLAR PADS/JOINTS W/WO PATELLAR CODERIVED111.749999-12-31PROFESSIONAL1316926025npi155834024012FEE SCHEDULE171.349999-12-31PROFESSIONAL1750494340npi194226369411FFSWHO,WRIST, EXT, CNTRL COCK-UP,NONMOLDEDL3908HCPCS2026WHO,WRIST, EXT, CNTRL COCK-UP,NONMOLDEDDERIVED50.539999-12-31PROFESSIONAL1033172200npi155834024011FFSCAST SUPPLIES,LONG ARM CAST,ADULT,11+,FIBERGLASSQ4006HCPCS2026CAST SUPPLIES,LONG ARM CAST,ADULT,11+,FIBERGLASSDERIVED42.789999-12-31PROFESSIONAL1821102047npi176059690211FFSGLOBAL FEE URGENT CARE CENTERS9083HCPCS2026GLOBAL FEE URGENT CARE CENTERDERIVED185.009999-12-31PROFESSIONAL1528666575npi189190537820FFS2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV COVIDU0002HCPCS20262019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV COVIDDERIVED26.019999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED50.009999-12-31PROFESSIONAL1396704821npi190208406411FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORU0003HCPCS2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSAnesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified00790CPT2026Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specifiedDERIVED782.609999-12-31PROFESSIONAL1538183918npi12058616971639518251npi120586169722DERIVED837.079999-12-31PROFESSIONAL1295792067npi12058616971942224373npi120586169722FFSAnesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum00813CPT2026Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenumDERIVED162.799999-12-31PROFESSIONAL1457377038npi132619471324DERIVED147.359999-12-31PROFESSIONAL1538587472npi132619471324DERIVED315.339999-12-31PROFESSIONAL1801880091npi12058616971871617670npi120586169724DERIVED677.339999-12-31PROFESSIONAL1467482992npi106346376822FFSIV THERAPY0260RC2026IV THERAPYDERIVED913.239999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/IMMUNOLOGY0302RC2026LAB/IMMUNOLOGYDERIVED88.669999-12-31INSTITUTIONAL1063426823npi106342682321NEGOTIATED114.969999-12-31INSTITUTIONAL1184709057npi118470905721FFSLAB/HEMOTOLOGY0305RC2026LAB/HEMOTOLOGYDERIVED529.449999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED762.339999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/BACT-MICRO0306RC2026LAB/BACT-MICRODERIVED507.419999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/UROLOGY0307RC2026LAB/UROLOGYDERIVED527.829999-12-31INSTITUTIONAL1063426823npi106342682321FFSCT SCAN0350RC2026CT SCANDERIVED432.639999-12-31INSTITUTIONAL1063426823npi106342682321FFSOR SERVICES0360RC2026OR SERVICESDERIVED61462.009999-12-31INSTITUTIONAL1063426823npi106342682321FFSRESPIRATORY SVC0410RC2026RESPIRATORY SVCDERIVED141.139999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED30.369999-12-31INSTITUTIONAL1063426823npi106342682321NEGOTIATED1373.009999-12-31INSTITUTIONAL1184709057npi118470905721FFSEMERG ROOM0450RC2026EMERG ROOMDERIVED1406.769999-12-31INSTITUTIONAL1063426823npi106342682321FFSCARDIOLOGY-ECHOCARDIOLOGY0483RC2026CARDIOLOGY-ECHOCARDIOLOGYDERIVED815.979999-12-31INSTITUTIONAL1063426823npi106342682321FFSRECOVERY ROOM0710RC2026RECOVERY ROOMDERIVED630.059999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1175.009999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2618.279999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED964.129999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED2135.329999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED3910.009999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED2252.799999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2392.209999-12-31INSTITUTIONAL1700978558npi170097855822FFSPunch biopsy of skin (including simple closure, when performed); single lesion11104CPT2026Punch biopsy of skin (including simple closure, when performed); single lesionDERIVED124.699999-12-31PROFESSIONAL1932490778npi161901856111FFSExcision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm11401CPT2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cmFEE SCHEDULE168.219999-12-31PROFESSIONAL1114912466npi16290636801346462181npi162906368011FFSEXC LES. TRUNK ARMS OR LEGS11404CPT2026EXC LES. TRUNK ARMS OR LEGSDERIVED121.059999-12-31PROFESSIONAL1114293412npi161901856111FFSEXC MALIG. LES TRUNK,ARM,LEG11602CPT2026EXC MALIG. LES TRUNK,ARM,LEGFEE SCHEDULE166.159999-12-31PROFESSIONAL1205296407npi134622640411FEE SCHEDULE261.109999-12-31PROFESSIONAL1730375700npi162906368011FFSExcision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm11603CPT2026Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cmFEE SCHEDULE301.559999-12-31PROFESSIONAL1346462181npi162906368011FEE SCHEDULE226.179999-12-31PROFESSIONAL1831176858npi164967666911FFSEXC M.-FACE,EARS,EYELIDS,NOS11642CPT2026EXC M.-FACE,EARS,EYELIDS,NOSDERIVED611.599999-12-31INSTITUTIONAL1811991227npi181199122722FFSSIMPL REP SCALP,NECK,TRUNK,E12001CPT2026SIMPL REP SCALP,NECK,TRUNK,EFEE SCHEDULE93.289999-12-31PROFESSIONAL1073870218npi12058808531972589893npi120588085323FFSRepair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less12041CPT2026Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or lessDERIVED135.919999-12-31PROFESSIONAL1689838559npi161901856111FFSRPR CMPLX FOREHEAD,CHKS,CHIN ADTL 5CMOR<13133CPT2026RPR CMPLX FOREHEAD,CHKS,CHIN ADTL 5CMOR<DERIVED177.129999-12-31PROFESSIONAL1114293412npi161901856111FFSRemoval of sutures or staples not requiring anesthesia (List separately in addition to E/M code)15853CPT2026Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)FEE SCHEDULE11.669999-12-31PROFESSIONAL1609907948npi104355169011FFSDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions17111CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesionsFEE SCHEDULE133.429999-12-31PROFESSIONAL1003313735npi117407828111FFSDestruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm17262CPT2026Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cmFEE SCHEDULE188.439999-12-31PROFESSIONAL1114912466npi16290636801346462181npi162906368011FFSINJECTION TENDON ORIGIN/INSERTION20551CPT2026INJECTION TENDON ORIGIN/INSERTIONDERIVED69.389999-12-31PROFESSIONAL1821102047npi176059690211FFSInjection(s); single or multiple trigger point(s), 1 or 2 muscle(s)20552CPT2026Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)DERIVED46.029999-12-31PROFESSIONAL1700870177npi176059690211DERIVED54.299999-12-31PROFESSIONAL1356446223npi189119744811FFSArthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance20600CPT2026Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidanceDERIVED58.859999-12-31PROFESSIONAL1356446223npi189119744811FFSARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED101.169999-12-31PROFESSIONAL1073557518npi12452716751093750820npi12452716751457886046npi124527167511FEE SCHEDULE79.689999-12-31PROFESSIONAL1134396831npi19422636941447489828npi19422636941750494340npi194226369411FFSGraft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)21235CPT2026Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)FEE SCHEDULE1395.989999-12-31PROFESSIONAL1316332877npi179077231722FFSArthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (22634CPT2026Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (DERIVED778.889999-12-31PROFESSIONAL1184601304npi178010052921FFSTenotomy, shoulder area; multiple tendons through same incision23406CPT2026Tenotomy, shoulder area; multiple tendons through same incisionDERIVED790.269999-12-31PROFESSIONAL1821102047npi176059690211FFSTREAT SHOULDER DISLOCATION23650CPT2026TREAT SHOULDER DISLOCATIONFEE SCHEDULE594.569999-12-31PROFESSIONAL1609281088npi120588085323FEE SCHEDULE460.789999-12-31PROFESSIONAL1053583112npi124528353023FFSBIOPSY ARM/ELBOW SOFT TISSUE24066CPT2026BIOPSY ARM/ELBOW SOFT TISSUEDERIVED491.219999-12-31PROFESSIONAL1821102047npi176059690222FFSINJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRO27096CPT2026INJ PROC SACROILIAC JNT W/IMAGE GUIDED INCL ARTHRODERIVED198.529999-12-31PROFESSIONAL1821102047npi176059690211FFSEXC,INTERDIGITAL,SINGLE,EACH28080CPT2026EXC,INTERDIGITAL,SINGLE,EACHDERIVED3210.539999-12-31INSTITUTIONAL1811991227npi181199122722FFSArthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)29826CPT2026Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)DERIVED5329.839999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE24.479999-12-31PROFESSIONAL1700667425npi194226369422FEE SCHEDULE179.459999-12-31PROFESSIONAL1447489828npi19422636942224FFSArthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29880CPT2026Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performedFEE SCHEDULE629.149999-12-31PROFESSIONAL1447489828npi194226369422FEE SCHEDULE67.409999-12-31PROFESSIONAL1033817002npi118407526924FEE SCHEDULE492.379999-12-31PROFESSIONAL1174620702npi118407526924FEE SCHEDULE85.789999-12-31PROFESSIONAL1700667425npi194226369422FFSArthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29881APC2026Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performedFEE SCHEDULE1464.839999-12-31INSTITUTIONAL1407873292npi140787329224FFSArthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29881CPT2026Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performedDERIVED607.969999-12-31PROFESSIONAL1821102047npi176059690222FEE SCHEDULE607.969999-12-31PROFESSIONAL1447489828npi19422636941750494340npi19422636942224FFSExcision or destruction (eg, laser), intranasal lesion; internal approach30117CPT2026Excision or destruction (eg, laser), intranasal lesion; internal approachDERIVED5294.379999-12-31INSTITUTIONAL1811991227npi181199122722FFSCore needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed32408CPT2026Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performedFEE SCHEDULE223.779999-12-31PROFESSIONAL1659712172npi107378504422FFSInsertion, subcutaneous cardiac rhythm monitor, including programming33285APC2026Insertion, subcutaneous cardiac rhythm monitor, including programmingDERIVED7496.939999-12-31INSTITUTIONAL1518621622npi173084383024FFSInsertion, subcutaneous cardiac rhythm monitor, including programming33285CPT2026Insertion, subcutaneous cardiac rhythm monitor, including programmingDERIVED7241.579999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE73.139999-12-31PROFESSIONAL1609907948npi10435516902224FFSACUTE APPENDICITIS WITH LOCALIZED PERITONITIS, WITHOUT PERFORATION OR GANGRENE343MS-DRG10ACUTE APPENDICITIS WITH LOCALIZED PERITONITIS, WITHOUT PERFORATION OR GANGRENEDERIVED3511.699999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED12698.409999-12-31INSTITUTIONAL1811991227npi181199122721FFSSTAB PHLEB VARICOSE VEIN ONE EXTRM 10-20 INCISIONS37765CPT2026STAB PHLEB VARICOSE VEIN ONE EXTRM 10-20 INCISIONSFEE SCHEDULE486.159999-12-31PROFESSIONAL1013973882npi175056469611FFSSTAB PHLEB VARICOSE VEIN ONE EXTRM > 20 INCISIONS37766CPT2026STAB PHLEB VARICOSE VEIN ONE EXTRM > 20 INCISIONSFEE SCHEDULE580.309999-12-31PROFESSIONAL1013973882npi175056469611FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239APC2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED256.829999-12-31INSTITUTIONAL1518976661npi151897666124DERIVED431.929999-12-31INSTITUTIONAL1619979580npi161997958024NEGOTIATED233.479999-12-31INSTITUTIONAL1902853195npi190285319524DERIVED513.639999-12-31INSTITUTIONAL1518976661npi151897666124FFSEsophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)43249CPT2026Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)FEE SCHEDULE139.589999-12-31PROFESSIONAL1528091725npi112432878622FFSEsophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique43251APC2026Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueNEGOTIATED801.599999-12-31INSTITUTIONAL1902853195npi190285319524FFSEsophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique43251CPT2026Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueFEE SCHEDULE88.759999-12-31PROFESSIONAL1699717611npi132619471324FEE SCHEDULE177.509999-12-31PROFESSIONAL1699717611npi132619471324FFSCOLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPE45378APC2026COLONOSCOPY,FLEX;DIAG,INCLUDING COLLECTION OF SPEDERIVED499.439999-12-31INSTITUTIONAL1518976661npi151897666124FFSHemorrhoidectomy, internal, by rubber band ligation(s)46221CPT2026Hemorrhoidectomy, internal, by rubber band ligation(s)DERIVED433.749999-12-31PROFESSIONAL1750383733npi178010052911FFSMeasurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging51798CPT2026Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imagingDERIVED10.509999-12-31PROFESSIONAL1407359854npi10234479351679117725npi102344793511DERIVED11.759999-12-31PROFESSIONAL1265150924npi102344793511DERIVED13.759999-12-31PROFESSIONAL1073564910npi10234479351093211146npi10234479351598054751npi10234479351790949873npi102344793511FEE SCHEDULE63.779999-12-31PROFESSIONAL1417232653npi179077231711FFSColposcopy of the cervix including upper/adjacent vagina;57452CPT2026Colposcopy of the cervix including upper/adjacent vagina;DERIVED158.709999-12-31PROFESSIONAL1609849496npi187157203211FFSHYSTEROSCOPY SURGICAL W BIOPSY W/ WO D&C58558CPT2026HYSTEROSCOPY SURGICAL W BIOPSY W/ WO D&CDERIVED6245.199999-12-31INSTITUTIONAL1811991227npi181199122722FFSTRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), INCLUDING ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE61624CPT2026TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), INCLUDING ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCEFEE SCHEDULE1372.629999-12-31PROFESSIONAL1043203706npi106346376821FEE SCHEDULE1258.249999-12-31PROFESSIONAL1073557518npi106340072922FFSLaminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional vertebral segment, cervical, thora63048CPT2026Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional vertebral segment, cervical, thoraDERIVED7352.189999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED336.939999-12-31PROFESSIONAL1184601304npi178010052922FFSINJ, ANESTHETIC, BRACIAL PLEXUS, SINGLE64415CPT2026INJ, ANESTHETIC, BRACIAL PLEXUS, SINGLEFEE SCHEDULE85.539999-12-31PROFESSIONAL1023022654npi10634637681750940920npi106346376822DERIVED118.799999-12-31PROFESSIONAL1518905603npi178010052921FFSInjection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch64450CPT2026Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branchDERIVED70.879999-12-31PROFESSIONAL1700870177npi176059690211FEE SCHEDULE100.339999-12-31PROFESSIONAL1659603090npi106346376811FFSParavertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary procedure)64462CPT2026Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary procedure)FEE SCHEDULE521.819999-12-31PROFESSIONAL1255711735npi179077231721FFSBiopsy external ear69100CPT2026Biopsy external earFEE SCHEDULE99.989999-12-31PROFESSIONAL1114912466npi162906368011FFSCAT SCAN OF FACE, JAW70486CPT2026CAT SCAN OF FACE, JAWFEE SCHEDULE66.219999-12-31PROFESSIONAL1548482151npi107378504423DERIVED182.409999-12-31PROFESSIONAL1093750820npi12452716751114960200npi12452716751336566330npi12452716751396756474npi12452716751780628339npi124527167511FFSCONTRAST CAT OF NECK TISSUE70491CPT2026CONTRAST CAT OF NECK TISSUEDERIVED261.249999-12-31PROFESSIONAL1306188073npi124527167511FFSCT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMD70496CPT2026CT ANGIO,HEAD,W/CONT INCL NONCONT IMAGES IF PERFMDFEE SCHEDULE88.879999-12-31PROFESSIONAL1295872240npi10634007291548688708npi10634007291710230982npi10634007292123DERIVED389.159999-12-31PROFESSIONAL1578768156npi124527167511FEE SCHEDULE133.309999-12-31PROFESSIONAL1578856613npi107378504423FFSCT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMD70498CPT2026CT ANGIO,NECK,W/CONT INCL NONCONT IMAGES IF PERFMDFEE SCHEDULE88.879999-12-31PROFESSIONAL1114960200npi10634007291295872240npi10634007291548688708npi10634007292123FFSMagnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences70546CPT2026Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequencesDERIVED463.629999-12-31PROFESSIONAL1093750820npi124527167511FFSMRA,NECK;W/OUT CONT, F/BY CONTRAST MATERIAL70549CPT2026MRA,NECK;W/OUT CONT, F/BY CONTRAST MATERIALDERIVED486.509999-12-31PROFESSIONAL1942207709npi124527167511FFSMagnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material70551CPT2026Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast materialFEE SCHEDULE1985.809999-12-31PROFESSIONAL1508328220npi179077231711DERIVED278.489999-12-31PROFESSIONAL1336566330npi12452716751619037025npi12452716751699717124npi124527167511FFSX-RAY EXAM OF RIBS71100CPT2026X-RAY EXAM OF RIBSFEE SCHEDULE17.149999-12-31PROFESSIONAL1164983078npi107378504423FFSX-RAY EXAM OF RIBS, CHEST71101CPT2026X-RAY EXAM OF RIBS, CHESTDERIVED256.229999-12-31INSTITUTIONAL1871977942npi187197794223FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTDERIVED154.449999-12-31PROFESSIONAL1003905290npi124527167511DERIVED237.459999-12-31PROFESSIONAL1104860600npi124527167511FFSComputed tomography, thorax, low dose for lung cancer screening, without contrast material(s)71271CPT2026Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)DERIVED194.599999-12-31PROFESSIONAL1114960200npi12452716751174567697npi12452716751336566330npi12452716751497103121npi12452716751578507588npi12452716751619037025npi12452716751780628339npi12452716751831136191npi124527167511FEE SCHEDULE133.289999-12-31PROFESSIONAL1366407553npi134651685311FFSCT ANGIO, CHEST, CONCORONARY, W/CONTRAST71275CPT2026CT ANGIO, CHEST, CONCORONARY, W/CONTRASTFEE SCHEDULE139.339999-12-31PROFESSIONAL1225007321npi10737850441649236431npi107378504423FEE SCHEDULE399.659999-12-31PROFESSIONAL1730151903npi179077231721FFSCT ANGIO, CHEST, NOCOR, W/O CONT. FOLLOWED BY CONT71275CPT2026CT ANGIO, CHEST, NOCOR, W/O CONT. FOLLOWED BY CONTDERIVED399.139999-12-31PROFESSIONAL1093759599npi124527167511DERIVED656.239999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED2160.339999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED1691.219999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED1704.739999-12-31INSTITUTIONAL1871977942npi187197794222FFSX-RAY EXAM, SPINE;THORACIC,3 VIEWS72072CPT2026X-RAY EXAM, SPINE;THORACIC,3 VIEWSFEE SCHEDULE17.169999-12-31PROFESSIONAL1780658468npi107378504423FFSCAT SCAN OF NECK SPINE72125CPT2026CAT SCAN OF NECK SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1295739522npi10737850441548482151npi10737850441649332172npi107378504423FFSCT SCAN, CERVICAL SPINE72125CPT2026CT SCAN, CERVICAL SPINEDERIVED1031.269999-12-31INSTITUTIONAL1871977942npi187197794223FFSCAT SCAN OF LOWER SPINE72131CPT2026CAT SCAN OF LOWER SPINEFEE SCHEDULE77.429999-12-31PROFESSIONAL1205869203npi10737850441407032071npi10737850442123FFSMRI NECK SPINE72141CPT2026MRI NECK SPINEDERIVED271.959999-12-31PROFESSIONAL1003905290npi12452716751154358398npi12452716751336566330npi12452716751578507588npi12452716751619037025npi12452716751699717124npi124527167511DERIVED181.209999-12-31PROFESSIONAL1619037025npi124527167511FFSMagnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material72146CPT2026Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast materialDERIVED271.499999-12-31PROFESSIONAL1093750820npi12452716751316981996npi124527167511FFSX-RAY EXAM OF SHOULDER73030CPT2026X-RAY EXAM OF SHOULDERFEE SCHEDULE14.979999-12-31PROFESSIONAL1346502622npi10737850441538663620npi10737850441740624519npi107378504423FEE SCHEDULE9.989999-12-31PROFESSIONAL1306188073npi106340072923FFSRadiologic examination, elbow; 2 views73070CPT2026Radiologic examination, elbow; 2 viewsDERIVED22.109999-12-31PROFESSIONAL1700870177npi176059690211FFSMRI, UPPER EXT,OTHR THAN JNT;W/O CONTRAST73218CPT2026MRI, UPPER EXT,OTHR THAN JNT;W/O CONTRASTDERIVED428.809999-12-31PROFESSIONAL1083656706npi12452716751154358398npi12452716751457886046npi12452716751710230982npi124527167511FFSRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsDERIVED42.569999-12-31PROFESSIONAL1821102047npi176059690211DERIVED47.299999-12-31PROFESSIONAL1033172200npi15583402401073592788npi155834024011FEE SCHEDULE36.419999-12-31PROFESSIONAL1346607116npi118407526911FEE SCHEDULE42.569999-12-31PROFESSIONAL1174620702npi118407526911FEE SCHEDULE54.389999-12-31PROFESSIONAL1144451055npi19422636941447489828npi194226369411FFSRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsDERIVED36.069999-12-31PROFESSIONAL1740606441npi15583402401790281400npi155834024011FFSX-RAY EXAM OF FOOT;2 VIEWS73620CPT2026X-RAY EXAM OF FOOT;2 VIEWSDERIVED22.459999-12-31PROFESSIONAL1881057321npi190297849711FFSMRI,LOW EXT OTHR THAN JNT;W/O CONTRAST73718CPT2026MRI,LOW EXT OTHR THAN JNT;W/O CONTRASTDERIVED199.009999-12-31PROFESSIONAL1154358398npi124527167511FFSMRI,ANY JNT LOW EXT;W/OUT CONTRAST73721CPT2026MRI,ANY JNT LOW EXT;W/OUT CONTRASTDERIVED290.549999-12-31PROFESSIONAL1083656706npi12452716751154358398npi12452716751326082975npi12452716751457886046npi12452716751588050843npi12452716751629357207npi12452716751710230982npi124527167511FFSCAT SCAN OF ABDOMEN74150CPT2026CAT SCAN OF ABDOMENDERIVED194.849999-12-31PROFESSIONAL1821357633npi124527167511FEE SCHEDULE964.239999-12-31PROFESSIONAL1184680852npi179077231711FFSCONTRAST CAT SCAN OF ABDOMEN74160CPT2026CONTRAST CAT SCAN OF ABDOMENDERIVED326.279999-12-31PROFESSIONAL1639598519npi124527167511DERIVED701.079999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE97.329999-12-31PROFESSIONAL1043276397npi107378504422FFSCONTRAST XRAY EXAM,ESOPHAGUS74220CPT2026CONTRAST XRAY EXAM,ESOPHAGUSDERIVED133.799999-12-31PROFESSIONAL1720391568npi124527167511FFSFOLLOW-UP ANGIOGRAM OTHER THAN FOR THROMBOLYSIS75898CPT2026FOLLOW-UP ANGIOGRAM OTHER THAN FOR THROMBOLYSISFEE SCHEDULE134.029999-12-31PROFESSIONAL1043203706npi106346376821FFS3D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHY76376CPT20263D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHYDERIVED27.429999-12-31PROFESSIONAL1790949873npi102344793511FFSUnlisted magnetic resonance procedure (eg, diagnostic, interventional)76498CPT2026Unlisted magnetic resonance procedure (eg, diagnostic, interventional)DERIVED83.629999-12-31PROFESSIONAL1639598519npi124527167511FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINAL76817CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINALDERIVED434.959999-12-31INSTITUTIONAL1649367269npi164936726923FFSFETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TESTING76819CPT2026FETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TESTINGDERIVED94.809999-12-31PROFESSIONAL1609215490npi178010052911DERIVED140.259999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE60.989999-12-31PROFESSIONAL1477715597npi10737850441891084869npi10737850442122DERIVED446.569999-12-31INSTITUTIONAL1063426823npi106342682322FFSUS GUIDANCE FOR NEEDLE PLACEMENT76942CPT2026US GUIDANCE FOR NEEDLE PLACEMENTFEE SCHEDULE72.449999-12-31PROFESSIONAL1013973882npi175056469611FEE SCHEDULE79.379999-12-31PROFESSIONAL1659603090npi106346376811FEE SCHEDULE139.889999-12-31PROFESSIONAL1972914869npi179077231722FFSDEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIAL77080CPT2026DEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIALDERIVED38.349999-12-31PROFESSIONAL1639598519npi124527167511FFSTherapeutic radiology treatment planning; complex77263CPT2026Therapeutic radiology treatment planning; complexFEE SCHEDULE272.669999-12-31PROFESSIONAL1124482666npi107378504422DERIVED157.939999-12-31PROFESSIONAL1598955171npi102344793511FFSINTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING77301CPT2026INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDINGFEE SCHEDULE690.369999-12-31PROFESSIONAL1124482666npi107378504422DERIVED1593.519999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1765.409999-12-31PROFESSIONAL1598955171npi102344793511FFSMULTI-LEAF COLLIMATOR DEVCS FOR IMRT,DESIGN/CNSTRC77338CPT2026MULTI-LEAF COLLIMATOR DEVCS FOR IMRT,DESIGN/CNSTRCDERIVED179.849999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED432.249999-12-31PROFESSIONAL1598955171npi102344793511FEE SCHEDULE370.679999-12-31PROFESSIONAL1124482666npi107378504422FFSStereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions77373CPT2026Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractionsDERIVED3430.249999-12-31INSTITUTIONAL1871977942npi187197794222FFSHepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed78227CPT2026Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performedDERIVED372.779999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED539.359999-12-31PROFESSIONAL1720391568npi124527167511FFSSingle liveborn infant, delivered vaginally794MS-DRG10Single liveborn infant, delivered vaginallyDERIVED85.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED130.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED369.