| Package | tiga.health.clinical |
| Type | ConceptMap |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=tiga.health.clinical@1.1.0&canonical=http://tigahealth.com/fhir/ConceptMap/cpt-hcpcs |
| Url | http://tigahealth.com/fhir/ConceptMap/cpt-hcpcs |
| Version | 0.1.0 |
| Status | active |
| Experimental | False |
| Realm | us |
No resources found
No resources found
FHIR{
"resourceType" : "ConceptMap",
"id" : "cpt-hcpcs",
"url" : "http://tigahealth.com/fhir/ConceptMap/cpt-hcpcs",
"version" : "0.1.0",
"status" : "active",
"sourceCanonical" : "https://www.ama-assn.org/cpt",
"targetCanonical" : "http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html",
"group" : [
{
"source" : "https://www.ama-assn.org/cpt",
"target" : "http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html",
"targetVersion" : "2022",
"element" : [
{
"code" : "1020888",
"display" : "Skin Substitute Grafts",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1020893",
"display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm",
"target" : [
{
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"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "15271",
"display" : "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",
"target" : [
{
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"display" : "Skin substitute used as a graft",
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]
},
{
"code" : "15272",
"display" : "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)",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1020894",
"display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "15273",
"display" : "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",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
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"comment" : "exact match"
}
]
},
{
"code" : "15274",
"display" : "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)",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1020895",
"display" : "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",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "15275",
"display" : "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",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "15276",
"display" : "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)",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1020896",
"display" : "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",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "15277",
"display" : "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",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "15278",
"display" : "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)",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "19325",
"display" : "Breast augmentation with implant",
"target" : [
{
"code" : "L8039",
"display" : "Breast prosthesis, not otherwise specified",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1007011",
"display" : "Vestibuloplasty",
"target" : [
{
"code" : "Level 3: D7340-D7350",
"display" : "Vestibuloplasty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "40840",
"display" : "Vestibuloplasty; anterior",
"target" : [
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"code" : "Level 3: D7340-D7350",
"display" : "Vestibuloplasty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "40842",
"display" : "Vestibuloplasty; posterior, unilateral",
"target" : [
{
"code" : "Level 3: D7340-D7350",
"display" : "Vestibuloplasty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "40843",
"display" : "Vestibuloplasty; posterior, bilateral",
"target" : [
{
"code" : "Level 3: D7340-D7350",
"display" : "Vestibuloplasty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "40844",
"display" : "Vestibuloplasty; entire arch",
"target" : [
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"code" : "Level 3: D7340-D7350",
"display" : "Vestibuloplasty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "40845",
"display" : "Vestibuloplasty; complex (including ridge extension, muscle repositioning)",
"target" : [
{
"code" : "Level 3: D7340-D7350",
"display" : "Vestibuloplasty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "66985",
"display" : "Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal",
"target" : [
{
"code" : "Level 3: V2630-V2632",
"display" : "Intraocular Lenses",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010843",
"display" : "Radiation Oncology Treatment",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010844",
"display" : "Consultation: Clinical Management for Radiation Treatment",
"target" : [
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"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010855",
"display" : "Medical Radiation Physics, Dosimetry, Treatment Devices, and Special Services for Radiation Treatment",
"target" : [
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"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010868",
"display" : "Treatment devices, design and construction",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77332",
"display" : "Treatment devices, design and construction; simple (simple block, simple bolus)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77333",
"display" : "Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77334",
"display" : "Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1022240",
"display" : "Teletherapy isodose plan",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77306",
"display" : "Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77307",
"display" : "Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1022241",
"display" : "Brachytherapy isodose plan",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77316",
"display" : "Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77317",
"display" : "Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77318",
"display" : "Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77295",
"display" : "3-dimensional radiotherapy plan, including dose-volume histograms",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77300",
"display" : "Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77301",
"display" : "Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77321",
"display" : "Special teletherapy port plan, particles, hemibody, total body",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77331",
"display" : "Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77336",
"display" : "Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77338",
"display" : "Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77370",
"display" : "Special medical radiation physics consultation",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010875",
"display" : "Radiation Treatment Delivery",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1022243",
"display" : "Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77385",
"display" : "Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77386",
"display" : "Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1035663",
"display" : "Radiation treatment delivery, >/=1 MeV",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77402",
"display" : "Radiation treatment delivery, >/=1 MeV; simple",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77407",
"display" : "Radiation treatment delivery, >/=1 MeV; intermediate",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77412",
"display" : "Radiation treatment delivery, >/=1 MeV; complex",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77387",
"display" : "Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77401",
"display" : "Radiation treatment delivery, superficial and/or ortho voltage, per day",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77417",
"display" : "Therapeutic radiology port image(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77424",
"display" : "Intraoperative radiation treatment delivery, x-ray, single treatment session",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77425",
"display" : "Intraoperative radiation treatment delivery, electrons, single treatment session",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010895",
"display" : "Neutron Beam Treatment Delivery",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77423",
"display" : "High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010898",
"display" : "Radiation Treatment Management",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77427",
"display" : "Radiation treatment management, 5 treatments",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77431",
"display" : "Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77432",
"display" : "Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77435",
"display" : "Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77469",
"display" : "Intraoperative radiation treatment management",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77470",
"display" : "Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77499",
"display" : "Unlisted procedure, therapeutic radiology treatment management",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010904",
"display" : "Proton Beam Radiation Treatment Delivery",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010905",
"display" : "Proton treatment delivery",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77520",
"display" : "Proton treatment delivery; simple, without compensation",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77522",
"display" : "Proton treatment delivery; simple, with compensation",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77523",
"display" : "Proton treatment delivery; intermediate",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77525",
"display" : "Proton treatment delivery; complex",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010910",
"display" : "Radiation Hyperthermia Treatment",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010911",
"display" : "Hyperthermia, externally generated",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77600",
"display" : "Hyperthermia, externally generated; superficial (ie, heating to a depth of 4 cm or less)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77605",
"display" : "Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010914",
"display" : "Hyperthermia generated by interstitial probe(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77610",
"display" : "Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77615",
"display" : "Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010917",
"display" : "Clinical Intracavitary Radiation Hyperthermia Treatment",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77620",
"display" : "Hyperthermia generated by intracavitary probe(s)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010919",
"display" : "Clinical Brachytherapy Radiation Treatment",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010921",
"display" : "Intracavitary radiation source application",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77761",
"display" : "Intracavitary radiation source application; simple",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77762",
"display" : "Intracavitary radiation source application; intermediate",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77763",
"display" : "Intracavitary radiation source application; complex",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1027847",
"display" : "Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77767",
"display" : "Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77768",
"display" : "Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1027848",
"display" : "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77770",
"display" : "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77771",
"display" : "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77772",
"display" : "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77750",
"display" : "Infusion or instillation of radioelement solution (includes 3-month follow-up care)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77778",
"display" : "Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77789",
"display" : "Surface application of low dose rate radionuclide source",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77790",
"display" : "Supervision, handling, loading of radiation source",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77799",
"display" : "Unlisted procedure, clinical brachytherapy",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1013955",
"display" : "Clinical Treatment Planning (External and Internal Sources) for Radiation Treatment",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010845",
"display" : "Therapeutic radiology treatment planning",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77261",
"display" : "Therapeutic radiology treatment planning; simple",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77262",
"display" : "Therapeutic radiology treatment planning; intermediate",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77263",
