Type of Service (TOS) Indicator 5: Diagnostic Laboratory

CPT codes

CodeDescription

CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.  CPT code information is copyright by the AMA.

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CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.  CPT code information is copyright by the AMA.

0030T  CPT Code
0030U  CPT Code
0031A  CPT Code
0031T  CPT Code
0041T  CPT Code
0058T  CPT Code
0058U  CPT Code
0059T  CPT Code
0059U  CPT Code
00600  CPT Code
00604  CPT Code
0060T  CPT Code
0064T  CPT Code
0085T  CPT Code
0087T  CPT Code
0111T  CPT Code
0178T  CPT Code
0178U  CPT Code
0179T  CPT Code
0179U  CPT Code
0180T  CPT Code
0194T  CPT Code
0279T  CPT Code
0279U  CPT Code
0280T  CPT Code
0280U  CPT Code
0281T  CPT Code
36415  CPT Code
38211  CPT Code
38212  CPT Code
38213  CPT Code
38214  CPT Code
38215  CPT Code
78267  CPT Code
78268  CPT Code
80047  CPT Code
80048  CPT Code
80050  CPT Code
80051  CPT Code
80053  CPT Code
80055  CPT Code
80061  CPT Code
80069  CPT Code
80074  CPT Code
80076  CPT Code
80081  CPT Code
80100  CPT Code
80101  CPT Code
80102  CPT Code
80103  CPT Code
80104  CPT Code
80143  CPT Code
80145  CPT Code
80150  CPT Code
80151  CPT Code
80152  CPT Code
80154  CPT Code
80155  CPT Code
80156  CPT Code
80157  CPT Code
80158  CPT Code
80159  CPT Code
80160  CPT Code
80161  CPT Code
80162  CPT Code
80163  CPT Code
80164  CPT Code
80165  CPT Code
80166  CPT Code
80167  CPT Code
80168  CPT Code
80169  CPT Code
80170  CPT Code
80171  CPT Code
80172  CPT Code
80173  CPT Code
80174  CPT Code
80175  CPT Code
80176  CPT Code
80177  CPT Code
80178  CPT Code
80179  CPT Code
80180  CPT Code
80181  CPT Code
80182  CPT Code
80183  CPT Code
80184  CPT Code
80185  CPT Code
80186  CPT Code
80187  CPT Code
80188  CPT Code
80189  CPT Code
80190  CPT Code
80192  CPT Code
80193  CPT Code
80194  CPT Code
80195  CPT Code
80196  CPT Code
80197  CPT Code
80198  CPT Code
80199  CPT Code
80200  CPT Code
80201  CPT Code
80202  CPT Code
80203  CPT Code
80204  CPT Code
80210  CPT Code
80220  CPT Code
80230  CPT Code
80235  CPT Code
80280  CPT Code
80285  CPT Code
80299  CPT Code
80300  CPT Code
80301  CPT Code
80302  CPT Code
80303  CPT Code
80304  CPT Code
80305  CPT Code
80306  CPT Code
80307  CPT Code
80320  CPT Code
80321  CPT Code
80322  CPT Code
80323  CPT Code
80324  CPT Code
80325  CPT Code
80326  CPT Code
80327  CPT Code
80328  CPT Code
80329  CPT Code
80330  CPT Code
80331  CPT Code
80332  CPT Code
80333  CPT Code
80334  CPT Code
80335  CPT Code
80336  CPT Code
80337  CPT Code
80338  CPT Code
80339  CPT Code
80340  CPT Code
80341  CPT Code
80342  CPT Code
80343  CPT Code
80344  CPT Code
80345  CPT Code
80346  CPT Code
80347  CPT Code
80348  CPT Code
80349  CPT Code
80350  CPT Code
80351  CPT Code
80352  CPT Code
80353  CPT Code
80354  CPT Code
80355  CPT Code
80356  CPT Code
80357  CPT Code
80358  CPT Code
80359  CPT Code
80360  CPT Code
80361  CPT Code
80362  CPT Code
80363  CPT Code
80364  CPT Code
80365  CPT Code
80366  CPT Code
80367  CPT Code
80368  CPT Code
80369  CPT Code
80370  CPT Code
80371  CPT Code
80372  CPT Code
80373  CPT Code
80374  CPT Code
80375  CPT Code
80376  CPT Code
80377  CPT Code
80400  CPT Code
80402  CPT Code
80406  CPT Code
80408  CPT Code
80410  CPT Code
80412  CPT Code
80414  CPT Code
80415  CPT Code
80416  CPT Code
80417  CPT Code
80418  CPT Code
80420  CPT Code
80422  CPT Code
80424  CPT Code
80426  CPT Code
80428  CPT Code
80430  CPT Code
80432  CPT Code
80434  CPT Code
80435  CPT Code
80436  CPT Code
80438  CPT Code
80439  CPT Code
80440  CPT Code
81000  CPT Code
81001  CPT Code
81002  CPT Code
81003  CPT Code
81005  CPT Code
81007  CPT Code
81015  CPT Code
81020  CPT Code
81025  CPT Code
81050  CPT Code
81099  CPT Code
81105  CPT Code
81106  CPT Code
81107  CPT Code
81108  CPT Code
81109  CPT Code
81110  CPT Code
81111  CPT Code
81112  CPT Code
81120  CPT Code
81121  CPT Code
81161  CPT Code
81162  CPT Code
81163  CPT Code
81164  CPT Code
81165  CPT Code
81166  CPT Code
81167  CPT Code
81168  CPT Code
81170  CPT Code
81171  CPT Code
81172  CPT Code
81173  CPT Code
81174  CPT Code
81175  CPT Code
81176  CPT Code
81177  CPT Code
81178  CPT Code
81179  CPT Code
81180  CPT Code
81181  CPT Code
81182  CPT Code
81183  CPT Code
81184  CPT Code
81185  CPT Code
81186  CPT Code
81187  CPT Code
81188  CPT Code
81189  CPT Code
81190  CPT Code
81191  CPT Code
81192  CPT Code
81193  CPT Code
81194  CPT Code
81200  CPT Code
81201  CPT Code
81202  CPT Code
81203  CPT Code
81204  CPT Code
81205  CPT Code
81206  CPT Code
81207  CPT Code
81208  CPT Code
81209  CPT Code
81210  CPT Code
81211  CPT Code
81212  CPT Code
81213  CPT Code
81214  CPT Code
81215  CPT Code
81216  CPT Code
81217  CPT Code
81218  CPT Code
81219  CPT Code
81220  CPT Code
81221  CPT Code
81222  CPT Code
81223  CPT Code
81224  CPT Code
81225  CPT Code
81226  CPT Code
81227  CPT Code
81228  CPT Code
81229  CPT Code
81230  CPT Code
81231  CPT Code
81232  CPT Code
81233  CPT Code
81234  CPT Code
81235  CPT Code
81236  CPT Code
81237  CPT Code
81238  CPT Code
81239  CPT Code
81240  CPT Code
81241  CPT Code
81242  CPT Code
81243  CPT Code
81244  CPT Code
81245  CPT Code
81246  CPT Code
81247  CPT Code
81248  CPT Code
81249  CPT Code
81250  CPT Code
81251  CPT Code
81252  CPT Code
81253  CPT Code
81254  CPT Code
81255  CPT Code
81256  CPT Code
81257  CPT Code
81258  CPT Code
81259  CPT Code
81260  CPT Code
81261  CPT Code
81262  CPT Code
81263  CPT Code
81264  CPT Code
81265  CPT Code
81266  CPT Code
81267  CPT Code
81268  CPT Code
81269  CPT Code
81270  CPT Code
81271  CPT Code
81272  CPT Code
81273  CPT Code
81274  CPT Code
81275  CPT Code
81276  CPT Code
81277  CPT Code
81278  CPT Code
81279  CPT Code
81280  CPT Code
81281  CPT Code
81282  CPT Code
81283  CPT Code
81284  CPT Code
81285  CPT Code
81286  CPT Code
81287  CPT Code
81288  CPT Code
81289  CPT Code
81290  CPT Code
81291  CPT Code
81292  CPT Code
81293  CPT Code
81294  CPT Code
81295  CPT Code
81296  CPT Code
81297  CPT Code
81298  CPT Code
81299  CPT Code
81300  CPT Code
81301  CPT Code
81302  CPT Code
81303  CPT Code
81304  CPT Code
81305  CPT Code
81306  CPT Code
81307  CPT Code
81308  CPT Code
81309  CPT Code
81310  CPT Code
81311  CPT Code
81312  CPT Code
81313  CPT Code
81314  CPT Code
81315  CPT Code
81316  CPT Code
81317  CPT Code
81318  CPT Code
81319  CPT Code
81320  CPT Code
81321  CPT Code
81322  CPT Code
81323  CPT Code
81324  CPT Code
81325  CPT Code
81326  CPT Code
81327  CPT Code
81328  CPT Code
81329  CPT Code
81330  CPT Code
81331  CPT Code
81332  CPT Code
81333  CPT Code
81334  CPT Code
81335  CPT Code
81336  CPT Code
81337  CPT Code
81338  CPT Code
81339  CPT Code
81340  CPT Code
81341  CPT Code
81342  CPT Code
81343  CPT Code
81344  CPT Code
81345  CPT Code
81346  CPT Code
81347  CPT Code
81348  CPT Code
81349  CPT Code
81350  CPT Code
81351  CPT Code
81352  CPT Code
81353  CPT Code
81355  CPT Code
81357  CPT Code
81360  CPT Code
81361  CPT Code
81362  CPT Code
81363  CPT Code
81364  CPT Code
81370  CPT Code
81371  CPT Code
81372  CPT Code
81373  CPT Code
81374  CPT Code
81375  CPT Code
81376  CPT Code
81377  CPT Code
81378  CPT Code
81379  CPT Code
81380  CPT Code
81381  CPT Code
81382  CPT Code
81383  CPT Code
81400  CPT Code
81401  CPT Code
81402  CPT Code
81403  CPT Code
81404  CPT Code
81405  CPT Code
81406  CPT Code
81407  CPT Code
81408  CPT Code
81410  CPT Code
81411  CPT Code
81412  CPT Code
81413  CPT Code
81414  CPT Code
81415  CPT Code
81416  CPT Code
81417  CPT Code
81418  CPT Code
81419  CPT Code
81420  CPT Code
81422  CPT Code
81425  CPT Code
81426  CPT Code
81427  CPT Code
81430  CPT Code
81431  CPT Code
81432  CPT Code
81433  CPT Code
81434  CPT Code
81435  CPT Code
81436  CPT Code
81437  CPT Code
