Changes to 2022 CA OMFS WC Physician Fee Schedule
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for workers’ compensation, effective for all dates of service on or after January 1, 2022.
The update 1) adopts a new California workers’ comp Conversion Factor 2) adds 267 new procedure codes, 3) alters the reimbursement calculation for two procedure codes, and 4) deletes over a hundred existing procedure codes.
The update conforms the OMFS to relevant 2022 changes in the Medicare payment system, as required by California Labor Code Section 5307.1. The DWC announced the update in a recent Newsline, and posted the order adopting the update on the DWC website.
Read on for details!
Make calculating 2022 OMFS reimbursements easy: Try our OMFS Calculator for accurate, instant, always-updated rates (Fee Schedules: California, New York and US DOL).
Increased Conversion Factor
Calculating reimbursement rates for physician services first requires determining the “Base Maximum Fee,” before applying other fee-affecting modifiers or rules. Under the current fee schedule, based on the Centers for Medicare and Medicaid Services’ (CMS) Resource-Based Relative Value Scale (RBRVS), the Base Maximum Fee is calculated using three factors:
- Relative Value Units (RVUs) as determined by Medicare
- Geographic Practice Cost Index (GPCI) as determined by Medicare
- Conversion Factor (CF) as determined by the California DWC.
The DWC update increases the California Conversion Factor for dates of service on or after January 1, 2022 — by 1.3%, from $45.87 to $46.45.
267 New HCPCS Codes
Listed below are the new Healthcare Common Procedure Coding System (HCPCS) codes adopted by the DWC (and CMS) for 2022.
Note that when Medicare fails to assign an HCPCS code a Relative Value Unit (RVU), the reimbursement is calculated “By Report” (BR).
California Code of Regulations Section 9789.12.4 offers guidelines to determine appropriate reimbursement amounts for BR codes; essentially, providers find a comparable procedure in terms of time, skill, and resources required, and charge accordingly. The provider must justify the amount charged with a separate (non-reimbursable) report.
2022 New HCPCS Codes for CA Workers’ Comp Physician Services
HCPCS |
Description |
Reimbursement |
A2001 |
Innovamatrix ac, per sq cm |
By Report |
A2002 |
Mirragen adv wnd mat per sq |
By Report |
A2004 |
Xcellistem, per sq cm |
By Report |
A2005 |
Microlyte matrix, per sq cm |
By Report |
A2006 |
Novosorb synpath per sq cm |
By Report |
A2007 |
Restrata, per sq cm |
By Report |
A2008 |
Theragenesis, per sq cm |
By Report |
A2009 |
Symphony, per sq cm |
By Report |
A2010 |
Apis, per square centimeter |
By Report |
A4436 |
Irr supply sleev reus per mo |
RVU+GPCI+CF |
A4437 |
Irr supply sleev disp per mo |
RVU+GPCI+CF |
A9595 |
Piflu f-18, dia 1 millicurie |
By Report |
D3911 |
Intraorifice barrier |
By Report |
D3921 |
Decor or submerg erupt tooth |
By Report |
