MIMIC-IV Clinical Database Demo 1.0
File:
(510,258 bytes)
| code | category | long_description | short_description |
|---|---|---|---|
| TD | Rn | Rn | |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | Bls | |
| V5272 | Assistive listening device, tdd | Tdd | |
| S2080 | Laser-assisted uvulopalatoplasty (laup) | Laup | |
| S8037 | Magnetic resonance cholangiopancreatography (mrcp) | Mrcp | |
| E0950 | Wheelchair accessory, tray, each | Tray | |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | Als 1 | |
| A0433 | Advanced life support, level 2 (als 2) | Als 2 | |
| Q4136 | Ez-derm, per square centimeter | Ezderm | |
| HL | Intern | Intern | |
| G9531 | Patient has documentation of ventricular shunt, brain tumor, multisystem trauma, pregnancy, or is currently taking an antiplatelet medication including: abciximab, cangrelor, cilostazol, clopidogrel, eptifibatide, prasugrel, ticlopidine, ticagrelor, tirofiban, or vorapaxar | Pt doc | |
| A4565 | Slings | Slings | |
| A4570 | Splint | Splint | |
| A9546 | Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie | Co57/58 | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | F18 fdg | |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | Gel-one | |
| Q4134 | Hmatrix, per square centimeter | Hmatrix | |
| E0776 | Iv pole | Iv pole | |
| TE | Lpn/lvn | Lpn/lvn | |
| M1061 | Patient pregnancy | Pt preg | |
| G8669 | Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured because the patient did not complete the fs status survey near discharge, patient not appropriate | Rafscrs | |
| Q4127 | Talymed, per square centimeter | Talymed | |
| Q4116 | Alloderm, per square centimeter | Alloderm | |
| Q4115 | Alloskin, per square centimeter | Alloskin | |
| Q4123 | Alloskin rt, per square centimeter | Alloskin | |
| G9466 | All quality actions for the applicable measures in the aoe measures group have been performed for this patient | Aoe comp | |
| Q4101 | Apligraf, per square centimeter | Apligraf | |
| G9930 | Patients who are receiving comfort care only | Com care | |
| Q4135 | Mediskin, per square centimeter | Mediskin | |
| G8848 | Mild obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of less than 15) | Mild osa | |
| Q4175 | Miroderm, per square centimeter | Miroderm | |
| Q5110 | Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram | Nivestym | |
| A4265 | Paraffin, per pound | Paraffin | |
| G9787 | Patient alive as of the last day of the measurement year | Pt alive | |
| S3600 | Stat laboratory request (situations other than s3601) | Stat lab | |
| G8573 | Stroke following isolated cabg surgery | Stk cabg | |
| J0215 | Injection, alefacept, 0.5 mg | Alefacept | |
| E0273 | Bed board | Bed board | |
| S0169 | Calcitrol, 0.25 microgram | Calcitrol | |
| Q4122 | Dermacell, per square centimeter | Dermacell | |
| A4266 | Diaphragm for contraceptive use | Diaphragm | |
| A4619 | Face tent | Face tent | |
| Q0114 | Fern test | Fern test | |
| G9830 | Her-2/neu positive | Her-2 pos | |
| K0105 | Iv hanger, each | Iv hanger | |
| G8595 | Most recent ldl-c < 100 mg/dl | Ldl < 100 | |
| LT | Left side (used to identify procedures performed on the left side of the body) | Left side | |
| J1945 | Injection, lepirudin, 50 mg | Lepirudin | |
| E0951 | Heel loop/holder, any type, with or without ankle strap, each | Loop heel | |
| G8694 | Left ventricular ejection fraction (lvef) < 40% | Lvef <40% | |
| J2185 | Injection, meropenem, 100 mg | Meropenem | |
| G9407 | Patient did not receive follow-up on or within 7 days after discharge | No 7d f/u | |
| G8889 | No documentation of blood pressure measurement, reason not given | No doc bp | |
| L1080 | Addition to ctlso or scoliosis orthosis, outrigger | Outrigger | |
| Q4110 | Primatrix, per square centimeter | Primatrix | |
| G9758 | Patient in hospice at any time during the measurement period | Pt in hos | |
| G9690 | Patient receiving hospice services any time during the measurement period | Pt in hos | |
| S9999 | Sales tax | Sales tax | |
| A5055 | Stoma cap | Stoma cap | |
| A9540 | Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries | Tc99m maa | |
| Q4121 | Theraskin, per square centimeter | Theraskin | |
| J0207 | Injection, amifostine, 500 mg | Amifostine | |
| G9465 | I intend to report the acute otitis externa (aoe) measures group | Aoe intent | |
| Q4125 | Arthroflex, per square centimeter | Arthroflex | |
| S8097 | Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer) | Asthma kit | |
| E0280 | Bed cradle, any type | Bed cradle | |
| E1500 | Centrifuge, for dialysis | Centrifuge | |
| E0459 | Chest wrap | Chest wrap | |
| A9559 | Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie | Co57 cyano | |