81438  CPT Code
81439  CPT Code
81440  CPT Code
81441  CPT Code
81442  CPT Code
81443  CPT Code
81445  CPT Code
81448  CPT Code
81449  CPT Code
81450  CPT Code
81451  CPT Code
81455  CPT Code
81456  CPT Code
81457  CPT Code
81458  CPT Code
81459  CPT Code
81460  CPT Code
81462  CPT Code
81463  CPT Code
81464  CPT Code
81465  CPT Code
81470  CPT Code
81471  CPT Code
81479  CPT Code
81490  CPT Code
81493  CPT Code
81500  CPT Code
81503  CPT Code
81504  CPT Code
81506  CPT Code
81507  CPT Code
81508  CPT Code
81509  CPT Code
81510  CPT Code
81511  CPT Code
81512  CPT Code
81513  CPT Code
81514  CPT Code
81517  CPT Code
81518  CPT Code
81519  CPT Code
81520  CPT Code
81521  CPT Code
81522  CPT Code
81523  CPT Code
81525  CPT Code
81528  CPT Code
81529  CPT Code
81535  CPT Code
81536  CPT Code
81538  CPT Code
81539  CPT Code
81540  CPT Code
81541  CPT Code
81542  CPT Code
81545  CPT Code
81546  CPT Code
81551  CPT Code
81552  CPT Code
81554  CPT Code
81560  CPT Code
81595  CPT Code
81596  CPT Code
81599  CPT Code
82000  CPT Code
82003  CPT Code
82009  CPT Code
82010  CPT Code
82013  CPT Code
82016  CPT Code
82017  CPT Code
82024  CPT Code
82030  CPT Code
82040  CPT Code
82042  CPT Code
82043  CPT Code
82044  CPT Code
82045  CPT Code
82055  CPT Code
82075  CPT Code
82077  CPT Code
82085  CPT Code
82088  CPT Code
82101  CPT Code
82103  CPT Code
82104  CPT Code
82105  CPT Code
82106  CPT Code
82107  CPT Code
82108  CPT Code
82120  CPT Code
82127  CPT Code
82128  CPT Code
82131  CPT Code
82135  CPT Code
82136  CPT Code
82139  CPT Code
82140  CPT Code
82143  CPT Code
82145  CPT Code
82150  CPT Code
82154  CPT Code
82157  CPT Code
82160  CPT Code
82163  CPT Code
82164  CPT Code
82166  CPT Code
82172  CPT Code
82175  CPT Code
82180  CPT Code
82190  CPT Code
82205  CPT Code
82232  CPT Code
82239  CPT Code
82240  CPT Code
82247  CPT Code
82248  CPT Code
82252  CPT Code
82261  CPT Code
82270  CPT Code
82271  CPT Code
82272  CPT Code
82274  CPT Code
82286  CPT Code
82300  CPT Code
82306  CPT Code
82307  CPT Code
82308  CPT Code
82310  CPT Code
82330  CPT Code
82331  CPT Code
82340  CPT Code
82355  CPT Code
82360  CPT Code
82365  CPT Code
82370  CPT Code
82373  CPT Code
82374  CPT Code
82375  CPT Code
82376  CPT Code
82378  CPT Code
82379  CPT Code
82380  CPT Code
82382  CPT Code
82383  CPT Code
82384  CPT Code
82387  CPT Code
82390  CPT Code
82397  CPT Code
82415  CPT Code
82435  CPT Code
82436  CPT Code
82438  CPT Code
82441  CPT Code
82465  CPT Code
82480  CPT Code
82482  CPT Code
82485  CPT Code
82486  CPT Code
82487  CPT Code
82488  CPT Code
82489  CPT Code
82491  CPT Code
82492  CPT Code
82495  CPT Code
82507  CPT Code
82520  CPT Code
82523  CPT Code
82525  CPT Code
82528  CPT Code
82530  CPT Code
82533  CPT Code
82540  CPT Code
82541  CPT Code
82542  CPT Code
82543  CPT Code
82544  CPT Code
82550  CPT Code
82552  CPT Code
82553  CPT Code
82554  CPT Code
82565  CPT Code
82570  CPT Code
82575  CPT Code
82585  CPT Code
82595  CPT Code
82600  CPT Code
82607  CPT Code
82608  CPT Code
82610  CPT Code
82615  CPT Code
82626  CPT Code
82627  CPT Code
82633  CPT Code
82634  CPT Code
82638  CPT Code
82642  CPT Code
82646  CPT Code
82649  CPT Code
82651  CPT Code
82652  CPT Code
82653  CPT Code
82654  CPT Code
82656  CPT Code
82657  CPT Code
82658  CPT Code
82664  CPT Code
82666  CPT Code
82668  CPT Code
82670  CPT Code
82671  CPT Code
82672  CPT Code
82677  CPT Code
82679  CPT Code
82681  CPT Code
82690  CPT Code
82693  CPT Code
82696  CPT Code
82705  CPT Code
82710  CPT Code
82715  CPT Code
82725  CPT Code
82726  CPT Code
82728  CPT Code
82731  CPT Code
82735  CPT Code
82742  CPT Code
82746  CPT Code
82747  CPT Code
82757  CPT Code
82759  CPT Code
82760  CPT Code
82775  CPT Code
82776  CPT Code
82777  CPT Code
82784  CPT Code
82785  CPT Code
82787  CPT Code
82800  CPT Code
82803  CPT Code
82805  CPT Code
82810  CPT Code
82820  CPT Code
82926  CPT Code
82928  CPT Code
82930  CPT Code
82938  CPT Code
82941  CPT Code
82943  CPT Code
82945  CPT Code
82946  CPT Code
82947  CPT Code
82948  CPT Code
82950  CPT Code
82951  CPT Code
82952  CPT Code
82953  CPT Code
82955  CPT Code
82960  CPT Code
82962  CPT Code
82963  CPT Code
82965  CPT Code
82975  CPT Code
82977  CPT Code
82978  CPT Code
82979  CPT Code
82980  CPT Code
82985  CPT Code
83001  CPT Code
83002  CPT Code
83003  CPT Code
83006  CPT Code
83008  CPT Code
83009  CPT Code
83010  CPT Code
83012  CPT Code
83013  CPT Code
83014  CPT Code
83015  CPT Code
83018  CPT Code
83020  CPT Code
83021  CPT Code
83026  CPT Code
83030  CPT Code
83033  CPT Code
83036  CPT Code
83037  CPT Code
83045  CPT Code
83050  CPT Code
83051  CPT Code
83055  CPT Code
83060  CPT Code
83065  CPT Code
83068  CPT Code
83069  CPT Code
83070  CPT Code
83071  CPT Code
83080  CPT Code
83088  CPT Code
83090  CPT Code
83150  CPT Code
83491  CPT Code
83497  CPT Code
83498  CPT Code
83499  CPT Code
83500  CPT Code
83505  CPT Code
83516  CPT Code
83518  CPT Code
83519  CPT Code
83520  CPT Code
83521  CPT Code
83525  CPT Code
83527  CPT Code
83528  CPT Code
83529  CPT Code
83540  CPT Code
83550  CPT Code
83570  CPT Code
83582  CPT Code
83586  CPT Code
83593  CPT Code
83605  CPT Code
83615  CPT Code
83625  CPT Code
83630  CPT Code
83631  CPT Code
83632  CPT Code
83633  CPT Code
83634  CPT Code
83655  CPT Code
83661  CPT Code
83662  CPT Code
83663  CPT Code
83664  CPT Code
83670  CPT Code
83690  CPT Code
83695  CPT Code
83698  CPT Code
83700  CPT Code
83701  CPT Code
83704  CPT Code
83718  CPT Code
83719  CPT Code
83721  CPT Code
83722  CPT Code
83727  CPT Code
83735  CPT Code
83775  CPT Code
83785  CPT Code
83788  CPT Code
83789  CPT Code
83805  CPT Code
83825  CPT Code
83835  CPT Code
83840  CPT Code
83857  CPT Code
83858  CPT Code
83861  CPT Code
83864  CPT Code
83866  CPT Code
83872  CPT Code
83873  CPT Code
83874  CPT Code
83876  CPT Code
83880  CPT Code
83883  CPT Code
83885  CPT Code
83887  CPT Code
83890  CPT Code
83891  CPT Code
83892  CPT Code
83893  CPT Code
83894  CPT Code
83896  CPT Code
83897  CPT Code
83898  CPT Code
83900  CPT Code
83901  CPT Code
83902  CPT Code
83903  CPT Code
83904  CPT Code
83905  CPT Code
83906  CPT Code
83907  CPT Code
83908  CPT Code
83909  CPT Code
83912  CPT Code
83913  CPT Code
83914  CPT Code
83915  CPT Code
83916  CPT Code
83918  CPT Code
83919  CPT Code
83921  CPT Code
83925  CPT Code
83930  CPT Code
83935  CPT Code
83937  CPT Code
83945  CPT Code
83950  CPT Code
83951  CPT Code
83970  CPT Code
83986  CPT Code
83987  CPT Code
83992  CPT Code
83993  CPT Code
84022  CPT Code
84030  CPT Code
84035  CPT Code
84060  CPT Code
84061  CPT Code
84066  CPT Code
84075  CPT Code
84078  CPT Code
84080  CPT Code
84081  CPT Code
84085  CPT Code
84087  CPT Code
84100  CPT Code
84105  CPT Code
84106  CPT Code
84110  CPT Code
84112  CPT Code
84119  CPT Code
84120  CPT Code
84126  CPT Code
84127  CPT Code
84132  CPT Code
84133  CPT Code
84134  CPT Code
84135  CPT Code
84138  CPT Code
84140  CPT Code
84143  CPT Code
84144  CPT Code
84145  CPT Code
84146  CPT Code
84150  CPT Code
84152  CPT Code
84153  CPT Code
84154  CPT Code
84155  CPT Code
84156  CPT Code
84157  CPT Code
84160  CPT Code
84163  CPT Code
84165  CPT Code
84166  CPT Code
84181  CPT Code
84182  CPT Code
84202  CPT Code
84203  CPT Code
84206  CPT Code
84207  CPT Code
84210  CPT Code
84220  CPT Code
84228  CPT Code
84233  CPT Code
84234  CPT Code
84235  CPT Code
84238  CPT Code
84244  CPT Code
84252  CPT Code
84255  CPT Code
84260  CPT Code
84270  CPT Code
84275  CPT Code
84285  CPT Code
84295  CPT Code
84300  CPT Code
84302  CPT Code
84305  CPT Code
84307  CPT Code
84311  CPT Code
84315  CPT Code
84375  CPT Code
84376  CPT Code
84377  CPT Code
84378  CPT Code
84379  CPT Code
84392  CPT Code
84402  CPT Code
84403  CPT Code
84410  CPT Code
84425  CPT Code
