OWCP RCC to CPT CROSSWALKEffective: October 15, 2018Last Updated: January 2, 2019

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0250 Pharmacy-General A4261 A4261

A4266 A4269A9152 A9153A9155 A9155A9180 A9180A9270 A9270C9113 C9113C9248 C9248C9254 C9254C9275 C9275G0333 G0333J0120 J0120J0131 J0133J0153 J0153J0171 J0171J0190 J0190J0200 J0200J0205 J0205J0210 J0210J0270 J0270J0275 J0275J0278 J0278J0280 J0280J0282 J0282J0285 J0285J0288 J0288J0290 J0290J0295 J0295J0330 J0330J0348 J0348J0350 J0350J0360 J0360J0364 J0365J0380 J0380J0390 J0390J0395 J0395J0400 J0400J0456 J0456J0461 J0461J0470 J0470J0500 J0500J0515 J0515J0520 J0520J0558 J0558J0561 J0561J0571 J0575J0592 J0592J0595 J0595J0610 J0610J0620 J0620J0636 J0636

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ0640 J0640J0670 J0670J0690 J0690J0692 J0692J0694 J0694J0697 J0698J0702 J0702J0706 J0706J0710 J0710J0712 J0713J0715 J0715J0720 J0720J0725 J0725J0735 J0735J0743 J0745J0770 J0770J0780 J0780J0834 J0834J0837 J0837J0888 J0888J0895 J0895J0945 J0945J1000 J1000J1020 J1020J1030 J1030J1040 J1040J1050 J1050J1094 J1094J1100 J1100J1110 J1110J1120 J1120J1130 J1130J1160 J1160J1165 J1165J1170 J1170J1180 J1180J1200 J1200J1212 J1212J1230 J1230J1240 J1240J1245 J1245J1250 J1250J1260 J1260J1265 J1265J1267 J1267J1270 J1270J1320 J1320J1325 J1325J1335 J1335J1364 J1364J1380 J1380J1435 J1436J1450 J1450J1452 J1452J1457 J1457

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ1562 J1562J1580 J1580J1600 J1600J1620 J1620J1626 J1626J1630 J1631J1642 J1642J1644 J1645J1650 J1650J1652 J1652J1655 J1655J1700 J1700J1710 J1710J1720 J1720J1741 J1741J1756 J1756J1790 J1790J1815 J1815J1817 J1817J1830 J1830J1835 J1835J1840 J1840J1850 J1850J1880 J1880J1885 J1885J1890 J1890J1940 J1940J1953 J1953J1955 J1956J1960 J1960J1980 J1980J1990 J1990J2001 J2001J2010 J2010J2020 J2020J2060 J2060J2150 J2150J2170 J2170J2175 J2175J2180 J2180J2185 J2185J2210 J2210J2250 J2250J2265 J2265J2270 J2270J2274 J2274J2280 J2280J2300 J2300J2310 J2310J2320 J2320J2354 J2354J2360 J2360J2370 J2370J2400 J2400J2405 J2405

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ2410 J2410J2440 J2440J2460 J2460J2501 J2501J2510 J2510J2513 J2513J2540 J2540J2543 J2543J2550 J2550J2560 J2560J2590 J2590J2650 J2650J2675 J2675J2680 J2680J2690 J2690J2700 J2700J2704 J2704J2710 J2710J2720 J2720J2725 J2725J2765 J2765J2780 J2780J2785 J2785J2788 J2788J2790 J2790J2795 J2795J2800 J2800J2805 J2805J2810 J2810J2910 J2910J2916 J2916J2920 J2920J2930 J2930J2941 J2941J2950 J2950J2995 J2995J3000 J3000J3010 J3010J3030 J3030J3070 J3070J3105 J3105J3110 J3110J3121 J3121J3230 J3230J3250 J3250J3260 J3260J3265 J3265J3280 J3280J3301 J3303J3305 J3305J3310 J3310J3320 J3320J3360 J3360J3364 J3365J3370 J3370

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ3400 J3400J3410 J3411J3415 J3415J3420 J3420J3430 J3430J3470 J3473J3475 J3475J3480 J3480J3485 J3486J3490 J3490J3520 J3520J3535 J3535J3570 J3570J3590 J3590J7121 J7121J7131 J7131J7135 J7135J7178 J7178J7197 J7197J7300 J7301J7303 J7304J7330 J7330J7500 J7500J7507 J7507J7509 J7510J7518 J7518J7527 J7527J7665 J7665J7674 J7674J8510 J8510J8521 J8521J8530 J8530J8540 J8540J8562 J8562J8565 J8565J8597 J8597J8600 J8600J8610 J8610J9000 J9000J9040 J9040J9045 J9045J9060 J9060J9098 J9098J9100 J9100J9130 J9130J9165 J9165J9175 J9175J9178 J9178J9181 J9181J9190 J9190J9206 J9206J9209 J9209J9212 J9212J9250 J9250J9260 J9260

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ9267 J9267J9270 J9270J9360 J9360J9370 J9370J9390 J9390Q0144 Q0144Q0161 Q0164Q0167 Q0167Q0169 Q0169Q0173 Q0175Q0177 Q0177Q0181 Q0181Q0510 Q0515Q2004 Q2004Q2026 Q2026Q2028 Q2028Q3028 Q3028Q4082 Q4082Q4121 Q4121Q4130 Q4130Q4139 Q4139Q4145 Q4145S0012 S0012S0014 S0014S0017 S0017S0020 S0021S0023 S0023S0028 S0028S0030 S0030S0032 S0032S0034 S0034S0039 S0040S0073 S0074S0077 S0078S0080 S0081S0088 S0088S0090 S0093S0104 S0104S0106 S0106S0108 S0109S0117 S0117S0119 S0119S0122 S0122S0126 S0126S0128 S0128S0132 S0132S0136 S0140S0142 S0142S0145 S0145S0148 S0148S0155 S0157S0160 S0160S0164 S0164S0166 S0166S0169 S0172

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOS0174 S0179S0182 S0183S0187 S0187S0189 S0191S0194 S0194S0197 S0197S3722 S3722S4990 S4991S4993 S4993S4995 S4995S5000 S5001S5550 S5553S5560 S5561S5565 S5566S5570 S5571S9055 S9055S9433 S943390281 9028190283 9028490287 9028890291 9029190296 9029690384 9038690389 9038990393 9039390476 9047790581 9058190587 9058790620 9062190625 9062590632 9063490636 9063690644 9064490647 9065190658 9065890664 9066490666 9066890670 9067090680 9068190690 9069190696 9069890700 9070090702 9070290707 9070790710 9071090713 9071790723 9072390733 9073490736 9073690738 9073990748 9075090756 9075699605 99607

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0254 Pharmacy-Drugs Incident to Other Diagnostic Services A9575 A9579

A9581 A9581A9583 A9583A9585 A9585A9698 A9698Q9951 Q9951Q9953 Q9959Q9961 Q9968

0255 Pharmacy-Drugs Incident to Radiology A9575 A9579A9581 A9581A9583 A9583A9585 A9585A9698 A9698A9700 A9700C9738 C9738Q9951 Q9951Q9953 Q9968

0258 Pharmacy-IV Solutions J7030 J7030J7040 J7040J7042 J7042J7050 J7050J7060 J7060J7070 J7070J7100 J7100J7120 J7120S5010 S5010S5012 S5014

0259 Pharmacy-Other Pharmacy S9061 S9061S9430 S9430S9434 S9435

0260 IV Therapy-General C8957 C8957G9147 G9147Q0081 Q0081S5010 S5010S5012 S5014S5035 S503696360 9636196365 96376

0261 IV Therapy-Infusion Pump S5035 S5036

0263 IV Therapy-IV Therapy/Drug/Supply Delivery G9147 G9147J7030 J7030J7040 J7040J7042 J7042

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ7050 J7050J7060 J7060J7070 J7070J7100 J7100J7110 J7110J7120 J7120S5010 S5010S5012 S5014

0269 IV Therapy-Other IV Therapy G9147 G9147S5010 S5010S5012 S5012S5014 S5014S5035 S5036

0270 Medical/Surgical Supplies and Devices-General A4230 A4230A4244 A4247A4250 A4250A4398 A4400A4402 A4402A4404 A4410A4413 A4415A4422 A4422A4450 A4450A4452 A4452A4455 A4455A4481 A4481A4553 A4553A4625 A4626A4629 A4629A5051 A5057A5061 A5063A5071 A5073A5081 A5083A5093 A5093A5102 A5102A5105 A5105A5112 A5114A5121 A5122A5126 A5126A5131 A5131A5200 A5200A6010 A6011A7020 A7020A9272 A9272Q4001 Q4051S5199 S5199S8120 S8120T4521 T4544

0276 INTRAOCULAR LENS C1780 C1780C1818 C1818

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOL8609 L8609Q1001 Q1005S0596 S0596

V2630 V2632

0280 ONCOLOGY/GENERAL G0498 G0498S0353 S03540278T 0278T36410 3641636511 3651636540 3654036591 3659390760 9078490788 9079996401 9652196542 9654296549 96549

0289 ONCOLOGY/GENERAL/OTHER 36410 3641636511 3651636540 3654036591 3659390760 9078490788 9079996401 9652196542 9654296549 96549

0300 LABORATORY / GENERAL G0001 G0001 G0027 G0027 G0103 G0103

G0306 G0307 G0364 G0364 G0432 G0435 G0471 G0471

G0475 G0475 G6030 G6032 G6034 G6058 P9603 P9615 Q0112 Q0115 S3600 S3601 S3721 S3721 S3854 S3855 0026T 0026T 0030T 0030T 0041T 0041T

0043T 0043T0058T 0058T0071T 0072T0103T 0103T0111T 0111T0194T 0194T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO36410 3641636511 3651636540 3654036591 3659180047 89356

0301 LABORATORY / CHEMISTRY G0001 G0001G0306 G0307G0364 G0364G0431 G0435G0464 G0464G0472 G0472G0475 G0476

G0477 G0483G6030 G6034G6058 G6058G9143 G9143P2028 P2029P2031 P2031Q0114 Q0114Q3031 Q3031S3721 S3721S3854 S38540111T 0111T0423T 0423T36410 3641536511 3651636540 3654036951 3695180047 89399

0302, 0303, 0304LABORATORY / IMMUNOLOGY/RENAL PATIENT (HOME)/NON-ROUTINE DIALYSIS G0001 G0001

G0306 G0307G0364 G0364G0434 G04340026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659180048 89399

0305 HEMATOLOGY LAB G0001 G0001G0306 G0307G0328 G0328

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOG0364 G0364G0434 G04340026T 0026T0030T 0030T0041T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651136540 3654036591 3659180048 8004885002 8500285004 8500485008 8500985013 8501485018 8501885025 8502585027 8502785036 8503685041 8504185044 8504685048 8504985055 8505585097 8509785130 8513085170 8517085175 8517585210 8521085220 8522085230 8523085240 8524085244 8524785250 8525085260 8526085270 8527085280 8528085290 8529385300 8350383505 8350785335 8533585337 8533785345 8534585347 8534885360 8536085362 8536285366 8536685370 8537085378 8538085384 8538585390 8539085396 8539785400 8540085410 85410

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO85415 8541585420 8542185441 8544185445 8544585460 8546185475 8547585520 8552085525 8552585530 8553085536 8553685540 8554085547 8554785549 8554985555 8555585557 8555785576 8557685597 8559885610 8561385635 8563585651 8565285660 8566085670 8567085675 8567585705 8570585730 8573085732 8573285810 8581086077 8607988740 88741

0306 LABORATORY / BACTERIOLOGY & MICROBIOLOGY G0001 G0001G0306 G0307G0364 G0364G0434 G0434P7001 P7001Q0112 Q01130026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659180048 89399

0307 UROLOGY LAB G0001 G0001G0306 G0307G0364 G0364G0434 G0434

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659180048 89399

0309 OTHER LABORATORY G0001 G0001G0027 G0027G0103 G0103G0306 G0307G0328 G0328G0364 G0364G0431 G0434G6030 G6034G6058 G6058P9603 P9604P9612 P9612P9615 P9615Q0111 Q0111S3600 S3601S3721 S3721S3854 S38550026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659180047 89399

