Congenital dislocation of one hip with subluxation of other


Radiologic examination, pelvis and hips, infant or child, minimum of 2 views


Radiologic examination, shoulder; complete, minimum of 2 views


Primary malignant neoplasm of ethmoidal sinus


Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)


Injury of small intestine without open wound into abdominal cavity


Injury of urinary bladder and urethra with open wound into abdominal cavity

Bladder and urethra injury with open wound into cavity


Primary malignant neoplasm of retromolar area


Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moder


Maternal gonorrhea during pregnancy - baby not yet delivered


Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a prev


Ultrasound, pregnant uterus, real time with image documentation, transvaginal


Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi


Radiologic examination, chest; single view, frontal


Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair


Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgica


Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm


Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low


Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)


Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single


Radiologic examination, finger(s), minimum of 2 views


Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed


Radiologic examination, knee; 1 or 2 views


Radiologic examination; tibia and fibula, 2 views


Radiologic examination, ankle; complete, minimum of 3 views


Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression


Decalcification procedure (List separately in addition to code for surgical pathology examination)


Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)


Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision


Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous


Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography


Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of


Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes


Radiologic examination, abdomen; single anteroposterior view


Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger


Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft


Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (Lis


Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or c


Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection


Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of


Intestinal allotransplantation; from cadaver donor


Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coor


Inpatient consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other phy


Cholecystectomy with exploration of common duct


Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologi


Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency


Computed tomography guidance for, and monitoring of, parenchymal tissue ablation


Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/o


Lidocaine 25 MG/ML / Prilocaine 25 MG/ML Topical Cream


influenza A virus A/Singapore/GP1908/2015 (H1N1) antigen 0.03 MG/ML


Bisacodyl 10 MG Rectal Suppository [Bisac-Evac]


sennosides, USP 1.76 MG/ML Oral Solution


influenza A virus A/Hong Kong/4801/2014 (H3N2) antigen 0.03 MG/ML


1000 ML Glucose 50 MG/ML / Sodium Chloride 4.5 MG/ML Injection


Glucose 50 MG/ML / Sodium Chloride 9 MG/ML Injection


1000 ML Glucose 50 MG/ML / Sodium Chloride 9 MG/ML Injection


POLYETHYLENE GLYCOL 3350 17000 MG Powder for Oral Solution


120 ACTUAT Fluticasone propionate 0.044 MG/ACTUAT Metered Dose Inhaler


POLYETHYLENE GLYCOL 3350 17000 MG Powder for Oral Solution [Glycolax]


100 ML Sodium Chloride 9 MG/ML Injection


500 ML Sodium Chloride 9 MG/ML Injection


Acetaminophen 325 MG / Hydrocodone Bitartrate 5 MG Oral Tablet


Tretinoin 0.0005 MG/MG Topical Gel [Atralin]


Leuprolide Acetate 5 MG/ML Injectable Solution


L1 protein, Human papillomavirus type 6 Vaccine 0.04 MG/ML


adapalene 0.001 MG/MG / Benzoyl Peroxide 0.025 MG/MG Topical Gel


Progesterone 50 MG/ML Injectable Solution


0.5 ML L1 protein, Human papillomavirus type 11 Vaccine 0.08 MG/ML / L1 protein, Human papillomavirus type 16 Vaccine 0.08 MG/ML / L1 protein, Human papillomavirus type 18 Vaccine 0.04 MG/ML / L1 protein, Human papillomavirus type 6 Vaccine 0.04 MG/ML Pre


voriconazole 40 MG/ML Oral Suspension [Vfend]


moxifloxacin 400 MG Oral Tablet [Avelox]


valacyclovir 1000 MG Oral Tablet [Valtrex]


Esomeprazole Granules for Oral Suspension


Abuse-Deterrent 12 HR Oxycodone Hydrochloride 20 MG Extended Release Oral Tablet


10 ML Potassium Chloride 2 MEQ/ML Injection


Abuse-Deterrent 12 HR Oxycodone Hydrochloride 30 MG Extended Release Oral Tablet


Abuse-Deterrent 12 HR Oxycodone Hydrochloride 15 MG Extended Release Oral Tablet


Abuse-Deterrent 12 HR Oxycodone Hydrochloride 10 MG Extended Release Oral Tablet


100 ML Potassium Chloride 0.2 MEQ/ML Injection


50 ML Potassium Chloride 0.2 MEQ/ML Injection


50 ML Potassium Chloride 0.4 MEQ/ML Injection


Potassium Chloride / Sodium Chloride Injection


Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 9 MG/ML Injection


Osmotic 24 HR Nifedipine 30 MG Extended Release Oral Tablet


Osmotic 24 HR Nifedipine 60 MG Extended Release Oral Tablet


Anesthesia for procedures on salivary glands, including biopsy


Clindamycin 300 MG Oral Capsule [Cleocin]


Anesthesia for procedures involving plastic repair of cleft lip


Mupirocin 0.02 MG/MG Topical Ointment [Bactroban]


Polyvinyl Alcohol 0.014 ML/ML Ophthalmic Solution


Acetaminophen 325 MG Oral Tablet [Tylenol]


Methylprednisolone 4 MG Oral Tablet [Medrol]


Amoxicillin 875 MG / Clavulanate 125 MG Oral Tablet


{21 (Methylprednisolone 4 MG Oral Tablet) } Pack


Amoxicillin 875 MG / Clavulanate 125 MG Oral Tablet [Augmentin]


{21 (Methylprednisolone 4 MG Oral Tablet [Medrol]) } Pack [Medrol Dosepak]


Calcium Chloride 0.0014 MEQ/ML / Potassium Chloride 0.004 MEQ/ML / Sodium Chloride 0.103 MEQ/ML / Sodium Lactate 0.028 MEQ/ML Injectable Solution


Calcium Chloride / Lactate / Potassium Chloride / Sodium Chloride Injectable Solution


1 ML Hydromorphone Hydrochloride 1 MG/ML Prefilled Syringe