name: MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)


name: MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis


name: MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants


name: MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants


name: MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis


name: MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants


name: MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants


name: MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis


name: MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants


name: MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants


name: Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and normal tissue, if performed


name: MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis


name: MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant


name: MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants


name: NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants


name: PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative


name: PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative or quantitative


name: PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis


name: PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants


name: PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants


name: SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330)


name: SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis


name: SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z)


name: TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)


name: TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot)


name: TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)


name: UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)


name: VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T)


name: HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1


name: HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)


name: HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C)


name: HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each


name: HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each


name: HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1


name: HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each


name: HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each


name: HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1


name: HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C)


name: HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each


name: HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each


name: HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each


name: HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each


name: Qualitative assay for Nuclear Matrix Protein 22 (NMP22)


name: Antibody; HIV-1 and HIV-2, single result


name: Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result


name: Anthrax vaccine, for subcutaneous or intramuscular use


name: Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management


name: Fitting of contact lens for treatment of ocular surface disease


name: Fitting of contact lens for management of keratoconus, initial fitting


name: Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis


name: Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpretation and report


name: Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report


name: Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)


name: Unlisted noninvasive vascular diagnostic study


name: Plethysmography for determination of lung volumes and, when performed, airway resistance


name: Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes


name: Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, with interpretation and report; 60 minutes


name: Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, with interpretation and report; each additional full 30 minutes (List separately in addition to code for primary procedure)


name: Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure)


name: Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure)


name: Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure)


name: Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs


name: Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs


name: Initial hospital observation care per day, typically 30 minutes


name: Cytopathology report on routine nongynecologic specimen finalized within two working days of accession date (PATH)


name: Cytopathology report on nongynecologic specimen with documentation that the specimen was non-routine (PATH)


name: Symptom management plan of care documented (HF)


name: Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilateral or bilateral bone marrow harvest


name: Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone marrow harvest


name: Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; unilateral or bilateral bone marrow harvest only for intramuscular autologous bone marrow cell therapy


name: Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and repositioning, when performed)


name: Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed)


name: Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed)


name: Revision or removal of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and repositioning, when performed)


name: Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed)


name: Revision or removal of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed)


name: Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and programmed therapy values, with interpretation and report (eg, battery status, lead impedance, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, therapy start/stop times each day)


name: Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and programmed therapy values, with interpretation and report (eg, battery status, lead impedance, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, therapy start/stop times each day); with programming


name: Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; cervical or thoracic


name: Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar


name: Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe


name: Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes


name: Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)


name: Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood)


name: Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area


name: Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)


name: Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children


name: Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)


name: Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area


name: Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)


name: Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children


name: Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)


name: Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)


name: Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)


name: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar


name: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure)


name: Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord


name: Surgical Preparation for Skin Replacement Surgery


name: Excision/Resection Procedures on the Lungs and Pleura


name: Thoracoscopy (Video-assisted thoracic surgery [VATS]) on the Lungs and Pleura


name: Other noninvasive vascular diagnostic study


name: Therapeutic, Preventive, or Other Interventions


name: Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries


name: Catheter, extravascular tissue ablation, any modality (insertable)


name: Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis


name: Manual wheelchair accessory, lever-activated, wheel drive, pair


name: Power wheelchair accessory, group 34 non-sealed lead acid battery, each


name: Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)


name: WHEELCHAIR ACCESSORY, SHOULDER ELBOW, MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, ADJUSTABLE


name: WHEELCHAIR ACCESSORY, SHOULDER ELBOW, MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, RECLINING


name: WHEELCHAIR ACCESSORY, SHOULDER ELBOW, MOBILE ARM SUPPORT, MONOSUSPENSION ARM AND HAND SUPPORT, OVERHEAD ELBOW FOREARM HAND SLING SUPPORT, YOKE TYPE SUSPENSION SUPPORT


name: Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control


name: WHEELCHAIR ACCESSORY, ADDITION TO MOBILE ARM SUPPORT, SUPINATOR


name: Annual alcohol misuse screening, 5 to 15 minutes


name: Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes


name: Annual depression screening, 5 to 15 minutes


name: High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes


name: Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes


name: Face-to-face behavioral counseling for obesity, 15 minutes


name: Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing


name: Development testing, with interpretation and report, per standardized instrument form


name: Antithrombotic therapy prescribed at discharge


name: Elder maltreatment screen documented as positive and a follow-up plan is documented


name: Patient discharge to home no later than post-operative day #7


name: Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g., patient didn't have initial daytime sleepiness, patient visited between initial testing and initiation of therapy)


name: Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months of initial evaluation for suspected obstructive sleep apnea


name: Documentation of reason(s) for not measuring an apnea hypopnea index (ahi), a respiratory disturbance index (rdi), or a respiratory event index (rei) within 2 months of initial evaluation for suspected obstructive sleep apnea (e.g., medical, neurological, or psychiatric disease that prohibits successful completion of a sleep study, patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden, dementia, patients who decline ahi/rdi/rei measurement, patients who had a financial reason for not completing testing, test was ordered but not completed, patients decline because their insurance (payer) does not cover the expense))


name: Documentation of reason(s) for not prescribing positive airway pressure therapy (e.g., patient unable to tolerate, alternative therapies use, patient declined, financial, insurance coverage)


name: Objective measurement of adherence to positive airway pressure therapy, documented


name: Documentation of reason(s) for not objectively measuring adherence to positive airway pressure therapy (e.g., patient didn't bring data from continuous positive airway pressure [cpap], therapy not yet initiated, not available on machine)


name: Referral to a physician for an otologic evaluation performed


name: Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction)


name: Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal)


name: Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)


name: Sentinel lymph node biopsy procedure performed


name: Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)


name: Biopsy results reviewed, communicated, tracked and documented


name: Clinician documented reason that patient's biopsy results were not reviewed