0310 PATHOLOGY LAB G0001 G0001G0027 G0027G0306 G0307G0364 G0364G0434 G0434Q0111 Q0111S3841 S3866S3854 S38540026T 0026T0030T 0030T0041T 0041T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0043T 0043T0103T 0103T0111T 0111T0194T 0194T0357T 0357T36410 3641536511 3651636540 3654036591 3659138207 3821580047 89399

0311 CYTOLOGY LAB G0001 G0001G0123 G0124G0141 G0148G0306 G0307G0364 G0364G0434 G0434P3000 P30010026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659138207 3821580048 89399

0312 PATHOLOGY/HISTOLOGY G0001 G0001G0306 G0307G0364 G0364G0434 G04340026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3695180048 89399

0314 PATHOLOGY/BIOPSY G0001 G0001G0306 G0307

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOG0364 G0364G0416 G0419G0434 G04340026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659180048 89399

0319 PATHOLOGY/OTHER G0001 G0001G0027 G0027G0306 G0307G0364 G0364G0434 G0434Q0111 Q0111S3841 S3841S3854 S38550026T 0026T0030T 0030T0041T 0041T0043T 0043T0103T 0103T0111T 0111T0194T 0194T36410 3641536511 3651636540 3654036591 3659138207 3821580048 89399

0320 RADIOLOGY-DIAGNOSTIC/GENERAL C9733 C9733G0106 G0106G0120 G0120G0122 G0122G0130 G0130G0260 G0260G0278 G0278G0365 G0365Q0092 Q00920028T 0028T0041T 0043T0066T 0070T0075T 0076T0078T 0081T0144T 0154T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0159T 0159T0174T 0175T0228T 0228T0232T 0232T0274T 0275T0330T 0330T0347T 0350T10022 1002210030 1003619030 1903019081 1908219102 1910319283 1928419290 1929119295 1929520500 2050120555 2055521116 2111622520 2252223350 2335024220 2422025246 2524627093 2709627370 27370

27648 2764831652 3165432555 3255532557 3255736005 3601536100 3614036160 3616036200 3625437191 3719337197 3719737200 3721438790 3879241019 4101947000 4700047011 4701147382 4738247500 4753047552 4755647560 4756447579 4757947630 4763048102 4810248511 4851148999 4899949083 4908449180 4918049250 4925049324 4932749400 4943649440 4944249446 49446

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO49450 4945249460 4946550020 5002150080 5008150200 5020050382 5039850430 5043550541 5054150544 5054450549 5054950606 5060650684 5068450690 5069050693 5069550705 5070651020 5105051065 5106551080 5108051100 5110251600 5161051700 5172951736 5174151792 5179251797 5179752250 5225052700 5270053040 5306054230 5425055300 5530055870 5587055875 5587655920 5592056405 5642058340 5834062225 6231962350 6235064610 6461069990 6999070010 7699977001 7701177031 7703177053 7705477071 7707577077 7707777080 7708678350 7835092235 9223592240 9224292611 9261292614 9261492616 92616

0321 RADIOLOGY-DIAGNOSTIC/ANGIOCARDIOGRAPHY C9600 C96080028T 0028T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0066T 0070T0144T 0154T0159T 0159T0174T 0175T49440 4944249446 4944649450 4945249460 4946570010 7699977001 7701177031 7703177053 7705477071 7707577077 7707777080 7708492920 9293492937 9293792938 9294492986 9299092997 9299893580 93581

0322 RADIOLOGY-DIAGNOSTIC/ ARTHROGRAPHY G0260 G0260 0028T 0028T 0066T 0070T 0144T 0154T 0159T 0159T 0174T 0175T 49440 49442 49446 49446 49450 49452 49460 49465 70010 76999 77001 77011 77031 77031 77053 77054 77071 77075 77077 77077 77080 77084

0323 RADIOLOGY-DIAGNOSTIC/ ARTERIOGRAPHY G0275 G0275G0278 G0278G0365 G03650028T 0028T0066T 0070T0144T 0154T0159T 0159T0174T 0175T0338T 0339T36221 3622836251 3625449440 4944249446 49446

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO49450 4945249460 4946570010 7699977001 7701177031 7703177053 7705477071 7707577077 7707777080 77084

0324 RADIOLOGY-DIAGNOSTIC/ CHEST X-RAY 0028T 0028T0066T 0070T0144T 0154T0159T 0159T0174T 0175T49440 4944249446 4944649450 4945249460 4946570010 7699977001 7701177031 7703177053 7705477071 7707577077 7707777080 77084

0329RADIOLOGY-DIAGNOSTIC/DIGITAL SUBTRACTION ANGIOGRAPHY C9733 C9733

G0106 G0106G0120 G0120G0122 G0122G0260 G0260G0269 G0269G0365 G0365Q0092 Q0092R0070 R0070R0075 R00750028T 0028T0042T 0042T0066T 0070T0075T 0076T0078T 0081T0144T 0154T0159T 0159T0174T 0175T19030 1903019290 1929119295 1929520500 2050120555 2055521116 2111622520 22522

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO23350 2335024220 2422025246 2524627093 2709327095 2709627370 2737027648 2764836005 3601536100 3621836245 3625437191 3719337200 3720838790 3879241019 4101947000 4700047011 4701147382 4738347500 4753047552 4755647560 4756447579 4757947630 4763048102 4810248511 4851148999 4899949083 4908449180 4918049250 4925049324 4932749400 4942949435 4943649440 4944249446 4944649450 4945249460 4946550020 5002150080 5008150200 5020050382 5039850541 5105051065 5110251600 5172951741 5174151792 5179251797 5179752250 5225052700 5270053040 5306054230 5425054231 5423154235 5423554240 5424055300 5530055870 5587055875 55876

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO55920 5592056405 5642058340 5834062225 6223062268 6226962270 6227362280 6235064610 6461069990 6999070010 7699977001 7701177031 7703177053 7705477071 7707577077 7707777080 7708478350 7835092235 9223592240 9224092611 9261292614 9261492616 92616

0330 RADIOLOGY-THERAPEUTIC/GENERAL G0242 G02430061T 0061T0073T 0073T55920 5592077011 7701477261 77799

0331, 0332RADIOLOGY-THERAPEUTIC/CHEMOTHERAPY-INJECTED/CHEMOTHERAPY-ORAL 96400 96549

0333 RADIOLOGY-THERAPEUTIC/RADIATION THERAPY C9725 C9726C9728 C9728G0173 G0173G0242 G0243G0251 G0251G0339 G0340G3001 G3001G6001 G60170061T 0061T0073T 0073T0182T 0182T0190T 0190T0197T 0197T19296 1929619298 1929820555 2055520660 2066432701 3270141019 41019

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO49411 4941155860 5586055875 5587655920 5592058350 5835061793 6179361796 6180063620 6362176376 7637776950 7695076965 7696577011 7701477261 77799

0335 RADIOLOGY-THERAPEUTIC/CHEMOTHERAPY-IV 95990 9599196400 96549

0339 RX X-RAY OTHER G0242 G02430061T 0061T0073T 0073T55920 5592061793 6179377011 7701477261 77799

0340 NUCLEAR MEDICINE/GENERAL A4641 A4642A9500 A9517A9521 A9526A9528 A9699G0260 G0260Q9945 Q99670075T 0076T10022 1002219030 1903020500 2050121116 2111623350 2335024220 2422025246 2524627093 2709627370 2737027648 2764836005 3601536100 3614036160 3624837200 3720238790 3879247000 4700047382 4738247500 4753047552 4757947630 47630

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO48102 4810249180 4918049250 4925049400 4940049421 4942449426 4942749429 4942950020 5002050080 5008150390 5039150395 5039650398 5039850544 5054450549 5054950684 5068450690 5069051020 5105051065 5106551080 5108051600 5160051605 5160551610 5161051700 5172651728 5172951741 5174151792 5179251797 5179752250 5225052700 5270053040 5306054230 5423555300 5530055870 5587058340 5834058350 5835062225 6223062268 6227362280 6228462287 6228762290 6229462302 6230562310 6231162318 6231962350 6235069990 6999078000 79999

0341 NUCLEAR MEDICINE/DIAGNOSTIC A4641 A4642A9500 A9517A9521 A9526A9528 A9699Q9945 Q99670331T 0332T10022 10022

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO19030 1903019290 1929119295 1929520500 2050121116 2111623350 2335024220 2422025246 2524627093 2709627370 2737027648 2764836005 3600536010 3614036160 3616036200 3622836245 3624837200 3720038790 3879247000 4700047011 4701147382 4738247399 4739947500 4753047552 4755647579 4757947630 4763048102 4810248511 4851149180 4918049250 4925049400 4940049421 4942950200 5020050393 5039850541 5054150544 5054450549 5054950684 5068450690 5069051020 5105051065 5106551080 5108051600 5161051700 5170551720 5172651728 5172951741 5174151792 5179251797 5179752250 5225052700 5270053040 5306054230 5423054235 5423555300 55300

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO55870 5587058340 5834058350 5835062225 6222562230 6223062268 6226962270 6231962350 6235069990 6999078000 79999

0342 NUCLEAR MEDICINE/THERAPEUTIC A4641 A4642A9500 A9517A9521 A9526A9528 A9699C9600 C9608C9725 C9728G0260 G0260Q9945 Q9967Q9969 Q99690075T 0081T0394T 0395T10022 1002219030 1903019290 1929119295 1929820500 2050121116 2111622520 2252223350 2335024220 2422025246 2524627093 2709627095 2709527370 2737027648 2764836005 3614036160 3621836245 3624837202 3720838790 3879247000 4700047011 4701147382 4738247500 4753047552 4755647579 4757947630 4763048102 4810248511 4851148999 4899949180 4918049250 4925049400 49400

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO49421 4942449426 4942749429 4942950020 5002150080 5008150390 5039850541 5054150544 5054450549 5054950684 5068450690 5069051020 5105051065 5106551080 5108051605 5172052250 5225052700 5270053040 5306054230 5423054235 5423555300 5530055870 5587057155 5715558340 5834058346 5834658350 5835062225 6223062252 6225262268 6235069990 6999077326 7732877750 7775077761 7776377768 7776877770 7777277776 7777877789 7779078000 7999992920 9294492986 9298792990 9299092997 9299893580 93581

0343NUCLEAR MEDICINE/ DIAGNOSTIC RADIOPHARMACEUTICALS A4641 A4642

A9500 A9517 A9521 A9526 A9528 A9699 C1204 C1204 C9898 C9898 Q9945 Q9967 Q9969 Q9969 78000 79999

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO

0344 THERAPEUTIC RADIOPHARMACEUTICALS A4641 A4642A9500 A9517A9521 A9526A9528 A9699C9461 C9461C9898 C9898Q9945 Q9967Q9982 Q998278000 79999

0350 CT SCAN/ GENERAL G0260 G0260S8092 S80920042T 0042T

0075T 0081T0274T 0274T0438T 0438T10022 1002210030 1003619030 1903019081 1908419290 1929119295 1929520500 2050120555 2055521116 2111622520 2252223350 2335024220 2422025246 2524627093 2709327095 2709627370 2737027648 2764832555 3255532557 3255736005 3601536100 3614036160 3616036200 3624837200 3720838790 3879241019 4101947000 4700047011 4701147382 4738347505 4750547511 4751147525 4753047552 4755647579 4757947630 4763048102 48102

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO48511 4851149083 4908449180 4918049250 4925049400 4940049405 4940549407 4940749411 4941149421 4942950021 5002150080 5008150200 5020050390 5039850541 5054150544 5054450549 5054950593 5059350684 5068450690 5069051020 5105051065 5106551080 5108051100 5110251600 5160051605 5160551610 5161051700 5172951741 5174151792 5179252250 5225052700 5270053040 5306054230 5423054235 5423555300 5530055870 5587055920 5592058340 5834062225 6223062268 6227362280 6228262284 6231962350 6235069990 6999070010 7699977011 7701477078 77079

0351 CT SCAN/HEAD SCAN 0042T 0042T0075T 0081T10022 1002219030 1903019290 1929119295 19295

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO20500 2050120555 2055521116 2111623350 2335024220 2422025246 2524627093 2709327095 2709527370 2737027648 2764837200 3720841019 4101947000 4700047011 4701147382 4738247505 4750547511 4751147525 4752547530 4753047552 4755647579 4757947630 4763048102 4810248511 4851148999 4899949180 4918049250 4925049400 4940049421 4942449426 4942749429 4942950393 5039350394 5039650398 5039850541 5054150544 5054450549 5054950684 5068450690 5069051020 5105051065 5106551080 5108051605 5171552250 5225052700 5270053040 5306054230 5423054235 5423555300 5530055870 5587058340 5834062225 6223062268 6227362280 6229462302 62302

