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  All Services Abdomenal > Appendectomy (Inpatient) Abdomenal > Biopsy of the bladder using an endoscope Abdomenal > Cholecystectomy Abdomenal > Cholecystectomy with cholangiography Abdomenal > Crushing of stone in urinary duct (ureter) with stent using an endoscope Abdomenal > Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope Abdomenal > Inguinal hernia repair (age over 5) Abdomenal > Insertion of Indwelling Bladder Catheter Abdomenal > Insertion of temporary bladder catheter Abdomenal > Laparoscopic cholecystectomy (Inpatient) Abdomenal > Laser vaporization of prostate using an endoscope Abdomenal > Removal of appendix using an endoscope (Outpatient) Abdomenal > Removal of prostate through bladder canal (urethra) using an endoscope Abdomenal > Repair of groin hernia using an endoscope Abdomenal > Repair of incisional hernia using an endoscope Abdomenal > Repair of trapped hernia using an endoscope Abdomenal > Shock wave crushing of kidney stones Abdomenal > Trapped inguinal hernia repair (age over 5) Abdomenal > Umbilical hernia repair (age over 5) Blood > Blood count, hemoglobin Blood > Blood count, hemoglobin and hematocrit Blood > Blood glucose (sugar) level after receiving dose of glucose Blood > Blood glucose (sugar) tolerance test Blood > Blood test, clotting time Blood > Coagulation assessment blood test Blood > Coagulation Function Measurement; D-dimer; quantitative Blood > Complete blood cell count, with differential white blood cells, automated Blood > Complete blood count, automated Blood > Microscopic examination for white blood cells Blood > Protein C antigen (clotting inhibitor) measurement Blood > Protein S (clotting inhibitor) level Blood > Red blood cell sickling measurement Blood > Red Blood Cells, Leukocytes Reduced, Each Unit Blood > Red blood count, automated test Breast > 3D Mammogram Screening (Tomosynthesis) Breast > Biopsy of breast Breast > Breast enlargement using prosthetic implant Breast > Diagnostic mammography, unilateral Breast > Excision of breast lesion Breast > Excision of cyst of breast Breast > Mammogram Screening Breast > Mammography of both breasts Breast > Partial removal of breast Breast > Reduction mammaplasty Breast > Removal of breast and underarm lymph nodes Breast > Total removal of breast Cardiac > Cardiac defibrillator implant without cardiac catherization Cardiac > Cardiac valve procedure Cardiac > Coronary bypass with cardiac catheterization Cardiac > Coronary bypass without cardiac catheterization Cardiac > Defibrillator complete system Cardiac > Defibrillator generator Cardiac > Diagnostic heart catheterization Cardiac > Diagnostic heart catheterization (right side) Cardiac > Doppler ultrasound of heart blood flow, valves, and chambers Cardiac > Implant drug-eluting stent Cardiac > Implant Permanent Cardiac Pacemaker Cardiac > Replacement of dual lead permanent pacemaker pulse generator Cardiovascular > Cardiovascular stress test, with interpretation and report Cardiovascular > Cardiovascular stress test, without interpretation and report Cardiovascular > Electrocardiogram, routine, with interpretation and report Cardiovascular > Electrocardiogram, tracing only, without interpretation and report Cardiovascular > Heart rhythm symptom-related tracing of 24-hour EKG monitoring up to 30 days Cardiovascular > Holter Testing - 48-Hour EKG Cardiovascular > Routine 12 Lead EKG with report Cardiovascular > Tilt table test to evaluate heart (for unexplained fainting) Cardiovascular > Ultrasound Heart Chemistry > ADH (antidiuretic hormone) level Chemistry > Adrenocorticotropic hormone (ACTH) level Chemistry > Albumin (protein) level Chemistry > Alpha-1-antitrypsin; total Chemistry > Alpha-Fetoprotein (AFP) Level, Serum