D4322 |
Splint intra-coronal |
By Report |
D4323 |
Splint extra-coronal |
By Report |
D5227 |
Immed max part denture |
By Report |
D5228 |
Immed mand part denture |
By Report |
D5725 |
Rebase hybrid prosthesis |
By Report |
D5765 |
Liner compl/partial rem dent |
By Report |
D6198 |
Remove interim implant |
By Report |
D7298 |
Remove screw retained plate |
By Report |
D7299 |
Rem anchorage device w/flap |
By Report |
D7300 |
Rem anchorage dev w/o flap |
By Report |
D9912 |
Pre-visit patient screening |
By Report |
D9947 |
Sleep apnea appliance |
By Report |
D9948 |
Adjust sleep apnea appliance |
By Report |
D9949 |
Repair sleep apnea appliance |
By Report |
G0028 |
Doc med rsn no scr tob |
RVU+GPCI+CF |
G0029 |
No tob scr/cess int |
RVU+GPCI+CF |
G0030 |
Pt scr tob & cess int |
RVU+GPCI+CF |
G0031 |
Pall serv during meas |
RVU+GPCI+CF |
G0032 |
2+ antipsy schiz |
RVU+GPCI+CF |
G0033 |
2+ benzo seiz |
RVU+GPCI+CF |
G0034 |
Pall serv during meas |
RVU+GPCI+CF |
G0035 |
Pt ed pos 23 |
RVU+GPCI+CF |
G0036 |
Pt/ptn decln assess |
RVU+GPCI+CF |
G0037 |
Pt not able to participate |
RVU+GPCI+CF |
G0038 |
Clin pt no ref |
RVU+GPCI+CF |
G0039 |
Pt no ref, rn spec |
RVU+GPCI+CF |
G0040 |
Pt phys/occ therapy |
RVU+GPCI+CF |
G0041 |
Pt/ptn decln referral |
RVU+GPCI+CF |
G0042 |
Ref to therapy |
RVU+GPCI+CF |
G0043 |
Pt mech pros ht valv |
RVU+GPCI+CF |
G0044 |
Pt mitral stenosis |
RVU+GPCI+CF |
G0045 |
Mrs 90 days post stk |
RVU+GPCI+CF |
G0046 |
No mrs 90 days post stk |
RVU+GPCI+CF |
G0047 |
Ped blunt hd traum |
RVU+GPCI+CF |
G0048 |
Pall serv during meas |
RVU+GPCI+CF |
G0049 |
Main hemo in-cntr |
RVU+GPCI+CF |
G0050 |
Pt w/ lmted life expec |
RVU+GPCI+CF |
G0051 |
Pt hospice mnth |
RVU+GPCI+CF |
G0052 |
Pt peri dialysis dur mo |
RVU+GPCI+CF |
G0053 |
Adv rheum pt care mvp |
RVU+GPCI+CF |
G0054 |
Strk cr prev pos outcme mvp |
RVU+GPCI+CF |
G0055 |
Adv care heart dx mvp |
RVU+GPCI+CF |
G0056 |
Opt chronic dx mang mvp |
RVU+GPCI+CF |
G0057 |
Best pct pt safety em mvp |
RVU+GPCI+CF |
G0058 |
Imprv care le jnt repr mvp |
RVU+GPCI+CF |
G0059 |
Pt sfty pos exp w aneth mvp |
RVU+GPCI+CF |
G0060 |
Allergy/immunology ss |
RVU+GPCI+CF |
G0061 |
Anesthesiology ss |
RVU+GPCI+CF |
G0062 |
Audiology ss |
RVU+GPCI+CF |
G0063 |
Cardiology ss |
RVU+GPCI+CF |
G0064 |
Cert nurse midwife ss |
RVU+GPCI+CF |
G0065 |
Chiropractic ss |
RVU+GPCI+CF |
G0066 |
Clinical social work ss |
RVU+GPCI+CF |
G0067 |
Dentistry ss |
RVU+GPCI+CF |
G0465 |
Autolog prp diab wound ulcer |
By Report |
G1024 |
Cdsm radrite |
By Report |
G1025 |
Pt mnth 1 mcp prov |
RVU+GPCI+CF |
G1026 |
Pt hemo > 3mo |
RVU+GPCI+CF |
G1027 |
Pt hemo < 3mo |
RVU+GPCI+CF |
G1028 |
Take home supply 8mg per 0.1 |
RVU+GPCI+CF |
G4000 |
Dermatology ss |
RVU+GPCI+CF |
G4001 |
Diagnostic rad ss |
RVU+GPCI+CF |
G4002 |
Ep cardio ss |
RVU+GPCI+CF |
G4003 |
Emergency med ss |
RVU+GPCI+CF |
G4004 |
Endocrinology ss |
RVU+GPCI+CF |
G4005 |
Family medicine ss |
RVU+GPCI+CF |
