⚙️ CONFIGURE YOUR ANALYSIS
Procedure (CPT Code) G0155 — Clinical Social Worker Services, Home Health G0299 — Direct Skilled Nursing, Home Health G0156 — Home Health Aide Services G0152 — Occupational Therapy Services, Home Health G0157 — OT Assistant, Home Health G0151 — Physical Therapy Services, Home Health G0162 — Skilled Nursing Services, Home Health, RN G0153 — Speech Therapy Services, Home Health A4611 — Battery, Heavy Duty E0601 — Continuous Positive Airway Pressure (CPAP) Device K0004 — High Strength Lightweight Wheelchair E0130 — Hospital Bed, Semi-Electric E0550 — Humidifier for CPAP/BiPAP K0003 — Lightweight Wheelchair A7034 — Nasal Interface for CPAP E0260 — Noninvasive Oscillatory Positive Airway Pressure (NIPPV), Intermittent Mandatory Ventilation (IMV) Mode, Portable E1390 — Oxygen Concentrator, Stationary (Dual Delivery) E0431 — Portable Gaseous Oxygen System E0443 — Portable Oxygen Contents, Liquid K0814 — Power Wheelchair, Group 1, Heavy Duty K0813 — Power Wheelchair, Group 1, Standard K0823 — Power Wheelchair, Group 2 Standard, Captain's Chair, Patient Weight Capacity Up to and Including 300 Pounds K0820 — Power Wheelchair, Group 2 With Tilt K0816 — Power Wheelchair, Group 2, Heavy Duty K0815 — Power Wheelchair, Group 2, Standard E0471 — Respiratory Assist Device (RAD) With Backup Rate E0470 — Respiratory Assist Device (RAD) Without Backup K0002 — Standard Hemi (Low Seat) Wheelchair K0001 — Standard Wheelchair E0424 — Stationary Compressed Gas Oxygen System E0439 — Stationary Liquid Oxygen System K0005 — Ultra-Lightweight Wheelchair L5321 — Above-Knee Prosthesis L5301 — Below-Knee Prosthesis, Standard L3000 — Foot Insert, Custom Molded L8679 — Implantable Neurostimulator, Pulse Generator L1832 — Knee Orthosis, Adjustable L1843 — Knee Orthosis, Off-the-Shelf L0648 — Lumbar Orthosis (LSO) 95004 — Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, all allergen groupings 93015 — Cardiovascular Stress Test, Complete 93016 — Cardiovascular Stress Test, Supervision Only 93017 — Cardiovascular Stress Test, Tracing Only 93270 — ECG Recording, Continuous (48hr+) 93000 — Electrocardiogram, Complete 93228 — Event Monitor, 30-Day Recording 93224 — Holter Monitor, 24-Hour, Complete 93350 — Stress Echocardiography 45378 — Colonoscopy, Diagnostic (no biopsy) 45380 — Colonoscopy, with Biopsy 45390 — Colonoscopy, with Removal of Tumor(s), Polyp(s), or Other Lesion(s) by Hot Biopsy Forceps Technique 45385 — Colonoscopy, with Removal of Tumor(s), Polyp(s), or Other Lesion(s) by Snare Technique 43235 — Upper Gastrointestinal Endoscopy, Diagnostic (Including Esophagus, Stomach, and Either Duodenum and/or Jejunum) 43239 — Upper Gastrointestinal Endoscopy, with Biopsy 43249 — Upper Gastrointestinal Endoscopy, with Removal of Foreign Body(ies) 95811 — Polysomnography; Sleep Staging With Initiation of Positive Airway Pressure Therapy (CPAP/BiPAP Titration) 93458 — Left Heart Catheterization with Coronary Angiography 95816 — EEG, Awake and Asleep 95819 — EEG, Awake and Asleep, Extended 95860 — Needle EMG, 1 Extremity 95861 — Needle EMG, 2 Extremities 95907 — Nerve Conduction Study, 1-2 Studies 95908 — Nerve Conduction Study, 3-4 Studies 95909 — Nerve Conduction Study, 5-6 Studies 95910 — Nerve Conduction Study, 7-8 Studies 95911 — Nerve Conduction Study, 9-10 Studies 95925 — Somatosensory Evoked Potential 94664 — Aerosol Inhalation Demonstration 94060 — Bronchodilator Response Spirometry 31622 — Bronchoscopy (Rigid or Flexible), with Biopsy 31624 — Bronchoscopy (Rigid or Flexible), with Brushing or Protected Brushings 94729 — Diffusing Capacity (DLCO) 94726 — Plethysmography (Lung Volumes) 94375 — Respiratory Flow Volume Loop 94010 — Spirometry 95810 — Polysomnography (Sleep Study) 99292 — Critical Care, Each Additional 30 Minutes 99291 — Critical Care, First 30-74 Minutes 99284 — Emergency Department Visit, High Complexity 99285 — Emergency Department Visit, High Complexity 99282 — Emergency Department Visit, Low Complexity 99283 — Emergency Department Visit, Moderate Complexity 99281 — Emergency Department Visit, Self-Limited/Minor 99490 — Chronic Care Management, 20 Min 99350 — Home Visit, Established, High 99349 — Home Visit, Established, Moderate 99347 — Home Visit, Established, Straightforward 99341 — Home Visit, New Patient, Straightforward 99385 — Initial Preventive Visit, 18-39 Years 99386 — Initial Preventive Visit, 40-64 Years 99215 — Office or Other Outpatient Visit, Established Patient, High Complexity 99213 — Office or Other Outpatient Visit, Established Patient, Low Complexity 99211 — Office or Other Outpatient Visit, Established Patient, Minimal Complexity 99214 — Office or Other Outpatient Visit, Established Patient, Moderate Complexity 99212 — Office or Other Outpatient Visit, Established Patient, Straightforward 99203 — Office Visit, New Patient, Low Complexity 99202 — Office Visit, New Patient, Straightforward 99395 — Periodic Preventive Visit, 18-39 Years 99396 — Periodic Preventive Visit, 40-64 Years 99442 — Telephone E&M, 11-20 Minutes 99441 — Telephone E&M, 5-10 Minutes 99495 — Transitional Care Management, Moderate Complexity 99306 — Initial Nursing Facility Care, High 99305 — Initial Nursing Facility Care, Moderate 99304 — Initial Nursing Facility Care, Straightforward/Low 99387 — Initial Preventive Visit, 65+ Years 99397 — Periodic Preventive Visit, 65+ Years 99310 — Subsequent Nursing Facility Care, High 99308 — Subsequent Nursing Facility Care, Low 99309 — Subsequent Nursing Facility Care, Moderate 99307 — Subsequent Nursing Facility Care, Straightforward 99223 — Initial Hospital Care, High Complexity 99222 — Initial Hospital Care, Moderate 99221 — Initial Hospital Care, Straightforward/Low 99220 — Initial Observation Care, High 99219 — Initial Observation Care, Moderate 99218 — Initial Observation Care, Straightforward/Low 99234 — Observation or Inpatient Care, Same Day Admit/Discharge 99235 — Observation or Inpatient Care, Same Day, Moderate 99356 — Prolonged Service, Inpatient, First Hour 99233 — Subsequent Hospital Care, High Complexity 99231 — Subsequent Hospital Care, Low Complexity 99232 — Subsequent Hospital Care, Moderate Complexity 99226 — Subsequent Observation Care, High 99225 — Subsequent Observation Care, Moderate 99224 — Subsequent Observation Care, Straightforward 99491 — Chronic Care Management by Physician, 30 Min 99487 — Complex Chronic Care Management, 60 Min 99489 — Complex Chronic Care Management, Each Additional 30 Min 99245 — Office Consultation, High Complexity 99243 — Office Consultation, Low Complexity 99244 — Office Consultation, Moderate Complexity 99242 — Office Consultation, Straightforward 