name: Biopsy results not reviewed, communicated, tracked or documented


name: Evaluation for wheelchair requiring face to face visit with physician


name: Suction pump, home model, portable, for use on wounds


name: Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less


name: Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches


name: Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches


name: KNEE DISARTICULATION (OR THROUGH KNEE), MOLDED SOCKET, SINGLE AXIS KNEE, PYLON, SACH FOOT, ENDOSKELETAL SYSTEM


name: Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement


name: Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)


name: Oasis ultra tri-layer wound matrix, per square centimeter


name: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter


name: Flex hd, or allopatch hd, per square centimeter


name: Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil


name: Interferential current stimulator, 2 channel


name: Interferential current stimulator, 4 channel


name: Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days


name: Clostridium difficile testing performed (IBD)


name: Corticosteroid sparing therapy prescribed (IBD)


name: Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each


name: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each


name: nutritional therapy, lactose-reduced, with iron


name: sodium acrylate & sodium acryloyldimethyl taurate


name: ammonium lactate 70 % MISCELL SOLUTION, NON-ORAL


name: asparagine monohydrate 100 % MISCELL CRYSTALS


name: cetyl alcohol 100 % MISCELL GRANULES (GRAM)


name: dimethylacetamide 100 % MISCELL LIQUID (ML)


name: erythrosine sodium 100 % MISCELL POWDER (GRAM)


name: ethylenediamine 100 % MISCELL LIQUID (ML)


name: {24 (drospirenone 3 MG / ethinyl estradiol 0.02 MG Oral Tablet) / 4 (inert ingredients 1 MG Oral Tablet) } Pack [Vestura]


name: gauze bandage 1/4 " X 36 " TOPICAL BANDAGE


name: infant formula with iron/docosahexaenoic acid/arachidonic ac 2.2 gram-5.1 gram-11.6 gram/100 kcal ORAL CONCENTRATE, ORAL


name: infant formula with iron/docosahexaenoic acid/arachidonic ac 2.2 gram-5.1 gram-11.6 gram/100 kcal ORAL LIQUID (ML)


name: infant formula,soy,iron,lac-free/dha/arachidonic acid (ara) 2.5 gram-5.1 gram-11.1 gram/100 kcal ORAL CONCENTRATE, ORAL


name: infant formula,soy,iron,lac-free/dha/arachidonic acid (ara) 2.5 gram-5.1 gram-11.1 gram/100 kcal ORAL POWDER (GRAM)


name: infant formula,soy,iron,lac-free/dha/arachidonic acid (ara) 2.5 gram-5.1 gram-11.1 gram/100 kcal ORAL LIQUID (ML)


name: linoleic acid 100 % MISCELL LIQUID (GRAM)


name: ASPIRIN 115 mg / EUGENOL 80 mg DENTAL DRESSING [Dressol-X Radiopaque D-502]


name: nutritional therapy, glutaric aciduria type 1 41.7 gram-338 kcal/100 gram ORAL POWDER IN PACKET (EA)


name: nutritional therapy for MSUD with iron 41.7 gram-338 kcal/100 gram ORAL POWDER IN PACKET (EA)


name: nutritional therapy for propionic acidemia with iron 41.7 gram-338 kcal/100 gram ORAL POWDER IN PACKET (EA)


name: nutritional therapy for tyrosinemia with iron 41.7 gram-338 kcal/100 gram ORAL POWDER IN PACKET (EA)


name: nutritional therapy, lactose-reduced, with iron 0.09 gram-2.25 kcal/mL ORAL LIQUID (ML)


name: nutritional therapy, metabolic disorder, methionine-free 41.7 gram-338 kcal/100 gram ORAL POWDER IN PACKET (EA)


name: prednisone micronized 100 % MISCELL POWDER (GRAM)


name: vehicle gel base no.61 MISCELL GEL (GRAM)


name: vehicle gel base no.63 MISCELL GEL (GRAM)


name: Avobenzone 0.03 g in 1 mL / Ensulizole 0.03 g in 1 mL / Octisalate 0.05 g in 1 mL / Octocrylene 0.05 g in 1 mL / Oxybenzone 0.06 g in 1 mL TOPICAL LOTION [LBEL Dermo Clarite Clarifying and Moisturizing with SPF 30]


name: ascorbic acid / cholecalciferol / niacin / riboflavin / sodium fluoride / thiamine / vitamin A / vitamin B12 / vitamin B6 / vitamin E


name: gamma-Aminobutyric Acid A Receptor Agonist [EPC]


name: {21 (prednisolone 5 MG Oral Tablet [MILLIPRED]) } Pack [Millipred DP 6 Day]


name: ALUMINUM ZIRCONIUM TETRACHLOROHYDREX GLY 180 mg in 1 g TOPICAL STICK [Lady Speed Stick 24/7 FRESH FUSION]


name: HOMOSALATE 4 g in 50 g / OCTINOXATE 2.5 g in 50 g / OXYBENZONE 2 g in 50 g / AVOBENZONE 1.425 g in 50 g TOPICAL CREAM [Anew Ultimate 7S Day]


name: OCTISALATE 0.9 mL in 30 mL / TITANIUM DIOXIDE 0.657 mL in 30 mL TOPICAL CREAM [magiX Illuminating Face Perfector]


name: {7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [CamreseLo 91 Day]


name: OCTINOXATE 7.77 g in 100 g / OCTOCRYLENE 0.1 g in 100 g TOPICAL LOTION [SPF 15 Anti-shine moisturizing]


name: OCTINOXATE 55 mg in 1 g / ZINC OXIDE 80 mg in 1 g TOPICAL GEL [Blue Lizard Face]