G4006 |
Gastroenterology ss |
RVU+GPCI+CF |
G4007 |
General surgery ss |
RVU+GPCI+CF |
G4008 |
Geriatrics ss |
RVU+GPCI+CF |
G4009 |
Hospitalists ss |
RVU+GPCI+CF |
G4010 |
Infectious disease ss |
RVU+GPCI+CF |
G4011 |
Internal medicine ss |
RVU+GPCI+CF |
G4012 |
Interventional rad ss |
RVU+GPCI+CF |
G4013 |
Mentl/behav health ss |
RVU+GPCI+CF |
G4014 |
Nephrology ss |
RVU+GPCI+CF |
G4015 |
Neurology ss |
RVU+GPCI+CF |
G4016 |
Neurosurgical ss |
RVU+GPCI+CF |
G4017 |
Nutrition/dietician ss |
RVU+GPCI+CF |
G4018 |
Ob/gyn ss |
RVU+GPCI+CF |
G4019 |
Oncology/hema ss |
RVU+GPCI+CF |
G4020 |
Ophthalmology ss |
RVU+GPCI+CF |
G4021 |
Orthopedic surgery ss |
RVU+GPCI+CF |
G4022 |
Otolaryngology ss |
RVU+GPCI+CF |
G4023 |
Pathology ss |
RVU+GPCI+CF |
G4024 |
Pediatrics ss |
RVU+GPCI+CF |
G4025 |
Physical medicine ss |
RVU+GPCI+CF |
G4026 |
Phys/occ therapy ss |
RVU+GPCI+CF |
G4027 |
Plastic surgery ss |
RVU+GPCI+CF |
G4028 |
Podiatry ss |
RVU+GPCI+CF |
G4029 |
Preventive medicine ss |
RVU+GPCI+CF |
G4030 |
Pulmonology ss |
RVU+GPCI+CF |
G4031 |
Radiation oncology ss |
RVU+GPCI+CF |
G4032 |
Rheumatology ss |
RVU+GPCI+CF |
G4033 |
Skilled nursing facility ss |
RVU+GPCI+CF |
G4034 |
Speech language path ss |
RVU+GPCI+CF |
G4035 |
Thoracic surgery ss |
RVU+GPCI+CF |
G4036 |
Urgent care ss |
RVU+GPCI+CF |
G4037 |
Urology ss |
RVU+GPCI+CF |
G4038 |
Vascular surgery ss |
RVU+GPCI+CF |
G9988 |
Pall serv during meas |
RVU+GPCI+CF |
G9989 |
Med rsn no pneum vax |
RVU+GPCI+CF |
G9990 |
No pneum vax admin 60+ |
RVU+GPCI+CF |
G9991 |
Pneum vax admin 60+ |
RVU+GPCI+CF |
G9992 |
Pall serv during meas |
RVU+GPCI+CF |
G9993 |
Pall serv during meas |
RVU+GPCI+CF |
G9994 |
Pall serv during meas |
RVU+GPCI+CF |
G9995 |
Pall serv during meas |
RVU+GPCI+CF |
G9996 |
Doc pt pal or hospice |
RVU+GPCI+CF |
G9997 |
Doc pt preg dur msrmt pd |
RVU+GPCI+CF |
G9998 |
Doc med rsn <3 colon |
RVU+GPCI+CF |
G9999 |
Doc sys rsn <3 colon |
RVU+GPCI+CF |
J0172 |
Inj, aducanumab-avwa, 2 mg |
By Report |
J1952 |
Leuprolide inj, camcevi, 1mg |
By Report |
J2506 |
Inj pegfilgrast ex bio 0.5mg |
By Report |
J9021 |
Inj, aspara, rylaze, 0.1 mg |
By Report |
J9061 |
Inj, amivantamab-vmjw |
By Report |
J9272 |
Inj, dostarlimab-gxly, 10 mg |
By Report |
M0240 |
Casiri and imdev repeat |
By Report |
M0241 |
Casiri and imdev repeat hm |
By Report |
Q0240 |
Casirivi and imdevi 600 mg |
By Report |
Q2055 |
Idecabtagene vicleucel car |
By Report |
Q4199 |
Cygnus matrix, per sq cm |
By Report |
0003A |
Adm sarscov2 30mcg/0.3ml 3rd |
By Report |
0013A |
Adm sarscov2 100mcg/0.5ml3rd |
By Report |
01937 |
Anes drg/aspir crv/thrc |
RVU+GPCI+CF |
01938 |
Anes drg/aspir lmbr/sac |
RVU+GPCI+CF |
01939 |
Anes nulyt agt crv/thrc |
RVU+GPCI+CF |
01940 |
Anes nulyt agt lmbr/sac |
RVU+GPCI+CF |
01941 |
Anes neuromd/ntrvrt crv/thrc |
RVU+GPCI+CF |
01942 |
Anes neuromd/ntrvrt lmbr/sac |
RVU+GPCI+CF |
0671T |
Insj ant sgm aq drg dev 1+ |
By Report |
0672T |