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED2850.009999-12-31INSTITUTIONAL1700978558npi170097855821DERIVED3660.009999-12-31INSTITUTIONAL1811991227npi181199122721FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED193.529999-12-31INSTITUTIONAL1871977942npi18719779422223DERIVED197.479999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED217.719999-12-31INSTITUTIONAL1649367269npi164936726923FEE SCHEDULE20.749999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED90.759999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED213.509999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED247.169999-12-31INSTITUTIONAL1063426823npi106342682323FFSHepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate am80076CPT2026Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amDERIVED88.629999-12-31INSTITUTIONAL1871977942npi187197794222FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY OF THESE CONSTITUENTS; NON-AUTOMATED, WITH MICROSCOPY81000CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY OF THESE CONSTITUENTS; NON-AUTOMATED, WITH MICROSCOPYDERIVED4.229999-12-31PROFESSIONAL1023260973npi199218107711FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.259999-12-31PROFESSIONAL1013412196npi124528353011DERIVED2.489999-12-31PROFESSIONAL1073564910npi10234479351093211146npi10234479351134293723npi17801005291346291259npi10234479351598054751npi10234479351790949873npi102344793511DERIVED2.369999-12-31PROFESSIONAL1104347053npi124528353011DERIVED2.479999-12-31PROFESSIONAL1457313421npi132625496211DERIVED72.779999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED1.899999-12-31PROFESSIONAL1679117725npi10234479351760259592npi102344793511DERIVED2.119999-12-31PROFESSIONAL1083322713npi13262549621922656149npi132625496211DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED62.089999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED2.009999-12-31PROFESSIONAL1083134076npi124528353011DERIVED2.129999-12-31PROFESSIONAL1265150924npi102344793511DERIVED73.989999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED79.499999-12-31INSTITUTIONAL1861102345npi186110234523FFSMajor laceration of spleen, initial encounter814MS-DRG10Major laceration of spleen, initial encounterDERIVED301.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED610.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED710.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED2065.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED47.229999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED192.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED233.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4100.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED9260.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED264.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED400.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED3955.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED336.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED605.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED730.009999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED4720.009999-12-31INSTITUTIONAL1811991227npi181199122721FFSOncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result81528CPT2026Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative resultFEE SCHEDULE508.879999-12-31PROFESSIONAL1629407069npi162940706981FFSGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED35.469999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE7.709999-12-31PROFESSIONAL1750301172npi179077231781DERIVED75.989999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED32.719999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED70.919999-12-31INSTITUTIONAL1871977942npi187197794222FFSPorphobilinogen, urine; quantitative84110CPT2026Porphobilinogen, urine; quantitativeFEE SCHEDULE16.589999-12-31PROFESSIONAL1750301172npi179077231781FFSProcalcitonin (PCT)84145CPT2026Procalcitonin (PCT)DERIVED117.689999-12-31INSTITUTIONAL1063426823npi106342682323FFSProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED20.239999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED70.359999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED53.739999-12-31INSTITUTIONAL1871977942npi18719779422223FEE SCHEDULE32.969999-12-31PROFESSIONAL1750301172npi179077231781FFSTroponin, quantitative84484CPT2026Troponin, quantitativeDERIVED165.969999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED179.289999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED187.379999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED298.739999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED374.739999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED149.369999-12-31INSTITUTIONAL1871977942npi18719779422223FFSGonadotropin, chorionic (hCG); quantitative84702CPT2026Gonadotropin, chorionic (hCG); quantitativeDERIVED151.849999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED162.989999-12-31INSTITUTIONAL1063426823npi10634268232223DERIVED186.349999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423FFSCHORIONIC GONADOTROPIN ASSAY84703CPT2026CHORIONIC GONADOTROPIN ASSAYDERIVED6.329999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED65.139999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED88.989999-12-31INSTITUTIONAL1679678486npi167967848623DERIVED63.719999-12-31INSTITUTIONAL1700978558npi170097855822FFSGonadotropin, chorionic (hCG); qualitative84703CPT2026Gonadotropin, chorionic (hCG); qualitativeDERIVED85.949999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422FFSBlood count; spun microhematocrit85013CPT2026Blood count; spun microhematocritDERIVED7.709999-12-31PROFESSIONAL1750305900npi163913848011FFSHEMOGLOBIN85018CPT2026HEMOGLOBINDERIVED2.619999-12-31PROFESSIONAL1750305900npi163913848011DERIVED2.379999-12-31PROFESSIONAL1013412196npi12452835301205889243npi128568537011DERIVED2.429999-12-31PROFESSIONAL1043834328npi131638516411DERIVED2.849999-12-31PROFESSIONAL1356551766npi131638516411FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED3.609999-12-31PROFESSIONAL1962463802npi166966921423DERIVED75.609999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED137.969999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED141.029999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE15.269999-12-31PROFESSIONAL1750301172npi17907723171841351566npi179077231781DERIVED1.509999-12-31PROFESSIONAL1649253535npi125531366422DERIVED8.559999-12-31PROFESSIONAL1902068158npi176059096211DERIVED141.969999-12-31INSTITUTIONAL1871977942npi18719779422223DERIVED85.919999-12-31INSTITUTIONAL1053424648npi105342464823DERIVED152.109999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED163.259999-12-31INSTITUTIONAL1063426823npi10634268231700978558npi17009785582223DERIVED148.079999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED159.719999-12-31INSTITUTIONAL1679678486npi16796784861700978558npi17009785582223FFSAllergen specific IgE; quantitative or semiquantitative, crude allergen extract, each86003CPT2026Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSAntinuclear antibodies (ANA);86038CPT2026Antinuclear antibodies (ANA);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681FFSSkin test; tuberculosis, intradermal86580CPT2026Skin test; tuberculosis, intradermalDERIVED11.259999-12-31PROFESSIONAL1104347053npi124528353011FFSAntibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])86769CPT2026Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])DERIVED42.139999-12-31PROFESSIONAL1891731626npi189173162681FFSCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateDERIVED8.899999-12-31PROFESSIONAL1235190356npi102344793511FEE SCHEDULE15.859999-12-31PROFESSIONAL1841351566npi179077231781FFSCULTURE, FUNGI ISOLATION, OTHER SOURCE87102CPT2026CULTURE, FUNGI ISOLATION, OTHER SOURCEDERIVED6.199999-12-31INSTITUTIONAL1871977942npi187197794222FFSCULTURE, CHLAMYDIA, ANY SOURCE87110CPT2026CULTURE, CHLAMYDIA, ANY SOURCEDERIVED20.589999-12-31PROFESSIONAL1558682435npi183115803911FFSINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE OR87340CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE ORFEE SCHEDULE20.269999-12-31PROFESSIONAL1750301172npi179077231781FFSINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED49.999999-12-31PROFESSIONAL1043087018npi189190537820DERIVED76.669999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED37.099999-12-31PROFESSIONAL1205824778npi12755523581356446223npi189119744811DERIVED31.449999-12-31PROFESSIONAL1962579086npi127555235811FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED15.559999-12-31PROFESSIONAL1083322713npi132625496211DERIVED18.219999-12-31PROFESSIONAL1750305900npi163913848011DERIVED17.379999-12-31PROFESSIONAL1205824778npi12755523581356446223npi18911974481396704821npi190208406411DERIVED14.729999-12-31PROFESSIONAL1093346769npi18911974481962579086npi127555235811FFSINFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY W/87811CPT2026INFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY W/DERIVED38.899999-12-31PROFESSIONAL1083322713npi132625496211FFSInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED40.009999-12-31PROFESSIONAL1043087018npi189190537820DERIVED14.719999-12-31PROFESSIONAL1962579086npi127555235811DERIVED18.189999-12-31PROFESSIONAL1750305900npi163913848011DERIVED17.359999-12-31PROFESSIONAL1205824778npi12755523581356446223npi18911974481396704821npi190208406411FFSIMMUNOFLUORESCENT STUDY88346CPT2026IMMUNOFLUORESCENT STUDYFEE SCHEDULE150.009999-12-31PROFESSIONAL1326004813npi125538355011FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)90472CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)DERIVED13.379999-12-31PROFESSIONAL1578296711npi124528353011FFSMENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, SEROGROUP B (MENB-4C), FOR INTRAMUSCULAR USE90620CPT2026MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE, SEROGROUP B (MENB-4C), FOR INTRAMUSCULAR USEDERIVED237.139999-12-31PROFESSIONAL1821014192npi194268913811FFSHaemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use90647CPT2026Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular useDERIVED21.059999-12-31PROFESSIONAL1821014192npi194268913811FFSInfluenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use90674CPT2026Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular useDERIVED34.179999-12-31PROFESSIONAL1205889243npi128568537011DERIVED32.289999-12-31PROFESSIONAL1649277880npi128568537011DERIVED19.009999-12-31PROFESSIONAL1679888580npi150848826303DERIVED33.899999-12-31PROFESSIONAL1619381894npi124528353011FFSRotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use90680CPT2026Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral useDERIVED102.749999-12-31PROFESSIONAL1356551766npi131638516411FFSRotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use90681CPT2026Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral useDERIVED147.029999-12-31PROFESSIONAL1821014192npi194268913811FFSDiphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use90697CPT2026Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular useDERIVED156.709999-12-31PROFESSIONAL1356551766npi13163851641750305900npi163913848011FFSPERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 1 LESION INVOLVING 1 OR MORE CORONARY SEGMENTS92928CPT2026PERCUTANEOUS TRANSCATHETER PLACEMENT OF INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED, SINGLE MAJOR CORONARY ARTERY AND/OR ITS BRANCH(ES); 1 LESION INVOLVING 1 OR MORE CORONARY SEGMENTSFEE SCHEDULE449.899999-12-31PROFESSIONAL1609907948npi104355169022FFSPERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACTUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIAL INFARCTION, ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY AND ANGIOPLASTY, INCLUDING ASPIRATION THROMBECTOMY WHEN PERFORMED, S92941CPT2026PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF ACTUTE TOTAL/SUBTOTAL OCCLUSION DURING ACUTE MYOCARDIAL INFARCTION, ANY COMBINATION OF INTRACORONARY STENT, ATHERECTOMY AND ANGIOPLASTY, INCLUDING ASPIRATION THROMBECTOMY WHEN PERFORMED, SFEE SCHEDULE571.319999-12-31PROFESSIONAL1609907948npi104355169022FFSElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportDERIVED13.779999-12-31PROFESSIONAL1114975596npi16695892631306074372npi16695892631649230103npi166958926311DERIVED14.549999-12-31PROFESSIONAL1245288505npi126576004511DERIVED16.069999-12-31PROFESSIONAL1356446223npi189119744811FEE SCHEDULE16.839999-12-31PROFESSIONAL1417921701npi19422506831750332250npi174055985511DERIVED12.399999-12-31PROFESSIONAL1700343647npi126576004511DERIVED14.389999-12-31PROFESSIONAL1083322713npi132625496211FEE SCHEDULE13.019999-12-31PROFESSIONAL1265519052npi186161875311DERIVED16.839999-12-31PROFESSIONAL1346276201npi12250342341851650717npi122503423411FEE SCHEDULE13.779999-12-31PROFESSIONAL1609907948npi104355169011FEE SCHEDULE81.149999-12-31PROFESSIONAL1063409225npi17907723171134448020npi17907723171174596324npi17907723171720043441npi179077231711FFSCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report93017CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and reportDERIVED998.339999-12-31INSTITUTIONAL1649367269npi164936726923FFSCRDVSC TELEM/ECG MONITR/REPORT,24 HRS UP TO 30 DAY93228CPT2026CRDVSC TELEM/ECG MONITR/REPORT,24 HRS UP TO 30 DAYFEE SCHEDULE25.199999-12-31PROFESSIONAL1972841526npi197284152611DERIVED22.679999-12-31PROFESSIONAL1114975596npi166958926311FEE SCHEDULE27.719999-12-31PROFESSIONAL1750332250npi174055985511FEE SCHEDULE22.679999-12-31PROFESSIONAL1609907948npi104355169011FFSExternal electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation93248CPT2026External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretationFEE SCHEDULE27.279999-12-31PROFESSIONAL1417921701npi194225068311FFSINTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT LOOP RCD93298CPT2026INTRGTN DEV EVAL REMOTE W/REV&REPT.IMPLNT LOOP RCDFEE SCHEDULE90.149999-12-31PROFESSIONAL1609907948npi104355169011FFSEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDFEE SCHEDULE34.119999-12-31PROFESSIONAL1043276397npi10737850441346637147npi10737850441780985432npi107378504423DERIVED219.629999-12-31INSTITUTIONAL1003465097npi100346509723DERIVED532.059999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE129.589999-12-31PROFESSIONAL1013973882npi175056469611DERIVED415.939999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE22.749999-12-31PROFESSIONAL1710230982npi106340072923FFSVISCERAL VASCULAR STUDY93975CPT2026VISCERAL VASCULAR STUDYDERIVED489.489999-12-31INSTITUTIONAL1003465097npi100346509723FFSDuplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study93976CPT2026Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited studyDERIVED632.799999-12-31INSTITUTIONAL1871977942npi187197794223FEE SCHEDULE824.709999-12-31PROFESSIONAL1073991360npi179077231711DERIVED221.259999-12-31PROFESSIONAL1104860600npi124527167511FFSVISCERAL VASCULAR STUDY93976CPT2026VISCERAL VASCULAR STUDYFEE SCHEDULE61.889999-12-31PROFESSIONAL1093033433npi107378504423FFSDemonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device94664CPT2026Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB deviceDERIVED19.529999-12-31PROFESSIONAL1649277880npi128568537011FFSPlethysmography for determination of lung volumes and, when performed, airway resistance94726CPT2026Plethysmography for determination of lung volumes and, when performed, airway resistanceDERIVED61.909999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011FFSDiffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)94729CPT2026Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)DERIVED61.319999-12-31PROFESSIONAL1205889243npi12856853701487875977npi12856853701649277880npi128568537011FFSINTRACUTANEOUS TEST INCL TEST INTER & REPORT95024CPT2026INTRACUTANEOUS TEST INCL TEST INTER & REPORTFEE SCHEDULE7.929999-12-31PROFESSIONAL1659363505npi141714803211FEE SCHEDULE9.809999-12-31PROFESSIONAL1306884267npi118462573311FFSSLEEP STUDY,UNATTENDED,SIMULTANEOUS RECORDING95806CPT2026SLEEP STUDY,UNATTENDED,SIMULTANEOUS RECORDINGDERIVED110.009999-12-31PROFESSIONAL1053753442npi16990212951112FFSPOLYSOMNOGRAPHY, AGE 6 OR OLDER, SLEEP STAG.95810CPT2026POLYSOMNOGRAPHY, AGE 6 OR OLDER, SLEEP STAG.DERIVED652.399999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537011FFSPOLYSOM AGE 6 OR OLDER, SLEEP STAG 4 > PARAMETS95811CPT2026POLYSOM AGE 6 OR OLDER, SLEEP STAG 4 > PARAMETSDERIVED685.479999-12-31PROFESSIONAL1205889243npi12856853701649277880npi128568537011FFSNeedle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal lev95886CPT2026Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levDERIVED106.999999-12-31PROFESSIONAL1700997707npi157821809511DERIVED87.539999-12-31PROFESSIONAL1710975073npi105375918311FEE SCHEDULE102.129999-12-31PROFESSIONAL1083824817npi171016209411FFSBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED5.469999-12-31PROFESSIONAL1457313421npi132625496211DERIVED4.679999-12-31PROFESSIONAL1083322713npi13262549621922656149npi132625496211DERIVED5.219999-12-31PROFESSIONAL1619381894npi124528353011DERIVED5.479999-12-31PROFESSIONAL1750305900npi163913848011DERIVED5.079999-12-31PROFESSIONAL1043834328npi131638516411FFSHealth behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)96156CPT2026Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)FEE SCHEDULE406.559999-12-31PROFESSIONAL1578553400npi179077231710FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED423.049999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED71.749999-12-31PROFESSIONAL1902068158npi176059096211DERIVED363.559999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED332.859999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED340.789999-12-31INSTITUTIONAL1871977942npi187197794222FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)96375CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)DERIVED94.899999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED127.099999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED245.589999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED116.779999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED16.879999-12-31PROFESSIONAL1902068158npi176059096211DERIVED180.509999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED79.869999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED85.969999-12-31INSTITUTIONAL1063426823npi106342682323FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)96376CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)DERIVED77.979999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED90.259999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED116.779999-12-31INSTITUTIONAL1700978558npi170097855822FFSTherapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities97112CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesDERIVED32.249999-12-31PROFESSIONAL1811105463npi181118529111DERIVED48.369999-12-31PROFESSIONAL1689062580npi181118529111DERIVED48.339999-12-31PROFESSIONAL1689062580npi181118529111DERIVED49.289999-12-31PROFESSIONAL1265208532npi181118529111DERIVED32.219999-12-31PROFESSIONAL1265208532npi181118529111FFSTherapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)97116CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)DERIVED75.159999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED61.739999-12-31INSTITUTIONAL1871977942npi187197794222FFSTherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes97530CPT2026Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesDERIVED50.009999-12-31PROFESSIONAL1992912349npi155834024011DERIVED68.369999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED73.379999-12-31INSTITUTIONAL1700978558npi170097855822FFSMedical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes97802CPT2026Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutesDERIVED39.709999-12-31PROFESSIONAL1750305900npi163913848011FFSModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the m99152CPT2026Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mDERIVED10.889999-12-31PROFESSIONAL1245288505npi126576004522DERIVED243.079999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE18.899999-12-31PROFESSIONAL1659712172npi107378504422FEE SCHEDULE10.319999-12-31PROFESSIONAL1609907948npi104355169022FEE SCHEDULE17.759999-12-31PROFESSIONAL1053583112npi124528353023FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEFEE SCHEDULE30.009999-12-31PROFESSIONAL1164426581npi116442658111FEE SCHEDULE78.219999-12-31PROFESSIONAL1659363505npi141714803211DERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED120.009999-12-31PROFESSIONAL1306114483npi189190537820FEE SCHEDULE66.309999-12-31PROFESSIONAL1396791109npi199204527211FEE SCHEDULE67.049999-12-31PROFESSIONAL1639329006npi13464561671760126791npi134645616711DERIVED78.219999-12-31PROFESSIONAL1881630119npi161901856111FEE SCHEDULE96.849999-12-31PROFESSIONAL1245214022npi118462573311FEE SCHEDULE63.329999-12-31PROFESSIONAL1528654696npi14877671331962003251npi148776713311FEE SCHEDULE74.499999-12-31PROFESSIONAL1376644328npi148776713311FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE OFEE SCHEDULE211.229999-12-31PROFESSIONAL1124482666npi107378504422DERIVED172.699999-12-31PROFESSIONAL1114975596npi16695892631649230103npi166958926311DERIVED224.509999-12-31PROFESSIONAL1558380444npi154858460011DERIVED227.049999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE140.819999-12-31PROFESSIONAL1144683962npi12452835301336241413npi12452835301922DERIVED160.019999-12-31PROFESSIONAL1225018104npi178010052922DERIVED191.889999-12-31PROFESSIONAL1952357840npi124528353011FFSInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of99222CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date ofDERIVED100.629999-12-31PROFESSIONAL1679117725npi102344793521DERIVED149.729999-12-31PROFESSIONAL1063900538npi17801005291649857459npi17801005291912934902npi17801005292122DERIVED161.709999-12-31PROFESSIONAL1215134820npi178010052921FEE SCHEDULE167.699999-12-31PROFESSIONAL1437616042npi139679559721FFSOffice or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selectio99244CPT2026Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selectioFEE SCHEDULE647.349999-12-31PROFESSIONAL1265758189npi17907723171881920684npi179077231711FEE SCHEDULE761.589999-12-31PROFESSIONAL1316332877npi179077231711FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99381CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED123.459999-12-31PROFESSIONAL1750305900npi163913848011FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99386CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED137.919999-12-31PROFESSIONAL1083134076npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED107.529999-12-31PROFESSIONAL1528383296npi189119744811DERIVED113.569999-12-31PROFESSIONAL1922656149npi132625496211DERIVED126.859999-12-31PROFESSIONAL1104347053npi12452835301205824778npi12755523581215955000npi18811798281275521759npi127555235811DERIVED120.009999-12-31PROFESSIONAL1316933708npi132625496211FFSAdvance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with99497CPT2026Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face withDERIVED91.219999-12-31PROFESSIONAL1023260973npi199218107711FFSELECTRODESA4556HCPCS2026ELECTRODESFEE SCHEDULE14.499999-12-31PROFESSIONAL1588901425npi16799674001598754855npi167996740011FFSPUR-02 CANNULA, NASALA4615HCPCS2026PUR-02 CANNULA, NASALFEE SCHEDULE0.989999-12-31PROFESSIONAL1598754855npi167996740011FFSGADOBUTROL INJECTION 0.1 MLA9585HCPCS2026GADOBUTROL INJECTION 0.1 MLFEE SCHEDULE0.329999-12-31PROFESSIONAL1063856615npi17907723171376738138npi17907723171407925688npi17907723171538206347npi17907723171538335179npi17907723171982854527npi179077231711DERIVED36.909999-12-31PROFESSIONAL1336566330npi124527167511FFSANCHOR/SCREW FOR OPPOSING BONE TO BONE OR TIS BONEC1713HCPCS2026ANCHOR/SCREW FOR OPPOSING BONE TO BONE OR TIS BONEDERIVED10554.349999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED85.499999-12-31INSTITUTIONAL1285681908npi128568190822FFSCATHETER, TRANSLUMINAL ANGIOPLASTY,NON LASERC1725HCPCS2026CATHETER, TRANSLUMINAL ANGIOPLASTY,NON LASERDERIVED349.229999-12-31INSTITUTIONAL1871977942npi187197794222FFSSTENT COATED/CVRD W/ DELIVERY SYSC1874HCPCS2026STENT COATED/CVRD W/ DELIVERY SYSDERIVED455.109999-12-31INSTITUTIONAL1871977942npi187197794222FFSHOSPITAL OBSERVATION SERVICE PER HOURG0378HCPCS2026HOSPITAL OBSERVATION SERVICE PER HOURDERIVED551.789999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED562.849999-12-31INSTITUTIONAL1871977942npi187197794223DERIVED2300.769999-12-31INSTITUTIONAL1649367269npi164936726923FFSANNUAL DEPRESSION SCREENING, 15 MINUTESG0444HCPCS2026ANNUAL DEPRESSION SCREENING, 15 MINUTESDERIVED19.249999-12-31PROFESSIONAL1023260973npi19921810771881154524npi115402785211DERIVED21.459999-12-31PROFESSIONAL1144648809npi154858460011FFSANNUAL INTNSVE BEHAVRL TX CARDIOVASC INDV. 15 MINSG0446HCPCS2026ANNUAL INTNSVE BEHAVRL TX CARDIOVASC INDV. 15 MINSDERIVED35.889999-12-31PROFESSIONAL1023260973npi199218107711FFSSUCCINYCHOLINE CHLORIDE 20 MGJ0330HCPCS2026SUCCINYCHOLINE CHLORIDE 20 MGDERIVED12.549999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED26.479999-12-31INSTITUTIONAL1700978558npi170097855822FFSHYDRALAZINE HCL UP TO 20 MGJ0360HCPCS2026HYDRALAZINE HCL UP TO 20 MGDERIVED20.639999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ,GARAMYCIN GENTAMICIN 80 MGJ1580HCPCS2026INJ,GARAMYCIN