Temporary, Administrative and Miscellaneous

11 categories, 133 billing codes.

Temporary Medicare codes14 codes
G0068Professional services for home infusion drug administration, IV push, per diem G0070Professional services for home infusion, subcutaneous infusion, initial visit G0154Direct skilled nursing services, home health, each 15 minutes G0179Physician recertification for Medicare-covered home health services G0180Physician certification for Medicare-covered home health services G0181Physician supervision of home health patient, 30 minutes or more G0182Physician supervision of hospice patient, 30 minutes or more G0248Demonstration/training patient/caregiver for INR home monitoring G0289Arthroscopy, knee, removal of loose body/foreign body/debridement at time of other surgical knee arthroscopy (add-on)G0364Bone marrow aspiration performed with bone marrow biopsy through same incision G0378Hospital observation service, per hour G0379Direct admission of patient for hospital observation care G0389Ultrasound B-scan for abdominal aortic aneurysm screening G0416Surgical pathology, prostate needle biopsy, any method, 1-20 specimens
Temporary hospital outpatient codes24 codes
C1713Anchor/screw for opposing bone-to-bone/soft tissue-to-bone C1714Catheter, transluminal atherectomy, directional C1717Catheter, ablation, cryoablation C1721Cardioverter-defibrillator, dual chamber C1722Cardioverter-defibrillator, single chamber C1725Catheter, transluminal angioplasty, non-laser C1728Catheter, brachytherapy seed administration C1749Endoscope, retrograde imaging/illumination colonoscope device C1750Catheter, hemodialysis/peritoneal, long-term C1753Catheter, intravascular ultrasound C1760Closure device, vascular C1762Connective tissue, non-human C1763Connective tissue, human C1767Generator, neurostimulator, implantable, non-rechargeable C1772Infusion pump, programmable C1776Joint device (implantable)C1780Lens, intraocular (telescopic)C1783Ocular implant, aqueous drainage assist device C1815Prosthesis, urinary sphincter (implantable)C1830Powered bone marrow biopsy needle C1839Iris prosthesis C1874Stent, coated/covered, with delivery system C1885Catheter, transluminal angioplasty, laser C1894Introducer/sheath, other than guiding, non-laser
Temporary commercial-payer codes16 codes
S0012Butorphanol tartrate, nasal spray, 25mg S0020Injection, bupivacaine hydrochloride, 30ml S0074Injection, cefotetan disodium, 500mg S0257Counseling and discussion regarding advance directives S0265Genetic counseling, under physician supervision, each 15 minutes S0270Physician management of patient home care, standard monthly case rate S0311Comprehensive case management, per calendar month S0400Global fee for extracorporeal shock wave lithotripsy S0610Annual gynecological examination, new patient S0612Annual gynecological examination, established patient S0800Laser in situ keratomileusis (LASIK)S0810Photorefractive keratectomy (PRK)S0812Phototherapeutic keratectomy (PTK)S2900Surgical technique requiring use of robotic surgical system (add-on)S9083Global fee, urgent care center S9110Telemonitoring of patient in own home
Temporary Medicaid codes14 codes
T1000Private duty/independent nursing service(s), licensed, up to 15 minutes T1001Nursing assessment/evaluation T1002RN services, up to 15 minutes T1003LPN/LVN services, up to 15 minutes T1013Sign language or oral interpretive services, per 15 minutes T1015Clinic visit/encounter, all-inclusive T1019Personal care services, per 15 minutes T1020Personal care services, per diem T1030Nursing care, in the home, by registered nurse, per diem T1031Nursing care, in the home, by licensed practical nurse, per diem T2002Non-emergency transportation, per diem T2003Non-emergency transportation, encounter/trip T2010Preadmission screening and resident review (PASRR), level I T2011Preadmission screening and resident review (PASRR), level II
Quality-reporting codes11 codes
0001FHeart failure, left ventricular ejection fraction (LVEF) assessed 0500FInitial prenatal care visit 1000FTobacco use assessed 1160FAngiotensin converting enzyme (ACE) inhibitor/ARB therapy prescribed 3006FChest X-ray performed 4000FTobacco use cessation intervention G8427Eligible professional attests to documenting current medications list G8506Patient receiving beta-blocker therapy G8783CAHPS survey completion G9497Patient screened for depression, positive result, follow-up plan documented G9612Documentation of medical reason for not screening for tobacco use
Care coordination7 codes
G0507Care management services for behavioral health conditions G9001Coordinated care fee, initial rate G9002Coordinated care fee, maintenance rate G9007Coordinated care fee, scheduled team conference G9008Coordinated care fee, physician coordinated care oversight services T2022Case management, per month T2023Targeted case management, per encounter
Administrative services7 codes
A9150Non-prescription drugs A9190Personal comfort item A9270Non-covered item or service S9981Medical records copying fee, administrative S9986Not medically necessary service (non-covered)S9990Services provided as part of a Phase I clinical trial S9991Services provided as part of a Phase II clinical trial
Unclassified procedures10 codes
20999Unlisted procedure, musculoskeletal system, general 31299Unlisted procedure, accessory sinuses 32999Unlisted procedure, lungs and pleura 33999Unlisted procedure, cardiac surgery 38129Unlisted laparoscopy procedure, spleen 43499Unlisted procedure, esophagus 44238Unlisted laparoscopy procedure, intestine 55899Unlisted procedure, male genital system 58578Unlisted laparoscopy procedure, uterus 64999Unlisted procedure, nervous system
Miscellaneous services6 codes
A9300Exercise equipment A9999Miscellaneous DME supply or accessory, not otherwise specified Q0091Screening papanicolaou smear, obtaining/preparing/conveyance to lab Q0111Wet mounts, KOH preparations Q0138Injection, ferumoxytol, non-ESRD use Q4074Iloprost, inhalation solution, FDA-approved final product, non-compounded
Emerging technology9 codes
0308TInsertion of ocular telescope prosthesis 0397TAblation, malignant breast tumor, cryotherapy 0404TSuprachoroidal space injection of pharmacologic agent 0490TInsertion or replacement of intracardiac ischemia monitoring system 0494TFormation of arteriovenous fistula, percutaneous 0499TFocused ultrasound ablation of uterine leiomyomata 0512TInsertion of subcutaneous interstitial glucose sensor, including system activation 0562TInsertion of iris retention suture(s)0620TPercutaneous islet cell transplant
Additional temporary and miscellaneous codes15 codes
99217All Observation discharge services where discharge occurs on a different date of the admission.99218Detailed or Comprehensive History Detailed or Comprehensive Exam with Straight Forward or Low Medical Decision Making.99219Comprehensive History Comprehensive Exam with Moderate Medical Decision Making.99220Comprehensive History Comprehensive Exam with High Medical Decision Making.99224Problem Focused Interval History and/or Problem Focused Exam with Straight Forward or Low Medical Decision Making.99225Expanded Problem Focused Interval History and/or Expanded Problem Focused Exam with Moderate Medical Decision Making 99226Detailed Interval History and/or Detailed Exam with High Medical Decision Making.G0398Home sleep test/type 2 porta G0399Home sleep test/type 3 porta G0506Comp asses care plan ccm svc G2012Brief check in by md/qhp G9012Other specified case mgmt S0109Methadone oral 5mg S9446Pt education noc group T1016Case management