| Q4106 | Dermagraft, per square centimeter | Dermagraft | |
| G8771 | Documentation of diagnosis of chronic kidney disease | Doc dx ckd | |
| Q4111 | Gammagraft, per square centimeter | Gammagraft | |
| C1769 | Guide wire | Guide wire | |
| G8597 | Most recent ldl-c >= 100 mg/dl | Ldl >= 100 | |
| G8738 | Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function | Lvef < 40% | |
| S8210 | Mucus trap | Mucus trap | |
| RT | Right side (used to identify procedures performed on the right side of the body) | Right side | |
| A4269 | Contraceptive supply, spermicide (e.g., foam, gel), each | Spermicide | |
| G0 | Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke | Telestroke | |
| G9234 | I intend to report the total knee replacement measures group | Tkr intent | |
| G9929 | Patient with transient or reversible cause of af (e.g., pneumonia, hyperthyroidism, pregnancy, cardiac surgery) | Trs/rev af | |
| V2755 | U-v lens, per lens | Uv lens/es | |
| S9439 | Vbac (vaginal birth after cesarean) classes, non-physician provider, per session | Vbac class | |
| L2190 | Addition to lower extremity fracture orthosis, waist belt | Waist belt | |
| J7185 | Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. | Xyntha inj | |
| J3485 | Injection, zidovudine, 10 mg | Zidovudine | |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | Afo plastic | |
| J0480 | Injection, basiliximab, 20 mg | Basiliximab | |
| J0583 | Injection, bivalirudin, 1 mg | Bivalirudin | |
| E2396 | Power wheelchair accessory, caster fork, any size, replacement only, each | Caster fork | |
| E0457 | Chest shell (cuirass) | Chest shell | |
| S1002 | Customized item (list in addition to code for basic item) | Custom item | |
| S1001 | Deluxe item, patient aware (list in addition to code for basic item) | Deluxe item | |
| J7189 | Factor viia (antihemophilic factor, recombinant), per 1 microgram | Factor viia | |
| J7190 | Factor viii (antihemophilic factor, human) per i.u. | Factor viii | |
| J1450 | Injection fluconazole, 200 mg | Fluconazole | |
| Q4107 | Graftjacket, per square centimeter | Graftjacket | |
| G0909 | Hemoglobin level measurement not documented, reason not given | Hbg not doc | |
| J1640 | Injection, hemin, 1 mg | Hemin, 1 mg | |
| Q4117 | Hyalomatrix, per square centimeter | Hyalomatrix | |
| S4011 | In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development | Ivf package | |
| G8739 | Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function | Lvef >= 40% | |
| A4267 | Contraceptive supply, condom, male, each | Male condom | |
| C1782 | Morcellator | Morcellator | |
| A4617 | Mouth piece | Mouth piece | |
| G9893 | Dilated macular exam was not performed, reason not otherwise specified | No mac exam | |
| A4367 | Ostomy belt, each | Ostomy belt | |
| A4366 | Ostomy vent, any type, each | Ostomy vent | |
| J9263 | Injection, oxaliplatin, 0.5 mg | Oxaliplatin | |
| PM | Post mortem | Post mortem | |
| G9774 | Patients who have had a hysterectomy | Pt had hyst | |
| M1021 | Patient had only urgent care visits during the performance period | Pt uc in pp | |
| M1054 | Patient had only urgent care visits during the performance period | Pt uc in pp | |
| J2783 | Injection, rasburicase, 0.5 mg | Rasburicase | |
| E1639 | Scale, each | Scale, each | |
| L1050 | Addition to ctlso or scoliosis orthosis, sternal pad | Sternal pad | |
| T5999 | Supply, not otherwise specified | Supply, nos | |
| S3900 | Surface electromyography (emg) | Surface emg | |
| Q4146 | Tensix, per square centimeter | Tensix, 1cm | |
| E0243 | Toilet rail, each | Toilet rail | |
| M1055 | Aspirin or another antiplatelet therapy used | Aspirin used | |
| J0456 | Injection, azithromycin, 500 mg | Azithromycin | |
| V2700 | Balance lens, per lens | Balance lens | |
| G8582 | Beta-blocker at discharge | Bblock disch | |
| A9515 | Choline c-11, diagnostic, per study dose up to 20 millicuries | Choline c-11 | |
| J7070 | Infusion, d5w, 1000 cc | D5w infusion | |
| A9556 | Gallium ga-67 citrate, diagnostic, per millicurie | Ga67 gallium | |
| G9237 | I intend to report the general surgery measures group | Gs mg intent | |
| C9033 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | Inj, akynzeo | |
| Q4104 | Integra bilayer matrix wound dressing (bmwd), per square centimeter | Integra bmwd | |
| 00000 | Invalid Code | ||
| L1020 | Addition to ctlso or scoliosis orthosis, kyphosis pad | Kyphosis pad | |
| S9436 | Childbirth preparation/lamaze classes, non-physician provider, per session | Lamaze class | |
| L1090 | Addition to ctlso or scoliosis orthosis, lumbar sling | Lumbar sling | |
| G8574 | No stroke following isolated cabg surgery | No strk cabg | |