name: Vortex SmartTouch Pediatric Masks, Chloe Lady


name: Vortex SmartTouch Pediatric Masks, Felix Frog


name: PONAZURIL 1 g in 1 g NOT APPLICABLE POWDER


name: CATHETER,INTERMITTENT 20FR RUSCH #221800-20


name: Gel, Multi Ingredient Topical application Pad


name: Oxybenzone/Padimate O/Petrolatum 4%-8%-49.1% Topical application Stick [DERMATONE MEDICATED LIP BALM]


name: Oxybenzone/Padimate O/Petrolatum 4%-8%-49.1% Topical application Stick


name: Premier Value Wrist Automatic Blood Pressure Monitor System


name: AUDIT alcohol use disorders identification test (history)


name: acellular dermal replacement neck wound surface area up to 100 sq cm


name: acellular dermal replacement of neck; wound surface area up to 100 sq cm - 25 sq cm or less


name: acellular dermal replacement of neck, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement neck wound surface area 100 sq cm or greater


name: acellular dermal replacement of neck; wound surface area 100 sq cm or greater - 100 sq cm or less


name: acellular dermal replacement of neck, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement shoulder wound surface area up to 100 sq cm


name: acellular dermal replacement of shoulder; wound surface area up to 100 sq cm - 25 sq cm or less


name: acellular dermal replacement of shoulder, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement shoulder wound surface area 100 sq cm or greater


name: acellular dermal replacement of shoulder; wound surface area 100 sq cm or greater - 100 sq cm or less


name: acellular dermal replacement of shoulder, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement arms wound surface area up to 100 sq cm


name: acellular dermal replacement of arms; wound surface area up to 100 sq cm - 25 sq cm or less


name: acellular dermal replacement of arms, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement arms wound surface area 100 sq cm or greater


name: acellular dermal replacement of arms; wound surface area 100 sq cm or greater - 100 sq cm or less


name: acellular dermal replacement of arms, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement forearms wound surface area up to 100 sq cm


name: acellular dermal replacement of forearms; wound surface area up to 100 sq cm - 25 sq cm or less


name: acellular dermal replacement of forearms, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement forearms wound surface area 100 sq cm or greater


name: acellular dermal replacement of forearms; wound surface area 100 sq cm or greater - 100 sq cm or less


name: acellular dermal replacement of forearms, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement hands wound surface area up to 100 sq cm


name: acellular dermal replacement of hands; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of hands, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement hands wound surface area 100 sq cm or greater


name: acellular dermal replacement of hands; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of hands, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of multiple digits; wound surface area up to 100 sq cm


name: acellular dermal replacement of multiple digits; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of multiple digits; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of multiple digits; wound surface area 100 sq cm or greater


name: acellular dermal replacement of multiple digits; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of multiple digits; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of trunk; wound surface area up to 100 sq cm


name: acellular dermal replacement of trunk; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of trunk; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of trunk; wound surface area 100 sq cm or greater


name: acellular dermal replacement of trunk; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of trunk, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of genitalia; wound surface area up to 100 sq cm


name: acellular dermal replacement of genitalia; wound surface area up to 100 sq cm,25 sq cm or less


name: acellular dermal replacement of genitalia; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of genitalia; wound surface area 100 sq cm or greater


name: acellular dermal replacement of genitalia; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of genitalia; wound surface area 100 sq cm or greater, each additional 100 sq cm or


name: acellular dermal replacement of hip; wound surface area up to 100 sq cm


name: acellular dermal replacement of hip; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of hip; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of hip; wound surface area 100 sq cm or greater


name: acellular dermal replacement of hip; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of hip; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of thigh; wound surface area up to 100 sq cm


name: acellular dermal replacement of thigh; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of thigh; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of thigh; wound surface area 100 sq cm or greater


name: acellular dermal replacement of thigh; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of thigh; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of knee; wound surface area up to 100 sq cm


name: acellular dermal replacement of knee; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of knee; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of knee; wound surface area 100 sq cm or greater


name: acellular dermal replacement of knee; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of knee; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of leg; wound surface area up to 100 sq cm


name: histocompatibility antigen class I typing


name: histocompatibility antigen low resolution class I typing


name: histocompatibility antigen low resolution class I typing one locus


name: histocompatibility antigen low resolution class I typing one antigen


name: histocompatibility antigen high resolution class I typing


name: histocompatibility antigen high resolution class I typing one locus


name: histocompatibility antigen high resolution class I typing one allele


name: histocompatibility antigen class II typing


name: histocompatibility antigen low resolution class II typing


name: histocompatibility antigen low resolution class II typing one locus


name: histocompatibility antigen low resolution class II typing one antigen


name: histocompatibility antigen high resolution class II typing


name: histocompatibility antigen high resolution class II typing one locus


name: histocompatibility antigen high resolution class II typing one allele


name: histocompatibility antigen class I and II typing


name: histocompatibility antigen low resolution class I and II typing


name: HLA low resolution class I and II typing, antigen equivalents


name: HLA low resolution class I and II verification typing


name: histocompatibility antigen high resolution class I and II typing


name: airway resistance test by impulse oscillometry


name: airway resistance test by plethysmography


name: neonatal airway integrity testing initial 60 minutes


name: neonatal airway integrity testing additional 30 minutes


name: thoracoscopy of lungs and pleural space with biopsy of lung infiltrates


name: thoracoscopy of lungs and pleural space with biopsy of lung nodules


name: thoracoscopy of lungs and pleural space with biopsy of pleura


name: diagnostic abdominal paracentesis with imaging guidance


name: ophthalmoscopy remote imaging for diabetic retinopathy


name: ophthalmoscopy remote imaging for diabetic retinopathy negative


name: ophthalmoscopy remote imaging for bilateral diabetic maculopathy negative


name: x-ray lumbosacral spine complete, minimum of four oblique views


name: x-ray lumbosacral complete, including bending, minimum of six views


name: x-ray lumbosacral spine bending views only


name: x-ray lumbosacral spine bending views, only two or three views


name: CT angiography of abdomen and pelvis with contrast


name: isotopic scan pulmonary quantitative differential perfusion


name: isotopic scan pulmonary quantitative differential perfusion with ventilation