GENTAMICIN 80 MGDERIVED41.649999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED42.579999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED31.949999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED67.809999-12-31INSTITUTIONAL1700978558npi170097855822FFSINJECTION, GLYCOPYRROLATE, 0.1 MGJ1596HCPCS2026INJECTION, GLYCOPYRROLATE, 0.1 MGDERIVED34.239999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED9.549999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJECTION, IRON SUCROSE, 1 MGJ1756HCPCS2026INJECTION, IRON SUCROSE, 1 MGDERIVED194.759999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJECTION,PROPOFOL,10MGJ2704HCPCS2026INJECTION,PROPOFOL,10MGDERIVED26.539999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED55.169999-12-31INSTITUTIONAL1700978558npi170097855822FEE SCHEDULE0.089999-12-31PROFESSIONAL1588901425npi16799674001598754855npi167996740011DERIVED12.449999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED14.489999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED24.789999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED30.009999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED79.529999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED108.019999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED24.499999-12-31INSTITUTIONAL1871977942npi187197794222FFSINJ, METHYLPRED SOD SUCC 5MGJ2919HCPCS2026INJ, METHYLPRED SOD SUCC 5MGDERIVED42.339999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED24.019999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ FENTANYL CITRATE, 0.1MGJ3010HCPCS2026INJ FENTANYL CITRATE, 0.1MGDERIVED10.529999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED2.649999-12-31INSTITUTIONAL1245785567npi124578556722DERIVED14.509999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED15.069999-12-31INSTITUTIONAL1700978558npi170097855822DERIVED24.839999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED26.079999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED30.349999-12-31INSTITUTIONAL1649367269npi164936726923FFSINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED4.329999-12-31PROFESSIONAL1073557518npi12452716751093750820npi12452716751306188073npi12452716751457886046npi124527167511FEE SCHEDULE0.859999-12-31PROFESSIONAL1134396831npi19422636941144451055npi19422636941447489828npi194226369411FEE SCHEDULE0.819999-12-31PROFESSIONAL1346462181npi16290636801760463848npi192218800211DERIVED3.689999-12-31PROFESSIONAL1063077667npi124527167511DERIVED3.129999-12-31PROFESSIONAL1073592788npi155834024011FEE SCHEDULE0.959999-12-31PROFESSIONAL1265693568npi10139360871841596327npi101393608711FFSAUTO EXTERNAL DEFIB W/INTEGRATED ELECTROCARDIOGRAMK0606HCPCS2026AUTO EXTERNAL DEFIB W/INTEGRATED ELECTROCARDIOGRAMFEE SCHEDULE3947.799999-12-31PROFESSIONAL1164535274npi116453527412FFSKNEE ORTHOSIS, ELASTIC WITH JOINTS, PREFABRICATED,L1812HCPCS2026KNEE ORTHOSIS, ELASTIC WITH JOINTS, PREFABRICATED,FEE SCHEDULE98.579999-12-31PROFESSIONAL1447489828npi194226369412FFSINTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB,M0245HCPCS2026INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB,DERIVED543.389999-12-31INSTITUTIONAL1700978558npi170097855822FFSSCREENING PAP COLLECTION AND CONVEYANCEQ0091HCPCS2026SCREENING PAP COLLECTION AND CONVEYANCEDERIVED20.089999-12-31PROFESSIONAL1083134076npi124528353011DERIVED47.399999-12-31PROFESSIONAL1205824778npi12755523581275521759npi127555235811DERIVED40.179999-12-31PROFESSIONAL1083134076npi124528353011DERIVED42.439999-12-31PROFESSIONAL1083322713npi132625496211FFSLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED0.389999-12-31PROFESSIONAL1063077667npi124527167511DERIVED11.009999-12-31PROFESSIONAL1104860600npi12452716751306188073npi12452716751548688708npi12452716751578768156npi12452716751619037025npi124527167511DERIVED27.509999-12-31PROFESSIONAL1003905290npi12452716751578507588npi124527167511DERIVED0.019999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED0.229999-12-31PROFESSIONAL1457886046npi124527167511DERIVED14.629999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED16.509999-12-31PROFESSIONAL1780655498npi124527167511DERIVED22.009999-12-31PROFESSIONAL1093759599npi12452716751497103121npi12452716751639598519npi12452716751710230982npi12452716751780628339npi12452716751821357633npi12452716751831136191npi12452716751942207709npi124527167511DERIVED27.049999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED0.199999-12-31PROFESSIONAL1063077667npi124527167511DERIVED0.449999-12-31PROFESSIONAL1073557518npi12452716751457886046npi124527167511FEE SCHEDULE0.169999-12-31PROFESSIONAL1396750287npi17907723171447604392npi17907723171497930994npi17907723171891786984npi179077231711FFSHOME VISIT FOR WOUND CARES9097HCPCS2026HOME VISIT FOR WOUND CAREDERIVED154.509999-12-31INSTITUTIONAL1013081215npi101308121512BUNDLEEAR CARTILAGE GRAFT-AUTOGENO21235CPT2026EAR CARTILAGE GRAFT-AUTOGENOFEE SCHEDULE2791.969999-12-31PROFESSIONAL1316332877npi179077231722BUNDLEComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED231.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED244.719999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED188.709999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED65.519999-12-31INSTITUTIONAL1861102345npi186110234523BUNDLEBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED140.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED148.729999-12-31INSTITUTIONAL1861102345npi186110234523DERIVED138.429999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLERe-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in con97168CPT2026Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in conDERIVED150.009999-12-31PROFESSIONAL1376104851npi188189855911BUNDLEPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED28.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED11.539999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEInjection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed64445CPT2026Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performedDERIVED170.009999-12-31PROFESSIONAL1356446223npi189119744811BUNDLECAT SCAN OF LOWER EXTREMITY73700CPT2026CAT SCAN OF LOWER EXTREMITYDERIVED397.699999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEProthrombin time;85610CPT2026Prothrombin time;DERIVED111.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED49.579999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED67.289999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED170.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEInfectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique87640CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe techniqueDERIVED210.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLENoninvasive ear or pulse oximetry for oxygen saturation; single determination94760CPT2026Noninvasive ear or pulse oximetry for oxygen saturation; single determinationDERIVED4.219999-12-31PROFESSIONAL1396704821npi190208406411BUNDLETHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED90.009999-12-31PROFESSIONAL1770149163npi188189855911BUNDLESUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,DERIVED60.409999-12-31PROFESSIONAL1679117725npi102344793521BUNDLEPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED110.009999-12-31PROFESSIONAL1760544340npi162927913811BUNDLEINJECTION FOR NERVE BLOCK64445CPT2026INJECTION FOR NERVE BLOCKDERIVED170.009999-12-31PROFESSIONAL1356446223npi189119744811BUNDLERadiologic examination, chest; single view71045CPT2026Radiologic examination, chest; single viewFEE SCHEDULE13.919999-12-31PROFESSIONAL1659712172npi107378504421BUNDLEULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76801CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMESTER (< 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED119.999999-12-31PROFESSIONAL1609849496npi187157203211BUNDLEBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED113.069999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED156.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED34.589999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on t99221CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on tDERIVED127.169999-12-31PROFESSIONAL1184601304npi178010052921BUNDLEANNUAL DEPRESSION SCREENING, 15 MINUTESG0444HCPCS2026ANNUAL DEPRESSION SCREENING, 15 MINUTESDERIVED19.249999-12-31PROFESSIONAL1881154524npi115402785211DERIVED21.459999-12-31PROFESSIONAL1558380444npi154858460011BUNDLEDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionFEE SCHEDULE58.309999-12-31PROFESSIONAL1821141714npi199204527211BUNDLEEndometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)58100CPT2026Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)DERIVED94.489999-12-31PROFESSIONAL1144225541npi150881869111BUNDLERadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsDERIVED108.509999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED894.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEX-RAY EXAM OF SHOULDER73020CPT2026X-RAY EXAM OF SHOULDERFEE SCHEDULE8.179999-12-31PROFESSIONAL1306188073npi106340072923BUNDLEULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATION76805CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION, AFTER FIRST TRIMESTER (> OR = 14 WEEKS 0 DAYS), TRANSABDOMINAL APPROACH; SINGLE OR FIRST GESTATIONDERIVED0.019999-12-31PROFESSIONAL1497294979npi178010052911DERIVED139.299999-12-31PROFESSIONAL1366448805npi187157203211BUNDLELabor and delivery complicated by cord around neck, without compression, not applicable or unspecified807MS-DRG10Labor and delivery complicated by cord around neck, without compression, not applicable or unspecifiedDERIVED723.009999-12-31INSTITUTIONAL1811991227npi181199122721BUNDLEInfectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique87641CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe techniqueDERIVED192.009999-12-31INSTITUTIONAL1811991227npi181199122722BUNDLEElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED545.009999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED109.499999-12-31INSTITUTIONAL1871977942npi187197794222BUNDLEANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESG0442HCPCS2026ANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTESDERIVED19.249999-12-31PROFESSIONAL1881154524npi115402785211CAPITATIONShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less11300CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or lessDERIVED41.949999-12-31PROFESSIONAL1073961017npi161901856111CAPITATIONShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm11302CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cmDERIVED114.779999-12-31PROFESSIONAL1073961017npi16190185611427719657npi161901856111CAPITATIONInjection(s); single or multiple trigger point(s), 1 or 2 muscle(s)20552CPT2026Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)DERIVED56.889999-12-31PROFESSIONAL1285155259npi155830204211CAPITATIONARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO G20610CPT2026ARTHROCENT,ASPIR &/OR INJECT, MAJOR JOINT/BUR WO GDERIVED76.229999-12-31PROFESSIONAL1609239680npi155830204211CAPITATIONEXC,INTERDIGITAL,SINGLE,EACH28080CPT2026EXC,INTERDIGITAL,SINGLE,EACHDERIVED296.399999-12-31PROFESSIONAL1689865453npi153868649822CAPITATIONPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED1.119999-12-31PROFESSIONAL1932166386npi193216638681DERIVED10.279999-12-31PROFESSIONAL1003204462npi15583020421184726184npi15583020421225133911npi15583020421235259011npi15583020421285155259npi15583020421376273516npi15583020421396722476npi15583020421497017289npi15583020421528387743npi15583020421598054751npi10234479351609239680npi15583020421689918831npi15583020421740286756npi15583020421740910561npi15583020421780189860npi15583020421790756765npi15583020421891790309npi15583020421912229121npi155830204211DERIVED8.789999-12-31PROFESSIONAL1376047134npi16391384801720749807npi163913848011CAPITATIONLaparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)43775APC2026Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)DERIVED2162.669999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONCYSTOURETHROSCOPY SEPERATE PROCEDURE52000CPT2026CYSTOURETHROSCOPY SEPERATE PROCEDUREDERIVED69.439999-12-31PROFESSIONAL1679117725npi102344793524CAPITATIONRemoval impacted cerumen using irrigation/lavage, unilateral69209CPT2026Removal impacted cerumen using irrigation/lavage, unilateralDERIVED7.009999-12-31PROFESSIONAL1962928465npi155830204211DERIVED13.999999-12-31PROFESSIONAL1962928465npi155830204211FEE SCHEDULE14.009999-12-31PROFESSIONAL1982802633npi155830204211DERIVED18.129999-12-31PROFESSIONAL1285155259npi15583020421427158781npi155830204211CAPITATIONX-RAY EXAM OF RIBS, CHEST71101CPT2026X-RAY EXAM OF RIBS, CHESTFEE SCHEDULE40.849999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM, SPINE;THORACIC,3 VIEWS72072CPT2026X-RAY EXAM, SPINE;THORACIC,3 VIEWSFEE SCHEDULE41.509999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, wrist; complete, minimum of 3 views73110CPT2026Radiologic examination, wrist; complete, minimum of 3 viewsFEE SCHEDULE41.499999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsFEE SCHEDULE47.299999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, abdomen; 2 views74019CPT2026Radiologic examination, abdomen; 2 viewsFEE SCHEDULE49.249999-12-31PROFESSIONAL1306283213npi155830204211CAPITATIONMYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIES78452CPT2026MYOCARDIAL PERFUSION IMAGING, MULTIPLE STUDIESDERIVED455.119999-12-31PROFESSIONAL1518100148npi15583020421851309629npi155830204211CAPITATIONComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONHepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate am80076CPT2026Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED2.959999-12-31PROFESSIONAL1154361129npi15583020421750820627npi15583020421962928465npi155830204211DERIVED3.839999-12-31PROFESSIONAL1285155259npi15583020421396722476npi15583020421427158781npi15583020421609239680npi15583020421629045307npi15583020421639585169npi15583020421740910561npi15583020421851959407npi155830204211FEE SCHEDULE2.969999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONJAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant81270CPT2026JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variantDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflamm81596CPT2026Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAdrenocorticotropic hormone (ACTH)82024CPT2026Adrenocorticotropic hormone (ACTH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAldolase82085CPT2026AldolaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAmylase82150CPT2026AmylaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBilirubin; total82247CPT2026Bilirubin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCortisol; total82533CPT2026Cortisol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDehydroepiandrosterone (DHEA)82626CPT2026Dehydroepiandrosterone (DHEA)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONEstradiol; total82670CPT2026Estradiol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFat or lipids, feces; qualitative82705CPT2026Fat or lipids, feces; qualitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)82951CPT2026GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin; follicle stimulating hormone (FSH)83001CPT2026Gonadotropin; follicle stimulating hormone (FSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHomocysteine83090CPT2026HomocysteineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein (a)83695CPT2026Lipoprotein (a)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONParathormone (parathyroid hormone)83970CPT2026Parathormone (parathyroid hormone)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); total84153CPT2026Prostate specific antigen (PSA); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProstate specific antigen (PSA); free84154CPT2026Prostate specific antigen (PSA); freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProinsulin84206CPT2026ProinsulinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; total (TT-3)84480CPT2026Triiodothyronine T3; total (TT-3)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; free84481CPT2026Triiodothyronine T3; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriiodothyronine T3; reverse84482CPT2026Triiodothyronine T3; reverseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin K84597CPT2026Vitamin KDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONZinc84630CPT2026ZincDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGonadotropin, chorionic (hCG); quantitative84702CPT2026Gonadotropin, chorionic (hCG); quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; red blood cell (RBC), automated85041CPT2026Blood count; red blood cell (RBC), automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAllergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each86008CPT2026Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONActin (smooth muscle) antibody (ASMA), each86015CPT2026Actin (smooth muscle) antibody (ASMA), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONComplement; total hemolytic (CH50)86162CPT2026Complement; total hemolytic (CH50)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDeoxyribonucleic acid (DNA) antibody; native or double stranded86225CPT2026Deoxyribonucleic acid (DNA) antibody; native or double strandedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFluorescent noninfectious agent antibody; screen, each antibody86255CPT2026Fluorescent noninfectious agent antibody; screen, each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNOFIXATION ELECTOPHORESIS86334CPT2026IMMUNOFIXATION ELECTOPHORESISDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; Borrelia burgdorferi (Lyme disease)86618CPT2026Antibody; Borrelia burgdorferi (Lyme disease)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; mycoplasma86738CPT2026Antibody; mycoplasmaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species87045CPT2026Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella speciesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate87077CPT2026Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1841236684npi18412366841891731626npi189173162681CAPITATIONCULTURE, FUNGI ISOLATION, OTHER SOURCE87102CPT2026CULTURE, FUNGI ISOLATION, OTHER SOURCEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSmear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types87205CPT2026Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell typesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Clostridium diffi87324CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Clostridium diffiDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylo87338CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pyloDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE OR87340CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE ORDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED30.039999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED35.339999-12-31PROFESSIONAL1497700223npi155830204211DERIVED38.869999-12-31PROFESSIONAL1083717565npi15583020421174864482npi15583020421225232051npi15583020421235273285npi15583020421235370743npi15583020421376273516npi15583020421396722476npi15583020421427158781npi15583020421578556502npi15583020421639585169npi15583020421851959407npi155830204211DERIVED45.239999-12-31PROFESSIONAL1861451593npi126549387821FEE SCHEDULE30.039999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique87556CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe techniqueDERIVED45.859999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique87563CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique87653CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique87661CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi190234862681CAPITATIONCYTOPATHOLOGY CELLULAR ENHANC W/INTERP88112CPT2026CYTOPATHOLOGY CELLULAR ENHANC W/INTERPDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)90472CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)DERIVED17.309999-12-31PROFESSIONAL1497017289npi155830204211CAPITATIONHEPATITIS A VACCINE,ADULT DOSAGE,FOR INTRAMUSCULAR90632CPT2026HEPATITIS A VACCINE,ADULT DOSAGE,FOR INTRAMUSCULARDERIVED80.899999-12-31PROFESSIONAL1285155259npi15583020421609239680npi155830204211CAPITATIONVISUAL FIELD EXAMINATION(S)92083CPT2026VISUAL FIELD EXAMINATION(S)DERIVED68.289999-12-31PROFESSIONAL1013980655npi155830204211CAPITATIONPure tone audiometry (threshold); air only92552CPT2026Pure tone audiometry (threshold); air onlyDERIVED32.999999-12-31PROFESSIONAL1154361129npi15583020421962928465npi155830204211DERIVED42.469999-12-31PROFESSIONAL1427158781npi15583020421689918831npi155830204211FEE SCHEDULE33.009999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDFEE SCHEDULE112.689999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED4.679999-12-31PROFESSIONAL1376047134npi163913848011CAPITATIONIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED71.749999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED50.009999-12-31PROFESSIONAL1659385961npi19524204571699789925npi195242045711DERIVED60.009999-12-31PROFESSIONAL1003483397npi12952799901043485980npi12952799901245757749npi12952799901275643397npi12952799901457852980npi12952799901578290094npi12952799901659182780npi12952799901740399625npi12952799901750766838npi12952799901831584465npi12952799901972368439npi129527999011CAPITATIONRe-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment i97164CPT2026Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment iDERIVED60.009999-12-31PROFESSIONAL1275643397npi12952799901578290094npi12952799901740399625npi12952799901831584465npi129527999011CAPITATIONTherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes97530CPT2026Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesDERIVED76.629999-12-31PROFESSIONAL1376104851npi188189855911DERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512DERIVED60.009999-12-31PROFESSIONAL1003483397npi12952799901245757749npi12952799901295483816npi12952799901578290094npi12952799901740399625npi12952799901972368439npi129527999011CAPITATIONMedical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes97802CPT2026Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutesDERIVED33.929999-12-31PROFESSIONAL1720749807npi163913848011CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED81.949999-12-31PROFESSIONAL1083717565npi15583020421174864482npi15583020421235370743npi15583020421285155259npi15583020421427158781npi15583020421518100148npi15583020421609239680npi155830204211DERIVED63.319999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED66.309999-12-31PROFESSIONAL1336771500npi16190185611427719657npi16190185611801571781npi161901856111DERIVED74.499999-12-31PROFESSIONAL1497700223npi155830204211DERIVED78.219999-12-31PROFESSIONAL1881630119npi161901856111FEE SCHEDULE63.329999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211CAPITATIONInitial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of99222CPT2026Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date ofDERIVED131.769999-12-31PROFESSIONAL1891790309npi155830204221CAPITATIONHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code99347CPT2026Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for codeDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99386CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED170.469999-12-31PROFESSIONAL1376273516npi15583020421497017289npi15583020421609239680npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED113.569999-12-31PROFESSIONAL1376047134npi163913848011DERIVED132.899999-12-31PROFESSIONAL1154618155npi15583020421285155259npi15583020421396722476npi15583020421609239680npi15583020421790756765npi155830204211CAPITATIONTUBING W/INGR HEAT ELEM W/POS AIRWAY PRESS DEVCA4604HCPCS2026TUBING W/INGR HEAT ELEM W/POS AIRWAY PRESS DEVCDERIVED37.219999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONFULL FACE MASK WITH PAPDA7030HCPCS2026FULL FACE MASK WITH PAPDDERIVED83.329999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONFACE MASK INTERFACE, REPLACEMENT FOR FULL MASKA7031HCPCS2026FACE MASK INTERFACE, REPLACEMENT FOR FULL MASKDERIVED32.329999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCHINSTRAP USED WITH PAPDA7036HCPCS2026CHINSTRAP USED WITH PAPDDERIVED10.049999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONFOLD.WLKR-WHEELED NO SEATE0143HCPCS2026FOLD.WLKR-WHEELED NO SEATDERIVED50.089999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCOMMODE CHAIR MOBILE OR STATIONARY W/ FIXED ARMSE0163HCPCS2026COMMODE CHAIR MOBILE OR STATIONARY W/ FIXED ARMSDERIVED51.449999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONOXYGEN CONCENTRATOR 85% OR GREATER OXYGEE1390HCPCS2026OXYGEN CONCENTRATOR 85% OR GREATER