99204 — Office or Other Outpatient Visit, New Patient, Moderate Level of Medical Decision Making 99205 — Office Visit, New Patient, High Complexity 99355 — Prolonged Service, Outpatient, Each Additional 30 Min 99354 — Prolonged Service, Outpatient, First Hour 99443 — Telephone E&M, 21-30 Minutes 99496 — Transitional Care Management, High Complexity 77067 — Breast Imaging, Diagnostic Mammography 77066 — Diagnostic Mammogram, Bilateral 77061 — Digital Breast Tomosynthesis, Diagnostic 77063 — Digital Breast Tomosynthesis, Screening 76700 — Abdominal Ultrasound, Complete 76705 — Abdominal Ultrasound, Limited 73610 — Ankle X-ray, 3 Views 70553 — Brain MRI, with and without Contrast 70552 — Brain MRI, with Contrast 70551 — Brain MRI, without Contrast 71275 — Chest CT with Contrast 74177 — CT Abdomen and Pelvis with Intravenous Contrast 74178 — CT Abdomen and Pelvis, without and with Contrast 74176 — CT Abdomen and Pelvis, without Contrast 74150 — CT Abdomen Without Contrast 72125 — CT Cervical Spine Without Contrast 71260 — CT Chest With Contrast 71250 — CT Chest Without Contrast 71270 — CT Chest Without Then With Contrast 70460 — CT Head With Contrast 70450 — CT Head Without Contrast 70470 — CT Head Without Then With Contrast 73700 — CT Lower Extremity Without Contrast 72131 — CT Lumbar Spine Without Contrast 70491 — CT Neck Soft Tissue With Contrast 70490 — CT Neck Soft Tissue Without Contrast 72192 — CT Pelvis Without Contrast 72194 — CT Pelvis Without Then With Contrast 73200 — CT Upper Extremity Without Contrast 73620 — Foot X-ray, 2 Views 73590 — Lower Leg X-ray, 2 Views 72141 — Lumbar Spine MRI, without Contrast 72100 — Lumbar Spine X-ray, 2-3 Views 72148 — Magnetic Resonance Imaging, Lumbar Spine, Without Contrast Material 70543 — MRA Head Without Then With Contrast 73723 — MRA Lower Extremity 70549 — MRA Neck Without Then With Contrast 74181 — MRI Abdomen Without Contrast 74183 — MRI Abdomen Without Then With Contrast 77084 — MRI Bone Marrow Imaging 72156 — MRI Cervical Spine Without Then With Contrast 71550 — MRI Chest Without Contrast 73718 — MRI Lower Extremity Without Contrast 72149 — MRI Lumbar Spine With Contrast 72158 — MRI Lumbar Spine Without Then With Contrast 70540 — MRI Orbits/Face/Neck Without Contrast 72146 — MRI Thoracic Spine Without Contrast 72157 — MRI Thoracic Spine Without Then With Contrast 73218 — MRI Upper Extremity Without Contrast 76856 — Pelvic Ultrasound, Complete 76857 — Pelvic Ultrasound, Limited 76770 — Retroperitoneal Ultrasound, Complete 73221 — Shoulder MRI, without Contrast 73030 — Shoulder X-ray, Minimum 2 Views 93312 — Transesophageal Echocardiography 93306 — Transthoracic Echocardiography, Complete 93307 — Transthoracic Echocardiography, Limited 76830 — Ultrasound, Transvaginal 73110 — Wrist X-ray, Minimum 3 Views 78300 — Bone Imaging, Limited 78306 — Bone Scan, Whole Body 78451 — Myocardial Perfusion SPECT, Single Study 78453 — Myocardial Perfusion, Planar 78811 — PET Imaging, Limited Area 78812 — PET Imaging, Skull Base to Mid-Thigh 78813 — PET Imaging, Whole Body 78816 — PET Scan, Brain 78814 — PET/CT Fusion, Limited 78815 — PET/CT Fusion, Skull Base to Mid-Thigh J1300 — Eculizumab (Soliris) Injection J1303 — Benralizumab (Fasenra), 1 mg J0881 — Dupilumab (Dupixent), 1 mg J1459 — Immune Globulin Intravenous (Human) (IVIG), 