name: isotopic scan pulmonary quantitative differential perfusion with ventilation, aerosol


name: isotopic scan pulmonary quantitative differential perfusion with ventilation, gaseous


name: isotopic scans hepatobiliary ductal system with pharmacologic intervention


name: thoracotomy with biopsy of lung infiltrates


name: enzyme immunoassay technique, multiple step method for HIV-1 antigen with HIV-1 and HIV-2 antibodies


name: nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active TB


name: saliva analysis for HIV-1 gp120 antibodies


name: saliva analysis for HIV-1 Gp160 antibodies


name: saliva analysis for HIV-1 gp40 antibodies


name: saliva analysis for HIV-1 gp41 antibodies


name: saliva analysis for HIV-1 gp120 + gp160 antibodies


name: saliva analysis for HIV-1 p17 antibodies


name: saliva analysis for HIV-1 p18 antibodies


name: saliva analysis for HIV-1 p24 antibodies


name: saliva analysis for HIV-1 p31 antibodies


name: saliva analysis for HIV-1 p51 antibodies


name: saliva analysis for HIV-1 p53 antibodies


name: saliva analysis for HIV-1 p55 antibodies


name: saliva analysis for HIV-1 p65 antibodies


name: saliva analysis for HIV-1 p66 antibodies


name: HIV-1 gp120 antibodies in capillary blood


name: HIV-1 gp160 antibodies in capillary blood


name: HIV-1 gp40 antibodies in capillary blood


name: HIV-1 gp41 antibodies in capillary blood


name: HIV-1 gp120 + gp160 antibodies in capillary blood


name: exploratory laparotomy with packet removal


name: capillary blood polymerase chain reaction


name: culture of lochia for Neisseria gonorrhoeae


name: microbiology - genitourinary unspecified source


name: microbiology - genitourinary unspecified source smear


name: microbiology - genitourinary unspecified source culture


name: genitourinary culture for Neisseria gonorrhoeae


name: genitourinary microbiology test for Neisseria gonorrhoeae


name: antigen detection for human papillomavirus


name: antigen detection for HPV type 6 + 11 + 42 + 43 + 44


name: antigen detection for HPV type 31 + 33 + 35


name: infectious agent antigen detection unspecified procedure


name: antigen detection for Neisseria gonorrhoeae


name: infectious agent enzymatic activity for bacterial sialidase


name: fitting and supply of therapeutic contact lens for treatment of ocular surface disease


name: fitting and supply of therapeutic contact lens for management of keratoconus


name: non-speech-generating communication device evaluation for prescription, first hour


name: non-speech-generating communication device evaluation for prescription, each additional 30 minutes


name: substance abuse pre-treatment assessment


name: short-term residential substance abuse treatment


name: long-term residential substance abuse treatment


name: half-way house substance abuse treatment


name: residential, assisted partial care substance abuse treatment


name: orientation to hospital location of closed-circuit TV monitors


name: orientation to hospital policy information sheet


name: orientation to patient rights and responsibilities


name: anticipatory guidance: carbon monoxide detectors


name: anticipatory guidance: poisons and toxic materials


name: anticipatory guidance: emergency preparedness plan


name: anticipatory guidance: clean air environment


name: anticipatory guidance: sleeping position on back


name: anticipatory guidance: strings around neck


name: anticipatory guidance: age-appropriate supervision


name: anticipatory guidance: safe use of the internet


name: anticipatory guidance: age-appropriate diet


name: anticipatory guidance: maintaining adequate hydration


name: discussed concerns about night-awakening


name: acellular dermal replacement of leg; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of leg; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of leg; wound surface area 100 sq cm or greater


name: acellular dermal replacement of leg; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of leg; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement of feet; wound surface area up to 100 sq cm


name: acellular dermal replacement of feet; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal replacement of feet; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement of feet; wound surface area 100 sq cm or greater


name: acellular dermal replacement of feet; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal replacement of feet; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: allograft for temporary wound closure of scalp; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of scalp; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of scalp; wound surface area up to 100 sq cm - each additional 25 sq cm or less


name: allograft for temporary wound closure of scalp; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of scalp; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of scalp; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of face; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of face; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of face; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of face; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of face; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of face; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of ears; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of ears; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of ears; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of ears; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of ears; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of ears; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of orbits; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of orbits; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of orbits; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of orbits; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of orbits; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of orbits, wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temp wound closure eyelids wound surface area up to 100 sq cm


name: allograft for temporary wound closure of eyelids; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of eyelids, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of eyelids; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of eyelids; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of eyelids; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of mouth; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of mouth; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of mouth; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of mouth; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of mouth; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of mouth; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of neck; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of neck; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of neck; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of neck; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of neck; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of neck; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of shoulder; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of shoulder; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of shoulder; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of shoulder; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of shoulder; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of shoulder; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of arm; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of arm; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of arm; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of arm; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of arm; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of arm; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of forearm; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of forearm; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of forearm; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of forearm; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of forearm; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of forearm; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of hands; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of hands; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of hands; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of hands; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of hands; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of hands; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of multiple digits; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of multiple digits; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of multiple digits, wound surface area up to 100 sq cm, each additional 25 sq cm