OXYGEDERIVED87.109999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED43.919999-12-31PROFESSIONAL1497017289npi15583020421609239680npi155830204211DERIVED21.969999-12-31PROFESSIONAL1376273516npi15583020421609239680npi155830204211CAPITATIONSRVCS PHY THERAPY IN HOME HLTH/HOSPICE, EA 15 MINSG0151HCPCS2026SRVCS PHY THERAPY IN HOME HLTH/HOSPICE, EA 15 MINSDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512CAPITATIONDEFINTVE DRUG TEST GC/MS LC/MS 1-7 DRUG CLASSG0480HCPCS2026DEFINTVE DRUG TEST GC/MS LC/MS 1-7 DRUG CLASSDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINJECTION, BUPIVACAINE LIPOSOME, 1 MGJ0666APC2026INJECTION, BUPIVACAINE LIPOSOME, 1 MGDERIVED198.179999-12-31INSTITUTIONAL1659759827npi165975982724CAPITATIONINJECTION, COSYNTROPIN (CORTROSYN) 0.25MGJ0834HCPCS2026INJECTION, COSYNTROPIN (CORTROSYN) 0.25MGDERIVED22.729999-12-31PROFESSIONAL1396705570npi155830204249CAPITATIONINJ, METHYLPRED SOD SUCC 5MGJ2919HCPCS2026INJ, METHYLPRED SOD SUCC 5MGDERIVED0.229999-12-31PROFESSIONAL1962928465npi155830204211FEE SCHEDULE0.229999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED0.599999-12-31PROFESSIONAL1134141617npi153868649811DERIVED1.189999-12-31PROFESSIONAL1689865453npi153868649811DERIVED3.249999-12-31PROFESSIONAL1013189877npi15583020421407823909npi15583020421609239680npi155830204211CAPITATIONVEDOLIZUMAB 1 MGJ3380HCPCS2026VEDOLIZUMAB 1 MGDERIVED7053.009999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONALBUTEROL NONCOMP ADM=DME UNIT DOSE, 1 MGJ7613HCPCS2026ALBUTEROL NONCOMP ADM=DME UNIT DOSE, 1 MGDERIVED0.059999-12-31PROFESSIONAL1043586662npi15583020421962928465npi155830204211CAPITATIONALBUTEROL TO 2.5 MG & IPRATROPIUM BR TO 0.5 MG DMEJ7620HCPCS2026ALBUTEROL TO 2.5 MG & IPRATROPIUM BR TO 0.5 MG DMEFEE SCHEDULE0.179999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONSCREENING PAP COLLECTION AND CONVEYANCEQ0091HCPCS2026SCREENING PAP COLLECTION AND CONVEYANCEDERIVED49.659999-12-31PROFESSIONAL1497017289npi15583020421609239680npi155830204211DERIVED24.839999-12-31PROFESSIONAL1376273516npi15583020421609239680npi155830204211CAPITATIONLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED0.849999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONPARING LESION-BENIGN HYPERKE11055CPT2026PARING LESION-BENIGN HYPERKEDERIVED54.489999-12-31PROFESSIONAL1245979822npi153868649811CAPITATIONTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)DERIVED100.569999-12-31PROFESSIONAL1881630119npi161901856111DERIVED42.629999-12-31PROFESSIONAL1073961017npi16190185611336758101npi161901856111CAPITATIONShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm11301CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cmDERIVED101.359999-12-31PROFESSIONAL1073961017npi161901856111CAPITATIONSHAV EPID LES 1.1-2 CM11302CPT2026SHAV EPID LES 1.1-2 CMDERIVED114.779999-12-31PROFESSIONAL1073961017npi16190185611336758101npi161901856111CAPITATIONDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14FEE SCHEDULE6.139999-12-31PROFESSIONAL1619018561npi161901856111DERIVED5.469999-12-31PROFESSIONAL1073961017npi16190185611336771500npi16190185611427719657npi161901856111DERIVED16.389999-12-31PROFESSIONAL1821562232npi161901856111DERIVED25.769999-12-31PROFESSIONAL1881630119npi161901856111DERIVED21.849999-12-31PROFESSIONAL1427719657npi161901856111DERIVED32.209999-12-31PROFESSIONAL1881630119npi161901856111DERIVED10.929999-12-31PROFESSIONAL1336758101npi161901856111DERIVED38.229999-12-31PROFESSIONAL1336771500npi161901856111CAPITATIONInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")DERIVED48.419999-12-31PROFESSIONAL1134141617npi15386864981689865453npi153868649811DERIVED66.569999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONDRAIN/INJECT JOINT/BURSA20600CPT2026DRAIN/INJECT JOINT/BURSADERIVED44.849999-12-31PROFESSIONAL1689865453npi153868649811CAPITATIONClosed treatment of talus fracture; without manipulation28430CPT2026Closed treatment of talus fracture; without manipulationDERIVED290.529999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONAPPLY SHORT LEG CAST29405CPT2026APPLY SHORT LEG CASTDERIVED96.259999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONSTRAPPING OF ANKLE29540CPT2026STRAPPING OF ANKLEDERIVED22.349999-12-31PROFESSIONAL1689865453npi153868649811CAPITATIONInjection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral62323CPT2026Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacralDERIVED293.589999-12-31PROFESSIONAL1407823909npi155830204211CAPITATIONRadiologic examination, nasal bones, complete, minimum of 3 views70160CPT2026Radiologic examination, nasal bones, complete, minimum of 3 viewsDERIVED40.029999-12-31PROFESSIONAL1629045307npi155830204211CAPITATIONX-RAY EXAM,SPINE,CERV;2 OR 3 VIEWS72040CPT2026X-RAY EXAM,SPINE,CERV;2 OR 3 VIEWSFEE SCHEDULE38.679999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWS72100CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWSFEE SCHEDULE39.319999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsFEE SCHEDULE34.809999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE38.289999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, hand; 2 views73120CPT2026Radiologic examination, hand; 2 viewsFEE SCHEDULE40.929999-12-31PROFESSIONAL1831186733npi155830204211FEE SCHEDULE30.629999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM OF KNEE73562CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE41.189999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED26.559999-12-31PROFESSIONAL1063874584npi15386864981134141617npi15386864981689865453npi153868649811FEE SCHEDULE33.199999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE46.479999-12-31PROFESSIONAL1104883008npi15583020421598906000npi155830204211CAPITATIONECHO EXAM OF ABDOMEN76700CPT2026ECHO EXAM OF ABDOMENFEE SCHEDULE111.469999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE150.929999-12-31PROFESSIONAL1558358499npi155830204211CAPITATIONECHO EXAM ABDOMEN BACK WALL76770CPT2026ECHO EXAM ABDOMEN BACK WALLFEE SCHEDULE103.519999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONUltrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation76882CPT2026Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentationDERIVED50.579999-12-31PROFESSIONAL1134141617npi15386864981689865453npi153868649811CAPITATIONGeneral health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and80050CPT2026General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) andDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAcute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)80074CPT2026Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLacosamide80235CPT2026LacosamideDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)81511CPT2026Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAldosterone82088CPT2026AldosteroneDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONArsenic82175CPT2026ArsenicDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCadmium82300CPT2026CadmiumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalcium; total82310CPT2026Calcium; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalcium; urine quantitative, timed specimen82340CPT2026Calcium; urine quantitative, timed specimenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONChromium82495CPT2026ChromiumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCollagen cross links, any method82523CPT2026Collagen cross links, any methodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCopper82525CPT2026CopperDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCortisol; free82530CPT2026Cortisol; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONColumn chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen82542CPT2026Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimenDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 1, 25 dihydroxy, includes fraction(s), if performed82652CPT2026Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFerritin82728CPT2026FerritinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONFolic acid; serum82746CPT2026Folic acid; serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGammaglobulin (immunoglobulin); IgE82785CPT2026Gammaglobulin (immunoglobulin); IgEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGlucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use82962CPT2026Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home useDERIVED2.789999-12-31PROFESSIONAL1750820627npi155830204211DERIVED3.619999-12-31PROFESSIONAL1235273285npi15583020421376273516npi15583020421427158781npi155830204211FEE SCHEDULE2.799999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method83516CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step methodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIron83540CPT2026IronDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONIron binding capacity83550CPT2026Iron binding capacityDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONLactate dehydrogenase (LD), (LDH);83615CPT2026Lactate dehydrogenase (LD), (LDH);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONNephelometry, each analyte not elsewhere specified83883CPT2026Nephelometry, each analyte not elsewhere specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein, total, except by refractometry; serum, plasma or whole blood84155CPT2026Protein, total, except by refractometry; serum, plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTestosterone; free84402CPT2026Testosterone; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; free84439CPT2026Thyroxine; freeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine binding globulin (TBG)84442CPT2026Thyroxine binding globulin (TBG)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferase; alanine amino (ALT) (SGPT)84460CPT2026Transferase; alanine amino (ALT) (SGPT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin A84590CPT2026Vitamin ADERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin, not otherwise specified84591CPT2026Vitamin, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-peptide84681CPT2026C-peptideDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONBlood count; reticulocyte, automated85045CPT2026Blood count; reticulocyte, automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; platelet, automated85049CPT2026Blood count; platelet, automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCoagulation time; activated85347CPT2026Coagulation time; activatedDERIVED4.289999-12-31PROFESSIONAL1861451593npi126549387821CAPITATIONProthrombin time;85610CPT2026Prothrombin time;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA);86038CPT2026Antinuclear antibodies (ANA);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntinuclear antibodies (ANA); titer86039CPT2026Antinuclear antibodies (ANA); titerDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCardiolipin (phospholipid) antibody, each Ig class86147CPT2026Cardiolipin (phospholipid) antibody, each Ig classDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAnti-phosphatidylserine (phospholipid) antibody86148CPT2026Anti-phosphatidylserine (phospholipid) antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONExtractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody86235CPT2026Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMicrosomal antibodies (eg, thyroid or liver-kidney), each86376CPT2026Microsomal antibodies (eg, thyroid or liver-kidney), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONRheumatoid factor; quantitative86431CPT2026Rheumatoid factor; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; Epstein-Barr (EB) virus, viral capsid (VCA)86665CPT2026Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE87086CPT2026CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINEDERIVED1.119999-12-31PROFESSIONAL1841236684npi18412366841891731626npi189173162681CAPITATIONSusceptibility studies, antimicrobial agent; macrobroth dilution method, each agent87188CPT2026Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agentDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Shiga-like toxin87427CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Shiga-like toxinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE87491CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi190234862681DERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONGARDNERELLA VAGINALIS, AMPLIFIED PROBE87511CPT2026GARDNERELLA VAGINALIS, AMPLIFIED PROBEDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique87640CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED16.539999-12-31PROFESSIONAL1497700223npi155830204211FEE SCHEDULE14.059999-12-31PROFESSIONAL1982802633npi155830204211DERIVED14.059999-12-31PROFESSIONAL1154361129npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED18.189999-12-31PROFESSIONAL1396722476npi15583020421427158781npi155830204211CAPITATIONCytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician88141CPT2026Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physicianDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCYTOPATHOLOGY, AUTOMATED THIN PREP88142CPT2026CYTOPATHOLOGY, AUTOMATED THIN PREPDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171891731626npi189173162681CAPITATIONHepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use90746CPT2026Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular useDERIVED82.679999-12-31PROFESSIONAL1285155259npi15583020421396722476npi15583020421609239680npi155830204211CAPITATIONPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRDERIVED182.149999-12-31PROFESSIONAL1023628807npi15583020421396562187npi15583020421457676116npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsDERIVED161.119999-12-31PROFESSIONAL1013980655npi15583020421427373075npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientDERIVED97.279999-12-31PROFESSIONAL1013980655npi15583020421427373075npi155830204211CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE92133CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVEDERIVED33.209999-12-31PROFESSIONAL1013980655npi155830204211CAPITATIONEYE EXAM WITH PHOTOS92250CPT2026EYE EXAM WITH PHOTOSDERIVED17.779999-12-31PROFESSIONAL1285155259npi15583020421396722476npi155830204211DERIVED22.259999-12-31PROFESSIONAL1093780215npi155830204211CAPITATIONTympanometry and reflex threshold measurements92550CPT2026Tympanometry and reflex threshold measurementsFEE SCHEDULE24.679999-12-31PROFESSIONAL1992970883npi118462573311CAPITATIONComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)92557CPT2026Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)FEE SCHEDULE40.519999-12-31PROFESSIONAL1992970883npi118462573311CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; with interpretation and report93000CPT2026Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportDERIVED16.839999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; interpretation and report only93010CPT2026Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyDERIVED9.269999-12-31PROFESSIONAL1679590178npi155830204211CAPITATIONDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyDERIVED202.079999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONNONINVASIVE PHYSIO STUD OF LWER EXTRMTY ARTERIES93924CPT2026NONINVASIVE PHYSIO STUD OF LWER EXTRMTY ARTERIESDERIVED176.469999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONPressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure b94640CPT2026Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure bDERIVED7.209999-12-31PROFESSIONAL1043586662npi15583020421962928465npi155830204211FEE SCHEDULE7.219999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONApplication of a modality to 1 or more areas; whirlpool97022CPT2026Application of a modality to 1 or more areas; whirlpoolDERIVED50.009999-12-31PROFESSIONAL1659385961npi19524204571699789925npi195242045711CAPITATIONTherapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities97112CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesDERIVED60.009999-12-31PROFESSIONAL1003483397npi12952799901245757749npi12952799901457852980npi12952799901538047493npi12952799901578290094npi12952799901740399625npi12952799901912795626npi12952799901972368439npi129527999011CAPITATIONPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED60.009999-12-31PROFESSIONAL1043485980npi12952799901245757749npi12952799901275643397npi12952799901457852980npi12952799901578290094npi12952799901659182780npi12952799901831584465npi12952799901912795626npi12952799901972368439npi129527999011CAPITATIONPhysical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in97162CPT2026Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inDERIVED60.009999-12-31PROFESSIONAL1275643397npi12952799901457852980npi12952799901578290094npi12952799901740399625npi129527999011CAPITATIONOccupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An97165CPT2026Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; AnDERIVED50.009999-12-31PROFESSIONAL1659385961npi19524204571699789925npi195242045711DERIVED60.009999-12-31PROFESSIONAL1003483397npi129527999011CAPITATIONTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED60.009999-12-31PROFESSIONAL1245757749npi12952799901659182780npi12952799901750766838npi12952799901831584465npi12952799901972368439npi129527999011CAPITATIONSUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,99232CPT2026SUBSEQUENT HOSPITAL INPATIENT OR OBSERVATION CARE,DERIVED79.099999-12-31PROFESSIONAL1528001963npi155830204221CAPITATIONInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED147.429999-12-31PROFESSIONAL1285155259npi15583020421609239680npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED101.299999-12-31PROFESSIONAL1720749807npi163913848011CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED100.999999-12-31PROFESSIONAL1376047134npi16391384801720749807npi163913848011CAPITATIONLIGHT COMP BANDAGE > 3IN AND < THAN 5IN PER YARDA6449HCPCS2026LIGHT COMP BANDAGE > 3IN AND < THAN 5IN PER YARDDERIVED2.129999-12-31PROFESSIONAL1962928465npi155830204211FEE SCHEDULE2.139999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONADMIN SET, W/SM VOLUME NEBULIZER, NON DISPOSABLEA7005HCPCS2026ADMIN SET, W/SM VOLUME NEBULIZER, NON DISPOSABLEDERIVED11.319999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONNASAL INTERFACE(MASK OR CANNULA) FOR PAPDA7034HCPCS2026NASAL INTERFACE(MASK OR CANNULA) FOR PAPDDERIVED52.579999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONNON-DISPOSABLE FILTER FOR PAPDA7039HCPCS2026NON-DISPOSABLE FILTER FOR PAPDDERIVED5.709999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCRUTCHES UNARN/ALUMINUME0114HCPCS2026CRUTCHES UNARN/ALUMINUMDERIVED50.449999-12-31PROFESSIONAL1154361129npi15583020421962928465npi155830204211FEE SCHEDULE50.459999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONWLKR-FOLDING(P/U) ADJ/FXDE0135HCPCS2026WLKR-FOLDING(P/U) ADJ/FXDDERIVED43.429999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONRESPIRATORY ASSIST DEVICE BI-LEVL CAP W/O BACKUPE0470HCPCS2026RESPIRATORY ASSIST DEVICE BI-LEVL CAP W/O BACKUPDERIVED100.969999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREE0562HCPCS2026HUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREDERIVED131.019999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED23.039999-12-31PROFESSIONAL1285155259npi15583020421790756765npi155830204211CAPITATIONTRIMMING DYSTROPHIC NAILSG0127HCPCS2026TRIMMING DYSTROPHIC NAILSDERIVED18.489999-12-31PROFESSIONAL1083290662npi153868649811CAPITATIONINJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGJ1100HCPCS2026INJ DEXAMETHOSONE SODIUM PHOSPHATE 1 MGDERIVED0.099999-12-31PROFESSIONAL1134141617npi15386864981750820627npi155830204211DERIVED0.189999-12-31PROFESSIONAL1689865453npi153868649811DERIVED0.969999-12-31PROFESSIONAL1427158781npi155830204211DERIVED0.489999-12-31PROFESSIONAL1285155259npi155830204211CAPITATIONCAST SUPPLS/SHORT LEG CAST/ADULT 11 YR+ FIBERGLASSQ4038HCPCS2026CAST SUPPLS/SHORT LEG CAST/ADULT 11 YR+ FIBERGLASSDERIVED57.739999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONExcision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal;11750CPT2026Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal;DERIVED124.439999-12-31PROFESSIONAL1083290662npi153868649811CAPITATIONDESTRUCTION OF PREMALIG. 1ST LESION17000CPT2026DESTRUCTION OF PREMALIG. 1ST LESIONDERIVED58.309999-12-31PROFESSIONAL1073961017npi16190185611336758101npi16190185611821562232npi161901856111DERIVED68.799999-12-31PROFESSIONAL1881630119npi161901856111DERIVED34.409999-12-31PROFESSIONAL1881630119npi161901856111FEE SCHEDULE32.769999-12-31PROFESSIONAL1619018561npi161901856111CAPITATIONDESTRUCTION PREMALIG. LESIONS 15 OR MORE17004CPT2026DESTRUCTION PREMALIG. LESIONS 15 OR MOREDERIVED167.519999-12-31PROFESSIONAL1881630119npi161901856111DERIVED141.989999-12-31PROFESSIONAL1073961017npi16190185611336771500npi16190185611801571781npi161901856111CAPITATIONINJECTION SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 220552CPT2026INJECTION SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2DERIVED56.889999-12-31PROFESSIONAL1285155259npi155830204211CAPITATIONLaparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh43281CPT2026Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of meshDERIVED838.009999-12-31PROFESSIONAL1639166739npi155830204221CAPITATIONLAPRSCPY SURG GASTRC RESTRIC GASTRIC BYPS ROUX-N-Y43644CPT2026LAPRSCPY SURG GASTRC RESTRIC GASTRIC BYPS ROUX-N-YDERIVED1901.679999-12-31PROFESSIONAL1639166739npi155830204221CAPITATIONRadiologic examination, spine, lumbosacral; minimum of 4 views72110CPT2026Radiologic examination, spine, lumbosacral; minimum of 4 viewsFEE SCHEDULE52.019999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE57.219999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination; scapula, complete73010CPT2026Radiologic examination; scapula, completeFEE SCHEDULE27.029999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONX-RAY EXAM OF ELBOW73080CPT2026X-RAY EXAM OF ELBOWFEE SCHEDULE32.239999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONRadiologic examination, hand; minimum of 3 views73130CPT2026Radiologic examination, hand; minimum of 3 viewsFEE SCHEDULE37.029999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM OF HAND73130CPT2026X-RAY EXAM OF HANDFEE SCHEDULE37.029999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE40.729999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, knee; 1 or 2 views73560CPT2026Radiologic examination, knee; 1 or 2 viewsFEE SCHEDULE36.849999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONRadiologic examination, ankle; complete, minimum of 3 views73610CPT2026Radiologic examination, ankle; complete, minimum of 3 viewsFEE SCHEDULE50.489999-12-31PROFESSIONAL1598906000npi155830204211CAPITATION3D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHY76376CPT20263D RENDERING WITH INTER/REPORT COMPUTED TOMOGRAPHYDERIVED27.429999-12-31PROFESSIONAL1093211146npi102344793511CAPITATIONECHO EXAM OF PELVIS76856CPT2026ECHO EXAM OF PELVISFEE SCHEDULE102.489999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE112.739999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONECHO EXAM OF SCROTUM76870CPT2026ECHO EXAM OF SCROTUMFEE SCHEDULE105.629999-12-31PROFESSIONAL1999999984npi155830204211FEE SCHEDULE134.439999-12-31PROFESSIONAL1558358499npi155830204211CAPITATIONBASIC METABOLIC PANEL (CALCIUM, TOTAL)80048CPT2026BASIC METABOLIC PANEL (CALCIUM, TOTAL)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhenytoin; total80185CPT2026Phenytoin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when p80305CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when pDERIVED13.869999-12-31PROFESSIONAL1043593569npi15583020421215097688npi15583020421396910998npi155830204211CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlbumin; urine (eg, microalbumin), quantitative82043CPT2026Albumin; urine (eg, microalbumin), quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlpha-fetoprotein (AFP); serum82105CPT2026Alpha-fetoprotein (AFP); serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalcium; ionized82330CPT2026Calcium; ionizedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCALCULUS (STONE) ASSAY82365CPT2026CALCULUS (STONE) ASSAYDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatinine; blood82565CPT2026Creatinine; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY URINE CREATININE82570CPT2026ASSAY URINE CREATININEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONElastase, pancreatic (EL-1), fecal; quantitative82653CPT2026Elastase, pancreatic (EL-1), fecal; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONEstrogens; total82672CPT2026Estrogens; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE)82950CPT2026GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInsulin; total83525CPT2026Insulin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLead83655CPT2026LeadDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipoprotein, direct