| S0581 | Nonstandard lens (list this code in addition to the basic code for the lens) | Nonstnd lens | |
| J2501 | Injection, paricalcitol, 1 mcg | Paricalcitol | |
| S3721 | Prostate cancer antigen 3 (pca3) testing | Pca3 testing | |
| M0076 | Prolotherapy | Prolotherapy | |
| G9532 | Patient had a head ct for trauma ordered by someone other than an emergency care provideror was ordered for a reason other than trauma | Pt hd ct ord | |
| M1062 | Patient immunocompromised | Pt imcomprmd | |
| E2301 | Wheelchair accessory, power standing system, any type | Pwr standing | |
| RR | Rental (use the 'rr' modifier when dme is to be rented) | Rental (dme) | |
| Q4143 | Repriza, per square centimeter | Repriza, 1cm | |
| S8450 | Splint, prefabricated, digit (specify digit by use of modifier) | Splint digit | |
| S8452 | Splint, prefabricated, elbow | Splint elbow | |
| Q4130 | Strattice tm, per square centimeter | Strattice tm | |
| J8700 | Temozolomide, oral, 5 mg | Temozolomide | |
| L1060 | Addition to ctlso or scoliosis orthosis, thoracic pad | Thoracic pad | |
| G9459 | Currently a tobacco non-user | Tob non-user | |
| G0127 | Trimming of dystrophic nails, any number | Trim nail(s) | |
| A9282 | Wig, any type, each | Wig any type | |
| L1270 | Addition to tlso, (low profile), abdominal pad | Abdominal pad | |
| E0618 | Apnea monitor, without recording feature | Apnea monitor | |
| G6035 | Gold | Assay of gold | |
| Q4140 | Biodfence, per square centimeter | Biodfence 1cm | |
| L5686 | Addition to lower extremity, below knee, back check (extension control) | Bk back check | |
| L5684 | Addition to lower extremity, below knee, fork strap | Bk fork strap | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | Bls-emergency | |
| A4615 | Cannula, nasal | Cannula nasal | |
| H9 | Court-ordered | Court-ordered | |
| A9553 | Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries | Cr51 chromate | |
| G8704 | 12-lead electrocardiogram (ecg) performed | Ecg performed | |
| A4268 | Contraceptive supply, condom, female, each | Female condom | |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | Gallium ga-68 | |
| HQ | Group setting | Group setting | |
| P2031 | Hair analysis (excluding arsenic) | Hair analysis | |
| G9202 | Patients with a positive hepatitis c antibody test | Hep c aby pos | |
| G0908 | Most recent hemoglobin (hgb) level > 12.0 g/dl | Hgb > 12 g/dl | |
| J7187 | Injection, von willebrand factor complex (humate-p), per iu vwf:rco | Humate-p, inj | |
| C9471 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | Hymovis, 1 mg | |
| G9271 | Ldl value < 100 | Ldl under 100 | |
| G8717 | Spkt/v less than 1.2 (single-pool clearance of urea [kt] / volume [v]), reason not given | Less 1.2 kt/v | |
| G8682 | Lvf testing documented as being performed prior to discharge or in the previous 12 months | Lvg test perf | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | Mac exam perf | |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | Makena, 10 mg | |
| Q9986 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | Makena, 10 mg | |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | Mirena, 52 mg | |
| S8042 | Magnetic resonance imaging (mri), low-field | Mri low field | |
| J8650 | Nabilone, oral, 1 mg | Nabilone oral | |
| NU | New equipment | New equipment | |
| G9404 | Patient did not receive follow-up on the date of discharge or within 30 days after discharge | No 30 day f/u | |
| SB | Nurse midwife | Nurse midwife | |
| J8510 | Busulfan; oral, 2 mg | Oral busulfan | |
| A4368 | Ostomy filter, any type, each | Ostomy filter | |
| T2010 | Preadmission screening and resident review (pasrr) level i identification screening, per screen | Pasrr level i | |
| L2370 | Addition to lower extremity, patten bottom | Patten bottom | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | Polycarb lens | |
| V2715 | Prism, per lens | Prism lens/es | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | Psa screening | |
| M1060 | Patient died prior to the end of the performance period | Pt died in pp | |
| G9856 | Patient was not admitted to hospice | Pt no hospice | |
| E1002 | Wheelchair accessory, power seating system, tilt only | Pwr seat tilt | |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | Rb82 rubidium | |
| S0516 | Safety eyeglass frames | Safety frames | |
| A4928 | Surgical mask, per 20 | Surgical mask | |
| E0720 | Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation | Tens two lead | |
| SN | Third surgical opinion | Third opinion | |
| J3246 | Injection, tirofiban hcl, 0.25 mg | Tirofiban hcl | |
| G9233 | All quality actions for the applicable measures in the total knee replacement measures group have been performed for this patient | Tkr composite | |