"display" : "Therapeutic radiology treatment planning; complex",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1010849",
"display" : "Therapeutic radiology simulation-aided field setting",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77280",
"display" : "Therapeutic radiology simulation-aided field setting; simple",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77285",
"display" : "Therapeutic radiology simulation-aided field setting; intermediate",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77290",
"display" : "Therapeutic radiology simulation-aided field setting; complex",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77293",
"display" : "Respiratory motion management simulation (List separately in addition to code for primary procedure)",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77299",
"display" : "Unlisted procedure, therapeutic radiology clinical treatment planning",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1015092",
"display" : "Stereotactic Radiation Treatment Delivery",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1014921",
"display" : "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77371",
"display" : "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77372",
"display" : "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77373",
"display" : "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1015093",
"display" : "Other Radiation Procedures",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "77399",
"display" : "Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services",
"target" : [
{
"code" : "Level 2: G6003-G6017",
"display" : "Radiation Treatment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012134",
"display" : "Microbiology Procedures",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012139",
"display" : "Culture, bacterial",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87040",
"display" : "Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87045",
"display" : "Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87046",
"display" : "Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87070",
"display" : "Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87071",
"display" : "Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87073",
"display" : "Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87075",
"display" : "Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87076",
"display" : "Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87077",
"display" : "Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012151",
"display" : "Culture, bacterial",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87086",
"display" : "Culture, bacterial; quantitative colony count, urine",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87088",
"display" : "Culture, bacterial; with isolation and presumptive identification of each isolate, urine",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012154",
"display" : "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87101",
"display" : "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87102",
"display" : "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87103",
"display" : "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012158",
"display" : "Culture, fungi, definitive identification, each organism",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87106",
"display" : "Culture, fungi, definitive identification, each organism; yeast",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87107",
"display" : "Culture, fungi, definitive identification, each organism; mold",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012165",
"display" : "Culture, typing",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87140",
"display" : "Culture, typing; immunofluorescent method, each antiserum",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87143",
"display" : "Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87147",
"display" : "Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87149",
"display" : "Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87150",
"display" : "Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87152",
"display" : "Culture, typing; identification by pulse field gel typing",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87153",
"display" : "Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87158",
"display" : "Culture, typing; other methods",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012172",
"display" : "Dark field examination, any source (eg, penile, vaginal, oral, skin)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87164",
"display" : "Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87166",
"display" : "Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012175",
"display" : "Macroscopic examination",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87168",
"display" : "Macroscopic examination; arthropod",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87169",
"display" : "Macroscopic examination; parasite",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012181",
"display" : "Susceptibility studies, antimicrobial agent",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87181",
"display" : "Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87184",
"display" : "Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87185",
"display" : "Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87186",
"display" : "Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87187",
"display" : "Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87188",
"display" : "Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87190",
"display" : "Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012190",
"display" : "Smear, primary source with interpretation",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87205",
"display" : "Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87206",
"display" : "Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87207",
"display" : "Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87209",
"display" : "Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87210",
"display" : "Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012198",
"display" : "Virus isolation",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87250",
"display" : "Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87252",
"display" : "Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87253",
"display" : "Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87254",
"display" : "Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87255",
"display" : "Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012344",
"display" : "Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87903",
"display" : "Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87904",
"display" : "Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary procedure)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1014275",
"display" : "Culture, presumptive, pathogenic organisms, screening only",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87081",
"display" : "Culture, presumptive, pathogenic organisms, screening only",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87084",
"display" : "Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1018176",
"display" : "Infectious Agent Antigen Detection",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012204",
"display" : "Infectious agent antigen detection by immunofluorescent technique",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87260",
"display" : "Infectious agent antigen detection by immunofluorescent technique; adenovirus",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87265",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87267",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87269",
"display" : "Infectious agent antigen detection by immunofluorescent technique; giardia",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87270",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87271",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87272",
"display" : "Infectious agent antigen detection by immunofluorescent technique; cryptosporidium",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87273",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87274",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87275",
"display" : "Infectious agent antigen detection by immunofluorescent technique; influenza B virus",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87276",
"display" : "Infectious agent antigen detection by immunofluorescent technique; influenza A virus",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87278",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87279",
"display" : "Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87280",
"display" : "Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus",
"target" : [
{
"code" : "Level 2: P7001-P7001",
&nb ]
},
{
"code" : "87555",
"display" : "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87556",
"display" : "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",
"target" : [
{
"code" : "Level 2: P7001-P7001",
&n "code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87230",
"display" : "Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87900",
"display" : "Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87905",
"display" : "Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid)",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "87999",
"display" : "Unlisted microbiology procedure",
"target" : [
{
"code" : "Level 2: P7001-P7001",
"display" : "Microbiology Tests",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012549",
"display" : "Semen analysis",
"target" : [
{
"code" : "Level 2: G0027-G0027",
"display" : "Semen Analysis",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "89300",
"display" : "Semen analysis; presence and/or motility of sperm including Huhner test (post coital)",
"target" : [
{
"code" : "Level 2: G0027-G0027",
"display" : "Semen Analysis",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "89310",
"display" : "Semen analysis; motility and count (not including Huhner test)",
"target" : [
{
"code" : "Level 2: G0027-G0027",
"display" : "Semen Analysis",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "89320",
"display" : "Semen analysis; volume, count, motility, and differential",
"target" : [
{
"code" : "Level 2: G0027-G0027",
"display" : "Semen Analysis",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "89321",
"display" : "Semen analysis; sperm presence and motility of sperm, if performed",
"target" : [
{
"code" : "Level 2: G0027-G0027",
"display" : "Semen Analysis",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "89322",
"display" : "Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger)",
"target" : [
{
"code" : "Level 2: G0027-G0027",
"display" : "Semen Analysis",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90472",
"display" : "Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",
"target" : [
{
"code" : "Level 2: G0008-G0010",
"display" : "Vaccine Administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012740",
"display" : "Dialysis Services and Procedures",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012752",
"display" : "Hemodialysis Procedures",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90935",
"display" : "Hemodialysis procedure with single evaluation by a physician or other qualified health care professional",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90937",
"display" : "Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90940",
"display" : "Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1012757",
"display" : "Miscellaneous Dialysis Services and Procedures",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90945",
"display" : "Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90947",
"display" : "Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019051",
"display" : "End-Stage Renal Disease Services",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019318",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90951",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90952",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90953",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019319",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90954",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90955",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90956",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019320",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90957",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90958",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90959",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019321",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90960",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90961",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90962",
"display" : "End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019322",