500 mg J3590 — Tezepelumab (Tezspire), 1 mg 96377 — Application of On-Body Injector 96361 — Intravenous Hydration, Each Additional Hour 96360 — Intravenous Hydration, Initial 31 Min to 1 Hr 96368 — Intravenous Infusion — Therapeutic/Prophylactic, Established Drug, First 15 Minutes 96367 — Intravenous Infusion — Therapeutic/Prophylactic, New Drug or Biologic, Each Additional 15-Minute Block 96365 — Intravenous Infusion — Therapeutic/Prophylactic/Diagnostic (Non-Chemotherapy), Initial Hour 96366 — IV Infusion, Additional Sequential Drug, Each Hour 96371 — Subcutaneous Infusion, Each Additional Hour 96370 — Subcutaneous Infusion, Initial Up to 1 Hour 96373 — Therapeutic Injection, Intra-Arterial 96375 — Therapeutic/Prophylactic/Diagnostic Injection, Intravenous Bolus (Each Additional Sequential Injection) 96374 — Therapeutic/Prophylactic/Diagnostic Injection, Intravenous Bolus (Single or Initial) 96372 — Therapeutic/Prophylactic/Diagnostic Injection, SQ or IM J3490 — Unclassified Drugs (Miscellaneous) 96379 — Unlisted Therapeutic Infusion J9035 — Bevacizumab (Avastin) Injection 96402 — Chemotherapy, Hormonal Anti-Neoplastic 96440 — Chemotherapy, Intracavitary Administration 96405 — Chemotherapy, Intralesional, Up to 7 Lesions 96446 — Chemotherapy, Intraperitoneal 96415 — Chemotherapy, IV (Intravenous), Each Subsequent Hour 96413 — Chemotherapy, IV (Intravenous), Infusion First Hour 96417 — Chemotherapy, IV Infusion, Each Additional Hour 96411 — Chemotherapy, IV Push, Additional Drug 96409 — Chemotherapy, IV Push, Single Drug 96401 — Chemotherapy, Subcutaneous/Intramuscular, Non-Hormonal J9173 — Durvalumab (Imfinzi) Injection J9271 — Injection, Pembrolizumab, 1 mg J9228 — Ipilimumab (Yervoy) Injection J9299 — Nivolumab (Opdivo) Injection J9355 — Trastuzumab (Herceptin) Injection J0589 — DaxibotulinumtoxinA-lanm (DAXXIFY) Injection, 1 unit J0585 — OnabotulinumtoxinA (Botox) Injection J0517 — Benralizumab (Fasenra) Injection J2182 — Mepolizumab (Nucala) Injection J2357 — Omalizumab (Xolair) Injection J0129 — Abatacept (Orencia) Injection J0135 — Adalimumab (Humira) Injection J1745 — Infliximab (Remicade) Injection J3262 — Tocilizumab (Actemra) Injection 88342 — Immunohistochemistry, Each Antibody 88305 — Pathology Consultation During Surgery; First Tissue Block, With Frozen Section(s), Single Specimen 88304 — Surgical Pathology Level III 88307 — Surgical Pathology Level V 88309 — Surgical Pathology Level VI 88302 — Surgical Pathology, Gross and Microscopic Level II 87070 — Bacterial Culture, Definitive 80048 — Basic Metabolic Panel 82248 — Bilirubin, Direct 82247 — Bilirubin, Total 86140 — C-Reactive Protein (CRP) 85027 — CBC, Automated, Without Differential 87491 — Chlamydia by Amplification 85025 — Complete Blood Cell (CBC) Count; with Differential 80053 — Comprehensive Metabolic Panel 82550 — Creatine Kinase (CK), Total 82565 — Creatinine, Blood 87081 — Culture Screen, Presumptive 86200 — Cyclic Citrullinated Peptide (CCP) Antibody 81225 — CYP2C19 (Cytochrome P450, Family 2, Subfamily C, Polypeptide 19) Gene Analysis, Common Variants 85379 — D-Dimer, Quantitative 82274 — Fecal Hemoglobin (FIT Test) 82728 — Ferritin 82746 — Folic Acid 84439 — Free Thyroxine (Free T4) 80050 — General Health Panel 82947 — Glucose, Quantitative 83718 — HDL Cholesterol 87340 — Hepatitis B