name: allograft for temporary wound closure of multiple digits; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of multiple digits; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of multiple digits; wound area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of trunk; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of trunk; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of trunk; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of trunk; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of trunk; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of trunk; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of genitalia; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of genitalia; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of genitalia; wound surface area up to 100 sq cm, each additional 25 sq cm


name: allograft for temporary wound closure of genitalia; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of genitalia; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of genitalia, wound area 100+ sq cm, each additional 100 sq cm or less


name: biologic implantation for soft tissue reinforcement


name: lumbar arthrodesis by combined posterior and posterior interbody technique


name: lumbar arthrodesis by combined posterior and posterior interbody technique, each additional interspace and segment


name: lumbar arthrodesis by combined posterolateral and posterior interbody technique


name: lumbar arthrodesis by combined posterolateral and posterior interbody technique, each additional interspace and segment


name: manipulation of palmar fascial cord post enzyme injection


name: multi-layer compression system below knee including ankle and foot


name: orthopedic strapping multi-layer compression system thigh and leg


name: multi-layer compression system thigh and leg including ankle and foot


name: orthopedic strapping multi-layer compression system upper arm and forearm


name: multi-layer compression system upper arm, forearm, hand, fingers


name: nerve ablation paravertebral facet joint with imaging guidance


name: nerve ablation with imaging guidance at cervical facet joint


name: nerve ablation with imaging guidance at cervical facet joint, each additional facet joint


name: nerve ablation with imaging guidance at thoracic facet joint


name: nerve ablation with imaging guidance at thoracic facet joint, each additional facet joint


name: nerve ablation with imaging guidance at lumbar facet joint


name: nerve ablation with imaging guidance at lumbar facet joint, each additional facet joint


name: nerve ablation with imaging guidance at sacral facet joint


name: nerve ablation with imaging guidance at sacral facet joint, each additional facet joint


name: subsequent high focal magnetic pulses for cortical neuron stimulation


name: subsequent motor threshold redetermination for cortical neuron stimulation


name: RNAx perform suicide risk check every ___ minutes


name: bone marrow collection for transplant allogeneic


name: bone marrow collection for transplant autologous


name: radiation treatment delivery intraoperative


name: radiation treatment delivery intraoperative electrons


name: radiation treatment delivery intraoperative x-ray


name: radiation clinical treatment management intraoperative


name: training for instrumental activities of daily living


name: therapy training for vocational activities


name: request consultation by blood bank technician


name: request consultation by emergency department technician


name: request consultation by enterostomal therapist


name: request consultation by laboratory technician


name: request consultation by lactation specialist


name: request consultation by a prosthetics / orthotics specialist


name: request consultation by radiology technician


name: cell enumeration using immunologic selection and ID


name: cell enumeration using immunologic selection and ID, interpretation and report


name: evoked responses (potentials) tactile ('sensory') upper limbs


name: evoked responses (potentials) tactile ('sensory') upper and lower limbs


name: evoked responses (potentials) central motor upper and lower limbs


name: electronic analysis of implanted neurostimulator pulse generator


name: EMG with NCS of extremity with related paraspinal areas


name: EMG with NCS of extremity with related paraspinal areas, limited study


name: EMG with NCS of extremity with related paraspinal areas, complete study


name: EMG with nerve conduction study of non-extremity muscles


name: contact near-infrared spectroscopy of lower extremity wounds


name: near-infrared guidance for vascular access


name: sequence analysis using short tandem repeat markers


name: sequence analysis using short tandem repeat markers each additional specimen


name: discussed concerns about tooth fluoride treatments


name: discussed concerns about preparation for new sibling


name: discussed concerns about age-appropriate discipline


name: discussed concerns about stress management


name: discussed concerns about importance of family values


name: discussed concerns about importance of family customs and traditions


name: discussed concerns about use of family car


name: anticipatory guidance: interactive discussion


name: parent education: counting bowel movements


name: parent education: avoiding direct sun exposure


name: parent education: sensitivity to feelings


name: parent education: decision-making practice


name: parent education: managing unwanted advice


name: Anthrax vaccine, for intramuscular use (procedure)


name: Insertion of pacemaker pulse generator with existing single lead


name: Insertion of pacemaker pulse generator with existing dual leads


name: Insertion of pacemaker pulse generator with existing multiple leads


name: removal of permanent pacemaker with replacement of pulse generator


name: removal of permanent pacemaker with replacement of single lead pulse generator


name: removal of permanent pacemaker with replacement of dual lead pulse generator


name: removal of permanent pacemaker with replacement of multiple lead pulse generator


name: additional renal artery catheterization via aorta


name: additional unilateral renal artery catheterization via aorta


name: additional bilateral renal artery catheterization via aorta


name: IGH@ gene rearrangement analysis by Southern blot


name: PML-RARA fusion gene, intron 3 and intron 6


name: PML-RARA fusion gene, intron 3 and exon 6


name: PML-RARA fusion gene, intron 6 and exon 6


name: BRCA1 gene analysis, exon 13 del 3.835kb


name: BRCA1 gene analysis, exon 14-20 del 26kb


name: breakpoint cluster region BCR, translocation analysis, major breakpoint


name: breakpoint cluster region BCR. translocation analysis, minor breakpoint


name: breakpoint cluster region BCR, qualitative


name: breakpoint cluster region BCR, quantitative


name: assessment of smoking status and exposure to secondhand smoke


name: current smoker or current exposure to secondhand smoke


name: assess smoking: current nonsmoker & no current exposure to secondhand smoke