"display" : "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90967",
"display" : "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90968",
"display" : "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90969",
"display" : "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90970",
"display" : "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90963",
"display" : "End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90964",
"display" : "End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90965",
"display" : "End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90966",
"display" : "End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019071",
"display" : "Other Dialysis Procedures",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90989",
"display" : "Dialysis training, patient, including helper where applicable, any mode, completed course",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90993",
"display" : "Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90997",
"display" : "Hemoperfusion (eg, with activated charcoal or resin)",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "90999",
"display" : "Unlisted dialysis procedure, inpatient or outpatient",
"target" : [
{
"code" : "Level 2: G0491-G0492",
"display" : "Dialysis Procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1013442",
"display" : "Chemotherapy administration",
"target" : [
{
"code" : "Level 2: G0498-G0498",
"display" : "Chemotherapy Administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "96405",
"display" : "Chemotherapy administration; intralesional, up to and including 7 lesions",
"target" : [
{
"code" : "Level 2: G0498-G0498",
"display" : "Chemotherapy Administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "96406",
"display" : "Chemotherapy administration; intralesional, more than 7 lesions",
"target" : [
{
"code" : "Level 2: G0498-G0498",
"display" : "Chemotherapy Administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "96409",
"display" : "Chemotherapy administration; intravenous, push technique, single or initial substance/drug",
"target" : [
{
"code" : "Level 2: G0498-G0498",
"display" : "Chemotherapy Administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "96411",
"display" : "Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",
"target" : [
{
"code" : "Level 2: G0498-G0498",
"display" : "Chemotherapy Administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1014993",
"display" : "Services in Pathology and Laboratory",
"target" : [
{
"code" : "Level 1: P0000-P9999",
"display" : "Pathology and Laboratory Services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1019374",
"display" : "Patient screened for future fall risk",
"target" : [
{
"code" : "M1069",
"display" : "Patient screened for future fall risk",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1100F",
"display" : "Patient screened for future fall risk; documentation of 2 or more falls in the past year or any fall with injury in the past year (GER)",
"target" : [
{
"code" : "M1069",
"display" : "Patient screened for future fall risk",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1101F",
"display" : "Patient screened for future fall risk; documentation of no falls in the past year or only 1 fall without injury in the past year (GER)",
"target" : [
{
"code" : "M1069",
"display" : "Patient screened for future fall risk",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "P1",
"display" : "A normal healthy patient",
"target" : [
{
"code" : "P1",
"display" : "A normal healthy patient",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "P2",
"display" : "A patient with mild systemic disease",
"target" : [
{
"code" : "P2",
"display" : "A patient with mild systemic disease",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "P3",
"display" : "A patient with severe systemic disease",
"target" : [
{
"code" : "P3",
"display" : "A patient with severe systemic disease",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "P4",
"display" : "A patient with severe systemic disease that is a constant threat to life",
"target" : [
{
"code" : "P4",
"display" : "A patient with severe systemic disease that is a constant threat to life",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "P5",
"display" : "A moribund patient who is not expected to survive without the operation",
"target" : [
{
"code" : "P5",
"display" : "A moribund patient who is not expected to survive without the operation",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "P6",
"display" : "A declared brain-dead patient whose organs are being removed for donor purposes",
"target" : [
{
"code" : "P6",
"display" : "A declared brain-dead patient whose organs are being removed for donor purposes",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "1021910",
"display" : "Level II (HCPCS/National) Modifiers",
"target" : [
{
"code" : "MTHU000319",
"display" : "HCPCS Level II National Modifiers",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A1",
"display" : "Dressing for one wound",
"target" : [
{
"code" : "A1",
"display" : "Dressing for one wound",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A2",
"display" : "Dressing for two wounds",
"target" : [
{
"code" : "A2",
"display" : "Dressing for two wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A3",
"display" : "Dressing for three wounds",
"target" : [
{
"code" : "A3",
"display" : "Dressing for three wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A4",
"display" : "Dressing for four wounds",
"target" : [
{
"code" : "A4",
"display" : "Dressing for four wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A5",
"display" : "Dressing for five wounds",
"target" : [
{
"code" : "A5",
"display" : "Dressing for five wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A6",
"display" : "Dressing for six wounds",
"target" : [
{
"code" : "A6",
"display" : "Dressing for six wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A7",
"display" : "Dressing for seven wounds",
"target" : [
{
"code" : "A7",
"display" : "Dressing for seven wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A8",
"display" : "Dressing for eight wounds",
"target" : [
{
"code" : "A8",
"display" : "Dressing for eight wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "A9",
"display" : "Dressing for nine or more wounds",
"target" : [
{
"code" : "A9",
"display" : "Dressing for nine or more wounds",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AA",
"display" : "Anesthesia services performed personally by anesthesiologist",
"target" : [
{
"code" : "AA",
"display" : "Anesthesia services performed personally by anesthesiologist",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AD",
"display" : "Medical supervision by a physician: more than four concurrent anesthesia procedures",
"target" : [
{
"code" : "AD",
"display" : "Medical supervision by a physician: more than four concurrent anesthesia procedures",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AE",
"display" : "Registered dietician",
"target" : [
{
"code" : "AE",
"display" : "Registered dietician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AF",
"display" : "Specialty physician",
"target" : [
{
"code" : "AF",
"display" : "Specialty physician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AG",
"display" : "Primary physician",
"target" : [
{
"code" : "AG",
"display" : "Primary physician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AH",
"display" : "Clinical psychologist",
"target" : [
{
"code" : "AH",
"display" : "Clinical psychologist",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AI",
"display" : "Principal physician of record",
"target" : [
{
"code" : "AI",
"display" : "Principal physician of record",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AJ",
"display" : "Clinical social worker",
"target" : [
{
"code" : "AJ",
"display" : "Clinical social worker",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AK",
"display" : "Non participating physician",
"target" : [
{
"code" : "AK",
"display" : "Non participating physician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AM",
"display" : "Physician, team member service",
"target" : [
{
"code" : "AM",
"display" : "Physician, team member service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AO",
"display" : "Alternate payment method declined by provider of service",
"target" : [
{
"code" : "AO",
"display" : "Alternate payment method declined by provider of service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AP",
"display" : "Determination of refractive state was not performed in the course of diagnostic ophthalmological examination",
"target" : [
{
"code" : "AP",
"display" : "Determination of refractive state was not performed in the course of diagnostic ophthalmological examination",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AQ",
"display" : "Physician providing a service in an unlisted health professional shortage area (hpsa)",
"target" : [
{
"code" : "AQ",
"display" : "Physician providing a service in an unlisted health professional shortage area (hpsa)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AR",
"display" : "Physician provider services in a physician scarcity area",
"target" : [
{
"code" : "AR",
"display" : "Physician provider services in a physician scarcity area",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AS",
"display" : "Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery",
"target" : [
{
"code" : "AS",
"display" : "Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AT",
"display" : "Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)",
"target" : [
{
"code" : "AT",
"display" : "Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AU",
"display" : "Item furnished in conjunction with a urological, ostomy, or tracheostomy supply",
"target" : [
{
"code" : "AU",
"display" : "Item furnished in conjunction with a urological, ostomy, or tracheostomy supply",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AV",
"display" : "Item furnished in conjunction with a prosthetic device, prosthetic or orthotic",
"target" : [
{
"code" : "AV",
"display" : "Item furnished in conjunction with a prosthetic device, prosthetic or orthotic",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AW",
"display" : "Item furnished in conjunction with a surgical dressing",
"target" : [
{
"code" : "AW",
"display" : "Item furnished in conjunction with a surgical dressing",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AX",
"display" : "Item furnished in conjunction with dialysis services",
"target" : [
{
"code" : "AX",
"display" : "Item furnished in conjunction with dialysis services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AY",
"display" : "Item or service furnished to an esrd patient that is not for the treatment of esrd",
"target" : [
{
"code" : "AY",
"display" : "Item or service furnished to an esrd patient that is not for the treatment of esrd",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "AZ",
"display" : "Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment",
"target" : [
{
"code" : "AZ",
"display" : "Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "BA",
"display" : "Item furnished in conjunction with parenteral enteral nutrition (pen) services",
"target" : [
{
"code" : "BA",
"display" : "Item furnished in conjunction with parenteral enteral nutrition (pen) services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "BL",
"display" : "Special acquisition of blood and blood products",
"target" : [
{
"code" : "BL",
"display" : "Special acquisition of blood and blood products",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "BO",
"display" : "Orally administered nutrition, not by feeding tube",
"target" : [
{
"code" : "BO",
"display" : "Orally administered nutrition, not by feeding tube",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "BP",
"display" : "The beneficiary has been informed of the purchase and rental options and has elected to purchase the item",
"target" : [
{
"code" : "BP",
"display" : "The beneficiary has been informed of the purchase and rental options and has elected to purchase the item",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "BR",
"display" : "The beneficiary has been informed of the purchase and rental options and has elected to rent the item",
"target" : [
{
"code" : "BR",
"display" : "The beneficiary has been informed of the purchase and rental options and has elected to rent the item",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "BU",
"display" : "The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision",
"target" : [
{
"code" : "BU",
"display" : "The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CA",
"display" : "Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission",
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{
"code" : "CA",
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"comment" : "exact match"
}
]
},
{
"code" : "CB",
"display" : "Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable",
"target" : [
{
"code" : "CB",
"display" : "Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CC",