| Q4204 | Xwrap, per square centimeter | Xwrap 1 sq cm | |
| A4719 | "y set" tubing for peritoneal dialysis | "y set" tubing | |
| E0984 | Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control | Add pwr tiller | |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | Als1-emergency | |
| J0282 | Injection, amiodarone hydrochloride, 30 mg | Amiodarone hcl | |
| J0285 | Injection, amphotericin b, 50 mg | Amphotericin b | |
| J7198 | Anti-inhibitor, per i.u. | Anti-inhibitor | |
| A4612 | Battery cables; replacement for patient-owned ventilator | Battery cables | |
| S9442 | Birthing classes, non-physician provider, per session | Birthing class | |
| G9448 | Patients who were born in the years 1945?1965 | Born 1945-1965 | |
| C8937 | Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) | Cad breast mri | |
| 92928 | Cardiovascular | ||
| 92925 | Cardiovascular | ||
| 92929 | Cardiovascular | ||
| C1729 | Catheter, drainage | Cath, drainage | |
| T1015 | Clinic visit/encounter, all-inclusive | Clinic service | |
| C9488 | Injection, conivaptan hydrochloride, 1 mg | Conivaptan hcl | |
| S4989 | Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies | Contracept iud | |
| G9642 | Current smokers (e.g., cigarette, cigar, pipe, e-cigarette or marijuana) | Current smoker | |
| A4690 | Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each | Dialyzer, each | |
| HP | Doctoral level | Doctoral level | |
| L2182 | Addition to lower extremity fracture orthosis, drop lock knee joint | Drop lock knee | |
| V5275 | Ear impression, each | Ear impression | |
| S8270 | Enuresis alarm, using auditory buzzer and/or vibration device | Enuresis alarm | |
| Q4186 | Epifix, per square centimeter | Epifix 1 sq cm | |
| S9451 | Exercise classes, non-physician provider, per session | Exercise class | |
| V2756 | Eye glass case | Eye glass case | |
| S2409 | Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified | Fetal surg noc | |
| S8185 | Flutter device | Flutter device | |
| J8565 | Gefitinib, oral, 250 mg | Gefitinib oral | |
| A0425 | Ground mileage, per statute mile | Ground mileage | |
| L8642 | Hallux implant | Hallux implant | |
| G0910 | Most recent hemoglobin level <= 12.0 g/dl | Hgb <= 12 g/dl | |
| G8976 | Most recent hemoglobin (hgb) level >= 10 g/dl | Hgb >= 10 g/dl | |
| Q5004 | Hospice care provided in skilled nursing facility (snf) | Hospice in snf | |
| A9507 | Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries | In111 capromab | |
| C9030 | Injection, copanlisib, 1 mg | Inj copanlisib | |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | Inj multihance | |
| Q4108 | Integra matrix, per square centimeter | Integra matrix | |
| Q4171 | Interfyl, 1 mg | Interfyl, 1 mg | |
| E0500 | Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source | Ippb all types | |
| K0038 | Leg strap, each | Leg strap each | |
| J7297 | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg | Liletta, 52 mg | |
| L8000 | Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type | Mastectomy bra | |
| S9977 | Meals, per diem, not otherwise specified | Meals per diem | |
| V2761 | Mirror coating, any type, solid, gradient or equal, any lens material, per lens | Mirror coating | |
| T2002 | Non-emergency transportation; per diem | N-et; per diem | |
| G8871 | Patient not receiving a first course of anti-tnf therapy | No 1st antitnf | |
| G8732 | No documentation of pain assessment, reason not given | No doc of pain | |
| G8572 | No deep sternal wound infection/mediastinitis | No ster wd ifx | |
| L8610 | Ocular implant | Ocular implant | |
| GP | Services delivered under an outpatient physical therapy plan of care | Op pt services | |
| G9197 | Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis | Order for ceph | |
| E0274 | Over-bed table | Over-bed table | |
| T2011 | Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation | Pasrr level ii | |
| ZB | Pfizer/hospira | Pfizer/hospira | |
| G8706 | Documentation of patient reason(s) for not performing a 12-lead electrocardiogram (ecg) | Pt reas no ecg | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | Pt rec ace/arb | |
| G9503 | Patient taking tamsulosin hydrochloride | Pt tk tams hcl | |
| G9778 | Patients who have a diagnosis of pregnancy | Pts dx w/pregn | |
| P9038 | Red blood cells, irradiated, each unit | Rbc irradiated | |
| SM | Second surgical opinion | Second opinion | |
| G0027 | Semen analysis; presence and/or motility of sperm excluding huhner | Semen analysis | |
| G9464 | All quality actions for the applicable measures in the sinusitis measures group have been performed for this patient | Sinusitis comp | |