Chemistry > Ammonia level Chemistry > Amylase (enzyme) level Chemistry > Angiotensin l - converting enzyme (ACE) level Chemistry > Arterial Blood Gases Measurement Chemistry > Assay of free thyroxine Chemistry > Beta-2 microglobulin (protein) level Chemistry > Bilirubin level (Direct) Chemistry > Bilirubin level (Total) Chemistry > Blood creatinine level Chemistry > Blood glucose (sugar) level Chemistry > Blood glucose (sugar) measurement using reagent strip Chemistry > Blood potassium level Chemistry > Blood sodium level Chemistry > Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) Chemistry > Blood test, lipids (cholesterol and triglycerides) Chemistry > Blood test, thyroid stimulating hormone (TSH) Chemistry > C-peptide (protein) level Chemistry > Calcium level Chemistry > Carbon dioxide (bicarbonate) level Chemistry > Carcinoembryonic antigen (CEA) protein level Chemistry > Cholesterol level Chemistry > Copper level Chemistry > Cortisol Measurement Chemistry > Creatine kinase Level (cardiac enzyme) - Total Chemistry > Cyanocobalamin (vitamin B-12) level Chemistry > Dehydroepiandrosterone (DHEA-S) hormone level Chemistry > Dihydroxyvitamin D, 1, 25 level Chemistry > Ferritin (blood protein) level Chemistry > Folic acid; serum Chemistry > Gammaglobulin Measurement Chemistry > Glutamyltransferase (liver enzyme) level Chemistry > Glycosylated hemoglobin test Chemistry > Gonadotropin (reproductive hormone) analysis Chemistry > Gonadotropin, chorionic (reproductive hormone) level Chemistry > Gonadotropin, follicle stimulating (reproductive hormone) level Chemistry > Gonadotropin, luteinizing (reproductive hormone) level Chemistry > Haptoglobin (serum protein) level Chemistry > HDL cholesterol level Chemistry > Hemoglobin Measurement Chemistry > Homocysteine (amino acid) level Chemistry > Hydroxyprogesterone, 17-D (synthetic hormone) level Chemistry > IgE (immune system protein) level Chemistry > Immunoassay other than infectious agent antibody Chemistry > Insulin Measurement; Total Chemistry > Ionized Calcium Chemistry > Iron Binding Capacity Chemistry > Iron level Chemistry > Lactate dehydrogenase (enzyme) level Chemistry > LDL cholesterol level Chemistry > Lipase (fat enzyme) level Chemistry > Liver enzyme (SGOT), level Chemistry > Liver enzyme (SGPT), level Chemistry > Liver function blood test panel Chemistry > Magnesium Level Chemistry > Mass spectrometry Chemistry > Nephelometry, test method using light Chemistry > Nucleotidase 5' (enzyme) level Chemistry > Organic acid level Chemistry > Oxalate level Chemistry > Parathormone Chemistry > Phosphatase (enzyme) level Chemistry > Prealbumin (protein) level Chemistry > Procalcitonin (hormone) level Chemistry > Prolactin (milk producing hormone) level Chemistry > Protein Measurement, Serum Chemistry > Selenium (vitamin) level Chemistry > Stool analysis for blood Chemistry > Testosterone (hormone) level Chemistry > Testosterone Level; Free Chemistry > Thyroid hormone, T3 measurement Chemistry > Thyroid hormone, T3 measurement - Total Chemistry > Thyroid Hormone, T3 Measurement, Free Chemistry > Thyroid stimulating immune globulins (thyroid related protein) level Chemistry > Thyroxine (thyroid chemical) measurement - Free Thyroxine Chemistry > Thyroxine (thyroid chemical) measurement - Total Chemistry > Total protein level, blood Chemistry > Total Protein Level, Urine Chemistry > Triglycerides level Chemistry > Troponin (protein) analysis Chemistry > Uric acid level Chemistry > Uric acid level, blood Chemistry > Urine calcium level Chemistry > Urine chloride level Chemistry > Urine microalbumin (protein) level Chemistry > Urine osmolality (concentration) measurement Chemistry > Urine porphyrins (metabolism substance) measurement Chemistry > Urine potassium