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO62305 6230562350 6235069990 6999070010 7699977011 7701477078 77079

0352 CT SCAN/BODY SCAN G0260 G0260G0288 G0288S8032 S80320275T 0275T0340T 0340T10022 1002219030 1903019290 1929520500 2050120555 2055521116 2111622520 2252223350 2335024220 2422025246 2524627093 2709327095 2709627370 2737027648 2764836005 3614036160 3616036200 3624837200 3720838790 3879241019 4101947000 4700047011 4701147382 4738347505 4750547511 4751147525 4753047552 4755647579 4757947630 4763048102 4810248511 4851149083 4908449180 4918049250 4925049400 4940049405 4940549407 4940749421 4942950021 5002150080 5008150200 5020050390 50398

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO50541 5054150544 5054450549 5054950593 5059350684 5068450690 5069051020 5105051065 5106551080 5108051100 5110251605 5160551610 5161051700 5172951741 5174151792 5179252250 5225052700 5270053040 5306054230 5423054235 5423555300 5530055870 5587055920 5592058340 5834062225 6223062268 6235069990 6999070010 7699977011 7701477078 77079

0359 CT SCAN/ OTHER CT SCANS G0260 G0260G0288 G02880042T 0042T0075T 0081T10022 1002219030 1903019290 1929119295 1929520500 2050120555 2055521116 2111622520 2252223350 2335024220 2422025246 2524627093 2709327095 2709627370 2737027648 2764836005 3614036160 3616036200 3624837200 37208

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO38790 3879241019 4101947000 4700047011 4701147382 4738347505 4750547511 4753047552 4755647630 4763048102 4810248511 4851149083 4908449180 4918049250 4925049400 4940049421 4942449426 4942749429 4942950021 5002150080 5008150200 5020050390 5039850541 5054150544 5054450593 5059350684 5068450690 5069051020 5105051065 5106551080 5108051100 5110251600 5161051700 5172951741 5174151792 5179252250 5225052700 5270053040 5306054230 5423555300 5530055870 5587055920 5592058340 5834062225 6223062268 6227362280 6235069990 6999070010 7699977011 7701477078 77079

0360 OPERATING ROOM SERVICES/GENERAL 0408T 0463T0449T 0468TC5271 C5278

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOC8957 C8957C9600 C9608C9724 C9728C9736 C9736C9742 C9742C9749 C9750G0104 G0105G0121 G0121G0127 G0127G0168 G0168G0186 G0186G0247 G0247G0289 G0289G0339 G0343G0364 G0364G0412 G0412G0414 G0415G0428 G0429G0456 G0457G0460 G0460G0516 G0516P9612 P9615Q1001 Q1005Q3014 Q3014S2066 S2068S2079 S2079S2095 S2095S2107 S2107S2112 S2112S2115 S2115S2117 S2118S2120 S2120S2140 S2140S2152 S2152S2202 S2202S2205 S2209S2225 S2225S2230 S2230S2235 S2235S2260 S2260S2265 S2267S2300 S2300S2325 S2325S2340 S2342S2348 S2348S2350 S2351S2400 S2405S2409 S2409S2411 S2411S2900 S29000016T 0017T0019T 0020T0027T 0027T0046T 0046T0051T 0055T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0062T 0063T0071T 0072T0075T 0076T0078T 0081T0084T 0088T0092T 0092T0095T 0095T0098T 0098T0099T 0102T0120T 0120T0123T 0124T0130T 0130T0137T 0137T0163T 0165T0169T 0172T0176T 0177T0183T 0184T0186T 0186T0190T 0193T0195T 0196T0200T 0202T0205T 0205T0213T 0222T0228T 0232T0234T 0234T0236T 0236T0238T 0238T0245T 0259T0262T 0271T0274T 0275T0281T 0281T0288T 0290T0293T 0294T0301T 0301T0308T 0309T0313T 0313T0317T 0325T0334T 0336T0338T 0339T0343T 0345T0347T 0347T0351T 0354T0356T 0356T0376T 0377T0387T 0388T0392T 0393T0396T 0398T0400T 0402T0404T 0404T0406T 0424T0425T 0437T0440T 0442T0449T 0458T0466T 0487T0489T 0496T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0500T 0500T10000 6999090769 9077190776 9077692018 9201992502 9250292920 9292192924 9292592928 9292992933 9293492937 9293892941 9294192943 9294492950 9295092953 9295392960 9296192973 9297592977 9297992986 9298792990 9299092992 9299392997 9299893580 9358196377 9637796567 9656796570 9657197597 9759897602 9760297605 9760899170 9917099175 9917599291 99292

0361 OPERATING ROOM SERVICES/MINOR SURGERY C5271 C5278C8957 C8957C9724 C9728C9739 C9740C9743 C9743C9749 C9750C9800 C9800G0105 G0105G0121 G0121G0186 G0186G0247 G0247G0259 G0260G0268 G0269G0276 G0276G0289 G0289G0364 G0364G0413 G0413G0428 G0429G0460 G0460G0501 G0501G0516 G0516

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOG6018 G6025G6027 G6028P9612 P9615Q1001 Q10050016T 0017T0019T 0020T0027T 0027T0046T 0046T0054T 0055T0062T 0063T0071T 0072T0084T 0088T0099T 0102T0120T 0120T0123T 0124T0130T 0130T0137T 0137T0170T 0172T0176T 0177T0183T 0184T0186T 0186T0190T 0193T0198T 0201T0205T 0205T0207T 0207T0213T 0213T0215T 0218T0228T 0232T0234T 0238T0249T 0253T0263T 0265T0267T 0271T0274T 0275T0278T 0278T0282T 0284T0288T 0290T0299T 0302T0304T 0308T0313T 0317T0319T 0325T0334T 0336T0338T 0340T0342T 0342T0347T 0347T0351T 0356T0376T 0377T0387T 0388T0392T 0393T0397T 0397T0400T 0402T0404T 0404T0406T 0421T0424T 0438T0440T 0466T0479T 0480T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0489T 0492T10000 6999089230 8923090769 9077190776 9077692018 9201992502 9250292511 9251192973 9297492977 9297992986 9298792990 9299092997 9299893580 9358193592 9359296360 9636196365 9636596376 9637796379 9637996567 9656796570 9657197597 9759897602 9760297605 9760899170 9917099175 9917599291 99292

0362OPERATING ROOM SERVICES/ ORGAN TRANSPLANT - OTHER THAN KIDNEY G0341 G0343

Q1001 Q10050016T 0017T0019T 0020T0027T 0027T0046T 0046T0062T 0063T0084T 0088T0099T 0102T0120T 0120T0123T 0124T0130T 0130T0137T 0137T0170T 0170T0176T 0177T0183T 0183T0186T 0186T10000 6999990769 9077190776 90776

0367OPERATING ROOM SERVICES/ KIDNEY TRANSPLANT Q1001 Q1005

0016T 0017T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0019T 0020T0027T 0027T0046T 0046T0062T 0063T0084T 0088T0099T 0102T0120T 0120T0123T 0124T0130T 0130T0137T 0137T0170T 0170T0176T 0176T0183T 0183T0186T 0186T10000 6999990769 9077190776 90776

0369 OPERATING ROOM SERVICES/ OTHER Q1001 Q10050016T 0017T0019T 0020T0027T 0027T0046T 0046T0062T 0063T0084T 0088T0099T 0102T0120T 0120T0123T 0124T0130T 0130T0137T 0137T0170T 0170T0176T 0176T0183T 0183T0186T 0186T10000 6999990769 9077190776 90776

0370 ANESTHESIA/ GENERAL 00100 0199999144 9914599149 99157

0390 BLOOD STORAGE AND PROCESSING / GENERAL P9010 P9012P9016 P9017P9019 P9023P9031 P9044P9048 P9060P9070 P907282103 8210482378 8237883519 8602386038 86039

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO86060 8606086063 8606386077 8607986140 8614086155 8615586171 8617186185 8618586200 86200

86255 8625686341 8634186353 8635386359 8636186376 8637686382 8638286403 8640386590 8659086592 8659386687 8668986701 8670986800 8680086803 8680486850 8685086860 8686086870 8687086880 8688086885 8688586886 8688686900 8690686920 8692386930 8693286940 8694186945 8694586960 8696086965 8696586970 8697286975 8697886985 8698587340 8734087350 8735087390 8739188182 8818288342 8834288346 8834788350 88350

0400 OTHER IMAGING SERVICES/GENERAL 0232T 0232T0469T 0469T0471T 0471T0475T 0476T0485T 0486T0488T 0488T

37200 3721070010 7699978000 79999

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92132 9213492227 92228

0401OTHER IMAGING SERVICES/ DIAGNOSTIC MAMMOGRAPHY G0204 G0204

G0206 G0206G0279 G207919081 1908219084 1908419281 19284

70010 76999 77032 77032 77051 77051 77055 77056 78000 79999

0402 OTHER IMAGING SERVICES/ULTRASOUND C9736 C9736C9744 C9744G0202 G0202G0260 G0260G0365 G0365G0389 G0389G6001 G60010075T 0081T0126T 0126T0186T 0186T0228T 0231T0249T 0249T0337T 0337T0340T 0340T0346T 0347T10030 1003010035 1003619083 1908319285 1928620555 2055522520 2252231652 3165432555 3255737197 3719737200 3721437250 3725138790 3879241019 4101947531 4754449083 4908449185 4918549405 4940749411 4941150382 5038750430 5043550542 5054250593 50593

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO50606 5060650693 5069550705 5070651100 5110255870 5587055875 5587655920 5592062272 6227262310 6231162138 6231970010 7699977052 7705277057 7705777065 7706778000 7999991200 9120092978 92979

0403OTHER IMAGING SERVICES/ SCREENING MAMMOGRAPHY C9736 C9736

G0202 G0202G0260 G0260G0365 G0365G0389 G03890075T 0081T0126T 0126T0186T 0186T0228T 0231T20550 2055022520 2252232555 3255532557 3255737197 3719737200 3721437250 3725138790 3879241019 4101949083 4908449411 4941150382 5038750593 5059351100 5110255870 5587055875 5587655920 5592062272 6227262310 6231162318 6231970010 7699977052 7705277057 7705777063 7706378000 7999992978 92979

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO

0404 OTHER IMAGING SERVICES/PET SCAN G0219 G0219G0252 G0252G0260 G0260G0269 G02690472T 0472T62310 6231162318 6231970010 7699978000 79999

0409 OTHER IMAGING SERVICES/ OTHER G0259 G0260G0269 G0269G0288 G0288G0365 G03650075T 0081T0422T 0422T0472T 0472T22520 2252236005 3601536100 3616036200 3621836245 3624837200 3721038790 3879270010 7699978000 79999

0410 RESPIRATORY SERVICES/ GENERAL G0237 G023931500 3150236600 3660082800 8282089220 8922092950 9295093720 9372294002 9400494010 94799

0412 RESPIRATORY SERVICES/ INHALATION SERVICES 31500 31502 36600 36600 82800 82820 93720 93722 94010 94799

0413RESPIRATORY SERVICES/ HYPERBARIC OXYGEN THERAPY C1300 C1300

G0277 G0277 99183 99184

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0419 RESPIRATORY SERVICES/ OTHER G0237 G0239 31500 31502 36600 36600 82800 82820 89220 89220

92950 92950 93720 93722

94002 94004 94010 94799

0420 PHYSICAL THERAPY/ GENERAL G0151 G0151G0157 G0157G0159 G0159G0175 G0175G0237 G0239G0281 G0283G0329 G03290019T 0019T0101T 0102T0183T 0183T20974 2097420979 2097929000 2936529440 2950529515 2958429700 2975029799 2979964550 6455092597 9259793668 9366895831 9583495851 9585295992 9599297001 9894399366 9936699368 99368

0421PHYSICAL THERAPY/ VISIT CHARGE/ HOURLY CHARGE/ GROUP RATE G0151 G0151

G0237 G0239G0281 G0283G0329 G0329S9131 S91310019T 0019T0101T 0102T0183T 0183T20974 2097420979 2097929000 2908629105 2912629130 2913129200 2928029305 29365