| J7301 | Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg | Skyla, 13.5 mg | |
| A9600 | Strontium sr-89 chloride, therapeutic, per millicurie | Sr89 strontium | |
| A4215 | Needle, sterile, any size, each | Sterile needle | |
| L6686 | Upper extremity addition, suction socket | Suction socket | |
| A4550 | Surgical trays | Surgical trays | |
| S8186 | Swivel adapter | Swivel adaptor | |
| M1005 | Tb screening not performed or results not interpreted, reason not given | Tb scr no perf | |
| A9504 | Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries | Tc99m apcitide | |
| A9557 | Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries | Tc99m bicisate | |
| A9551 | Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries | Tc99m succimer | |
| E0730 | Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation | Tens four lead | |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | Tl201 thallium | |
| J8705 | Topotecan, oral, 0.25 mg | Topotecan oral | |
| J3350 | Injection, urea, up to 40 gm | Urea injection | |
| G9752 | Emergency surgery | Urgent surgery | |
| J9225 | Histrelin implant (vantas), 50 mg | Vantas implant | |
| G9391 | Patient achieves refraction +-1 d for the eye that underwent cataract surgery, measured at the one month follow up visit | Achv refrac +1d | |
| AT | Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942) | Acute treatment | |
| Q2034 | Influenza virus vaccine, split virus, for intramuscular use (agriflu) | Agriflu vaccine | |
| V5274 | Assistive listening device, not otherwise specified | Ald unspecified | |
| Q4168 | Amnioband, 1 mg | Amnioband, 1 mg | |
| E0959 | Manual wheelchair accessory, adapter for amputee, each | Amputee adapter | |
| S0613 | Annual gynecological examination; clinical breast examination without pelvic evaluation | Ann breast exam | |
| VP | Aphakic patient | Aphakic patient | |
| E2209 | Accessory, arm trough, with or without hand support, each | Arm trough each | |
| G9435 | Aspirin prescribed at discharge | Asp presc disch | |
| G9432 | Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented | Asth controlled | |
| A4613 | Battery charger; replacement for patient-owned ventilator | Battery charger | |
| G9187 | Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the meidcare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code | Bpci home visit | |
| E2326 | Power wheelchair accessory, breath tube kit for sip and puff interface | Breath tube kit | |
| T1016 | Case management, each 15 minutes | Case management | |
| L8614 | Cochlear device, includes all internal and external components | Cochlear device | |
| S0514 | Color contact lens, per lens | Color cont lens | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | Completed epsdt | |
| JF | Compounded drug | Compounded drug | |
| S0512 | Daily wear specialty contact lens, per lens | Daily cont lens | |
| G8777 | Diabetes screening test performed | Diabetes screen | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | Dias bp less 90 | |
| V5264 | Ear mold/insert, not disposable, any type | Ear mold/insert | |
| G9880 | The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em).this is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session | Em 5 percent wl | |
| G9881 | The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em).this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session, core maintenance session, or ongoing maintenance session | Em 9 percent wl | |
| Q4187 | Epicord, per square centimeter | Epicord 1 sq cm | |
| C9458 | Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries | Florbetaben f18 | |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | Florbetapir f18 | |
| C1768 | Graft, vascular | Graft, vascular | |
| S0091 | Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) | Granisetron 1mg | |
| G9235 | All quality actions for the applicable measures in the general surgery measures group have been performed for this patient | Gs mg composite | |
| S0260 | History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service) | H&p for surgery | |
| S8265 | Haberman feeder for cleft lip/palate | Haberman feeder | |
| V5298 | Hearing aid, not otherwise classified | Hearing aid noc | |
| V5299 | Hearing service, miscellaneous | Hearing service | |
| G8548 | I intend to report the heart failure (hf) measures group | Hf measures grp | |
| S9209 | Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code) | Home mgmt pprom | |
| Q5007 | Hospice care provided in long term care facility | Hospice in ltch | |
| G8904 | I intend to report the hypertension (htn) measures group | Hypertension mg | |
| A9531 | Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) | I131 max 100uci | |