84430  CPT Code
84431  CPT Code
84432  CPT Code
84433  CPT Code
84436  CPT Code
84437  CPT Code
84439  CPT Code
84442  CPT Code
84443  CPT Code
84445  CPT Code
84446  CPT Code
84449  CPT Code
84450  CPT Code
84460  CPT Code
84466  CPT Code
84478  CPT Code
84479  CPT Code
84480  CPT Code
84481  CPT Code
84482  CPT Code
84484  CPT Code
84485  CPT Code
84488  CPT Code
84490  CPT Code
84510  CPT Code
84512  CPT Code
84520  CPT Code
84525  CPT Code
84540  CPT Code
84545  CPT Code
84550  CPT Code
84560  CPT Code
84577  CPT Code
84578  CPT Code
84580  CPT Code
84583  CPT Code
84585  CPT Code
84586  CPT Code
84588  CPT Code
84590  CPT Code
84591  CPT Code
84597  CPT Code
84600  CPT Code
84620  CPT Code
84630  CPT Code
84681  CPT Code
84702  CPT Code
84703  CPT Code
84704  CPT Code
84830  CPT Code
84999  CPT Code
85002  CPT Code
85004  CPT Code
85007  CPT Code
85008  CPT Code
85009  CPT Code
85013  CPT Code
85014  CPT Code
85018  CPT Code
85025  CPT Code
85027  CPT Code
85032  CPT Code
85041  CPT Code
85044  CPT Code
85045  CPT Code
85046  CPT Code
85048  CPT Code
85049  CPT Code
85055  CPT Code
85060  CPT Code
85097  CPT Code
85130  CPT Code
85170  CPT Code
85175  CPT Code
85210  CPT Code
85220  CPT Code
85230  CPT Code
85240  CPT Code
85244  CPT Code
85245  CPT Code
85246  CPT Code
85247  CPT Code
85250  CPT Code
85260  CPT Code
85270  CPT Code
85280  CPT Code
85290  CPT Code
85291  CPT Code
85292  CPT Code
85293  CPT Code
85300  CPT Code
85301  CPT Code
85302  CPT Code
85303  CPT Code
85305  CPT Code
85306  CPT Code
85307  CPT Code
85335  CPT Code
85337  CPT Code
85345  CPT Code
85347  CPT Code
85348  CPT Code
85360  CPT Code
85362  CPT Code
85366  CPT Code
85370  CPT Code
85378  CPT Code
85379  CPT Code
85380  CPT Code
85384  CPT Code
85385  CPT Code
85390  CPT Code
85396  CPT Code
85397  CPT Code
85400  CPT Code
85410  CPT Code
85415  CPT Code
85420  CPT Code
85421  CPT Code
85441  CPT Code
85445  CPT Code
85460  CPT Code
85461  CPT Code
85475  CPT Code
85520  CPT Code
85525  CPT Code
85530  CPT Code
85536  CPT Code
85540  CPT Code
85547  CPT Code
85549  CPT Code
85555  CPT Code
85557  CPT Code
85576  CPT Code
85597  CPT Code
85598  CPT Code
85610  CPT Code
85611  CPT Code
85612  CPT Code
85613  CPT Code
85635  CPT Code
85651  CPT Code
85652  CPT Code
85660  CPT Code
85670  CPT Code
85675  CPT Code
85705  CPT Code
85730  CPT Code
85732  CPT Code
85810  CPT Code
85999  CPT Code
86000  CPT Code
86001  CPT Code
86003  CPT Code
86005  CPT Code
86008  CPT Code
86015  CPT Code
86021  CPT Code
86022  CPT Code
86023  CPT Code
86036  CPT Code
86037  CPT Code
86038  CPT Code
86039  CPT Code
86041  CPT Code
86042  CPT Code
86043  CPT Code
86051  CPT Code
86052  CPT Code
86053  CPT Code
86060  CPT Code
86063  CPT Code
86077  CPT Code
86078  CPT Code
86079  CPT Code
86140  CPT Code
86141  CPT Code
86146  CPT Code
86147  CPT Code
86148  CPT Code
86152  CPT Code
86153  CPT Code
86155  CPT Code
86156  CPT Code
86157  CPT Code
86160  CPT Code
86161  CPT Code
86162  CPT Code
86171  CPT Code
86185  CPT Code
86200  CPT Code
86215  CPT Code
86225  CPT Code
86226  CPT Code
86231  CPT Code
86235  CPT Code
86243  CPT Code
86255  CPT Code
86256  CPT Code
86258  CPT Code
86277  CPT Code
86280  CPT Code
86294  CPT Code
86300  CPT Code
86301  CPT Code
86304  CPT Code
86305  CPT Code
86308  CPT Code
86309  CPT Code
86310  CPT Code
86316  CPT Code
86317  CPT Code
86318  CPT Code
86320  CPT Code
86325  CPT Code
86327  CPT Code
86328  CPT Code
86329  CPT Code
86331  CPT Code
86332  CPT Code
86334  CPT Code
86335  CPT Code
86336  CPT Code
86337  CPT Code
86340  CPT Code
86341  CPT Code
86343  CPT Code
86344  CPT Code
86352  CPT Code
86353  CPT Code
86355  CPT Code
86356  CPT Code
86357  CPT Code
86359  CPT Code
86360  CPT Code
86361  CPT Code
86362  CPT Code
86363  CPT Code
86364  CPT Code
86366  CPT Code
86367  CPT Code
86376  CPT Code
86378  CPT Code
86381  CPT Code
86382  CPT Code
86384  CPT Code
86386  CPT Code
86403  CPT Code
86406  CPT Code
86408  CPT Code
86409  CPT Code
86413  CPT Code
86430  CPT Code
86431  CPT Code
86480  CPT Code
86481  CPT Code
86485  CPT Code
86486  CPT Code
86490  CPT Code
86510  CPT Code
86580  CPT Code
86586  CPT Code
86590  CPT Code
86592  CPT Code
86593  CPT Code
86596  CPT Code
86602  CPT Code
86603  CPT Code
86606  CPT Code
86609  CPT Code
86611  CPT Code
86612  CPT Code
86615  CPT Code
86617  CPT Code
86618  CPT Code
86619  CPT Code
86622  CPT Code
86625  CPT Code
86628  CPT Code
86631  CPT Code
86632  CPT Code
86635  CPT Code
86638  CPT Code
86641  CPT Code
86644  CPT Code
86645  CPT Code
86648  CPT Code
86651  CPT Code
86652  CPT Code
86653  CPT Code
86654  CPT Code
86658  CPT Code
86663  CPT Code
86664  CPT Code
86665  CPT Code
86666  CPT Code
86668  CPT Code
86671  CPT Code
86674  CPT Code
86677  CPT Code
86682  CPT Code
86684  CPT Code
86687  CPT Code
86688  CPT Code
86689  CPT Code
86692  CPT Code
86694  CPT Code
86695  CPT Code
86696  CPT Code
86698  CPT Code
86701  CPT Code
86702  CPT Code
86703  CPT Code
86704  CPT Code
86705  CPT Code
86706  CPT Code
86707  CPT Code
86708  CPT Code
86709  CPT Code
86710  CPT Code
86711  CPT Code
86713  CPT Code
86717  CPT Code
86720  CPT Code
86723  CPT Code
86727  CPT Code
86729  CPT Code
86732  CPT Code
86735  CPT Code
86738  CPT Code
86741  CPT Code
86744  CPT Code
86747  CPT Code
86750  CPT Code
86753  CPT Code
86756  CPT Code
86757  CPT Code
86759  CPT Code
86762  CPT Code
86765  CPT Code
86768  CPT Code
86769  CPT Code
86771  CPT Code
86774  CPT Code
86777  CPT Code
86778  CPT Code
86780  CPT Code
86781  CPT Code
86784  CPT Code
86787  CPT Code
86788  CPT Code
86789  CPT Code
86790  CPT Code
86793  CPT Code
86794  CPT Code
86800  CPT Code
86803  CPT Code
86804  CPT Code
86805  CPT Code
86806  CPT Code
86807  CPT Code
86808  CPT Code
86812  CPT Code
86813  CPT Code
86816  CPT Code
86817  CPT Code
86821  CPT Code
86822  CPT Code
86825  CPT Code
86826  CPT Code
86828  CPT Code
86829  CPT Code
86830  CPT Code
86831  CPT Code
86832  CPT Code
86833  CPT Code
86834  CPT Code
86835  CPT Code
86849  CPT Code
86850  CPT Code
86860  CPT Code
86870  CPT Code
86880  CPT Code
86885  CPT Code
86886  CPT Code
86890  CPT Code
86891  CPT Code
86900  CPT Code
86901  CPT Code
86902  CPT Code
86903  CPT Code
86904  CPT Code
86905  CPT Code
86906  CPT Code
86910  CPT Code
86911  CPT Code
86920  CPT Code
86921  CPT Code
86922  CPT Code
86923  CPT Code
86927  CPT Code
86930  CPT Code
86931  CPT Code
86932  CPT Code
86940  CPT Code
86941  CPT Code
86945  CPT Code
86950  CPT Code
86960  CPT Code
86965  CPT Code
86970  CPT Code
86971  CPT Code
86972  CPT Code
86975  CPT Code
86976  CPT Code
86977  CPT Code
86978  CPT Code
86985  CPT Code
86999  CPT Code
87001  CPT Code
87003  CPT Code
87015  CPT Code
87040  CPT Code
87045  CPT Code
87046  CPT Code
87070  CPT Code
87071  CPT Code
87073  CPT Code
87075  CPT Code
87076  CPT Code
87077  CPT Code
87081  CPT Code
87084  CPT Code
87086  CPT Code
87088  CPT Code
87101  CPT Code
87102  CPT Code
87103  CPT Code
87106  CPT Code
87107  CPT Code
87109  CPT Code
87110  CPT Code
87116  CPT Code
87118  CPT Code
87140  CPT Code
87143  CPT Code
87147  CPT Code
87149  CPT Code
87150  CPT Code
87152  CPT Code
87153  CPT Code
87154  CPT Code
87158  CPT Code
87164  CPT Code
87166  CPT Code
87168  CPT Code
87169  CPT Code
87172  CPT Code
87176  CPT Code
87177  CPT Code
87181  CPT Code
87184  CPT Code
87185  CPT Code
87186  CPT Code
87187  CPT Code
87188  CPT Code
87190  CPT Code
87197  CPT Code
87205  CPT Code
87206  CPT Code
87207  CPT Code
87209  CPT Code
87210  CPT Code
87220  CPT Code
87230  CPT Code
87250  CPT Code
87252  CPT Code
87253  CPT Code
87254  CPT Code
87255  CPT Code
87260  CPT Code
87265  CPT Code
87267  CPT Code
87269  CPT Code
87270  CPT Code