"display" : "Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)",
"target" : [
{
"code" : "CC",
"display" : "Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CD",
"display" : "Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable",
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{
"code" : "CD",
"display" : "Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CE",
"display" : "Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity",
"target" : [
{
"code" : "CE",
"display" : "Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CF",
"display" : "Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable",
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{
"code" : "CF",
"display" : "Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CG",
"display" : "Policy criteria applied",
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{
"code" : "CG",
"display" : "Policy criteria applied",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CH",
"display" : "0 percent impaired, limited or restricted",
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{
"code" : "CH",
"display" : "0 percent impaired, limited or restricted",
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"comment" : "exact match"
}
]
},
{
"code" : "CI",
"display" : "At least 1 percent but less than 20 percent impaired, limited or restricted",
"target" : [
{
"code" : "CI",
"display" : "At least 1 percent but less than 20 percent impaired, limited or restricted",
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"comment" : "exact match"
}
]
},
{
"code" : "CJ",
"display" : "At least 20 percent but less than 40 percent impaired, limited or restricted",
"target" : [
{
"code" : "CJ",
"display" : "At least 20 percent but less than 40 percent impaired, limited or restricted",
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"comment" : "exact match"
}
]
},
{
"code" : "CK",
"display" : "At least 40 percent but less than 60 percent impaired, limited or restricted",
"target" : [
{
"code" : "CK",
"display" : "At least 40 percent but less than 60 percent impaired, limited or restricted",
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"comment" : "exact match"
}
]
},
{
"code" : "CL",
"display" : "At least 60 percent but less than 80 percent impaired, limited or restricted",
"target" : [
{
"code" : "CL",
"display" : "At least 60 percent but less than 80 percent impaired, limited or restricted",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CM",
"display" : "At least 80 percent but less than 100 percent impaired, limited or restricted",
"target" : [
{
"code" : "CM",
"display" : "At least 80 percent but less than 100 percent impaired, limited or restricted",
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"comment" : "exact match"
}
]
},
{
"code" : "CN",
"display" : "100 percent impaired, limited or restricted",
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{
"code" : "CN",
"display" : "100 percent impaired, limited or restricted",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CO",
"display" : "Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant",
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{
"code" : "CO",
"display" : "Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CQ",
"display" : "Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant",
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{
"code" : "CQ",
"display" : "Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CR",
"display" : "Catastrophe/disaster related",
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{
"code" : "CR",
"display" : "Catastrophe/disaster related",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CS",
"display" : "Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil spill in the gulf of mexico, including but not limited to subsequent clean-up activities",
"target" : [
{
"code" : "MTHU000319",
"display" : "HCPCS Level II National Modifiers",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "CT",
"display" : "Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard",
"target" : [
{
"code" : "CT",
"display" : "Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "DA",
"display" : "Oral health assessment by a licensed health professional other than a dentist",
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{
"code" : "DA",
"display" : "Oral health assessment by a licensed health professional other than a dentist",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "E1",
"display" : "Upper left, eyelid",
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{
"code" : "E1",
"display" : "Upper left, eyelid",
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"comment" : "exact match"
}
]
},
{
"code" : "E2",
"display" : "Lower left, eyelid",
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{
"code" : "E2",
"display" : "Lower left, eyelid",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "E3",
"display" : "Upper right, eyelid",
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{
"code" : "E3",
"display" : "Upper right, eyelid",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "E4",
"display" : "Lower right, eyelid",
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{
"code" : "E4",
"display" : "Lower right, eyelid",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EA",
"display" : "Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy",
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{
"code" : "EA",
"display" : "Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EB",
"display" : "Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy",
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{
"code" : "EB",
"display" : "Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EC",
"display" : "Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy",
"target" : [
{
"code" : "EC",
"display" : "Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "ED",
"display" : "Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle",
"target" : [
{
"code" : "ED",
"display" : "Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EE",
"display" : "Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle",
"target" : [
{
"code" : "EE",
"display" : "Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EJ",
"display" : "Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab",
"target" : [
{
"code" : "EJ",
"display" : "Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EM",
"display" : "Emergency reserve supply (for esrd benefit only)",
"target" : [
{
"code" : "EM",
"display" : "Emergency reserve supply (for esrd benefit only)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EP",
"display" : "Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program",
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{
"code" : "EP",
"display" : "Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "ER",
"display" : "Items and services furnished by a provider-based, off-campus emergency department",
"target" : [
{
"code" : "ER",
"display" : "Items and services furnished by a provider-based, off-campus emergency department",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "ET",
"display" : "Emergency services",
"target" : [
{
"code" : "ET",
"display" : "Emergency services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EX",
"display" : "Expatriate beneficiary",
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{
"code" : "EX",
"display" : "Expatriate beneficiary",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "EY",
"display" : "No physician or other licensed health care provider order for this item or service",
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{
"code" : "EY",
"display" : "No physician or other licensed health care provider order for this item or service",
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"comment" : "exact match"
}
]
},
{
"code" : "F1",
"display" : "Left hand, second digit",
"target" : [
{
"code" : "F1",
"display" : "Left hand, second digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F2",
"display" : "Left hand, third digit",
"target" : [
{
"code" : "F2",
"display" : "Left hand, third digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F3",
"display" : "Left hand, fourth digit",
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{
"code" : "F3",
"display" : "Left hand, fourth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F4",
"display" : "Left hand, fifth digit",
"target" : [
{
"code" : "F4",
"display" : "Left hand, fifth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F5",
"display" : "Right hand, thumb",
"target" : [
{
"code" : "F5",
"display" : "Right hand, thumb",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F6",
"display" : "Right hand, second digit",
"target" : [
{
"code" : "F6",
"display" : "Right hand, second digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F7",
"display" : "Right hand, third digit",
"target" : [
{
"code" : "F7",
"display" : "Right hand, third digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F8",
"display" : "Right hand, fourth digit",
"target" : [
{
"code" : "F8",
"display" : "Right hand, fourth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "F9",
"display" : "Right hand, fifth digit",
"target" : [
{
"code" : "F9",
"display" : "Right hand, fifth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "FA",
"display" : "Left hand, thumb",
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{
"code" : "FA",
"display" : "Left hand, thumb",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "FB",
"display" : "Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)",
"target" : [
{
"code" : "FB",
"display" : "Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "FC",
"display" : "Partial credit received for replaced device",
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{
"code" : "FC",
"display" : "Partial credit received for replaced device",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "FP",
"display" : "Service provided as part of family planning program",
"target" : [
{
"code" : "FP",
"display" : "Service provided as part of family planning program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "FX",
"display" : "X-ray taken using film",
"target" : [
{
"code" : "FX",
"display" : "X-ray taken using film",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "FY",
"display" : "X-ray taken using computed radiography technology/cassette-based imaging",
"target" : [
{
"code" : "FY",
"display" : "X-ray taken using computed radiography technology/cassette-based imaging",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "G0",
"display" : "Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke",
"target" : [
{
"code" : "G0",
"display" : "Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke",
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"comment" : "exact match"
}
]
},
{
"code" : "G1",
"display" : "Most recent urr reading of less than 60",
"target" : [
{
"code" : "G1",
"display" : "Most recent urr reading of less than 60",
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"comment" : "exact match"
}
]
},
{
"code" : "G2",
"display" : "Most recent urr reading of 60 to 64.9",
"target" : [
{
"code" : "G2",
"display" : "Most recent urr reading of 60 to 64.9",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "G3",
"display" : "Most recent urr reading of 65 to 69.9",
"target" : [
{
"code" : "G3",
"display" : "Most recent urr reading of 65 to 69.9",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "G4",
"display" : "Most recent urr reading of 70 to 74.9",
"target" : [
{
"code" : "G4",
"display" : "Most recent urr reading of 70 to 74.9",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "G5",
"display" : "Most recent urr reading of 75 or greater",
"target" : [
{
"code" : "G5",
"display" : "Most recent urr reading of 75 or greater",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "G6",
"display" : "Esrd patient for whom less than six dialysis sessions have been provided in a month",
"target" : [
{
"code" : "G6",
"display" : "Esrd patient for whom less than six dialysis sessions have been provided in a month",
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"comment" : "exact match"
}
]
},
{
"code" : "G7",
"display" : "Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening",
"target" : [
{
"code" : "G7",
"display" : "Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "G8",
"display" : "Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure",
"target" : [
{
"code" : "G8",
"display" : "Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure",
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"comment" : "exact match"
}
]
},
{
"code" : "G9",
"display" : "Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition",
"target" : [
{
"code" : "G9",
"display" : "Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GA",
"display" : "Waiver of liability statement issued as required by payer policy, individual case",
"target" : [
{
"code" : "GA",
"display" : "Waiver of liability statement issued as required by payer policy, individual case",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GB",