Surface Antigen 87389 — HIV-1 Antigen with HIV-1/2 Antibodies 87591 — HPV High-Risk DNA Detection 83615 — Lactate Dehydrogenase (LDH) 83721 — LDL Cholesterol, Direct 86235 — Nuclear Antigen Antibody (ENA) 85730 — Partial Thromboplastin Time (PTT) 84153 — Prostate Specific Antigen (PSA) 85610 — Prothrombin Time (PT) 87186 — Susceptibility Testing, MIC 84443 — Thyroid Stimulating Hormone (TSH) 36415 — Venipuncture, Collection of Blood Specimen for Laboratory 82306 — Vitamin D, 25-Hydroxy 81211 — BRCA1 Gene Analysis, Full Sequence 81162 — BRCA1/BRCA2 Full Sequence and Deletion/Duplication 81235 — EGFR Gene Analysis 81270 — JAK2 Gene Analysis 81401 — Molecular Pathology Procedure, Level 2 81402 — Molecular Pathology, Level 3 81403 — Molecular Pathology, Level 4 81404 — Molecular Pathology, Level 5 81405 — Molecular Pathology, Level 6 81408 — Molecular Pathology, Level 9 81291 — MTHFR Gene Analysis 81445 — Targeted Genomic Sequence Analysis Panel, Solid Organ 81479 — Unlisted Molecular Pathology Procedure H0001 — Alcohol and/or Drug Assessment H0005 — Alcohol/Drug Group Counseling 99408 — Alcohol/Substance Screening and Intervention, 15-30 Min H0015 — Intensive Outpatient Program (IOP), Per Day H0004 — Behavioral Health Counseling, Individual H2017 — Psychosocial Rehabilitation, Per 15 Min H2012 — Behavioral Health Day Treatment H2011 — Crisis Intervention, Per 15 Min 90847 — Family Psychotherapy (with patient present) 90846 — Family Psychotherapy (without patient present) 90853 — Group Psychotherapy (not further specified) 90880 — Hypnotherapy 90785 — Interactive Complexity Add-On 90863 — Pharmacologic Management With Psychotherapy 90791 — Psychiatric Diagnostic Evaluation 90792 — Psychiatric Diagnostic Evaluation with Medical Services 90845 — Psychoanalysis 90875 — Psychophysiological Therapy (Biofeedback) 90833 — Psychotherapy Add-On, 30 Minutes (with E&M) 90836 — Psychotherapy Add-On, 45 Minutes (with E&M) 90832 — Psychotherapy, 30 minutes 90834 — Psychotherapy, 45 Minutes With Patient 90837 — Psychotherapy, 60 minutes 90838 — Psychotherapy, 90+ minutes 90840 — Psychotherapy, Crisis, Each Additional 30 Min 97155 — ABA Protocol Modification by Qualified Provider 97153 — Adaptive Behavior Treatment (ABA Therapy) 97151 — Behavior Identification Assessment (ABA) 97152 — Behavior Identification Supporting Assessment 97156 — Family Adaptive Behavior Treatment Guidance 97154 — Group Adaptive Behavior Treatment (ABA) 97157 — Multiple Family Group Guidance (ABA) 96116 — Neurobehavioral Status Examination 96136 — Neuropsychological Test Administration, First 30 Min 96131 — Psychological Testing Evaluation, Each Additional Hour 96130 — Psychological Testing Evaluation, First Hour 96137 — Psychological/Neuropsych Test Admin, Each Additional 30 Min 96139 — Psychological/Neuropsych Testing, Technician, Each Additional 30 Min 96138 — Psychological/Neuropsych Testing, Technician, First 30 Min 95115 — Allergen immunotherapy single injection 95117 — Allergen immunotherapy two or more injections 93798 — Cardiac Rehabilitation With ECG Monitoring 93797 — Cardiac Rehabilitation, Without ECG Monitoring 97130 — Cognitive Function Intervention, Each Additional 15 Min 97129 — Cognitive Function Intervention, Initial 15 Min 97537 — Community/Work Reintegration Training 97167 — Occupational Therapy