87271  CPT Code
87272  CPT Code
87273  CPT Code
87274  CPT Code
87275  CPT Code
87276  CPT Code
87277  CPT Code
87278  CPT Code
87279  CPT Code
87280  CPT Code
87281  CPT Code
87283  CPT Code
87285  CPT Code
87290  CPT Code
87299  CPT Code
87300  CPT Code
87301  CPT Code
87305  CPT Code
87320  CPT Code
87324  CPT Code
87327  CPT Code
87328  CPT Code
87329  CPT Code
87332  CPT Code
87335  CPT Code
87336  CPT Code
87337  CPT Code
87338  CPT Code
87339  CPT Code
87340  CPT Code
87341  CPT Code
87350  CPT Code
87380  CPT Code
87385  CPT Code
87389  CPT Code
87390  CPT Code
87391  CPT Code
87400  CPT Code
87420  CPT Code
87425  CPT Code
87426  CPT Code
87427  CPT Code
87428  CPT Code
87430  CPT Code
87449  CPT Code
87450  CPT Code
87451  CPT Code
87467  CPT Code
87468  CPT Code
87469  CPT Code
87470  CPT Code
87471  CPT Code
87472  CPT Code
87475  CPT Code
87476  CPT Code
87477  CPT Code
87478  CPT Code
87480  CPT Code
87481  CPT Code
87482  CPT Code
87483  CPT Code
87484  CPT Code
87485  CPT Code
87486  CPT Code
87487  CPT Code
87490  CPT Code
87491  CPT Code
87492  CPT Code
87493  CPT Code
87495  CPT Code
87496  CPT Code
87497  CPT Code
87498  CPT Code
87500  CPT Code
87501  CPT Code
87502  CPT Code
87503  CPT Code
87505  CPT Code
87506  CPT Code
87507  CPT Code
87510  CPT Code
87511  CPT Code
87512  CPT Code
87515  CPT Code
87516  CPT Code
87517  CPT Code
87520  CPT Code
87521  CPT Code
87522  CPT Code
87523  CPT Code
87525  CPT Code
87526  CPT Code
87527  CPT Code
87528  CPT Code
87529  CPT Code
87530  CPT Code
87531  CPT Code
87532  CPT Code
87533  CPT Code
87534  CPT Code
87535  CPT Code
87536  CPT Code
87537  CPT Code
87538  CPT Code
87539  CPT Code
87540  CPT Code
87541  CPT Code
87542  CPT Code
87550  CPT Code
87551  CPT Code
87552  CPT Code
87555  CPT Code
87556  CPT Code
87557  CPT Code
87560  CPT Code
87561  CPT Code
87562  CPT Code
87563  CPT Code
87580  CPT Code
87581  CPT Code
87582  CPT Code
87590  CPT Code
87591  CPT Code
87592  CPT Code
87593  CPT Code
87620  CPT Code
87621  CPT Code
87622  CPT Code
87623  CPT Code
87624  CPT Code
87625  CPT Code
87631  CPT Code
87632  CPT Code
87633  CPT Code
87634  CPT Code
87635  CPT Code
87636  CPT Code
87637  CPT Code
87640  CPT Code
87641  CPT Code
87650  CPT Code
87651  CPT Code
87652  CPT Code
87653  CPT Code
87660  CPT Code
87661  CPT Code
87662  CPT Code
87797  CPT Code
87798  CPT Code
87799  CPT Code
87800  CPT Code
87801  CPT Code
87802  CPT Code
87803  CPT Code
87804  CPT Code
87806  CPT Code
87807  CPT Code
87808  CPT Code
87809  CPT Code
87810  CPT Code
87811  CPT Code
87850  CPT Code
87880  CPT Code
87899  CPT Code
87900  CPT Code
87901  CPT Code
87902  CPT Code
87903  CPT Code
87904  CPT Code
87905  CPT Code
87906  CPT Code
87910  CPT Code
87912  CPT Code
87913  CPT Code
87999  CPT Code
88000  CPT Code
88005  CPT Code
88007  CPT Code
88012  CPT Code
88014  CPT Code
88016  CPT Code
88020  CPT Code
88025  CPT Code
88027  CPT Code
88028  CPT Code
88029  CPT Code
88036  CPT Code
88037  CPT Code
88040  CPT Code
88045  CPT Code
88099  CPT Code
88104  CPT Code
88106  CPT Code
88107  CPT Code
88108  CPT Code
88112  CPT Code
88120  CPT Code
88121  CPT Code
88125  CPT Code
88130  CPT Code
88140  CPT Code
88141  CPT Code
88142  CPT Code
88143  CPT Code
88147  CPT Code
88148  CPT Code
88150  CPT Code
88152  CPT Code
88153  CPT Code
88154  CPT Code
88155  CPT Code
88160  CPT Code
88161  CPT Code
88162  CPT Code
88164  CPT Code
88165  CPT Code
88166  CPT Code
88167  CPT Code
88172  CPT Code
88173  CPT Code
88174  CPT Code
88175  CPT Code
88177  CPT Code
88182  CPT Code
88184  CPT Code
88185  CPT Code
88187  CPT Code
88188  CPT Code
88189  CPT Code
88199  CPT Code
88230  CPT Code
88233  CPT Code
88235  CPT Code
88237  CPT Code
88239  CPT Code
88240  CPT Code
88241  CPT Code
88245  CPT Code
88248  CPT Code
88249  CPT Code
88261  CPT Code
88262  CPT Code
88263  CPT Code
88264  CPT Code
88267  CPT Code
88269  CPT Code
88271  CPT Code
88272  CPT Code
88273  CPT Code
88274  CPT Code
88275  CPT Code
88280  CPT Code
88283  CPT Code
88285  CPT Code
88289  CPT Code
88291  CPT Code
88299  CPT Code
88300  CPT Code
88302  CPT Code
88304  CPT Code
88305  CPT Code
88307  CPT Code
88309  CPT Code
88311  CPT Code
88312  CPT Code
88313  CPT Code
88314  CPT Code
88318  CPT Code
88319  CPT Code
88333  CPT Code
88334  CPT Code
88341  CPT Code
88342  CPT Code
88343  CPT Code
88344  CPT Code
88346  CPT Code
88347  CPT Code
88348  CPT Code
88349  CPT Code
88350  CPT Code
88355  CPT Code
88356  CPT Code
88358  CPT Code
88360  CPT Code
88361  CPT Code
88362  CPT Code
88363  CPT Code
88364  CPT Code
88365  CPT Code
88366  CPT Code
88367  CPT Code
88368  CPT Code
88369  CPT Code
88371  CPT Code
88372  CPT Code
88373  CPT Code
88374  CPT Code
88375  CPT Code
88377  CPT Code
88380  CPT Code
88381  CPT Code
88384  CPT Code
88385  CPT Code
88386  CPT Code
88387  CPT Code
88388  CPT Code
88399  CPT Code
88400  CPT Code
88720  CPT Code
88738  CPT Code
88740  CPT Code
88741  CPT Code
88749  CPT Code
89049  CPT Code
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HCPCS codes

CodeDescription
G0001  ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN(S)  
G0027  Semen analysis; presence and/or motility of sperm excluding huhner  
G0103  Prostate cancer screening; prostate specific antigen test (psa)  
G0107  COLORECTAL CANCER SCREENING; FECAL-OCCULT BLOOD TEST, 1-3 SIMULTANEOUS DETERMINATIONS  
G0123  Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision  
G0124  Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician  
G0141  Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician  
G0143  Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision  
G0144  Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision  
G0145  Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision  
G0146  Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)  
G0147  Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision  
G0148  Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening  
G0248  Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results  
G0249  Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests  
G0265  CRYOPRESERVATION  
G0266  THAWING AND EXPANSION OF FROZEN CELLS  
G0267  BONE MARROW OR PERIPHERAL STEM CELL HARVEST, MODIFICATION OR TREATMENT TO ELIMINATE CELL TYPE(S)  
G0306  Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count  
G0307  Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)  
G0328  Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous  
G0365  Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)  
G0366  ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; WITH INTERPRETATION AND REPORT, PERFORMED AS A COMPONENT OF THE INITIAL PREVENTIVE PHYSICAL EXAMINATION  
G0367  TRACING ONLY, WITHOUT INTERPRETATION AND REPORT, PERFORMED AS A COMPONENT OF THE INITIAL PREVENTIVE PHYSICAL EXAMINATION  
G0368  INTEREPRETATION AND REPORT ONLY, PERFORMED AS A COMPONENT OF THE INITIAL PREVENTIVE PHYSICAL EXAMINATION  
G0394  BLOOD OCCULT TEST (E.G., GUAIAC), FECES, FOR SINGLE DETERMINATION FOR COLORECTAL NEOPLASM (I.E., PATIENT WAS PROVIDED THREE CARDS OR SINGLE TRIPLE CARD FOR CONSECUTIVE COLLECTION)  
G0398  Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation  
G0399  Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation  
G0400  Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels  
G0403  Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report  
G0404  Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination  
G0405  Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination  
G0416  Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method  
G0417  Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 21-40 specimens  
