Download cpt codes - Managed Care Systems

Commonly used CPT codes for Managed Care Systems, LLC
Online Authorizations Submission
ALLERGY & IMMUNOLOGY
99203 Consult
99213 Follow Up Visit
95004 & 95024 Skin Testing
95115-95117 Allergy Injections
95165 Allergy Serum
94010, 94060, 94760, 94070 PFT
(Pulmonary Function Test)
E0601
E0470
K0001
E1399
CPAP
BiPAP
Wheelchair
All Other Items
ENDOCRINOLOGY
99203 Consult
99213 Follow Up Visit
60100 & 76942 Ultrasound Guided
Thyroid Biopsy
CARDIOLOGY
99203 Consult
99213 Follow Up Visit
93015 Treadmill
93224-93227 Holter Monitor
93268-93272 Event Monitor
93000 EKG
93306 Echocardiogram
93325, 93350, 93015, J1250
Stress Echo
78452 Thallium Stress Test
93279-93284 Pacemaker Check
ENT
99203 Consult
99213 Follow Up Visit
92557 Audiogram
92567 Tympanometry
31505-31579 Laryngoscopy
31231 Nasal Endoscopy
92504 Ear Microscopy
69210 Removal of Impacted Cerumen
FAMILY PLANNING
59840-59841 Elective Abortion
76815 Pelvic Ultrasound
55250 Vasectomy
58671 Tubal Ligation w/ Device
58670 Tubal Ligation w/ Fulguration
CARDIOVASCULAR SURGERY
99203 Consult
99213 Follow Up Visit
DERMATOLOGY
99203 Consult
99213 Follow Up Visit
11000-11001 Skin Biopies
11400-11446 Benign Lesion Excision
11600-11646 Malignant Lesion Excision
17260-17286 Malignant Lesion
Destruction
17000-17004 Pre-malignant Lesion
Destruction
GASTROENTEROLOGY (GI)
99203 Consult
99213 Follow Up Visit
45378 Colonoscopy1
45380 Colonoscopy w/ Biopsy
43235 EGD
43239 EGD w/ Biopsy
45330 Flexible Sigmoidoscopy
43259 Endoscopic Ultrasound
DME
E1390 Oxygen Concentrator
E0431 Portable Oxygen
E0143 Walker with Wheels
E0156 Walker Seat
E0163 Commode
E0260 Hospital Bed
E0570 Nebulizer
1
Use the below codes for Medicare
patients ONLY:
G0121--Screening Colonoscopy not
meeting criteria for high risk
G0105—Screening Colonoscopy meeting
criteria for high risk
06/25/2017
-1-
INFECTIOUS DISEASE
99203 Consult
99213 Follow Up Visit
PLASTIC SURGERY
99203 Consult
99213 Follow Up Visit
NEUROSURGERY
99203 Consult
99213 Follow Up Visit
PODIATRY
99203 Consult
99213 Follow Up Visit
11719-11721 Toenail Trimming
11055-11057 Callus Trimming
11750 Excision of Nail & Matrix
NEUROLOGY
99203 Consult
99213 Follow Up Visit
95907 & 95913 Nerve Conduction Studies
(NCS)
95860 EMG (one limb)
95861 EMG (two limbs)
95863 EMG (three limbs)
95864 EMG (four limbs)
95885-95887 EMG with NCS
95816-95819 EEG
96116 Neurobehavioral Status Exam
PULMONOLOGY
99203 Consult
99213 Follow Up Visit
94375, 94010, 94060, 94200, 94760,
94726, 94727, 94728, 94729 PFT
(Pulmonary Function Tests)
94762 Pulse Oximetry
95810 & 95811 Sleep Study
31622 Diagnostic Bronchoscopy
31628-31629 Bronchoscopy with Biopsy
ONCOLOGY/HEMATOLOGY
99203 Consult
99213 Follow Up Visit
36430 Blood Transfusion
99195 Phlebotomy
38221 Bone Marrow Biopsy
RADIOLOGY ONCOLOGY
99203 Consult
99213 Follow Up Visit
RADIOLOGY
74170 CT Scan Abdomen w/ &
w/out contrast
74150 CT Scan Abdomen w/out
Contrast
74160 CT Scan Abdomen w/ contrast
72194 CT Scan Pelvis w/ & w/out contrast
72192 CT Scan Pelvis w/out contrast
72193 CT Scan Pelvis w/ contrast
74177 CT Scan Abdomen & Pelvis w/
contrast
74176 CT Scan Abdomen & Pelvis w/o
contrast
74178 CT Scan Abdomen & Pelvis w/ &
w/o contrast
71270 CT Scan Chest w/ & w/o contrast
71250 CT Scan Chest w/out contrast
71260 CT Scan Chest w/ contrast
70486 CT Scan Sinuses w/out contrast
70470 CT Scan Head/Brain w/ & w/out
contrast
70460 CT Scan Head/Brain w/ contrast
70450 CT Scan Head/Brain w/out contrast
70551 MRI Brain w/out contrast
70552 MRI Brain w/ contrast
70553 MRI Brain w/ & w/out contrast
72148 MRI Lumbar Spine w/out contrast
72141 MRI Cervical Spine w/out contrast
OPHTHALMOLOGY
99203 Consult
99213 Follow Up Visit
92014 Eye Exam & Treatment
92015 Eye Refraction Exam
92081-92083 Visual Fields
66984 Cataract Extraction with Lens
Prosthesis
66821 Cataract YAG Laser
PAIN MANAGEMENT
99203 Consult
99213 Follow Up Visit
62282 Epidural Injection (Lumbar)
20550-20553 Trigger Point Injections
27096 Sacro-iliac (SI) Joint Injection
20600-20610 Major Joint Injection
PHYSICAL MEDICINE & REHAB
99203 Consult
99213 Follow Up Visit
20550-20553 Trigger Point Injection
20600-20610 Joint Injection
06/25/2017
-2-
72146 MRI Thoracic Spine w/out contrast
74181 MRI Abdomen w/out contrast
72195 MRI Pelvis w/out contrast
73221 MRI Upper Extremity Joint
73721 MRI Lower Extremity Joint
78813 PET Scan Whole Body
77080 DEXA Scan
93880 Carotid Doppler
93922 Limited ABI
93923 Complete ABI
93925 Bilateral Lower Extremity Arterial
Duplex Scan
93930 Bilateral Upper Extremity Arterial
Duplex Scan
93970 Bilateral Extremity Venous Duplex
Scan
19083-19084 Breast Biopsy with
Ultrasound Guidance
19081-19082 Stereotactic Breast Biopsy
78306 Whole Body Bone Scan
78315 3 Phase Bone Scan
78580 Lung Perfusion Image
74455 VCUG
78226-78227 HIDA Scan
76770 Renal Scan
78012 Thyroid Uptake
78013 Thyroid Imaging
78014 Thyroid Imaging w/ Uptake
REHABILITATION THERAPY
97001 Physical Therapy Eval
97110 Physical Therapy Visits
92521-92524 Speech Therapy Eval
92507 Speech Therapy Visits
97003 Occupational Therapy Eval
97110 Occupational Therapy Visits
THORACIC SURGERY
99203 Consult
99213 Follow Up Visit
UROLOGY
99203 Consult
99213 Follow Up Visit
52000 Cystoscopy
76872 Prostate Ultrasound
81000 Urinalysis
55700 Prostate Biopsy
51741 Uroflow
51725 Simple Cystometrogram
51726 Complex Cystometrogram
51702 Foley Catheter Insertion
52310 Cystoscopy w/ Stent Removal
51798 Post-Voiding Residual
06/25/2017
-3-