"display" : "Claim being re-submitted for payment because it is no longer covered under a global payment demonstration",
"target" : [
{
"code" : "GB",
"display" : "Claim being re-submitted for payment because it is no longer covered under a global payment demonstration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GC",
"display" : "This service has been performed in part by a resident under the direction of a teaching physician",
"target" : [
{
"code" : "GC",
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"comment" : "exact match"
}
]
},
{
"code" : "GE",
"display" : "This service has been performed by a resident without the presence of a teaching physician under the primary care exception",
"target" : [
{
"code" : "GE",
"display" : "This service has been performed by a resident without the presence of a teaching physician under the primary care exception",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GF",
"display" : "Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital",
"target" : [
{
"code" : "GF",
"display" : "Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GG",
"display" : "Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day",
"target" : [
{
"code" : "GG",
"display" : "Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day",
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"comment" : "exact match"
}
]
},
{
"code" : "GH",
"display" : "Diagnostic mammogram converted from screening mammogram on same day",
"target" : [
{
"code" : "GH",
"display" : "Diagnostic mammogram converted from screening mammogram on same day",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GJ",
"display" : "\"opt out\" physician or practitioner emergency or urgent service",
"target" : [
{
"code" : "GJ",
"display" : "\"opt out\" physician or practitioner emergency or urgent service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GK",
"display" : "Reasonable and necessary item/service associated with a ga or gz modifier",
"target" : [
{
"code" : "GK",
"display" : "Reasonable and necessary item/service associated with a ga or gz modifier",
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"comment" : "exact match"
}
]
},
{
"code" : "GL",
"display" : "Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)",
"target" : [
{
"code" : "GL",
"display" : "Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)",
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"comment" : "exact match"
}
]
},
{
"code" : "GM",
"display" : "Multiple patients on one ambulance trip",
"target" : [
{
"code" : "GM",
"display" : "Multiple patients on one ambulance trip",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GN",
"display" : "Services delivered under an outpatient speech language pathology plan of care",
"target" : [
{
"code" : "GN",
"display" : "Services delivered under an outpatient speech language pathology plan of care",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GO",
"display" : "Services delivered under an outpatient occupational therapy plan of care",
"target" : [
{
"code" : "GO",
"display" : "Services delivered under an outpatient occupational therapy plan of care",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GP",
"display" : "Services delivered under an outpatient physical therapy plan of care",
"target" : [
{
"code" : "GP",
"display" : "Services delivered under an outpatient physical therapy plan of care",
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"comment" : "exact match"
}
]
},
{
"code" : "GQ",
"display" : "Via asynchronous telecommunications system",
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{
"code" : "GQ",
"display" : "Via asynchronous telecommunications system",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GR",
"display" : "This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy",
"target" : [
{
"code" : "GR",
"display" : "This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GS",
"display" : "Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level",
"target" : [
{
"code" : "GS",
"display" : "Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GT",
"display" : "Via interactive audio and video telecommunication systems",
"target" : [
{
"code" : "GT",
"display" : "Via interactive audio and video telecommunication systems",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GU",
"display" : "Waiver of liability statement issued as required by payer policy, routine notice",
"target" : [
{
"code" : "GU",
"display" : "Waiver of liability statement issued as required by payer policy, routine notice",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GV",
"display" : "Attending physician not employed or paid under arrangement by the patient's hospice provider",
"target" : [
{
"code" : "GV",
"display" : "Attending physician not employed or paid under arrangement by the patient's hospice provider",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GW",
"display" : "Service not related to the hospice patient's terminal condition",
"target" : [
{
"code" : "GW",
"display" : "Service not related to the hospice patient's terminal condition",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GX",
"display" : "Notice of liability issued, voluntary under payer policy",
"target" : [
{
"code" : "GX",
"display" : "Notice of liability issued, voluntary under payer policy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GY",
"display" : "Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit",
"target" : [
{
"code" : "GY",
"display" : "Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "GZ",
"display" : "Item or service expected to be denied as not reasonable and necessary",
"target" : [
{
"code" : "GZ",
"display" : "Item or service expected to be denied as not reasonable and necessary",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "H9",
"display" : "Court-ordered",
"target" : [
{
"code" : "H9",
"display" : "Court-ordered",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HA",
"display" : "Child/adolescent program",
"target" : [
{
"code" : "HA",
"display" : "Child/adolescent program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HB",
"display" : "Adult program, non geriatric",
"target" : [
{
"code" : "HB",
"display" : "Adult program, non geriatric",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HC",
"display" : "Adult program, geriatric",
"target" : [
{
"code" : "HC",
"display" : "Adult program, geriatric",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HD",
"display" : "Pregnant/parenting women's program",
"target" : [
{
"code" : "HD",
"display" : "Pregnant/parenting women's program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HE",
"display" : "Mental health program",
"target" : [
{
"code" : "HE",
"display" : "Mental health program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HF",
"display" : "Substance abuse program",
"target" : [
{
"code" : "HF",
"display" : "Substance abuse program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HG",
"display" : "Opioid addiction treatment program",
"target" : [
{
"code" : "HG",
"display" : "Opioid addiction treatment program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HH",
"display" : "Integrated mental health/substance abuse program",
"target" : [
{
"code" : "HH",
"display" : "Integrated mental health/substance abuse program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HI",
"display" : "Integrated mental health and intellectual disability/developmental disabilities program",
"target" : [
{
"code" : "HI",
"display" : "Integrated mental health and intellectual disability/developmental disabilities program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HJ",
"display" : "Employee assistance program",
"target" : [
{
"code" : "HJ",
"display" : "Employee assistance program",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HK",
"display" : "Specialized mental health programs for high-risk populations",
"target" : [
{
"code" : "HK",
"display" : "Specialized mental health programs for high-risk populations",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HL",
"display" : "Intern",
"target" : [
{
"code" : "HL",
"display" : "Intern",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HM",
"display" : "Less than bachelor degree level",
"target" : [
{
"code" : "HM",
"display" : "Less than bachelor degree level",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HN",
"display" : "Bachelors degree level",
"target" : [
{
"code" : "HN",
"display" : "Bachelors degree level",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HO",
"display" : "Masters degree level",
"target" : [
{
"code" : "HO",
"display" : "Masters degree level",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HP",
"display" : "Doctoral level",
"target" : [
{
"code" : "HP",
"display" : "Doctoral level",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HQ",
"display" : "Group setting",
"target" : [
{
"code" : "HQ",
"display" : "Group setting",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HR",
"display" : "Family/couple with client present",
"target" : [
{
"code" : "HR",
"display" : "Family/couple with client present",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HS",
"display" : "Family/couple without client present",
"target" : [
{
"code" : "HS",
"display" : "Family/couple without client present",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HT",
"display" : "Multi-disciplinary team",
"target" : [
{
"code" : "HT",
"display" : "Multi-disciplinary team",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HU",
"display" : "Funded by child welfare agency",
"target" : [
{
"code" : "HU",
"display" : "Funded by child welfare agency",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HV",
"display" : "Funded state addictions agency",
"target" : [
{
"code" : "HV",
"display" : "Funded state addictions agency",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HW",
"display" : "Funded by state mental health agency",
"target" : [
{
"code" : "HW",
"display" : "Funded by state mental health agency",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HX",
"display" : "Funded by county/local agency",
"target" : [
{
"code" : "HX",
"display" : "Funded by county/local agency",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HY",
"display" : "Funded by juvenile justice agency",
"target" : [
{
"code" : "HY",
"display" : "Funded by juvenile justice agency",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "HZ",
"display" : "Funded by criminal justice agency",
"target" : [
{
"code" : "HZ",
"display" : "Funded by criminal justice agency",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "J1",
"display" : "Competitive acquisition program no-pay submission for a prescription number",
"target" : [
{
"code" : "J1",
"display" : "Competitive acquisition program no-pay submission for a prescription number",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "J2",
"display" : "Competitive acquisition program, restocking of emergency drugs after emergency administration",
"target" : [
{
"code" : "J2",
"display" : "Competitive acquisition program, restocking of emergency drugs after emergency administration",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "J3",
"display" : "Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology",
"target" : [
{
"code" : "J3",
"display" : "Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "J4",
"display" : "Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge",
"target" : [
{
"code" : "J4",
"display" : "Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JA",
"display" : "Administered intravenously",
"target" : [
{
"code" : "JA",
"display" : "Administered intravenously",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JB",
"display" : "Administered subcutaneously",
"target" : [
{
"code" : "JB",
"display" : "Administered subcutaneously",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"target" : [
{
"code" : "JC",
"display" : "Skin substitute used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JD",
"display" : "Skin substitute not used as a graft",
"target" : [
{
"code" : "JD",
"display" : "Skin substitute not used as a graft",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JE",
"display" : "Administered via dialysate",
"target" : [
{
"code" : "JE",
"display" : "Administered via dialysate",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JG",
"display" : "Drug or biological acquired with 340b drug pricing program discount",
"target" : [
{
"code" : "JG",
"display" : "Drug or biological acquired with 340b drug pricing program discount",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "JW",
"display" : "Drug amount discarded/not administered to any patient",
"target" : [
{
"code" : "JW",
"display" : "Drug amount discarded/not administered to any patient",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "K0",
"display" : "Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.",
"target" : [
{
"code" : "K0",
"display" : "Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.",
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"comment" : "exact match"
}
]
},
{
"code" : "K1",