G0418  Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, 41-60 specimens  
G0419  Surgical pathology, gross and microscopic examination, for prostate needle biopsy, any method, >60 specimens  
G0430  Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure  
G0431  Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter  
G0432  Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening  
G0433  Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening  
G0434  Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter  
G2023  Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source  
G2024  Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source  
M1000  Pain screened as moderate to severe  
M1001  Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician  
M1002  Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given  
M1003  Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy  
M1004  Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy)  
M1005  Tb screening not performed or results not interpreted, reason not given  
M1006  Disease activity not assessed, reason not given  
M1007  >=50% of total number of a patient's outpatient ra encounters assessed  
M1008  <50% of total number of a patient's outpatient ra encounters assessed  
M1009  Discharge/discontinuation of the episode of care documented in the medical record  
M1010  Discharge/discontinuation of the episode of care documented in the medical record  
M1011  Discharge/discontinuation of the episode of care documented in the medical record  
M1012  Discharge/discontinuation of the episode of care documented in the medical record  
M1013  Discharge/discontinuation of the episode of care documented in the medical record  
M1014  Discharge/discontinuation of the episode of care documented in the medical record  
M1015  Discharge/discontinuation of the episode of care documented in the medical record  
M1016  Female patients unable to bear children  
M1017  Patient admitted to palliative care services  
M1018  Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients  
M1019  Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5  
M1020  Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5  
M1021  Patient had only urgent care visits during the performance period  
M1022  Patients who were in hospice at any time during the performance period  
M1023  Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five  
M1024  Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five  
M1025  Patients who were in hospice at any time during the performance period  
M1026  Patients who were in hospice at any time during the performance period  
M1027  Imaging of the head (ct or mri) was obtained  
M1028  Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained  
M1029  Imaging of the head (ct or mri) was not obtained, reason not given  
M1030  Patients with clinical indications for imaging of the head  
M1031  Patients with no clinical indications for imaging of the head  
M1032  Adults currently taking pharmacotherapy for oud  
M1033  Pharmacotherapy for oud initiated after june 30th of performance period  
M1034  Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days  
M1035  Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment  
M1036  Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days  
M1037  Patients with a diagnosis of lumbar spine region cancer at the time of the procedure  
M1038  Patients with a diagnosis of lumbar spine region fracture at the time of the procedure  
M1039  Patients with a diagnosis of lumbar spine region infection at the time of the procedure  
M1040  Patients with a diagnosis of lumbar idiopathic or congenital scoliosis  
M1041  Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis  
M1042  Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively  
M1043  Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively  
M1044  Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively  
M1045  Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was greater than or equal to 71  
M1046  Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was less than 37 or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was less than 71 postoperatively  
M1047  Functional status was measured by the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively  
M1048  Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively  
M1049  Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively  
M1050  Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively  
M1051  Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis  
M1052  Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively  
M1053  Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively  
M1054  Patient had only urgent care visits during the performance period  
M1055  Aspirin or another antiplatelet therapy used  
M1056  Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease  
M1057  Aspirin or another antiplatelet therapy not used, reason not given  
M1058  Patient was a permanent nursing home resident at any time during the performance period  
M1059  Patient was in hospice or receiving palliative care at any time during the performance period  
M1060  Patient died prior to the end of the performance period  
M1061  Patient pregnancy  
M1062  Patient immunocompromised  
M1063  Patients receiving high doses of immunosuppressive therapy  
M1064  Shingrix vaccine documented as administered or previously received  
M1065  Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)  
M1066  Shingrix vaccine not documented as administered, reason not given  
M1067  Hospice services for patient provided any time during the measurement period  
M1068  Adults who are not ambulatory  
M1069  Patient screened for future fall risk  
M1070  Patient not screened for future fall risk, reason not given  
M1071  Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy  
M1106  The start of an episode of care documented in the medical record  
M1107  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1108  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1109  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1110  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1111  The start of an episode of care documented in the medical record  
M1112  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1113  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1114  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1115  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1116  The start of an episode of care documented in the medical record  
M1117  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1118  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1119  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1120  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1121  The start of an episode of care documented in the medical record  
M1122  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1123  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1124  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1125  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1126  The start of an episode of care documented in the medical record  
M1127  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1128  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1129  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1130  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1131  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1132  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1133  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1134  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1135  The start of an episode of care documented in the medical record  