| S0088 | Imatinib, 100 mg | Imatinib 100 mg | |
| A9548 | Indium in-111 pentetate, diagnostic, per 0.5 millicurie | In111 pentetate | |
| A4642 | Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries | In111 satumomab | |
| G9512 | Individual had a pdc of 0.8 or greater | Indiv pdc > 0.8 | |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | Inj mvasi 10 mg | |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | Irrigation tray | |
| S9443 | Lactation classes, non-physician provider, per session | Lactation class | |
| A4259 | Lancets, per box of 100 | Lancets per box | |
| A5113 | Leg strap; latex, replacement only, per set | Latex leg strap | |
| G8736 | Most current ldl-c <100mg/dl | Ldl-c <100mg/dl | |
| S0178 | Lomustine, oral, 10 mg | Lomustine 10 mg | |
| L0976 | Lso, full corset | Lso full corset | |
| L8020 | Breast prosthesis, mastectomy form | Mastectomy form | |
| Q4201 | Matrion, per square centimeter | Matrion 1 sq cm | |
| G8705 | Documentation of medical reason(s) for not performing a 12-lead electrocardiogram (ecg) | Med reas no ecg | |
| S0179 | Megestrol acetate, oral, 20 mg | Megestrol 20 mg | |
| J9209 | Injection, mesna, 200 mg | Mesna injection | |
| G9654 | Monitored anesthesia care (mac) | Mon anesth care | |
| S0093 | Injection, morphine sulfate, 500 mg (loading dose for infusion pump) | Morphine 500 mg | |
| C8900 | Magnetic resonance angiography with contrast, abdomen | Mra w/cont, abd | |
| NR | New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased) | New when rented | |
| G8584 | No beta-blocker at discharge | No bblock disch | |
| S0510 | Non-prescription lens (safety, athletic, or sunglass), per lens | Non-prscrp lens | |
| G9291 | Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos | Not nsm lung ca | |
| ZA | Novartis/sandoz | Novartis/sandoz | |
| S9452 | Nutrition classes, non-physician provider, per session | Nutrition class | |
| J8501 | Aprepitant, oral, 5 mg | Oral aprepitant | |
| J7527 | Everolimus, oral, 0.25 mg | Oral everolimus | |
| G9438 | P2y inhibitor prescribed at discharge | P2y inhib presc | |
| S9444 | Parenting classes, non-physician provider, per session | Parenting class | |
| G8575 | Developed postoperative renal failure or required dialysis | Postop ren fail | |
| G9615 | Preoperative assessment documented | Pre-op asst doc | |
| J7506 | Prednisone, oral, per 5 mg | Prednisone oral | |
| G8711 | Prescribed or dispensed antibiotic | Pres antibiotic | |
| G8564 | Patient was referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation, reason not specified) | Pt ref oto eval | |
| G9648 | Patients with 90 day mrs score greater than 2 | Pt w/90d mrs >2 | |
| Q4195 | Puraply, per square centimeter | Puraply 1 sq cm | |
| G8490 | I intend to report the rheumatoid arthritis (ra) measures group | Ra measures grp | |
| L3350 | Heel wedge | Shoe heel wedge | |
| L3340 | Heel wedge, sach | Shoe wedge sach | |
| A4740 | Shunt accessory, for hemodialysis, any type, each | Shunt accessory | |
| J7520 | Sirolimus, oral, 1 mg | Sirolimus, oral | |
| E0162 | Sitz bath chair | Sitz bath chair | |
| Q4200 | Skin te, per square centimeter | Skin te 1 sq cm | |
| E1811 | Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | Sps knee device | |
| A6410 | Eye pad, sterile, each | Sterile eye pad | |
| S0518 | Sunglasses frames | Sunglass frames | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | Sys bp less 140 | |
| S0187 | Tamoxifen citrate, oral, 10 mg | Tamoxifen 10 mg | |
| A9510 | Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries | Tc99m disofenin | |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | Tc99m medronate | |
| A9539 | Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries | Tc99m pentetate | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | Tc99m sestamibi | |
| E0705 | Transfer device, any type, each | Transfer device | |
| L1070 | Addition to ctlso or scoliosis orthosis, trapezius sling | Trapezius sling | |
| Q4129 | Unite biomatrix, per square centimeter | Unite biomatrix | |
| A4336 | Incontinence supply, urethral insert, any type, each | Urethral insert | |
| A5112 | Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each | Urinary leg bag | |
| A4480 | Vabra aspirator | Vabra aspirator | |
| J1562 | Injection, immune globulin (vivaglobin), 100 mg | Vivaglobin, inj | |
| L8510 | Voice amplifier | Voice amplifier | |
| A4452 | Tape, waterproof, per 18 square inches | Waterproof tape | |
| E0983 | Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control | Add pwr joystick | |
| C1765 | Adhesion barrier | Adhesion barrier | |
| L5321 | Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee | Ak open end sach | |