Ndovag cryg rf remdl tiss |
By Report |
0673T |
Abltj b9 thyr ndul perq lasr |
By Report |
0674T |
Laps insj nw/rpcmt prm isdss |
By Report |
0675T |
Laps insj nw/rpcmt isdss 1ld |
By Report |
0676T |
Laps insj nw/rpcmt isdss ea |
By Report |
0677T |
Laps repos lead isdss 1st ld |
By Report |
0678T |
Laps repos lead isdss ea add |
By Report |
0679T |
Laps rmvl lead isdss |
By Report |
0680T |
Insj/rplcmt pg only isdss |
By Report |
0681T |
Rlcj pulse gen only isdss |
By Report |
0682T |
Removal pulse gen only isdss |
By Report |
0683T |
Prgrmg dev eval isdss ip |
By Report |
0684T |
Peri-px dev eval isdss ip |
By Report |
0685T |
Interrog dev eval isdss ip |
By Report |
0686T |
Histotripsy mal hepatcel tis |
By Report |
0687T |
Tx amblyopia dev setup 1st |
By Report |
0688T |
Tx amblyopia assmt w/report |
By Report |
0689T |
Quan us tis charac w/o dx us |
By Report |
0690T |
Quan us tis charac w/dx us |
By Report |
0691T |
Auto alys xst ct std vrt fx |
By Report |
0692T |
Therapeutic ultrafiltration |
By Report |
0693T |
Compre ful bdy 3d mtn alys |
By Report |
0694T |
3d vol img&rcnstj brst/ax |
By Report |
0695T |
Bdy srf mpg pm/cvdfb tm impl |
By Report |
0696T |
Bdy surf mapg pm/cvdfb f/up |
By Report |
0697T |
Quan mr tis wo mri mlt orgn |
By Report |
0698T |
Quan mr tiss w/mri mlt orgn |
By Report |
0699T |
Njx pst chmbr eye medication |
By Report |
0700T |
Molec fluor img sus nev 1st |
By Report |
0701T |
Molec fluor img sus nev ea |
By Report |
0702T |
Rem ther mntr ol tech sprt |
By Report |
0703T |
Rem ther mntr ol cog bhv |
By Report |
0704T |
Rem tx amblyopia setup&edu |
By Report |
0705T |
Rem tx amblyopia tech sprt |
By Report |
0706T |
Rem tx amblyopia i&r phy/qhp |
By Report |
0707T |
Njx b1 sub mtrl sbchdrl dfct |
By Report |
0708T |
Id ca immntx prep & 1st njx |
By Report |
0709T |
Id ca immntx each addl njx |
By Report |
0710T |
N-invas artl plaq alys |
By Report |
0711T |
N-nvs artl plaq alys dat prp |
By Report |
0712T |
N-nvs artl plaq alys quan |
By Report |
0713T |
N-nvs artl plaq alys rvw i&r |
By Report |
33267 |
Excl laa open any method |
RVU+GPCI+CF |
33268 |
Excl laa opn oth px any meth |
RVU+GPCI+CF |
33269 |
Excl laa thrscp any method |
RVU+GPCI+CF |
33370 |
Tcat plmt&rmvl cepd perq |
RVU+GPCI+CF |
33509 |
Ndsc hrv uxtr art 1 sgm cab |
RVU+GPCI+CF |
33894 |
Evasc st rpr thrc/aa acrs br |
RVU+GPCI+CF |
33895 |
Evasc st rpr thrc/aa x crsg |
RVU+GPCI+CF |
33897 |
Perq trluml angp nt/recr coa |
RVU+GPCI+CF |
42975 |
Dise eval slp do brth flx dx |
RVU+GPCI+CF |
43497 |
Transorl lwr esophgl myotomy |
RVU+GPCI+CF |
53451 |
Tprnl balo cntnc dev bi |
By Report |
53452 |
Tprnl balo cntnc dev uni |
By Report |
53453 |
Tprnl balo cntnc dev rmvl ea |
By Report |
53454 |
Tprnl balo cntnc dev adjmt |
By Report |
61736 |
Litt icr 1 traj 1 smpl les |
RVU+GPCI+CF |
61737 |
Litt icr mlt trj mlt/cplx ls |
RVU+GPCI+CF |
63052 |
Lam facetc/frmt arthrd lum 1 |
RVU+GPCI+CF |
63053 |
Lam factc/frmt arthrd lum ea |