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO29440 2979964550 6455092597 9259793668 9366895831 9583495851 9585295833 9583495851 9585295992 9599297001 9894399366 9936699368 99368

0422 PHYSICAL THERAPY/HOUR G0151 G0151G0237 G0239G0281 G0283G0329 G0329S8948 S8948S8950 S8950S8990 S89900019T 0019T0101T 0102T0183T 0183T20974 2097420979 2097929000 2901529020 2902529035 2904429046 2908629105 2928029305 2936529440 2945029505 2958429700 2975064550 6455092597 9259793668 9366895831 9583495851 9585295992 9599297001 9894399366 9936699368 99368

0423 PHYSICAL THERAPY/GROUP RATE G0151 G0151G0175 G0175G0237 G0239G0281 G0283G0295 G0295G0329 G0329S8948 S8948S8950 S8950S8990 S8990

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0019T 0019T0101T 0102T0183T 0183T20974 2097420979 2097929000 2904929055 2905529058 2905829065 2906529075 2907529085 2908629105 2913129200 2928029305 2936529440 2958429700 2975064550 6455092597 9259793668 9366895831 9583495851 9585295992 9599297001 9894399366 9936699368 99368

0424PHYSICAL THERAPY/ EVALUATION OR RE-EVALUATION G0151 G0151

G0175 G0175G0282 G0282V5362 V536492065 9206592597 9259795831 9583195834 9583495851 9585297001 9776297802 9894399366 9936699368 99368

0429 PHYSICAL THERAPY/ OTHER G0151 G0151G0175 G0175G0237 G0239G0281 G0281G0283 G0283G0295 G0295G0329 G0329V5362 V53640019T 0019T0042T 0042T0075T 0081T0101T 0102T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0183T 0183T0274T 0274T10022 1002219030 1903019290 1929119295 1929520500 2050120555 2055520974 2097420979 2097921116 2111622520 2252223350 2335024220 2422025246 2524620973 2709627370 2737027648 2764829000 2900029010 2901529035 2903529040 2904929055 2905829065 2906529075 2907529085 2908629105 2910529125 2912629130 2913129200 2928029305 2930529325 2932529345 2935529358 2935829365 2936529405 2944529450 2945029505 2950529515 2955029580 2958429590 2979932555 3255532557 3255736005 3600536010 3601536100 3614036160 3616036200 3621836221 3622836245 3624837200 3720838790 3879241019 4101947000 4700047011 47011

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO47382 4738247399 4739947505 4750547511 4751147525 4753047552 4755647579 4757947630 4763048102 4810248511 4851149083 4908449180 4918049250 4925049400 4940049411 4941149421 4942964550 6455092597 9259793668 9366895831 9583495851 9585297001 9894399366 99368

0430 OCCUPATION THERAPY/ GENERAL G0129 G0129G0152 G0152G0158 G0160G0237 G0239G0281 G0281G0283 G0283G0329 G03290019T 0020T0042T 0042T0076T 0081T0101T 0102T0120T 0120T0123T 0124T0183T 0183T0274T 0274T10022 1002219030 1903019290 1929119295 1929520500 2050120555 2055520974 2097420979 2097921116 2111622520 2252223350 2335024220 2422025246 2524627093 2709627370 27370

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO27648 2764829000 2904029044 2904429046 2904629049 2904929055 2905529058 2905829065 2906529075 2907529085 2908629105 2913129200 2920029240 2928029305 2930529325 2932529345 2934529355 2935529358 2935829365 2936529440 2944529450 2945029505 2954029550 2955029580 2958429700 2975032555 3255532557 3255736005 3601536100 3616036200 3621836221 3622836245 3624837200 3720838790 3879241019 4101947000 4700047011 4701147382 4738247505 4750547511 4751147525 4752547530 4753047552 4755647579 4757947630 4763048102 4810248511 4851149083 4908449180 4918049250 4925049400 4940049411 4941149421 4942964550 6455092065 92065

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92526 9252692597 9259792606 9260692609 9260993668 9366895831 9583495851 9585297001 9894399366 9936699368 99368

0431 OCCUPATIONAL THERAP/VISIT G0129 G0129G0152 G0152G0237 G0239G0281 G0283G0295 G0295G0329 G0329S9129 S91290019T 0020T0101T 0102T0120T 0120T0123T 0124T0183T 0183T20974 2097420979 2097929000 2908629105 2944029505 2958429700 2975064550 6455092065 9206592526 9259792606 9260692609 9260993668 9366895831 9583495851 9585297001 9894399366 9936699368 99368

0432 OCCUPATIONAL THERAPY/HOUR G0129 G0129G0152 G0152G0175 G0175G0237 G0239G0281 G0283G0295 G0295G0329 G03290019T 0020T0101T 0102T0120T 0120T0123T 0124T0183T 0183T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO20974 2097420979 2097929000 2908629105 2913129200 2928029305 2944029505 2958429700 2975064550 6455092065 9206592526 9252692597 9259792606 9260692609 9260993668 9366895831 9583495851 9585297001 9894399366 9936699368 99368

0433 OCCUPATIONAL THERAPY/GROUP THERAPY G0129 G0129G0152 G0152G0175 G0175G0237 G0239G0281 G0283G0295 G0295G0329 G03290019T 0020T0120T 0120T0123T 0124T0183T 0183T20974 2097420979 2097929000 2908629105 2913129200 2920029240 2928029305 2944029505 2958429700 2975064550 6455092065 9206592526 9252792605 9260692609 9260993668 9366895831 9583495851 9585297001 9894399366 9936699368 99368

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0434 OCCUPATIONAL THERAPY/EVALUATION G0152 G0152

G0175 G0175 V5362 V5364 0019T 0020T 0120T 0120T 0123T 0124T 92065 92065 92526 92526 92597 92597 92605 92618 97001 98943 99366 99366 99368 99368

0439 OCCUPATIONAL THERAPY/ OTHER G0129 G0129 G0152 G0152

G0175 G0175 G0237 G0239 G0281 G0283

G0295 G0295 G0329 G0329 0019T 0019T 0101T 0102T 0183T 0183T

20974 2097420979 2097929000 2908629105 2913129200 2928029305 2936529440 2944029505 2958429590 2959029700 2979964550 6455092065 9206592526 9252692597 9259792606 9260692609 9260995831 9583495851 9585197012 9703997110 9754697597 9760697750 9779999366 9936699368 99368

0440 SPEECH - LANGUAGE PATHOLOGY/ GENERAL G0151 G0151G0153 G0153G0161 G0161G0175 G0175

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOG0282 G0283S9128 S91280019T 0019T0101T 0102T0183T 0183T20974 2097420979 2097929000 2928029358 2935829440 2944029505 2958029590 2979964550 6455092502 9250492507 9250892516 9252692597 9259792601 9260992630 9263092633 9263392640 9264095851 9585197001 9894399366 9936699368 99368

0441 SPEECH PATHOLOGY/VISIT G0153 G0153G0175 G0175S9128 S912892502 9250892516 9252092526 9252692597 9259792601 9260492606 9261092614 9261492616 9261692620 9262192625 9270097150 9715097530 9753797545 9754697755 9775597760 9776299366 9936699368 99368

0442, 0443 SPEECH PATH/HOUR/GROUP G0153 G0153G0175 G0175S9128 S912892502 9250892516 9252092526 92526

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92597 9259792601 9270097150 9715097530 9753797545 9754697755 9775597760 9776299366 9936699368 99368

0444 SPEECH PATHOLOGY/EVALUATION G0153 G0153G0175 G0175S9128 S9128S9152 S9152V5362 V536492502 9250892516 9252692597 9259792603 9260592607 9260792610 9261292614 9264092700 9270096105 9610599366 9936699368 99368

0449 SPEECH PATHOLOGY/ OTHER G0153 G0153G0175 G0175S9128 S912892502 9250892516 9252692597 9259792601 9260492700 9270097150 9715097530 9753797545 9754697755 9775597760 9776299366 9936699368 99368

0450 EMERGENCY ROOM/ GENERAL C5271 C5278C8957 C8957C9724 C9728C9750 C9750G0104 G0105G0121 G0121G0127 G0127G0168 G0168G0175 G0175

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOG0186 G0186G0245 G0249G0268 G0268G0276 G0276G0364 G0364G0413 G0413G0460 G0460P9612 P9612P9615 P9615Q0081 Q0081Q3014 Q3014T1503 T15030019T 0019T0071T 0072T0099T 0102T0123T 0124T0171T 0172T0181T 0181T0183T 0183T0186T 0186T0190T 0190T0193T 0193T0207T 0207T0213T 0218T0228T 0232T0250T 0252T0263T 0271T0278T 0278T0282T 0284T0288T 0288T0290T 0290T0300T 0304T0307T 0308T0313T 0325T0334T 0342T0356T 0356T0377T 0380T0388T 0388T0392T 0393T0397T 0397T0400T 0420T0425T 0436T0440T 0442T0444T 0450T0453T 0454T0457T 0458T0460T 0460T0465T 0468T10000 6999089230 8923090632 9074990760 9077990780 9078490788 9079992002 92004

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92012 9202592060 9206092081 9208392502 9250292511 9251292950 9295392960 9296193592 9359296360 9636196365 9637796379 9637996521 9652396567 9656796570 9657197597 9759897602 9760898966 9896999024 9902499090 9909099170 9917599281 9928599288 9928899291 9929299354 9935999366 9936899381 9938799391 9939799401 9940499408 9941299420 9942099429 9942999450 9946099463 9946499466 9946799485 99486

0451 EMERGENCY ROOM/EMTALA 10000 6999990632 9074990760 9077990780 9078490788 9079999281 9928599291 9929299354 99359

0452 EMERGENCY ROOM/BEYOUND EMTALA G0168 G0168G0175 G0175

0181T 0181T 0183T 0183T 0186T 0186T 10000 69999 90632 90749 90760 90784

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO 90788 90799 92020 92020 92025 92025 92060 92060 99281 99285 99291 99292 99354 99359 99408 99409

0456 URGENT CARE G0168 G0168G0175 G0175

G0268 G0268 G0380 G0384 G0463 G0463 0181T 0181T 0183T 0183T

0186T 0186T0190T 0190T0193T 0193T0250T 0252T10000 6999090632 9074990760 9078490788 9079992020 9206092512 9251296360 9636196365 9637696379 9637999024 9902499051 9905399060 9906099091 9909199201 9921599281 9928599291 9929299354 9935599358 9935999408 9940999415 99416

0459 EMERGENCY ROOM/ OTHER G0168 G0168G0175 G0175G0268 G02680181T 0181T0183T 0183T0186T 0186T0341T 0341T0378T 0380T10000 6999990632 9074990760 9078490788 90799

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92002 9206092081 9208392502 9250298966 9896999024 9902499281 9928599291 9929299354 9935999408 99409

0460 PULMONARY FUNCTION/ GENERAL 0085T 0085T0243T 0244T36600 3600082800 8282093720 9372294010 9401194014 9401694060 9407094150 9415094200 9420094250 9425094375 9437594400 9440094450 9445094452 9445394610 9462194680 9468194690 9469094726 9472994750 9478195012 95012

0469 PULMONARY FUNCTION/OTHER 0085T 0085T36000 3600082800 8282093720 9377294010 9479995012 95012

0470 AUDIOLOGY/ GENERAL G0268 G026892504 9250492506 92506

92511 92511 92542 92548 92550 92551 92552 92557 92560 92565 92567 92572 92575 92587 92579 92579 92582 92588 92590 92597

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO 92603 92604 92607 92608 92620 92621 92625 92627

92630 9263092633 92633

92640 92640 92700 92700

0471 AUDIOLOGY/DIAGNOSTIC G0268 G0268

V5010 V5011V5014 V5014V5020 V5020V5299 V52990208T 0212T92252 9225292502 9251192537 9253792540 9254292544 9254892550 9257992582 9259692601 9260892618 92627