level Chemistry > Urine sodium level Chemistry > Vitamin B-6 level Chemistry > Vitamin D; 25 hydroxy Chemistry > Zinc level Chest > X-ray of Both Sides of Ribs, Including Chest, Minimum of 4 Views Chest > X-ray of breast bone, minimum of 2 views Chest > X-ray of chest; 2 Views Chest > X-ray of chest; Single View Chest > X-ray Ribs One Side, 2 Views CT Scan > CT Angiogram Chest with and without Contrast CT Scan > CT scan Abdomen without Contrast CT Scan > CT scan of abdomen & pelvis with and without contrast material CT Scan > CT scan of abdomen & pelvis with contrast material CT Scan > CT scan of abdomen & pelvis without contrast material CT Scan > CT scan of abdomen with contrast material CT Scan > CT scan of abdomen without & with contrast material CT Scan > CT Scan of thorax, with contrast material CT Scan > CT Scan of thorax, without contrast material CT Scan > CT scan, head or brain, without contrast CT Scan > CT scan, maxillofacial area; without contrast material CT Scan > CT scan, pelvis, with contrast CT Scan > CT scan, soft tissue neck; with contrast material(s) Digestive > Colonoscopy, diagnostic Digestive > Colonoscopy, with biopsy Digestive > Colonoscopy, with tumor removal Digestive > Colonoscopy, with tumor removal (SNARE) Digestive > EGD Digestive > EGD and biopsy Digestive > Gastric Sleeve (Outpatient) Digestive > Removal of internal and external hemorrhoids Digestive > Removal of multiple internal and external hemorrhoid groups Digestive > Ultrasound of lower large bowel using an endoscope Emergency Care > Emergency Critical Care, Each Additional 30 Minutes Emergency Care > Emergency Critical Care, First 30 Minutes Emergency Care > Emergency Level 1 Emergency Care > Emergency Level 2 Emergency Care > Emergency Level 3 Emergency Care > Emergency Level 4 Emergency Care > Emergency Level 5 Female Reproductive > Uterine and adnexa procedures, non-malignancy Foot > Bunionectomy or repair of toe deformities General > Biopsy of prostate gland General > Diltiazem Oral 25 MG General > Drainage of Abscess General > Incision and removal of foreign body, subcutaneous tissues; simple General > Prostatectomy General > Removal of foreign body from ear canal General > Removal of thyroid General > Repair of Wound (2.6 to 7.5 centimeters) General > Repair of Wound (7.6 to 12.5 cm) General > Simple wound repair of face, including ears; 2.5 cm or less General > Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less Head > Create eardrum opening Head > Implantation of cochlear device Head > Injection of drug into the eye Head > Repair of eardrum Head and Neck > X-ray of bones of face, minimum of 3 views Head and Neck > X-ray of bones of nose, minimum of 3 views Head and Neck > X-ray of jaw joints on both sides of the face Head and Neck > X-ray of mandible, minimum of 4 views Head and Neck > X-ray of neck soft tissue Head and Neck > X-ray of paranasal sinus, less than 3 views Head and Neck > X-ray of skull, complete, minimum of 4 views Hip and Pelvis > X-ray Both Hips and Pelvis, 3-4 Views Hip and Pelvis > X-ray Hip and Pelvis, 2 Views Hip and Pelvis > X-ray Pelvis, 1-2 Views Hip and Pelvis > X-ray Pelvis, 2 Views Hip and Pelvis > X-ray Sacroiliac Joints, 3 or More Views Hospital > Hospital observation care discharge Hospital > Hospital observation care typically 30 minutes Hospital > Hospital observation care typically 50 minutes Hospital > Hospital observation care typically 70 minutes per day Hospital > Hospital observation or inpatient care moderate severity, 50 minutes per day Hospital > Hospital Observation per Hour Hospital > Subsequent observation care, typically 15 minutes per day Hospital > Subsequent observation care, typically 25 minutes per day Hospital > Subsequent observation care, typically 35 