RVU+GPCI+CF |
64582 |
Opn mpltj hpglsl nstm ary pg |
RVU+GPCI+CF |
64583 |
Rev/rplct hpglsl nstm ary pg |
RVU+GPCI+CF |
64584 |
Rmvl hpglsl nstim ary pg |
RVU+GPCI+CF |
64628 |
Trml dstrj ios bvn 1st 2 l/s |
RVU+GPCI+CF |
64629 |
Trml dstrj ios bvn ea addl |
RVU+GPCI+CF |
66989 |
Xcpsl ctrc rmvl cplx insj 1+ |
RVU+GPCI+CF |
66991 |
Xcapsl ctrc rmvl insj 1+ |
RVU+GPCI+CF |
68841 |
Insj rx elut implt lac canal |
RVU+GPCI+CF |
69716 |
Impltj oi implt skl tc esp |
RVU+GPCI+CF |
69719 |
Revj/rplcmt oi implt tc esp |
RVU+GPCI+CF |
69726 |
Rmvl oi implt skl perq esp |
RVU+GPCI+CF |
69727 |
Rmvl oi implt skl tc esp |
RVU+GPCI+CF |
77089 |
Tbs dxa cal w/i&r fx risk |
RVU+GPCI+CF |
77090 |
Tbs techl prep&transmis data |
RVU+GPCI+CF |
77091 |
Tbs techl calculation only |
RVU+GPCI+CF |
77092 |
Tbs i&r fx rsk qhp |
RVU+GPCI+CF |
80220 |
Drug asy hydroxychloroquine |
RVU+GPCI+CF |
80503 |
Path clin consltj sf 5-20 |
RVU+GPCI+CF |
80504 |
Path clin consltj mod 21-40 |
RVU+GPCI+CF |
80505 |
Path clin consltj high 41-60 |
RVU+GPCI+CF |
80506 |
Path clin consltj prolng svc |
RVU+GPCI+CF |
81349 |
Cytog alys chrml abnr lw-ps |
RVU+GPCI+CF |
81523 |
Onc brst mrna 70 cnt 31 gene |
RVU+GPCI+CF |
81560 |
Trnsplj pd lvr&bwl cd154+cll |
RVU+GPCI+CF |
82653 |
El-1 fecal quantitative |
RVU+GPCI+CF |
83521 |
Ig light chains free each |
RVU+GPCI+CF |
83529 |
Asay of interleukin-6 (il-6) |
RVU+GPCI+CF |
86015 |
Actin antibody each |
RVU+GPCI+CF |
86036 |
Anca screen each antibody |
RVU+GPCI+CF |
86037 |
Anca titer each antibody |
RVU+GPCI+CF |
86051 |
Aquaporin-4 antb elisa |
RVU+GPCI+CF |
86052 |
Aquaporin-4 antb cba each |
RVU+GPCI+CF |
86053 |
Aqaprn-4 antb flo cytmtry ea |
RVU+GPCI+CF |
86231 |
Ema each ig class |
RVU+GPCI+CF |
86258 |
Dgp antibody each ig class |
RVU+GPCI+CF |
86362 |
Mog-igg1 antb cba each |
RVU+GPCI+CF |
86363 |
Mog-igg1 antb flo cytmtry ea |
RVU+GPCI+CF |
86364 |
Tiss trnsgltmnase ea ig clas |
RVU+GPCI+CF |
86381 |
Mitochondrial antibody each |
RVU+GPCI+CF |
86596 |
Voltage-gtd ca chnl antb ea |
RVU+GPCI+CF |
87154 |
Cul typ id bld pthgn 6+ trgt |
RVU+GPCI+CF |
90759 |
Hep b vac 3ag 10mcg 3 dos im |
By Report |
91113 |
Gi trc img intral colon i&r |
RVU+GPCI+CF |
93319 |
3d echo img cgen car anomal |
RVU+GPCI+CF |
93593 |
R hrt cath chd nml nt cnj |
By Report |
93594 |
R hrt cath chd abnl nt cnj |
By Report |
93595 |
L hrt cath chd nm/abn nt cnj |
By Report |
93596 |
R&l hrt cath chd nml nt cnj |
By Report |
93597 |
R&l hrt cath chd abnl nt cnj |
By Report |
93598 |
Car outp meas drg cath chd |
By Report |
94625 |
Phy/qhp op pulm rhb w/o mntr |
RVU+GPCI+CF |
94626 |
Phy/qhp op pulm rhb w/mntr |
RVU+GPCI+CF |
98975 |
Rem ther mntr 1st setup&edu |
RVU+GPCI+CF |
98976 |
Rem ther mntr dev sply resp |
RVU+GPCI+CF |
98977 |
Rem ther mntr dv sply mscskl |
RVU+GPCI+CF |
98980 |
Rem ther mntr 1st 20 min |
RVU+GPCI+CF |
98981 |
Rem ther mntr ea addl 20 min |
RVU+GPCI+CF |
99424 |
Prin care mgmt phys 1st 30 |