"display" : "Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator.",
"target" : [
{
"code" : "K1",
"display" : "Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator.",
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"comment" : "exact match"
}
]
},
{
"code" : "K2",
"display" : "Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator.",
"target" : [
{
"code" : "K2",
"display" : "Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator.",
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"comment" : "exact match"
}
]
},
{
"code" : "K3",
"display" : "Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.",
"target" : [
{
"code" : "K3",
"display" : "Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "K4",
"display" : "Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.",
"target" : [
{
"code" : "K4",
"display" : "Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KA",
"display" : "Add on option/accessory for wheelchair",
"target" : [
{
"code" : "KA",
"display" : "Add on option/accessory for wheelchair",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KB",
"display" : "Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim",
"target" : [
{
"code" : "KB",
"display" : "Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KC",
"display" : "Replacement of special power wheelchair interface",
"target" : [
{
"code" : "KC",
"display" : "Replacement of special power wheelchair interface",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KD",
"display" : "Drug or biological infused through dme",
"target" : [
{
"code" : "KD",
"display" : "Drug or biological infused through dme",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KE",
"display" : "Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment",
"target" : [
{
"code" : "KE",
"display" : "Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment",
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"comment" : "exact match"
}
]
},
{
"code" : "KF",
"display" : "Item designated by fda as class iii device",
"target" : [
{
"code" : "KF",
"display" : "Item designated by fda as class iii device",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KG",
"display" : "Dmepos item subject to dmepos competitive bidding program number 1",
"target" : [
{
"code" : "KG",
"display" : "Dmepos item subject to dmepos competitive bidding program number 1",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KH",
"display" : "Dmepos item, initial claim, purchase or first month rental",
"target" : [
{
"code" : "KH",
"display" : "Dmepos item, initial claim, purchase or first month rental",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KI",
"display" : "Dmepos item, second or third month rental",
"target" : [
{
"code" : "KI",
"display" : "Dmepos item, second or third month rental",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KJ",
"display" : "Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen",
"target" : [
{
"code" : "KJ",
"display" : "Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KK",
"display" : "Dmepos item subject to dmepos competitive bidding program number 2",
"target" : [
{
"code" : "KK",
"display" : "Dmepos item subject to dmepos competitive bidding program number 2",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KL",
"display" : "Dmepos item delivered via mail",
"target" : [
{
"code" : "KL",
"display" : "Dmepos item delivered via mail",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KM",
"display" : "Replacement of facial prosthesis including new impression/moulage",
"target" : [
{
"code" : "KM",
"display" : "Replacement of facial prosthesis including new impression/moulage",
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"comment" : "exact match"
}
]
},
{
"code" : "KN",
"display" : "Replacement of facial prosthesis using previous master model",
"target" : [
{
"code" : "KN",
"display" : "Replacement of facial prosthesis using previous master model",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KO",
"display" : "Single drug unit dose formulation",
"target" : [
{
"code" : "KO",
"display" : "Single drug unit dose formulation",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KP",
"display" : "First drug of a multiple drug unit dose formulation",
"target" : [
{
"code" : "KP",
"display" : "First drug of a multiple drug unit dose formulation",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KQ",
"display" : "Second or subsequent drug of a multiple drug unit dose formulation",
"target" : [
{
"code" : "KQ",
"display" : "Second or subsequent drug of a multiple drug unit dose formulation",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KR",
"display" : "Rental item, billing for partial month",
"target" : [
{
"code" : "KR",
"display" : "Rental item, billing for partial month",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KS",
"display" : "Glucose monitor supply for diabetic beneficiary not treated with insulin",
"target" : [
{
"code" : "KS",
"display" : "Glucose monitor supply for diabetic beneficiary not treated with insulin",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KT",
"display" : "Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item",
"target" : [
{
"code" : "KT",
"display" : "Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KU",
"display" : "Dmepos item subject to dmepos competitive bidding program number 3",
"target" : [
{
"code" : "KU",
"display" : "Dmepos item subject to dmepos competitive bidding program number 3",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KV",
"display" : "Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service",
"target" : [
{
"code" : "KV",
"display" : "Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service",
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"comment" : "exact match"
}
]
},
{
"code" : "KW",
"display" : "Dmepos item subject to dmepos competitive bidding program number 4",
"target" : [
{
"code" : "KW",
"display" : "Dmepos item subject to dmepos competitive bidding program number 4",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KX",
"display" : "Requirements specified in the medical policy have been met",
"target" : [
{
"code" : "KX",
"display" : "Requirements specified in the medical policy have been met",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KY",
"display" : "Dmepos item subject to dmepos competitive bidding program number 5",
"target" : [
{
"code" : "KY",
"display" : "Dmepos item subject to dmepos competitive bidding program number 5",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "KZ",
"display" : "New coverage not implemented by managed care",
"target" : [
{
"code" : "KZ",
"display" : "New coverage not implemented by managed care",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LC",
"display" : "Left circumflex coronary artery",
"target" : [
{
"code" : "LC",
"display" : "Left circumflex coronary artery",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LD",
"display" : "Left anterior descending coronary artery",
"target" : [
{
"code" : "LD",
"display" : "Left anterior descending coronary artery",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LL",
"display" : "Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)",
"target" : [
{
"code" : "LL",
"display" : "Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LM",
"display" : "Left main coronary artery",
"target" : [
{
"code" : "LM",
"display" : "Left main coronary artery",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LR",
"display" : "Laboratory round trip",
"target" : [
{
"code" : "LR",
"display" : "Laboratory round trip",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LS",
"display" : "Fda-monitored intraocular lens implant",
"target" : [
{
"code" : "LS",
"display" : "Fda-monitored intraocular lens implant",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "LT",
"display" : "Left side (used to identify procedures performed on the left side of the body)",
"target" : [
{
"code" : "LT",
"display" : "Left side (used to identify procedures performed on the left side of the body)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "M2",
"display" : "Medicare secondary payer (msp)",
"target" : [
{
"code" : "M2",
"display" : "Medicare secondary payer (msp)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MA",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition",
"target" : [
{
"code" : "MA",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MB",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access",
"target" : [
{
"code" : "MB",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MC",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues",
"target" : [
{
"code" : "MC",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MD",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances",
"target" : [
{
"code" : "MD",
"display" : "Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "ME",
"display" : "The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional",
"target" : [
{
"code" : "ME",
"display" : "The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MF",
"display" : "The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional",
"target" : [
{
"code" : "MF",
"display" : "The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MG",
"display" : "The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional",
"target" : [
{
"code" : "MG",
"display" : "The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MH",
"display" : "Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider",
"target" : [
{
"code" : "MH",
"display" : "Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "MS",
"display" : "Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty",
"target" : [
{
"code" : "MS",
"display" : "Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "NB",
"display" : "Nebulizer system, any type, fda-cleared for use with specific drug",
"target" : [
{
"code" : "NB",
"display" : "Nebulizer system, any type, fda-cleared for use with specific drug",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "NR",
"display" : "New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)",
"target" : [
{
"code" : "NR",
"display" : "New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "NU",
"display" : "New equipment",
"target" : [
{
"code" : "NU",
"display" : "New equipment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PA",
"display" : "Surgical or other invasive procedure on wrong body part",
"target" : [
{
"code" : "PA",
"display" : "Surgical or other invasive procedure on wrong body part",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PB",
"display" : "Surgical or other invasive procedure on wrong patient",
"target" : [
{
"code" : "PB",
"display" : "Surgical or other invasive procedure on wrong patient",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PC",
"display" : "Wrong surgery or other invasive procedure on patient",
"target" : [
{
"code" : "PC",
"display" : "Wrong surgery or other invasive procedure on patient",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PD",
"display" : "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",
"target" : [
{
"code" : "PD",
"display" : "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",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PI",
"display" : "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing",
"target" : [
{
"code" : "PI",
"display" : "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PL",
"display" : "Progressive addition lenses",
"target" : [
{
"code" : "PL",
"display" : "Progressive addition lenses",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PM",
"display" : "Post mortem",
"target" : [
{
"code" : "PM",
"display" : "Post mortem",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PN",
"display" : "Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",
"target" : [
{
"code" : "PN",
"display" : "Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PO",
"display" : "Excepted service provided at an off-campus, outpatient, provider-based department of a hospital",
"target" : [
{
"code" : "PO",
"display" : "Excepted service provided at an off-campus, outpatient, provider-based department of a hospital",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PS",
"display" : "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy",
"target" : [
{
"code" : "PS",
"display" : "Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "PT",
"display" : "Colorectal cancer screening test; converted to diagnostic test or other procedure",
"target" : [
{
"code" : "PT",
"display" : "Colorectal cancer screening test; converted to diagnostic test or other procedure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q0",
"display" : "Investigational clinical service provided in a clinical research study that is in an approved clinical research study",
"target" : [
{
"code" : "Q0",
"display" : "Investigational clinical service provided in a clinical research study that is in an approved clinical research study",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q1",
"display" : "Routine clinical service provided in a clinical research study that is in an approved clinical research study",
"target" : [