minutes per day Immunology > Analysis for antibody (IgM) to Cytomegalovirus (CMV) Immunology > Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) Immunology > Analysis for antibody to Herpes simplex virus Immunology > Analysis for antibody to Herpes simplex virus, type 1 Immunology > Analysis for antibody to HIV -1 virus Immunology > Confirmation test for Hepatitis C antibody Immunology > Covid-19 antibody test Immunology > Deoxyribonucleic acid (DNA) antibody; native or double stranded Immunology > Hepatitis B core antibody (IgM) measurement Immunology > Hepatitis B surface antibody measurement Immunology > Immunoassay for infectious agent antibody Immunology > Immunofixation electrophoresis; serum Immunology > Immunologic analysis technique on body fluid; Immunofixation electrophoresis Immunology > Measurement C-reactive protein Immunology > Measurement of antibody (IgE) to allergic substance Immunology > Measurement of antibody to noninfectious agent Immunology > Measurement of complement (immune system proteins) Immunology > Measurement of Complement (Immune System Proteins) Immunology > Measurement of Hepatitis A antibody (IgM) Immunology > Microsomal Antibodies Measurement Immunology > Rheumatoid factor level Immunology > Screening test for antibody to noninfectious agent Immunology > Screening test for mononucleosis (mono) Immunology > Skin test for tuberculosis Immunology > Syphilis Detection Test Immunology > T cell count and ratio Immunology > T cells count, total Immunology > T cells; absolute CD4 and CD8 count, including ratio Immunology > Thyroglobulin (thyroid protein) antibody measurement Immunology > Tuberculosis Test Intraoral > Tonsil removal (patient 12 and over) Intraoral > Tonsil removal (patient under 12) Lower Limbs > X-ray Ankle, 2 Views Lower Limbs > X-ray Ankle, 3 Views Lower Limbs > X-ray Both Knees Lower Limbs > X-ray exam of foot Lower Limbs > X-ray exam of knee, 3 views Lower Limbs > X-ray Femur, 2 Views Lower Limbs > X-ray Foot, 2 Views Lower Limbs > X-ray Heel, 2 Views Lower Limbs > X-ray Knee, 1-2 Views Lower Limbs > X-ray Knee, 4 or More Views Lower Limbs > X-ray Lower Leg, 2 Views Microbiology > Analysis for antibody bordetella (respiratory bacteria) Microbiology > Bacterial Culture, any source Microbiology > Bacterial urine culture; quantitative colony count Microbiology > Chlamydia Test Microbiology > Covid-19 current infection test Microbiology > Detection test for clostridium difficile Microbiology > Detection test for clostridium difficile toxins (stool pathogen) Microbiology > Detection test for cytomegalovirus, quantification Microbiology > Detection test for Hepatitis Be surface antigen Microbiology > Detection test for HIV-1 virus, quantification Microbiology > Detection Test for Neisseria Gonorrhoeae Microbiology > Hepatitis B Detection Microbiology > HIV antigen and antibodies detection test Microbiology > HPV Detection Microbiology > Microbial toxin or antitoxin assay Microbiology > Mumps virus antibody test Microbiology > Parvovirus antibody test Microbiology > Rubella virus antibody test Microbiology > Rubeola virus antibody test Microbiology > Smear for infectious agents Microbiology > Smear for Parasites Microbiology > Special stain for microorganism; special stain for parasites Microbiology > Stool Culture Microbiology > Strep Test Microbiology > Streptoccus Microbiology > Test for Influenza Virus Microbiology > Treponema pallidum antibody test Microbiology > Varicella-zoster virus antibody test Molecular pathology > Gene analysis (hemochromatosis) common variants MRA > Magnetic resonance angiography, head; without contrast material(s) MRI > MRI chest spine without contrast material MRI > MRI lumbar spine without & with contrast material MRI > MRI lumbar spine