name: assessment & intervention activity level quantitative results


name: assessment & intervention activity level no evaluation documented


name: heart failure disease-specific structured assessment tool


name: anginal severity assessed by activity level


name: assessment & intervention asthma impairment assessed


name: assessment & intervention asthma risk assessed


name: assessment for neuropsychiatric symptoms


name: neuropsychiatric assessment showed no symptoms


name: neuropsychiatric assessment showed one or more symptoms


name: dementia severity classified as moderate


name: assessment & intervention qualifying cardiac event assessed


name: qualifying cardiac event occurred in previous 12 months


name: qualifying cardiac event: none occurred in previous 12 months


name: previous cardiac rehabilitation completed


name: assessment And intervention status of symptoms since last assessment


name: symptoms since last assessment: consistent with treatment goals


name: symptoms since last assessment: improved


name: symptoms since last assessment: deteriorated


name: assessment & intervention care plan documented lipid control


name: anginal symptom management care plan documented


name: left ventricular ejection fraction < or = 35%


name: left ventricular ejection fraction > 35%


name: no left ventricular ejection fraction result available


name: left ventricular ejection fraction assessment planned post-discharge


name: esophageal biopsy report with dysplasia status documented


name: cytopathology report on nongynecologic specimen


name: cytopathology report on routine nongynecologic specimen


name: cytopathology report on routine nongynecologic specimen finalized within two working days of accession date


name: cytopathology report on non-routine nongynecologic specimen


name: quantitative HER2 immunohistochemistry consistent with ASCO/CAP guidelines


name: pT, pN, Gleason score, and margin status documented


name: preventive medicine therapy prescribed antihypertensive agents


name: ACE inhibitor therapy prescribed, currently being taken


name: angiotensin receptor blocker prescribed, currently being taken


name: ACE inhibitor and beta-blocker therapy prescribed


name: ACE inhibitor and beta-blocker therapy prescribed, patient receiving


name: ACE inhibitor and beta-blocker therapy prescribed, patient receiving less than three months


name: ACE inhibitor and beta-blocker therapy prescribed, patient receiving for three months or longer


name: ACE inhibitor and beta-blocker therapy prescribed, patient not receiving


name: preventive medicine therapy prescribed antihypertensive agents two or more


name: preventive medicine therapy corticosteroids


name: preventive medicine therapy inhaled corticosteroids prescribed


name: acceptable alternative treatment prescribed for long-term asthma management


name: correct patient, correct site, correct procedure verified and documented


name: preventive medicine neuropsychiatric intervention


name: preventive medicine neuropsychiatric intervention ordered


name: preventive medicine neuropsychiatric intervention received


name: preventive medicine services asthma discharge plan provided


name: preventive medicine services: counseling/education on self-care


name: counseling regarding risks of driving and alternatives to driving


name: counseling on implantable cardioverter-defibrillator


name: preventive medicine services: counseling / education for caregiver


name: preventive medicine services: counseling/education about dementia


name: preventive medicine services: counseling/education about dementia ordered


name: preventive medicine services: counseling/education about dementia provided


name: counseling on end-of-life and palliative care


name: preventive medicine referred to outpatient cardiac rehabilitation program


name: pain reprocessing by transcutaneous electrical modulation


name: carotid sinus baroreflex activation device implantation


name: carotid sinus baroreflex activation device implantation lead only


name: carotid sinus baroreflex activation device implantation pulse generator only


name: carotid sinus baroreflex activation device replacement


name: carotid sinus baroreflex activation device replacement lead only


name: carotid sinus baroreflex activation device replacement pulse generator only


name: carotid sinus baroreflex activation device revision


name: carotid sinus baroreflex activation device revision lead only


name: carotid sinus baroreflex activation device revision pulse generator only


name: carotid sinus baroreflex activation device removal lead only


name: carotid sinus baroreflex activation device removal pulse generator only


name: carotid sinus baroreflex activation device interrogation


name: carotid sinus baroreflex activation device interrogation with programming


name: percutaneous interlaminar decompression of neural elements


name: percutaneous interlaminar decompression of neural elements cervical


name: percutaneous interlaminar decompression of neural elements thoracic


name: percutaneous interlaminar decompression of neural elements lumbar


name: cornea transplant preparation laser incisions in donor cornea


name: corneal transplant preparation: laser incisions in recipient cornea


name: catheter-delivered prosthetic pulmonary valve


name: implantation of catheter-delivered prosthetic pulmonary valve, endovascular approach


name: percutaneous transcatheter closure of left atrial appendage with implant


name: bronchoscopy with bronchial thermoplasty


name: bronchoscopy with bronchial thermoplasty, one lobe


name: bronchoscopy with bronchial thermoplasty, two or more lobes


name: thoracotomy with therapeutic wedge resection


name: thoracotomy with diagnostic wedge resection


name: thoracotomy with diagnostic wedge resection followed by anatomic lung resection


name: thoracoscopy with diagnostic wedge resection of lung


name: thoracoscopy with diagnostic wedge resection of lung followed by anatomic lung resection


name: anoscopy with delivery of thermal energy to anal canal muscle


name: tissue cultured allogeneic dermal substitute of scalp; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of scalp; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of scalp; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of scalp; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of scalp; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of scalp; wound surface area 100+ sq cm each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of face; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of face; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of face; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of face; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of face; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of face; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of ears; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of ears; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of ears; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of ears; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of ears; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of ears; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of orbits; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of orbits; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of orbits; wound surface area up to 100 sq cm,each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of orbits; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of orbits; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of orbits; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of eyelids; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of eyelids; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of eyelids; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of eyelids; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of eyelids; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of eyelids; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of mouth; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of mouth; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of mouth; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of mouth; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of mouth; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of mouth; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of neck; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of neck; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of neck; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of neck; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of neck; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of neck; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of shoulder; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of shoulder; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of shoulder; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of shoulder; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of shoulder; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of shoulder; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of arm; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of arm; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of arm; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of arm; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of arm; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of arm; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of forearm; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of forearm; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of forearm; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of forearm; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of forearm; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of forearm; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of hands; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of hands; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of hands; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of hands; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of hands; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of hands; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of multiple digits; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of multiple digits; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of multiple digits; wound surface area up to 100 sq cm, each additional 25 sq cm