| S0170 | Anastrozole, oral, 1 mg | Anastrozole 1 mg | |
| G8579 | Antiplatelet medication at discharge | Antplt med disch | |
| G8895 | Oral aspirin or other antithrombotic therapy prescribed | Antrom prescribe | |
| G6044 | Cocaine or metabolite | Assay of cocaine | |
| G6034 | Doxepin | Assay of doxepin | |
| G6040 | Alcohol (ethanol); any specimen except breath | Assay of ethanol | |
| G6056 | Opiate(s), drug and metabolites, each procedure | Assay of opiates | |
| S9441 | Asthma education, non-physician provider, per session | Asthma education | |
| G9167 | Attention functional limitation, discharge status at discharge from therapy or to end reporting | Atten d/c status | |
| G8583 | Beta-blocker contraindicated | Bblock contraind | |
| E0276 | Bed pan, fracture, metal or plastic | Bed pan fracture | |
| E0275 | Bed pan, standard, metal or plastic | Bed pan standard | |
| S0506 | Bifocal vision prescription lens (safety, athletic, or sunglass), per lens | Bifoc prscp lens | |
| P9011 | Blood, split unit | Blood split unit | |
| G8886 | Most recent blood pressure under control | Bp under control | |
| G8489 | I intend to report the coronary artery disease (cad) measures group | Cad measures grp | |
| Q0035 | Cardiokymography | Cardiokymography | |
| G8986 | Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting | Carry d/c status | |
| M0075 | Cellular therapy | Cellular therapy | |
| J0744 | Injection, ciprofloxacin for intravenous infusion, 200 mg | Ciprofloxacin iv | |
| QW | Clia waived test | Clia waived test | |
| S0136 | Clozapine, 25 mg | Clozapine, 25 mg | |
| S0500 | Disposable contact lens, per lens | Dispos cont lens | |
| G9818 | Documentation of sexual activity | Doc sex activity | |
| G9349 | Documentation of a ct scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis | Doc sinus ct 28d | |
| S0174 | Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) | Dolasetron 50 mg | |
| A4911 | Drain bag/bottle, for dialysis, each | Drain bag/bottle | |
| G9643 | Elective surgery | Elective surgery | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | Electrodes, pair | |
| L3702 | Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Eo w/o joints cf | |
| Q4145 | Epifix, injectable, 1 mg | Epifix, inj, 1mg | |
| C9724 | Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy | Eps stomach plic | |
| L5980 | All lower extremity prostheses, flex foot system | Flex foot system | |
| S0175 | Flutamide, oral, 125 mg | Flutamide 125 mg | |
| C9459 | Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries | Flutemetamol f18 | |
| L3933 | Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment | Fo w/o joints cf | |
| E2389 | Power wheelchair accessory, foam caster tire, any size, replacement only, each | Foam caster tire | |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | Hit noc per diem | |
| L3919 | Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Ho w/o joints cf | |
| C9139 | Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u. | Idelvion, 1 i.u. | |
| J1750 | Injection, iron dextran, 50 mg | Inj iron dextran | |
| G8547 | I intend to report the ischemic vascular disease (ivd) measures group | Ivd measures grp | |
| Q9984 | Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg | Kyleena, 19.5 mg | |
| J7296 | Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg | Kyleena, 19.5 mg | |
| G9272 | Ldl value >= 100 | Ldl 100 and over | |
| G8737 | Most current ldl-c >=100mg/dl | Ldl-c >=100mg/dl | |
| A4557 | Lead wires, (e.g., apnea monitor), per pair | Lead wires, pair | |
| FA | Left hand, thumb | Left hand, thumb | |
| S0177 | Levamisole hydrochloride, oral, 50 mg | Levamisole 50 mg | |
| G8593 | Lipid profile results documented and reviewed (must include total cholesterol, hdl-c, triglycerides and calculated ldl-c) | Lipid pn results | |
| S9976 | Lodging, per diem, not otherwise classified | Lodging per diem | |
| L0972 | Lso, corset front | Lso corset front | |
| G8740 | Left ventricular ejection fraction (lvef) not performed or assessed, reason not given | Lvef not perfrmd | |
| G9151 | Mapcp demonstration - state provided services | Mapcp demo state | |
| S3904 | Masters two step | Masters two step | |
| S0139 | Minoxidil, 10 mg | Minoxidil, 10 mg | |
| L8040 | Nasal prosthesis, provided by a non-physician | Nasal prosthesis | |
| G9213 | Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation, reason not otherwise specified | No doc of dsm-iv | |
| G9248 | Patient did not have a medical visit in the last 6 months | No med visit 6mo | |
| G9382 | Patient not offered assistance with end of life issues during the measurement period | No off assis eol | |
| L2320 | Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only | Non-molded lacer | |