{
"code" : "Q1",
"display" : "Routine clinical service provided in a clinical research study that is in an approved clinical research study",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q2",
"display" : "Demonstration procedure/service",
"target" : [
{
"code" : "Q2",
"display" : "Demonstration procedure/service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q3",
"display" : "Live kidney donor surgery and related services",
"target" : [
{
"code" : "Q3",
"display" : "Live kidney donor surgery and related services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q4",
"display" : "Service for ordering/referring physician qualifies as a service exemption",
"target" : [
{
"code" : "Q4",
"display" : "Service for ordering/referring physician qualifies as a service exemption",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q5",
"display" : "Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area",
"target" : [
{
"code" : "Q5",
"display" : "Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q6",
"display" : "Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area",
"target" : [
{
"code" : "Q6",
"display" : "Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q7",
"display" : "One class a finding",
"target" : [
{
"code" : "Q7",
"display" : "One class a finding",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q8",
"display" : "Two class b findings",
"target" : [
{
"code" : "Q8",
"display" : "Two class b findings",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "Q9",
"display" : "One class b and two class c findings",
"target" : [
{
"code" : "Q9",
"display" : "One class b and two class c findings",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QA",
"display" : "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm)",
"target" : [
{
"code" : "QA",
"display" : "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QB",
"display" : "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed",
"target" : [
{
"code" : "QB",
"display" : "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QC",
"display" : "Single channel monitoring",
"target" : [
{
"code" : "QC",
"display" : "Single channel monitoring",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QD",
"display" : "Recording and storage in solid state memory by a digital recorder",
"target" : [
{
"code" : "QD",
"display" : "Recording and storage in solid state memory by a digital recorder",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QE",
"display" : "Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)",
"target" : [
{
"code" : "QE",
"display" : "Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QF",
"display" : "Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed",
"target" : [
{
"code" : "QF",
"display" : "Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QG",
"display" : "Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)",
"target" : [
{
"code" : "QG",
"display" : "Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QH",
"display" : "Oxygen conserving device is being used with an oxygen delivery system",
"target" : [
{
"code" : "QH",
"display" : "Oxygen conserving device is being used with an oxygen delivery system",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QJ",
"display" : "Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)",
"target" : [
{
"code" : "QJ",
"display" : "Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QK",
"display" : "Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals",
"target" : [
{
"code" : "QK",
"display" : "Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QL",
"display" : "Patient pronounced dead after ambulance called",
"target" : [
{
"code" : "QL",
"display" : "Patient pronounced dead after ambulance called",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QM",
"display" : "Ambulance service provided under arrangement by a provider of services",
"target" : [
{
"code" : "QM",
"display" : "Ambulance service provided under arrangement by a provider of services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QN",
"display" : "Ambulance service furnished directly by a provider of services",
"target" : [
{
"code" : "QN",
"display" : "Ambulance service furnished directly by a provider of services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QP",
"display" : "Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060.",
"target" : [
{
"code" : "QP",
"display" : "Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060.",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QQ",
"display" : "Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional",
"target" : [
{
"code" : "QQ",
"display" : "Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QR",
"display" : "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm)",
"target" : [
{
"code" : "QR",
"display" : "Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QS",
"display" : "Monitored anesthesia care service",
"target" : [
{
"code" : "G9654",
"display" : "Monitored anesthesia care (mac)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QS",
"display" : "Monitored anesthesia care service",
"target" : [
{
"code" : "QS",
"display" : "Monitored anesthesia care service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QT",
"display" : "Recording and storage on tape by an analog tape recorder",
"target" : [
{
"code" : "QT",
"display" : "Recording and storage on tape by an analog tape recorder",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QW",
"display" : "Clia waived test",
"target" : [
{
"code" : "QW",
"display" : "Clia waived test",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QX",
"display" : "Crna service: with medical direction by a physician",
"target" : [
{
"code" : "QX",
"display" : "Crna service: with medical direction by a physician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QY",
"display" : "Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist",
"target" : [
{
"code" : "QY",
"display" : "Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "QZ",
"display" : "Crna service: without medical direction by a physician",
"target" : [
{
"code" : "QZ",
"display" : "Crna service: without medical direction by a physician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RA",
"display" : "Replacement of a dme, orthotic or prosthetic item",
"target" : [
{
"code" : "RA",
"display" : "Replacement of a dme, orthotic or prosthetic item",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RB",
"display" : "Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair",
"target" : [
{
"code" : "RB",
"display" : "Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RC",
"display" : "Right coronary artery",
"target" : [
{
"code" : "RC",
"display" : "Right coronary artery",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RD",
"display" : "Drug provided to beneficiary, but not administered \"incident-to\"",
"target" : [
{
"code" : "RD",
"display" : "Drug provided to beneficiary, but not administered \"incident-to\"",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RE",
"display" : "Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)",
"target" : [
{
"code" : "RE",
"display" : "Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RI",
"display" : "Ramus intermedius coronary artery",
"target" : [
{
"code" : "RI",
"display" : "Ramus intermedius coronary artery",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RR",
"display" : "Rental (use the 'rr' modifier when dme is to be rented)",
"target" : [
{
"code" : "RR",
"display" : "Rental (use the 'rr' modifier when dme is to be rented)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "RT",
"display" : "Right side (used to identify procedures performed on the right side of the body)",
"target" : [
{
"code" : "RT",
"display" : "Right side (used to identify procedures performed on the right side of the body)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SA",
"display" : "Nurse practitioner rendering service in collaboration with a physician",
"target" : [
{
"code" : "SA",
"display" : "Nurse practitioner rendering service in collaboration with a physician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SB",
"display" : "Nurse midwife",
"target" : [
{
"code" : "SB",
"display" : "Nurse midwife",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SC",
"display" : "Medically necessary service or supply",
"target" : [
{
"code" : "SC",
"display" : "Medically necessary service or supply",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SD",
"display" : "Services provided by registered nurse with specialized, highly technical home infusion training",
"target" : [
{
"code" : "SD",
"display" : "Services provided by registered nurse with specialized, highly technical home infusion training",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SE",
"display" : "State and/or federally-funded programs/services",
"target" : [
{
"code" : "SE",
"display" : "State and/or federally-funded programs/services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SF",
"display" : "Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)",
"target" : [
{
"code" : "SF",
"display" : "Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SG",
"display" : "Ambulatory surgical center (asc) facility service",
"target" : [
{
"code" : "SG",
"display" : "Ambulatory surgical center (asc) facility service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SH",
"display" : "Second concurrently administered infusion therapy",
"target" : [
{
"code" : "SH",
"display" : "Second concurrently administered infusion therapy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SJ",
"display" : "Third or more concurrently administered infusion therapy",
"target" : [
{
"code" : "SJ",
"display" : "Third or more concurrently administered infusion therapy",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SK",
"display" : "Member of high risk population (use only with codes for immunization)",
"target" : [
{
"code" : "SK",
"display" : "Member of high risk population (use only with codes for immunization)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SL",
"display" : "State supplied vaccine",
"target" : [
{
"code" : "SL",
"display" : "State supplied vaccine",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SM",
"display" : "Second surgical opinion",
"target" : [
{
"code" : "SM",
"display" : "Second surgical opinion",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SN",
"display" : "Third surgical opinion",
"target" : [
{
"code" : "SN",
"display" : "Third surgical opinion",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SQ",
"display" : "Item ordered by home health",
"target" : [
{
"code" : "SQ",
"display" : "Item ordered by home health",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SS",
"display" : "Home infusion services provided in the infusion suite of the iv therapy provider",
"target" : [
{
"code" : "SS",
"display" : "Home infusion services provided in the infusion suite of the iv therapy provider",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "ST",
"display" : "Related to trauma or injury",
"target" : [
{
"code" : "ST",
"display" : "Related to trauma or injury",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SU",
"display" : "Procedure performed in physician's office (to denote use of facility and equipment)",
"target" : [
{
"code" : "SU",
"display" : "Procedure performed in physician's office (to denote use of facility and equipment)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SV",
"display" : "Pharmaceuticals delivered to patient's home but not utilized",
"target" : [
{
"code" : "SV",
"display" : "Pharmaceuticals delivered to patient's home but not utilized",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SW",
"display" : "Services provided by a certified diabetic educator",
"target" : [
{
"code" : "SW",
"display" : "Services provided by a certified diabetic educator",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "SY",
"display" : "Persons who are in close contact with member of high-risk population (use only with codes for immunization)",
"target" : [
{
"code" : "SY",
"display" : "Persons who are in close contact with member of high-risk population (use only with codes for immunization)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T1",
"display" : "Left foot, second digit",
"target" : [
{
"code" : "T1",
"display" : "Left foot, second digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T2",
"display" : "Left foot, third digit",
"target" : [
{
"code" : "T2",
"display" : "Left foot, third digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T3",
"display" : "Left foot, fourth digit",
"target" : [
{
"code" : "T3",
"display" : "Left foot, fourth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T4",
"display" : "Left foot, fifth digit",
"target" : [
{
"code" : "T4",
"display" : "Left foot, fifth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T5",
"display" : "Right foot, great toe",
"target" : [
{
"code" : "T5",
"display" : "Right foot, great toe",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T6",
"display" : "Right foot, second digit",
"target" : [