RVU+GPCI+CF |
99425 |
Prin care mgmt phys ea addl |
RVU+GPCI+CF |
99426 |
Prin care mgmt staff 1st 30 |
RVU+GPCI+CF |
99427 |
Prin care mgmt staff ea addl |
RVU+GPCI+CF |
99437 |
Chrnc care mgmt phys ea addl |
RVU+GPCI+CF |
Reimbursement Calculation Altered
In addition to the above changes, two existing procedure codes formerly billable only “By Report” now have established reimbursement amounts:
- CPT 0503T (for procedure “Cor ffr alys gnrj ffr mdl”) and
- CPT 92229 (for procedure “Img rta detc/mntr ds poc aly”)
Effective January 1st, Medicare assigned the above-noted codes RVUs. Therefore, the reimbursements are now calculated using the appropriate GPCI assigned to the place of service, and the conversion factor adopted by the DWC.
Deleted Procedure Codes
The update to the Physician Fee Schedule deletes 135 procedure codes. As listed below, these codes are no longer assigned any reimbursement by the DWC.
2022 Deleted HCPCS Codes for CA Workers’ Comp
HCPCS |
Description |
0191T |
Insert ant segment drain int |
01935 |
Anesth perc img dx sp proc |
01936 |
Anesth perc img tx sp proc |
0290T |
Laser inc for pkp/lkp recip |
0355T |
Gi tract capsule endoscopy |
0356T |
Insrt drug device for iop |
0376T |
Insert ant segment drain int |
0423T |
Assay secretory type ii pla2 |
0451T |
Insj/rplcmt aortic ventr sys |
0452T |
Insj/rplcmt dev vasc seal |
0453T |
Insj/rplcmt mech-elec ntrfce |
0454T |
Insj/rplcmt subq electrode |
0455T |
Remvl aortic ventr cmpl sys |
0456T |
Remvl aortic dev vasc seal |
0457T |
Remvl mech-elec skin ntrfce |
0458T |
Remvl subq electrode |
0459T |
Relocaj rplcmt aortic ventr |
0460T |
Repos aortic ventr dev eltrd |
0461T |
Repos aortic contrpulsj dev |
0462T |
Prgrmg eval aortic ventr sys |
0463T |
Interrog aortic ventr sys |
0466T |
Insj ch wal respir eltrd/ra |
0467T |
Revj/rplmnt ch respir eltrd |
0468T |
Rmvl ch wal respir eltrd/ra |
0548T |
Tprnl balo cntnc dev bi |
0549T |
Tprnl balo cntnc dev uni |
0550T |
Tprnl balo cntnc dev rmvl ea |
0551T |
Tprnl balo cntnc dev adjmt |
21310 |
Closed tx nose fx w/o manj |
33470 |
Revision of pulmonary valve |
33722 |
Repair of heart defect |
43850 |
Revise stomach-bowel fusion |
43855 |
Revise stomach-bowel fusion |
59135 |
Treat ectopic pregnancy |
63194 |
Incise spine & cord cervical |
63195 |
Incise spine & cord thoracic |
63196 |
Incise spine&cord 2 trx crvl |
63198 |
Incise spin&cord 2 stgs crvl |
63199 |
Incise spin&cord 2 stgs thrc |
69715 |
Temple bne implnt w/stimulat |
69718 |
Revise temple bone implant |
72275 |
Epidurography |
72275 |
Epidurography |
72275 |
Epidurography |
76101 |
Complex body section x-ray |
76101 |
Complex body section x-ray |
76101 |
Complex body section x-ray |
76102 |
Complex body section x-rays |
76102 |
Complex body section x-rays |
76102 |
Complex body section x-rays |
80500 |
Lab pathology consultation |
80502 |
Lab pathology consultation |
92559 |
Group audiometric testing |
92560 |