Evaluation, High Complexity 97165 — Occupational Therapy Evaluation, Low Complexity 97166 — Occupational Therapy Evaluation, Moderate Complexity 97168 — Occupational Therapy Re-evaluation 97535 — Self-Care/Home Management Training (Total Independence with or without Adaptive Equipment) 97533 — Sensory Integration Techniques 97530 — Therapeutic Activities, Direct Personal Contact 97542 — Wheelchair Management/Propulsion Training 97113 — Aquatic Therapy 97014 — Electrical Stimulation, Attended 97032 — Electrical Stimulation, Manual 97116 — Gait Training (Includes Stair Climbing) 97150 — Group Therapeutic Procedures 97033 — Iontophoresis 97140 — Manual Therapy Techniques (e.g., Mobilization/Manipulation, Manual Lymphatic Drainage), One or More Regions, Each 15 Minutes 97124 — Massage Therapy 97112 — Neuromuscular Reeducation of Movement, Training, Activities and Balancing 97760 — Orthotic Management and Training, Initial 97018 — Paraffin Bath Therapy 97161 — Physical Therapy Evaluation — Low Complexity 97164 — Physical Therapy Re-evaluation 97110 — Therapeutic Exercises 97035 — Therapeutic Ultrasound 97039 — Unlisted Physical Therapy Modality 94626 — Pulmonary Rehabilitation With Monitoring 94625 — Pulmonary Rehabilitation, Without Monitoring 92524 — Behavioral Analysis of Voice 92521 — Evaluation of Fluency (Stuttering) 92612 — FEES (Fiberoptic Endoscopic Swallowing Eval) 92611 — Motion Fluoroscopic Swallowing Study (MBS) 92523 — Speech Sound and Language Evaluation 92522 — Speech Sound Production Evaluation 92508 — Speech/Language Treatment, Group 92507 — Speech/Language Treatment, Individual 92610 — Swallowing Evaluation 92526 — Treatment of Swallowing Dysfunction 43846 — Gastric Restrictive Procedure with Bypass 43644 — Laparoscopic Gastric Bypass (Roux-en-Y) 43775 — Laparoscopic Sleeve Gastrectomy 33405 — Aortic Valve Replacement, Open 33249 — ICD Implantation (Implantable Cardioverter-Defibrillator) 33284 — Leadless Pacemaker Insertion 33430 — Mitral Valve Replacement 33208 — Permanent Pacemaker Insertion, Dual Chamber 33264 — Removal and Replacement of Pacing Lead 33361 — Transcatheter Aortic Valve Replacement (TAVR) 44204 — Laparoscopic Partial Colectomy 44210 — Laparoscopic Total Colectomy 44140 — Partial Colectomy 31256 — Maxillary Sinusoscopy 31231 — Nasal Endoscopy, Diagnostic 30520 — Septoplasty 42820 — Tonsillectomy, Under Age 12 69436 — Tympanostomy (Ear Tubes) 11043 — Debridement, Muscle/Fascia 11042 — Debridement, Subcutaneous Tissue 47562 — Laparoscopic Cholecystectomy 44180 — Laparoscopic Enterolysis (Lysis of Adhesions) 43280 — Laparoscopic Fundoplication 49650 — Laparoscopic Inguinal Hernia Repair 38571 — Laparoscopic Lymphadenectomy, Pelvic 19301 — Partial Mastectomy (Lumpectomy) 19303 — Simple Complete Mastectomy 44120 — Small Bowel Resection 57522 — Cervical Conization 58662 — Laparoscopic Excision of Lesion (Endometriosis) 58571 — Laparoscopic Hysterectomy with Morcellation 58661 — Laparoscopic Removal of Adnexal Structures 58700 — Salpingectomy 58260 — Vaginal Hysterectomy 64721 — Carpal Tunnel Release 26735 — Phalangeal Fracture, Open Treatment 26055 — Trigger Finger Release 92920 — Percutaneous Coronary Angioplasty 92928 — Percutaneous Coronary Stent Placement 64615 — Chemodenervation muscle(s) innervated by facial/trigeminal/cervical spinal