name: tissue cultured allogeneic dermal substitute of multiple digits; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of multiple digits; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of multiple digits; wound surface area 100+ sq cm, each additional 100 sq cm


name: tissue cultured allogeneic dermal substitute of trunk; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of trunk; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of trunk; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of trunk; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of trunk; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of trunk; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: additional renal artery catheterization via aorta, second order


name: additional unilateral renal artery catheterization via aorta, second order


name: additional bilateral renal artery catheterization via aorta, second order


name: injection of enzyme into palmar fascia cord


name: electronic analysis of a programmable, implanted pump with reprogramming and refill


name: electronic analysis of a programmable, implanted pump with reprogramming and refill, requiring physician's skill


name: cardioverter-defibrillator pulse generator insertion with existing single lead


name: cardioverter-defibrillator pulse generator insertion with existing dual leads


name: cardioverter-defibrillator pulse generator insertion with existing multiple leads


name: cardioverter-defibrillator pulse generator replacement single lead


name: cardioverter-defibrillator pulse generator replacement dual lead


name: cardioverter-defibrillator pulse generator replacement multiple lead


name: repositioning of Greenfield filter in inferior vena cava


name: removal of Greenfield filter in inferior vena cava


name: thoracoscopy (therapeutic) with removal of clot from pericardial sac


name: thoracoscopy (therapeutic) with removal of foreign body from pericardial sac


name: thoracoscopy (therapeutic) with wedge resection of lung initial resection


name: thoracoscopy with therapeutic wedge resection of lung, each additional resection


name: therapeutic thoracoscopy with bilobectomy


name: therapeutic thoracoscopy with pneumonectomy


name: therapeutic thoracoscopy with resection of thymus


name: therapeutic thoracoscopy with resection of thymus, unilateral


name: therapeutic thoracoscopy with resection of thymus, bilateral


name: thoracoscopy (therapeutic) with mediastinal and regional lymphadenectomy


name: lung resection-plication of emphysematous lung(s) thoracoscopic


name: thoracotomy with therapeutic wedge resection, each additional resection


name: therapeutic abdominal paracentesis with imaging guidance


name: acellular dermal replacement scalp wound surface area up to 100 sq cm


name: acellular dermal replacement of scalp; wound surface area up to 100 sq cm - 25 sq cm or less


name: acellular dermal replacement of scalp, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal replacement scalp wound surface area 100 sq cm or greater


name: acellular dermal replacement of scalp; wound surface area 100 sq cm or greater - 100 sq cm or less


name: acellular dermal replacement of scalp, wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal replacement face wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of genitalia; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of genitalia; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of genitalia; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of genitalia; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of genitalia; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of genitalia; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of hip; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of hip; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of hip; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of hip; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of hip; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of hip; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of thigh; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of thigh; wound surface area up to 100 sq cm, 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of thigh; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of thigh; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of thigh; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of thigh; wound surface area 100+ sq cm; each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of knees; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of knees; wound surface area up to 100 sq cm - 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of knees; wound surface area up to 100sqcm, each additional 25sqcm or less


name: tissue cultured allogeneic dermal substitute of knees; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of knees; wound surface area 100+ sq cm - 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of knees; wound surface area 100+ sq cm; each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of leg; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of leg; wound surface area up to 100 sq cm - 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of leg; wound surface area up to 100sqcm, each additional 25sqcm or less


name: tissue cultured allogeneic dermal substitute of leg; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of leg; wound surface area 100+ sq cm - 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of leg; wound surface area 100+ sq cm; each additional 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of feet; wound surface area up to 100 sq cm


name: tissue cultured allogeneic dermal substitute of feet; wound surface area up to 100 sq cm - 25 sq cm or less


name: tissue cultured allogeneic dermal substitute of feet; wound surface area up to 100sqcm, each additional 25sqcm or less


name: tissue cultured allogeneic dermal substitute of feet; wound surface area 100 sq cm or greater


name: tissue cultured allogeneic dermal substitute of feet; wound surface area 100+ sq cm, 100 sq cm or less


name: tissue cultured allogeneic dermal substitute of feet; wound surface area 100+ sq cm; each additional 100 sq cm or less


name: allograft for temp wound closure hips wound surface area up to 100 sq cm


name: allograft for temporary wound closure of hip; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of hip; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of hip; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of hip; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of hip; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of thigh; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of thigh; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of thigh; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of thigh; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of thigh; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of thigh; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of knee; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of knee; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of knee; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of knee; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of knee; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of knee; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of leg; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of leg; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of leg; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of leg; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of leg; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of leg; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: allograft for temporary wound closure of feet; wound surface area up to 100 sq cm


name: allograft for temporary wound closure of feet; wound surface area up to 100 sq cm, 25 sq cm or less


name: allograft for temporary wound closure of feet; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: allograft for temporary wound closure of feet; wound surface area 100 sq cm or greater


name: allograft for temporary wound closure of feet; wound surface area 100 sq cm or greater, 100 sq cm or less


name: allograft for temporary wound closure of feet; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of the scalp; wound surface area up to 100 sq cm


name: acellular dermal allograft of the scalp; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of the scalp; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of the scalp; wound surface area 100 sq cm or greater


name: acellular dermal allograft of the scalp; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of the scalp; wound surface area 100 sq cm or greater, each additional 100 sq cm or less


name: acellular dermal allograft of face; wound surface area up to 100 sq cm


name: acellular dermal allograft of face; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of face; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of face; wound surface area 100 sq cm or greater


name: acellular dermal allograft of face; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of face, wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of ears; wound surface area up to 100 sq cm