measurement; LDL cholesterol83721CPT2026Lipoprotein, direct measurement; LDL cholesterolDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalprotectin, fecal83993CPT2026Calprotectin, fecalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhosphatase, alkaline;84075CPT2026Phosphatase, alkaline;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPotassium; serum, plasma or whole blood84132CPT2026Potassium; serum, plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPrealbumin84134CPT2026PrealbuminDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProlactin84146CPT2026ProlactinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)84166CPT2026Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONRenin84244CPT2026ReninDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSelenium84255CPT2026SeleniumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSex hormone binding globulin (SHBG)84270CPT2026Sex hormone binding globulin (SHBG)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThiamine (Vitamin B-1)84425CPT2026Thiamine (Vitamin B-1)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroxine; total84436CPT2026Thyroxine; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid stimulating immune globulins (TSI)84445CPT2026Thyroid stimulating immune globulins (TSI)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)84479CPT2026Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUric acid; blood84550CPT2026Uric acid; bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; automated differential WBC count85004CPT2026Blood count; automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)85027CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody identification; leukocyte antibodies86021CPT2026Antibody identification; leukocyte antibodiesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein; high sensitivity (hsCRP)86141CPT2026C-reactive protein; high sensitivity (hsCRP)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBeta 2 Glycoprotein I antibody, each86146CPT2026Beta 2 Glycoprotein I antibody, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyclic citrullinated peptide (CCP), antibody86200CPT2026Cyclic citrullinated peptide (CCP), antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHETEROPHILE ANTIBODIES,SCRNG86308CPT2026HETEROPHILE ANTIBODIES,SCRNGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)86592CPT2026SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)86664CPT2026Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntibody; herpes simplex, type 286696CPT2026Antibody; herpes simplex, type 2DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B CORE ANTIBODY (HBCAB); TOTAL86704CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); TOTALDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEPATITIS B SURFACE ANTIBODY (HBSAB)86706CPT2026HEPATITIS B SURFACE ANTIBODY (HBSAB)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatitis A antibody (HAAb)86708CPT2026Hepatitis A antibody (HAAb)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONThyroglobulin antibody86800CPT2026Thyroglobulin antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHepatitis C antibody;86803CPT2026Hepatitis C antibody;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates87075CPT2026Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolatesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate87076CPT2026Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolateDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSusceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate87186CPT2026Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plateDERIVED9.529999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1841236684npi18412366841891731626npi189173162681CAPITATIONSmear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types87206CPT2026Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell typesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise spe87449CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise speDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique87532CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUE87591CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECHNIQUEDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi190234862681DERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique87651CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED16.559999-12-31PROFESSIONAL1497700223npi155830204211DERIVED14.069999-12-31PROFESSIONAL1750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED18.219999-12-31PROFESSIONAL1083717565npi15583020421174864482npi15583020421235370743npi15583020421376273516npi15583020421396722476npi15583020421427158781npi15583020421578556502npi15583020421639585169npi155830204211FEE SCHEDULE14.079999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONIMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLK88342CPT2026IMMUNOHISTO/CYTOCHEMISTRY EA SEP IDNTF ANTIBDY/BLKDERIVED1.119999-12-31PROFESSIONAL1699961086npi16199405171891731626npi189173162681CAPITATIONFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED25.549999-12-31PROFESSIONAL1285155259npi15583020421790756765npi155830204211CAPITATIONPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED344.199999-12-31PROFESSIONAL1740910561npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED136.939999-12-31PROFESSIONAL1427373075npi155830204211CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINA92134CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; RETINADERIVED35.329999-12-31PROFESSIONAL1427373075npi155830204211CAPITATIONCardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report93015CPT2026Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportDERIVED79.269999-12-31PROFESSIONAL1518100148npi15583020421851309629npi155830204211CAPITATIONManual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes97140CPT2026Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutesDERIVED50.009999-12-31PROFESSIONAL1659385961npi19524204571699789925npi195242045711DERIVED60.009999-12-31PROFESSIONAL1457852980npi12952799901740399625npi12952799901972368439npi129527999011CAPITATIONPhysical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures97163CPT2026Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measuresDERIVED60.009999-12-31PROFESSIONAL1740399625npi129527999011CAPITATIONOccupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or97166CPT2026Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, orDERIVED60.009999-12-31PROFESSIONAL1003483397npi129527999011DERIVED50.009999-12-31PROFESSIONAL1659385961npi195242045711CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED75.659999-12-31PROFESSIONAL1083290662npi15386864981689865453npi153868649811FEE SCHEDULE80.389999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211DERIVED94.569999-12-31PROFESSIONAL1497700223npi155830204211DERIVED104.029999-12-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.029999-12-31PROFESSIONAL1336171917npi178010052911FEE SCHEDULE94.569999-12-31PROFESSIONAL1619018561npi161901856111DERIVED73.009999-12-31PROFESSIONAL1073961017npi16190185611174088264npi16190185611336758101npi16190185611336771500npi16190185611376181057npi16190185611427719657npi16190185611598443327npi16190185611821562232npi16190185611881630119npi16190185611932490778npi16190185611992837900npi161901856111DERIVED80.379999-12-31PROFESSIONAL1043586662npi15583020421154361129npi15583020421437206711npi15583020421750820627npi15583020421861530685npi15583020421962928465npi155830204211CAPITATIONHome or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code se99348CPT2026Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code seDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512CAPITATIONSLINGSA4565HCPCS2026SLINGSFEE SCHEDULE9.339999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONRPLMNT CUSHION FOR NASAL APPLICATION DEVICE, EACHA7032HCPCS2026RPLMNT CUSHION FOR NASAL APPLICATION DEVICE, EACHDERIVED36.269999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONRPLMNT CUSHION FOR NASAL APPLICATION DEVICE, PAIRA7033HCPCS2026RPLMNT CUSHION FOR NASAL APPLICATION DEVICE, PAIRDERIVED72.959999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHEADGEAR USED WITH PAPDA7035HCPCS2026HEADGEAR USED WITH PAPDDERIVED17.259999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONWATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIA7046HCPCS2026WATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIDERIVED12.839999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCONT.AIRWY PRES DEVICE(CPAP)E0601HCPCS2026CONT.AIRWY PRES DEVICE(CPAP)DERIVED39.159999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONDIAB TRNG SVC-GROUP, PER 30 MINSG0109HCPCS2026DIAB TRNG SVC-GROUP, PER 30 MINSDERIVED69.889999-12-31PROFESSIONAL1396705570npi155830204202CAPITATIONHH/HOSPIC RN SRVCS 15 MIN EACHG0299HCPCS2026HH/HOSPIC RN SRVCS 15 MIN EACHDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512CAPITATIONINJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGJ0696HCPCS2026INJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGFEE SCHEDULE0.399999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED0.289999-12-31PROFESSIONAL1750820627npi15583020421962928465npi155830204211FEE SCHEDULE0.289999-12-31PROFESSIONAL1982802633npi155830204211DERIVED1.449999-12-31PROFESSIONAL1174864482npi15583020421891790309npi155830204211CAPITATIONREGADENOSON INJECTION, .1 MGJ2785HCPCS2026REGADENOSON INJECTION, .1 MGDERIVED11.809999-12-31PROFESSIONAL1518100148npi155830204211CAPITATIONIPRATROPIUM BR. NONCOMP ADM=DME UNIT DOSE, PER MGJ7644HCPCS2026IPRATROPIUM BR. NONCOMP ADM=DME UNIT DOSE, PER MGDERIVED0.309999-12-31PROFESSIONAL1043586662npi155830204211CAPITATIONPORTABLE GASEOUS OXYGEN SYSTEM, RENTALK0738HCPCS2026PORTABLE GASEOUS OXYGEN SYSTEM, RENTALDERIVED41.689999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONWHO,WRIST, EXT, CNTRL COCK-UP,NONMOLDEDL3908HCPCS2026WHO,WRIST, EXT, CNTRL COCK-UP,NONMOLDEDFEE SCHEDULE57.269999-12-31PROFESSIONAL1982802633npi155830204211DERIVED57.269999-12-31PROFESSIONAL1154361129npi155830204211DERIVED74.119999-12-31PROFESSIONAL1427158781npi155830204211CAPITATIONIncision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single10060CPT2026Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or singleDERIVED108.009999-12-31PROFESSIONAL1962928465npi155830204211DERIVED139.779999-12-31PROFESSIONAL1427158781npi155830204211CAPITATIONTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionDERIVED41.559999-12-31PROFESSIONAL1073961017npi16190185611174088264npi161901856111DERIVED83.099999-12-31PROFESSIONAL1073961017npi16190185611336758101npi16190185611427719657npi161901856111DERIVED98.039999-12-31PROFESSIONAL1881630119npi16190185611992837900npi161901856111CAPITATIONDebridement of nail(s) by any method(s); 1 to 511720CPT2026Debridement of nail(s) by any method(s); 1 to 5DERIVED25.849999-12-31PROFESSIONAL1083290662npi153868649811CAPITATIONDEBRIDEMENT NAIL 6 OR MORE11721CPT2026DEBRIDEMENT NAIL 6 OR MOREDERIVED35.849999-12-31PROFESSIONAL1245979822npi153868649811CAPITATIONREMOVAL OF NAIL BED11750CPT2026REMOVAL OF NAIL BEDDERIVED62.229999-12-31PROFESSIONAL1083290662npi153868649811DERIVED124.439999-12-31PROFESSIONAL1689865453npi153868649811CAPITATIONDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionDERIVED29.159999-12-31PROFESSIONAL1073961017npi16190185611336771500npi16190185611427719657npi161901856111DERIVED34.409999-12-31PROFESSIONAL1881630119npi16190185611992837900npi161901856111DERIVED58.309999-12-31PROFESSIONAL1073961017npi16190185611336771500npi16190185611427719657npi161901856111CAPITATIONDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSDERIVED104.009999-12-31PROFESSIONAL1932490778npi161901856111FEE SCHEDULE108.619999-12-31PROFESSIONAL1619018561npi161901856111DERIVED86.899999-12-31PROFESSIONAL1063874584npi153868649811DERIVED96.669999-12-31PROFESSIONAL1073961017npi16190185611174088264npi16190185611336771500npi16190185611366910044npi16190185611376181057npi16190185611427719657npi161901856111CAPITATIONArthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20610CPT2026Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidanceDERIVED76.229999-12-31PROFESSIONAL1609239680npi155830204211CAPITATIONArthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each26075CPT2026Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, eachDERIVED367.869999-12-31PROFESSIONAL1639585169npi155830204211CAPITATIONEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239CPT2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleDERIVED702.369999-12-31PROFESSIONAL1275806721npi179079027711CAPITATIONColonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45378CPT2026Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)DERIVED349.229999-12-31PROFESSIONAL1275806721npi179079027711CAPITATIONColonoscopy, flexible; with biopsy, single or multiple45380CPT2026Colonoscopy, flexible; with biopsy, single or multipleDERIVED940.119999-12-31PROFESSIONAL1275806721npi179079027711CAPITATIONRadiologic examination, chest; 2 views71046CPT2026Radiologic examination, chest; 2 viewsFEE SCHEDULE32.299999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)FEE SCHEDULE38.249999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONX-RAY EXAM OF KNEE73564CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE47.939999-12-31PROFESSIONAL1043203003npi155830204211CAPITATIONComputed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions74178CPT2026Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regionsDERIVED361.659999-12-31PROFESSIONAL1093211146npi102344793511CAPITATIONECHO EXAM OF ABDOMEN76705CPT2026ECHO EXAM OF ABDOMENFEE SCHEDULE113.239999-12-31PROFESSIONAL1306283213npi155830204211CAPITATIONECHO EXAM, TRANSVAGINAL76830CPT2026ECHO EXAM, TRANSVAGINALFEE SCHEDULE114.489999-12-31PROFESSIONAL1043203003npi155830204211FEE SCHEDULE125.939999-12-31PROFESSIONAL1999999984npi155830204211CAPITATIONMyocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or78452CPT2026Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/orDERIVED455.119999-12-31PROFESSIONAL1518100148npi15583020421851309629npi155830204211CAPITATIONQuantitation of therapeutic drug, not elsewhere specified80299CPT2026Quantitation of therapeutic drug, not elsewhere specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eit80307CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eitDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED9.479999-12-31PROFESSIONAL1427158781npi15583020421578556502npi15583020421609239680npi155830204211CAPITATIONAlbumin; serum, plasma or whole blood82040CPT2026Albumin; serum, plasma or whole bloodDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAlpha-1-antitrypsin; total82103CPT2026Alpha-1-antitrypsin; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBilirubin; direct82248CPT2026Bilirubin; directDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations82274CPT2026Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinationsDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCeruloplasmin82390CPT2026CeruloplasminDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCreatine kinase (CK), (CPK); total82550CPT2026Creatine kinase (CK), (CPK); totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCyanocobalamin (Vitamin B-12);82607CPT2026Cyanocobalamin (Vitamin B-12);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDehydroepiandrosterone-sulfate (DHEA-S)82627CPT2026Dehydroepiandrosterone-sulfate (DHEA-S)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONGammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each82784CPT2026Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONGonadotropin; luteinizing hormone (LH)83002CPT2026Gonadotropin; luteinizing hormone (LH)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified83520CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoglobulin light chains (ie, kappa, lambda), free, each83521CPT2026Immunoglobulin light chains (ie, kappa, lambda), free, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLipase83690CPT2026LipaseDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONASSAY BLOOD MAGNESIUM83735CPT2026ASSAY BLOOD MAGNESIUMDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMercury, quantitative83825CPT2026Mercury, quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONMetanephrines83835CPT2026MetanephrinesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOrganic acid, single, quantitative83921CPT2026Organic acid, single, quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhosphatase, alkaline; isoenzymes84080CPT2026Phosphatase, alkaline; isoenzymesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPhosphorus inorganic (phosphate);84100CPT2026Phosphorus inorganic (phosphate);DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProgesterone84144CPT2026ProgesteroneDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein, total, except by refractometry; urine84156CPT2026Protein, total, except by refractometry; urineDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONProtein; electrophoretic fractionation and quantitation, serum84165CPT2026Protein; electrophoretic fractionation and quantitation, serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPyridoxal phosphate (Vitamin B-6)84207CPT2026Pyridoxal phosphate (Vitamin B-6)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTestosterone; total84403CPT2026Testosterone; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTocopherol alpha (Vitamin E)84446CPT2026Tocopherol alpha (Vitamin E)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferase; aspartate amino (AST) (SGOT)84450CPT2026Transferase; aspartate amino (AST) (SGOT)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTransferrin84466CPT2026TransferrinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTriglycerides84478CPT2026TriglyceridesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONUrea nitrogen; quantitative84520CPT2026Urea nitrogen; quantitativeDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; hematocrit (Hct)85014CPT2026Blood count; hematocrit (Hct)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; hemoglobin (Hgb)85018CPT2026Blood count; hemoglobin (Hgb)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; leukocyte (WBC), automated85048CPT2026Blood count; leukocyte (WBC), automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONAllergen specific IgE; quantitative or semiquantitative, crude allergen extract, each86003CPT2026Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONAntineutrophil cytoplasmic antibody (ANCA); screen, each antibody86036CPT2026Antineutrophil cytoplasmic antibody (ANCA); screen, each antibodyDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein;86140CPT2026C-reactive protein;DERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONComplement; antigen, each component86160CPT2026Complement; antigen, each componentDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for infectious agent antibody, quantitative, not otherwise specified86317CPT2026Immunoassay for infectious agent antibody, quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNOGLOBULIN TYPING, EACH86335CPT2026IMMUNOGLOBULIN TYPING, EACHDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTissue transglutaminase, each immunoglobulin (Ig) class86364CPT2026Tissue transglutaminase, each immunoglobulin (Ig) classDERIVED1.119999-12-31PROFESSIONAL1891731626npi18917316261932166386npi193216638681CAPITATIONMitochondrial antibody (eg, M2), each86381CPT2026Mitochondrial antibody (eg, M2), eachDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates87070CPT2026Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolatesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;87081CPT2026CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE87088CPT2026CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINEDERIVED1.119999-12-31PROFESSIONAL1841236684npi18412366841891731626npi189173162681CAPITATIONCULTURE, FUNGI, EACH ORGANISM, MOLD87107CPT2026CULTURE, FUNGI, EACH ORGANISM, MOLDDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCulture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum87147CPT2026Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOva and parasites, direct smears, concentration and identification87177CPT2026Ova and parasites, direct smears, concentration and identificationDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSmear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites87209CPT2026Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasitesDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; giardia87329CPT2026Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; giardiaDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVE87389CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]) QUALITATIVEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique87481CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511DERIVED1.119999-12-31PROFESSIONAL1932166386npi190234862681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique87496CPT2026Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe techniqueDERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed87625CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when perfor87633CPT2026Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when perforDERIVED416.789999-12-31PROFESSIONAL1861451593npi126549387823CAPITATIONInfectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism87798CPT2026Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organismDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681DERIVED38.609999-12-31PROFESSIONAL1235190356npi102344793511CAPITATIONTISSUE EXAM BY PATHOLOGIST88304CPT2026TISSUE EXAM BY PATHOLOGISTDERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171699961086npi16199405171891731626npi189173162681DERIVED9.879999-12-31PROFESSIONAL1861451593npi126549387821CAPITATIONLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED215.739999-12-31PROFESSIONAL1649435363npi161901856111DERIVED1.119999-12-31PROFESSIONAL1619940517npi16199405171699961086npi16199405171891731626npi189173162681CAPITATIONCell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count89051CPT2026Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSEMEN ANALYSIS, PRESENCE & MOTIL.OF SPERM IF PERF.89321CPT2026SEMEN ANALYSIS, PRESENCE & MOTIL.OF SPERM IF PERF.DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADM90460CPT2026IMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADMDERIVED23.239999-12-31PROFESSIONAL1285155259npi155830204211CAPITATIONImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED23.039999-12-31PROFESSIONAL1396705315npi15583020421396722476npi15583020421609239680npi155830204211DERIVED23.239999-12-31PROFESSIONAL1285155259npi155830204211DERIVED18.289999-12-31PROFESSIONAL1962928465npi155830204211DERIVED23.669999-12-31PROFESSIONAL1285155259npi15583020421497017289npi15583020421578556502npi15583020421609239680npi15583020421639585169npi15583020421790756765npi15583020421891790309npi155830204211FEE SCHEDULE18.289999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED43.669999-12-31PROFESSIONAL1285155259npi15583020421396705315npi15583020421497017289npi15583020421578556502npi15583020421639585169npi15583020421790756765npi15583020421891790309npi155830204211DERIVED33.739999-12-31PROFESSIONAL1962928465npi155830204211FEE SCHEDULE33.749999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT,SUB-U90750CPT2026ZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT,SUB-UDERIVED211.979999-12-31PROFESSIONAL1285155259npi15583020421396722476npi15583020421497017289npi15583020421609239680npi155830204211CAPITATIONPSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES90792CPT2026PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICESDERIVED222.649999-12-31PROFESSIONAL1043593569npi15583020421396910998npi1558302042021011CAPITATIONGI TRACT IMAG INTRALUMINAL W/ INTERP AND REP91110CPT2026GI TRACT IMAG INTRALUMINAL W/ INTERP AND REPDERIVED887.879999-12-31PROFESSIONAL1033149752npi179079027711CAPITATIONElectrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report93005CPT2026Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportDERIVED5.859999-12-31PROFESSIONAL1962928465npi155830204211FEE SCHEDULE5.869999-12-31PROFESSIONAL1982802633npi155830204211DERIVED7.589999-12-31PROFESSIONAL1285155259npi15583020421376273516npi15583020421396722476npi15583020421427158781npi15583020421578556502npi155830204211CAPITATIONECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLER93306CPT2026ECHOCARDIOGRAPHY,TRANSTHORACIC WITH DOPPLERDERIVED210.789999-12-31PROFESSIONAL1851309629npi155830204211CAPITATIONDuplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study93970CPT2026Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral studyFEE SCHEDULE239.229999-12-31PROFESSIONAL1376745828npi155830204211CAPITATIONCONTINUOUS GLUCOSE MONITORING, INTERP/REPORT95251CPT2026CONTINUOUS GLUCOSE MONITORING, INTERP/REPORTDERIVED38.989999-12-31PROFESSIONAL1003204462npi15583020421912229121npi155830204211CAPITATIONAdministration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument96160CPT2026Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentDERIVED2.709999-12-31PROFESSIONAL1376047134npi16391384801720749807npi163913848011CAPITATIONTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED16.639999-12-31PROFESSIONAL1174864482npi15583020421285155259npi15583020421376273516npi15583020421396722476npi15583020421427158781npi15583020421609239680npi15583020421891790309npi155830204211FEE SCHEDULE12.859999-12-31PROFESSIONAL1982802633npi155830204211DERIVED12.859999-12-31PROFESSIONAL1043586662npi15583020421750820627npi15583020421962928465npi155830204211CAPITATIONTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug96374CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drugDERIVED40.389999-12-31PROFESSIONAL1396705570npi155830204249CAPITATIONSCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT99173CPT2026SCREENING TEST VISUAL ACUITY QUANTITATIVE BILATDERIVED2.819999-12-31PROFESSIONAL1720749807npi163913848011CAPITATIONOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED94.149999-12-31PROFESSIONAL1063874584npi15386864981134141617npi15386864981689865453npi153868649811DERIVED100.019999-12-31PROFESSIONAL1750820627npi15583020421861530685npi15583020421962928465npi155830204211DERIVED129.449999-12-31PROFESSIONAL1003204462npi15583020421013189877npi15583020421013529304npi15583020421043593569npi15583020421184726184npi15583020421396705570npi15583020421427158781npi15583020421609239680npi15583020421780189860npi15583020421851309629npi15583020421851959407npi15583020421011FEE SCHEDULE100.029999-12-31PROFESSIONAL1982802633npi155830204211DERIVED123.559999-12-31PROFESSIONAL1689838559npi16190185611881630119npi16190185611932490778npi161901856111DERIVED104.739999-12-31PROFESSIONAL1073961017npi16190185611336758101npi16190185611366910044npi16190185611427719657npi161901856111CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED142.219999-12-31PROFESSIONAL1689865453npi153868649811DERIVED143.729999-12-31PROFESSIONAL1861236424npi179079027711DERIVED195.549999-12-31PROFESSIONAL1003204462npi15583020421013189877npi15583020421225133911npi15583020421407823909npi15583020421518100148npi15583020421780189860npi15583020421912229121npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED23.769999-12-31PROFESSIONAL1497700223npi155830204211DERIVED26.149999-12-31PROFESSIONAL1285155259npi15583020421396722476npi15583020421689918831npi155830204211FEE SCHEDULE20.209999-12-31PROFESSIONAL1811465537npi155830204211DERIVED21.159999-12-31PROFESSIONAL1073961017npi161901856111CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED58.969999-12-31PROFESSIONAL1497700223npi155830204211DERIVED64.869999-12-31PROFESSIONAL1043593569npi15583020421225232051npi15583020421235370743npi15583020421285155259npi15583020421396722476npi15583020421427158781npi15583020421497017289npi15583020421528387743npi15583020421578556502npi15583020421639166739npi15583020421639585169npi15583020421689918831npi15583020421790756765npi15583020421821089699npi15583020421891790309npi15583020421912229121npi1558302042021011DERIVED50.119999-12-31PROFESSIONAL1154361129npi15583020421437206711npi15583020421750820627npi15583020421962928465npi155830204211DERIVED52.009999-12-31PROFESSIONAL1073961017npi16190185611336771500npi16190185611427719657npi16190185611881630119npi161901856111DERIVED47.179999-12-31PROFESSIONAL1063874584npi15386864981083290662npi15386864981245979822npi15386864981689865453npi153868649811FEE SCHEDULE50.129999-12-31PROFESSIONAL1548545544npi15583020421982802633npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED105.009999-12-31PROFESSIONAL1073961017npi16190185611932490778npi161901856111DERIVED148.529999-12-31PROFESSIONAL1003204462npi15583020421043593569npi15583020421154618155npi15583020421235259011npi15583020421285155259npi15583020421376273516npi15583020421396705570npi15583020421396722476npi15583020421396910998npi15583020421407823909npi15583020421497017289npi15583020421518100148npi15583020421528387743npi15583020421568930980npi15583020421598054751npi10234479351609239680npi15583020421629045307npi15583020421740910561npi15583020421780189860npi15583020421912229121npi15583020421011FEE SCHEDULE114.779999-12-31PROFESSIONAL1982802633npi155830204211DERIVED108.029999-12-31PROFESSIONAL1245979822npi15386864981689865453npi153868649811DERIVED114.769999-12-31PROFESSIONAL1962928465npi155830204211DERIVED126.929999-12-31PROFESSIONAL1376047134npi163913848011CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99394CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED111.399999-12-31PROFESSIONAL1376047134npi163913848011DERIVED130.359999-12-31PROFESSIONAL1376273516npi15583020421609239680npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED141.069999-12-31PROFESSIONAL1285155259npi15583020421376273516npi15583020421396722476npi15583020421497017289npi15583020421528387743npi15583020421609239680npi15583020421689918831npi15583020421740286756npi15583020421811963341npi15583020421891790309npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99397CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED151.779999-12-31PROFESSIONAL1396722476npi155830204211CAPITATIONADMIN SET SMALL VOL NON FILT PNEUM NEBUL-NEWA7003HCPCS2026ADMIN SET SMALL VOL NON FILT PNEUM NEBUL-NEWDERIVED4.299999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONTUBING USED WITH PAPDA7037HCPCS2026TUBING USED WITH PAPDDERIVED11.139999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONDISPOSABLE FILTER FOR PAPDA7038HCPCS2026DISPOSABLE FILTER FOR PAPDDERIVED3.889999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEG0009HCPCS2026ADMIN PNEUMOCOCCAL VACC W/NO PHY FEE SCH SVS SAMEDERIVED23.039999-12-31PROFESSIONAL1740910561npi155830204211CAPITATIONADMIN HEPATITIS B VACC W/NO PHY FEE SCH SVS SAME DG0010HCPCS2026ADMIN HEPATITIS B VACC W/NO PHY FEE SCH SVS SAME DDERIVED23.039999-12-31PROFESSIONAL1285155259npi15583020421609239680npi155830204211DERIVED24.609999-12-31PROFESSIONAL1285155259npi15583020421396722476npi155830204211CAPITATIONDIABETES OUTPT SELF-MANGEMENT TRAINING,IND, PER 30G0108HCPCS2026DIABETES OUTPT SELF-MANGEMENT TRAINING,IND, PER 30DERIVED60.929999-12-31PROFESSIONAL1396705570npi155830204202CAPITATIONVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDDERIVED19.209999-12-31PROFESSIONAL1912229121npi155830204211CAPITATIONKNEE IMMOBILIZER, CANVAS LONGITUDINALL1830HCPCS2026KNEE IMMOBILIZER, CANVAS LONGITUDINALFEE SCHEDULE65.659999-12-31PROFESSIONAL1982802633npi155830204211CAPITATIONAFO, ANKLE GAUNTLET, PREFAB,L1902HCPCS2026AFO, ANKLE GAUNTLET, PREFAB,DERIVED103.839999-12-31PROFESSIONAL1013189877npi155830204211CAPITATIONWALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JOL4361HCPCS2026WALKING BOOT,PNEUMATIC AND/OR VACUUM, W/WITHOUT JODERIVED236.649999-12-31PROFESSIONAL1689865453npi153868649811LARGE GROUP TRIPLEEIN593088682GROUPFFSREPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 2.6-7.512032CPT2026REPAIR,INTRMED,WOUNDS SCALP,AXILL,TRNK 2.6-7.5FEE SCHEDULE309.879999-12-31PROFESSIONAL1174678908npi199204527211FFSDestruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17000CPT2026Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesionFEE SCHEDULE72.069999-12-31PROFESSIONAL1114912466npi162906368011FFSApplication, cast; elbow to finger (short arm)29075CPT2026Application, cast; elbow to finger (short arm)DERIVED86.489999-12-31PROFESSIONAL1770129413npi155834024011DERIVED101.759999-12-31PROFESSIONAL1235498460npi155834024011FFSX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)DERIVED38.249999-12-31PROFESSIONAL1235498460npi155834024011DERIVED32.509999-12-31PROFESSIONAL1770129413npi155834024011FFSX-RAY EXAM OF TOE(S)73660CPT2026X-RAY EXAM OF TOE(S)FEE SCHEDULE7.089999-12-31PROFESSIONAL1083656706npi106340072923FFSLIPID PANEL80061CPT2026LIPID PANELFEE SCHEDULE26.299999-12-31PROFESSIONAL1841351566npi179077231781FFSVitamin D; 25 hydroxy, includes fraction(s), if performed82306CPT2026Vitamin D; 25 hydroxy, includes fraction(s), if performedFEE SCHEDULE58.099999-12-31PROFESSIONAL1841351566npi179077231781FFSGammaglobulin (immunoglobulin); IgE82785CPT2026Gammaglobulin (immunoglobulin); IgEFEE SCHEDULE32.329999-12-31PROFESSIONAL1841351566npi179077231781FFSImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified83520CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specifiedFEE SCHEDULE25.409999-12-31PROFESSIONAL1841351566npi179077231781FFSLeukocyte histamine release test (LHR)86343CPT2026Leukocyte histamine release test (LHR)FEE SCHEDULE24.459999-12-31PROFESSIONAL1841351566npi179077231781FFSHEPATITIS B SURFACE ANTIBODY (HBSAB)86706CPT2026HEPATITIS B SURFACE ANTIBODY (HBSAB)FEE SCHEDULE21.079999-12-31PROFESSIONAL1841351566npi179077231781FFSLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONFEE SCHEDULE147.979999-12-31PROFESSIONAL1164956611npi179077231722FFSIMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADM90460CPT2026IMMUNIZATION ADM THRU 18 YRS; 1ST EA OR TOXOID ADMDERIVED19.609999-12-31PROFESSIONAL1134657323npi12452835301396128989npi124528353011FFSPsychiatric diagnostic evaluation90791CPT2026Psychiatric diagnostic evaluationFEE SCHEDULE145.979999-12-31PROFESSIONAL1760739551npi176073955111FFSDIFFUSING CAPACITY94729CPT2026DIFFUSING CAPACITYFEE SCHEDULE9.409999-12-31PROFESSIONAL1972690444npi128506955922FFSPercutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests95004CPT2026Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of testsFEE SCHEDULE3.909999-12-31PROFESSIONAL1013909951npi167977244611FFSOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED105.029999-12-31PROFESSIONAL1770129413npi155834024011FEE SCHEDULE148.269999-12-31PROFESSIONAL1669890299npi106346376811DERIVED150.009999-12-31PROFESSIONAL1962003251npi109330850420FEE SCHEDULE104.739999-12-31PROFESSIONAL1861116451npi199204527211FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THEFEE SCHEDULE181.499999-12-31PROFESSIONAL1134221070npi124528353019FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONFEE SCHEDULE180.379999-12-31PROFESSIONAL1871849133npi188164491211FEE SCHEDULE459.499999-12-31PROFESSIONAL1235613605npi179077231710FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingFEE SCHEDULE112.259999-12-31PROFESSIONAL1073990941npi12452835301083175285npi12452835301417199902npi124528353023DERIVED603.129999-12-31INSTITUTIONAL1811991227npi181199122723FFSHOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTG0463HCPCS2026HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENTDERIVED280.719999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED221.009999-12-31INSTITUTIONAL1811991227npi181199122722FFSVISIT COMPLEXITY INHERENT TO EVALUATION ANDG2211HCPCS2026VISIT COMPLEXITY INHERENT TO EVALUATION ANDFEE SCHEDULE16.409999-12-31PROFESSIONAL1750916359npi188164491211FEE SCHEDULE21.999999-12-31PROFESSIONAL1669890299npi106346376811FFSINJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGJ0696HCPCS2026INJ, CEFTRIAXONE, SOD (ROCEPHI), 250 MGDERIVED0.489999-12-31PROFESSIONAL1558361428npi124528353011FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion11102CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesionFEE SCHEDULE102.709999-12-31PROFESSIONAL1114912466npi162906368011FEE SCHEDULE83.099999-12-31PROFESSIONAL1861116451npi199204527211FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)FEE SCHEDULE42.629999-12-31PROFESSIONAL1861116451npi199204527211FFSRemoval of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions11200CPT2026Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesionsFEE SCHEDULE99.859999-12-31PROFESSIONAL1114912466npi162906368011FFSEXC LES. TRUNK ARMS OR LEGS11402CPT2026EXC LES. TRUNK ARMS OR LEGSFEE SCHEDULE185.749999-12-31PROFESSIONAL1114912466npi162906368011FEE SCHEDULE88.659999-12-31PROFESSIONAL1174678908npi199204527211FFSRepair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm12052CPT2026Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cmFEE SCHEDULE323.999999-12-31PROFESSIONAL1174678908npi199204527211FFSNasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)31231CPT2026Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)FEE SCHEDULE246.199999-12-31PROFESSIONAL1194796128npi118462573311FFSREMOVE FOREIGN BODY FROM EYE65220CPT2026REMOVE FOREIGN BODY FROM EYEFEE SCHEDULE60.059999-12-31PROFESSIONAL1083175285npi124528353023FFSBiopsy external ear69100CPT2026Biopsy external earFEE SCHEDULE40.459999-12-31PROFESSIONAL1861116451npi199204527211FFSCONTRAST CAT SCAN OF CHEST71260CPT2026CONTRAST CAT SCAN OF CHESTDERIVED237.459999-12-31PROFESSIONAL1316981996npi124527167511FFSWITH CONTRAST MATERIAL74177CPT2026WITH CONTRAST MATERIALDERIVED426.389999-12-31PROFESSIONAL1326082975npi124527167511FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotFEE SCHEDULE20.749999-12-31PROFESSIONAL1841351566npi179077231781FFSFerritin82728CPT2026FerritinFEE SCHEDULE26.739999-12-31PROFESSIONAL1841351566npi179077231781FFSGammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each82784CPT2026Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, eachFEE SCHEDULE18.259999-12-31PROFESSIONAL1841351566npi179077231781FFSIron83540CPT2026IronFEE SCHEDULE12.719999-12-31PROFESSIONAL1841351566npi179077231781FFSIron binding capacity83550CPT2026Iron binding capacityFEE SCHEDULE17.159999-12-31PROFESSIONAL1841351566npi179077231781FFSThyroid stimulating hormone (TSH)84443CPT2026Thyroid stimulating hormone (TSH)FEE SCHEDULE32.969999-12-31PROFESSIONAL1841351566npi179077231781FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countFEE SCHEDULE15.269999-12-31PROFESSIONAL1841351566npi179077231781FFSProthrombin time;85610CPT2026Prothrombin time;DERIVED4.509999-12-31PROFESSIONAL1306947452npi162906176711FFSTissue transglutaminase, each immunoglobulin (Ig) class86364CPT2026Tissue transglutaminase, each immunoglobulin (Ig) classFEE SCHEDULE15.809999-12-31PROFESSIONAL1841351566npi179077231781FFSMicrosomal antibodies (eg, thyroid or liver-kidney), each86376CPT2026Microsomal antibodies (eg, thyroid or liver-kidney), eachFEE SCHEDULE28.559999-12-31PROFESSIONAL1841351566npi179077231781FFSPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRFEE SCHEDULE140.749999-12-31PROFESSIONAL1760739551npi176073955111FFSOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits92004CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsFEE SCHEDULE161.119999-12-31PROFESSIONAL1023273398npi165932121411FFSComprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)92557CPT2026Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)FEE SCHEDULE40.519999-12-31PROFESSIONAL1083868640npi118462573311FFSBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED5.219999-12-31PROFESSIONAL1558361428npi124528353011FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular96372CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularDERIVED15.879999-12-31PROFESSIONAL1558361428npi124528353011FEE SCHEDULE16.639999-12-31PROFESSIONAL1114912466npi162906368011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL99211CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT THAT MAY"NOT-REQUIRE THE PRESENCE OF A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONALDERIVED24.949999-12-31PROFESSIONAL1306947452npi162906176711FFSInitial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnos99385CPT2026Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosDERIVED140.729999-12-31PROFESSIONAL1558361428npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99394CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED100.729999-12-31PROFESSIONAL1134657323npi12452835301396128989npi124528353011DERIVED118.509999-12-31PROFESSIONAL1013412196npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED147.489999-12-31PROFESSIONAL1700465499npi178010052911DERIVED134.659999-12-31PROFESSIONAL1306947452npi16290617671558361428npi124528353011FFSCAST SUPPLIES,SHORT ARM CAST,ADULT,11+,FIBERGLASSQ4010HCPCS2026CAST SUPPLIES,SHORT ARM CAST,ADULT,11+,FIBERGLASSDERIVED26.049999-12-31PROFESSIONAL1235498460npi155834024011DERIVED22.139999-12-31PROFESSIONAL1770129413npi155834024011FFSCAST SUPPLIES,SHORT ARM SPLINT, ADULT, FIBERGLASSQ4022HCPCS2026CAST SUPPLIES,SHORT ARM SPLINT, ADULT, FIBERGLASSDERIVED13.839999-12-31PROFESSIONAL1770129413npi155834024011FFSLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED22.009999-12-31PROFESSIONAL1316981996npi124527167511FFSExcision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm11442CPT2026Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cmFEE SCHEDULE100.849999-12-31PROFESSIONAL1174678908npi199204527211FFSRepair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm12032CPT2026Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cmFEE SCHEDULE324.629999-12-31PROFESSIONAL1114912466npi162906368011FFSScreening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed77067CPT2026Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performedDERIVED179.149999-12-31PROFESSIONAL1174567697npi12452716751396756474npi124527167511FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED3.659999-12-31PROFESSIONAL1306947452npi162906176711FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE LEUKOCYTES, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.369999-12-31PROFESSIONAL1558361428npi124528353011FFSHEPATITIS B CORE ANTIBODY (HBCAB); TOTAL86704CPT2026HEPATITIS B CORE ANTIBODY (HBCAB); TOTALFEE SCHEDULE23.659999-12-31PROFESSIONAL1841351566npi179077231781FFSHepatitis A antibody (HAAb), IgM antibody86709CPT2026Hepatitis A antibody (HAAb), IgM antibodyFEE SCHEDULE22.089999-12-31PROFESSIONAL1841351566npi179077231781FFSINFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE OR87340CPT2026INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY (FIA), IMMUNOCHEMILUMINOMETRIC ASSAY (IMCA) QUALITATIVE ORFEE SCHEDULE20.269999-12-31PROFESSIONAL1841351566npi179077231781FFSTETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDER90715CPT2026TETANUS,DIPHTHERIA TOXOIDS,(TDAP) 7YRS OR OLDERDERIVED33.739999-12-31PROFESSIONAL1134657323npi12452835301396128989npi124528353011FFSTYMPANOMETRY92567CPT2026TYMPANOMETRYFEE SCHEDULE18.179999-12-31PROFESSIONAL1083868640npi118462573311FFSPLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESIST94726CPT2026PLETHYSMOGRAPHY LUNG VOL, WHEN PERF; AIRWAY RESISTFEE SCHEDULE12.059999-12-31PROFESSIONAL1972690444npi128506955922FFSINTRACUTANEOUS TEST INCL TEST INTER & REPORT95024CPT2026INTRACUTANEOUS TEST INCL TEST INTER & REPORTFEE SCHEDULE7.929999-12-31PROFESSIONAL1013909951npi167977244611FFSChiropractic manipulative treatment (CMT); spinal, 3-4 regions98941CPT2026Chiropractic manipulative treatment (CMT); spinal, 3-4 regionsFEE SCHEDULE34.139999-12-31PROFESSIONAL1528424025npi134645616711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENFEE SCHEDULE231.099999-12-31PROFESSIONAL1194796128npi118462573311FEE SCHEDULE195.549999-12-31PROFESSIONAL1073260196npi16290636801972237048npi162906368011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED52.629999-12-31PROFESSIONAL1770129413npi155834024011FEE SCHEDULE61.919999-12-31PROFESSIONAL1811457419npi199204527211FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONFEE SCHEDULE94.799999-12-31PROFESSIONAL1134221070npi124528353019DERIVED141.779999-12-31PROFESSIONAL1306947452npi162906176711DERIVED155.279999-12-31PROFESSIONAL1770244410npi178010052911FEE SCHEDULE148.529999-12-31PROFESSIONAL1114912466npi16290636801972237048npi162906368011FEE SCHEDULE170.139999-12-31PROFESSIONAL1669890299npi106346376811DERIVED114.769999-12-31PROFESSIONAL1134657323npi12452835301396128989npi124528353011DERIVED136.009999-12-31PROFESSIONAL1649354747npi108383119220DERIVED150.009999-12-31PROFESSIONAL1811616386npi109330850420FEE SCHEDULE126.929999-12-31PROFESSIONAL1750916359npi18816449121871849133npi18816449121011FEE SCHEDULE175.539999-12-31PROFESSIONAL1427033984npi118462573311FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making99282CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision makingDERIVED326.719999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE55.459999-12-31PROFESSIONAL1619681509npi124528353023FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingFEE SCHEDULE191.369999-12-31PROFESSIONAL1336767904npi12452835301518462092npi124528353023FFSCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED160.009999-12-31PROFESSIONAL1366447195npi18715720321609849496npi187157203211FFSINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGFEE SCHEDULE0.819999-12-31PROFESSIONAL1114912466npi162906368011FFSAPPLY FOREARM SPLINT29125CPT2026APPLY FOREARM SPLINTDERIVED69.659999-12-31PROFESSIONAL1770129413npi155834024011FFSREMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERAL69210CPT2026REMOVAL IMP CERUMEN REQ INTRUMENTATION,UNILATERALFEE SCHEDULE62.159999-12-31PROFESSIONAL1427033984npi118462573311FFSCAT SCAN OF FACE, JAW70486CPT2026CAT SCAN OF FACE, JAWFEE SCHEDULE44.149999-12-31PROFESSIONAL1093759599npi10634007291174567697npi106340072923DERIVED231.629999-12-31INSTITUTIONAL1811991227npi181199122723FFSSCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERAL77063CPT2026SCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERALDERIVED73.399999-12-31PROFESSIONAL1174567697npi12452716751396756474npi124527167511FFSHepatitis A antibody (HAAb)86708CPT2026Hepatitis A antibody (HAAb)FEE SCHEDULE24.329999-12-31PROFESSIONAL1841351566npi179077231781FFSHepatitis C antibody;86803CPT2026Hepatitis C antibody;FEE SCHEDULE28.009999-12-31PROFESSIONAL1841351566npi179077231781FFSIMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADM90461CPT2026IMMUNIZATION ADM THRU 18 YRS;EA ADDL OR TOXOID ADMDERIVED7.439999-12-31PROFESSIONAL1134657323npi12452835301396128989npi124528353011FFSEXTREMITY VEINS STDY-LIMITED93971CPT2026EXTREMITY VEINS STDY-LIMITEDFEE SCHEDULE141.989999-12-31PROFESSIONAL1669890299npi106346376811FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGFEE SCHEDULE10.399999-12-31PROFESSIONAL1972690444npi128506955922DERIVED678.299999-12-31INSTITUTIONAL1811991227npi181199122722FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENFEE SCHEDULE786.569999-12-31PROFESSIONAL1427035286npi17907723171710483292npi17907723171011FEE SCHEDULE250.029999-12-31PROFESSIONAL1013909951npi167977244611FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED136.009999-12-31PROFESSIONAL1649354747npi10838311921871160143npi109330850420DERIVED108.749999-12-31PROFESSIONAL1770244410npi178010052911FEE SCHEDULE84.169999-12-31PROFESSIONAL1861116451npi199204527211FEE SCHEDULE99.299999-12-31PROFESSIONAL1811457419npi199204527211DERIVED80.379999-12-31PROFESSIONAL1396128989npi124528353011DERIVED99.289999-12-31PROFESSIONAL1558361428npi124528353011DERIVED99.299999-12-31PROFESSIONAL1235498460npi155834024011FEE SCHEDULE85.109999-12-31PROFESSIONAL1528424025npi134645616711FEE SCHEDULE104.029999-12-31PROFESSIONAL1972237048npi162906368011FEE SCHEDULE122.939999-12-31PROFESSIONAL1427033984npi118462573311FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE OFEE SCHEDULE140.819999-12-31PROFESSIONAL1134221070npi124528353019FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED91.329999-12-31PROFESSIONAL1396128989npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED126.859999-12-31PROFESSIONAL1558361428npi124528353011DERIVED138.939999-12-31PROFESSIONAL1770244410npi178010052911FFSInterprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician or99451CPT2026Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written report to the patient's treating/requesting physician orFEE SCHEDULE152.999999-12-31PROFESSIONAL1548426703npi179077231711FFSINJ, METHYLPRED SOD SUCC 5MGJ2919HCPCS2026INJ, METHYLPRED SOD SUCC 5MGDERIVED0.279999-12-31PROFESSIONAL1558361428npi124528353011CAPITATIONClotting inhibitors or anticoagulants; antithrombin III, activity85300CPT2026Clotting inhibitors or anticoagulants; antithrombin III, activityDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)96366CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)DERIVED22.979999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED104.029999-12-31PROFESSIONAL1235370743npi155830204211CAPITATIONRPLMNT CUSHION FOR NASAL APPLICATION DEVICE, EACHA7032HCPCS2026RPLMNT CUSHION FOR NASAL APPLICATION DEVICE, EACHDERIVED20.389999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHEADGEAR USED WITH PAPDA7035HCPCS2026HEADGEAR USED WITH PAPDDERIVED19.399999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONFerritin82728CPT2026FerritinDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCYTOPATHOLOGY, AUTOMATED THIN PREP88142CPT2026CYTOPATHOLOGY, AUTOMATED THIN PREPDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCOMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVE92133CPT2026COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING (EG, OPTICAL COHERENCE TOMOGRAPHY [OCT]), POSTERIOR SEGMENT, WITH INTERPRETATION AND REPORT, UNILATERAL OR BILATERAL; OPTIC NERVEDERIVED33.209999-12-31PROFESSIONAL1093780215npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED63.319999-12-31PROFESSIONAL1962928465npi155830204211DERIVED81.949999-12-31PROFESSIONAL1235370743npi155830204211CAPITATIONNASAL INTERFACE(MASK OR CANNULA) FOR PAPDA7034HCPCS2026NASAL INTERFACE(MASK OR CANNULA) FOR PAPDDERIVED59.099999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONRESPIRATORY ASSIST DEVICE BI-LEVL CAP W/O BACKUPE0470HCPCS2026RESPIRATORY ASSIST DEVICE BI-LEVL CAP W/O BACKUPDERIVED113.479999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONHUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREE0562HCPCS2026HUMIDIFIER HEATED USED W/POSITIVE AIRWAY PRESSUREDERIVED147.269999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONCortisol; total82533CPT2026Cortisol; totalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCalprotectin, fecal83993CPT2026Calprotectin, fecalDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONSedimentation rate, erythrocyte; automated85652CPT2026Sedimentation rate, erythrocyte; automatedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONC-reactive protein;86140CPT2026C-reactive protein;DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONLEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION88305CPT2026LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONDERIVED1.119999-12-31PROFESSIONAL1699961086npi161994051781CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED136.939999-12-31PROFESSIONAL1093780215npi155830204211CAPITATIONIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED71.749999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONOFFICE/OUTPATIENT VISIT, NEW PATIENT99203CPT2026OFFICE/OUTPATIENT VISIT, NEW PATIENTDERIVED129.449999-12-31PROFESSIONAL1578556502npi155830204211CAPITATIONTUBING USED WITH PAPDA7037HCPCS2026TUBING USED WITH PAPDDERIVED12.519999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONINJECTION, INFLIXIMAB-ABDA, BIOSIMILAR,RENFLEXISQ5104HCPCS2026INJECTION, INFLIXIMAB-ABDA, BIOSIMILAR,RENFLEXISDERIVED1526.509999-12-31PROFESSIONAL1184726184npi155830204249CAPITATIONLIPID PANEL80061CPT2026LIPID PANELDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONHEMOGLOBIN; GLYCOSYLATED (A1C)83036CPT2026HEMOGLOBIN; GLYCOSYLATED (A1C)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONImmunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified83520CPT2026Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specifiedDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONTUBERCULOSIS TEST,CELL MEDIATED IMMUNITY ANTIGEN86480CPT2026TUBERCULOSIS TEST,CELL MEDIATED IMMUNITY ANTIGENDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONCULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE87088CPT2026CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONDISPOSABLE FILTER FOR PAPDA7038HCPCS2026DISPOSABLE FILTER FOR PAPDDERIVED4.379999-12-31PROFESSIONAL1336234194npi133623419412CAPITATIONWATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIA7046HCPCS2026WATER CHAMBR FOR HUMIDIFIER USED W/POS AIRWAY DEVIDERIVED16.249999-12-31PROFESSIONAL1336234194npi133623419412LARGE GROUP TRIPLE OPTEIN161635813GROUPFFSRemoval of sutures or staples not requiring anesthesia (List separately in addition to E/M code)15853CPT2026Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)FEE SCHEDULE25.929999-12-31PROFESSIONAL1295266773npi120588085323FFSEXPLORE/IRRIGATE TEAR DUCTS68840CPT2026EXPLORE/IRRIGATE TEAR DUCTSDERIVED112.099999-12-31PROFESSIONAL1891954608npi154825989811FFSPlethysmography for determination of lung volumes and, when performed, airway resistance94726CPT2026Plethysmography for determination of lung volumes and, when performed, airway resistanceDERIVED61.909999-12-31PROFESSIONAL1487875977npi128568537011FFSDiffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)94729CPT2026Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)DERIVED61.319999-12-31PROFESSIONAL1487875977npi128568537011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEFEE SCHEDULE50.589999-12-31PROFESSIONAL1669523064npi134645616711FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making99284CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision makingFEE SCHEDULE246.929999-12-31PROFESSIONAL1215166749npi120588085323FFSImmunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)90471CPT2026Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)DERIVED22.589999-12-31PROFESSIONAL1356446223npi189119744811FFSINFLUENZA VIRUS VACCINE, TRIVALENT (CCIIV3), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 DOSAGE, FOR INTRAMUSCULAR USE90661CPT2026INFLUENZA VIRUS VACCINE, TRIVALENT (CCIIV3), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 DOSAGE, FOR INTRAMUSCULAR USEDERIVED40.009999-12-31PROFESSIONAL1356446223npi189119744811FFSPsychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)90833CPT2026Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)FEE SCHEDULE73.539999-12-31PROFESSIONAL1962548552npi155879840511FFSTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED50.009999-12-31PROFESSIONAL1154683894npi155834024011FFSEmergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional99281CPT2026Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professionalDERIVED206.189999-12-31INSTITUTIONAL1063426823npi106342682323FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99393CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED118.189999-12-31PROFESSIONAL1750305900npi163913848011FFSComputed tomography, thorax, diagnostic; without contrast material71250CPT2026Computed tomography, thorax, diagnostic; without contrast materialDERIVED189.209999-12-31PROFESSIONAL1154325793npi12452716751518054535npi124527167511FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED42.189999-12-31PROFESSIONAL1487875977npi128568537011FFSChiropractic manipulative treatment (CMT); spinal, 3-4 regions98941CPT2026Chiropractic manipulative treatment (CMT); spinal, 3-4 regionsFEE SCHEDULE34.139999-12-31PROFESSIONAL1669523064npi134645616711FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making99282CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision makingFEE SCHEDULE84.029999-12-31PROFESSIONAL1295266773npi120588085323FFSEmergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making99283CPT2026Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision makingDERIVED969.709999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE112.259999-12-31PROFESSIONAL1184369738npi124528353023DERIVED603.129999-12-31INSTITUTIONAL1811991227npi181199122723FFSCERV/VAG SCREEN, BREAST EXAMG0101HCPCS2026CERV/VAG SCREEN, BREAST EXAMDERIVED160.009999-12-31PROFESSIONAL1366448805npi187157203211FFSINJECTION, LIDOCAINE HCL , 1 MGJ2003HCPCS2026INJECTION, LIDOCAINE HCL , 1 MGDERIVED15.939999-12-31INSTITUTIONAL1063426823npi106342682323FFSDRUGS/OTHER0259RC2026DRUGS/OTHERDERIVED50.079999-12-31INSTITUTIONAL1063426823npi106342682323FFSSIMPL REP SCALP,NECK,TRUNK,E12002CPT2026SIMPL REP SCALP,NECK,TRUNK,EFEE SCHEDULE121.889999-12-31PROFESSIONAL1215166749npi120588085323FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED151.109999-12-31PROFESSIONAL1891954608npi154825989811FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED73.709999-12-31PROFESSIONAL1366448805npi187157203211FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED135.029999-12-31PROFESSIONAL1487875977npi128568537011FEE SCHEDULE121.529999-12-31PROFESSIONAL1962548552npi155879840511DERIVED141.779999-12-31PROFESSIONAL1356446223npi189119744811CAPITATIONURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPY81002CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; NON-AUTOMATED, WITHOUT MICROSCOPYDERIVED2.959999-12-31PROFESSIONAL1750820627npi155830204211CAPITATIONUrine pregnancy test, by visual color comparison methods81025CPT2026Urine pregnancy test, by visual color comparison methodsDERIVED7.319999-12-31PROFESSIONAL1750820627npi155830204211CAPITATIONDehydroepiandrosterone-sulfate (DHEA-S)82627CPT2026Dehydroepiandrosterone-sulfate (DHEA-S)DERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOphthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient92002CPT2026Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patientDERIVED91.049999-12-31PROFESSIONAL1427373075npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99204CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED142.219999-12-31PROFESSIONAL1063874584npi153868649811CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99212CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & STRAIGHTFORWARD MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED64.869999-12-31PROFESSIONAL1740286756npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON99214CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ONDERIVED148.529999-12-31PROFESSIONAL1396910998npi15583020421740286756npi155830204211CAPITATIONPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99396CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED141.069999-12-31PROFESSIONAL1740286756npi155830204211CAPITATIONRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsDERIVED26.559999-12-31PROFESSIONAL1063874584npi153868649811CAPITATIONFolic acid; serum82746CPT2026Folic acid; serumDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A87880CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group ADERIVED14.059999-12-31PROFESSIONAL1437206711npi15583020421750820627npi155830204211CAPITATIONPSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBR90837CPT2026PSYCHOTHERAPY,60 MINS. W/PATIENT AND/OR FAMILY MBRDERIVED182.149999-12-31PROFESSIONAL1457661613npi155830204211CAPITATIONOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient92012CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientDERIVED97.279999-12-31PROFESSIONAL1427373075npi155830204211CAPITATIONPhysical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements f97161CPT2026Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fDERIVED60.009999-12-31PROFESSIONAL1972368439npi129527999011CAPITATIONTHERAP.ACTIVITIES EACH 15 MI97530CPT2026THERAP.ACTIVITIES EACH 15 MIDERIVED60.009999-12-31PROFESSIONAL1295856466npi129527999011CAPITATIONCULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE87088CPT2026CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINEDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONPsychotherapy, 45 minutes with patient90834CPT2026Psychotherapy, 45 minutes with patientDERIVED124.319999-12-31PROFESSIONAL1457661613npi155830204211CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE99213CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY & EXAMINATION & LOW LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATEDERIVED104.029999-12-31PROFESSIONAL1740286756npi155830204211DERIVED80.379999-12-31PROFESSIONAL1437206711npi15583020421750820627npi155830204211CAPITATIONINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED30.039999-12-31PROFESSIONAL1437206711npi15583020421750820627npi155830204211CAPITATIONInfectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza87804CPT2026Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; InfluenzaDERIVED14.069999-12-31PROFESSIONAL1437206711npi155830204211CAPITATIONCYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENING88175CPT2026CYTOPATH, C/V, THIN LAYER; AUTO & MANUAL SCREENINGDERIVED1.119999-12-31PROFESSIONAL1891731626npi189173162681CAPITATIONOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED81.949999-12-31PROFESSIONAL1235370743npi155830204211LARGE GROUP TRIPLE OPTEIN590872949GROUPFFSAnesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty01402CPT2026Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplastyDERIVED807.009999-12-31PROFESSIONAL1265691901npi17801005291295471118npi178010052922FFSIV SOLUTIONS0258RC2026IV SOLUTIONSDERIVED16.809999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED82.619999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED98.639999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/CHEMISTRY0301RC2026LAB/CHEMISTRYDERIVED1205.429999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/IMMUNOLOGY0302RC2026LAB/IMMUNOLOGYDERIVED307.919999-12-31INSTITUTIONAL1063426823npi106342682321FFSLAB/BACT-MICRO0306RC2026LAB/BACT-MICRODERIVED1284.339999-12-31INSTITUTIONAL1063426823npi106342682321FFSCARDIOLOGY-ECHOCARDIOLOGY0483RC2026CARDIOLOGY-ECHOCARDIOLOGYDERIVED943.499999-12-31INSTITUTIONAL1063426823npi106342682321FFSRECOVERY ROOM0710RC2026RECOVERY ROOMDERIVED349.839999-12-31INSTITUTIONAL1871977942npi187197794222DERIVED1798.609999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED3913.559999-12-31INSTITUTIONAL1063426823npi106342682322FFSShaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm11301CPT2026Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cmFEE SCHEDULE125.279999-12-31PROFESSIONAL1336134360npi162906368011FFSEXC LES. TRUNK ARMS OR LEGS11402CPT2026EXC LES. TRUNK ARMS OR LEGSDERIVED4632.829999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE185.749999-12-31PROFESSIONAL1114912466npi16290636801336134360npi16290636801730375700npi162906368011FFSEXC LES. TRUNK ARMS OR LEGS11404CPT2026EXC LES. TRUNK ARMS OR LEGSDERIVED121.059999-12-31PROFESSIONAL1114293412npi161901856111FFSSIMPL REP SCALP,NECK,TRUNK,E12001CPT2026SIMPL REP SCALP,NECK,TRUNK,EFEE SCHEDULE72.299999-12-31PROFESSIONAL1275584278npi124528353023FFSDESTRUCTION PREMALIG. LESIONS 15 OR MORE17004CPT2026DESTRUCTION PREMALIG. LESIONS 15 OR MOREFEE SCHEDULE175.489999-12-31PROFESSIONAL1114912466npi16290636801265887152npi16290636801336134360npi162906368011FFSDestruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm17262CPT2026Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cmFEE SCHEDULE188.439999-12-31PROFESSIONAL1336134360npi16290636801972237048npi162906368011FFSArthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance20600CPT2026Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidanceFEE SCHEDULE70.629999-12-31PROFESSIONAL1750374120npi106346376811FFSPosterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary proced22840CPT2026Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedFEE SCHEDULE447.289999-12-31PROFESSIONAL1225052533npi179077231721FEE SCHEDULE3288.849999-12-31PROFESSIONAL1063668440npi179077231721FFSInsertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each inter22853CPT2026Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interFEE SCHEDULE1173.659999-12-31PROFESSIONAL1063668440npi179077231721FEE SCHEDULE159.629999-12-31PROFESSIONAL1225052533npi179077231721FFSARTHRODESIS,GRT TOE,METATARS28750CPT2026ARTHRODESIS,GRT TOE,METATARSDERIVED12822.429999-12-31INSTITUTIONAL1811991227npi181199122722FFSAPPLY FOREARM SPLINT29125CPT2026APPLY FOREARM SPLINTDERIVED69.659999-12-31PROFESSIONAL1770129413npi155834024011FFSArthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular si29823CPT2026Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular siFEE SCHEDULE361.719999-12-31PROFESSIONAL1790171130npi106346376822FFSArthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)29826CPT2026Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)FEE SCHEDULE196.619999-12-31PROFESSIONAL1790171130npi106346376822FFSARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFF29827CPT2026ARTHROSCOPY SHOULDER DISTAL CLAVICUL ROTATOR CUFFDERIVED14641.709999-12-31INSTITUTIONAL1003465097npi100346509722FEE SCHEDULE1274.389999-12-31PROFESSIONAL1790171130npi106346376822FFSDiverticulitis of intestine, part unspecified, without perforation or abscess without bleeding330MS-DRG10Diverticulitis of intestine, part unspecified, without perforation or abscess without bleedingDERIVED3559.149999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED28506.959999-12-31INSTITUTIONAL1811991227npi181199122721FFSINITIAL 3RD ORD ABDOM/PELV/LOW EXT ARTERY BRANCH36247CPT2026INITIAL 3RD ORD ABDOM/PELV/LOW EXT ARTERY BRANCHFEE SCHEDULE301.639999-12-31PROFESSIONAL1902843303npi174055985522FFSPHLEBOTOMIST WEEKEND/AFTER HOURS SVCS36415CPT2026PHLEBOTOMIST WEEKEND/AFTER HOURS SVCSDERIVED9.809999-12-31PROFESSIONAL1982630042npi111403746211DERIVED11.389999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED9.009999-12-31PROFESSIONAL1306850508npi17605909621821093105npi10934936371821290362npi176059096211DERIVED13.839999-12-31INSTITUTIONAL1063426823npi106342682322FEE SCHEDULE15.419999-12-31PROFESSIONAL1013998970npi146755176211FFSCalculus of gallbladder with acute and chronic cholecystitis without obstruction419MS-DRG10Calculus of gallbladder with acute and chronic cholecystitis without obstructionDERIVED3559.149999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED14766.579999-12-31INSTITUTIONAL1811991227npi181199122721FFSMobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)44139CPT2026Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)DERIVED154.339999-12-31PROFESSIONAL1750383733npi178010052921FEE SCHEDULE24.699999-12-31PROFESSIONAL1235131962npi178010052921FFSCYSTOERTH.W/FULG. SMALL TUMO52234APC2026CYSTOERTH.W/FULG. SMALL TUMODERIVED1689.029999-12-31INSTITUTIONAL1518976661npi151897666124FFSBIOPSY OF VULVA/PERINEUM56605CPT2026BIOPSY OF VULVA/PERINEUMDERIVED118.069999-12-31PROFESSIONAL1366447195npi187157203211FFSVaginal delivery only (with or without episiotomy and/or forceps);59409CPT2026Vaginal delivery only (with or without episiotomy and/or forceps);FEE SCHEDULE509.999999-12-31PROFESSIONAL1912523713npi124528353021FFSStereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)61783CPT2026Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)FEE SCHEDULE1153.679999-12-31PROFESSIONAL1063668440npi179077231721FFSINJ ANESTHETIC AGENT;FEMORAL NERVE, SINGLE64447CPT2026INJ ANESTHETIC AGENT;FEMORAL NERVE, SINGLEDERIVED108.909999-12-31PROFESSIONAL1265691901npi178010052922FFSINJ. ANESTH/STEROID PLANTAR COMMON DIGITAL NERVE64455CPT2026INJ. ANESTH/STEROID PLANTAR COMMON DIGITAL NERVEDERIVED55.289999-12-31PROFESSIONAL1699923060npi134680617111FFSChemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)64616CPT2026Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)DERIVED505.629999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE163.499999-12-31PROFESSIONAL1578627568npi168968179322FFSCOMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING70471CPT2026COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSINGFEE SCHEDULE131.409999-12-31PROFESSIONAL1326082975npi106340072923FFSCAT SCAN OF FACE, JAW70486CPT2026CAT SCAN OF FACE, JAWDERIVED182.409999-12-31PROFESSIONAL1093759599npi124527167511FEE SCHEDULE44.149999-12-31PROFESSIONAL1568752103npi106340072923FFSComputed tomography, thorax, low dose for lung cancer screening, without contrast material(s)71271CPT2026Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)FEE SCHEDULE133.289999-12-31PROFESSIONAL1528051000npi134651685311DERIVED194.599999-12-31PROFESSIONAL1114960200npi12452716751174567697npi12452716751326082975npi12452716751457886046npi12452716751780655498npi124527167511FFSCT ANGIO, CHEST, NOCOR, W/O CONT. FOLLOWED BY CONT71275CPT2026CT ANGIO, CHEST, NOCOR, W/O CONT. FOLLOWED BY CONTDERIVED339.919999-12-31INSTITUTIONAL1811991227npi181199122723FFSMAGNETIC IMAGE, CHEST;W/OUT CONT,F/BY CONT MATERIA71552CPT2026MAGNETIC IMAGE, CHEST;W/OUT CONT,F/BY CONT MATERIADERIVED659.609999-12-31PROFESSIONAL1093750820npi124527167511FFSX-RAY EXAM,SPINE,LUMBOSCARAL;MIN 4 VIEWS72110CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;MIN 4 VIEWSFEE SCHEDULE14.169999-12-31PROFESSIONAL1821357633npi106340072923FFSMRI NECK SPINE72141CPT2026MRI NECK SPINEDERIVED350.009999-12-31PROFESSIONAL1164583472npi188190490249DERIVED271.959999-12-31PROFESSIONAL1245273259npi12452716751619037025npi124527167511FFSX-RAY EXAM OF COLLARBONE73000CPT2026X-RAY EXAM OF COLLARBONEDERIVED332.299999-12-31INSTITUTIONAL1063426823npi106342682323FFSX-RAY EXAM OF SHOULDER73030CPT2026X-RAY EXAM OF SHOULDERFEE SCHEDULE32.429999-12-31PROFESSIONAL1790171130npi106346376811FEE SCHEDULE14.979999-12-31PROFESSIONAL1255674545npi107378504423FFSRadiologic examination, wrist; complete, minimum of 3 views73110CPT2026Radiologic examination, wrist; complete, minimum of 3 viewsDERIVED60.589999-12-31PROFESSIONAL1699717124npi124527167511FFSX-RAY EXAM OF KNEE73562CPT2026X-RAY EXAM OF KNEEDERIVED41.189999-12-31PROFESSIONAL1497734107npi15583402401740606441npi155834024011DERIVED61.779999-12-31PROFESSIONAL1316926025npi155834024011FEE SCHEDULE47.369999-12-31PROFESSIONAL1457315772npi194226369411FFSCAT SCAN OF LOWER EXTREMITY73700CPT2026CAT SCAN OF LOWER EXTREMITYDERIVED185.799999-12-31PROFESSIONAL1154358398npi124527167511FFSMRI,ANY JNT LOW EXT;W/OUT CONTRAST73721CPT2026MRI,ANY JNT LOW EXT;W/OUT CONTRASTDERIVED290.549999-12-31PROFESSIONAL1083656706npi12452716751154358398npi12452716751629357207npi124527167511FFSCONTRAST XRAY EXAM,ESOPHAGUS74220CPT2026CONTRAST XRAY EXAM,ESOPHAGUSFEE SCHEDULE339.389999-12-31PROFESSIONAL1366609570npi179077231711FFSComputed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium75571CPT2026Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calciumDERIVED141.499999-12-31PROFESSIONAL1326082975npi124527167511FFSCT,HEART,W/O CONTRAST W/QUANT. EVAL CORONARY CALCM75571CPT2026CT,HEART,W/O CONTRAST W/QUANT. EVAL CORONARY CALCMDERIVED141.499999-12-31PROFESSIONAL1104860600npi124527167511FFSECHO EXAM OF HEAD AND NECK76536CPT2026ECHO EXAM OF HEAD AND NECKDERIVED153.779999-12-31PROFESSIONAL1386757631npi124527167511FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAMINATION, TRANSABDOMINAL APPROACH; EACH ADDITIONAL GESTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)76812CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FETAL AND MATERNAL EVALUATION PLUS DETAILED FETAL ANATOMIC EXAMINATION, TRANSABDOMINAL APPROACH; EACH ADDITIONAL GESTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)DERIVED330.779999-12-31PROFESSIONAL1902894942npi108371179011FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, PLACENTAL LOCATION, FETAL POSITION AND/OR QUALITATIVE AMNIOTIC FLUID VOLUME), 1 OR MORE FETUSES76815CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, PLACENTAL LOCATION, FETAL POSITION AND/OR QUALITATIVE AMNIOTIC FLUID VOLUME), 1 OR MORE FETUSESDERIVED219.629999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE34.139999-12-31PROFESSIONAL1033189014npi12452835301366837247npi12452835301902894942npi124528353022FFSULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINAL76817CPT2026ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, TRANSVAGINALFEE SCHEDULE39.229999-12-31PROFESSIONAL1366837247npi124528353022DERIVED160.359999-12-31PROFESSIONAL1902894942npi108371179011FFSUS GUIDANCE FOR NEEDLE PLACEMENT76942CPT2026US GUIDANCE FOR NEEDLE PLACEMENTDERIVED69.299999-12-31PROFESSIONAL1265691901npi178010052922FFSSCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERAL77063CPT2026SCREENING DIGITAL BREAST TOMOSYNTHESIS,BILATERALDERIVED40.249999-12-31INSTITUTIONAL1649367269npi164936726922DERIVED73.399999-12-31PROFESSIONAL1104860600npi12452716751114960200npi12452716751174567697npi12452716751235128620npi12452716751386757631npi12452716751396756474npi12452716751780655498npi12452716751831136191npi124527167511DERIVED38.339999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE45.249999-12-31PROFESSIONAL1710902812npi121501771011FEE SCHEDULE46.079999-12-31PROFESSIONAL1285824086npi10737850441386943942npi10737850441922FFSDIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILA77066CPT2026DIAG MAMMOGRAPHY,ICNLUDING COMPUTER-AIDED DET;BILADERIVED223.359999-12-31PROFESSIONAL1396756474npi12452716751578507588npi12452716751831136191npi124527167511DERIVED292.609999-12-31INSTITUTIONAL1649367269npi164936726922FEE SCHEDULE77.429999-12-31PROFESSIONAL1407846900npi107378504419FFSDEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIAL77080CPT2026DEXA BONE DENSITY STUDY 1 OR MORE SITES, AXIALFEE SCHEDULE38.349999-12-31PROFESSIONAL1962491118npi134651685311FFSTherapeutic radiology treatment planning; complex77263CPT2026Therapeutic radiology treatment planning; complexFEE SCHEDULE186.809999-12-31PROFESSIONAL1346262789npi124528353022FFSNUCLEAR SCAN OF SKELETON78306CPT2026NUCLEAR SCAN OF SKELETONDERIVED365.709999-12-31PROFESSIONAL1104860600npi124527167511FFSStreptococcus B carrier state complicating childbirth806MS-DRG10Streptococcus B carrier state complicating childbirthDERIVED8444.089999-12-31INSTITUTIONAL1811991227npi181199122721DERIVED3655.069999-12-31INSTITUTIONAL1811991227npi181199122721FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPY81001CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, NITRITE, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITH MICROSCOPYDERIVED83.979999-12-31INSTITUTIONAL1063426823npi106342682323FFSFETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATING CELL-FREE FETAL DNA IN MATERNAL BLOOD, MUST INCLUDE ANALYSIS OF CHROMOSOMES 13, 18, AND 2181420CPT2026FETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATING CELL-FREE FETAL DNA IN MATERNAL BLOOD, MUST INCLUDE ANALYSIS OF CHROMOSOMES 13, 18, AND 21DERIVED750.009999-12-31PROFESSIONAL1891731626npi189173162681FFSKetone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative82010CPT2026Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitativeDERIVED38.169999-12-31INSTITUTIONAL1063426823npi106342682323FFSThyroxine; free84439CPT2026Thyroxine; freeDERIVED101.599999-12-31INSTITUTIONAL1063426823npi106342682323FFSBlood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count85025CPT2026Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countDERIVED137.969999-12-31INSTITUTIONAL1649367269npi164936726923FEE SCHEDULE15.269999-12-31PROFESSIONAL1841351566npi179077231781DERIVED75.609999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED8.559999-12-31PROFESSIONAL1306850508npi17605909621821290362npi176059096211DERIVED79.389999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED96.509999-12-31INSTITUTIONAL1063426823npi106342682323FEE SCHEDULE12.829999-12-31PROFESSIONAL1013998970npi146755176211DERIVED163.259999-12-31INSTITUTIONAL1063426823npi106342682322FFSProthrombin time;85610CPT2026Prothrombin time;DERIVED43.309999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED45.479999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED58.469999-12-31INSTITUTIONAL1063426823npi106342682322FFSThromboplastin time, partial (PTT); plasma or whole blood85730CPT2026Thromboplastin time, partial (PTT); plasma or whole bloodDERIVED63.869999-12-31INSTITUTIONAL1063426823npi106342682322FFSAntibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])86769CPT2026Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])DERIVED42.139999-12-31PROFESSIONAL1891731626npi189173162681FFSINF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OF87426CPT2026INF AGENT ANTIGEN DETECTION BY IMMUN TECHNIQUE OFDERIVED37.099999-12-31PROFESSIONAL1346456647npi186140010311DERIVED88.199999-12-31INSTITUTIONAL1811991227npi181199122723FFSINFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECH87428CPT2026INFECT AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHDERIVED73.809999-12-31PROFESSIONAL1841495496npi124528353011FFSINFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULT87624CPT2026INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES (EG, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), POOLED RESULTFEE SCHEDULE21.059999-12-31PROFESSIONAL1265798870npi126579887081FFSINF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTE87637CPT2026INF AGENT DETECTION BY NECLEIC ACID;SEVERE ACUTEDERIVED172.239999-12-31INSTITUTIONAL1063426823npi106342682323FFSInfectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique87661CPT2026Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe techniqueFEE SCHEDULE21.059999-12-31PROFESSIONAL1265798870npi126579887081FFSSpecial stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry88313CPT2026Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistryFEE SCHEDULE46.799999-12-31PROFESSIONAL1265798870npi126579887081FFSFLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+90656CPT2026FLU VAC,TRIVALENT, SPLIT VIRUS,PRES FREE 3 YRS+DERIVED25.549999-12-31PROFESSIONAL1821093105npi109349363711FFSInfluenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use90674CPT2026Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular useDERIVED32.279999-12-31PROFESSIONAL1982630042npi111403746211FFSPneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use90677CPT2026Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular useDERIVED328.549999-12-31PROFESSIONAL1194752055npi124528353011FFSMeasles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use90707CPT2026Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useDERIVED97.999999-12-31PROFESSIONAL1134657323npi124528353011FFSOphthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits92014CPT2026Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsDERIVED94.009999-12-31PROFESSIONAL1265424188npi159898467611FEE SCHEDULE136.939999-12-31PROFESSIONAL1033322078npi165932121411FFSCATH PLCMNT CORONARY ARTERY FOR CORONARY ANGIOGRPH93454CPT2026CATH PLCMNT CORONARY ARTERY FOR CORONARY ANGIOGRPHFEE SCHEDULE269.829999-12-31PROFESSIONAL1902843303npi174055985522FFSCatheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;93454CPT2026Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;DERIVED9022.739999-12-31INSTITUTIONAL1063426823npi106342682322FFSDuplex scan of extracranial arteries; complete bilateral study93880CPT2026Duplex scan of extracranial arteries; complete bilateral studyFEE SCHEDULE202.079999-12-31PROFESSIONAL1417921701npi19422506831902843303npi174055985511FFSLIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUD93922CPT2026LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDDERIVED100.979999-12-31PROFESSIONAL1134275357npi170094788411FFSEVALUATION OF WHEEZING94060CPT2026EVALUATION OF WHEEZINGDERIVED42.189999-12-31PROFESSIONAL1205889243npi12856853701487875977npi128568537011FFSIMMUNOTHERAPY,PROF SERV, ONE INJECTION95115CPT2026IMMUNOTHERAPY,PROF SERV, ONE INJECTIONFEE SCHEDULE10.589999-12-31PROFESSIONAL1013909951npi167977244611FFSBrief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument96127CPT2026Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentDERIVED4.429999-12-31PROFESSIONAL1588101174npi111403746211DERIVED5.219999-12-31PROFESSIONAL1346231966npi116443527711FFSIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour96365CPT2026Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourDERIVED363.559999-12-31INSTITUTIONAL1811991227npi181199122723FFSTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)96376CPT2026Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)DERIVED112.349999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED233.909999-12-31INSTITUTIONAL1063426823npi106342682322FFSTherapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility97110CPT2026Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityDERIVED56.139999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED50.009999-12-31PROFESSIONAL1154683894npi155834024011DERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901720716780npi129527999011FFSTherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes97530CPT2026Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesDERIVED50.009999-12-31PROFESSIONAL1295293652npi155834024011DERIVED60.009999-12-31PROFESSIONAL1023574274npi12952799901720716780npi129527999011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODE99202CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND STRAIGHTFORWARD MEDICAL DECISION MAKING.WHEN USING TOTAL TIME ON THE DATE OF THE ENCOUNTER FOR CODEDERIVED60.649999-12-31PROFESSIONAL1174931448npi117493144811DERIVED120.009999-12-31PROFESSIONAL1306114483npi189190537820DERIVED150.009999-12-31PROFESSIONAL1942276985npi162949723520DERIVED78.219999-12-31PROFESSIONAL1497734107npi155834024011FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE EN99205CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHEN USING TOTAL TIME ON THE DATE OF THE ENDERIVED214.309999-12-31PROFESSIONAL1487614947npi166958926311FEE SCHEDULE214.309999-12-31PROFESSIONAL1417924689npi131613059411DERIVED297.639999-12-31PROFESSIONAL1134275357npi170094788411DERIVED310.009999-12-31PROFESSIONAL1750383733npi178010052911FEE SCHEDULE261.929999-12-31PROFESSIONAL1194708495npi18117666371952321671npi108367960911FEE SCHEDULE300.029999-12-31PROFESSIONAL1790171130npi106346376811FFSOFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE O99215CPT2026OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A"MEDICALLY APPROPRIATE HISTORY AND EXAMINATION AND HIGH LEVEL OF MEDICAL DECISION MAKING. WHENUSING TOTAL TIME ON THE DATE ODERIVED239.859999-12-31PROFESSIONAL1821093105npi109349363711FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99392CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED113.149999-12-31PROFESSIONAL1093376618npi12452835301194752055npi12452835301720030653npi12452835301841495496npi124528353011FFSPeriodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diag99395CPT2026Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagDERIVED102.689999-12-31PROFESSIONAL1134657323npi124528353011DERIVED151.019999-12-31PROFESSIONAL1821093105npi109349363711DERIVED163.099999-12-31PROFESSIONAL1609194349npi178010052911FFSANCHOR/SCREW FOR OPPOSING BONE TO BONE OR TIS BONEC1713HCPCS2026ANCHOR/SCREW FOR OPPOSING BONE TO BONE OR TIS BONEDERIVED249.469999-12-31INSTITUTIONAL1063426823npi106342682322FFSCATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONALC1714HCPCS2026CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONALDERIVED6363.099999-12-31INSTITUTIONAL1063426823npi106342682322FFSCATHETER, INFUSION INSERT PERIPHERALLY CENT OR MIDC1751HCPCS2026CATHETER, INFUSION INSERT PERIPHERALLY CENT OR MIDDERIVED121.269999-12-31INSTITUTIONAL1063426823npi106342682322FFSJOINT DEVICEC1776HCPCS2026JOINT DEVICEDERIVED7710.529999-12-31INSTITUTIONAL1063426823npi106342682322FFSEMBOLIZATION PROTECTION SYSTEMC1884HCPCS2026EMBOLIZATION PROTECTION SYSTEMDERIVED2239.639999-12-31INSTITUTIONAL1063426823npi106342682322FFSINTRODUCER, SHEATH,OTHR THAN GUIDE, NON-LASERC1894HCPCS2026INTRODUCER, SHEATH,OTHR THAN GUIDE, NON-LASERDERIVED174.329999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED261.629999-12-31INSTITUTIONAL1063426823npi106342682322FFSADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DAG0008HCPCS2026ADMIN INFLU VIRUS VACCINE W/NO PHY FEE SCH/SAME DADERIVED24.689999-12-31PROFESSIONAL1982630042npi111403746211FFSHH/HOSPIC RN SRVCS 15 MIN EACHG0299HCPCS2026HH/HOSPIC RN SRVCS 15 MIN EACHDERIVED125.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSHH/HOSPICE LPN SERVICES 15 MIN EACHG0300HCPCS2026HH/HOSPICE LPN SERVICES 15 MIN EACHDERIVED130.009999-12-31INSTITUTIONAL1013081215npi101308121512FFSFACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESG0447HCPCS2026FACE 2 FACE BEHAV COUNSEL FOR OBESITY, 15 MINUTESDERIVED35.009999-12-31PROFESSIONAL1407887029npi114433310511FFSINJECT INCOBOTULINUMTOXIN A 1 UNITJ0588HCPCS2026INJECT INCOBOTULINUMTOXIN A 1 UNITDERIVED1840.909999-12-31INSTITUTIONAL1811991227npi181199122722DERIVED204.549999-12-31INSTITUTIONAL1811991227npi181199122722FFSINJ. HEPARIN SOD/1000 UNITSJ1644HCPCS2026INJ. HEPARIN SOD/1000 UNITSDERIVED11.439999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED43.019999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED11.109999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJ,KETOROLAC TROMETHAMINE, 15 MGJ1885HCPCS2026INJ,KETOROLAC TROMETHAMINE, 15 MGDERIVED0.379999-12-31PROFESSIONAL1821093105npi109349363711DERIVED2.179999-12-31INSTITUTIONAL1811991227npi181199122723FFSINJECTION, NITROGLYCERIN, 5 MGJ2305HCPCS2026INJECTION, NITROGLYCERIN, 5 MGDERIVED7.529999-12-31INSTITUTIONAL1063426823npi106342682322FFSINJECTION, PANTOPRAZOLE SODIUM, 40 MGJ2470HCPCS2026INJECTION, PANTOPRAZOLE SODIUM, 40 MGDERIVED16.909999-12-31INSTITUTIONAL1063426823npi106342682323FFSINJ TRIAMCINOLONE ACETONIDE PER 10 MGJ3301HCPCS2026INJ TRIAMCINOLONE ACETONIDE PER 10 MGDERIVED2.649999-12-31PROFESSIONAL1770129413npi155834024011DERIVED4.329999-12-31PROFESSIONAL1942207709npi124527167511DERIVED2.169999-12-31PROFESSIONAL1093759599npi124527167511FFSUNCLASSIFIED DRUGS/PRESCRIPTION REIMBJ3490HCPCS2026UNCLASSIFIED DRUGS/PRESCRIPTION REIMBDERIVED9.789999-12-31INSTITUTIONAL1063426823npi106342682322FFSGEMCITABINE HCL 200MGJ9201HCPCS2026GEMCITABINE HCL 200MGDERIVED35.909999-12-31PROFESSIONAL1093211146npi102344793511FFSLOCM 300-399MG/ML IODINE 1MLQ9967HCPCS2026LOCM 300-399MG/ML IODINE 1MLDERIVED17.719999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED22.009999-12-31PROFESSIONAL1003905290npi12452716751093750820npi12452716751235128620npi12452716751942207709npi124527167511DERIVED52.629999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED16.509999-12-31PROFESSIONAL1588661763npi12452716751780655498npi124527167511FFSAnesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified00731CPT2026Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specifiedDERIVED630.679999-12-31PROFESSIONAL1598754855npi120586169711FFSINFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARG0202UCPT2026INFECTIOUS DISEASE,PATH-SPEC NEUCLEIC ACID,22 TARGDERIVED798.149999-12-31INSTITUTIONAL1063426823npi106342682323FFSPHARMACY0250RC2026PHARMACYDERIVED321.889999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED15.089999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED22.159999-12-31INSTITUTIONAL1063426823npi106342682322DERIVED46.329999-12-31INSTITUTIONAL1063426823npi106342682321DERIVED19.829999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED32.629999-12-31INSTITUTIONAL1063426823npi106342682323FFSIV THERAPY0260RC2026IV THERAPYDERIVED713.629999-12-31INSTITUTIONAL1063426823npi106342682321FFSPATH LAB0310RC2026PATH LABDERIVED966.029999-12-31INSTITUTIONAL1063426823npi106342682321FFSULTRASOUND0402RC2026ULTRASOUNDDERIVED1932.439999-12-31INSTITUTIONAL1063426823npi106342682321FFSTangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)11103CPT2026Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)FEE SCHEDULE52.689999-12-31PROFESSIONAL1114912466npi16290636801154318137npi16290636801336134360npi16290636801346462181npi16290636801942434964npi162906368011FFSExcision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm11421CPT2026Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cmFEE SCHEDULE173.279999-12-31PROFESSIONAL1730375700npi162906368011FFSEXC LES SCALP,NECK,HAND,FT,G11422CPT2026EXC LES SCALP,NECK,HAND,FT,GDERIVED65.649999-12-31PROFESSIONAL1114293412npi161901856122FFSREPAIR,INTRMD,WOUNDS NCK,HNDS,FEET,EXT 2.6-7.512042CPT2026REPAIR,INTRMD,WOUNDS NCK,HNDS,FEET,EXT 2.6-7.5FEE SCHEDULE224.949999-12-31PROFESSIONAL1003436189npi124528353023FFSDESTRUCTION LESION 2 THRU 1417003CPT2026DESTRUCTION LESION 2 THRU 14FEE SCHEDULE6.749999-12-31PROFESSIONAL1114912466npi16290636801154318137npi16290636801336134360npi16290636801346462181npi16290636801689646929npi14878274161972237048npi162906368011DERIVED36.809999-12-31PROFESSIONAL1912909805npi198271904311FFSDESTRUCTION OF SKIN LESIONS17110CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE102.099999-12-31PROFESSIONAL1871588830npi148782741611FEE SCHEDULE119.479999-12-31PROFESSIONAL1114912466npi16290636801336134360npi16290636801346462181npi16290636801689646929npi14878274161730375700npi16290636801972237048npi162906368011FEE SCHEDULE102.092023-12-31PROFESSIONAL1538206073npi164931421211FFSDESTRUCTION OF SKIN LESIONS17261CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE156.079999-12-31PROFESSIONAL1336134360npi162906368011FFSDESTRUCTION OF SKIN LESIONS17263CPT2026DESTRUCTION OF SKIN LESIONSFEE SCHEDULE204.619999-12-31PROFESSIONAL1336134360npi162906368011FFSInjection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20550CPT2026Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")DERIVED66.569999-12-31PROFESSIONAL1699923060npi134680617111FFSAutograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)20936CPT2026Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)FEE SCHEDULE510.989999-12-31PROFESSIONAL1063668440npi179077231721FFSArthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29880APC2026Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performedDERIVED2709.949999-12-31INSTITUTIONAL1558580910npi155858091024FFSInsertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular33208CPT2026Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricularDERIVED21330.819999-12-31INSTITUTIONAL1811991227npi181199122722FFSUnspecified acute appendicitis398MS-DRG10Unspecified acute appendicitisDERIVED27572.329999-12-31INSTITUTIONAL1063426823npi106342682321FFSEsophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43239APC2026Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleFEE SCHEDULE560.339999-12-31INSTITUTIONAL1669483137npi166948313724FFSESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPS43239CPT2026ESOPHAGOGASTRODUODENOSCOPY,FLEX TRANSORAL;/W BIOPSDERIVED69.619999-12-31PROFESSIONAL1255449179npi115430408724FEE SCHEDULE126.509999-12-31PROFESSIONAL1528091725npi112432878622FEE SCHEDULE139.159999-12-31PROFESSIONAL1962490011npi134651784424FEE SCHEDULE1329.029999-12-31PROFESSIONAL1891920195npi179077231722FFSEsophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)43249CPT2026Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)DERIVED720.309999-12-31INSTITUTIONAL1871977942npi187197794222FEE SCHEDULE139.589999-12-31PROFESSIONAL1528091725npi112432878622FEE SCHEDULE1137.759999-12-31PROFESSIONAL1528091725npi112432878611FFSColectomy, partial; abdominal and transanal approach44147CPT2026Colectomy, partial; abdominal and transanal approachFEE SCHEDULE402.649999-12-31PROFESSIONAL1235131962npi178010052921DERIVED2516.489999-12-31PROFESSIONAL1750383733npi178010052921FFSPROCTOSIGMOIDOSCOPY45300CPT2026PROCTOSIGMOIDOSCOPYFEE SCHEDULE62.959999-12-31PROFESSIONAL1235131962npi178010052921FFSCOLONOSCOPY-RMVL TUMOR-POLYP45384CPT2026COLONOSCOPY-RMVL TUMOR-POLYPDERIVED231.599999-12-31PROFESSIONAL1255449179npi115430408724FFSCYSTOURETHROSC. W/FULGRATION52235APC2026CYSTOURETHROSC. W/FULGRATIONDERIVED1600.009999-12-31INSTITUTIONAL1518976661npi151897666124FFSCystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female52281APC2026Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or femaleDERIVED979.429999-12-31INSTITUTIONAL1518976661npi151897666124FFSInjection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral62323CPT2026Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacralFEE SCHEDULE993.629999-12-31PROFESSIONAL1699749606npi179077231722FFSINJ, ANESTHETIC, BRACIAL PLEXUS, SINGLE64415CPT2026INJ, ANESTHETIC, BRACIAL PLEXUS, SINGLEFEE SCHEDULE81.469999-12-31PROFESSIONAL1831589316npi106346376821FFSRadiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)64625CPT2026Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)DERIVED3398.189999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE533.239999-12-31PROFESSIONAL1578627568npi168968179322FFSExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984APC2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationFEE SCHEDULE1182.719999-12-31INSTITUTIONAL1982637492npi198263749224FFSExtracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation66984CPT2026Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulationFEE SCHEDULE508.929999-12-31PROFESSIONAL1033322078npi165932121424FFSCAT SCAN OF HEAD OR BRAIN70450CPT2026CAT SCAN OF HEAD OR BRAINDERIVED400.789999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED471.959999-12-31INSTITUTIONAL1811991227npi181199122723DERIVED947.769999-12-31INSTITUTIONAL1811991227npi181199122723FEE SCHEDULE43.799999-12-31PROFESSIONAL1093759599npi10634007291174567697npi10634007291295872240npi10634007291326082975npi10634007291568752103npi106340072923FFSCT ANGIO, CHEST, CONCORONARY, W/CONTRAST71275CPT2026CT ANGIO, CHEST, CONCORONARY, W/CONTRASTFEE SCHEDULE92.889999-12-31PROFESSIONAL1396756474npi10634007291588079917npi10634007292123NEGOTIATED135.759999-12-31PROFESSIONAL1184637688npi166942957723FFSX-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWS72100CPT2026X-RAY EXAM,SPINE,LUMBOSCARAL;2 OR 3 VIEWSFEE SCHEDULE153.539999-12-31PROFESSIONAL1861839144npi179077231711FEE SCHEDULE48.669999-12-31PROFESSIONAL1861839144npi179077231721DERIVED57.399999-12-31PROFESSIONAL1083656706npi12452716751548688708npi124527167511FFSMRI NECK SPINE W/ & W/O CONTRAST72156CPT2026MRI NECK SPINE W/ & W/O CONTRASTDERIVED452.889999-12-31PROFESSIONAL1548688708npi124527167511FFSRadiologic examination, shoulder; complete, minimum of 2 views73030CPT2026Radiologic examination, shoulder; complete, minimum of 2 viewsDERIVED29.589999-12-31PROFESSIONAL1306986898npi155834024011DERIVED354.029999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED52.209999-12-31PROFESSIONAL1235498460npi155834024011DERIVED34.809999-12-31PROFESSIONAL1073592788npi15583402401740606441npi155834024011DERIVED334.549999-12-31INSTITUTIONAL1649367269npi164936726923FFSX-RAY EXAM OF FINGER(S)73140CPT2026X-RAY EXAM OF FINGER(S)FEE SCHEDULE7.449999-12-31PROFESSIONAL1306188073npi106340072923FEE SCHEDULE48.959999-12-31PROFESSIONAL1265693568npi101393608711DERIVED38.249999-12-31PROFESSIONAL1235498460npi155834024011FFSRadiologic examination, hip, unilateral, with pelvis when performed; 2-3 views73502CPT2026Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 viewsDERIVED69.049999-12-31PROFESSIONAL1699717124npi124527167511FEE SCHEDULE11.789999-12-31PROFESSIONAL1568752103npi106340072923FFSX-RAY EXAM OF KNEE73560CPT2026X-RAY EXAM OF KNEEFEE SCHEDULE13.339999-12-31PROFESSIONAL1255674545npi107378504422FFSRadiologic examination, foot; complete, minimum of 3 views73630CPT2026Radiologic examination, foot; complete, minimum of 3 viewsFEE SCHEDULE36.519999-12-31PROFESSIONAL1184064834npi117450687711FFSX-RAY EXAM OF FOOT73630CPT2026X-RAY EXAM OF FOOTFEE SCHEDULE8.919999-12-31PROFESSIONAL1699717124npi106340072922FFSCOMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MAT74176CPT2026COMPUTED TOMOGRAPHY ABDOMEN&PELVIS WO CONTRST MATDERIVED262.069999-12-31PROFESSIONAL1326082975npi124527167511FEE SCHEDULE132.769999-12-31PROFESSIONAL1134127830npi107378504423DERIVED3950.649999-12-31INSTITUTIONAL1649367269npi164936726923FFSMagnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)74181CPT2026Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)DERIVED275.849999-12-31PROFESSIONAL1003905290npi124527167511FFSMagnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences74183CPT2026Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequencesDERIVED477.879999-12-31PROFESSIONAL1457886046npi124527167511FFSAORTOGRAPHY,ABD SUPER/INTERP75625CPT2026AORTOGRAPHY,ABD SUPER/INTERPFEE SCHEDULE75.689999-12-31PROFESSIONAL1902843303npi174055985522FFSCT ANGIO,ABD AORTA & BILAT ILIOFEM LOW EXTRM W/CON75635CPT2026CT ANGIO,ABD AORTA & BILAT ILIOFEM LOW EXTRM W/CONDERIVED584.259999-12-31PROFESSIONAL1942207709npi124527167511FFSUltrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)76705CPT2026Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)DERIVED708.159999-12-31INSTITUTIONAL1063426823npi106342682323FFSFETAL BIOPHYSICAL PROFILE; WITH NON-STRESS TESTING76818CPT2026FETAL BIOPHYSICAL PROFILE; WITH NON-STRESS TESTINGDERIVED219.629999-12-31INSTITUTIONAL1811991227npi181199122722FEE SCHEDULE55.349999-12-31PROFESSIONAL1033189014npi12452835301366837247npi12452835301871609206npi12452835301902894942npi124528353022FFSDOPPLER ECHOCARDIOGRAPHY, FETAL, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY; COMPLETE76827CPT2026DOPPLER ECHOCARDIOGRAPHY, FETAL, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY; COMPLETEFEE SCHEDULE30.139999-12-31PROFESSIONAL1902894942npi124528353022FFSTRTMT DEVICES,DESIGN,COMPLEX77334CPT2026TRTMT DEVICES,DESIGN,COMPLEXFEE SCHEDULE66.049999-12-31PROFESSIONAL1346262789npi124528353022DERIVED1966.069999-12-31INSTITUTIONAL1811991227npi181199122722FFSRADIATION TX MANAGEMENT X577427CPT2026RADIATION TX MANAGEMENT X5FEE SCHEDULE216.159999-12-31PROFESSIONAL1346262789npi12452835301700887890npi124528353022FFSComprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Pot80053CPT2026Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) PotDERIVED160.669999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED188.079999-12-31INSTITUTIONAL1649367269npi164936726923DERIVED213.509999-12-31INSTITUTIONAL1063426823npi106342682323FFSLIPID PANEL80061CPT2026LIPID PANELDERIVED27.049999-12-31INSTITUTIONAL1811991227npi181199122723FFSDrug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eit80307CPT2026Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry eitFEE SCHEDULE68.359999-12-31PROFESSIONAL1881056018npi155831012811FFSURINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPY81003CPT2026URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, NITRITE, LEUKOCYTES, PH, PROTEIN, SPECIFIC GRAVITY, UROBILINOGEN, ANY NUMBER OF THESE CONSTITUENTS; AUTOMATED, WITHOUT MICROSCOPYDERIVED2.489999-12-31PROFESSIONAL1821093105npi109349363711DERIVED67.109999-12-31INSTITUTIONAL1649367269npi164936726923FFSOncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result81528CPT2026Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative resultFEE SCHEDULE508.879999-12-31PROFESSIONAL1629407069npi162940706981FFSGLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)82947CPT2026GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)DERIVED36.989999-12-31INSTITUTIONAL1063426823npi106342682323DERIVED85.629999-12-31INSTITUTIONAL