0472 AUDIOLOGY/ TREATMENT V5010 V5011V5014 V5014V5020 V502092507 9250892630 9263092633 92633

0480 CARDIOLOGY/ GENERAL C9600 C9608C9750 C9750

G0166 G0166G0248 G0249G0448 G0448Q0035 Q00350085T 0085T0205T 0205T0272T 0273T0302T 0307T0326T 0328T0387T 0387T0389T 0391T0462T 0463T0475T 0477T0501T 0504T33206 3322433226 3323533240 3324433249 33249

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO33262 3326433270 3327334839 3483992920 9292592928 9292992933 9293492937 9293892941 9294492950 9295392960 9296192970 9297192973 9297592977 9298492986 9298792990 92998

93025 9302593050 93261

93279 93292 93296 93296 93313 93313 93316 93316 93318 93318 93464 93464 93503 93505

93530 93533 93561 93562 93571 93572 93580 93582

93590 93591 93600 93603 93609 93624 93631 93631 93640 93644 93650 93657 93660 93662

93668 93668 93701 93702 93720 93721 93724 93724 93740 93788

93792 93793 99190 99192

0481 CARDIOLOGY/ CARDIAC CATH LAB C9600 C9608C9741 C9741G0275 G0275G0278 G0278

G0290 G02910205T 0205T0291T 0292T0387T 0387T0501T 0504T92920 9294492973 92975

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92977 9298292984 9298492986 9298792990 9299092992 9299392995 9299893451 93464

93503 93503 93505 93505 93530 93533 93561 93568 93571 93572 93580 93581 93650 93657

0482 CARDIOLOGY/ STRESS TEST Q0035 Q00350439T 0439T

93015 93018 93024 93024 93050 93050

93464 93464 93660 93660 93662 93662

94618 94618 94620 94621

0483 CARDIOLOGY/ ECHOCARDIOLOGY C8921 C8928C8930 C89300399T 0399T0439T 0439T76825 7682876930 7693276936 7693693303 9330493306 9330893312 9331893320 9332193325 9332593350 9335293355 93355

0490 AMBULATORY SURGERY CARE C9726 C9728C9739 C9742C9750 C9750G0276 G0276Q1001 Q10050016T 0017T0027T 0027T0046T 0046T0054T 0055T

0062T 0063T 0071T 0072T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO 0075T 0081T 0084T 0088T 0099T 0102T 0123T 0124T 0137T 0137T 0170T 0172T 0176T 0177T 0183T 0184T 0186T 0186T 0190T 0192T 0198T 0202T

0207T 0207T0213T 0218T0229T 0232T0250T 0253T0263T 0265T0267T 0271T0274T 0275T0282T 0284T0288T 0290T0302T 0304T0307T 0308T0334T 0336T0342T 0342T0347T 0347T0356T 0356T0376T 0376T0388T 0388T0397T 0397T0400T 0436T10000 6999096567 9656796570 96571

96920 9692296931 96936

0491 OTHER AMBULATORY SURGICAL CARE Q1001 Q10050016T 0017T0027T 0027T0046T 0046T0062T 0063T0084T 0088T0099T 0102T0123T 0124T0137T 0137T0170T 0170T0176T 0177T0183T 0183T0186T 0186T10000 69999

0499 OTHER AMBULATORY SURGICAL CARE Q1001 Q10050016T 0017T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0027T 0027T0046T 0046T0062T 0063T0084T 0088T0099T 0102T0123T 0124T0137T 0137T0170T 0170T0176T 0177T0183T 0183T0186T 0186T10000 69999

0510 CLINIC/ GENERAL C5271 C5278C8957 C8957C9724 C9728C9749 C9750C9800 C9800G0102 G0102G0104 G0105G0117 G0118G0121 G0121G0127 G0127G0168 G0168G0175 G0175G0186 G0186G0245 G0249G0260 G0260G0268 G0268G0283 G0283G0364 G0364G0413 G0413G0428 G0429G0460 G0460G0463 G0463G0516 G0516P9612 P9612P9615 P9615Q0081 Q0081Q3014 Q3014S0265 S02650019T 0019T0071T 0072T0099T 0102T0123T 0124T0171T 0172T0181T 0181T0183T 0183T0186T 0187T0190T 0193T0199T 0199T0207T 0207T0213T 0218T0228T 0232T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0250T 0253T0263T 0271T0274T 0275T0278T 0278T0282T 0284T0288T 0288T0299T 0304T0307T 0308T0313T 0317T0319T 0325T0334T 0342T0356T 0356T0376T 0380T0388T 0388T0392T 0393T0397T 0397T0400T 0402T0404T 0420T0425T 0436T0465T 0468T0479T 0480T0489T 0489T0492T 0492T10021 1002210040 1100111010 1101211042 1104711055 1105711100 1110111200 1120111300 1131311400 1140611420 1142611440 1144611450 1145111462 1146311470 1147111600 1160611620 1162611640 1164611719 1172111730 1173211740 1177211900 1190111920 1192211950 1198312001 1203712041 1204712051 1205713100 1310213120 1312213131 1313313150 1315313160 1316014000 14001

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO14020 1402114040 1404114060 1406114350 1435015002 1500515040 1505015100 1510115110 1511115115 1511615120 1512115130 1513115135 1513615150 1526115271 1527815570 1557615600 1565015730 1575015760 1579315819 1595816000 1603517000 1738019000 1912619260 1926019290 1929119294 1929819300 1933019340 1935719366 1936619370 1937119380 1938019396 1939620005 20103

20150 2015020200 2020620220 2022520240 2025120500 2050120520 2052720550 20697

20822 20822 20900 20931

20939 20939 20950 20950 20972 20982 21010 21010 21013 21016

21025 2103421040 2104021044 2108921100 2110021110 2111021116 2111621120 2112721137 21139

21150 21150

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO 21175 21175 21181 21181 21195 21195 21198 21199

21206 2121521230 21249

21260 21267 21270 21296

21310 2136521385 21385

21390 21390 21400 21421 21440 21502 21550 21610

21685 2168521700 2170021720 2712521742 21743

21800 2180521811 21813

21820 2182021920 2193622100 2210322222 2222222305 2231522505 22526

22551 22551 22554 22554

22612 2261422851 2285122856 2285622859 2285922867 2287022900 2290523000 2307823100 2319523330 2333123350 2335023395 2339723400 2349123500 2380223921 2392123929 2393524000 2407924100 2416424200 2437124400 2443524470 2449824500 2458724600 2468524800 2480224925 2493525000 2500125020 2508525100 25295

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO25300 2678526820 2699227000 2700327006 2700627027 2702727033 2703527040 2705227057 2706727080 2708727093 2709827100 2711127193 2719427197 2719827200 2720227220 2722027230 2723027235 2723527238 2723827246 2724627250 2725227256 2725727265 2726727275 2727527301 2730127305 2731027323 2732927330 2733527337 2736427370 2744327446 2744627475 2747527496 2750327508 2751027516 2751727520 2753227538 2753827550 2755227560 2757027594 2759427600 2762027625 2762627630 2763027632 2764127648 2769827700 2770927720 2772227726 2772627730 2778827792 2779227808 2787127884 2788427889 2789428001 2802428035 2803528039 28039

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO28041 2843628445 2876028810 2882528890 2889029000 2913129200 2958429700 2975030000 3016030200 3063030801 30802

30901 30930 31000 31090 31200 31205 31231 31288

31292 3129531297 3129731300 3132031400 3158231588 3159531600 3165131660 3166131717 3172031730 3175531785 3178531820 3183032201 3220132400 3240532550 3255632560 3256232601 3260132604 3260932960 3296032998 3299833010 3301133206 3323533240 3324433249 3324933262 3326433282 3328433340 3334031591 3159233340 3334033390 3339133508 3350834101 3410134111 3411134201 3420334421 3442134471 3447134490 3449034501 3450134510 3453034713 3471635011 3501135045 35045

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO35180 3518035184 3518435188 3518835190 3519035201 3520735226 3523635256 3526635286 3528635321 3532135458 3550035572 3557235685 3568635761 3576135860 3586035875 3588435903 3590336000 3601536100 3626236400 3642536456 3645636465 3646536468 3648136473 3647436482 3648336500 3652236555 3662536640 3664036680 3668036800 3683836860 3686136870 3687036901 3690937183 3718837191 3719737200 3721437246 3274937250 3725137500 3750137565 3756537600 3760937615 3761537619 3761937650 3765037700 3770037718 3771837722 3772237735 3773537760 3776137765 3776637780 3778537790 3779038120 3812038129 3812938200 3820038220 38222

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO38300 3830838500 3858938700 3872038740 3874538760 3876038790 3879438900 3890039400 3940040490 4049040500 4053040650 4065440700 4070240720 4072040761 4076140800 4080140804 4084541000 4101941100 4112041250 4125241500 4151241520 4153041800 4180641820 4183041850 4185041870 4187442000 4228142300 4251042550 4266542700 4284442860 4289242900 4290042950 4296242970 4297243020 4303043130 4313043200 4320643215 4322843231 4325243255 4327343280 4328143284 4328543289 4328943450 4345343456 4345843510 4351043651 4377043830 4383143870 4387043886 4388844100 4410044180 4418044186 4418644206 4420844213 4421344238 44238

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO44312 4431244340 4434044360 4450044701 4470144901 4490144950 4495544970 4497045000 4500545020 4502045100 4510045108 4510845150 4519045300 4538745391 4539246500 4650546600 4660046604 4660646608 4670046706 4670646750 4676246900 4691046916 4691746922 4692446930 4694747000 4700147011 4701147370 4737147379 4737947382 4738247490 4749047500 4756447579 4757947630 4763048102 4810248511 4851149021 4908449180 4918049250 4925049320 4940249411 4941149418 4942449426 4942749429 4960049650 4965950020 5002150080 5008150200 5020050382 5039850541 5054150544 5054450549 5059350684 5069050945 5105051065 5152051535 51535

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO51600 5172951741 5174151784 5178551792 5179251797 5179851880 5188051990 5235552400 5240252450 5245052500 5250052601 5260152630 5341053420 5344753449 5385253860 5386054120 5412054150 - FECA Only 54150 - FECA Only54164 5416454200 5432854340 5438554400 5441654420 5442054435 5453054550 5560055680 5572555860 5586055870 5587355920 5592056405 5644156501 5662556700 5674056800 5682157000 5702357061 5710957120 5718057200 5726857284 5729157295 5729557300 5730057310 5731057320 5742657452 5753057550 5812058145 5814558260 5826358270 5827058290 5829258294 5835658541 5854658550 5857358615 5867958770 5882358900 5892558970 5897659000 59001

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO59012 5910059150 5915159160 5916059200 - FECA Only 5920059320 5932059400 - FECA Only 59430 - FECA Only59515 - FECA Only 59515 - FECA Only59610 - FECA Only 59618 - FECA only59622 - FECA Only 59622 - FECA only59812 5981259820 5982160000 6025260260 6026060271 6030060500 6050260512 6052060659 6065961000 6107061215 6121561330 6133061334 6133461623 6162361626 6162661720 6172061770 6178161783 6179161880 6200062160 6216062194 6219462225 6225262263 6228762292 6229462320 6232762351 6304262380 6238063045 6304863055 6307563600 6361563650 6366263685 6368863741 6374664400 6445564479 6448464491 6456864570 6461564610 6461064620 6462064630 6464064650 6465364680 6468164702 6474664761 6480464820 6486564870 6491365091 65175

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO65205 6521065222 6522265235 6523565260 6527265275 6560065760 6578265800 6617566180 6618566220 6622566250 6625066500 6650566600 6663566680 6694066982 6699067005 6704367101 6712167141 6714567208 6721067218 6725567311 6734667400 6751567550 6757067700 6771567800 6797568020 6820068320 6837168400 6850068510 6885069000 6915069200 6920569210 6932069400 6940569420 6951169530 6955269601 6964669650 6974569801 6984069905 6993069955 6999089230 8923090867 9086991013 9101391117 9111792002 9202592060 9214092225 9237192502 9250492511 9251292950 9296193592 9359295115 9511795144 9514995165 9518095800 9581195992 95992

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO96040 9604096360 9637996521 9652396567 9656796570 9657197001 9700297597 9759897602 9760699024 9902499050 9905099091 9909199170 9917599201 9921599291 9929299354 9935599358 9935999366 9936899408 9940999455 9945699487 9948999496 99496