name: acellular dermal allograft of ears; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of ears; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of ears; wound surface area 100 sq cm or greater


name: acellular dermal allograft of ears; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of ears; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of orbits; wound surface area up to 100 sq cm


name: acellular dermal allograft of orbits; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of orbits; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of orbits; wound surface area 100 sq cm or greater


name: acellular dermal allograft of orbits; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of orbits; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of eyelids; wound surface area up to 100 sq cm


name: acellular dermal allograft of eyelids; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of eyelids; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of eyelids; wound surface area 100 sq cm or greater


name: acellular dermal allograft of eyelids; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of eyelids; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of mouth; wound surface area up to 100 sq cm


name: acellular dermal allograft of mouth; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of mouth; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of mouth; wound surface area 100 sq cm or greater


name: acellular dermal allograft of mouth; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of mouth; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of neck; wound surface area up to 100 sq cm


name: acellular dermal allograft of neck; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of neck; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of neck; wound surface area 100 sq cm or greater


name: acellular dermal allograft of neck; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of neck; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of shoulder; wound surface area up to 100 sq cm


name: acellular dermal allograft of shoulder; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of shoulder; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of shoulder; wound surface area 100 sq cm or greater


name: acellular dermal allograft of shoulder; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of shoulder; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of arm; wound surface area up to 100 sq cm


name: acellular dermal allograft of arm; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of arm; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of arm; wound surface area 100 sq cm or greater


name: acellular dermal allograft of arm; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of arm; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of forearm; wound surface area up to 100 sq cm


name: acellular dermal allograft of forearm; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of forearm; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of forearm; wound surface area 100 sq cm or greater


name: acellular dermal allograft of forearm; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of forearm; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of hands; wound surface area up to 100 sq cm


name: acellular dermal allograft of hands; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of hands; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of hands; wound surface area 100 sq cm or greater


name: acellular dermal allograft of hands; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of hands; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of multiple digits; wound surface area up to 100 sq cm


name: acellular dermal allograft of multiple digits; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of multiple digits; wound surface area up to 100 sq cm, each additional 25 sq cm


name: acellular dermal allograft of multiple digits; wound surface area 100 sq cm or greater


name: acellular dermal allograft of multiple digits; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of multiple digits; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of trunk; wound surface area up to 100 sq cm


name: acellular dermal allograft of trunk; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of trunk; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of trunk; wound surface area 100 sq cm or greater


name: acellular dermal allograft of trunk; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of trunk; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of genitalia; wound surface area up to 100 sq cm


name: acellular dermal allograft of genitalia; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of genitalia; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of genitalia; wound surface area 100 sq cm or greater


name: acellular dermal allograft of genitalia; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of genitalia; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of hip; wound surface area up to 100 sq cm


name: acellular dermal allograft of hip; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of hip; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of hip; wound surface area 100 sq cm or greater


name: acellular dermal allograft of hip; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of hip; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of thigh; wound surface area up to 100 sq cm


name: acellular dermal allograft of thigh; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of thigh; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of thigh; wound surface area 100 sq cm or greater


name: acellular dermal allograft of thigh; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of thigh; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of knee; wound surface area up to 100 sq cm


name: acellular dermal allograft of knee; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of knee; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of knee; wound surface area 100 sq cm or greater


name: acellular dermal allograft of knee; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of knee; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft of leg; wound surface area up to 100 sq cm


name: acellular dermal allograft of leg; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of leg; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft of leg; wound surface area 100 sq cm or greater


name: acellular dermal allograft of leg; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of leg; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: acellular dermal allograft feet wound surface area up to 100 sq cm


name: acellular dermal allograft of feet; wound surface area up to 100 sq cm, 25 sq cm or less


name: acellular dermal allograft of feet, wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: acellular dermal allograft feet wound surface area 100 sq cm or greater


name: acellular dermal allograft of feet; wound surface area 100 sq cm or greater, 100 sq cm or less


name: acellular dermal allograft of feet, wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of scalp; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of scalp; wound surface area up to 100 sq cm, 25 sq cm or less


name: xenograft for temporary wound closure of scalp; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of scalp; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of scalp; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of scalp; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of face; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of face; wound surface area up to 100 sq cm, 25 sq cm or less


name: xenograft for temporary wound closure of face; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of face; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of face; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of face; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of ears; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of ears; wound surface area up to 100 sq cm - 25 sq cm or less


name: xenograft for temporary wound closure of ears; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of ears; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of ears; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of ears; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of orbits; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of orbits; wound surface area up to 100 sq cm, 25 sq cm or less


name: xenograft for temporary wound closure of orbits; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of orbits; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of orbits; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of orbits; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of eyelids; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of eyelids; wound surface area up to 100 sq cm, 25 sq cm or less


name: xenograft for temporary wound closure of eyelids; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of eyelids; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of eyelids; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of eyelids; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of mouth; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of mouth; wound surface area up to 100 sq cm, 25 sq cm or less


name: xenograft for temporary wound closure of mouth; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of mouth; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of mouth; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of mouth; wound surface area 100+ sq cm, each additional 100 sq cm or less


name: xenograft for temporary wound closure of neck; wound surface area up to 100 sq cm


name: xenograft for temporary wound closure of neck; wound surface area up to 100 sq cm, 25 sq cm or less


name: xenograft for temporary wound closure of neck; wound surface area up to 100 sq cm, each additional 25 sq cm or less


name: xenograft for temporary wound closure of neck; wound surface area 100 sq cm or greater


name: xenograft for temporary wound closure of neck; wound surface area 100 sq cm or greater, 100 sq cm or less


name: xenograft for temporary wound closure of neck; wound surface area 100+ sq cm, each additional 100 sq cm or less