| Q4194 | Novachor, per square centimeter | Novachor 1 sq cm | |
| Q1004 | New technology intraocular lens category 4 as defined in federal register notice | Ntiol category 4 | |
| Q1005 | New technology intraocular lens category 5 as defined in federal register notice | Ntiol category 5 | |
| J9301 | Injection, obinutuzumab, 10 mg | Obinutuzumab inj | |
| V2770 | Occluder lens, per lens | Occluder lens/es | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | Ondansetron 4 mg | |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | Ondansetron oral | |
| G9238 | I intend to report the optimizing patient exposure to ionizing radiation measures group | Op rad mg intent | |
| A4404 | Ostomy ring, each | Ostomy ring each | |
| V2780 | Oversize lens, per lens | Oversize lens/es | |
| A9563 | Sodium phosphate p-32, therapeutic, per millicurie | P32 na phosphate | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | Pain neg no plan | |
| J2469 | Injection, palonosetron hcl, 25 mcg | Palonosetron hcl | |
| G9596 | Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma | Ped pt hd ct ord | |
| G9357 | Post-partum screenings, evaluations and education performed | Pp eval/edu perf | |
| G9304 | Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant | Pros info op rpt | |
| G9857 | Patient admitted to hospice | Pt admit hospice | |
| G9842 | Patient has metastatic disease at diagnosis | Pt met dis at dx | |
| G9838 | Patient has metastatic disease at diagnosis | Pt met dis at dx | |
| G9834 | Patient has metastatic disease at diagnosis | Pt met dis at dx | |
| G9646 | Patients with 90 day mrs score of 0 to 2 | Pt w/90d mrs 0-2 | |
| E1003 | Wheelchair accessory, power seating system, recline only, without shear reduction | Pwr seat recline | |
| G8856 | Referral to a physician for an otologic evaluation performed | Ref for oto eval | |
| G9524 | Patient was referred to hospice care | Refer to hospice | |
| Q4192 | Restorigin, 1 cc | Restorigin, 1 cc | |
| E0700 | Safety equipment, device or accessory, any type | Safety equipment | |
| L5699 | All lower extremity prostheses, shoulder harness | Shoulder harness | |
| G9463 | I intend to report the sinusitis measures group | Sinusitis intent | |
| L0624 | Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated | Sio panel custom | |
| S8101 | Holding chamber or spacer for use with an inhaler or nebulizer; with mask | Spacer with mask | |
| V5362 | Speech screening | Speech screening | |
| K0065 | Spoke protectors, each | Spoke protectors | |
| E1816 | Static progressive stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories | Sps ankle device | |
| E1801 | Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | Sps elbow device | |
| E1806 | Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories | Sps wrist device | |
| S3601 | Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility | Stat lab home/nf | |
| EJ | Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab | Subsequent claim | |
| C9358 | Dermal substitute, native, non-denatured collagen, fetal bovine origin (surgimend collagen matrix), per 0.5 square centimeters | Surgimend, fetal | |
| A9536 | Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries | Tc99m depreotide | |
| A9550 | Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie | Tc99m gluceptate | |
| A9537 | Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries | Tc99m mebrofenin | |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | Tc99m mertiatide | |
| A9561 | Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries | Tc99m oxidronate | |
| L0974 | Tlso, full corset | Tlso full corset | |
| S8189 | Tracheostomy supply, not otherwise classified | Trach supply noc | |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | Tubular dressing | |
| G0920 | Type, anatomic location, and activity all documented | Type loc act doc | |
| C1880 | Vena cava filter | Vena cava filter | |
| G9173 | Voice functional limitation, discharge status at discharge from therapy or to end reporting | Voice d/c status | |
| J7183 | Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco | Wilate injection | |
| A6154 | Wound pouch, each | Wound pouch each | |
| G9773 | At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time, reason not given | 1 bod temp >=35.5 | |
| G9873 | First medicare diabetes prevention program (mdpp) core session was attended by an mdpp beneficiary under the mdpp expanded model (em).a core session is an mdpp service that: (1)is furnished by an mdpp supplier during months 1 through 6 of the mdpp services period; (2)is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for core sessions | 1 em core session |