without contrast material MRI > MRI neck spine without & with contrast material MRI > MRI neck spine without contrast material MRI > MRI of abdomen without & with contrast material MRI > MRI of upper extremity joint; without contrast material MRI > MRI scan of brain (including brain stem); without contrast material MRI > MRI scan of brain before and after contrast MRI > MRI scan of leg joint Musculoskeletal > Bi-lateral (combined anterior/posterior) spinal fusion Musculoskeletal > Closed treatment of dislocated finger joint with manipulation Musculoskeletal > Injection of substance into spinal canal of lower back or sacrum using imaging guidance Musculoskeletal > Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance Musculoskeletal > Insertion of Breathing Tube Using an Endoscope Musculoskeletal > Joint arthrocentesis Musculoskeletal > Joint replacement (hip or knee) Musculoskeletal > Knee arthroscopic cartilage removal Musculoskeletal > Knee arthroscopic chrondoplasty Musculoskeletal > Neurostimulator pulse generator Musculoskeletal > Shoulder arthroscopy Musculoskeletal > Shoulder arthroscopy with bone shaving Musculoskeletal > Spinal fusion (cervical) Musculoskeletal > Spinal fusion (non-cervical) Musculoskeletal > Spine arthrodesis Musculoskeletal > Strapping, Unna boot Obstetrics > Abdominal removal of uterus with removal of tubes and/or ovaries using an endoscope Obstetrics > Biopsy and/or removal of polyp of the uterus using an endoscope Obstetrics > Cesarean Section (C-Section) Delivery of Child Obstetrics > Destruction or removal of ovary or pelvic growths using an endoscope Obstetrics > Removal of ovaries and/or tubes using an endoscope Obstetrics > Removal of uterine fibroid tumors using an endoscope Obstetrics > Routine obstetric care Obstetrics > Routine obstetric care for cesarean delivery, including pre-and postdelivery care Obstetrics > Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care Obstetrics > Vaginal Delivery of Child Obstetrics > Vaginal removal of uterus, tubes, and/or ovaries Ocular > Cataract removal Ocular > Cataract removal with insertion of lens Ocular > Laser cataract removal Ocular > Realignment of the eye with repair of eye muscle Ocular > Removal or relocation of corneal conjunctiva Ocular > Repair of detached retina Ocular > Transplant of outer layer of corneal tissue Office Visit > Initial new patient preventive medicine evaluation (18-39 years) Office Visit > Initial new patient preventive medicine evaluation (40-64 years) Office Visit > New patient office of other outpatient visit, typically 45 min Office Visit > New patient office of other outpatient visit, typically 60 min Office Visit > New patient office or other outpatient visit, typically 30 min Office Visit > Patient office consultation, typically 40 min Office Visit > Patient office consultation, typically 60 min Organ or Disease Oriented Panels > Acute hepatitis panel Organ or Disease Oriented Panels > Basic metabolic panel Organ or Disease Oriented Panels > Blood test, comprehensive group of blood chemicals Organ or Disease Oriented Panels > Blood test, lipids (cholesterol and triglycerides) Organ or Disease Oriented Panels > Kidney Function Blood Test Panel Organ or Disease Oriented Panels > Liver function blood test panel Organ or Disease Oriented Panels > Obstetric blood test panel Other Services > Occupational Therapy Evaluation - High Complexity Physical Therapy > Electric Stimulation for Therapy Physical Therapy > Gait Training - 15 Minutes Physical Therapy > Occupational Therapy Evaluation - Low Complexity Physical Therapy > Occupational Therapy Evaluation - Moderate Complexity Physical Therapy > Physical Therapy, re-evaluation Physical Therapy > Physical therapy, therapeutic exercise Physical