0511 CLINIC/ CHRONIC PAIN CENTER G0463 G04630019T 0019T

0101T 0102T0213T 0218T0228T 0231T0278T 0278T0282T 0284T20550 2055321013 2101421016 2101621932 2193321936 2193622903 2290523071 2307123073 2307323931 2393124140 2414725071 25071

25073 25073 25230 25230 26111 26111 27043 27043 27045 27045 27096 27096 27364 27364 27616 27616 27632 27632 28890 28890 31651 31651 31660 31661 61450 61450 61480 61480

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO 61790 61791 62273 62273 62280 62282 62310 62311 62350 62370 63003 63003 63016 63016 63046 63046 63048 63048 63055 63057 63075 63078 63085 63086 63170 63170 63185 63191 63195 63195 63197 63197 63199 63199 63600 63615 63650 63688 64400 64484 64505 64505 64520 64520 64550 64680 64702 64712 64714 64716 64718 64721 64732 64744 64761 64772 64782 64786 64788 64792 64818 64818 64820 64823 73200 73225

73700 73725 76005 76005

92002 9201495970 9599196360 9636196365 9637696379 9637997001 9700299145 9914599201 9921599366 99368

0512 DENTAL CLINIC D0120 D0180G0463 G04630405T 0405T40490 4049040500 4076140800 4084541000 4101841100 4112041250 41252

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO41500 4152041800 41806

41820 4182341825 4189942000 4228142300 4242542440 4269999145 9914599201 9920599211 9921599291 9929299354 9935599359 9935999366 9936899487 9948999495 99496

0513 PSYCHIATRIC CLINIC G0463 G0463P9612 P9615S0315 S0342T1015 T10150405T 0405T90804 9081490867 9086999145 9914599201 9921599291 9929299354 9935599359 9935999366 9936899408 9940999487 9948999495 99496

0520 FREESTAND CLINIC C5271 C5278C8957 C8957C9725 C9728C9800 C9800G0117 G0118G0127 G0127G0245 G0249G0260 G0260G0268 G0268G0281 G0281G0283 G0283G0460 G0463G0516 G0516P9612 P9612P9615 P96150071T 0072T0123T 0123T0124T 0124T0171T 0172T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0183T 0183T0186T 0186T0190T 0191T0192T 0192T0213T 0218T0228T 0232T0253T 0253T0263T 0271T0274T 0278T0282T 0284T0299T 0301T0313T 0325T0334T 0336T0338T 0339T0342T 0342T0376T 0376T0400T 0401T0404T 0405T0446T 0450T0453T 0454T0457T 0458T0460T 0460T0465T 0465T0467T 0468T10021 1002210040 1101011011 1101211042 1575015760 1579315847 1586016035 1603517000 1799919030 1903019105 1910519290 1929119294 1929519296 1930419307 1930720500 2065020662 2066320665 2066520822 2082220939 2093920972 2097321013 2101421016 2101621073 2107321116 2111621150 2115021175 2117521181 2118121195 2119521360 2136521385 2138521408 21408

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO21495 2149521800 2180521820 2182021899 2189921931 2193321936 2193622523 2252722551 2255122554 2255422851 2285122856 2285622903 2290523071 2307324357 2435925071 2507325109 2510925365 2536525606 2560926111 2611126600 2678527043 2704527325 2732627364 2736427416 2741627475 2747527616 2761627720 2772227726 2772628055 2805528446 2844628890 2889029581 2958431253 3125331257 3125931298 3129831651 3165131660 3166132994 3299436251 3625436470 3647136473 3647336500 3652236598 3659836901 3690637183 3719537718 3772238220 3830838500 38555

38570 3872038740 3874538760 3876038790 3899939400 3940040490 4112041250 41520

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO41599 4242542440 4284442860 4289242900 4295042955 4296042962 4297042972 4303043130 4313044180 4418644213 4421344238 4423845499 4549945990 4599046505 4650547000 4700047382 4738247399 4739947500 4753047552 4755647579 4757947630 4763047999 4799948102 4810248511 4851148999 4899949180 4918049250 4925049400 4940049421 4942449426 4942749429 4942949435 4946550021 5002150080 5008150200 5020050382 5039850541 5054150544 5054450549 5054950592 5059350684 5069051020 5105051065 5110251600 5172651741 5174151792 5179251797 5199952700 5270053040 5306054230 5423554560 5456054865 5486555300 5530055600 5560055870 55870

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO55875 5587655920 5592056405 5642056442 5644256820 5682157282 5728357292 5729557420 5742158110 5811058300 5835658970 5905159100 5910059200 - FECA Only 59200 - FECA Only59400 - FECA Only 59430 - FECA Only59515 - FECA Only 59515 - FECA Only59610 - FECA Only 59610 - FECA Only59614 - FECA Only 59618 - FECA Only59622 - FECA Only 59622 - FECA Only59812 5982159870 5987059871 - FECA Only 59871 - FECA Only60271 6027160300 6030061334 6133462160 6216062225 6223062268 6228762292 6229463075 6307664400 6445064479 6448464505 6455064600 6461664620 6468064763 6476665760 6576765771 6577165900 6613067700 6771567875 6787569090 6909069200 6922269400 6942469710 6971169990 6999089230 8923093792 9379296040 9604096360 9637996573 9657497597 9759897602 9760698966 9896999091 9909199201 99215

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO99291 9929299354 9935599359 9935999366 9936899408 9940999411 9941699429 9942999441 9944999450 9945099455 9945699487 9948999495 99498

0529 OTHER FREE STANDING CLINICS C5271 C5278C8957 C8957C9725 C9728G0117 G0118G0127 G0127G0245 G0249G0260 G0260G0268 G0268G0282 G0283G0460 G0460G0463 G0463P9612 P9615S0265 S02650071T 0072T0190T 0191T0193T 0193T0213T 0218T0229T 0231T0253T 0253T0263T 0265T0267T 0271T0274T 0275T0278T 0278T0282T 0284T0299T 0301T0335T 0336T0338T 0339T0342T 0342T0376T 0376T0400T 0401T0404T 0404T0449T 0449T0453T 0465T11045 1104722856 2285622903 2290323071 2307324357 2435725071 2507325109 2510925365 25365

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO25606 2560625931 2593126111 2611126600 2660526607 2660726615 2661526641 2664126645 2664526650 2665026665 2666526670 2667526685 2668526700 2670026705 2670526715 2671526720 2672026725 2672526727 2672726735 2673526740 2674226746 2674626750 2675026755 2675526765 2676526770 2677526785 2678527043 2704527325 2732527364 2736427416 2741627475 2747527616 2761627720 2722027720 2772227726 2772628055 2805528446 2844628890 2889029581 2958429904 2990731651 3165131660 3166136251 3625436500 3651036514 3651636522 3652236592 3659336598 3659836901 3690637183 3718837191 3719537718 3771837222 3722238220 3822138230 38232

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO38240 3824338300 3830838500 3853038530 3853038542 3854238550 3855538570 3857238700 3879438900 3890040490 4049040500 4053040650 4065440700 4070240720 4072040761 4076140800 4084541000 4101041015 4101541019 4101941100 4112041250 4125241500 4152041800 4180641820 4183041850 4185041870 4187442000 4218242200 4222742235 4223542260 4228142300 4234042400 4242542440 4245042500 4251042550 4255042600 4260042650 4266542700 4272542800 4283642842 4284442860 4286042870 4287042890 4289242900 4290042950 4296242970 4297243020 4303043130 4313044180 4418044186 4418644238 4423845900 4590046505 4650547000 4700047382 47382

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO47552 4755247556 4755647579 4757948102 4810249082 4908249180 4918049250 4925049400 4940049421 4942449426 4942749429 4942949435 4943649440 4944249446 4944649450 4945249460 4946049465 4946550021 5002150080 5008150200 5020050382 5039850541 5054150544 5054450580 5058050592 5059350684 5069051020 5105051065 5106551080 5108051100 5110251535 5153551600 5172651728 5172951741 5174151792 5179251797 5179852700 5270053040 5306054230 5423554560 5456054865 5486555300 5530055600 5560055870 5587055875 5587655920 5592056405 5642056442 5644256820 5682157282 5728357292 5729557420 5742158110 5811058300 5830158340 58340

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO58345 5834658350 5835358356 5835658541 5854158970 5897159000 5905159100 5910059200 - FECA Only 59200 - FECA Only59400 - FECA Only 59400 - FECA Only59409 - FECA Only 59430 - FECA Only59515 - FECA Only 59515 - FECA Only59610 - FECA Only 59610 - FECA Only59614 - FECA Only 59614 - FECA Only59618 - FECA Only 59618 - FECA Only59622 - FECA Only 59622 - FECA Only59812 5982159870 5987160271 6027160300 6030061334 6133462160 6216062225 6223062268 6228762292 6229462302 6230262320 6232763075 6307664400 6445064479 6448464505 6453064600 6461564620 6463664640 6464064650 6465064653 6465364680 6468064763 6476665760 6576765771 6577165900 6613067700 6771567875 6787569200 6922269400 6942469710 6971169990 6999089230 8923096360 9637697597 9759897605 9760698966 9896999091 9909199170 9917099201 9921599291 99292

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO99354 9935599359 9935999366 9936899408 9940999456 99456

0530, 0531, 0539OSTEOPATH SERVICES/ GENERAL/ THERAPY/ OTHER 97001 98943

0550 SKILLED NURSING/ GENERAL G0128 G0128G0154 G0154G0162 G0164G0493 G0496S9123 S9124T1000 T1004T1017 T1017T1030 T103199500 9950199504 9950799511 9951299601 99602

0551 SKILLED NURSING/ VISIT G0128 G0128G0154 G0154S9123 S9124T1000 T1004T1017 T1017T1030 T103199500 9950199504 9950799511 9951299601 99602

0552 SKILLED NURSING /HOUR G0154 G0154S9123 S9124T1000 T1004T1017 T1017T1030 T103199504 9950799511 9951299602 99602

0559 SKILLED NURSING /OTHER G0128 G0128G0154 G0154S9123 S9124T1000 T1004T1017 T1017T1030 T103199500 9950299504 9950599507 99507

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO99511 9951299601 99602

0560, 0561, 0562, 0569MED SOCIAL SERVICES / GENERAL/ VISIT/HOURLY/ OTHER G0155 G0155

S9127 S912799500 9950199510 99510

0570, 0571 HOME HEALTH AIDE/ GENERAL/ VISIT G0156 G0156S5125 S5126S9122 S9122T1021 T1022T1030 T103199500 9950199504 9950599507 9951299601 99602

0572, 0579 HOME HEALTH AIDE-HOURLY CHARGE G0156 G0156S5120 S5121S5125 S5126S9122 S9122T1021 T1022T1030 T103199500 9950199504 9950599507 9951299601 99602

0580, 0581, 0582, 0583, 0589

OTHER VISIT -HOME HEALTH/ GENERAL/ VISIT/ HOURLY/ DIETICIAN/ OTHER S5108 S5109 S5125 S5126

T1021 T1021 T1030 T1031 99500 99501 99503 99600 99602 99602

0590 UNITS OF SERVICE-HOME HEALTH/ GENERAL G0156 G0156S5125 S5126S9122 S9122T1021 T102299500 9950099503 9950999511 9951299601 99602

0610 MRI/ GENERAL C8913 C8913 G0260 G0260 0075T 0076T 0078T 0081T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0159T 0159T19081 1908219085 1908619283 1928419287 1928820555 2055522520 2252227093 2709627370 2737027648 2764836005 3601536100 3624837200 3720838792 3879241019 4101949405 4940749411 49411

50593 5059355920 55920

62310 6231162318 6231970010 7699977001 7701177021 7702277031 7703177051 7705477057 7705977071 7707577080 77084

0611 MRI/ BRAIN 22520 2252227093 2709527370 2737027648 2764837200 3720041019 4101970010 7699977001 7701177021 7702177031 7703177051 7705477057 7705977071 7707577080 77084

0612 MRI/ SPINAL CORD G0260 G026027093 2709627370 2737027648 2764837200 3720070010 7699977001 7701177021 77021

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO77031 7703177053 7705477058 7705977071 7707577080 77084

0614 MRI/ OTHER C8903 C8908G0260 G02600075T 0075T0076T 0081T0159T 0159T10030 1003010035 1003620555 2055527093 2709527370 2737027648 2764836005 3614036160 3624837200 3720838792 3879241019 4101949405 4940750593 5059355920 5592070010 7699977001 7701177021 7702177031 7703177053 7705477058 7705977071 7707577080 77084