M1136  The start of an episode of care documented in the medical record  
M1137  Documentation stating patient has a diagnosis of a degenerative neurological condition such as als, ms, or parkinson's diagnosed at any time before or during the episode of care  
M1138  Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only)  
M1139  Ongoing care not indicated, patient self-discharged early and seen only 1-2 visits (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1140  Ongoing care not indicated, patient discharged after only 1-2 visits due to specific medical events, documented in the medical record that make the treatment episode impossible such as the patient becomes hospitalized or scheduled for surgery for surgery or hospitalized  
M1141  Functional status was not measured by the oxford knee score (oks) or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) at one year (9 to 15 months) postoperatively  
M1142  Emergent cases  
M1143  Initiated episode of rehabilitation therapy, medical, or chiropractic care for neck impairment  
M1144  Ongoing care not indicated, patient seen only 1-2 visits (e.g., home program only, referred to another provider or facility, consultation only  
M1145  Most favored nation (mfn) model drug add-on amount, per dose, (do not bill with line items that have the jw modifier)  
M1146  Ongoing care not clinically indicated because the patient needed a home program only, referral to another provider or facility, or consultation only, as documented in the medical record  
M1147  Ongoing care not medically possible because the patient was discharged early due to specific medical events, documented in the medical record, such as the patient became hospitalized or scheduled for surgery  
M1148  Ongoing care not possible because the patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown)  
M1149  Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility, and an adequate proxy is not available  
M1150  Left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function  
M1151  Patients with a history of heart transplant or with a left ventricular assist device (lvad)  
M1152  Patients with a history of heart transplant or with a left ventricular assist device (lvad)  
M1153  Patient with diagnosis of osteoporosis on date of encounter  
M1154  Hospice services provided to patient any time during the measurement period  
M1155  Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period  
M1156  Patient received active chemotherapy any time during the measurement period  
M1157  Patient received bone marrow transplant any time during the measurement period  
M1158  Patient had history of immunocompromising conditions prior to or during the measurement period  
M1159  Hospice services provided to patient any time during the measurement period  
M1160  Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday  
M1161  Patient had anaphylaxis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday  
M1162  Patient had encephalitis due to the tetanus, diphtheria or pertussis vaccine any time on or before the patient's 13th birthday  
M1163  Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday  
M1164  Patients with dementia any time during the patient's history through the end of the measurement period  
M1165  Patients who use hospice services any time during the measurement period  
M1166  Pathology report for tissue specimens produced from wide local excisions or re-excisions  
M1167  In hospice or using hospice services during the measurement period  
M1168  Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period  
M1169  Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine)  
M1170  Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period  
M1171  Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period  
M1172  Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine)  
M1173  Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period  
M1174  Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period  
M1175  Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine)  
M1176  Patient did not receive at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period  
M1177  Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period  
M1178  Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine)  
M1179  Patient did not receive any pneumococcal conjugate or polysaccharide vaccine, on or after their 60th birthday and before or during measurement period  
M1180  Patients on immune checkpoint inhibitor therapy  
M1181  Grade 2 or above diarrhea and/or grade 2 or above colitis  
M1182  Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g., ulcerative colitis, crohn's disease)  
M1183  Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered  
M1184  Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g., allergy, intolerance, infectious etiology, pancreatic insufficiency, hyperthyroidism, prior bowel surgical interventions, celiac disease, receiving other medication, awaiting diagnostic workup results for alternative etiologies, other medical reasons/contraindication)  
M1185  Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed, reason not given  
M1186  Patients who have an order for or are receiving hospice or palliative care  
M1187  Patients with a diagnosis of end stage renal disease (esrd)  
M1188  Patients with a diagnosis of chronic kidney disease (ckd) stage 5  
M1189  Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed  
M1190  Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)  
M1191  Hospice services provided to patient any time during the measurement period  
M1192  Patients with an existing diagnosis of squamous cell carcinoma of the esophagus  
M1193  Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both  
M1194  Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both tests were not included (e.g., patient will not be treated with checkpoint inhibitor therapy, no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment], insufficient tumor for testing)  
M1195  Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both, reason not given  
M1196  Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4  
M1197  Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score  
M1198  Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter  
M1199  Patients receiving rrt  
M1200  Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period  
M1201  Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g., pregnancy, history of angioedema to ace-i, other allergy to ace-i and arb, hyperkalemia or history of hyperkalemia while on ace-i or arb therapy, acute kidney injury due to ace-i or arb therapy), other medical reasons)  
M1202  Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period, (e.g., patient declined, other patient reasons)  
M1203  Ace inhibitor or arb therapy not prescribed during the measurement period, reason not given  
M1204  Initial (index visit) numeric rating scale (nrs), visual rating scale (vrs), or itchyquant assessment score of greater than or equal to 4  
M1205  Itch severity assessment score is reduced by 3 or more points from the initial (index) assessment score to the follow-up visit score  
M1206  Itch severity assessment score was not reduced by at least 3 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter  
M1207  Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety  
M1208  Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety  
M1209  At least two orders for high-risk medications from the same drug class, (table 4), without appropriate diagnoses  
M1210  At least two orders for high-risk medications from the same drug class, (table 4), not ordered  
M1211  Most recent hemoglobin a1c level > 9.0%  