Bekesy audiometry screen |
92561 |
Bekesy audiometry diagnosis |
92564 |
Sisi hearing test |
93530 |
Rt heart cath congenital |
93530 |
Rt heart cath congenital |
93530 |
Rt heart cath congenital |
93531 |
R & l heart cath congenital |
93531 |
R & l heart cath congenital |
93531 |
R & l heart cath congenital |
93532 |
R & l heart cath congenital |
93532 |
R & l heart cath congenital |
93532 |
R & l heart cath congenital |
93533 |
R & l heart cath congenital |
93533 |
R & l heart cath congenital |
93533 |
R & l heart cath congenital |
93561 |
Cardiac output measurement |
93561 |
Cardiac output measurement |
93561 |
Cardiac output measurement |
93562 |
Card output measure subsq |
93562 |
Card output measure subsq |
93562 |
Card output measure subsq |
95943 |
Parasymp&symp hrt rate test |
95943 |
Parasymp&symp hrt rate test |
95943 |
Parasymp&symp hrt rate test |
A4397 |
Irrigation supply sleeve |
D4320 |
Provision splnt intracoronal |
D4321 |
Provisional splint extracoro |
D8050 |
Intercep dental tx primary |
D8060 |
Intercep dental tx transitn |
D8690 |
Orthodontic treatment |
G0424 |
Pulmonary rehab w exer |
G2064 |
Md mang high risk dx 30 |
G2065 |
Clin mang h risk dx 30 |
G8422 |
Pt inelig bmi calculation |
G8925 |
Spir fev1/fvc>=60% & no copd |
G8926 |
Spiro no perf or doc |
G8938 |
Bmi doc onl fup nt doc |
G9267 |
Doc comp or mort w in 30d |
G9268 |
Doc comp or mort w in 90d |
G9269 |
Doc no comp or mort w in 30d |
G9270 |
Doc no comp or mort w in 90d |
G9348 |
Doc rsn for ord ct scan |
G9349 |
Ct within 28 days |
G9350 |
No doc sinus ct 28d or dx |
G9399 |
Doc disc tx choices |
G9400 |
Doc reas no disc tx opt |
G9401 |
No disc tx choices |
G9448 |
Born 1945-1965 |
G9449 |
Hx bld transf b/f 1992 |
G9450 |
Hx injec drug use |
G9561 |
Presc opiates >6 wks |
G9562 |
Foll-up eval q3mo opiod tx |
G9563 |
No f/u eval q3mo opiod tx |
G9577 |
Presc opiates >6 wks |
G9578 |
Doc opioid tx 1x during ther |
G9579 |
No doc opioid tx 1x at ther |
G9583 |
Presc opiates >6 wks |
G9584 |
Eval opioid use instr/pt int |
G9585 |
No eval opi use instr/intv |
G9634 |
Qual life tool 2x same/impr |
G9635 |
No doc rsn do qual life assm |
G9636 |
No life asst 2x same/decr |
G9639 |
Amp no reqd in48h ieler proc |
G9640 |
Doc plan hybrid/stage proc |
G9641 |
Amp reqd w/in 48h ieler proc |
G9647 |
No mrs score in 90d followup |
G9666 |
Fas/dir ldl 70-189mg/dl mst |
G9783 |
Doc dx dm, fast <70, no stat |
J0693 |
Inj., cefiderocol, 5 mg |
J2505 |
Injection, pegfilgrastim 6mg |
J7303 |
Contraceptive vaginal ring |
J7333 |
Visco-3 inj dose |
J7401 |
Mometasone furoate sinus imp |
J9315 |
Romidepsin injection |
M0239 |
Bamlanivimab-xxxx infusion |
M1022 |
Pt hospice during perf pd |
M1025 |
Pt hospice during perf pd |
M1026 |
Pt hospice during perf pd |
M1031 |
Pt clin ind img hd |
Q0239 |
Bamlanivimab-xxxx |
Q4228 |
Bionextpatch, per sq cm |
Q4236 |
Carepatch per sq cm |
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