0615 MRA/ HEAD AND NECK 27093 2709527370 2737027648 2764837200 3720770010 7699977001 7701177021 7702177031 7703177053 7705477058 7705877071 7707577080 77084

0616 MRA/ LOWER EXTREMETIES G0260 G026027093 2709527370 2737027648 2764836005 36140

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO36160 3616036200 3621836245 3624837200 3720770010 7699977001 7701177021 7702177031 7703177053 7705477058 7705877071 7707577080 77084

0618 MRA/ OTHER C8900 C8902C8909 C8920C8931 C8936G0260 G02600075T 0081T22520 2252227093 2709627370 2737027648 2764836005 3614036160 3616036200 3621836245 3624837200 3720838792 3879262310 6231162318 6231970010 7699977001 7701177021 7702177031 7703177053 7705477058 7705877071 7707577080 77084

0619 MRT/ OTHER C9734 C9734C9736 C9736G0260 G02600075T 0081T20555 2055522520 2252227093 2709627370 2737027648 2764836005 3616036200 3622836245 3720838792 3879241019 41019

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO50593 5059355920 5592062310 6231162318 6231970010 7699977001 7701177021 7702177031 7703177053 7705477058 7705977071 7707577080 77084

0635 Erythropoietin (EPO) MORE THAN 10,000 UNITS J0886 J0886Q4081 Q4081

0636 DRUGS/DETAIL CODE A4642 A4642A9583 A9585A9606 A9606C1822 C1822C8913 C8913C9025 C9027C9030 C9034C9113 C9130C9132 C9132C9248 C9254C9257 C9257C9275 C9293C9295 C9298C9349 C9349C9358 C9363C9399 C9399C9447 C9447C9460 C9460C9462 C9468C9470 C9483C9497 C9497G0260 G0260G9017 G9020G9033 G9035G9138 G9138J0120 J0120J0129 J0135J0150 J0153J0171 J0221J0256 J0257J0278 J0558J0561 J0561J0571 J0575J0583 J0592J0594 J0598J0600 J0630J0636 J0641

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ0670 J0670J0690 J0692J0694 J0698J0702 J0702J0706 J0706J0710 J0710J0712 J0717J0720 J0720J0725 J7025J0735 J7035J0740 J0745J0770 J0770J0775 J0775J0780 J0780J0795 J0795J0800 J0800J0833 J0834J0840 J0840J0875 J0875J0878 J0878J0881 J0888J0890 J0890J0894 J0895J0897 J0897J0945 J0945J1000 J1120J1130 J1130J1160 J1165J1170 J1447J1450 J1458J1460 J1460J1555 J1557J1559 J1559J1566 J1568J1573 J1575J1580 J1580J1595 J1595J1600 J1610J1626 J1627J1630 J1631J1640 J1640J1644 - Energy Only J1644 - Energy OnlyJ1645 J1645J1650 J1650J1652 J1652J1655 J1655J1670 J1730J1740 J1750J1756 J1756J1786 J1786J1790 J1790J1800 J1817J1815 J1826J1830 J1833J1840 J1850

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ1885 J1885J1890 J1890J1930 J1930J1940 J1945J1950 J1950J1953 J1956J1960 J1960J1980 J1980J1990 J1990J2001 J2310J2315 J2543J2547 J2547J2550 J2650J2670 J2675J2680 J2680J2690 J2690J2700 J2700J2704 J2704J2710 J2710J2720 J2720J2724 J2724J2730 J2730J2760 J2760J2765 J2765J2770 J2770J2778 J2778J2780 J2780J2783 J2783J2785 J2786J2788 J2788J2790 J2796J2800 J2800J2805 J2805J2810 J2810J2820 J2820J2840 J2840J2850 J2850J2860 J2860J2910 J2910J2916 J2916J2920 J2920J2930 J2941J2950 J2950J2993 J2993J2995 J2995J2997 J2997J3000 J3000J3010 J3095J3101 J3110J3121 J3121J3145 J3150J3230 J3250J3260 J3265J3280 J3285J3285 J3285

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOJ3300 J3358J3360 J3364J3370 J3370J3380 J3385J3396 J3396J3400 J3430J3420 J3465J3470 J3480J3485 J3485J3488 J3489J3490 J3490J3520 J3590J7131 J7131J7175 J7198J7200 J7300J7303 J3708J7312 J7321J7326 J7345J7500 J7527J7665 J7665J7674 J7674J7800 J7805J8498 J8498J8501 J8597J8600 J8655J8670 J8670J8700 J8705J9000 J9065J9070 J9070J9098 J9098J9100 J9130J9145 J9160J9171 J9219J9225 J9261J9263 J9271J9280 J9285J9293 J9295J9300 J9308J9310 J9315J9320 J9400J9600 J9600P9041 P9041P9045 P9047Q0138 Q0139Q0144 Q0144Q0161 Q0181Q0510 Q0515Q2004 Q2004Q2009 Q2009Q2017 Q2017Q2034 Q2039Q2041 Q2043Q2049 Q2050Q3025 Q3027Q4082 Q4082

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TOQ4100 Q4108Q4110 Q4137Q4143 Q4145Q4165 Q4167Q4176 Q4181Q5101 Q5103Q5106 Q5106Q5108 Q5108Q5110 Q5110Q9958 Q9969Q9991 Q999590296 9029690371 9037890396 9039690476 9047790581 9063290636 9063690645 9064890653 9065490656 9065790660 9066290670 9068190685 9068790688 9069290697 9069890703 9074090743 9074490746 90747

0650 HOSPICE/ GENERAL Q5010 Q5010S0255 S0255T2042 T204662321 62327

0651, 0652HOSPICE SERVICES/ ROUTINE HOME CARE/ CONTINUOUS HOME CARE Q5001 Q5010

S9126 S9126T2042 T2046

0681 TRAUMA RESPONSE/ LEVEL I G0390 G039099284 9928599291 99292

0720 DELIVERY ROOM/LABOR 59020 - FECA Only 59020 - FECA Only59200 - FECA Only 59200 - FECA Only 59400 - FECA Only 59400 - FECA Only59412 - FECA Only 59412 - FECA Only59430 - FECA Only 59430 - FECA Only59514 - FECA Only 59514 - FECA Only59610 - FECA Only 59610 - FECA Only59622 - FECA Only 59622 - FECA Only59871 - FECA Only 59871 - FECA Only

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO

0722; 0724; 0729 DELIVERY ROOM/ BIRTHING CENTER/ OTHER 59514 - FECA Only 59514 - FECA Only59610 - FECA Only 59610 - FECA Only59622 - FECA Only 59622 - FECA Only59871 - FECA Only 59871 - FECA Only

0760 TREATMENT/OBSERVATION ROOM 0400T 0401T34839 3483999217 9922399231 9923699238 99239

0761 TREATMENT ROOM C5271 C5278C8957 C8957C9724 C9728C9740 C97450C9800 C9800G0104 G0105G0121 G0121G0168 G0168G0186 G0186G0245 G0249G0259 G0260G0268 G0269G0282 G0283G0295 G0295G0297 G0297G0364 G0364G0413 G0413G0456 G0457G0460 G0460G0501 G0518G9147 G9147P9612 P9612P9615 P9615Q0081 Q0081S0265 S02650019T 0019T0071T 0072T0100T 0102T0123T 0124T0171T 0172T0181T 0181T0183T 0183T0186T 0187T0190T 0193T0198T 0199T0213T 0218T0228T 0232T0250T 0253T0260T 0261T0263T 0265T0267T 0271T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0274T 0278T0282T 0284T0299T 0304T0307T 0308T0313T 0325T

0336T 0336T0338T 0342T0376T 0376T0378T 0380T0388T 0388T0392T 0393T0404T 0404T0406T 0421T0425T 0436T0440T 0441T0445T 0449T0453T 0454T0457T 0458T0460T 0460T0465T 0468T0479T 0480T0489T 0492T0507T 0507T10021 1002210040 1100111010 1575015760 1579315847 1586016035 1603517000 1799919030 1903019105 1910519290 1929119294 1929519296 1929820500 2066020662 2066320665 2066520822 2082220939 2093920972 2097321013 2101421016 2101621073 2107321116 2111621150 2115021175 2117521195 2119521360 2136521385 2138521408 2140821495 2149721800 2180521820 2182021899 21899

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO21931 2193321936 2193622523 2252522867 2287022903 2290523071 2307324357 2435925071 2507325606 2560925931 2593126111 2611126600 2678527043 2704527093 2709627197 2719827364 2736427370 2737027416 2741627475 2747527616 2761627634 2763427648 2764828039 2803928291 2829128295 2829528400 2841528430 2843628445 2866628890 2889029800 2990729999 3120531231 3128831292 3132031400 3158231551 3155431572 3157431588 3162531628 3164931717 3172031730 3175531785 3178531820 3189932201 3220132400 3240532550 3255432556 3255632560 3256032562 3256232601 3260632960 3296032994 3301133206 3322433233 3323533240 3324933282 33284

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO33340 3334033390 3339133508 3350833999 3400134101 3410134111 3411134201 3420334421 3442134471 3450134510 3453034713 3471635011 3501135180 3518035184 3518835190 3520735226 3522635231 3526635286 3528635321 3532135458 3550035572 3557235685 3568635761 3576135860 3586035875 3588435903 3590336000 3625436299 3642536456 3645636465 3664036680 3681536901 3690937183 3721437246 3424937250 3725137500 3761537619 3761937718 3772238220 3830838500 3855538570 3872038740 3874538760 3876038790 3879438999 3899939400 3940040490 4049040500 4112041250 4242542440 4284442860 4289242900 4295042955 4296042962 4297042972 43030

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO43130 4313043273 4327343284 4328544180 4418644213 4421344238 4423845172 4517245499 4549945990 4599046505 4650546930 4693047000 4700047011 4701147382 4738247399 4739947500 4753047552 4757947630 4763047999 4799948102 4810248999 4899949082 4918049250 4925049324 4932749400 4940249411 4941149418 4942449426 4942749429 4946550080 5008150200 5020050382 5039850541 5054150544 5054450549 5054950570 5058050592 5059350684 5069051020 5110251600 5179851845 5184551860 5186051999 5199952402 5240252700 5270053040 5306054230 5423554332 5433254336 5433654560 5456054865 5486555200 5530055600 5560055870 5587655920 55920

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO56405 5642056442 5644256820 5682157282 5728357292 5729557420 5742158110 5811058300 5835658674 5867458770 5877058970 5897058974 5897458976 5897659001 5900159012 5901259015 5901559020 5902059025 5902559030 5903059050 5905159100 5910059200 - FECA Only 59200 - FECA Only 59400 - FECA Only 59400 - FECA Only59409 - FECA Only 59409 - FECA Only59412 - FECA Only 59412 - FECA Only59414 - FECA Only 59414 - FECA Only59425 - FECA Only 59426 - FECA Only59430 - FECA Only 59430 - FECA Only59514 - FECA Only 59515 - FECA Only59610 - FECA Only 59610 - FECA Only59612 - FECA Only 59612 - FECA Only59614 - FECA Only 59614 - FECA Only59618 - FECA Only 59618 - FECA Only59622 - FECA Only 59622 - FECA Only59870 5987059871 - FECA Only 59871 - FECA Only61334 6133462160 6216062225 6222562230 6223062267 6227062272 6227362280 6228262284 6228462287 6228762292 6229262294 6229462310 6231162318 6232762380 6238063075 6307564400 6440064402 6440264405 6440564408 64408

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO64410 6441064412 6441364415 6441864420 6442164425 6442564430 6443064435 6443564445 6445064455 6445564479 6448064483 6448464491 6449564505 6450564508 6450864510 6451064517 6451764520 6452064530 6453064600 6460064605 6460564610 6461564620 6462064630 6463064632 6463664640 6464064650 6465064653 6465364680 6468064763 6476364766 6476665760 6576064912 6491365765 6576565767 6576765771 6577167345 6734567911 6791169090 6909069200 6920069205 6920569210 6921069220 6922069222 6922269400 6940169405 6940569420 6942169424 6942469710 6971169990 6999089230 8923091122 9112292018 9202092025 9202592060 9206092065 92065