nerves, therapeutic (e.g. chronic migraine) 64646 — Chemodenervation muscle(s); extremity(s), each additional injection site 64645 — Chemodenervation muscle(s); extremity(s), single injection site (e.g. botulinum toxin) 64612 — Chemodenervation muscle(s); muscle(s) innervated by spinal accessory and vagal nerves 64617 — Chemodenervation muscle(s); muscles of trunk 64642 — Chemodenervation muscle(s); one muscle (other than those listed) 64644 — Chemodenervation muscle(s); three or more muscles 64647 — Chemodenervation muscle(s); trunk, single injection site 64643 — Chemodenervation muscle(s); two or more muscles 64616 — Chemodenervation neck muscle(s) excluding larynx, therapeutic (e.g. cervical dystonia) 61312 — Craniotomy for Hematoma Evacuation 61510 — Craniotomy for Tumor Excision, Supratentorial 61624 — Transcatheter Cerebral Embolization 66984 — Cataract Surgery with IOL, Standard 66982 — Complex Cataract Extraction 65756 — Corneal Transplant (DSEK/DMEK) 67108 — Retinal Detachment Repair 67228 — Retinal Laser Photocoagulation 27590 — Amputation, Thigh, Through Femur 27702 — Arthrodesis, Ankle (Fusion) 27447 — Arthroplasty, Knee, Condyle and Plateau; Medial and Lateral Compartments (Total Knee Replacement) 29881 — Arthroscopy, Knee, Meniscectomy 20680 — Hardware Removal, Deep 27244 — Intertrochanteric Femoral Fracture Fixation 27580 — Knee Arthrodesis (Fusion) 27570 — Manipulation of Knee Under Anesthesia 27236 — Open Treatment, Femoral Fracture (Hip Pinning) 23412 — Repair of Rotator Cuff, Chronic 24363 — Total Elbow Arthroplasty 23472 — Total Shoulder Replacement (Arthroplasty) 19340 — Breast Implant Insertion, Post-Mastectomy 15100 — Split-Thickness Skin Graft 28740 — First Metatarsophalangeal Fusion 28296 — Hallux Valgus Correction (Bunionectomy) 28285 — Hammertoe Correction 28730 — Midfoot Fusion (Tarsometatarsal) 63075 — Anterior Cervical Discectomy (Without Fusion) 22551 — Anterior Cervical Discectomy and Fusion (ACDF) 22558 — Anterior Lumbar Interbody Fusion (ALIF) 22856 — Cervical Artificial Disc Replacement 22614 — Each Additional Spinal Segment, Posterior Arthrodesis 22853 — Insertion of Interbody Biomechanical Device, Anterior 63047 — Lumbar Laminectomy, Single Segment 22612 — Posterior Lumbar Interbody Fusion (PLIF) 63042 — Re-exploration of Lumbar Spine 52000 — Cystoscopy 50590 — Lithotripsy (ESWL) 55700 — Prostate Biopsy 55866 — Robotic-Assisted Laparoscopic Prostatectomy 52601 — Transurethral Resection of Prostate (TURP) 52352 — Ureteroscopy with Lithotripsy 36556 — Central Venous Catheter Insertion, Non-Tunneled 36561 — Port-a-Cath Insertion 37228 — Tibial/Peroneal Artery Angioplasty Arthroplasty, Knee, Condyle and Plateau; Medial and Lateral Compartments (Total Knee Replacement)
Payer UnitedHealthcare Anthem Cigna Aetna/CVS Humana Kaiser Permanente Centene Molina Healthcare
Denial Code (CARC) CO-4: Service Not Eligible CO-16: Prior Authorization Expired CO-50: Not Medically Necessary CO-109: Ineligible Service CO-197: Prior Authorization Not Obtained PR-1: Claim Adjudicated as Non-Covered PR-96: Claim Changed per Contract Terms
Plan Type Commercial Medicare Advantage Medicare Fee-for-Service Medicaid Medicaid Managed Care
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Select parameters above and click "Generate Evidence Checklist" to get started.