Therapy > PT Evaluation - High Complexity Physical Therapy > PT Evaluation - Low Complexity Physical Therapy > PT Evaluation - Moderate Complexity Physical Therapy > Self Care - Home Management Training - 15 Minutes Physical Therapy > Therapeutic massage Psychology > Detox Room and Board Per Diem Rate Psychology > Family psychotherapy, including patient, 50 min Psychology > Family psychotherapy, not including patient, 50 min Psychology > Group psychotherapy Psychology > Psych Room and Board Per Diem Rate Psychology > Psychiatric diagnostic evaluation Psychology > Psychotherapy, 30 minutes with patient Psychology > Psychotherapy, 45 minutes with patient Psychology > Psychotherapy, 60 min Psychology > Rehab Room and Board Per Diem Rate Pulmonary > Aerosol Treatment Pulmonary > Blood osmolality (concentration) measurement Pulmonary > CO Diffusion Capacity Pulmonary > Nebulizer Treatment Pulmonary > Pulmonary stress test Pulmonary > Spirometry - breathing test Sleep > Sleep study Soft Tissue > Debridement of open wound Soft Tissue > Non-selective debridement Speech > Evaluation of Speech Sound Production and Language Comprehenson Speech > Speech Therapy Speech > Swallow Evaluation Speech > Swallow Treatment Spine > X-ray Lower Sacral Spine, 2 or 3 views Spine > X-ray Lower Sacral Spine, 2-3 Views Spine > X-ray Lower Sacral Spine, 4 or More Views Spine > X-ray Neck Spine, 2-3 Views Spine > X-ray, lower back, minimum four views Surgical Pathology > Special Stain for Microorganism; Gram or Glemsa Stain Therapeutic Drug Assays > Cortisol (hormone) measurement Therapeutic Drug Assays > Cyclosporine level Therapeutic Drug Assays > Digoxin level Therapeutic Drug Assays > Drug Test(s) by Chemistry Analyzer Therapeutic Drug Assays > Levetiracetam level Therapeutic Drug Assays > Lithium Level Therapeutic Drug Assays > Phenobarbital level Therapeutic Drug Assays > Phenytoin level Therapeutic Drug Assays > Tacrolimus Level Therapeutic Drug Assays > Valproic acid level Therapeutic Drug Assays > Vancomycin (antibiotic) level Transfusion > Blood Typing, ABO Transfusion > Blood Typing, Rh (D) Transfusion > Blood Unit Compatibility Test; Antiglobulin Technique Transfusion > Irradiation blood product, each unit Transfusion > Red blood cell (RBC) antibody detection test Transfusion > Screening test for compatible blood unit Transfusion > Screening test for red blood cell (RBC) antibodies Ultrasound > Abdominal ultrasound of pregnant uterus, first trimester Ultrasound > Ultrasound Blood Flow Outside the Brain Ultrasound > Ultrasound exam of abdomenal back wall, complete Ultrasound > Ultrasound exam of head and neck Ultrasound > Ultrasound guidance for biopsy Ultrasound > Ultrasound Joint Soft Tissue - Complete Ultrasound > Ultrasound of abdomen, complete Ultrasound > Ultrasound of abdomen, limited Ultrasound > Ultrasound of pelvis Ultrasound > Ultrasound Veins of Both Arms or Legs Ultrasound > Ultrasound, pelvic, complete Ultrasound > Ultrasound, transvaginal Upper Limbs > X-ray Elbow, 3 Views Upper Limbs > X-ray Fingers, 2 Views Upper Limbs > X-ray Forearm, 2 Views Upper Limbs > X-ray Hand, 2 Views Upper Limbs > X-ray Hand, 3 Views Upper Limbs > X-ray Shoulder, 2 Views Upper Limbs > X-ray Upper Arm, 2 Views Upper Limbs > X-ray Wrist, 3 Views Upper Limbs > X-ray Wrist, 3+ Views Urinalysis > Urinalysis with Examination, using Microscope Urinalysis > Urinalysis, Automated Test Urinalysis > Urine Pregnancy Test Vascular > Collection of blood specimen from central or peripheral venous catheter Vascular > Collection of capillary blood specimen Vascular > Insert non-tunneled catheter (age over 5) Vascular > Transfusion of Blood or Blood Products Vascular > Ultrasound Veins of One Arm or Leg
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