{
"code" : "T6",
"display" : "Right foot, second digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T7",
"display" : "Right foot, third digit",
"target" : [
{
"code" : "T7",
"display" : "Right foot, third digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T8",
"display" : "Right foot, fourth digit",
"target" : [
{
"code" : "T8",
"display" : "Right foot, fourth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "T9",
"display" : "Right foot, fifth digit",
"target" : [
{
"code" : "T9",
"display" : "Right foot, fifth digit",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TA",
"display" : "Left foot, great toe",
"target" : [
{
"code" : "TA",
"display" : "Left foot, great toe",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TB",
"display" : "Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes",
"target" : [
{
"code" : "TB",
"display" : "Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TC",
"display" : "Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles",
"target" : [
{
"code" : "TC",
"display" : "Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TD",
"display" : "Rn",
"target" : [
{
"code" : "TD",
"display" : "Rn",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TE",
"display" : "Lpn/lvn",
"target" : [
{
"code" : "TE",
"display" : "Lpn/lvn",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TF",
"display" : "Intermediate level of care",
"target" : [
{
"code" : "TF",
"display" : "Intermediate level of care",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TG",
"display" : "Complex/high tech level of care",
"target" : [
{
"code" : "TG",
"display" : "Complex/high tech level of care",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TH",
"display" : "Obstetrical treatment/services, prenatal or postpartum",
"target" : [
{
"code" : "TH",
"display" : "Obstetrical treatment/services, prenatal or postpartum",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TJ",
"display" : "Program group, child and/or adolescent",
"target" : [
{
"code" : "TJ",
"display" : "Program group, child and/or adolescent",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TK",
"display" : "Extra patient or passenger, non-ambulance",
"target" : [
{
"code" : "TK",
"display" : "Extra patient or passenger, non-ambulance",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TL",
"display" : "Early intervention/individualized family service plan (ifsp)",
"target" : [
{
"code" : "TL",
"display" : "Early intervention/individualized family service plan (ifsp)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TM",
"display" : "Individualized education program (iep)",
"target" : [
{
"code" : "TM",
"display" : "Individualized education program (iep)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TN",
"display" : "Rural/outside providers' customary service area",
"target" : [
{
"code" : "TN",
"display" : "Rural/outside providers' customary service area",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TP",
"display" : "Medical transport, unloaded vehicle",
"target" : [
{
"code" : "TP",
"display" : "Medical transport, unloaded vehicle",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TQ",
"display" : "Basic life support transport by a volunteer ambulance provider",
"target" : [
{
"code" : "TQ",
"display" : "Basic life support transport by a volunteer ambulance provider",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TR",
"display" : "School-based individualized education program (iep) services provided outside the public school district responsible for the student",
"target" : [
{
"code" : "TR",
"display" : "School-based individualized education program (iep) services provided outside the public school district responsible for the student",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TS",
"display" : "Follow-up service",
"target" : [
{
"code" : "TS",
"display" : "Follow-up service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TT",
"display" : "Individualized service provided to more than one patient in same setting",
"target" : [
{
"code" : "TT",
"display" : "Individualized service provided to more than one patient in same setting",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TU",
"display" : "Special payment rate, overtime",
"target" : [
{
"code" : "TU",
"display" : "Special payment rate, overtime",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TV",
"display" : "Special payment rates, holidays/weekends",
"target" : [
{
"code" : "TV",
"display" : "Special payment rates, holidays/weekends",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "TW",
"display" : "Back-up equipment",
"target" : [
{
"code" : "TW",
"display" : "Back-up equipment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U1",
"display" : "Medicaid level of care 1, as defined by each state",
"target" : [
{
"code" : "U1",
"display" : "Medicaid level of care 1, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U2",
"display" : "Medicaid level of care 2, as defined by each state",
"target" : [
{
"code" : "U2",
"display" : "Medicaid level of care 2, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U3",
"display" : "Medicaid level of care 3, as defined by each state",
"target" : [
{
"code" : "U3",
"display" : "Medicaid level of care 3, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U4",
"display" : "Medicaid level of care 4, as defined by each state",
"target" : [
{
"code" : "U4",
"display" : "Medicaid level of care 4, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U5",
"display" : "Medicaid level of care 5, as defined by each state",
"target" : [
{
"code" : "U5",
"display" : "Medicaid level of care 5, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U6",
"display" : "Medicaid level of care 6, as defined by each state",
"target" : [
{
"code" : "U6",
"display" : "Medicaid level of care 6, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U7",
"display" : "Medicaid level of care 7, as defined by each state",
"target" : [
{
"code" : "U7",
"display" : "Medicaid level of care 7, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U8",
"display" : "Medicaid level of care 8, as defined by each state",
"target" : [
{
"code" : "U8",
"display" : "Medicaid level of care 8, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "U9",
"display" : "Medicaid level of care 9, as defined by each state",
"target" : [
{
"code" : "U9",
"display" : "Medicaid level of care 9, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UA",
"display" : "Medicaid level of care 10, as defined by each state",
"target" : [
{
"code" : "UA",
"display" : "Medicaid level of care 10, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UB",
"display" : "Medicaid level of care 11, as defined by each state",
"target" : [
{
"code" : "UB",
"display" : "Medicaid level of care 11, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UC",
"display" : "Medicaid level of care 12, as defined by each state",
"target" : [
{
"code" : "UC",
"display" : "Medicaid level of care 12, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UD",
"display" : "Medicaid level of care 13, as defined by each state",
"target" : [
{
"code" : "UD",
"display" : "Medicaid level of care 13, as defined by each state",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UE",
"display" : "Used durable medical equipment",
"target" : [
{
"code" : "UE",
"display" : "Used durable medical equipment",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UF",
"display" : "Services provided in the morning",
"target" : [
{
"code" : "UF",
"display" : "Services provided in the morning",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UG",
"display" : "Services provided in the afternoon",
"target" : [
{
"code" : "UG",
"display" : "Services provided in the afternoon",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UH",
"display" : "Services provided in the evening",
"target" : [
{
"code" : "UH",
"display" : "Services provided in the evening",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UJ",
"display" : "Services provided at night",
"target" : [
{
"code" : "UJ",
"display" : "Services provided at night",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UK",
"display" : "Services provided on behalf of the client to someone other than the client (collateral relationship)",
"target" : [
{
"code" : "UK",
"display" : "Services provided on behalf of the client to someone other than the client (collateral relationship)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UN",
"display" : "Two patients served",
"target" : [
{
"code" : "UN",
"display" : "Two patients served",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UP",
"display" : "Three patients served",
"target" : [
{
"code" : "UP",
"display" : "Three patients served",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UQ",
"display" : "Four patients served",
"target" : [
{
"code" : "UQ",
"display" : "Four patients served",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "UR",
"display" : "Five patients served",
"target" : [
{
"code" : "UR",
"display" : "Five patients served",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "US",
"display" : "Six or more patients served",
"target" : [
{
"code" : "US",
"display" : "Six or more patients served",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "V1",
"display" : "Demonstration modifier 1",
"target" : [
{
"code" : "V1",
"display" : "Demonstration modifier 1",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "V2",
"display" : "Demonstration modifier 2",
"target" : [
{
"code" : "V2",
"display" : "Demonstration modifier 2",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "V3",
"display" : "Demonstration modifier 3",
"target" : [
{
"code" : "V3",
"display" : "Demonstration modifier 3",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "V5",
"display" : "Vascular catheter (alone or with any other vascular access)",
"target" : [
{
"code" : "V5",
"display" : "Vascular catheter (alone or with any other vascular access)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "V6",
"display" : "Arteriovenous graft (or other vascular access not including a vascular catheter)",
"target" : [
{
"code" : "V6",
"display" : "Arteriovenous graft (or other vascular access not including a vascular catheter)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "V7",
"display" : "Arteriovenous fistula only (in use with two needles)",
"target" : [
{
"code" : "V7",
"display" : "Arteriovenous fistula only (in use with two needles)",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "VM",
"display" : "Medicare diabetes prevention program (mdpp) virtual make-up session",
"target" : [
{
"code" : "VM",
"display" : "Medicare diabetes prevention program (mdpp) virtual make-up session",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "VP",
"display" : "Aphakic patient",
"target" : [
{
"code" : "VP",
"display" : "Aphakic patient",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "X1",
"display" : "Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care",
"target" : [
{
"code" : "X1",
"display" : "Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "X2",
"display" : "Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services",
"target" : [
{
"code" : "X2",
"display" : "Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "X3",
"display" : "Episodic/broad servies: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital",
"target" : [
{
"code" : "X3",
"display" : "Episodic/broad servies: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "X4",
"display" : "Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period",
"target" : [
{
"code" : "X4",
"display" : "Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "X5",
"display" : "Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician",
"target" : [
{
"code" : "X5",
"display" : "Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "XE",
"display" : "Separate encounter, a service that is distinct because it occurred during a separate encounter",
"target" : [
{
"code" : "XE",
"display" : "Separate encounter, a service that is distinct because it occurred during a separate encounter",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "XP",
"display" : "Separate practitioner, a service that is distinct because it was performed by a different practitioner",
"target" : [
{
"code" : "XP",
"display" : "Separate practitioner, a service that is distinct because it was performed by a different practitioner",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "XS",
"display" : "Separate structure, a service that is distinct because it was performed on a separate organ/structure",
"target" : [
{
"code" : "XS",
"display" : "Separate structure, a service that is distinct because it was performed on a separate organ/structure",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
},
{
"code" : "XU",
"display" : "Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service",
"target" : [
{
"code" : "XU",
"display" : "Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service",
"equivalence" : "equivalent",
"comment" : "exact match"
}
]
}
]
}
],
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.