M1212  Hemoglobin a1c level is missing, or was not performed during the measurement period (12 months)  
M1213  No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%  
M1214  Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed  
M1215  Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g., patients with dementia or tracheostomy)  
M1216  No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter  
M1217  Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g., spirometry equipment not available at the time of the encounter)  
M1218  Patient has copd symptoms (e.g., dyspnea, cough/sputum, wheezing)  
M1219  Anaphylaxis due to the vaccine on or before the date of the encounter  
M1220  Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy  
M1221  Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy  
M1222  Glaucoma plan of care not documented, reason not otherwise specified  
M1223  Glaucoma plan of care documented  
M1224  Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level  
M1225  Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level  
M1226  Iop measurement not documented, reason not otherwise specified  
M1227  Evidence-based therapy was prescribed  
M1228  Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, has hcv treatment initiated within 3 months of the reactive hcv antibody test  
M1229  Patient, who has a reactive hcv antibody test, and has a follow up hcv viral test that detected hcv viremia, is referred within 1 month of the reactive hcv antibody test to a clinician who treats hcv infection  
M1230  Patient has a reactive hcv antibody test and does not have a follow up hcv viral test, or patient has a reactive hcv antibody test and has a follow up hcv viral test that detects hcv viremia and is not referred to a clinician who treats hcv infection within 1 month and does not have hcv treatment initiated within 3 months of the reactive hcv antibody test, reason not given  
M1231  Patient receives hcv antibody test with nonreactive result  
M1232  Patient receives hcv antibody test with reactive result  
M1233  Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented, reason not given  
M1234  Patient has a reactive hcv antibody test, and has a follow up hcv viral test that does not detect hcv viremia  
M1235  Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period  
M1236  Baseline mrs > 2  
M1237  Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons)  
M1238  Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i.e, first dose received after october 31)  
M1239  Patient did not respond to the question of patient felt heard and understood by this provider and team  
M1240  Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care  
M1241  Patient did not respond to the question of patient felt this provider and team saw me as a person, not just someone with a medical problem  
M1242  Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life  
M1243  Patient provided a response other than completely true"" for the question of patient felt heard and understood by this provider and team"  
M1244  Patient provided a response other than completely true"" for the question of patient felt this provider and team put my best interests first when making recommendations about my care"  
M1245  Patient provided a response other than completely true"" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"  
M1246  Patient provided a response other than completely true"" for the question of patient felt this provider and team understood what is important to me in my life"  
M1247  Patient responded completely true"" for the question of patient felt this provider and team put my best interests first when making recommendations about my care"  
M1248  Patient responded completely true"" for the question of patient felt this provider and team saw me as a person, not just someone with a medical problem"  
M1249  Patient responded completely true"" for the question of patient felt this provider and team understood what is important to me in my life"  
M1250  Patient responded as completely true"" for the question of patient felt heard and understood by this provider and team"  
M1251  Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)  
M1252  Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit  
M1253  Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)  
M1254  Patients who were deceased when the hu survey reached them  
M1255  Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)  
M1256  Prior history of known cvd  
M1257  Cvd risk assessment not performed or incomplete (e.g., cvd risk assessment was not documented), reason not otherwise specified  
M1258  Cvd risk assessment performed, have a documented calculated risk score  
M1259  Patients listed on the kidney-pancreas transplant waitlist or who received a living donor transplant within the first year following initiation of dialysis  
M1260  Patients who were not listed on the kidney-pancreas transplant waitlist or patients who did not receive a living donor transplant within the first year following initiation of dialysis  
M1261  Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis  
M1262  Patients who had a transplant prior to initiation of dialysis  
M1263  Patients in hospice on their initiation of dialysis date or during the month of evaluation  
M1264  Patients age 75 or older on their initiation of dialysis date  
M1265  Cms medical evidence form 2728 for dialysis patients: initial form completed  
M1266  Patients admitted to a skilled nursing facility (snf)  
M1267  Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period  
M1268  Patients on active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period  
M1269  Receiving esrd mcp dialysis services by the provider on the last day of the reporting month  
M1270  Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period  
M1271  Patients with dementia at any time prior to or during the month  
M1272  Patients on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period  
M1273  Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form  
M1274  Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month  
M1275  Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period  
M1276  Bmi documented outside normal parameters, no follow-up plan documented, no reason given  
M1277  Colorectal cancer screening results documented and reviewed  
M1278  Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented  
M1279  Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given  
M1280  Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy  
M1281  Blood pressure reading not documented, reason not given  
M1282  Patient screened for tobacco use and identified as a tobacco non-user  
M1283  Patient screened for tobacco use and identified as a tobacco user  
M1284  Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period  
M1285  Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified  
M1286  Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason  
M1287  Bmi is documented below normal parameters and a follow-up plan is documented  
M1288  Documented reason for not screening or recommending a follow-up for high blood pressure  
M1289  Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)  
M1290  Patient not eligible due to active diagnosis of hypertension  
M1291  Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period  
M1292  Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period  
M1293  Bmi is documented above normal parameters and a follow-up plan is documented  
M1294  Normal blood pressure reading documented, follow-up not required  
M1295  Patients with a diagnosis or past history of total colectomy or colorectal cancer  