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO92081 9208392100 9210092136 9213692140 9214092145 9214592225 9222692230 9223092235 9223592240 9224092250 9225092260 9226092265 9226592270 9227092275 9227592283 9228792502 9250292504 9250492511 9251293592 9359293792 9379396377 9637796521 9652396567 9656796570 9657497597 9759897602 9760297605 9760899170 9917099175 9917599217 9922399231 9923699238 9923999354 9935599408 9940999460 9946099463 99464

0762 OBSERVATION ROOM G0378 G037999217 9922399231 9923699238 99239

0769 OTHER TREATMENT/OBSERVATON ROOM 99217 9921799223 9922399231 9923699238 99239

0820 HEMODIALYSIS/ GENERAL G0491 G049290935 90937

90940 9094090989 9098990993 90993

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO90997 90997

0821 HEMODIALYSIS/COMPOSITE 90935 90937

0860 MAGNETOENCEPHALOGRAPHY (MEG) 0310T 0310T95965 95967

0861 MAGNETOENCEPHALOGRAPHY (MEG)/ GENERAL 95965 95967

0900 BEHAVIOR HEALTH TREATMENT SERVICES G0271 G0271G0396 G0397G0470 G0470G0502 G0507H0001 H0020H0022 H0029H0035 H0036H0043 H0048M0064 M0064S8940 S8940S9485 S94850478T 0478T0488T 0488T90785 9078590791 90792

90801 90802 90804 90819 90821 90824 90826 90834

90837 90839 90845 90847 90849 90849 90853 90853

90862 90862 90865 90865 90870 90870 90875 90876 90880 90889 96102 96120 96150 96152

96155 9615599354 9935599483 9948499492 99494

0901, 0902, 903, 904BEHAVIORAL HEALTH/ELECTRO SHOCK / MILIEU THERAPY/ PLAY THERAPY/ ACTIVITY THERAPY H2017 H2017

90801 90802 90804 90819

90821 90824 90826 90829

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO 90845 90847

90849 9084990853 9085390862 9086290865 9086590870 9087090875 9087690880 9088090882 9088290885 9088590887 9088790889 9088996102 9610396105 9610596110 9611196116 9611696118 9611896119 9612096150 9615296155 96155

0905, 0906, 0907BEHAVIORAL HEALTH/ INTENSIVE OUTPATIENT-CHEMICAL DEPENDENCY/ COMMUNITY H0001 H0020

H0022 H0029H0035 H0036H0043 H004490785 9078590801 9080290804 9081990821 9082490826 9082990845 90847

90849 9084990853 9085390862 9086290865 9086590870 9087090875 9087690880 9088090882 9088290885 9088590887 9088790889 9088996102 9610396105 9610596110 9611196116 9611696118 9611896119 9612096150 9615296155 96155

0910 BEHAVIORAL HEALTH/ GENERAL 96101 96103

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO96105 9610596110 9611196116 9612096150 96152

0911 BEHAVIORAL HEALTH/ REHABILITATION H0001 H0020H0022 H0029H0035 H0036H0043 H004490880 90880

96101 9610396105 9610596110 9611196116 9612096150 96152

0912 BEHAVIORAL HEALTH/ PARTIAL HOSP/ G0129 G0129H0001 H0020H0022 H0029H0035 H0048H2010 H202090785 9078590846 9084990853 9085396101 9612096150 96152

0913 BEHAVIORAL HEALTH/PARTIAL INTENSIVE H0001 H0020H0022 H0029H0035 H0036H0043 H004490846 9084990853 9085396101 9612096150 96152

0914 BEHAVIORAL HEALTH/ INDIVIDUAL THERAPY 0364T 0365T0368T 0369T0373T 0374TH0001 H0020H0022 H0029H0035 H0036H0043 H004490785 9078590832 9084590863 9086390875 9087690880 9088096101 9612096150 96152

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO

0915 BEHAVIORAL HEALTH/ GROUP THERAPY 0366T 0367T0372T 0372T0403T 0403T90785 9078590853 9085390880 9088096153 96153

0916 BEHAVIORAL HEALTH/ FAMILY THERAPY 0370T 0371T90785 9078590832 9084090846 9084990880 9088096101 9612096150 9615296154 9615596160 96160

0917 BEHAVIORAL HEALTH/ BIOFEEDBACK 90875 9087690901 9090190911 90911

96101 96103 96105 96105 96110 96111 96116 96116 96118 96118 96119 96120 96150 96152

0918 BEHAVIORAL HEALTH/ TESTING 0359T 0363T

90785 9078596020 9602096101 9610396111 96151

0919 BEHAVIOR HEALTH TREATMENT/ OTHER 90880 90880

96105 9611896119 9612096150 96152

0920 OTHER DIAGNOSTIC SERVICES/ GENERAL V5362 V53640106T 0110T0181T 0181T0185T 0185T0187T 0187T0198T 0199T0233T 0233T

0240T 0242T0285T 0287T0329T 0329T

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO0333T 0333T0464T 0464T0472T 0473T0477T 0477T29800 2980729819 2990732607 3260951725 5174151792 5179754231 5423154240 5425056820 5682157420 5742159020 - FECA Only 59025 - FECA Only62367 6237090867 9086790940 9094091010 9113392002 9222692230 9232692371 9237192512 9252092524 9252492531 9253492537 9253892540 9254892640 9264093464 9346493784 9378693880 9389393926 9392693970 9397193982 9398293998 9399894775 9477695250 9525195782 9578395800 9581195831 9585795873 9587395928 9593795940 9594195970 9598295999 9600096001 9600196904 9690499172 99174

0921 OTHER DIAGNOSTIC SERVICES/ PERI VASCUL LAB 0239T 0239T0337T 0337T54240 5425090940 9094093721 9372193740 93740

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO93770 9377093799 9379993875 9387593880 9396593976 9398293990 93990

0922 OTHER DIAGNOSTIC SERVICES/ EMG 51784 5178564617 6461795831 9591395921 9593795943 9594396002 96003

0929 OTHER DIAGNOSTIC SERVICES/ OTHER 0106T 0110T0181T 0181T0185T 0185T0187T 0187T0240T 0242T0285T 0287T0337T 0337T0341T 0341T0355T 0355T0378T 0381T0383T 0383T0385T 0385T29904 2990791010 9101091020 9111291120 9112091132 91133

92002 9206092071 92072

92081 92100 92136 92226

92230 9232692512 9252092531 9253192532 9253492537 92538

92540 92548 92640 92640 93880 93880 93886 93998

94775 94776 95250 95251

95782 9578395805 9581195831 9583495851 9585295857 9585795873 9587395922 95943

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO95970 9598296000 96904

0940 OTHER THERAPEUTIC SERVICES/ GENERAL C8957 C8957C9800 C9800G0127 G0127G0166 G0166G0245 G0249G0396 G0397G0413 G0413G0428 G0428S0265 S0265S8130 S8131S8940 S89400183T 0183T0213T 0218T0228T 0232T0278T 0278T0282T 0284T0289T 0290T0299T 0301T0319T 0325T0342T 0342T20526 2052720550 2055320600 2061520974 2097921013 2101421016 2101621931 2193321936 2193622903 2290523071 2307325071 2507326111 2611127043 2704527364 2736427616 2761627634 2763428039 2803928890 2889031651 3165131660 3166132552 3255332561 3256132562 3256236147 3614836511 3651645172 4517264550 6455064575 6457564581 6458564595 6459564612 64616

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO67345 6734590868 9086992065 9206592340 9234292352 9235292354 9237192974 9297495115 9518095990 9599296040 9604096360 9637996521 9652396549 9654996567 9690296910 9692296931 9693597597 9759897605 9760697810 9781498940 9894299175 9917599183 9918399190 9919599366 99368

0948OTHER THERAPEUTIC SERVICES/ PULMONARY REHABILIATION G0424 G0424

0188T 0189T

0949 OTHER THERAPEUTIC SERVICES/ OTHER 92340 9234292352 9235592358 9235892370 9237195990 9599196040 9604096521 9652396549 9654996567 96567

96570 96571

0960 PROFESSIONAL FEES/ GENERAL G0182 G0182S0270 S0270S0272 S02720188T 0189T0382T 0382T0384T 0384T0386T 0386T94005 9400599201 99499

0961, 0962 PRO FEE/PSYCH 99201 99499

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO

0963 PROFESSIONAL FEES/ ANESTHESIOLOGIST (MD) 00100 1999999144 9914599149 9915099201 99499

0964 PROFESSIONAL FEES/ANESTHESIA - CRNA 00100 1999999144 9914599149 99150

0969 PROFESSIONAL FEES/ OTHER 0188T 0189T

0382T 0386TG0181 G0181G0182 G0182G0337 G0337G0372 G0372G0459 G045992613 9261392615 9261592617 9261793784 9378493790 9379094005 9400594016 9401695120 9513496004 9600499026 9902799056 9905699058 9905899075 9907599080 9908299091 9909199201 9932399324 9932899329 9934099341 9935099351 9935799358 9936499365 9937499375 9938099381 9944099441 9944499445 99499

0971 PROFESSIONAL FEES/ LAB G0452 G045210000 6999070010 7999985060 8506088291 8829190801 9091192002 92371

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO93000 9301494010 9479995805 9582797001 98943

0972 PROFESSIONAL FEES/ RADIOLOGY - DIAGNOSTIC 10000 6999970010 7999990801 9091192002 9237193000 9301494010 9479995805 9582797001 98943

0973 PROFESSIONAL FEES/RADIOLOGY/THERAPEUTIC G6002 G600210000 6999070010 7999990801 9091192002 9237193000 9301494010 9479995805 9582797001 98943

0974, 0975, 0976PROFESSIONAL FEES/NUCLEAR MEDICINE/ OPERATING ROOM/ RESPIRATORY THERAPY 10000 69999

70010 7999990801 9091192002 9237193000 9301494010 9479995805 9582797001 98943

0977, 0978PROFESSIONAL FEES/ PHYSICAL THERAPY/ OCCUPATIONAL THERAPY G0281 G0281

G0329 G302910000 6999970010 7999990801 9091192002 9237193000 9301494010 9479995805 9582797001 98943

0979 PROFESSIONAL FEES/ SPEECH PATHOLOGY 10000 6999070010 7999990801 9091192002 92371

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO93000 9301494010 9479995805 9582797001 98943

0980 PROFESSIONAL FEES 10000 6999970010 7999990801 9091192002 9237193000 9301494010 9479995805 9582797001 9894399201 99499

0981 PROFESSIONAL FEES/ EMERGENCY ROOM S0265 S02650188T 0189T10000 6999070010 7999990801 9091192002 92371

93000 9301494005 9479995805 9582797001 9894399201 99499

0982 PROFESSIONAL FEES/ OUTPATIENT G0250 G0250G0337 G033710000 6999070010 7999990801 9091192002 92371

92613 9261392615 92615

92617 92617 93000 93014 94010 94799

95120 9513495805 95827

95830 9583096004 96004

97001 98943 99201 99226

99354 9936499374 9937599377 9938099441 99456

0983 CLINIC PROFESSIONAL FEES 10000 6999093784 93784

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO93790 9379094005 9400595120 9513499354 9936499374 9938099441 9944499450 99456

0984 MEDICAL SOCIAL SERVICES PROFESSIONAL FEE 10000 6999970010 7999990801 9091192002 9237193000 9301494010 9479995805 95827

0985 PROFESSIONAL FEES/ EKG G0405 G04050180T 0180T10000 6999070010 7999990801 9091192002 9237193000 9301493016 9301893042 9304293227 9322893272 9327293294 9329593297 93298

94010 94799 95805 95827

0986 PROFESSIONAL FEES/ EEG 10000 69990 70010 79999

90801 90911 92002 92371 93000 93014 94010 94799

95805 95827

0987 PROFESSIONAL FEES/ HOSPITAL VISIT G0337 G033759050 - FECA Only 59051 - FECA Only59400 - FECA Only 59514 - FECA Only59610 - FECA Only 59610 - FECA Only59620 5962093000 9301494005 9400599221 9922399231 9923999315 9931699340 99340

RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO99356 99499

0988 PROFESSIONAL FEES/ CONSULTATION G0406 G04080188T 0189T59514 - FECA Only 59514 - FECA Only59620 5962094005 9400594010 9479999251 9925599358 9936099374 9937599377 9938099442 99456