M1296  Bmi is documented within normal parameters and no follow-up plan is required  
M1297  Bmi not documented due to medical reason or patient refusal of height or weight measurement  
M1298  Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter  
M1299  Influenza immunization administered or previously received  
M1300  Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)  
M1301  Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)  
M1302  Screening, diagnostic, film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed  
M1303  Hospice services provided to patient any time during the measurement period  
M1304  Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period  
M1305  Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period  
M1306  Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period  
M1307  Documentation stating the patient has received or is currently receiving palliative or hospice care  
M1308  Influenza immunization was not administered, reason not given  
M1309  Palliative care services provided to patient any time during the measurement period  
M1310  Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user  
M1311  Anaphylaxis due to the vaccine on or before the date of the encounter  
M1312  Patient not screened for tobacco use  
M1313  Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period  
M1314  Bmi not documented and no reason is given  
M1315  Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified  
M1316  Current tobacco non-user  
M1317  Patients who are counseled on connection with a csp and explicitly opt out  
M1318  Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no contact with a csp  
M1319  Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening  
M1320  Patients who screened positive for at least 1 of the 5 hrsns  
M1321  Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 mm hg  
M1322  Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injected eye  
M1323  Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan of care was documented  
M1324  Patients who had an intravitreal or periocular corticosteroid injection (e.g., triamcinolone, preservative-free triamcinolone, dexamethasone, dexamethasone intravitreal implant, or fluocinolone intravitreal implant)  
M1325  Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g., inadequate time for follow-up, patients who received a prior intravitreal or periocular steroid injection within the last six (6) months and had a subsequent iop evaluation with iop <25mm hg within seven (7) weeks of treatment)  
M1326  Patients with a diagnosis of hypotony  
M1327  Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks  
M1328  Patients with a diagnosis of acute vitreous hemorrhage  
M1329  Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter  
M1330  Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)  
M1331  Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam  
M1332  Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks  
M1333  Acute vitreous hemorrhage  
M1334  Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter  
M1335  Documentation of patient reason(s) for not having a follow up exam (e.g., inadequate time for follow up)  
M1336  Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks  
M1337  Acute pvd  
M1338  Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the performance period  
M1339  Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performance period  
M1340  Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period  
M1341  Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period  
M1342  Patients who died during the performance period  
M1343  Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam  
M1344  Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score  
M1345  Patients who had a baseline pam score and a second score within 6 to 12 month of baseline pam score  
M1346  Patients who did not have a net increase in pam score of at least 6 points within a 6 to 12 month period  
M1347  Patients who achieved a net increase in pam score of at least 3 points in a 6 to 12 month period (passing)  
M1348  Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)  
M1349  Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period  
M1350  Patients who had a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter  
M1351  Patients who had a suicide safety plan initiated, reviewed, or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation  
M1352  Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment  
M1353  Patients who did not have a completed suicide safety plan initiated, reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical encounter  
M1354  Patients who did not have a suicide safety plan initiated, reviewed, or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 hours of clinical encounter and within 120 days after initiation  
M1355  Suicide risk based on their clinician's evaluation or a clinician-rated tool  
M1356  Patients who died during the measurement period  
M1357  Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment  
M1358  Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment  
M1359  Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c-ssrs score is obtained  
M1360  Suicidal ideation and/or behavior symptoms based on the c-ssrs  
M1361  Suicide risk based on their clinician's evaluation or a clinician-rated tool  
M1362  Patients who died during the measurement period  
M1363  Patients who did not have a follow-up assessment within 120 days of the index assessment  
M1364  Calculated 10-year ascvd risk score of >= 20 percent during the performance period  
M1365  Patient encounter during the performance period with hospice and palliative care specialty code 17  
M1366  Focusing on women's health mips value pathway  
M1367  Quality care for the treatment of ear, nose, and throat disorders mips value pathway  
M1368  Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway  
M1369  Quality care in mental health and substance use disorders mips value pathway  
M1370  Rehabilitative support for musculoskeletal care mips value pathway  
P2028  Cephalin floculation, blood  
P2029  Congo red, blood  
P2031  Hair analysis (excluding arsenic)  
P2033  Thymol turbidity, blood  
P2038  Mucoprotein, blood (seromucoid) (medical necessity procedure)  
P3000  Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision  
P3001  Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician  
P7001  Culture, bacterial, urine; quantitative, sensitivity study  
P9603  Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled  
P9604  Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge  
P9612  Catheterization for collection of specimen, single patient, all places of service  
P9615  Catheterization for collection of specimen(s) (multiple patients)  
Q0035  Cardiokymography  
Q0111  Wet mounts, including preparations of vaginal, cervical or skin specimens  
Q0112  All potassium hydroxide (koh) preparations  
Q0113  Pinworm examinations  
Q0114  Fern test  
Q0115  Post-coital direct, qualitative examinations of vaginal or cervical mucous  
Q3031  Collagen skin test  
Q9987  Pathogen(s) test for platelets  
R0076  Transportation of portable ekg to facility or location, per patient  
S3818  Complete gene sequence analysis; brca1 gene  
S3819  Complete gene sequence analysis; brca2 gene  
S9529  Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient  
U0001  Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel  
U0002  2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc  
U0003  Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r  
U0004  2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r  
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